2014-11-17T07:20:20-06:00 2013-12-31 KPMG LLP 191 West Nationwide Blvd Ste 500 Columbus OH 432152568 990 2013-01-01 363366652 PRESENCE PRV HEALTH % ANTHONY FILER PRES 8777374636 9223 WEST ST FRANCIS ROAD Suite FRANKFORT IL 604238334 ANTHONY FILER CFO 8777374636 2014-11-15 true Mollie P Longhouse P00294881 8777374636 2013 2015-11-30 17:44:51Z SANDRA BRUCE 200 SOUTH WACKER CHICAGO IL 60606 197950129 false 0928 X www.presencehealth.org X 1997 IL Acting as a member of the integrated health care delivery system with other health care providers and affiliated support organizations. 19 18 889 200 0 0 0 103393697 117942777 37473967 37292820 95863 38709 140963527 155274306 12750 50600 0 0 62362015 63663617 0 0 0 82924099 79458203 145298864 143172420 -4335337 12101886 472942264 557492004 848947260 745092444 -376004996 -187600440 X THE CORPORATION IS ORGANIZED FOR CHARITABLE, RELIGIOUS, AND EDUCATIONAL PURPOSES, TO BE CARRIED OUT CONSISTENTLY WITH THE ETHICAL AND RELIGIOUS DIRECTIVES. THE PURPOSES OF THE CORPORATION ARE SET FORTH IN THE CORPORATIONS ARTICLES OF INCORPORATION AND INCLUDE: ACTING AS A MEMBER OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM WITH OTHER HEALTH CARE PROVIDERS AND AFFILIATED SUPPORT ORGANIZATIONS SPONSORED BY THE SPONSORING CONGREGATIONS, AND ACTING IN ACCORDANCE WITH AND IN FURTHERANCE OF THE PRESENCE HEALTH SYSTEM'S MISSION AND VALUES. false false 62475111 117942777 PROVIDE MANAGEMENT AND ADMINISTRATIVE SERVICES TO AFFILIATE HEALTH CARE ORGANIZATIONS, WHICH PROVIDE HOSPITAL, SKILLED NURSING AND OTHER HEALTH CARE SERVICES TO INDIVIDUALS PRIMARILY LOCATED IN ILLINOIS. 62475111 true false false true false false false false false false true false true false true true false true false false false false false false false false false true false true true false false false false false false false false false false false false false false true true false false false true 121 0 true 889 true false false false false false false false false false false X 19 18 false false false false false true true true true false true true true true true true true true true true true true IL X ANTHONY FILER 8478133728 100 N RIVER RD 2ND DES PLAINES IL 60016 X MARK HANSON DIRECTOR 3.0 3.0 X 0 0 0 SISTER CLARA FRANCES KUSEK DIRECTOR 3.0 3.0 X 0 0 0 SUSAN MCDONOUGH DIRECTOR 3.0 3.0 X 0 0 0 HAVEN COCKERHAM DIRECTOR 3.0 3.0 X 0 0 0 SISTER MARY SHINNICK DIRECTOR 3.0 3.0 X 0 0 0 GUY WIEBKING DIRECTOR 3.0 3.0 X X 0 0 0 THOMAS HUBERTY MD DIRECTOR 3.0 3.0 X 0 0 0 MARSHA LADENBURGER DIRECTOR 3.0 3.0 X 0 0 0 VICTOR ORLER DIRECTOR 3.0 3.0 X 0 0 0 THOMAS SETTLES DIRECTOR & VICE CHAIR 3.0 3.0 X X 0 0 0 JAMES WINIKATES DIRECTOR 3.0 3.0 X 0 0 0 SISTER PATRICIA KOSCHALKE CSFN DIRECTOR 3.0 3.0 X 0 0 0 SISTER TERRY MALTBY RSM DIRECTOR 3.0 3.0 X 0 0 0 KENT RUSSELL DIRECTOR 3.0 3.0 X 0 0 0 SISTER EVELYN VARBONCOEUR SSCM DIRECTOR 3.0 3.0 X 0 0 0 JOSE SANTIAGO MD DIRECTOR 3.0 3.0 X 0 0 0 BRUCE HAMORY DIRECTOR 3.0 3.0 X 0 0 0 LAURIE LAFONTAINE DIRECTOR 3.0 3.0 X 0 0 0 SANDRA BRUCE DIRECTOR/SYS PRESIDENT CEO 20.0 20.0 X X 1536136 0 291510 ANTHONY FILER SYSTEM CFO, TREASURER 20.0 20.0 X 878902 0 172661 JEANNIE FREY SYS SR VP LEGAL, SECRETARY 20.0 20.0 X 653365 0 116587 MAUREEN A BRYANT PRESIDENT & CEO PMMC 40.0 0.0 X 466114 0 72219 MICHAEL L BROWN REGIONAL PRESIDENT & CEO FXV 40.0 0.0 X 458319 0 73969 EUGENE MCMAHON PRESIDENT & CEO PSJH 40.0 0.0 X 715042 0 28800 CONNIE MARCH-CURTIS PRESIDENT & CEO PSS 40.0 0.0 X 575067 0 79922 ELIZABETH HUGHES PRESIDENT & CEO PSJMC 40.0 0.0 X 563811 0 107567 LINDSEY ARTOLA SYS SR VP EXTERNAL AFFAIRS 40.0 0.0 X 418923 0 28182 AMY M LAFINE PRESIDENT & CEO PSMH 40.0 0.0 X 369350 0 35209 DIANE B HARGREAVES REGIONAL VP HR 40.0 0.0 X 355056 0 8505 JEAN D BLAKE SYS VP CLINICAL OP & NURSING 40.0 0.0 X 310044 0 49879 SUSAN MORELLI-PURICELLI SYS VP QUALITY, SAFETY & RISK 40.0 0.0 X 295018 0 32396 RICHARD L CANNING VP FINANCE & CFO 40.0 0.0 X 298700 0 11029 LINDA J CHARLEY VP FINANCE & CFO 40.0 0.0 X 300406 0 5970 EDWIN K ROSE SYS VP STRATEGIC PLAN & BUS DE 40.0 0.0 X 287314 0 15515 MICHAEL R GORDON VP FINANCE & CFO PLC 40.0 0.0 X 258354 0 18072 SUNIL DESAI MEDICAL DIRECTOR 40.0 0.0 X 389147 0 14904 PATRICK QUINN SYS DIR TREASURY 40.0 0.0 X 290799 0 40263 KENDRA ALLABAND SYS DIR SR ASSOC GEN COUNSEL 40.0 0.0 X 278745 0 6535 Deborah A Schimerowski VP Finance & CFO Central Regio 40.0 0.0 X 238389 0 7882 George W Einhorn Sys VP Patient & Family 40.0 0.0 X 244186 0 11841 ROBERT PERMUT SYS SR VP CMO 0.0 0.0 X 499811 0 12190 JEFFREY BRICKMAN PRESIDENT & CEO PSJMC 0.0 0.0 X 352958 0 0 EDWARD MOLARE SYS VP PERFORMANCE 0.0 0.0 X 287987 0 6599 11321943 0 1248206 109 true true false BOLINGBROOK INVESTORS LLC PARK SEVENTEEN 1717 MCKINNEY AVE DALLAS TX 75202 OFFICE RENT 2182467 CLINOVATIONS LLC 1701 PENNSYLVANIA AVE NW 450 WASHINGTON DC 20006 IT CONSULTING 1416630 MAXIT HEALTHCARE LLC PO BOX 223866 PITTSBURGH PA 15251 IT CONSULTING 3082634 MIRAMED REVENUE GROUP DEPT 77268 PO BOX 77000 DETROIT MI 48277 COLLECTIONS 1269358 ORCHESTRATE HEALTHCARE CONSULTING 225 MAIN STREET CARBONDALE CO 81623 IT CONSULTING 691715 30 0 ADMIN REVENUE 561000 117942777 117942777 117942777 30793062 30793062 2463 2463 0 0 0 0 49173118 42674755 1068 6498363 -1068 6497295 6497295 0 0 0 REBATES AND PURCHASE DISCOUNTS 561000 38709 38709 38709 155274306 117942777 37331529 50600 50600 0 0 0 10089065 10089065 0 42435779 1508943 40926836 420368 420368 6952076 319399 6632677 3766329 3766329 0 1807994 1575519 232475 0 0 0 0 0 1815797 1815797 552649 47149 505500 0 0 5930384 121996 5808388 321706 43807 277899 0 38839 17572 21267 30441741 30441741 0 16704605 16704605 54841 54841 REPAIR & MAINTENANCE 10605990 10605990 0 CONSULTING 2490989 724308 1766681 0 OTHER PURCHASED SERVICES 5498023 770324 4727699 0 RENTAL EQUIPMENT 1078034 1078034 0 2116611 60083 2056528 143172420 62475111 80697309 0 2100 1600 65341806 79245650 0 0 12196477 122562229 0 0 0 0 0 0 0 0 7439033 5967233 206192287 150220897 60293866 55971390 253212972 221071778 27389407 27192948 35939254 35939254 0 0 11127349 9539922 472942264 557492004 35513652 29823120 1548 1548 0 0 600453143 588706328 0 0 0 0 0 0 0 0 212978917 126561448 848947260 745092444 X -376004996 -187600440 0 0 0 0 -376004996 -187600440 472942264 557492004 X 12101886 11330371 164972299 X false true X true true true X X false false false Presence Hospitals PRV 364195126 03 true 126467816 1 126467816 SCH A SUPPORT The organization provided or purchased for the benefit of Presence Hospital PRV, Presence Life Connections, Presence Care @ Home, Presence Home Health, and Provena Self-Insurance Trust, various services, facilities and goods. See Form 990, Part IX for further details. false true false false false false true 173386 false true 318459 491845 false SUPPLEMENTAL INFORMATION TO FORM 990 SCHEDULE C PART II-B, QUESTION 1G PRESENCE PRV HEALTH HAS EMPLOYEES THAT PROVIDE LEGISLATIVE FORUMS AND EDUCATION SUMMITS TO APPRISE AND EDUCATE LEGISLATORS OF THE ISSUES FACING HEALTHCARE AND HOW CHANGES IN LEGISLATION AFFECT PATIENT CARE. PRESENCE PRV HEALTH ENDEAVORS TO IDENTIFY THE PORTION OF THEIR SALARIES WHICH ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. SUPPLEMENTAL INFORMATION TO FORM 990 SCHEDULE C PART II-B, QUESTION 1I PRESENCE PRV HEALTH, AS THE PARENT ORGANIZATION, PAID ALL ASSOCIATION DUES FOR MEMBERSHIP IN THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION, THE CATHOLIC HEALTH ASSOCIATION, AND THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO THESE LOBBYING ACTIVITIES. PRESENCE PRV HEALTH ALSO ENGAGES CERTAIN FIRMS TO LOBBY ON ITS BEHALF REGARDING ISSUES AND POLICIES THAT AFFECT HEALTHCARE SUCH AS QUALITY, AFFORDABILITY, AND PATIENT ACCESS. PRESENCE PRV HEALTH MAINTAINS AN ADVOCACY SECTION ON ITS WEBSITE(PRESENCEHEALTH.ORG) THAT INCLUDES POSITION PAPERS ON KEY ISSUES AS WELL AS ALERTS FOR PEOPLE TO CONTACT LEGISLATORS ON PARTICULAR PIECES OF LEGISLATION. 197831 197831 0 8045920 5240515 2805405 195602906 144778614 50824292 2345630 3937 2341693 55971390 INV IN PROVENA SENIOR SERVICES 124013 F INV IN PROVENA VENTURES 32162647 F INVESTMENT IN PPIC 3652594 F 35939254 0 Other Long-Term Liabilities 33884316 Due to Affiliates 1200166 Workers Comp Liabilities 16635720 Pension Liability 74841246 126561448 X Supplemental Information Presence Health recognizes the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. As of December 31, 2013 and 2012, Presence Health does not have any liabilities for unrecognized tax benefits. true FRANCISCAN SISTERS OF THE SACRED HEART 9201 W ST FRANCIS RD FRANKFORT IL 60423 362166959 501(C)(3) 25000 DONATION TO FUNDRAIS American Heart Association 208 LaSalle St Ste 1500 Chicago IL 60604 135613797 501(C)(3) 10000 Donation United Way 333 S Wabash St 30 Chicago IL 60604 300200478 501(C)(3) 7500 Donation 1 0 Part 1, Line 2 PRESENCE PRV HEALTH GIVES AN ANNUAL DONATION TO FRANCISCAN SISTERS OF THE SACRED HEART, WHICH IS A FOUNDING MEMBER OF PRESENCE HEALTH SYSTEM. THE DONATION IS FOR FRATERNITAS, AN ANNUAL FUNDRAISING EVENT HELD BY THE SISTERS. PRESENCE PRV HEALTH ALSO HAD DONATIONS TO THE AMERICAN HEART ASSOCIATION AND THE UNITED WAY TO SUPPORT THEIR MISSIONS. X true true X X X X true true false false false false false false false ROBERT PERMUT SYS SR VP CMO 0 0 0 0 499811 0 0 0 12190 0 512001 0 0 0 JEFFREY BRICKMAN PRESIDENT & CEO PSJMC 0 0 0 0 352958 0 0 0 0 0 352958 0 0 0 EDWARD MOLARE SYS VP PERFORMANCE 0 0 0 0 287987 0 0 0 6599 0 294586 0 0 0 SANDRA BRUCE DIRECTOR/SYS PRESIDENT CEO 1046184 0 489952 0 0 0 281513 0 9997 0 1827646 0 0 0 ANTHONY FILER SYSTEM CFO, TREASURER 629462 0 139487 0 109953 0 146954 0 25707 0 1051563 0 0 0 JEANNIE FREY SYS SR VP LEGAL, SECRETARY 466882 0 186483 0 0 0 108779 0 7808 0 769952 0 0 0 SUNIL DESAI MEDICAL DIRECTOR 318613 0 30000 0 40534 0 0 0 14904 0 404051 0 0 0 PATRICK QUINN SYS DIR TREASURY 212851 0 35937 0 42011 0 23604 0 16659 0 331062 0 9186 0 KENDRA ALLABAND SYS DIR SR ASSOC GEN COUNSEL 216818 0 28093 0 33834 0 0 0 6535 0 285280 0 0 0 MAUREEN A BRYANT PRESIDENT & CEO PMMC 334046 0 73518 0 58550 0 61500 0 10719 0 538333 0 0 0 MICHAEL L BROWN REGIONAL PRESIDENT & CEO FXV 355244 0 46182 0 56893 0 60116 0 13853 0 532288 0 0 0 EUGENE MCMAHON PRESIDENT & CEO PSJH 294885 0 134609 0 285548 0 11923 0 16877 0 743842 0 23217 0 CONNIE MARCH-CURTIS PRESIDENT & CEO PSS 349721 0 56306 0 169040 0 66000 0 13922 0 654989 0 18887 0 ELIZABETH HUGHES PRESIDENT & CEO PSJMC 429381 0 70573 0 63857 0 86704 0 20863 0 671378 0 0 0 LINDSEY ARTOLA SYS SR VP EXTERNAL AFFAIRS 154663 0 55441 0 208819 0 11550 0 16632 0 447105 0 0 0 AMY M LAFINE PRESIDENT & CEO PSMH 231075 0 36950 0 101325 0 21420 0 13789 0 404559 0 20282 0 DIANE B HARGREAVES REGIONAL VP HR 82720 0 22261 0 250075 0 0 0 8505 0 363561 0 55367 0 JEAN D BLAKE SYS VP CLINICAL OP & NURSING 268806 0 21824 0 19414 0 32797 0 17082 0 359923 0 0 0 SUSAN MORELLI-PURICELLI SYS VP QUALITY, SAFETY & RISK 198677 0 49425 0 46916 0 22630 0 9766 0 327414 0 6642 0 RICHARD L CANNING VP FINANCE & CFO 238200 0 20000 0 40500 0 0 0 11029 0 309729 0 0 0 LINDA J CHARLEY VP FINANCE & CFO 216882 0 23002 0 60522 0 0 0 5970 0 306376 0 0 0 EDWIN K ROSE SYS VP STRATEGIC PLAN & BUS DE 186426 0 36429 0 64459 0 0 0 15515 0 302829 0 0 0 MICHAEL R GORDON VP FINANCE & CFO PLC 198456 0 19670 0 40228 0 0 0 18072 0 276426 0 0 0 Deborah A Schimerowski VP Finance & CFO Central Regio 178758 0 15306 0 44325 0 0 0 7882 0 246271 0 0 0 George W Einhorn Sys VP Patient & Family 60533 0 22213 0 161440 0 0 0 11841 0 256027 0 9259 0 Part I, Question 1a THE FOLLOWING RECEIVED HEALTH CLUB DUES, WHICH ARE TAXABLE TO THE RECIPIENTS: William Brown $2,917 Connie March-Curtis $4,560 Amy LaFine $4,800 Part I, Question 4a THE FOLLOWING RECEIVED SEVERANCE PAYMENTS: Eugene McMahon $36,058 Linsey Artola $65,033 Robert Permut $499,811 Diane Hargreaves $152,782 Edward Molare $287,987 George Einhorn $103,359 Part I, Question 4b The following individuals participated in a 457(f) plan: Anthony Filer $62,382 Eugene Mcmahon $108,571 Connie March-Curtis $32,943 Elizabeth Hughes $26,621 Michael Brown $31,062 Lindsey Artola $93,184 Amy Lafine $18,700 SUSAN MORELLI-PURICELLI $16,808 LINDA CHARLEY $14,858 EDWIN ROSE $26,086 RICHARD CANNING $17,500 PATRICK QUINN $20,263 DIANE HARGREAVES $66,149 JEFRREY BRICKMAN $308,657 MICHAEL GORDON $17,228 GEORGE EINHORN $39,153 DEBORAH SCHIMEROWSKI $17,070 A ILLINOIS FINANCE AUTHORITY 861091967 45200FYA1 2009-06-25 194912720 09A-CAPITAL EXPENDITURE REIMBURSEM false false false B ILLINOIS FINANCE AUTHORITY 861091967 45200FU49 2010-02-11 115980000 10A-CAPITAL EXPENDITURE REIMBURSEM false false false C ILLINOIS FINANCE AUTHORITY 861091967 45200FU72 2010-02-11 10020000 10B-CAPITAL EXPENDITURE REIMBURSEM true false false D ILLINOIS FINANCE AUTHORITY 861091967 2013-09-17 187725000 13BCDF-CAPITAL EXPENDITURE REIMBUR false false false A 0 0 200000000 19458800 0 0 3140000 0 0 175129200 0 0 2009 true false true true B 15565000 0 115980000 0 0 0 1458034 0 0 115980000 0 0 2010 true false true true C 0 10020000 10020000 0 0 0 125966 0 0 9558278 0 0 2010 true false true true D 0 0 187725000 0 0 0 0 0 0 187725000 0 0 2013 true false true true A false true true true false 0 false false false true B false true true true false 0 false false false true C false true true true false 0 false false false true D false true true true false 0 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false true false 0 false 0 false true A false B false C false D false PART II DURING 2013, PRESENCE PRV HEALTH EXECUTED A NUMBER OF TRANSACTIONS AFFECTING ITS CAPITAL STRUCTURE: - SERIES 1998A BONDS WERE REDEEMED. - SERIES 2009B, C AND D BONDS AND SERIES 2010C AND D BONDS WERE REDEEMED AND REFINANCED WITH SERIES 2013B, C, D AND F BONDS. - SERIES 2010B BONDS WERE DEFEASED THROUGH THE FIRST CALL DATE OF MAY 2020 WITH AN ESCROW HELD BY THE BOND TRUSTEE. Part III-Line 3A, 4 and 5 Presence PRV Health has procedures to review contracts, including leases, for private use implications. The organization has identified the total private use associated with its 2009A, 2010A, 2010B, and 2013 BCDF bonds based on a square footage calculation. The total for all contracts and leases is 0.2%. PART III - LINE 8A THERE ARE SALES OR DISPOSITIONS OF BOND-FINANCED ASSETS IN THE NORMAL COURSE OF BUSINESS ONCE THE ASSETS ARE FULLY DEPRECIATED. THERE HAVE BEEN NO DISPOSITIONS REQUIRING REMEDIATION. PART V ALTHOUGH THE ORGANIZATION HAS SEVERAL GENERAL POLICIES WITHIN THE CODE OF CONDUCT TO APPROPRIATELY REMEDIATE A VARIETY OF ISSUES, WE CURRENTLY DO NOT HAVE PROCEDURES ADDRESSING THESE SPECIFIC TAX ISSUES. WITHIN THE NEXT SIX MONTHS, WE PLAN TO ADOPT A POLICY AND INSTITUTE PROCEDURES SPECIFIC TO THIS ISSUE. FORM 990 PART VI SECTION A, QUESTION 6 THE SOLE MEMBER OF PRESENCE PRV HEALTH IS PRESENCE HEALTH NETWORK. FORM 990 PART VI SECTION A, QUESTIONS 7A & 7B THE BOARD OF DIRECTORS OF PRESENCE HEALTH NETWORK (PHN), THE SOLE MEMBER OF PRESENCE PRV HEALTH, SERVES AS THE MEMBERS OF THE BOARD OF PRESENCE PRV HEALTH. THE MEMBERS OF THE BOARD OF DIRECTORS OF PHN ARE APPOINTED BY THE HEALTH SYSTEM'S RELIGIOUS SPONSORS, THROUGH THE CORPORATE MEMBER BODY OF PHN. GOVERNANCE DECISIONS REGARDING PRESENCE PRV HEALTH ARE RESERVED TO THE SOLE MEMBER AND INCLUDE APPROVAL OF ANY MERGER, CONSOLIDATION, OR DISSOLUTION OF PRESENCE PRV HEALTH AND APPROVAL OF AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS. FORM 990 PART VI SECTION B, QUESTION 11B THE DATA AND INFORMATION NECESSARY TO PREPARE THE FORM 990 WAS COMPILED BY PRESENCE HEALTH'S ACCOUNTING GROUP. KPMG, AS EXTERNAL TAX PREPARERS, USED THIS INFORMATION TO PREPARE THE FORM 990, WHICH IS REVIEWED BY THE PRESENCE HEALTH LEGAL DEPARTMENT. THE FINAL FORM 990 IS PROVIDED TO THE CORPORATION'S BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990 PART VI SECTION B, QUESTIONS 12A, 12B, & 12C The conflict of interest policy is monitored by the Corporate Compliance Department. Pursuant to the policy, an annual conflict of interest questionnaire, aimed at determining any family and business relationship transactions or other transactions that may pose a potential conflict, is distributed to all covered persons (i.e., board members, officers and executive leadership or key employees). Covered persons are required to complete the questionnaire and disclose real or potential conflicts at the time when such conflicts arise. When someone becomes a covered person and annually thereafter, each covered person is required to sign a statement affirming that he/she: (1) has received a copy of the conflict of interest policy;(2) has read the policy and understands said policy; and (3) agrees to comply with all requirements of the policy, including completing the conflict of interest questionnaire. The completed questionnaires are reviewed by the finance and administration department. The procedures for addressing any conflict of interest includes, but is not limited to, the following: (1) the conflicting interest is fully disclosed to the board; (2) the interested person responds to factual questions related to the substance of the transaction or arrangement being considered, after which he/she shall leave the meeting; (3) the person with the conflict of interest is excluded from the discussion and approval of such transaction; (4) alternatives to the proposed transaction are investigated, competitive bids or comparable valuations are obtained; (5) any conflicting issues during the course of a board meeting which cannot be resolved is referred to the governance committee; and (6) the transaction or action must be approved by a majority of disinterested persons. FORM 990 PART VI SECTION B, QUESTIONS 15A & 15B THE COMPENSATION COMMITTEE OR OTHER AUTHORIZED COMMITTEE OF THE BOARD, NONE OF WHICH HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT, WAS ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR THE CEO AND KEY EMPLOYEES. THE COMMITTEE DEVELOPED, CONSISTENT WITH PROVENA PRV HEALTH'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR THE CEO AND KEY EMPLOYEES. THE COMMITTEE ALSO REVIEWED APPROPRIATE COMPARABILITY DATA PREPARED BY AN INDEPENDENT CONSULTANT THAT UTILIZED NATIONAL NONPROFIT COMPENSATION SURVEYS IN DETERMINING THE CEO'S AND KEY EMPLOYEES' COMPENSATIONS. THE COMMITTEE'S WRITTEN RECORDS INCLUDE THE (1) TERMS OF THE ARRANGEMENT WITH THE DISQUALIFIED PERSON (INCLUDING THE DATE THE ARRANGEMENT WAS APPROVED); AND (2) A DESCRIPTION OF THE COMPARABLE DATA RELIED ON BY THE COMMITTEE. KEY DELIBERATIONS OF THE COMMITTEE, INCLUDING: (A) THE TERMS OF THE TRANSACTION THAT WAS APPROVED AND THE DATE IT WAS APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DEBATE ON THE TRANSACTION THAT WAS APPROVED AND THOSE WHO VOTED ON IT; (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED; AND (D) ANY ACTIONS TAKEN WITH RESPECT TO CONSIDERATION OF THE TRANSACTION BY ANYONE WHO IS OTHERWISE A MEMBER OF THE COMMITTEE BUT WHO HAD A CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION ARE ALSO DOCUMENTED IN MINUTES, WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING. FORM 990 PART VI SECTION C, QUESTION 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART XI Line 9, Other Change in Net Asset or Fund Balance Net Asset Transfers: $82,310,997 Cumulative Effect of Change in Accounting Principle: $82,661,302 ---------------- $164,972,299 PRESENCE HEALTH PARTNERS 9223 WEST SAINT FRANCIS FRANKFORT IL 60423 463111349 MGD CARE CONT IL PRES HOSP PR PH MANAGEMENT SERVICES ORGANIZATION LLC 7435 WEST TALCOTT AVENUE CHICAGO IL 60631 463100255 HEALTH MGMT IL PRHCC VERMILION COUNTY SURGERY CENTER LLC 9223 WEST SAINT FRANCIS ROAD FRANKFORT IL 60423 800811427 MEDICAL SRVS IL 0 0 PRES HOSP PR PRESENCE RHC CORPORATION 200 SOUTH WACKER CHICAGO IL 60606 362235165 PARENT CORP IL 501(C)(3) 3 PH NETWORK false PRESENCE RESURRECTION MEDICAL CENTER 7435 WEST TALCOTT AVE CHICAGO IL 60631 363330926 HEALTH CARE IL 501(C)(3) 3 PRHCC false PRESENCE OUR LADY OF THE RESURRECTION MC 5645 WEST ADDISON ST CHICAGO IL 60634 362644178 HEALTH CARE IL 501(C)(3) 3 PRHCC false PRESENCE HEALTH NETWORK 200 SOUTH WACKER CHICAGO IL 60606 361649520 HEALTH CARE IL 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BEHAVIORAL HEALTH 1820 SOUTH 25TH AVENUE BROADVIEW IL 60155 362709982 HEATLH CARE IL 501(C)(3) 3 PHS false PRESENCE HOME CARE SERVICES 5747 WEST DEMPSTER MORTON GROVE IL 60053 362893936 HOME CARE IL 501(C)(3) 3 PRHCC false RESURRECTION NURSING HOME INC 90 NORTH MAIN STREET CASTLETON NY 12033 141348691 NURSING NY 501(C)(3) 3 RMNY false MOUNT LORETTO NURSING HOME INC 302 SWART HILL ROAD AMSTERDAM NY 12010 141363014 SENIOR LIVING NY 501(C)(3) 3 RMNY false ST FRANCIS HOSPITAL AUXILIARY 355 RIDGE AVENUE EVANSTON IL 60202 366143349 FUNDRAISING IL 501(C)(3) 7 PSFH false PRESENCE HOSPITALS PRV 9223 WEST SAINT FRANCIS ROAD FRANKFORT IL 60423 364195126 HEALTH CARE IL 501(C)(3) 3 PRS PRV HEAL true PRESENCE LIFE CONNECTIONS 18927 HICKORY CREEK DRIVE MOKENA IL 60448 371127787 HEATLH CARE IL 501(C)(3) 7 PRS PRV HEAL true PRESENCE CARE HOME 18927 HICKORY CREEK DRIVE MOKENA IL 60448 460483587 HEATLH CARE IL 501(C)(3) 9 PLC true PRESENCE HOME CARE 18927 HICKORY CREEK DRIVE MOKENA IL 60448 460483581 HEATLH CARE IL 501(C)(3) 9 PLC true PROVENA SELF-INSURANCE TRUST 9223 WEST SAINT FRANCIS FRANKFORT IL 60423 362987310 INSURANCE IL 501(C)(3) 9 PRS PRV HEAL true LAVERNA TERRACE HOUSING CORPORATION 18927 HICKORY CREEK DRIVE MOKENA IL 60448 363438977 SENIOR LIVING IL 501(C)(3) 9 PRS PRV HEAL true PH FOUNDATION BOARD OF TRUSTEES 200 SOUTH WACKER CHICAGO IL 60606 363330929 FUNDRAISING IL 501(C)(3) 7 PRHCC false PRESENCE NAZARETHVILLE 300 NORTH RIVER ROAD DES PLAINES IL 60016 362801392 NURSING IL 501(C)(3) 11, TYPE II PRHC SNR SRV false ARTHUR MERKLE-CLARA KNIPPRATH NURSING 1190 E 2900 N ROAD CLIFTON IL 60927 362841358 NURSING IL 501(C)(3) 9 PLC true BELMONT HARLEM SURG41-2237162 MEDICAL SERVICE IL RESUR SERVICES RELATED false false RES HLTH SLEEP C 26-1519627 MEDICAL SERVICE IL RESUR SERVICES RELATED false false RES HLTH SLEEP C 26-1519556 MEDICAL SERVICE IL RESUR SERVICES RELATED false false RES HLTH SLEEP C 26-1519667 MEDICAL SERVICE IL RESUR SERVICES RELATED false false RES HLTH SLEEP C 26-2189763 MEDICAL SERVICE IL RESUR SERVICES RELATED false false ALVERNO LAB 20-3240648 LAB SERVICE IN RESUR SERVICES RELATED false false ALVERNO LAB 20-3240648 LAB SERVICE IN PROVENA VENTURE RELATED false false PRESENCE VENTURES 9223 WEST SAINT FRANCIS ROAD FRANKFORT IL 60423 371168085 MEDICAL IL PRES PRV HEALTH C Corp 27226 7019141 1.00000 true PRESENCE SERVICE CORPORATION 9223 WEST SAINT FRANCIS ROAD FRANKFORT IL 60423 364314354 MEDICAL IL PRES HOSP PRV C Corp false PRESENCE PROPERTIES 9223 WEST SAINT FRANCIS ROAD FRANKFORT IL 60423 363520630 MEDICAL IL PRES VENTURES C Corp 1.00000 true PROVENA HEALTH ASSURANCE SPC 68 WEST BAY RD PO BOX 1109 FRANKFORT IL 60423 980420054 INSURANCE CJ PRES PRV HEALTH Foreign Corp 1.00000 true Presence HEALTH CARE PREFERRED 100 NORTH RIVER ROAD DES PLAINES IL 60016 363974620 MGD CARE CONTRACT IL PRHCC C Corp false L GILBRAITH INSURANCE SPC LTD 68 W BAY RAOD GRAND CAYMAN CJ INSURANCE CJ PRHCC Foreign Corp false RESURRECTION MEDICAL CENTER AUXILIARY 7435 WEST TALCOTT AVENUE CHICAGO IL 60631 366109825 FUNDRAISING IL PR MED CTR C Corp false RESURRECTION MINISTRIES OF NEW YORK 90 NORTH MAIN STREET CASTLETON NY 12033 141720818 PARENT CORP NY PRHCC C Corp false false false false false false false false false false true false false false false false true true true true REIMBURSEMENT PAID TO PRES HOSP PRV p 1509738 COST OF SERVICE REIMBURSEMENT PAID BY SENIOR SERVICES q 23592277 COST OF SERVICE REIMBURSEMENT PAID BY PRESENCE HOME HEALTH q 2251580 COST OF SERVICE REIMBURSEMENT PAID BY PRESENCE MEDICAL GROUP q 8447307 COST OF SERVICE REIMBURSEMENT PAID BY PRES HOSP PRV q 305519915 COST OF SERVICE TRANSFER CASH TO PRESENCE MEDICAL GROUP r 23450000 PROJ OPER COST TRANSFER CASH FROM SENIOR SERVICES s 7000000 PROJ OPER COST TRANSFER CASH FROM PRESENCE HOME HEALTH s 2800000 PROJ OPER COST TRANSFER CASH FROM PRES HOSP PRV s 56800000 PROJ OPER COST RENTAL OF FACILITIES FOR PRES MEDICAL GROUP j 181231 FMV SCHEDULE R, PART III LISTED BELOW ARE THE COMPLETE NAMES AND STREET ADDRESSES FOR PART III: 1) BELMONT HARLEM SURGERY CENTER; 3101 NORTH HARLEM 2) RES. HLTH SLEEP C.- CHICAGO NORTHWEST; 665 WEST NORTH AVE. 3) RES. HLTH SLEEP C.- EVANSTON; 665 WEST NORTH AVE. 4) RES. HLTH SLEEP C.- LINCOLN PK; 665 WEST NORTH AVE. 5) RES. HLTH SLEEP C.- RIV FOREST; 665 WEST NORTH AVE. 6) ALVERNO CLINICAL LABS, LLC; 2434 INTERSTATE PLAZA DRIVE 7) ALVERNO CLINICAL LABS, LLC; 2435 INTERSTATE PLAZA DRIVE