SILVER CROSS HOSPITAL & MEDICAL CENTERS: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SILVER CROSS HOSPITAL & MEDICAL CENTERS (EIN 36-2174832)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-15
- IRS object ID
- 201402279349303290
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-15T13:00:10-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4000 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | 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 | 362174832 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Silver Cross Hospital and Medical Centers | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % JOHN KREPPS CFO | InCareOfName |
| Name Control | SILV | NameControl |
| Phone | 8153007084 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 Silver Cross Blvd | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | New Lenox | City |
| State | IL | State |
| ZIP Code | 60451 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN KREPPS | Name |
| Title | CFO | Title |
| Date Signed | 2013-08-14 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3176817000 | 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 | PAUL PAWLAK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 Silver Cross Blvd | AddressLine1 |
| City | New Lenox | City |
| State | IL | State |
| ZIP Code | 60451 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 315873666 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.silvercross.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1895 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | TO ESTABLISH, CONDUCT, MAINTAIN AND OPERATE HOSPITALS AND COMMUNITY MEDICAL CENTERS AND TO FURNISH OTHER FACILITIES FOR THE CARE OF PERSONS SUFFERING FROM ILLNESSES OR DISABILITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2507 | TotalNbrEmployees |
| Total Nbr Volunteers | 482 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3078951 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 946954 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 267777048 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 293705712 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 28871714 | InvestmentIncomePriorYear |
| Investment Income Current Year | 9415849 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1049543 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2596973 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 300777256 | TotalRevenuePriorYear |
| Total Revenue Current Year | 306665488 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 214985 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 249815 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 117242745 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 126576559 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 161987596 | OtherExpensePriorYear |
| Other Expenses Current Year | 173540977 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 279445326 | TotalExpensesPriorYear |
| Total Expenses Current Year | 300367351 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 21331930 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6298137 | RevenuesLessExpensesCY |
| Total Assets BOY | 700113117 | TotalAssetsBOY |
| Total Assets EOY | 710073502 | TotalAssetsEOY |
| Total Liabilities BOY | 449760252 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 453628109 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 250352865 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 256445393 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO ESTABLISH, CONDUCT, MAINTAIN AND OPERATE HOSPITALS AND COMMUNITY MEDICAL CENTERS AND TO FURNISH OTHER FACILITIES FOR THE CARE OF PERSONS SUFFERING FROM ILLNESSES OR DISABILITIES REQUIRING HOSPITAL CARE, COMMUNITY MEDICAL CARE OR CARE IN THE HOME. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 280902865 | Expense |
| Grants | 249815 | Grants |
| Revenue | 288839008 | Revenue |
| Description | Provision of inpatient and outpatient health care services. Hospital inpatient and observation days for the time period covered by this return totaled 85,732. Outpatient registrations totaled 208,501. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 859735 | Expense |
| Grants | 0 | Grants |
| Description | Community education programs, health professional education programs, student internships, support groups and support of free community clinic. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 87201 | Expense |
| Revenue | 17320 | Revenue |
| Description | Health screenings and women's and children's services. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 587425 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 4577026 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 282437226 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 326 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2507 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOHN KREPPS CFO | NamePerson |
| Telephone Number | 8153007084 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SILVER CROSS BLVD | AddressLine1 |
| City | New Lenox | City |
| State | IL | State |
| ZIP Code | 60451 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| STEVE MORRISSETTE | ||||||||
| CHAIRMAN | 1.0 | 1.0 | X | X | 0 | 0 | 0 | |
| PAUL PAWLAK | ||||||||
| PRESIDENT/CEO | 1.0 | 40.0 | X | X | 0 | 1622365 | 484621 | |
| DOUGLAS HUTCHISON JR | ||||||||
| First Vice Chairman | 1.0 | 1.0 | X | X | 0 | 0 | 0 | |
| MARK STOFAN | ||||||||
| Second Vice Chairman | 1.0 | 1.0 | X | X | 0 | 0 | 0 | |
| AL MCCOWAN | ||||||||
| SECRETARY | 1.0 | 1.0 | X | X | 0 | 0 | 0 | |
| SUSAN PROCK | ||||||||
| TREASURER | 1.0 | 1.0 | X | X | 0 | 0 | 0 | |
| JACK CARLSTROM | ||||||||
| DIRECTOR | 1.0 | 1.0 | X | 0 | 0 | 0 | ||
| CONNIE CURRAN | ||||||||
| DIRECTOR (term 10/12) | 1.0 | 1.0 | X | 0 | 0 | 0 | ||
| MARK DANIELSON MD | ||||||||
| Director | 1.0 | 1.0 | X | 0 | 0 | 0 | ||
| GEORGE F MAHONEY III | ||||||||
| Director (term 5/13) | 1.0 | 1.0 | X | 0 | 0 | 0 | ||
| DAVID MIKOLAJCZAK DO | ||||||||
| Director | 1.0 | 1.0 | X | 0 | 0 | 0 | ||
| SCOTT PADDOCK | ||||||||
| Director | 1.0 | 1.0 | X | 0 | 0 | 0 | ||
| JOHN PHELAN | ||||||||
| Director | 1.0 | 1.0 | X | 0 | 0 | 0 | ||
| SALVADOR RINELLA MD | ||||||||
| Director (term 5/13) | 1.0 | 1.0 | X | 0 | 0 | 0 | ||
| JAMES ROOLF | ||||||||
| Director | 1.0 | 1.0 | X | 0 | 0 | 0 | ||
| ALEXANDER SOSENKO MD | ||||||||
| Director | 1.0 | 1.0 | X | 0 | 0 | 0 | ||
| MARY TOTTEN | ||||||||
| Director | 1.0 | 1.0 | X | 0 | 0 | 0 | ||
| WILLIAM BROWNLOW | ||||||||
| Asst. Treasurer (term 9/13) | 1.0 | 42.0 | X | 0 | 816035 | 216382 | ||
| MARYBETH ANTONE | ||||||||
| Adm Dir Procedural Care | 40.0 | 0.0 | 215161 | 0 | 37248 | X | ||
| BRANDT FICK | ||||||||
| Adm Dir Emergency Services | 40.0 | 0.0 | 168685 | 0 | 33022 | X | ||
| IULIANA RAGO | ||||||||
| Registered Pharmacist | 40.0 | 0.0 | 152493 | 0 | 41913 | X | ||
| KAY NOVAK | ||||||||
| Director of Accounting | 40.0 | 0.0 | 146699 | 0 | 18784 | X | ||
| MARY BRENCZEWSKI | ||||||||
| Adm Dir Clinical Ser | 40.0 | 0.0 | 146593 | 0 | 40996 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 829631 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2438400 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 872966 | TotalOtherCompensation |
| Number Individuals GT100 K | 76 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Spellman Brady Co | |||||
| 8251 Maryland Ave Ste 300 | ST LOUIS | MO | 63105 | Consulting | 1578703 |
| Allied Anesthesia Assoc | |||||
| 40 Shuman Blvd Suite 275 | NAPERVILLE | IL | 60563 | Anesthesia services | 805259 |
| Pediatric Faculty Foundation | |||||
| 225 E Chicago Ave | CHICAGO | IL | 60611 | Pediatric medical se | 361312 |
| Food For Thought Catering | |||||
| 7001 Ridgeway | LINCOLNWOOD | IL | 60712 | Catering | 352136 |
| Walker Associates | |||||
| 5421 Feltl Rd Ste 150 | MINNETONKA | MN | 55443 | Consulting | 347268 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 34 | NumberOfContractorsGT100K |
| Related Organizations | 458602 | RelatedOrganizations |
| All Other Contributions | 488352 | AllOtherContributions |
| Total Contributions | 946954 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 621110 | 289785962 | 289785962 | 0 | $0 |
| DEPARTMENT REVENUE | 900099 | 3919750 | 3919750 | 0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 293705712 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8836580 | TotalRevenueColumn |
| Related Or Exempt Function Income | 677154 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $8,159,426 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 611928 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 611928 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 611928 | TotalRevenueColumn |
| Related Or Exempt Function Income | 583803 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $28,125 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9787447 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9208178 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 579269 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 579269 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $579,269 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| CAFETERIA REVENUE | 722310 | 1982143 | 0 | 0 | $1,982,143 |
| A/P DISCOUNTS | 900099 | 2902 | 0 | 0 | $2,902 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1985045 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 306665488 | TotalRevenueColumn |
| Related Or Exempt Function Income | 294966669 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $10,751,865 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 249815 | Total |
| Program Services | 249815 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95447814 | Total |
| Program Services | 89720945 | ProgramServices |
| Management And General | 5726869 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3857397 | Total |
| Program Services | 3625953 | ProgramServices |
| Management And General | 231444 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19923061 | Total |
| Program Services | 18727677 | ProgramServices |
| Management And General | 1195384 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7348287 | Total |
| Program Services | 6907390 | ProgramServices |
| Management And General | 440897 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8726402 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 8726402 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1176965 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1176965 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140000 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 140000 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205978 | Total |
| Program Services | 140794 | ProgramServices |
| Management And General | 65184 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19277295 | Total |
| Program Services | 19277295 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1059688 | Total |
| Program Services | 1059688 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16632551 | Total |
| Program Services | 16632551 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3782173 | Total |
| Program Services | 3555243 | ProgramServices |
| Management And General | 226930 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134582 | Total |
| Program Services | 134582 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1916 | Total |
| Program Services | 1916 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25280244 | Total |
| Program Services | 25280244 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24848772 | Total |
| Program Services | 24848722 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8753796 | Total |
| Program Services | 8753796 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 54703072 | 54703072 | 0 | 0 |
| TAXES | 7034675 | 7034675 | 0 | 0 |
| DIETARY EXPENSE | 849344 | 849344 | 0 | 0 |
| DUES, BOOKS, SUBSCRIPTIONS | 489323 | 489323 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 444201 | Total |
| Program Services | 444201 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 300367351 | Total |
| Program Services | 282437226 | ProgramServices |
| Management And General | 17930075 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22189204 | BOY |
| EOY | 4891411 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5634416 | BOY |
| EOY | 5637621 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2236031 | BOY |
| EOY | 1881516 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34830178 | BOY |
| EOY | 61489422 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 205552 | BOY |
| EOY | 1817359 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2375394 | BOY |
| EOY | 1817274 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 584752852 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 110288695 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 477440642 | BOY |
| EOY | 474464157 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 107554158 | BOY |
| EOY | 113364521 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 785134 | BOY |
| EOY | 2340581 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46862408 | BOY |
| EOY | 42369640 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 700113117 | BOY |
| EOY | 710073502 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25280241 | BOY |
| EOY | 32138277 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 397502106 | BOY |
| EOY | 392511594 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26977905 | BOY |
| EOY | 28978238 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 449760252 | BOY |
| EOY | 453628109 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 240552884 | BOY |
| EOY | 246546898 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4235153 | BOY |
| EOY | 4048100 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5564828 | BOY |
| EOY | 5850395 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250352865 | BOY |
| EOY | 256445393 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 700113117 | BOY |
| EOY | 710073502 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6298137 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -15370 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -190239 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $42,906 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 42906 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II-B, LINE 1i | Identifier |
| Explanation | 23.65% of dues paid to American Hospital Association and 39% of dues paid to Illinois Hospital Association are used by these organizations for lobbying activities. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9799981 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1455610 | InvestmentEarningsOrLosses |
| Other Expenditures | 1291913 | OtherExpenditures |
| Administrative Expenses | 65183 | AdministrativeExpenses |
| End Of Year Balance | 9898495 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8944269 | BeginningOfYearBalance |
| Contributions | 2640930 | Contributions |
| Investment Earnings Or Losses | 849257 | InvestmentEarningsOrLosses |
| Other Expenditures | 2418434 | OtherExpenditures |
| Administrative Expenses | 216041 | AdministrativeExpenses |
| End Of Year Balance | 9799981 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11192893 | BeginningOfYearBalance |
| Contributions | 571496 | Contributions |
| Investment Earnings Or Losses | 104273 | InvestmentEarningsOrLosses |
| Other Expenditures | 2871640 | OtherExpenditures |
| Administrative Expenses | 52753 | AdministrativeExpenses |
| End Of Year Balance | 8944269 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7722097 | BeginningOfYearBalance |
| Contributions | 3425991 | Contributions |
| Investment Earnings Or Losses | 371884 | InvestmentEarningsOrLosses |
| Other Expenditures | 128970 | OtherExpenditures |
| Administrative Expenses | 198109 | AdministrativeExpenses |
| End Of Year Balance | 11192893 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7486792 | BeginningOfYearBalance |
| Contributions | 820202 | Contributions |
| Investment Earnings Or Losses | 119218 | InvestmentEarningsOrLosses |
| Other Expenditures | 541283 | OtherExpenditures |
| Administrative Expenses | 162832 | AdministrativeExpenses |
| End Of Year Balance | 7722097 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.41000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.59000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 25262115 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 14801161 | OtherCostOrOtherBasis |
| Book Value | 40063276 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 337419268 | OtherCostOrOtherBasis |
| Depreciation | 12809899 | Depreciation |
| Book Value | 324609369 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13139002 | OtherCostOrOtherBasis |
| Depreciation | 1265246 | Depreciation |
| Book Value | 11873756 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 180557320 | OtherCostOrOtherBasis |
| Depreciation | 95389205 | Depreciation |
| Book Value | 85168115 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13573986 | OtherCostOrOtherBasis |
| Depreciation | 824345 | Depreciation |
| Book Value | 12749641 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 474464157 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 35468807 |
| UNAMORTIZED BOND EXPENSES | 1786711 |
| BOND DISCOUNTS | 3006024 |
| ASSETS RESTRICTED-CURRENT LIAB | 2108098 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 42369640 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO THIRD PARTY PROGRAMS | $28,087,133 |
| OTHER LONG-TERM LIABILITIES | $891,105 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 28978238 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL INFORMATION | Schedule D Part V Line 4 | All endowed funds are restricted to use by Silver Cross Hospital and Medical Centers. Some funds have no further restriction and the interest earned may be used for either operational or capital support. All restrictions regarding the uses of endowed funds are documented. |
| SUPPLEMENTAL INFORMATION | Schedule D Part X Line 2 | The Corporations account for tax positions in accordance with ASC Topic 740, Income Taxes. ASC Topic 740 clarifies the accounting for uncertainty in tax positions and also provides guidance on when the tax positions are recognized in an entity's financial statements and how the values of these positions are determined. The Corporations do not have any liabilities recognized for uncertain tax positions. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8860000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8860000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02950 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 31192000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23674000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7518000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02500 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 40052000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23674000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16378000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05450 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2347323 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 177370 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2169953 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00720 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 859735 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 859735 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 657271 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 657271 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3864329 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 177370 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3686959 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01230 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 43916329 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23851370 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20064959 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06680 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $4,678,000 | BadDebtExpenseAmount |
| Amount Attributable To | 2595000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 95750000 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 110701000 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -14951000 | 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 | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|
| Silver Cross Hospital and Medical Cen | |||||||
| 1 | 1900 Silver Cross Blvd | New Lenox | IL | 60451 | X | X | X |
| Silver Cross Emergicare Center | |||||||
| 2 | 12701 W 143rd St | Homer Glen | IL | 60441 | X | ||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Community DefinitionCommunityDefinition | Community DemographicsCommunityDemographics | Existing ResourcesExistingResources | How Data ObtainedHowDataObtained | Community Health NeedsCommunityHealthNeeds | Other Health IssuesOtherHealthIssues | Identifying ProcessIdentifyingProcess | Consulting ProcessConsultingProcess | Information GapsInformationGaps | Needs Assessment ConductedNeedsAssessmentConducted | Take Into AccountTakeIntoAccount | Other FacilitiesOtherFacilities | CHNA Widely AvailableCHNAWidelyAvailable | Own WebsiteOwnWebsite | On RequestOnRequest | Other MethodOtherMethod | Adopt Implement StrategyAdoptImplementStrategy | Execute Implement StrategyExecuteImplementStrategy | Develop Community PlanDevelopCommunityPlan | Participate Community PlanParticipateCommunityPlan | Include Operational PlansIncludeOperationalPlans | Adopt BudgetAdoptBudget | Prioritize Health NeedsPrioritizeHealthNeeds | Prioritize ServicesPrioritizeServices | All Needs AddressedAllNeedsAddressed | Organization Incur Excise TaxOrganizationIncurExciseTax | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Uninsured DiscountUninsuredDiscount | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Attached To InvoicesAttachedToInvoices | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Lowest Negotiated RatesLowestNegotiatedRates | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Silver Cross Hospital and Medical Cen | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | true | X | X | X | X | X | X | X | X | X | 11 | true | true | true | X | X | X | X | X | X | X | X | X | X | X | true | false | true | true | 200. | true | 200. | true | X | X | true | true | X | X | X | X | X | X | true | false | X | X | X | X | true | X | false | false |
| Silver Cross Emergicare Center | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | true | X | X | X | X | X | X | X | X | X | 11 | true | true | true | X | X | X | X | X | X | X | X | X | X | X | true | false | true | true | 200. | true | 200. | true | X | X | true | true | X | X | X | X | X | X | true | false | X | X | X | X | true | X | false | false |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Part I Line 3c | The Hospital provides charity care assistance to patients who maintain a household income up to 200% above the Federal Poverty Level. In addition, the hospital provides a 40% discount off of hospital charges to all uninsured patients. Part I Line 6a Silver Cross Hospital completes an annual Community Benefits Report which is available on the Hospital website and upon request. Part I, Line 7 Community Benefits Data detail summary and reports along with financial reports were used to complete the information on Part 1, Line 7. Part II There are no Community Building Activities cost to report for Silver Cross Hospital that are not reportable in Part I of Schedule H. The Silver Cross Healthy Community Commission works with Silver Cross Hospital for on-going community health improvement advocacy. Pt III Line 2 Bad debt is calculated using costing methods including cost to charge ratio using financial statements to determine cost of care. | |
| Part III, Line 3 | Estimated amount based on uninsured patients not qualifying for charity. | |
| Part III, Line 4 | The text of the footnote that describes bad debt expense is contained on page 12 of the financial statements. | |
| Part III, Line 8 | The hospital is designated as a disproportionate Share Hospital and as such is a safety net to the community and provides care to many low income Medicare recipients. The Medicare loss sustained is a result of Medicare reimbursing at less than the operating cost. Costs were attained using the Medicare cost report. | |
| Part III, Line 9b | The hospital provides care to patients who meet without charge or at amounts less than its established rates. The Hospital does not pursue collection of amounts determined to qualify as charity care. | |
| Part V, Section B 3 | The Hospital participates in the development of the community needs assessment through the Will County MAPP Collabortive which is comprised with a broad range of representatives from the community including individuals from the Will County Health Department, United Way, Will County Board members, Catholic Charities, Will County Behavioral Health Psychiatrist, Auth Martha's (FQHC), and other community leaders and health care facilities. | |
| Part V, Section B 4 | Other facilities participating include Presence St. Joseph Hospital, Adventist Bolingbrook Hospital and Edwards Hospital. | |
| Part V, Section B 5c | Report is available on the Will County Health website. | |
| Part VI, Line 2 | Silver Cross Hospital participates with other healthcare and community organizations to create the Will County Health Needs Assessment and Plan through participation in a Community group called Mobilizing for Action through planning and Partnerships (MAPP) process. MAPP has enabled organizations to engage in county-wide strategic process to ensure that area residents receive the best possible public health services. Silver Cross Hospital has used the Will County Needs Assessment and Strategic Plan as a resource tool to develop its community programming. Silver Cross' programs and services fall into the following categories: Access to Healthcare, Awareness of Services, Prevention, and Management of Chronic Care Issues. | |
| Part VI, Line 3 | Information regarding assistance for charity care is provided to patients by conducting interviews, post notices in the Hospital,and on the patient bill. | |
| Part VI, Line 4 | Silver Cross Hospital cares for people that reside in areas primarily located in Will County, and portions of Grundy County and southwestern Cook County. Median incomes range broadly throughout the community with distinct pockets that have very low incomes. Our service area is composed of widely diverse cross sections of the population. | |
| Part VI, Line 5 | Silver Cross Hospital promotes the health of the community by providing over 250 community outreach programs which promote healthier lifestyles and improve health including: educational seminars, health prevention screening, health prevention lectures, health fairs, expos, CPR/First Aid classes, prenatal classes, internships, speakers bureau presentation and support group meetings. Through these outreach programs Silver Cross Hospital touched the lives of 45,000 residents in our community. Impacting the health of thousands of individuals through education and prevention as part of our community benefit program including the use of our facilities and staff. | |
| STATE FILING OF COMMUNITY BENEFIT REPORT | IL, | 990 SCHEDULE H, PART VI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Silver Cross Healthy Community Commission | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 Silver Cross Blvd | AddressLine1 |
| City | New Lenox | City |
| State | IL | State |
| ZIP Code | 60451 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 263094005 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 249815 | AmountOfCashGrant |
| Method Of Valuation | N/A | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
| Purpose Of Grant | operational support | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I, LINE 2 | Identifier |
| Explanation | THE ORGANIZATION SHALL ADVISE AND MONITOR THE INVESTMENTS OF ENDOWMENTS AND GENERAL FUNDS THROUGH ITS BOARD OF DIRECTORS AND THE SCHS BOARD OF DIRECTORS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL PAWLAK | ||||||||||||||
| PRESIDENT/CEO | 0 | 669047 | 0 | 668484 | 0 | 284834 | 0 | 437618 | 0 | 47003 | 0 | 2106986 | 0 | 347286 |
| WILLIAM BROWNLOW | ||||||||||||||
| Asst. Treasurer (term 9/13) | 0 | 383212 | 0 | 336548 | 0 | 96275 | 0 | 179191 | 0 | 37191 | 0 | 1032417 | 0 | 144892 |
| MARYBETH ANTONE | ||||||||||||||
| Adm Dir Procedural Care | 190775 | 0 | 24386 | 0 | 0 | 0 | 15369 | 0 | 21879 | 0 | 252409 | 0 | 0 | 0 |
| BRANDT FICK | ||||||||||||||
| Adm Dir Emergency Services | 149956 | 0 | 18729 | 0 | 0 | 0 | 12222 | 0 | 20800 | 0 | 201707 | 0 | 0 | 0 |
| IULIANA RAGO | ||||||||||||||
| Registered Pharmacist | 152338 | 0 | 155 | 0 | 0 | 0 | 11051 | 0 | 30862 | 0 | 194406 | 0 | 0 | 0 |
| KAY NOVAK | ||||||||||||||
| Director of Accounting | 133803 | 0 | 12896 | 0 | 0 | 0 | 10748 | 0 | 8036 | 0 | 165483 | 0 | 0 | 0 |
| MARY BRENCZEWSKI | ||||||||||||||
| Adm Dir Clinical Ser | 138702 | 0 | 7891 | 0 | 0 | 0 | 10407 | 0 | 30589 | 0 | 187589 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I, Line 3 | Identifier |
| Explanation | Silver Cross Health System, the parent organization of Silver Cross Hospital, uses the following to establish executive compensation: 1) Compensation committee 2) Independent compensation consultant PART I, LINE 4B The Supplemental Executive Retirement Program (SERP) is a non-qualified deferred compensation program designed to provide additional, market-competitive retirement benefits to certain management employees. The SERP was designed to provide retirement benefits that take into account an employee's total compensation, without regard to the annual limit on compensation that applies under qualified retirement plans. The Board has reviewed and approved the SERP benefit, concluding that it is a market-competitive benefit, and that total retirement benefits and total compensation are reasonable when compared to the benefits and compensation provided by similarly situated organizations to employees in comparable positions. For the reporting year, the following reported persons participated in the SERP and received the following payments: Paul Pawlak - $284,834 William Brownlow - $96,275 | Explanation |
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 | 45200FXY0 | 2009-06-11 | 252872007 | Replacement hospital | false | false | false |
| Illinois Finance Authority | ||||||||
| B | 861091967 | 45200FLE7 | 2008-06-18 | 85528084 | Refunding prior bonds | false | false | false |
| Illinois Finance Authority | ||||||||
| C | 861091967 | 45200BSW9 | 2005-12-08 | 92224786 | Refunding & capital | true | false | false |
| illinois Finance Authority | ||||||||
| D | 861091967 | 45200BSY5 | 2005-12-08 | 33625000 | Refunding & capital | true | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 130000 | 0 | 262287153 | 22073102 | 49944701 | 0 | 3955535 | 0 | 0 | 185041232 | 1272583 | 0 | 2012 | false | false | true | true |
| B | 3140000 | 0 | 87420279 | 9035206 | 1153764 | 0 | 839288 | 0 | 0 | 0 | 76392021 | 0 | 2008 | true | false | true | true |
| C | 7950000 | 69350000 | 94610270 | 1754043 | 659983 | 0 | 994324 | 1976955 | 0 | 45702490 | 43522475 | 0 | 2007 | false | true | true | true |
| D | 7550000 | 10625000 | 34787457 | 1786309 | 0 | 0 | 269556 | 701436 | 0 | 12229983 | 19891173 | 0 | 2007 | true | false | true | true |
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 | Prcntge Bond Financed PropPrcntgeBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | true | true | false | 0.00000 | 0.00000 | 0.00000 | false | false | 0.00000 | false | true |
| B | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | false | false | false | true | ||
| C | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | false | false | 0.00000 | false | true | |
| D | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | false | false | 0.00000 | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | No Rebate DueNoRebateDue |
|---|---|---|---|---|---|---|---|---|---|
| 0 | |||||||||
| A | false | true | false | false | false | 0 | false | true | |
| 0 | |||||||||
| B | true | false | false | false | 0 | false | true | true | |
| 0 | |||||||||
| C | true | true | false | false | 0 | false | true | true | |
| 0 | |||||||||
| D | true | true | false | false | 0 | false | true | false | |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | true |
| B | true |
| C | true |
| D | true |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule K, Part I | Identifier |
| Return Reference | 0 | ReturnReference |
| Explanation | THE 2009 BONDS (LINEA) WERE ISSUED TO FINANCE THE CONSTRUCTION AND EQUIPPING OF A REPLACEMENT HOSPITAL. THE 2008A BONDS (LINE B) WERE ISSUED SOLELY FOR THE REFINANCING OF THE 2005B AND 2005D BOND ISSUES, ORIGINALLY ISSUED 12/8/05. THE 2005A AND 2005B BONDS (LINE C) WERE ORIGINALLY ISSUED 12/8/05. THE 2005 BONDS HAVE BEEN DEFEASED BY THE 6/18/08 BOND ISSUE; THE 2005A BONDS REMAIN. THE 2005A, B, C, AND D BOND ISSUES WERE USED TO CONSTRUCT AND EQUIP A NEW EMERGENCY DEPARTMENT, ADD PATIE4NT ROMS TO THE EXISTING HOSPITAL FACILITY, EXPAND AND RENOVATE EXISTING PATIENT CARE AREASS, CONSTRUCT ADDITIONAL PARKING SPACE AND PURCHASE ROUTINE EQUIPMENT. SSCHEDULE K, PART IV, LINE 2 - THE 2005 BONDS ISSUED ORIGINALLY AT VARIABLE RATES ARE NOW ISSUED AT FIXED RATES AS PART OF THE REFINANCING IN 2008 (SEE NOTE FOR SCHEDULE K, PART I ABOVE). SCHEDULE K, PART IV, LINE 2C - REBATE COMPUTATION DATES ARE: COLUMN B - 2008 BONDS - 3/25/14 COLUMN C - 2005 BONDS - 3/11/11 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Illinois Finance Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 861091967 | IssuerEIN |
| CUSIP Number | 123456789 | CUSIPNumber |
| Date Issued | 2010-12-27 | DateIssued |
| Issue Price | 25000000 | IssuePrice |
| Description Of Purpose | Replacement hospital | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 1710000 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 25001110 | TotalProceeds |
| Amount In Reserve Fund | 0 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 198077 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 24756276 | CapitalExpenditures |
| Other Spent Proceeds | 46757 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2012 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | true | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | true | EngageBondCounselContracts |
| Any Research Agreements | false | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | false | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedProp |
| Remedial Action Taken | false | RemedialActionTaken |
| Non Qualified Bond Remed Procdrs | true | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiled |
| Rebate Not Due Yet | true | RebateNotDueYet |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Written Proc To Monitor Reqs | true | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | true | ProcToUndertkCorrectiveAction |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part III, Line 4D | OTHER PROGRAM SERVICE | Other program services Medical records, chemical dependency, cardiac, rehab, recycling, EMS courses. PART VI, LINE 6 Silver Cross Health System is the sole corporate member of Silver Cross Hospital and Medical Centers. |
| Part VI, LINE 7a | Silver Cross Health System may appoint members to the Board of Directors of Silver Cross Hospital and Medical Centers. | |
| Part VI, Line 7b | All decisions made by the Directors of Silver Cross Hospital and Medical Centers are subject to the approval of the Board of Directors of Silver Cross Health System. | |
| Part VI, Line 11B | The form is provided to the Chairman of the Governance and Management Effectiveness Committee of the Board of Directors. The form is prepared with the assistance of a public accounting firm. | |
| Part VI, Line 12c | Any conflict of interest on the part of a Director, Officer, or Key Employee shall be disclosed on an annual basis using a questionnaire tool and is monitored and reviewed by the Corporate Compliance Officer. Indentified conflicts may be reviewed by the Board and when such interest becomes a matter of Board action, the Directors shall not vote or use personal influence on the matter and shall not be counted in a quorum for a meeting at which Board action is to be taken on the interest. | |
| Part VI, Line 15 | Silver Cross Health System, the parent organization of Silver Cross Hospital, uses the following to establish executive compensation: 1) Compensation Committee 2) Independent Compensation Consultant 3) Compensation Survey 4) Approval by the Board of Directors | |
| Part VI, Line 19 | Governing documents, conflicts of interest policy and financial statements are available to individuals upon request. | |
| Part XI, LINE 9 | OTHER CHANGES TO FUND BALANCE | Other changes in fund balance consists of distributions from temporarily and permanently restricted funds. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| SILVER CROSS HEALTH SYSTEM | ||||||||||
| 1900 Silver Cross Blvd | New Lenox | IL | 60451 | 363185353 | HEALTH SYSTEM | IL | 501(c)(3) | 11a | NA | false |
| SILVER CROSS FOUNDATION | ||||||||||
| 1900 Silver Cross Blvd | New Lenox | IL | 60451 | 363185350 | FUNDRAISING | IL | 501(c)(3) | 7 | SCHS | true |
| MIDWEST COMMUNITY REAL ESTATE CORP | ||||||||||
| 1900 Silver Cross Blvd | New Lenox | IL | 60451 | 363461020 | REAL EST MNGT | IL | 501(c)(3) | 11b | SCHS | true |
| SILVER CROSS MEDICAL ASSOCIATES | ||||||||||
| 1900 Silver Cross Blvd | New Lenox | IL | 60451 | 364179805 | MEDICAL CARE | IL | 501(c)(3) | 11a | SCHS | true |
| SILVER CROSS HEALTHY COMMUNITY COMM | ||||||||||
| 1900 Silver Cross Blvd | New Lenox | IL | 60451 | 263094005 | COMM DEVEPT | IL | 501(C)(3) | 11a | SCH | true |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH SERVICES SYSTEMS INC | ||||||||||||
| 1900 Silver Cross Blvd | New Lenox | IL | 60451 | 363262450 | PHYSICIAN SVS | IL | NA | C | false | |||
| SILVER CROSS MANAGED CARE ORGANIZATION | ||||||||||||
| 1900 Silver Cross Blvd | New Lenox | IL | 60451 | 363876019 | HEALTHCARE MNGMNT | IL | NA | C | false | |||
| PREFERRED PROVIDER ORG OF JOLIET | ||||||||||||
| 1900 Silver Cross Blvd | New Lenox | IL | 60451 | 363330680 | HEALTHCARE SUPPOR | IL | NA | C | false | 55204 | 87597 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Midwest Community Real Estate Corporation | ||
| q | 3146571 | FMV |
| Midwest Community Real Estate Corporation | ||
| s | 2250000 | FMV |
| Midwest Community Real Estate Corporation | ||
| k | 995679 | FMV |
| Midwest Community Real Estate Corporation | ||
| r | 1057591 | FMV |
| Silver Cross Healthy Community Commission | ||
| b | 249815 | FMV |
| Silver Cross Foundation | ||
| c | 458602 | FMV |
| Silver Cross Foundation | ||
| r | 1050000 | FMV |
| Silver Cross Foundation | ||
| p | 216583 | FMV |
| PPO Joliet | ||
| m | 95940 | FMV |
Comments