SWEDISH COVENANT HEALTH: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SWEDISH COVENANT HEALTH (EIN 36-2179813)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-14
- IRS object ID
- 201402269349304285
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-14T17:04:41-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 S Wacker Dr | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362179813 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWEDISH COVENANT HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SWED | NameControl |
| Phone | 7738788200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5145 N CALIFORNIA AVE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60625 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS GARVEY | Name |
| Title | SENIOR VP & CFO | Title |
| Phone | 7738788200 | Phone |
| Date Signed | 2014-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Laura J Gillespie | Name |
| PTIN | P00855604 | PTIN |
| Phone | 3124861000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS GARVEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5145 N CALIFORNIA AVE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60625 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 264499439 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.schosp.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1907 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | Providing excellent healthcare services for our culturally diverse communities for over 120 years. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 23 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2271 | TotalNbrEmployees |
| Total Nbr Volunteers | 179 | TotalNbrVolunteers |
| Total Gross UBI | 2358396 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 7291187 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 126546 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 250010625 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 245215855 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1242801 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2810072 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 12180280 | OtherRevenuePriorYear |
| Other Revenue Current Year | 16339128 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 270724893 | TotalRevenuePriorYear |
| Total Revenue Current Year | 264491601 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 115120418 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 119468167 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 585963 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 136348605 | OtherExpensePriorYear |
| Other Expenses Current Year | 132757505 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 251469023 | TotalExpensesPriorYear |
| Total Expenses Current Year | 252225672 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 19255870 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 12265929 | RevenuesLessExpensesCY |
| Total Assets BOY | 451770879 | TotalAssetsBOY |
| Total Assets EOY | 467642185 | TotalAssetsEOY |
| Total Liabilities BOY | 301520837 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 290212856 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 150250042 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 177429329 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Our Mission is to provide a continuum of excellent healthcare services. Rooted in The Evangelical Covenant Church, the hospital is dedicated to serving the physical, spiritual and psychological needs of our culturally diverse communities. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 222360955 | Expense |
| Revenue | 259732471 | Revenue |
| Description | Since 1886, Swedish Covenant Hospital (SCH) has been dedicated to providing community benefit healthcare services and healthcare education. As part of its mission as a not-for-profit, church-based community hospital, Swedish Covenant has served as an educational center, health rehabilitation center, illness prevention center, social support services center, and community center. Swedish Covenant Hospital serves as a solid community structure through employment of over 1,914 individuals.Recognizing its mission to the community, Swedish Covenant Hospital offers the following quality medical healthcare services regardless of race, creed, sex, national origin, handicap, age or ability to pay:General Medicine, Surgery, ICUSwedish Covenant Hospital continually offers the latest technology to meet the vast needs of the community. During the fiscal year, SCH serviced 14,066 inpatients and more than 253,500 outpatients at a total cost of $210,011,982.Physical Medicine/Rehab ServicesSCH is dedicated to providing a comprehensive Rehab Unit that combines the disciplines of physical therapy, speech therapy, occupational therapy and social work to help patients regain their strength and skills. The Rehab unit features a special room that simulates a home environment so patients can practice with home-like carpeting, furniture and fixtures while supervised by nurses. During the fiscal year, 221,451 inpatient and outpatient treatments for rehab, speech and occupational therapy were provided for a total cost of $4,532,128.Cardiac Care and RehabThe Cardiac Rehabilitation program offered by Swedish Covenant Hospital has improved the lives of many individuals with such innovative programs as Coronary Heart Disease Reversal. SCH also offers a state-of-the-art Cardiac Catheterization Lab, and other diagnostic and preventive programs. During the fiscal year, SCH provided 24,628 treatments and 1,749 procedures by the Cardiac Rehab program and Cardiac Catheterization Lab, respectively, for a total cost of $6,645,875.In addition to the program services listed above, Swedish Covenant Hospital also offers the following services to the community:Health Screening, Health Promotions, Education, PreventionSCH offers year-round health screenings to members of the community. During the fiscal year, SCH offered 9 blood pressure screening events serving 145 participants. Each year free or reduced-cost cancer screenings are offered to the community. These include prostate, skin, oral, and breast screenings. An eight-week smoking cessation class was offered. The program has had a quit rate after one year of approximately 50%.During the fiscal year Swedish Covenant Hospital served a total of 17,351 persons through participation in health promotions, education, and prevention for a total cost of $542,560.Community Wellness and Prevention programs continue to serve the community with 188 events held at the Hospital or in the community through collaboration with community partners. These events include health fairs, screenings, daytime and evening lectures, seminars, classes, Speakers Bureau presentations, childrens events and other health related activities. Throughout the year the Hospital collaborated with dozens of community organizations to provide wellness and prevention programs.Swedish Covenant Hospital publishes periodic health and wellness information which is distributed through mailings and web-based programs to 225,793 households throughout the surrounding community for a cost of $105,681.During the fiscal year, Swedish Covenant Hospital also offered transportation services to 3,978 members of the community at a net cost of $156,060.Interpreter ServicesSwedish Covenant Hospital provides in-house interpreters for patients who speak Korean, Spanish, and Russian, the primary non-English languages in the community. In FY 2013, the interpreters participated in a total of 1,491 sessions. Additionally, SCH uses professional telephone interpretive assistance and had 11,481 calls. For deaf or hearing impaired patients who request sign language interpreters, the Hospital provides interpreters through CAIRS and Chicago Hearing Society. SCH incurred a total cost of $366,669 for interpreter services serving a total of 38,432 persons.Medical Education ProgramSwedish Covenant Hospital is an independent teaching hospital, with residency programs in family medicine, osteopathic internal medicine, osteopathic transitional year and as of August 1st, 2013 Podiatric Surgery. As part of our affiliation with Midwestern University, Swedish Covenant Hospital is a training site for residents in emergency medicine and critical care residency programs. Our teaching affiliation is with Midwestern University Chicago College of Osteopathic Medicine.We also have an affiliation agreement with Rush University. This agreement allows Swedish Covenant Hospital to be a training site for their OB/GYN residents.In addition to the above, during the fiscal year ended September 30, 2013, Swedish Covenant Hospital voluntarily provided $11,477,000 at cost in charity care/uninsured discounts and provided $14,419,872 at cost in unreimbursed Medicaid services. | Description |
| Total Program Service Expense | 222360955 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 428 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 2 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2271 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 23 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID HERMAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7738788200 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5145 N CALIFORNIA AVE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60625 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| CHARLES L ADAIR | |||||||||
| DIRECTOR | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| KURT D ANDERSON | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| LYLE BANKS | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| RENEE BORKOWSKI | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| RONALD D CURRAN MD | |||||||||
| DIRECTOR | 1.00 | 40.00 | X | 0 | 602751 | 27934 | |||
| JUDITH E DABERTIN | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| H CLARK FEDERER MD | |||||||||
| DIRECTOR | 1.00 | X | 8656 | 0 | 0 | ||||
| MAUREEN T GIRARD | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| W J WESLEY KEE | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| DAVID J KOO | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| PATRICIA MERRYWEATHER | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| REV MARK A NILSON | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| JEFFREY M TILKIN MD | |||||||||
| DIRECTOR | 1.00 | X | 15200 | 0 | 0 | ||||
| TONY R VANCAUWELAERT MD | |||||||||
| DIRECTOR | 1.00 | X | 8859 | 1872 | 0 | ||||
| DENNIS C WOLFF | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| LAWRENCE P ANDERSON | |||||||||
| DIRECTOR | 1.00 | 40.00 | X | 0 | 550602 | 66509 | |||
| DAVID A DWIGHT | |||||||||
| DIRECTOR | 1.00 | 40.00 | X | 0 | 581280 | 129403 | |||
| ARMINIO SURUCCI MD | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| REV GARY B WALTER | |||||||||
| DIRECTOR | 1.00 | 40.00 | X | 0 | 157472 | 117568 | |||
| THOMAS M PYRA | |||||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | |||
| JUDITH A PINS | |||||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | |||
| DAVID R PUTMAN | |||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |||
| MARK NEWTON | |||||||||
| PRESIDENT & CEO | 40.00 | 1.00 | X | 0 | 891483 | 86418 | X | ||
| JUDITH A BORENSTEIN | |||||||||
| GENERAL COUNSEL | 40.00 | 1.00 | 339571 | 0 | 40790 | X | |||
| THOMAS J GARVEY | |||||||||
| SENIOR VP & CFO | 40.00 | 1.00 | 0 | 0 | 0 | X | |||
| ANTHONY GUACCIO | |||||||||
| SENIOR VP & COO | 40.00 | 1.00 | 437212 | 0 | 65934 | X | |||
| DEREK J KELLY MD | |||||||||
| VP & CHIEF MEDICAL OFFICER | 40.00 | 341763 | 0 | 22388 | X | ||||
| MARY SHEHAN RN | |||||||||
| SENIOR VP, CNO | 40.00 | 253936 | 0 | 33362 | X | ||||
| GARY M KRUGEL | |||||||||
| SENIOR VP & CFO THROUGH 6.30.13 | 40.00 | 341134 | 0 | 64449 | X | ||||
| KAREN M SHEEHAN | |||||||||
| SENIOR VP & CIO | 40.00 | 251200 | 0 | 47385 | X | ||||
| JANIS A RUEPING | |||||||||
| VP QUALITY IMPVMT/RISK MGM | 40.00 | 198328 | 0 | 34979 | X | ||||
| WALTEN BABA | |||||||||
| PHYSICIAN | 40.00 | 268519 | 0 | 24154 | X | ||||
| MICHAEL FEINZIMER | |||||||||
| PHYSICIAN | 40.00 | 218810 | 0 | 1716 | X | ||||
| PATRICIA KING | |||||||||
| ASSOCIATE GENERAL COUNSEL | 40.00 | 195647 | 0 | 27517 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2878835 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2785460 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 790506 | TotalOtherCompensation |
| Number Individuals GT100 K | 92 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MIDWESTERN UNIVERSITY | |||||
| 555 31ST STREET | DOWNERS GROVE | IL | 60515 | HEALTH CARE | 1020870 |
| ILLINOIS PHYSICIANS NETWORK LLC | |||||
| 8725 W HIGGENS RD SUITE 482 | CHICAGO | IL | 60631 | HEALTH CARE | 998219 |
| NEPHRON DIALYSIS CENTER | |||||
| 5140 N CALIFORNIA AVE | CHICAGO | IL | 60625 | HEALTH CARE | 780758 |
| PEDIATRIC FACULTY FOUNDATION | |||||
| 2300 CHILDRENS PLAZA | CHICAGO | IL | 60614 | HEALTH CARE | 635940 |
| LABORATORY CORP OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | HEALTH CARE | 531764 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 53 | NumberOfContractorsGT100K |
| Info In Schedule O Part VIII | X | InfoInScheduleOPartVIII |
| Fundraising Events | 22507 | FundraisingEvents |
| Government Grants | 60000 | GovernmentGrants |
| All Other Contributions | 44039 | AllOtherContributions |
| Total Contributions | 126546 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| HEALTH CARE SERVICES | 900099 | 243282783 | 243282783 | |
| LABORATORY SERVICES | 621500 | 1933072 | 1933072 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 245215855 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -3797887 | TotalRevenueColumn |
| Exclusion | -$3,797,887 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 5715933 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 5715933 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5715933 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5715933 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6607959 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6607959 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6607959 | TotalRevenueColumn |
| Exclusion | $6,607,959 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 6632 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 22507 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 0 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6632 | TotalRevenueColumn |
| Exclusion | $6,632 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 14000 | GrossIncomeGaming |
| Gaming Direct Expenses | 7838 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6162 | TotalRevenueColumn |
| Exclusion | $6,162 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| ELECTRONIC HEALTH RECO | 900099 | 2780513 | 2780513 | |
| PARKING GARAGE FEES | 812930 | 1063446 | 1063446 | |
| CHILD CARE CENTER | 624410 | 848037 | 422713 | 425324 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5918405 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5918405 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 10610401 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 264491601 | TotalRevenueColumn |
| Related Or Exempt Function Income | 259732471 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2358396 | UnrelatedBusinessRevenue |
| Exclusion | $2,822,866 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2129557 | Total |
| Program Services | 634366 | ProgramServices |
| Management And General | 1495191 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170705 | Total |
| Management And General | 170705 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99042118 | Total |
| Program Services | 91349965 | ProgramServices |
| Management And General | 7278632 | ManagementAndGeneral |
| Fundraising | 413521 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3577046 | Total |
| Program Services | 3246742 | ProgramServices |
| Management And General | 315710 | ManagementAndGeneral |
| Fundraising | 14594 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7354852 | Total |
| Program Services | 6712297 | ProgramServices |
| Management And General | 600210 | ManagementAndGeneral |
| Fundraising | 42345 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7193889 | Total |
| Program Services | 6477999 | ProgramServices |
| Management And General | 684256 | ManagementAndGeneral |
| Fundraising | 31634 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2532320 | Total |
| Management And General | 2532320 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335833 | Total |
| Management And General | 335833 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132063 | Total |
| Management And General | 132063 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210000 | Total |
| Management And General | 210000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24727093 | Total |
| Program Services | 22039312 | ProgramServices |
| Management And General | 2629574 | ManagementAndGeneral |
| Fundraising | 58207 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1055752 | Total |
| Program Services | 297249 | ProgramServices |
| Management And General | 758303 | ManagementAndGeneral |
| Fundraising | 200 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 568227 | Total |
| Program Services | 486452 | ProgramServices |
| Management And General | 80164 | ManagementAndGeneral |
| Fundraising | 1611 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3758643 | Total |
| Program Services | 3300460 | ProgramServices |
| Management And General | 458183 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 352665 | Total |
| Program Services | 244561 | ProgramServices |
| Management And General | 91674 | ManagementAndGeneral |
| Fundraising | 16430 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9293100 | Total |
| Management And General | 9293100 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19050083 | Total |
| Program Services | 18425330 | ProgramServices |
| Management And General | 621019 | ManagementAndGeneral |
| Fundraising | 3734 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10030527 | Total |
| Program Services | 9145233 | ProgramServices |
| Management And General | 885294 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| OTHER OPERATING SUPPLIE | 35232329 | 35121337 | 109749 | 1243 |
| IDPA TAX | 13239800 | 13239800 | ||
| EQUIPMENT REPAIR & MAIN | 6418183 | 6311501 | 106582 | 100 |
| BAD DEBT EXPENSE | 2982898 | 2982898 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2837989 | Total |
| Program Services | 2345453 | ProgramServices |
| Management And General | 490192 | ManagementAndGeneral |
| Fundraising | 2344 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252225672 | Total |
| Program Services | 222360955 | ProgramServices |
| Management And General | 29278754 | ManagementAndGeneral |
| Fundraising | 585963 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7545044 | BOY |
| EOY | 1896202 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1063799 | BOY |
| EOY | 1033799 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25147052 | BOY |
| EOY | 29897699 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3545211 | BOY |
| EOY | 4177214 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5235620 | BOY |
| EOY | 5405443 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 448811616 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 253650223 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198392897 | BOY |
| EOY | 195161393 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142927091 | BOY |
| EOY | 146601044 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 1989527 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67914165 | BOY |
| EOY | 81479864 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 451770879 | BOY |
| EOY | 467642185 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30869196 | BOY |
| EOY | 31671122 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 191741888 | BOY |
| EOY | 187224260 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78909753 | BOY |
| EOY | 71317474 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 301520837 | BOY |
| EOY | 290212856 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 148227058 | BOY |
| EOY | 175788398 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2022984 | BOY |
| EOY | 1640931 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 150250042 | BOY |
| EOY | 177429329 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 451770879 | BOY |
| EOY | 467642185 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 12265929 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 18564246 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -3650888 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $143,850 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $210,000 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 353850 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | In the course of regular business activities, the hospital or its lobbyist perform some lobbying activities on matters of interest to itself and its patients. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 20575237 | BeginningOfYearBalance |
| Contributions | 1532811 | Contributions |
| Investment Earnings Or Losses | 115000 | InvestmentEarningsOrLosses |
| Other Expenditures | 1475757 | OtherExpenditures |
| End Of Year Balance | 20747291 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 19626213 | BeginningOfYearBalance |
| Contributions | 8677201 | Contributions |
| Investment Earnings Or Losses | 127001 | InvestmentEarningsOrLosses |
| Other Expenditures | 7855178 | OtherExpenditures |
| End Of Year Balance | 20575237 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 18814654 | BeginningOfYearBalance |
| Contributions | 1270179 | Contributions |
| Investment Earnings Or Losses | 20979 | InvestmentEarningsOrLosses |
| Other Expenditures | 479599 | OtherExpenditures |
| End Of Year Balance | 19626213 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 18354856 | BeginningOfYearBalance |
| Contributions | 1341311 | Contributions |
| Investment Earnings Or Losses | -13043 | InvestmentEarningsOrLosses |
| Other Expenditures | 868470 | OtherExpenditures |
| End Of Year Balance | 18814654 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 18234850 | BeginningOfYearBalance |
| Contributions | 795551 | Contributions |
| Other Expenditures | 675545 | OtherExpenditures |
| End Of Year Balance | 18354856 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.14160 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.85840 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7960138 | OtherCostOrOtherBasis |
| Book Value | 7960138 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 190835103 | OtherCostOrOtherBasis |
| Depreciation | 79357058 | Depreciation |
| Book Value | 111478045 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 763732 | OtherCostOrOtherBasis |
| Depreciation | 763732 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 223527297 | OtherCostOrOtherBasis |
| Depreciation | 156756055 | Depreciation |
| Book Value | 66771242 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25725346 | OtherCostOrOtherBasis |
| Depreciation | 16773378 | Depreciation |
| Book Value | 8951968 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 195161393 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CMB BOND & EQUITY FUND - FMV | 118983434 | F |
| US BANK | 27583818 | F |
| MERRILL LYNCH - FMV | 33792 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 146601044 | TotalOfBookValueSecurities |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER INVESTMENTS | 894309 |
| CAPTIVE RECOVERIES A/R | 3628655 |
| CHRPP RECOVERIES A/R | 9435000 |
| DUE FROM AFFILIATES | 61282831 |
| ASSETS WHOSE USE IS LIMITED | 1433069 |
| PA TAX ASSESSMENT | 4168570 |
| ALL OTHER CURRENT ASSETS | 637430 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 81479864 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED LONG TERM MALPRACTICE LIABILITY | $23,038,716 |
| FAIR VALUE OF INTEREST RATE SWAPS | $14,271,187 |
| ASSET RETIREMENT OBLIGATION | $1,519,742 |
| DUE TO THIRD PARTY PAYERS | $15,574,576 |
| PA TAX ASSESSMENT | $3,438,253 |
| NMTC DEBT ISSUE | $13,475,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 71317474 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Intended Use of Endowment Funds: | Identifier |
| Return Reference | Part V, Line 4: | ReturnReference |
| Explanation | Part V, line 4: The earnings are to be used for education, charity care, and other hospital programs. Swedish Covenant Hospital is the related beneficiary of the endowment funds held by Swedish Covenant Hospital Foundation. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA 12 | NameOfEvent1 |
| Gross Receipts Event1 | 18238 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 17096 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 1142 | GrossRevenueEvent1 |
| Name Of Event2 | GALA 13 | NameOfEvent2 |
| Gross Receipts Event2 | 7055 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 1862 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 5193 | GrossRevenueEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 3846 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 3549 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 297 | GrossRevenueOtherEvents |
| Gross Receipts Total | 29139 | GrossReceiptsTotal |
| Charitable Contributions Total | 22507 | CharitableContributionsTotal |
| Gross Revenue Total Events | 6632 | GrossRevenueTotalEvents |
| Net Income Summary | 6632 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 600.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10892941 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10892941 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04370 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 66631209 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 63196027 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3435182 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01380 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 77524150 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 63196027 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14328123 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05750 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1279735 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1279735 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3824359 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2941326 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 883033 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1373557 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 124068 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1249489 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00500 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 271142 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 271142 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6748793 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3065394 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3683399 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01470 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 84272943 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 66261421 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18011522 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07220 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 17854 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 17854 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 17854 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 17854 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,982,898 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 95168394 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 97112198 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1943804 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| 1 SWEDISH COVENANT SURGERY CENTER LLC | |||
| OUTPATIENT MEDICAL SERVICES | 1.00000 | 0.00000 | 0.00000 |
| 2 CHICAGO CK ENTERPRISES LLC | |||
| OUTPATIENT MEDICAL SERVICES | 0.06000 | 0.00000 | 0.74000 |
| 3 CK PROPERTY DEVELOPMENT LLC | |||
| PROPERTY MANAGEMENT SERVICES | 0.33000 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWEDISH COVENANT HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5145 N CALIFORNIA AVENUE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60625 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
| Other | I/P & OP HOSPITAL SERVICES, SKILLED NURSING FACILITY | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWEDISH COVENANT HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 600.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Uninsured Discount | X | UninsuredDiscount |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| LIFE CENTER ON THE GREEN INC | ||||
| 5157 N FRANCISCO AVENUE | CHICAGO | IL | 60625 | PHYSICAL REHABILITATION SERVICES |
| SWEDISH COVENANT HOME HEALTH CARE | ||||
| 2965 W PETERSON AVENUE | CHICAGO | IL | 60659 | HOME HEALTH CARE SERVICES |
| SWEDISH COVENANT SURGERY CENTER | ||||
| 5215 N CALIFORNIA AVENUE | CHICAGO | IL | 60625 | AMBULATORY SURGERY CENTER - CLOSED EFFECTIVE 9/30/13 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 7: Each net community benefit expense is divided by total hospital expenses (excluding bad debt expense) to determine the percent of community benefits provided for fiscal year 2013. Costing Methodology - For all community benefits, we utilize the cost to charge ratio to calculate the benefit. The net operating costs are calculated by taking the total operating costs less the following: the PA tax and the non-patient care activity costs. The net gross charges are calculated as follows: gross charges less charges for community benefits. Net operating costs divided by net gross charges provides the cost to charge ratio.Part I - Line 7d - column dFor Schedule H, line 7b, column (c) the $66,631,209 in the Community Benefit Expense includes the provider assessment tax of $13,239,800. Had the provider tax been excluded, the total Community Benefit expense would have been $53,391,409. On Schedule H, line 7b, column (d), the direct offsetting revenue of $63,196,027 includes the provider tax revenue of $24,224,490 million. Had the public aid provider revenue been excluded from Schedule H, the direct offsetting revenue would have been $38,971,537. Using an adjusted total community benefit expense of $53,391,409 noted above, minus an adjusted direct offsetting revenue amount of $38,971,537, also noted above, the resulting community benefit dollar amount on Schedule H, line 7b, column (e) would have been $14,419,872. On Schedule H, line 7b, column (f) percentage of total expense would have increased from 1.38% to 5.79%.The PA tax benefit is not reimbursement for direct patient care and therefore we believe it should be excluded from the Schedule H calculations. | ||
| Part I, Line 7g: Costs attributable to a physician clinic of $173,631 were included in subsidized health services. | ||
| Part I, L7 Col(f): The amount of bad debt which was included on Form 990 Part IX Line 25 was $2,982,898. This was subtracted out for Schedule H calculations. | ||
| Part II: Members of Swedish Covenant Hospital staff work with other organizations and participate in many activities to advocate for health improvement in our community. These include:Involvement with the Association for Community Safety Net Hospitals, participation in the Medicaid Rate Reform Tag Group, community meetings, education, and seeking of resources with regard to the planning and development of an Erie Family Health Center facility on the hospital campus to expand health services to the community. Members of the Swedish Covenant Hospital Staff have also worked to establish an affiliation with Rush University Medical Center to allow our emergency room physicians to communicate with Rush University Medical Center neurologists using robotic equipment which enables the Rush neurologists to remotely examine Swedish Covenant emergency department patients for signs of a stroke. This resource can improve patient outcomes by early and accurate diagnosis of stroke. | ||
| Part III, Line 4: The audited financial statements do not contain a specific footnote related to the bad debt expense. The costing methodology is applying the cost-to-charge ratio of 20% to total bad debt expense.There are no bad debt amounts included in community benefits. | ||
| Part III, Line 8: The hospital has used the standard single apportionment step down cost allocation methodology for the allocation of allowable costs (as defined by the Medicare principles of reimbursement) to the revenue cost centers. Allowable allocated costs are divided by the revenues in each ancillary department and by the days in each nursing unit to determine the appropriate ratios and cost per diems to be applied to the related Medicare ancillary charges and nursing unit days to determine the cost of Medicare services.None of the shortfall has been treated as a community benefit. The allowable costs of care for Medicare are higher than the reimbursement received from Medicare, which places a financial burden on Swedish Covenant Hospital of having to fund this loss from other areas of its operations. Therefore, we believe that the shortfall from Medicare represents a community benefit to our primary service area as we would never turn patients away. | ||
| Part III, Line 9b: Charity Care Patients:If a patient has been determined to meet Hospital Charity Care Guidelines no collection agencies, lien attachments or attempts to possess real or personal property will be made.The organization implemented a policy of Presumptive Charity Care in the prior fiscal year for health care services to uninsured patients that are not expected to result in payment and no financial assistance application is completed. Patients will qualify for Presumptive Charity assistance based on their individual life circumstances, homeowner status, living address and other measurable socio-economic factors.Financial Assistance:Patients with a self-pay balance and without the resources to pay their obligations will be assessed for financial assistance by the Credit Services Department. The assessment involves an evaluation for eligibility for all appropriate levels of assistance, including governmental or partial reductions or complete charity care. | ||
| Part V, Section B, Line 3: The Community Health Needs Assessment was produced in cooperation with the Metropolitan Chicago Healthcare Council (MCHC). The project also received input from several Community Health Needs Assessment Focus Groups, which were comprised of representatives of the partnering organizations as well as other citizens chosen for their relevant experience and interests. The sample design used for this effort consisted of a random sample of 515 individuals age 18 and older in the Swedish Covenant Hospital Service Area. Once the interviews were completed, these were weighted in proportion to the actual population distribution so as to appropriately represent the Swedish Covenant Hospital Service Area as a whole. All administration of the surveys, data collection and data analysis was conducted by Professional Research Consultants, Inc. (PRC). For statistical purposes, the maximum rate of error associated with a sample size of 515 respondents is 4.4% at the 95 percent level of confidence.The sample design and the quality control procedures used in the data collection ensure that the sample is representative. Thus, the findings may be generalized to the total population of community members in the defined area with a high degree of confidence.As part of the Community Health Needs Assessment, seven focus groups were held among key informants in the community on June 21-22 and July 11-12, 2012, each focusing on needs within different geographies or among certain populations. These key informant focus groups allowed for input from persons with special knowledge of or expertise in public health, as well as others who represent the interests of key cultural groups represented in communities served by Swedish Covenant Hospital. In all, 50 key informants participated, including physicians, other health professionals, social service providers, business leaders, minority organizations and other community leaders.Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Participants included a representative of public health, as well as several individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions. Specific names/titles of those participating are available upon request. | SWEDISH COVENANT HOSPITAL | |
| Part V, Section B, Line 7: In acknowledging the wide range of priority health issues that emerged from the CHNA process, Swedish Covenant Hospital determined that it could only effectively focus on those which it deemed most pressing, most under-addressed, and most within its ability to influence. The hospital focused on 7 of the 14 identified needs. Listed below are the health priorities not chosen for action and the reasons as to why they were not selected. Injury & Violence Prevention: SCH has limited resources available to address injury and violence prevention. Other community organizations have infrastructure and programs in place to better meet this need; however, it should be noted that the SCH Emergency Department Chairman does participate in the Attorney General/Community Justice Center's gun violence prevention outreach initiatives. Limited resources excluded this as an area chosen for action. Chronic Kidney Disease: SCH regularly partners with organizations including the National Kidney Foundation to provide free screenings to the ethnicities most vulnerable to this disease. SCH feels that efforts outlined herein to improve access to health services will also have a positive impact on chronic kidney disease and that a separate set of specific initiatives was not necessary. Family Planning: Advisory committee members believe that the new partnership with Erie Family Health will not only enhance access to care but will also positively impact outreach regarding family planning education, as many uninsured individuals will be directed to Erie to establish a medical home. Erie and other community organizations have infrastructure and programs in place to better meet this need, and as a result this was excluded as an area chosen for action. Infectious Diseases: Advisory committee members felt that more pressing health needs existed. Limited resources and lower priority excluded this as an area chosen for action.Sexually Transmitted Diseases: SCH believes that this priority area falls more within the purview of the county health department and other community organizations. Limited resources and lower priority excluded this as an area chosen for action.Substance Abuse: SCH has limited resources, services and expertise available to address alcohol, tobacco and other drug issues. Other community organizations have infrastructure and programs in place to better meet this need. However, the hospital is exploring the feasibility of initiating an in-house smoking cessation program. Limited resources excluded this as an area chosen for action. HIV: SCH believes that this priority area falls more within the purview of the county health department and other community organizations. Limited resources and lower priority excluded this as an area chosen for action. | SWEDISH COVENANT HOSPITAL | |
| Part VI, Line 2: Needs AssessmentIn the spring of 2012, Swedish Covenant Hospital (SCH) embarked on a comprehensive Community health Needs Assessment (CHNA) process to identify and address the key issues for our community.Swedish Covenant Hospital is a comprehensive health care facility providing health and wellness services to Chicago's North and Northwest side communities. This 323-bed hospital is one of the few independent, nonprofit hospitals in the area. Its 600 physicians and 2,200 employees remain focused on the hospital's mission of providing compassionate, high quality care in a healing environment. An established teaching hospital, Swedish Covenant Hospital offers a range of medical programs, including the latest cardiac, cancer, orthopedic, surgical, women's health, back health and emergency services.To address concerns about healthcare access, SCH created a partnership with Erie Family Health Center. In July 2013, Erie opened the Erie Foster Avenue Health Center on the hospital's campus. Erie Foster Avenue Health Center is a Federally Qualified Health Center which provides care to patients who come through the emergency department at SCH and might not have a medical home. Swedish Covenant Hospital (SCH) maintains a department dedicated to addressing its outreach objectives of serving the entire community, not only those who come through its doors. Building on a long tradition of service, the Community Relations Department utilizes hospital strengths alongside those of other well-established community partners. This strategy allows SCH to better understand and reach the most vulnerable sectors of the community, while meeting pressing healthcare needs. The goal is to improve the community's health status by empowering citizens to make healthy lifestyle choices. The Community Benefit Plan (Community Health Needs Assessment Implementation Strategy) identifies seven priority health issues to be addressed for providing community benefit. The implementation strategy is intended to exist over a three year time period, after which a new needs assessment and benefit plan will be developed. The following is a list of the seven priorities of the Community Benefit Plan, out of 14 community needs identified, to be addressed on an ongoing basis and reported on annually through FY16. 1. Access to health services 2. Heart disease and stroke 3. Nutrition, physical activity and weight4. Mental health and mental disorders5. Cancer6. Maternal infant and child health7. Respiratory diseases | ||
| Part VI, Line 3: Patient Education of eligibility for AssistanceCharity or discounted care is available for medically necessary services as defined by Medicare, to patients who meet the financial and documentation criteria defined below. Each situation is reviewed on an individual case-by-case basis. While not absolutely essential, the need for potential charity or discounted care should be established in advance of admission or rendering of service, or shortly thereafter.The charity care policy is provided during admission procedures to all patients admitted through the Admitting Department and the Emergency Room. Signage informing patients about charity care and the availability of financial counseling is posted in the Emergency Room and the Admitting Department.In order to be eligible for charity or discounted care, the patient must be willing to provide verification of income, assets, etc. by filling out the Patient Financial Statement. It is the responsibility of the patient to voluntarily submit any and all documentation in order to be eligible to receive this discount. During the registration and information gathering process, the financial counselors will first determine if the patient qualifies for medical assistance from other existing financial resources such as Medicare, Medicaid, Kid Care, Family Care or other state or federal programs. If the patient refuses to apply for existing financial resources or to provide information necessary to the application process, charity or discounted care cannot be granted. If the application for existing financial resources is denied, or has been previously denied, consideration for charity or discounted care will then be given.Once the information on the Financial Assistance Application form is received, Credit Services Department will determine the eligibility of the patient for charity or discounted care. SCH will suspend the collection process while the Financial Assistance Application is being reviewed. The only criteria to be considered for Financial Assistance will be income and family size. Income will be evaluated against the matrix of Federal Poverty Guidelines to determine whether full or partial discount can be approved. Documentation of income can be submitted in the form of paycheck stubs, income tax returns, Social Security checks, and other documents that are indicative of income. If the information submitted is not perceived to be accurate or reliable, SCH reserves the right to request additional documentation to substantiate income or family size.The insured patient with a large balance due to deductibles and/or co-payments may be eligible for charity or discounted care. In order to qualify, the patient must complete the Patient Financial Statement and return it to the financial counselors for evaluation and recommendation.If a patient has been determined to meet the Hospital Charity Care Guidelines, no collection agencies, lien attachments or attempts to possess real or personal property will be made.No legal action by the collection agency will be taken against uninsured patients for the first one hundred twenty (120) days after discharge.If after 120 days, an uninsured patient does not provide the completed financial assistance application, SCH will utilize the PARO Presumptive Charity model to qualify the patient as appropriate for a Presumptive Charity care Discount.Illinois residents who have a family income that is no more than 600% of the Federal Poverty Guidelines (as determined each year), and who do not have any health insurance as documented through SCH's insurance verification procedures, will receive a discount in accordance with the Hospital Uninsured Patient Discount Act (210 ILCS 89/) (the Act). | ||
| Part VI, Line 4: Community InformationSCH's community, as defined for the purposes of the hospital's 2012 Community Health Needs Assessment, included each of the residential ZIP Codes that comprise the hospital's Primary Service Area (PSA) and Secondary Service Area (SSA), including: 60613, 60618, 60625, 60626, 60630, 60640, 60641, 60645, 60646, 60659, 60660 and 60712. This encompasses approximately a 5 mile radius surrounding the hospital and was determined because the majority of SCH's patients originate from this area. The population of the hospital's service area is estimated at 631,311 people. It is predominantly non-Hispanic White (63.66%), but also has substantial Hispanic (28.75%) and Asian (10.87%) populations. As throughout the state and nation, our population is aging, with 10.94% currently age 65 and older. This is projected to increase in coming years, as is the need for services to meet the health needs of this older population. Median household income is below the state average at $48,386, and 12.37% of the families in our population remain below the poverty level. The hospital serves a very diverse multicultural community, with the Albany Park neighborhood serving as a key entry point for many new immigrants. To better address the needs of our highly diverse community, the hospital works regularly with dozens of community stakeholders including local ethnic groups, legislators, and community and business organizations, including: the Albany Park Community Center, Centro Romero, World Relief Chicago, Erie Family Health, Heartland Health, Korean American Community Services, Asian Human Services, Cambodian Association and the Albany Park Chamber of Commerce. These organizations serve as a link between the hospital and the many surrounding niche communities, and the hospital's Community and Government Relations teams communicate regularly online and in-person to propose solutions to issues including Access to Care and health reform. The Spanish and Korean languages represent the majority of interpretative assistance requested at the hospital. To meet this need on an inpatient and outpatient basis, the hospital employs a full time Spanish and Korean interpreter. The Korean interpreter also serves as Korean Community Relations Manager, facilitating deeper, ongoing communication between the hospital and its local Korean community partners and physicians. In addition, the hospital uses a telephonic interpretative service to meet interpretative needs in other languages, as well as for Korean and Spanish interpretation when the interpreters are not present.To better serve the Korean community, the hospital partners each year with Korean American Community Services (KACS), the Korean Medical Society and the Korean Nurses Association to host an annual Korean Health Fair at the hospital. This is an annual event, targeting the uninsured working population. More than 300 Koreans residing in the greater Chicago area attend this event to receive free or reduced cost screenings and services. KACS coordinates the event collaboratively with the hospital's Korean Community Relations Manager. In FY2013, Swedish Covenant Hospital delivered more than 250 community programs to nearly 20,000 individuals in partnership with over 100 community organizations, legislators, chambers of commerce, local businesses and schools. Topics included nutrition, fitness, stroke awareness, heart health, cancer prevention, joint health, pregnancy, diabetes education, women's health and pediatrics. Ongoing partnerships exist between many organizations but highlights include WTTW (Fun & Run kids event, medical show and tell), Budlong Elementary School (healthy nutrition for kids; laboratory tours; career information), American Cancer Society (cancer screening events), 47th Ward Alderman Ameya Pawar (Annual Wellness Fair and senior activities), Whole Foods Market Sauganash (healthy eating and lifestyle choices), Marianos (cooking with arthritis), The Breakers (health events for seniors), Neighborhood Parent Network (events and articles pertaining to children's health issues), Purple Asparagus (Delicious Nutritious Adventures at Budlong School), Centro Romero (health fair and ACA collaboration), Korean American Community Services (annual Korean Health Fair at SCH), Indo-American Center (ongoing health talks for community), Chicagoland Methodist Senior Services (wellness talks for employees and community), Polish National Alliance (health talks and screenings), Edison Regional Gifted Center (laboratory tours, school involvement through Local School Council), and Sulzer Regional Library (health talks/health fairs). | ||
| Part VI, Line 5: In keeping with the Hospital's mission to provide a continuum of excellent healthcare services, any surplus funds are invested in capital improvements related to patient care or in community benefit programs.The hospital extends medical staff privileges to all qualified physicians in the communities it serves, in accordance with our medical staff development process. The hospital has an active Board of Directors who meet every two months. In addition to reviewing the hospital's financial results, they discuss the hospital's plans and programs in support of our efforts to enhance the health care environment for the entire community we service. The hospital operates the "HouseCalls" program to provide medical care to the homebound.The Hospital helps community members gain access to health care services by assisting low income families in applying for the Illinois Department of Public Aid's KidCare and FamilyCare programs. | ||
| IL | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RONALD D CURRAN MD | ||||||||||||||
| DIRECTOR | 0 | 573442 | 0 | 0 | 0 | 29309 | 0 | 7500 | 0 | 20434 | 0 | 630685 | 0 | 0 |
| LAWRENCE P ANDERSON | ||||||||||||||
| DIRECTOR | 0 | 370914 | 0 | 79600 | 0 | 100088 | 0 | 37194 | 0 | 29315 | 0 | 617111 | 0 | 0 |
| DAVID A DWIGHT | ||||||||||||||
| DIRECTOR | 0 | 503155 | 0 | 0 | 0 | 78125 | 0 | 102125 | 0 | 27278 | 0 | 710683 | 0 | 0 |
| REV GARY B WALTER | ||||||||||||||
| DIRECTOR | 0 | 157472 | 0 | 0 | 0 | 0 | 0 | 28402 | 0 | 89166 | 0 | 275040 | 0 | 0 |
| MARK NEWTON | ||||||||||||||
| PRESIDENT & CEO | 0 | 506120 | 0 | 108108 | 0 | 277255 | 0 | 71154 | 0 | 15264 | 0 | 977901 | 0 | 0 |
| JUDITH A BORENSTEIN | ||||||||||||||
| GENERAL COUNSEL | 262359 | 0 | 0 | 0 | 77212 | 0 | 32194 | 0 | 8596 | 0 | 380361 | 0 | 0 | 0 |
| ANTHONY GUACCIO | ||||||||||||||
| SENIOR VP & COO | 389442 | 0 | 0 | 0 | 47770 | 0 | 43240 | 0 | 22694 | 0 | 503146 | 0 | 0 | 0 |
| DEREK J KELLY MD | ||||||||||||||
| VP & CHIEF MEDICAL OFFICER | 290296 | 0 | 26247 | 0 | 25220 | 0 | 0 | 0 | 22388 | 0 | 364151 | 0 | 0 | 0 |
| MARY SHEHAN RN | ||||||||||||||
| SENIOR VP, CNO | 228626 | 0 | 0 | 0 | 25310 | 0 | 32556 | 0 | 806 | 0 | 287298 | 0 | 0 | 0 |
| GARY M KRUGEL | ||||||||||||||
| SENIOR VP & CFO THROUGH 6.30.13 | 284457 | 0 | 0 | 0 | 56677 | 0 | 40755 | 0 | 23694 | 0 | 405583 | 0 | 0 | 0 |
| KAREN M SHEEHAN | ||||||||||||||
| SENIOR VP & CIO | 219498 | 0 | 0 | 0 | 31702 | 0 | 30210 | 0 | 17175 | 0 | 298585 | 0 | 0 | 0 |
| JANIS A RUEPING | ||||||||||||||
| VP QUALITY IMPVMT/RISK MGM | 181663 | 0 | 0 | 0 | 16665 | 0 | 20909 | 0 | 14070 | 0 | 233307 | 0 | 0 | 0 |
| WALTEN BABA | ||||||||||||||
| PHYSICIAN | 238874 | 0 | 0 | 0 | 29645 | 0 | 7180 | 0 | 16973 | 0 | 292672 | 0 | 0 | 0 |
| MICHAEL FEINZIMER | ||||||||||||||
| PHYSICIAN | 218810 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1716 | 0 | 220526 | 0 | 0 | 0 |
| PATRICIA KING | ||||||||||||||
| ASSOCIATE GENERAL COUNSEL | 182647 | 0 | 0 | 0 | 13000 | 0 | 6011 | 0 | 21506 | 0 | 223164 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | As part of their compensation package, vice presidents of the organization are offered a $900 reimbursement for membership dues to the health club of their choice. This benefit is treated as taxable compensation. |
| Part I, Line 3 | The Hospital and Covenant Ministries of Benevolence follow the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation for the CEO and other officers and executive leaders of the corporation. This function is performed by the governance committee of the governing board, which is composed of only independent directors. The process includes review of comparability data, retention of an outside compensation consultant, and contemporaneous substantiation of the deliberation and decision through detailed minutes of the compensation committee and full board meetings where executive compensation is considered. |
| Part I, Line 4b | Executive Benefit Plan Covenant Ministries of Benevolence (CMB) provides certain supplemental retirement benefits to its officers and key employees. These benefits are provided through a nonqualified deferred compensation plan, under which a portion of the benefits being earned are subject to a substantial risk of forfeiture. The supplemental retirement benefits are structured to provide a retention incentive that has been determined by the Compensation Committee of CMB's Board to be of substantial value to the organization. The Committee approves all retirement benefits, together with all other forms of compensation and benefits for these and other executives, in a manner intended to qualify for the rebuttable presumption of reasonableness under the intermediate sanctions rules of federal income tax law. The following individuals participated in the Executive Benefit Plan: David Dwight: - $78,483 Lawrence Anderson - $60,018 Mark Newton - $62,538 Judith Borenstein - $24,694 Anthony Guaccio - $35,740 Gary Krugel - $33,255 Mary Shehan - $25,295 Karen Sheehan - $23,072 Janis Rueping - $17,751 Derek Kelley - $35,530 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Illinois Finance Authority | ||||||||
| A | 861091967 | 45200FEW5 | 2008-04-08 | 60000000 | 2008A IFA Revenue Bonds - Cap Adds & Ref of 01/16/98 & 07/22/99 issues. | 0 | 0 | 0 |
| Illinois Finance Authority | ||||||||
| B | 861091967 | 45200FR35 | 2010-02-02 | 99390260 | 2010A IFA Revenue Bonds - Ref of 11/17/03 & 06/17/08 issues. | 0 | 0 | 0 |
| Illinois Finance Authority | ||||||||
| C | 861091967 | 2010-11-03 | 20000000 | 2010C IFA Revenue Bonds - Cap Adds | 0 | 0 | 0 | |
| Illinois Finance Authority | ||||||||
| D | 861091967 | 2011-06-28 | 20000000 | 2011A IFA Revenue Bonds - Cap Adds & Construction | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 4895000 | 60846284 | 29 | 837840 | 7508444 | 52500000 | 2009 | 1 | 0 | 1 | 1 | |
| B | 4120000 | 99390260 | 9842269 | 1982568 | 88150000 | 1 | 0 | 1 | 1 | |||
| C | 2396203 | 20001820 | 318305 | 19002109 | 0 | 0 | 0 | 1 | 999711 | |||
| D | 925000 | 20098509 | 33735 | 2768934 | 0 | 0 | 0 | 1 | 17329575 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 1 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
| B | 0 | 0 | 1 | 1 | 0 | 0.01500 | 0.00000 | 0.01500 | 0 | 0 | 1 |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 | |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
| B | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| D | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Schedule K Supplental Information | Form 990 - Schedule K - Part I - Line B - Column f The original 8038 filing for the 2010A bonds listed the issue date of the 2008B refunded bond incorrectly as April 8, 2008. The correct issue date of the 2008B refunded bond is June 17, 2008. | |
| Form 990 - Schedule K - Part II - Line 3 | The total amount of proceeds of the bond issues entered on Part II Line 3 include the investment earnings. | Difference between Issue Price and Total Proceeds of issue: |
| Part II, Line 4, columns A,C and D | The amounts shown here consist solely of sinking fund deposits. | Gross Proceeds in Reserve Funds |
| Part II, Line 4, column B | The amount shown here consists of $9,254,532 in a reasonably required reserve or replacement fund and $587,737 of sinking fund deposits. | Gross Proceeds in Reserve Funds |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Brooke Newton | |||
| Family member of Mark Newton (CEO of Swedish Covenant Hospital) | 67639 | Wages paid as an employee of Swedish Covenant Hospital | 0 |
| Emily Flatley | |||
| Family member of Mark Newton (CEO of Swedish Covenant Hospital) | 31094 | Wages paid as an employee of Swedish Covenant Hospital. | 0 |
| Kathryn Shehan | |||
| Family member of Mary Shehan (VP of Swedish Covenant Hospital) | 13240 | Wages paid as an employee of Swedish Covenant Hospital | 0 |
| Samantha Shehan | |||
| Family member of Mary Shehan (VP of Swedish Covenant Hospital) | 10708 | Wages paid as an employee of Swedish Covenant Hospital | 0 |
| Elizabeth Pyra | |||
| Family member of Thomas M. Pyra (Member of the Board of Directors) | 48024 | Wages paid as an employee of Swedish Covenant Hospital | 0 |
| H Clark Federer MD | |||
| Member of the Board of Directors | 100000 | Purchase by SCH of Dr. Federer's medical practice. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | Many of the persons listed on Part VII have a business relationship with each other by virtue of sitting on related Swedish Covenant Hospital entity boards. Kurt D. Anderson, Director, and Lawrence P. Anderson, Director, have a family relationship. | |
| Form 990, Part VI, Section A, line 6 | The sole member is Covenant Ministries of Benevolence (CMB). | |
| Form 990, Part VI, Section A, line 7a | The member elects the Board of Directors. | |
| Form 990, Part VI, Section A, line 7b | S 3.1 of the Bylaws grant reserved powers to the member, such as approval of amendments to the Bylaws of the corporation, approval of certain acquisitions, dispositions and financing, and the power to elect or remove the members of the Board of Directors of the Corporation. | |
| Form 990, Part VI, Section B, line 11 | Management Review: The draft Form 990 was reviewed by multiple levels of management and by the CFO of Swedish Covenant Hospital. Board Review: The key provisions of the form will be discussed at a subsequent board meeting. | |
| Form 990, Part VI, Section B, line 12c | Swedish Covenant Hospital has an Administrative Policy on conflict of interest, identifying the parameters of a conflict of interest and the requirement to disclose any such conflict of interest. Each September, the policy is distributed to the board members, key employees, directors and officers. They are asked to sign acknowledging receipt of policy and to disclose if they have any conflicts of interest. If someone is absent from the meeting or fails to return the acknowledgement, there is a follow-up with the individual until the signed acknowledgement is provided. If a person becomes an interested person he or she may be considered in determining whether a quorum is present. The interested person may make a short statement relating to the transaction or arrangement in question, but shall not vote on the motion addressing the actual or potential conflict. | |
| Form 990, Part VI, Section B, line 15 | The Hospital and Covenant Ministries of Benevolence follow the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation for the CEO and other officers and executive leaders of the corporation. This function is performed by the governance committee of the governing board, which is composed of only independent directors. The process includes review of comparability data, retention of an outside compensation consultant, and contemporaneous substantiation of the deliberation and decision through detailed minutes of the compensation committee and full board meetings where executive compensation is considered. | |
| Form 990, Part VI, Section C, line 18 | A copy of the organization's Form 990 is available upon request by contacting the Swedish Covenant Hospital administration department at 773/878-8200. | |
| Form 990, Part VI, Section C, line 19 | The governing documents, conflict of interest policy, and financial statements are available upon request by contacting the Swedish Covenant Hospital administration department at 773/878-8200. | |
| FORM 990,PART VIII,LINES 7A - 7C | Publicly traded securities held in an investment pool and allocated by Covenant Ministries of Benevolence on a percentage basis. | SALES OF ASSETS OTHER THAN INVENTORY |
| Form 990, Part XI, line 9: | Net assets released from restriction 103,894. Equity transfer to Covenant Ministries of Benevolence -4,700,000. Net restricted funds transfers from Swedish Covenant Hospital Foundation 945,218. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Swedish Covenant Surgery Center LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5215 N California Avenue | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60625 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272485300 | EIN |
| Primary Activities | Outpatient Surgery Center | PrimaryActivities |
| Legal Domicile State | IL | LegalDomicileState |
| Total Income | -380995 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Swedish Covenant Hospital | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Evangelical Covenant Church (ECC) | |||||||||||
| 5101 N Francisco Avenue | Chicago | IL | 60625 | 362167730 | Church | IL | 501(c)(3) | Line 1 | N/A | 0 | |
| Swedish Covenant Faculty Group (SCFG) | |||||||||||
| 5145 N California Avenue | Chicago | IL | 60625 | 363686216 | Patient Treatment/Education | IL | 501(c)(3) | Line 11a, I | 1 | Swedish Covenant Hospital (SCH) | |
| Swedish Covenant Hospital Foundation (SCHF) | |||||||||||
| 5145 N California Avenue | Chicago | IL | 60625 | 205055155 | Supporting Organization of Swedish Covenant Hospital | IL | 501(c)(3) | Line 7 | 1 | Swedish Covenant Hospital (SCH) | |
| SC Insurance Company | |||||||||||
| 6970 E Chauncey Lane Suite 100 | Phoenix | AZ | 85054 | 273312053 | Insurance | AZ | 501(c)(3) | Line 11a, I | 1 | Swedish Covenant Hospital (SCH) | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| Covenant Village of PortlandLP | |||||||
| 420 NE Mason St | Portland | OR | 97211 | 364356838 | Assisted Living Community | OR | N/A |
| Coast Asset Management LLC | |||||||
| 2450 Colorado Avenue Suite 100 E To | Santa Monica | CA | 90404 | 954763400 | Hedge Fund Investment | CA | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Legal Domicile StateLegalDomicileState | Type Of EntityTypeOfEntity | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Covenant International Insurance Company Ltd | |||||||||||||||||
| Crawford House 50 Cedar Avenue | Hamilton | BD | Insurance | BD | N/A | 0 | |||||||||||
| Covenant Trust Company | |||||||||||||||||
| Financial Services | N/A | 0 | 5215 Old Orchard Road Suite 725 | Skokie | IL | 60077 | 363583163 | IL | C | ||||||||
| Swedish Covenant Management Services Inc (SCMS) | |||||||||||||||||
| Physician Practice Management | 1 | 5145 N California Avenue | Chicago | IL | 60625 | 364073303 | IL | C | SWEDISH COVENANT HOSPITAL | -9789124 | 17394840 | 1.00000 | |||||
| Swedish Covenant Managed Health Care Alliance (SCMCA) | |||||||||||||||||
| Physician - Hospital Organization | N/A | 0 | 2740 W Foster Suite 409 | Chicago | IL | 60625 | 364118659 | IL | C | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Swedish Covenant Hospital Foundation | ||
| L | 486111 | Intercompany Contract |
| Swedish Covenant Hospital Foundation | ||
| M | 486111 | Intercompany Contract |
| Swedish Covenant Hospital Foundation | ||
| R | 123000 | Cash Value |
| Swedish Covenant Hospital Foundation | ||
| S | 945218 | Cash Value |
| Swedish Covenant Management Services Inc | ||
| R | 14980459 | Cash Value |
| SC Insurance Company | ||
| M | 5642846 | Cash Value |