FURP.ORG / PUBLIC DATA EXPLORER

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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-14T17:04:41-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 S Wacker DrAddressLine1
CityChicagoCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362179813EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SWEDISH COVENANT HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSWEDNameControl
Phone7738788200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15145 N CALIFORNIA AVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60625ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS GARVEYName
TitleSENIOR VP & CFOTitle
Phone7738788200Phone
Date Signed2014-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLaura J GillespieName
PTINP00855604PTIN
Phone3124861000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS GARVEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15145 N CALIFORNIA AVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60625ZIPCode
FieldValueIRS element (for citing)
Gross Receipts264499439GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.schosp.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1907YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionProviding excellent healthcare services for our culturally diverse communities for over 120 years.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees2271TotalNbrEmployees
Total Nbr Volunteers179TotalNbrVolunteers
Total Gross UBI2358396TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7291187ContributionsGrantsPriorYear
Contributions Grants Current Year126546ContributionsGrantsCurrentYear
Program Service Revenue Prior Year250010625ProgramServiceRevenuePriorYear
Program Service Revenue CY245215855ProgramServiceRevenueCY
Investment Income Prior Year1242801InvestmentIncomePriorYear
Investment Income Current Year2810072InvestmentIncomeCurrentYear
Other Revenue Prior Year12180280OtherRevenuePriorYear
Other Revenue Current Year16339128OtherRevenueCurrentYear
Total Revenue Prior Year270724893TotalRevenuePriorYear
Total Revenue Current Year264491601TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year115120418SalariesEtcPriorYear
Salaries Etc Current Year119468167SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year585963TotalFundrsngExpCurrentYear
Other Expense Prior Year136348605OtherExpensePriorYear
Other Expenses Current Year132757505OtherExpensesCurrentYear
Total Expenses Prior Year251469023TotalExpensesPriorYear
Total Expenses Current Year252225672TotalExpensesCurrentYear
Revenues Less Expenses Prior Year19255870RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12265929RevenuesLessExpensesCY
Total Assets BOY451770879TotalAssetsBOY
Total Assets EOY467642185TotalAssetsEOY
Total Liabilities BOY301520837TotalLiabilitiesBOY
Total Liabilities EOY290212856TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY150250042NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY177429329NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOur 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense222360955Expense
Revenue259732471Revenue
DescriptionSince 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 Expense222360955TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096428NumberFormsTransmittedWith1096
Number W2 G Included2NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2271NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVID HERMANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7738788200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15145 N CALIFORNIA AVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60625ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHARLES L ADAIR
DIRECTOR1.001.00X000
KURT D ANDERSON
DIRECTOR1.00X000
LYLE BANKS
DIRECTOR1.00X000
RENEE BORKOWSKI
DIRECTOR1.00X000
RONALD D CURRAN MD
DIRECTOR1.0040.00X060275127934
JUDITH E DABERTIN
DIRECTOR1.00X000
H CLARK FEDERER MD
DIRECTOR1.00X865600
MAUREEN T GIRARD
DIRECTOR1.00X000
W J WESLEY KEE
DIRECTOR1.00X000
DAVID J KOO
DIRECTOR1.00X000
PATRICIA MERRYWEATHER
DIRECTOR1.00X000
REV MARK A NILSON
DIRECTOR1.00X000
JEFFREY M TILKIN MD
DIRECTOR1.00X1520000
TONY R VANCAUWELAERT MD
DIRECTOR1.00X885918720
DENNIS C WOLFF
DIRECTOR1.00X000
LAWRENCE P ANDERSON
DIRECTOR1.0040.00X055060266509
DAVID A DWIGHT
DIRECTOR1.0040.00X0581280129403
ARMINIO SURUCCI MD
DIRECTOR1.00X000
REV GARY B WALTER
DIRECTOR1.0040.00X0157472117568
THOMAS M PYRA
CHAIRMAN1.00X000X
JUDITH A PINS
VICE CHAIR1.00X000X
DAVID R PUTMAN
SECRETARY1.00X000X
MARK NEWTON
PRESIDENT & CEO40.001.00X089148386418X
JUDITH A BORENSTEIN
GENERAL COUNSEL40.001.00339571040790X
THOMAS J GARVEY
SENIOR VP & CFO40.001.00000X
ANTHONY GUACCIO
SENIOR VP & COO40.001.00437212065934X
DEREK J KELLY MD
VP & CHIEF MEDICAL OFFICER40.00341763022388X
MARY SHEHAN RN
SENIOR VP, CNO40.00253936033362X
GARY M KRUGEL
SENIOR VP & CFO THROUGH 6.30.1340.00341134064449X
KAREN M SHEEHAN
SENIOR VP & CIO40.00251200047385X
JANIS A RUEPING
VP QUALITY IMPVMT/RISK MGM40.00198328034979X
WALTEN BABA
PHYSICIAN40.00268519024154X
MICHAEL FEINZIMER
PHYSICIAN40.0021881001716X
PATRICIA KING
ASSOCIATE GENERAL COUNSEL40.00195647027517X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2878835TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2785460TotalReportableCompFrmRltdOrgs
Total Other Compensation790506TotalOtherCompensation
Number Individuals GT100 K92NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MIDWESTERN UNIVERSITY
555 31ST STREETDOWNERS GROVEIL60515HEALTH CARE1020870
ILLINOIS PHYSICIANS NETWORK LLC
8725 W HIGGENS RD SUITE 482CHICAGOIL60631HEALTH CARE998219
NEPHRON DIALYSIS CENTER
5140 N CALIFORNIA AVECHICAGOIL60625HEALTH CARE780758
PEDIATRIC FACULTY FOUNDATION
2300 CHILDRENS PLAZACHICAGOIL60614HEALTH CARE635940
LABORATORY CORP OF AMERICA
PO BOX 12140BURLINGTONNC27216HEALTH CARE531764
FieldValueIRS element (for citing)
Number Of Contractors GT100 K53NumberOfContractorsGT100K
Info In Schedule O Part VIIIXInfoInScheduleOPartVIII
Fundraising Events22507FundraisingEvents
Government Grants60000GovernmentGrants
All Other Contributions44039AllOtherContributions
Total Contributions126546TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
HEALTH CARE SERVICES900099243282783243282783
LABORATORY SERVICES62150019330721933072
FieldValueIRS element (for citing)
Total Program Service Revenue245215855TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-3797887TotalRevenueColumn
Exclusion-$3,797,887ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real5715933Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real5715933Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column5715933TotalRevenueColumn
Related Or Exempt Function Income5715933RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6607959Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities6607959Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6607959TotalRevenueColumn
Exclusion$6,607,959ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events6632GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events22507CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column6632TotalRevenueColumn
Exclusion$6,632ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming14000GrossIncomeGaming
Gaming Direct Expenses7838GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column6162TotalRevenueColumn
Exclusion$6,162ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
ELECTRONIC HEALTH RECO90009927805132780513
PARKING GARAGE FEES81293010634461063446
CHILD CARE CENTER624410848037422713425324

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column5918405TotalRevenueColumn
Related Or Exempt Function Income5918405RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue10610401TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column264491601TotalRevenueColumn
Related Or Exempt Function Income259732471RelatedOrExemptFunctionIncome
Unrelated Business Revenue2358396UnrelatedBusinessRevenue
Exclusion$2,822,866ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2129557Total
Program Services634366ProgramServices
Management And General1495191ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total170705Total
Management And General170705ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total99042118Total
Program Services91349965ProgramServices
Management And General7278632ManagementAndGeneral
Fundraising413521Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3577046Total
Program Services3246742ProgramServices
Management And General315710ManagementAndGeneral
Fundraising14594Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7354852Total
Program Services6712297ProgramServices
Management And General600210ManagementAndGeneral
Fundraising42345Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7193889Total
Program Services6477999ProgramServices
Management And General684256ManagementAndGeneral
Fundraising31634Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2532320Total
Management And General2532320ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total335833Total
Management And General335833ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total132063Total
Management And General132063ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total210000Total
Management And General210000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total24727093Total
Program Services22039312ProgramServices
Management And General2629574ManagementAndGeneral
Fundraising58207Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1055752Total
Program Services297249ProgramServices
Management And General758303ManagementAndGeneral
Fundraising200Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total568227Total
Program Services486452ProgramServices
Management And General80164ManagementAndGeneral
Fundraising1611Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3758643Total
Program Services3300460ProgramServices
Management And General458183ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total352665Total
Program Services244561ProgramServices
Management And General91674ManagementAndGeneral
Fundraising16430Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total9293100Total
Management And General9293100ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total19050083Total
Program Services18425330ProgramServices
Management And General621019ManagementAndGeneral
Fundraising3734Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total10030527Total
Program Services9145233ProgramServices
Management And General885294ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
OTHER OPERATING SUPPLIE35232329351213371097491243
IDPA TAX1323980013239800
EQUIPMENT REPAIR & MAIN64181836311501106582100
BAD DEBT EXPENSE29828982982898

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2837989Total
Program Services2345453ProgramServices
Management And General490192ManagementAndGeneral
Fundraising2344Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total252225672Total
Program Services222360955ProgramServices
Management And General29278754ManagementAndGeneral
Fundraising585963Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7545044BOY
EOY1896202EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1063799BOY
EOY1033799EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25147052BOY
EOY29897699EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3545211BOY
EOY4177214EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5235620BOY
EOY5405443EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis448811616LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec253650223LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY198392897BOY
EOY195161393EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY142927091BOY
EOY146601044EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY1989527EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY67914165BOY
EOY81479864EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY451770879BOY
EOY467642185EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY30869196BOY
EOY31671122EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY191741888BOY
EOY187224260EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY78909753BOY
EOY71317474EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY301520837BOY
EOY290212856EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY148227058BOY
EOY175788398EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2022984BOY
EOY1640931EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY150250042BOY
EOY177429329EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY451770879BOY
EOY467642185EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses12265929ReconcilationRevenueExpenses
Reconciliation Unrealized Invest18564246ReconciliationUnrealizedInvest
Reconcilation Other Changes-3650888ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$143,850DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$210,000OtherActivitiesAmount
Total Lobbying Expenditures IIB353850TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationIn 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

FieldValueIRS element (for citing)
Beginning Of Year Balance20575237BeginningOfYearBalance
Contributions1532811Contributions
Investment Earnings Or Losses115000InvestmentEarningsOrLosses
Other Expenditures1475757OtherExpenditures
End Of Year Balance20747291EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance19626213BeginningOfYearBalance
Contributions8677201Contributions
Investment Earnings Or Losses127001InvestmentEarningsOrLosses
Other Expenditures7855178OtherExpenditures
End Of Year Balance20575237EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance18814654BeginningOfYearBalance
Contributions1270179Contributions
Investment Earnings Or Losses20979InvestmentEarningsOrLosses
Other Expenditures479599OtherExpenditures
End Of Year Balance19626213EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance18354856BeginningOfYearBalance
Contributions1341311Contributions
Investment Earnings Or Losses-13043InvestmentEarningsOrLosses
Other Expenditures868470OtherExpenditures
End Of Year Balance18814654EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance18234850BeginningOfYearBalance
Contributions795551Contributions
Other Expenditures675545OtherExpenditures
End Of Year Balance18354856EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.14160BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.85840PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7960138OtherCostOrOtherBasis
Book Value7960138BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis190835103OtherCostOrOtherBasis
Depreciation79357058Depreciation
Book Value111478045BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis763732OtherCostOrOtherBasis
Depreciation763732Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis223527297OtherCostOrOtherBasis
Depreciation156756055Depreciation
Book Value66771242BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis25725346OtherCostOrOtherBasis
Depreciation16773378Depreciation
Book Value8951968BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings195161393TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CMB BOND & EQUITY FUND - FMV118983434F
US BANK27583818F
MERRILL LYNCH - FMV33792F
FieldValueIRS element (for citing)
Total Of Book Value Securities146601044TotalOfBookValueSecurities

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
OTHER INVESTMENTS894309
CAPTIVE RECOVERIES A/R3628655
CHRPP RECOVERIES A/R9435000
DUE FROM AFFILIATES61282831
ASSETS WHOSE USE IS LIMITED1433069
PA TAX ASSESSMENT4168570
ALL OTHER CURRENT ASSETS637430
FieldValueIRS element (for citing)
Total Book Value Other Assets81479864TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
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
FieldValueIRS element (for citing)
Total Of Amounts71317474TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Intended Use of Endowment Funds:Identifier
Return ReferencePart V, Line 4:ReturnReference
ExplanationPart 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

FieldValueIRS element (for citing)
Name Of Event1GALA 12NameOfEvent1
Gross Receipts Event118238GrossReceiptsEvent1
Charitable Contributions Event117096CharitableContributionsEvent1
Gross Revenue Event11142GrossRevenueEvent1
Name Of Event2GALA 13NameOfEvent2
Gross Receipts Event27055GrossReceiptsEvent2
Charitable Contributions Event21862CharitableContributionsEvent2
Gross Revenue Event25193GrossRevenueEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events3846GrossReceiptsOtherEvents
Charitable Contrib Other Events3549CharitableContribOtherEvents
Gross Revenue Other Events297GrossRevenueOtherEvents
Gross Receipts Total29139GrossReceiptsTotal
Charitable Contributions Total22507CharitableContributionsTotal
Gross Revenue Total Events6632GrossRevenueTotalEvents
Net Income Summary6632NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense10892941TotalCommunityBenefitExpense
Net Community Benefit Expense10892941NetCommunityBenefitExpense
Percent Of Total Expense0.04370PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense66631209TotalCommunityBenefitExpense
Direct Offsetting Revenue63196027DirectOffsettingRevenue
Net Community Benefit Expense3435182NetCommunityBenefitExpense
Percent Of Total Expense0.01380PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense77524150TotalCommunityBenefitExpense
Direct Offsetting Revenue63196027DirectOffsettingRevenue
Net Community Benefit Expense14328123NetCommunityBenefitExpense
Percent Of Total Expense0.05750PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1279735TotalCommunityBenefitExpense
Net Community Benefit Expense1279735NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3824359TotalCommunityBenefitExpense
Direct Offsetting Revenue2941326DirectOffsettingRevenue
Net Community Benefit Expense883033NetCommunityBenefitExpense
Percent Of Total Expense0.00350PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1373557TotalCommunityBenefitExpense
Direct Offsetting Revenue124068DirectOffsettingRevenue
Net Community Benefit Expense1249489NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense271142TotalCommunityBenefitExpense
Net Community Benefit Expense271142NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6748793TotalCommunityBenefitExpense
Direct Offsetting Revenue3065394DirectOffsettingRevenue
Net Community Benefit Expense3683399NetCommunityBenefitExpense
Percent Of Total Expense0.01470PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense84272943TotalCommunityBenefitExpense
Direct Offsetting Revenue66261421DirectOffsettingRevenue
Net Community Benefit Expense18011522NetCommunityBenefitExpense
Percent Of Total Expense0.07220PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense17854TotalCommunityBuildingExpense
Net Community Building Expense17854NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense17854TotalCommunityBuildingExpense
Net Community Building Expense17854NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,982,898BadDebtExpenseAmount
Amount Reimbursed By Medicare95168394AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare97112198CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1943804MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 SWEDISH COVENANT SURGERY CENTER LLC
OUTPATIENT MEDICAL SERVICES1.000000.000000.00000
2 CHICAGO CK ENTERPRISES LLC
OUTPATIENT MEDICAL SERVICES0.060000.000000.74000
3 CK PROPERTY DEVELOPMENT LLC
PROPERTY MANAGEMENT SERVICES0.330000.000000.00000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SWEDISH COVENANT HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line15145 N CALIFORNIA AVENUEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60625ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours
OtherI/P & OP HOSPITAL SERVICES, SKILLED NURSING FACILITYOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SWEDISH COVENANT HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent600.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Uninsured DiscountXUninsuredDiscount
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
LIFE CENTER ON THE GREEN INC
5157 N FRANCISCO AVENUECHICAGOIL60625PHYSICAL REHABILITATION SERVICES
SWEDISH COVENANT HOME HEALTH CARE
2965 W PETERSON AVENUECHICAGOIL60659HOME HEALTH CARE SERVICES
SWEDISH COVENANT SURGERY CENTER
5215 N CALIFORNIA AVENUECHICAGOIL60625AMBULATORY SURGERY CENTER - CLOSED EFFECTIVE 9/30/13

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationIdentifierIdentifierReturn 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.
ILReports Filed With StatesPart VI, Line 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RONALD D CURRAN MD
DIRECTOR05734420002930907500020434063068500
LAWRENCE P ANDERSON
DIRECTOR03709140796000100088037194029315061711100
DAVID A DWIGHT
DIRECTOR0503155000781250102125027278071068300
REV GARY B WALTER
DIRECTOR01574720000028402089166027504000
MARK NEWTON
PRESIDENT & CEO050612001081080277255071154015264097790100
JUDITH A BORENSTEIN
GENERAL COUNSEL26235900077212032194085960380361000
ANTHONY GUACCIO
SENIOR VP & COO389442000477700432400226940503146000
DEREK J KELLY MD
VP & CHIEF MEDICAL OFFICER290296026247025220000223880364151000
MARY SHEHAN RN
SENIOR VP, CNO2286260002531003255608060287298000
GARY M KRUGEL
SENIOR VP & CFO THROUGH 6.30.13284457000566770407550236940405583000
KAREN M SHEEHAN
SENIOR VP & CIO219498000317020302100171750298585000
JANIS A RUEPING
VP QUALITY IMPVMT/RISK MGM181663000166650209090140700233307000
WALTEN BABA
PHYSICIAN23887400029645071800169730292672000
MICHAEL FEINZIMER
PHYSICIAN218810000000017160220526000
PATRICIA KING
ASSOCIATE GENERAL COUNSEL18264700013000060110215060223164000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aAs 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 3The 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 4bExecutive 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 ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Illinois Finance Authority
A86109196745200FEW52008-04-08600000002008A IFA Revenue Bonds - Cap Adds & Ref of 01/16/98 & 07/22/99 issues.000
Illinois Finance Authority
B86109196745200FR352010-02-02993902602010A IFA Revenue Bonds - Ref of 11/17/03 & 06/17/08 issues.000
Illinois Finance Authority
C8610919672010-11-03200000002010C IFA Revenue Bonds - Cap Adds000
Illinois Finance Authority
D8610919672011-06-28200000002011A IFA Revenue Bonds - Cap Adds & Construction000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount UnspentAmountUnspent
A4895000608462842983784075084445250000020091011
B41200009939026098422691982568881500001011
C239620320001820318305190021090001999711
D92500020098509337352768934000117329575

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A001100.000000.000000.00000001
B001100.015000.000000.01500001
C00000.000000.000000.00000001
D00000.000000.000000.00000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A001010001
B010000001
C010000001
D010010001

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Schedule K Supplental InformationForm 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 3The 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 DThe amounts shown here consist solely of sinking fund deposits.Gross Proceeds in Reserve Funds
Part II, Line 4, column BThe 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)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Brooke Newton
Family member of Mark Newton (CEO of Swedish Covenant Hospital)67639Wages paid as an employee of Swedish Covenant Hospital0
Emily Flatley
Family member of Mark Newton (CEO of Swedish Covenant Hospital)31094Wages paid as an employee of Swedish Covenant Hospital.0
Kathryn Shehan
Family member of Mary Shehan (VP of Swedish Covenant Hospital)13240Wages paid as an employee of Swedish Covenant Hospital0
Samantha Shehan
Family member of Mary Shehan (VP of Swedish Covenant Hospital)10708Wages paid as an employee of Swedish Covenant Hospital0
Elizabeth Pyra
Family member of Thomas M. Pyra (Member of the Board of Directors)48024Wages paid as an employee of Swedish Covenant Hospital0
H Clark Federer MD
Member of the Board of Directors100000Purchase by SCH of Dr. Federer's medical practice.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2Many 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 6The sole member is Covenant Ministries of Benevolence (CMB).
Form 990, Part VI, Section A, line 7aThe member elects the Board of Directors.
Form 990, Part VI, Section A, line 7bS 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 11Management 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 12cSwedish 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 15The 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 18A 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 19The 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 - 7CPublicly 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

FieldValueIRS element (for citing)
Business Name Line1Swedish Covenant Surgery Center LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15215 N California AvenueAddressLine1
CityChicagoCity
StateILState
ZIP Code60625ZIPCode
FieldValueIRS element (for citing)
EIN272485300EIN
Primary ActivitiesOutpatient Surgery CenterPrimaryActivities
Legal Domicile StateILLegalDomicileState
Total Income-380995TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Swedish Covenant HospitalBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Evangelical Covenant Church (ECC)
5101 N Francisco AvenueChicagoIL60625362167730ChurchIL501(c)(3)Line 1N/A0
Swedish Covenant Faculty Group (SCFG)
5145 N California AvenueChicagoIL60625363686216Patient Treatment/EducationIL501(c)(3)Line 11a, I1Swedish Covenant Hospital (SCH)
Swedish Covenant Hospital Foundation (SCHF)
5145 N California AvenueChicagoIL60625205055155Supporting Organization of Swedish Covenant HospitalIL501(c)(3)Line 71Swedish Covenant Hospital (SCH)
SC Insurance Company
6970 E Chauncey Lane Suite 100PhoenixAZ85054273312053InsuranceAZ501(c)(3)Line 11a, I1Swedish Covenant Hospital (SCH)

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Covenant Village of PortlandLP
420 NE Mason StPortlandOR97211364356838Assisted Living CommunityORN/A
Coast Asset Management LLC
2450 Colorado Avenue Suite 100 E ToSanta MonicaCA90404954763400Hedge Fund InvestmentCAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntityBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Covenant International Insurance Company Ltd
Crawford House 50 Cedar AvenueHamiltonBDInsuranceBDN/A0
Covenant Trust Company
Financial ServicesN/A05215 Old Orchard Road Suite 725SkokieIL60077363583163ILC
Swedish Covenant Management Services Inc (SCMS)
Physician Practice Management15145 N California AvenueChicagoIL60625364073303ILCSWEDISH COVENANT HOSPITAL-9789124173948401.00000
Swedish Covenant Managed Health Care Alliance (SCMCA)
Physician - Hospital OrganizationN/A02740 W Foster Suite 409ChicagoIL60625364118659ILC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Swedish Covenant Hospital Foundation
L486111Intercompany Contract
Swedish Covenant Hospital Foundation
M486111Intercompany Contract
Swedish Covenant Hospital Foundation
R123000Cash Value
Swedish Covenant Hospital Foundation
S945218Cash Value
Swedish Covenant Management Services Inc
R14980459Cash Value
SC Insurance Company
M5642846Cash Value