Presence Resurrection Medical Center: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Presence Resurrection Medical Center (EIN 36-3330926)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201303189349305275
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T14:49:19-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1155 NORTH WACKER DRIVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363330926EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Presence Resurrection Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DAVID WRIGLEYInCareOfName
Name ControlPRESNameControl
Phone8478133727Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17435 West Talcott AvenueAddressLine1
Address Line2SuiteAddressLine2
CityChicagoCity
StateILState
ZIP Code60631ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTONY FILERName
TitleEVP/CFO PRSNCE HLTHTitle
Date Signed2013-11-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128792000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHoward DrenthNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17435 WEST TALCOTT AVENUEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60631ZIPCode
FieldValueIRS element (for citing)
Gross Receipts281508317GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.reshealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionPRESENCE RESURRECTION MED CNTR is a 360 bed academic teaching hospital OFFERING HEALTH SERVICES IN NW CHICAGO, INCLUDING A LEVEL III ER, A FAMILY BIRTHPLACE CENTER, AND CANCER AND HEART DISEASE TREATMENT.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees13606TotalNbrEmployees
Total Nbr Volunteers250TotalNbrVolunteers
Total Gross UBI580027TotalGrossUBI
Contributions Grants Prior Year304141ContributionsGrantsPriorYear
Contributions Grants Current Year668835ContributionsGrantsCurrentYear
Program Service Revenue Prior Year128282350ProgramServiceRevenuePriorYear
Program Service Revenue CY269254445ProgramServiceRevenueCY
Investment Income Prior Year4041865InvestmentIncomePriorYear
Investment Income Current Year7384176InvestmentIncomeCurrentYear
Other Revenue Prior Year2265938OtherRevenuePriorYear
Other Revenue Current Year4200861OtherRevenueCurrentYear
Total Revenue Prior Year134894294TotalRevenuePriorYear
Total Revenue Current Year281508317TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year58780297SalariesEtcPriorYear
Salaries Etc Current Year112612748SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year75997337OtherExpensePriorYear
Other Expenses Current Year152698073OtherExpensesCurrentYear
Total Expenses Prior Year134777634TotalExpensesPriorYear
Total Expenses Current Year265310821TotalExpensesCurrentYear
Revenues Less Expenses Prior Year116660RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16197496RevenuesLessExpensesCY
Total Assets BOY595293270TotalAssetsBOY
Total Assets EOY817989150TotalAssetsEOY
Total Liabilities BOY371845154TotalLiabilitiesBOY
Total Liabilities EOY598144133TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY223448116NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY219845017NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionINSPIRED BY THE HEALING MINISTRY OF JESUS CHRIST, WE PRESENCE HEALTH, A CATHOLIC HEALTH SYSTEM, PROVIDE COMPASSIONATE, HOLISTIC CARE WITH A SPIRIT OF HEALING AND HOPE IN THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense230149375Expense
Revenue273185349Revenue
DescriptionPresence Resurrection Medical Center is a comprehensive, modern health care provider with state-of-the-art facilities and services, including a full range of diagnostic and therapeutic services, advanced cancer treatment, and rehabilitation services.Description
Total Program Service Expense230149375TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10962071NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees13606NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDAVID WRIGLEYNamePerson
Telephone Number8478133728TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 NORTH RIVER ROADAddressLine1
CityDES PLAINESCity
StateILState
ZIP Code60016ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Matthew Toles
DIRECTOR1.00.0X
Starr Novak
Director1.040.0X370614071261
DR Stanislaw A Maslanka
DIRECTOR1.00.0X
Paul Meyer DO
Director1.00.0X
Victor Mokarry MD
EX-OFFICIO1.00.0X
John Baird
DIRECTOR/CEO FACILITY40.00.0X441480078895
JANELLE REILLY
DIRECTOR1.040.0X410863057734
ANTHONY FILER
DIRECTOR1.040.0X0769802124736
Sandra Bruce
SYSTEM PRESIDENT/CEO1.050.01337831039710X
John A Orsini
treasurer until 11/29/121.040.0603387095694X
Jeannie C Frey
SECRETARY1.050.0522642079530X
Bruno f Giacomuzzi
VICE PRESIDENT40.00.0201147020714X
John Short
SENIOR VICE PRESIDENT40.00.0409739074595X
CAROLE ANNE MISERENDINO
VP PATIENT CARE SVS & CNO40.00.0248381044210X
MARC A DORFMAN
DIR EMERG MED RESIDENCY40.00.0417492040637X
STEPHEN BOZEK
DIR LABORATORY PHYSICIANS40.00.0318274035637X
MATTHEW A BROWN
CHAIR EXEC DIR MEDICAL EDU40.00.0314302035374X
DANIEL DEL BOCCIO
PATHOLOGIST40.00.0234042035048X
WILLIAM JOSEPH MORAN
MEDICAL DIRECTOR40.00.0210348033863X
DONNA WOLOWICKI
DIRECTOR (THRU 6/30/11)0.00.0444600025934X
John Walton
EVP & GROUP VP (THRU 12/30/11)0.00.0847278012739X
Nicola Byrne
VICE PRESIDENT (THRU 12/30/11)0.00.0273437031174X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7605857TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs769802TotalReportableCompFrmRltdOrgs
Total Other Compensation937485TotalOtherCompensation
Number Individuals GT100 K98NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
RM ANESTHESIA LLC
1301 W 22ND STSUITE 610OAK BROOKIL60523ANESTHESIOLOGY663572
MAXIT HEALTHCARE LLC
PO BOX 223866PITTSBURGHPA152512866CONSULTING577310
SHARED MED EQUIP GRP LLC
PO BOX 330COTTAGE GROVEWI53527EQUIPMENT LEASING441004
NEUROLIFE SC
912 S WOOD ST ROOM 451NCHICAGOIL60612NEUROLOGY COVERAGE366000
CARDIAC SURGERY ASSOC SC
PO BOX 153CHANNAHONIL604105030PROFESSIONAL SERV.346167
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
Related Organizations668835RelatedOrganizations
Total Contributions668835TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net patient service revenue621400263886240263886240
MEANINGFUL USE AND BLUE CROSS BONUS REV52429850581355058135
LAB621400310070310070
FieldValueIRS element (for citing)
Total Program Service Revenue269254445TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7384176TotalRevenueColumn
Exclusion$7,384,176ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria and Food Services72232011432301143230
Child care center624410269957269957
All other revenue90009927876742787674
FieldValueIRS element (for citing)
Total Other Revenue4200861TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column281508317TotalRevenueColumn
Related Or Exempt Function Income272875279RelatedOrExemptFunctionIncome
Unrelated Business Revenue580027UnrelatedBusinessRevenue
Exclusion$7,384,176ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1519160Total
Program Services1519160ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total90941060Total
Program Services90941060ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3519716Total
Program Services3519716ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10110135Total
Program Services10110135ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6522677Total
Program Services6522677ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total35078474Total
Management And General35078474ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total71944Total
Management And General71944ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total25719745Total
Program Services25719745ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total11028Total
Management And General11028ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9791686Total
Program Services9791686ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total108393Total
Program Services108393ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total232445Total
Program Services232445ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total4168348Total
Program Services4168348ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9356641Total
Program Services9356641ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total722530Total
Program Services722530ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Bad debt expense1171368311713683
IL medicaid tax68196476819647
MEDICAL SUPPLIES4479514044795140
Repairs and service13460881346088

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2762281Total
Program Services2762281ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total265310821Total
Program Services230149375ProgramServices
Management And General35161446ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY36006571EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY33906571BOY
EOY36807413EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1305860BOY
EOY4081823EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6719387BOY
EOY5627170EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY423349BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis118873430LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec93566708LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY20327597BOY
EOY25306722EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY159198858BOY
EOY27239989EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY373411648BOY
EOY682919462EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY595293270BOY
EOY817989150EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY92158793BOY
EOY90485512EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY279686361BOY
EOY507658621EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY371845154BOY
EOY598144133EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY223448116BOY
EOY219845017EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY223448116BOY
EOY219845017EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY595293270BOY
EOY817989150EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16197496ReconcilationRevenueExpenses
Reconcilation Other Changes-19800595ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis147247OtherCostOrOtherBasis
Book Value147247BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis118726183OtherCostOrOtherBasis
Depreciation93566708Depreciation
Book Value25159475BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings25306722TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Due from affiliates678031042
Other assets4888420
FieldValueIRS element (for citing)
Total Book Value Other Assets682919462TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION$197,583,779
Due to third parties$24,926,657
Malpractice liability$58,838,000
DUE TO AFFILIATES$226,310,185
FieldValueIRS element (for citing)
Total Of Amounts507658621TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPART XIdentifier
Return ReferenceASC 740-10ReturnReference
ExplanationPresence Health and affiliates recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. As of December 31, 2012 and 2011 Presence Health and its affiliates do not have any liabilities for unrecognized tax benefits.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3872560TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3872560NetCommunityBenefitExpense
Percent Of Total Expense0.01530PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense25570237TotalCommunityBenefitExpense
Direct Offsetting Revenue14075140DirectOffsettingRevenue
Net Community Benefit Expense11495097NetCommunityBenefitExpense
Percent Of Total Expense0.04530PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense29442797TotalCommunityBenefitExpense
Direct Offsetting Revenue14075140DirectOffsettingRevenue
Net Community Benefit Expense15367657NetCommunityBenefitExpense
Percent Of Total Expense0.06060PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense226389TotalCommunityBenefitExpense
Direct Offsetting Revenue22629DirectOffsettingRevenue
Net Community Benefit Expense203760NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense9788900TotalCommunityBenefitExpense
Direct Offsetting Revenue4401990DirectOffsettingRevenue
Net Community Benefit Expense5386910NetCommunityBenefitExpense
Percent Of Total Expense0.02120PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4631757TotalCommunityBenefitExpense
Direct Offsetting Revenue2390506DirectOffsettingRevenue
Net Community Benefit Expense2241250NetCommunityBenefitExpense
Percent Of Total Expense0.00880PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense390548TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense390548NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense15037594TotalCommunityBenefitExpense
Direct Offsetting Revenue6815125DirectOffsettingRevenue
Net Community Benefit Expense8222468NetCommunityBenefitExpense
Percent Of Total Expense0.03230PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense44480391TotalCommunityBenefitExpense
Direct Offsetting Revenue20890265DirectOffsettingRevenue
Net Community Benefit Expense23590125NetCommunityBenefitExpense
Percent Of Total Expense0.09290PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense78TotalCommunityBuildingExpense
Net Community Building Expense78NetCommunityBuildingExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1104TotalCommunityBuildingExpense
Net Community Building Expense1104NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense709TotalCommunityBuildingExpense
Net Community Building Expense709NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense2703TotalCommunityBuildingExpense
Direct Offsetting Revenue860DirectOffsettingRevenue
Net Community Building Expense1843NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense15312TotalCommunityBuildingExpense
Net Community Building Expense15312NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense2762TotalCommunityBuildingExpense
Net Community Building Expense2762NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense57501TotalCommunityBuildingExpense
Net Community Building Expense57501NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense80169TotalCommunityBuildingExpense
Direct Offsetting Revenue860DirectOffsettingRevenue
Net Community Building Expense79309NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$11,713,680BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare118385035AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare123127552CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-4742517MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRESENCE RESURRECTION MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line17435 WEST TALCOTT AVENUEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60631ZIPCode
FieldValueIRS element (for citing)
Website AddressHTTP://PRESENCEHEALTH.ORG/LOCATIONS/WebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PRESENCE RESURRECTION MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent600.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1Family Practice CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line17435 W TALCOTT AVENUEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60631ZIPCode
FieldValueIRS element (for citing)
Facility TypeCLINICFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental InformationPart I, Line 3c - Charity Care Eligibility CriteriaThis question is not applicable as Presence Health uses the Federal Poverty Guidelines. PART I LINE 6A Presence Health, the parent corporation of Presence Resurrection Medical Center (PRMC), published a Community Benefit Report for 2012, which details the combined charitable impact Presence Health facilities have within the communities they serve. In addition to the Community Benefit Report for 2012, PRMC publishes a ministry-specific Implementation Strategy which outlines the goals and objectives PRMC has established to address the prioritized needs of its community. The Presence Health system is referenced in this document, but other hospitals within the Presence Health system file their own forms 990 and Schedules H. PART I LINE 6B The 2012 Presence Health Community Benefit Report 2012 was made publicly available through a variety of ways to share the information with the community at large: -Print version of report. The report will be mailed from the system office to community partners, elected officials and local leaders. -Website - A robust community section has been developed and can be found online at www.presencehealth.org/community. This section includes an online, downloadable flipbook of the 2012 Community Benefit Report. Presence Resurrection Medical Center has its own ministry link on this page. Through this link, Community Health Needs Assessment (CHNA) documents specific to Presence Resurrection Medical Center can be downloaded, including a community-friendly CHNA flipbook, the source documents of all data reviewed, an overall CHNA Report, and an Implementation Strategy. -PowerPoint presentation - A standard PowerPoint of the entire 2012 Community Benefit Report has been made available. A customized version of this presentation has also been created for Presence Resurrection Medical Center to share with the community which shows the local community benefit contributions, persons served, and the 2013 Prioritized Community Needs. Part I, Line 7 - Explanation of Costing Methodology The cost-to-charge ratio used to determine Schedule H, Part I, Line 7A, Financial Assistance at Cost, and Schedule H, Part I, Line 7B, unreimbursed Medicaid, was derived from Worksheet 2, ratio of patient care cost to charges. The remaining amounts reported on Line 7 are reported at cost. PART I LINE 7F Per 2012 Instructions for Schedule H (Form 990), the Bad Debt Expense of $11,713,680 has been removed from the denominator in calculating the percentage of total expense in Line 7. PART I LINE 7G Costs from physician clinics are not included in subsidized service totals. PART II. COMMUNITY BUILDING ACTIVITIES Community building activities include programs that improve the community's health and safety by addressing the root causes and social determinants of health problems such as poverty, homelessness and environmental hazards. Participation in collaborative community efforts to promote public health initiatives is also included, such as engagement in coalitions and advocacy for health improvement. These activities strengthen the community's capacity to promote the health and well-being of its residents by offering the expertise and resources of the health care organization. Presence Resurrection Medical Center engages in a variety of community-building activities which ultimately improve the health of the communities we are privileged to serve, even though they are not specific health activities. Examples of community building activities include: -All of our hospitals work to support disaster readiness and emergency preparedness. This work goes above and beyond any licensure requirements to proactively ensure our communities are safe and prepared if a disaster should present itself. -Presence Resurrection Medical Center participates in several community coalitions, such as Building a Healthier Chicago. Building a Healthier Chicago is a collaborative of more than 150 local and national stakeholders including: US Department of Health and Human Services-Region V, Chicago Department of Public Health, Institute of Medicine in Chicago, and the Chicago Medical Society. The goal of Building a Healthier Chicago is to improve the health of Chicago's residents and employees through the integration of new and existing public health, business, medical and community efforts. The goals are geared toward achieving: reduction of health risks, improvement of health systems, and elimination of health disparities. It is our belief that working in collaboration with community partners helps to build the foundation for a healthier community. PART III. BAD DEBT, MEDICARE, & COLLECTION PRACTICES PART III, SECTION A, LINE 2 There are no estimates of bad debt included. Bad debt is at total expense. PART III, SECTION A, LINE 3 The Provision for Financial Assistance Policy allows for accounts in bad debt to be approved for Financial Assistance if the patient meets the criteria. There are possible financial assistance accounts in bad debt, although the exact percentage is unknown as we do not have the appropriate tools to determine this percentage accurately. PART III, SECTION A, LINE 4 - BAD DEBT EXPENSE For tax return purposes the bad debt expense is shown on Part IX, Statement of Functional expense. For audit purposes the organization follows ASU 2011-07 presentation. The footnote on page 18 and 19 of the attached audited financial statements for the complete footnote that describes bad debt expense. Part III, Section B, Line 7 Presence Resurrection Medical Center believes it is important for the community and the IRS to be made aware of government shortfalls, specifically Medicare. However, we acknowledge that a Medicare shortfall may not be experienced by other than non-profit healthcare organizations. As such, Presence Resurrection Medical Center acknowledges that a Medicare shortfall may not be considered community benefit. PART III, SECTION B, LINE 8 The organization computes the Medicare shortfall based on a ratio of cost to charges. PART III, SECTION C, LINE 9B Collection policies are the same for all Presence Health entities, which includes Resurrection Medical Center's patients. Patients are notified of the financial assistance policy at the time of registration via posted notifications and on every account statement that is sent to them. This information is available in a number of languages. Patients may apply for financial assistance at any time during the revenue cycle. The Hospital's collection practices do not apply to charity care balances. Once an account or a portion thereof is deemed to be charity care, it is written off as such. Per the Provision for Financial Assistance Policy, the collection process is as follows: 1. Pre-Litigation Review. Prior to an account being authorized for the filing of suit for non-payment of a patient bill, a final review of the account will be conducted and approved by the Financial Counseling Representative (or designee) to make sure that no application of financial assistance was ever received and that there exists objective evidence that the patient does have sufficient financial means to pay all or part of his/her bill. Prior to a collections suit being filed, the Self-pay Collection Director must review and approve. 2. Residential Liens. No hospital will place a lien on the primary residence of a patient who has been determined to be eligible for Financial Assistance/Charity Care, for payment of the patient's undiscounted balance due. Further, in no case will any hospital execute a lien by forcing the sale or foreclosure of the primary residence of any patient to pay for any outstanding medical bill. 3. No Use of Body Attachments. No hospital will use body attachments to require any person, whether receiving Financial Assistance/Charity Care discounts or not, to appear in court. 4. Collection Agency Referrals. Each hospital Finance accounting will ensure that all collection agencies used to collect patient bills promptly refer any patient who indicates financial need, or otherwise appears to qualify for Financial Assistance/Charity Care discounts, to a financial counselor to determine if the patient is eligible for such a charitable discount. For more information about the Presence Health Financial Assistance Program, visit www.presencehealth.org/patients-and-visitors/financial-assistance. PART V. FACILITY INFORMATION PART V, SECTION A Presence Resurrection Medical Center 5645 West Talcott Avenue. Chicago, IL 60631 http://presencehealth.org/locations/hospitals/presence-resurrection-medica l-center Resurrection Medical Center is a licensed hospital, general medical & surgical facility, and operates a 24-hour ER. PART V, SECTION B, LINE 3 A community health needs assessment (CHNA) is a collaborative community process of identifying and prioritizing a community's health needs, accomplished through the collection and analysis of data, including input from community stakeholders. In July 2012, a CHNA Steering Commi
1. Ensuring our medical staff is open to all qualified physicians.2. Ensuring all of our hospitals are accredited and in good standing with the Joint Commission Accreditation of Healthcare Organizations. 3. Ensuring our board of directors is diverse and able to provide expertise, and made up of independent members of the communities we serve. Our board members must follow a conflict of interest policy. 4. Reinvesting surplus funds into the organization to improve patient care though new programs and technology. 5. Providing financial assistance, sliding scale discounts and having collection practices that are in compliance with state and federal guidelines. In addition, we follow the financial assistance and charity guidelines of the Catholic Health Association. 6. Participating in all government sponsored health care programs, Medicare, Medicaid, CHAMPUS, Tricare, SCHIP and others. 7. Providing emergency room services in all of our communities and provide training to local fire departments and ambulances. Our emergency room participates with local police and fire departments in disaster drills. 8. Staffing Board Certified Emergency Room Physicians in our emergency room and urgent care services. We treat patients according to EMTALA guidelines and serve all patients regardless of ability to pay. In addition, we are committed to determining the needs of our communities and creating ways to meet those needs. The obligation to reach out to those in need and improve health flows directly from our Catholic identity and the heritage of our founding congregations. The PRMC Senior Leadership Team and the Governing Board have a strong commitment to community health initiatives. Community initiatives and activities have ongoing monitoring and evaluation for program effectiveness. The following programs are existing community benefit programs PRMC sponsors in the community. PARISH NURSING PROGRAM Program Description The Parish Nursing program at PRMC integrates faith and health in order to serve the health care needs of members of faith congregations and the community. The Parish Nurse role is a specialty of nursing focused on the integration of the spiritual dimension into the health system through visits involving advocacy, referral, wellness education and navigation of the health system. PRMC will be enhancing this existing program to develop metrics that can be monitored over time to measure the impact on community health. LET'S MOVE OUR NUMBERS Program Description The Let's Move Our Numbers program provides community education and screening programs on a variety of health and wellness topics both in the community and main hospital location. Components of the program include: blood pressure, blood glucose, blood lipid panel, body mass index (BMI) and/or body fat analysis. Health education topics on chronic disease include obesity, hypertension, heart disease, stroke, diabetes, and cancer. The results are given to the dietician and the diabetic nurse educator for any follow-up that is needed. In order to move the numbers, the Fit For Life program is offered at least two to three times a year. FIT FOR LIFE PROGRAM Program Description The Fit For Life program is an 8-week program that involves the dietician offering healthy nutrition and cooking tips as well as the exercise physiologist providing weekly weigh-ins and weekly exercise classes to improve one's physical activity. The emphasis is on proper nutrition education including goal-setting and motivation related to healthy behavior issues as well as the importance of being physically active. PART VI, 6: AFFILIATED HEALTH CARE SYSTEM Provena Health and Resurrection Health Care combined on November 1, 2011 to form a new health system, Presence Health, creating a comprehensive family of not-for-profit health care services and the single largest Catholic health system in Illinois. Presence Health embodies the act of being present in every moment we share with those we serve and is the cornerstone of a patient, resident and family-centered care environment. "Presence" Health embodies the way we choose to be present in our communities, as well as with one another and those we serve. Presence Health is sponsored by five congregations of Catholic religious women: the Franciscan Sisters of the Sacred Heart, the Servants of the Holy Heart of Mary, the Sisters of the Our Lady of the Resurrection of Nazareth, Sisters of Mercy of the Americas and the Sisters of the Resurrection. As was the case from our very beginnings, Presence Health is called to be much more than just a provider of health services. Presence Health has instilled within all of its ministries that are committed to responding to the needs of those we are privileged to serve; delivering high quality care that is accessible to all. It is this culture of caring and giving that drives our diligent efforts to ensure we return the optimal value of our charitable assets to our local communities. As a not-for-profit health system, Presence Health invests its net gains from operations into the community through programs to serve vulnerable populations, such as the poor and uninsured, manage chronic conditions, and promote health education and promotion outreach and initiatives. In Fiscal Year 2012, this included $168 million in community benefit activities. Presence Health thus takes a systems approach to its community benefit efforts, and therefore ensures its member hospitals and other entities and affiliates are helping to promote and address the health needs of the communities they serve. For more information on Presence Health, visit www.presencehealth.org PART VI, 7: STATE FILING OF COMMUNITY BENEFIT REPORT Presence Health files its annual community benefit report in Illinois.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Starr Novak
Director3401800304340004291502834604418750304150
John Walton
EVP & GROUP VP (THRU 12/30/11)2538980005933800125000239086001705933800
John Baird
DIRECTOR/CEO FACILITY4059640355160005575802313705203750355160
Sandra Bruce
SYSTEM PRESIDENT/CEO110230402355270001250002721001377541000
Nicola Byrne
VICE PRESIDENT (THRU 12/30/11)55597000217840012320018854030461102178400
John A Orsini
treasurer until 11/29/125718240315630007417102152306990810315450
Jeannie C Frey
SECRETARY4880630345790005639302313706021720345790
Bruno f Giacomuzzi
VICE PRESIDENT190295010852000207110302218610108450
John Short
SENIOR VICE PRESIDENT3684170413220005286502173004843340403650
CAROLE ANNE MISERENDINO
VP PATIENT CARE SVS & CNO2333760150050002569501851502925910135000
David A DiLoreto
CHIEF MEDICAL OFFICER5479260323270005558402313706589740323060
JANELLE REILLY
DIRECTOR360863050000000345000232340468597000
ANTHONY FILER
DIRECTOR0633416000136386078612046124089453800
DONNA WOLOWICKI
DIRECTOR (THRU 6/30/11)0000444600012500013434047053404446000
MARC A DORFMAN
DIR EMERG MED RESIDENCY41749200000125000281370458129000
STEPHEN BOZEK
DIR LABORATORY PHYSICIANS31827400000125000231370353911000
MATTHEW A BROWN
CHAIR EXEC DIR MEDICAL EDU31130203000000125000228740349676000
DANIEL DEL BOCCIO
PATHOLOGIST23404200000117020233460269090000
WILLIAM JOSEPH MORAN
MEDICAL DIRECTOR21034800000105170233460244211000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DETERMINATION OF COMPENSATION OF ORGANIZATION'S CEO/EXECUTIVE DIRECTORSCHEDULE J, PART I, LINE 3PRESENCE RESURRECTION MEDICAL CENTER (PRMC) FEIN 36-3330926 ACTS AS THE AGENT/COMMON PAYMASTER FOR ALL PRESENCE HEALTH CARE AFFILIATES. COMPENSATION FOR THE CORPORATION'S CEO AND OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED IN ACCORDANCE WITH WRITTEN POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF DIRECTORS OF THE CORPORATION'S SOLE MEMBER, THE SYSTEM PARENT CORPORATION. SUCH POLICIES AND PROCEDURES ARE APPLIED BY THE HUMAN RESOURCES COMMITTEE OF THE SYSTEM PARENT CORPORATION, WHICH CONSISTS WHOLLY OF INDEPENDENT DIRECTORS. THE PARENT CORPORATION USES MARKET DATA COMPILED BY AN INDEPENDENT COMPENSATIONO CONSULTANT TO ESTABLISH BASE SALARIES AND TOTAL CASH COMPENSATION OPPORTUNITIES. THE HUMAN RESOURCES COMMITTEE MONITORS EXECUTIVE TOTAL COMPENSATION AND APPROVES ALL COMPONENTS OF EXECUTIVE TOTAL COMPENSATION, ANNUALLY REVIEWING AND APPROVING COMPENSATION CHANGES FOR EACH EXECUTIVE, AND REGULARLY REPORTING ITS ACTIVITIES TO THE BOARD.
SEVERANCE PAYMENTSSCHEDULE J, PART I, Line 4Presence has three Severance Plans depending upon level. These plans allow individuals whose jobs have been eliminated and who have not been able to find a similar position within the System time to transition. The number of weeks of wage continuation are based upon length of service. The plans are not funded. THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR YEAR 2012: nicola byrne: $217,840 DONNA WOLOWICKI: $444,600 JOHN WALTON: $593,380
PAYMENTS FROM A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLANSchedule J, Part I, Question 4BThe following listed individuals participated in the organization's section 457(f) plan and earned unvested benefits during 2011 which are reported in column (C): JOHN D. BAIRD $43,258 BRUNO F. GIACOMUZZI $10,963 STARR M. NOVAK $30,415 JOHN SHORT $40,365 CAROLE MISERENDINO $13,860 JEANNIE C. FREY $43,893 JANELLE REILLY $22,000 JOHN A. ORSINI $61,671 DAVID A. DILORETO $43,084 Also in response to question 4B, the following listed individuals became vested in supplemental retirement benefits under the SERP, and therefore had benefits included in their taxable income: JOHN BAIRD $35,516 STARR M. NOVAK $30,434 JEANNIE C. FREY $34,579 DAVID A. DILORETO $32,327 SANDRA B. BRUCE $235,527 JOHN SHORT $41,322 BRUNO F. GIACOMUZZI $10,852 CAROLE MISERENDINO $15,005 JOHN A. ORSINI $31,563

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION AND FORM W-3 TRANSMITTAL OF WAGES AND TAX STATEMENTFORM 990, PART I, QUESTION 5, AND PART V, QUESTION 2APRESENCE RESURRECTION MEDICAL CENTER (PRMC) REPORTED 13,606 EMPLOYEES ON FORM 990, PART I, QUESTION 5 AND FORM 990, PART V, QUESTION 2A WHICH INCLUDES ALL COMPENSATION ISSUED ON BEHALF OF ITSELF AND THE RELATED PARTIES DISCUSSED IN THE NOTE REGARDING COMMON PAYMASTER AND INCLUDED ON FORM W-3 TRANSMITTAL OF WAGES AND TAX STATEMENT. THE COMPENSATION APPLICABLE TO THE RELATED PARTIES HAS BEEN TRANSFERRED TO THE APPLICABLE RELATED PARTY.
PROGRAM SERVICESFORM 990, PART III, LINE 4AFor more than 100 years, the Sisters of the Holy Family of Nazareth and the Sisters of the Resurrection have provided compassionate care to those in need - particularly poor, marginalized and immigrant populations. This is the foundation of the Sisters sacred health ministry, which is embodied in the system of health care corporations collectively known as PRESENCE Health Care, WHICH INCLUDES PRESENCE RESURRECTION MEDICAL CENTER (THE HOSPITAL). The hospital provided patient care of 52,478 acute patient days. Acute admissions totaled 11,791. There were 14,567 rehab patient days and 1,171 rehab admissions. There were 40,201 emergency room visits, 130,357 outpatient visits, and 10,793 surgeries. . FORM 1096 TRANSMITTAL OF U.S. INFORMATION RETURNS FORM 990, PART V, QUESTION 1A PRESENCE RESURRECTION MEDICAL CENTER (PRMC) REPORTED 2,071 ON FORM 990, PART V, QUESTION 1A WHICH INCLUDES ALL ACCOUNTS PAYABLE REPORTABLE ON FORM 1096 ISSUED ON BEHALF OF ITSELF AND THE RELATED PARTIES DISCUSSED IN THE NOTE REGARDING COMMON PAYMASTER. THE PAYMENTS APPLICABLE TO THE RELATED PARTIES HAVE BEEN TRANSFERRED TO THE APPLICABLE RELATED PARTY.
CHANGES TO ORGANIZATIONAL DOCUMENTSFORM 990, PART VI, QUESTION 4THE ARTICLES AND BYLAWS OF THIS CORPORATION WERE AMENDED EFFECTIVE AUGUST 30, 2012, TO CHANGE THE CORPORATIONS NAME TO "PRESENCE RESURRECTION MEDICAL CENTER."
MEMBERS OR SHAREHOLDERSFORM 990, PART VI, QUESTION 6PRMC HAS ONE MEMBER, PRESENCE RHC CORPORATION.
PERSONS WITH AUTHORITY TO ELECT MEMBERS OF THE GOVERNING BODYFORM 990, PART VI, QUESTION 7ATHE SOLE MEMBER, PRESENCE RHC CORPORATION, HAS THE POWER TO APPOINT MEMBERS OF THE GOVERNING BODY, OTHER THAN EX-OFFICIO DIRECTORS.
DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERSFORM 990, PART VI, QUESTION 7BPRESENCE RHC CORPORATION (THE "MEMBER"), THROUGH ITS BOARD OF DIRECTORS, HAS CERTAIN RESERVE POWERS WITH RESPECT TO THE FOLLOWING. GENERAL POWERS AND RESPONSIBILITIES: THE MEMBER SHALL PROVIDE OVERSIGHT AND SUPPORT FOR THE ACTIVITIES OF THE CORPORATION, FOR THE PURPOSE OF ASSURING THAT ALL ACTIONS OF THE CORPORATION ARE CONSISTENT WITH THE MISSION, PHILOSOPHY AND PURPOSES OF THE SPONSORING CONGREGATIONS; THE ETHICAL AND RELIGIOUS DIRECTIVES; THE MISSION STATEMENT AND CORE VALUES OF THE RESURRECTION HEALTH CARE SYSTEM; AND BEST PRACTICES IN HEALTH CARE AND RELATED ACTIVITIES. EXCLUSIVE POWERS: IN FURTHERANCE OF THE EXERCISE OF ITS GENERAL POWERS AND RESPONSIBILITIES, THE MEMBER SHALL HAVE THE EXCLUSIVE POWER TO: A) AMEND OR REPEAL THE BYLAWS OF THE CORPORATION; B) APPOINT AND REMOVE ALL OFFICERS OF THE CORPORATION, OTHER THAN THE PRESIDENT (WHO SITS EX OFFICIO), AND ALL DIRECTORS OF THE CORPORATION; C) APPROVE CAPITAL AND OPERATING BUDGETS, AND LONG-TERM CAPITAL EQUIPMENT PLANS FOR THE CORPORATION; D) APPROVE UNBUDGETED EXPENDITURES IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER FROM TIME TO TIME; E) APPROVE ANY BORROWING OR SIGNIFICANT INCURRENCE OF DEBT BY THE CORPORATION, OR ANY SALE, PURCHASE, ALIENATION, EXCHANGE, SIGNIFICANT LEASES (OTHER THAN IN THE ORDINARY COURSE) OR ENCUMBRANCES OF THE CORPORATIONS REAL PROPERTY, EXCEPT THOSE MADE PURSUANT TO APPROVED BUDGETS; F) APPROVE EXECUTION OF ANY DEEDS, MORTGAGES, BONDS, OR MAJOR EQUIPMENT LEASES, EXCEPT THOSE ENTERED INTO PURSUANT TO APPROVED BUDGETS; G) APPROVE ANY OTHER SIGNIFICANT AND UNBUDGETED SALE,PURCHASE, EXCHANGE, SIGNIFICANT LEASE (OTHER THAN IN THE ORDINARY COURSE) TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OR OTHER SIGNIFICANT TRANSACTION INVOLVING THE NON-REAL-ESTATE ASSETS OF THE CORPORATION; H) DIRECT AND APPROVE ANY CONTRIBUTIONS, DONATIONS OR OTHER ASSET TRANSFERS WITHOUT CONSIDERATION TO THE MEMBER OR ANY AFFILIATE, IN FURTHERANCE OF SYSTEM MISSION, GOALS AND VALUES; I) APPROVE MATERIAL CHANGES IN THE KIND OF SERVICES RENDERED, SUCH AS THE ADDITION OR DISCONTINUATION OF ANY MAJOR SERVICE LINE (E.G., OBSTETRICS) OR CHANGE IN THE FUNDAMENTAL NATURE OF SERVICES PROVIDED BY THE CORPORATION (E.G., CHANGE FROM GENERAL TO LONG TERM ACUTE CARE); J) APPROVE STRATEGIC PLANS FOR THE CORPORATION THAT FURTHER SYSTEM MISSION AND VALUES, AND SUPPORT THE ABILITY OF THE CORPORATION AND ITS AFFILIATES TO PROVIDE HIGH-QUALITY CARE AND SERVICES; K) APPROVE ANY CONTRACT FOR THE MANAGEMENT OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION; L) APPROVE ANY SELECTION OR MODIFICATION OF THE BUSINESS NAME OR LOGO OF THE CORPORATION OR ANY PROGRAM OR DIVISION OF THE CORPORATION, OR THE USE OF ANY CORPORATE OR BUSINESS NAME OF THE CORPORATION BY AN ENTITY OTHER THAN THE MEMBER OR AN AFFILIATE; M) PROVIDE INSURANCE COVERAGE, STANDARDIZED EMPLOYEE PAYROLL STANDARDS AND BENEFITS, INFORMATION SYSTEMS AND TECHNOLOGY, FINANCIAL MANAGEMENT SERVICES, LEGAL, MARKETING, RISK MANAGEMENT AND OTHER ADMINISTRATIVE SERVICES NECESSARY TO SUPPORT THE CORPORATIONS OPERATIONS; N) APPROVE THE ESTABLISHMENT, TERMINATION, SALE OR SIGNIFICANT JOINT VENTURE RELATIONSHIP BY THE CORPORATION; O) APPROVE THE ACQUISITION OR DEVELOPMENT OF ANY BUSINESS OR ACTIVITY UNRELATED TO THE PROVISION OF HEALTH CARE SERVICES; P) APPROVE ANY MATERIAL AGREEMENT OR TRANSACTION WITH ANOTHER AFFILIATE; Q) APPROVE ANY MATERIAL AFFILIATION WITH A MEDICAL SCHOOL OR RESEARCH FACILITY; R) APPROVE ACCEPTANCE OF A CONTRIBUTION THAT IMPOSES A MATERIAL OBLIGATION ON THE CORPORATION, IF APPROVED BY THE CORPORATIONS AFFILIATE, THE RESURRECTION DEVELOPMENT FOUNDATION, AS CONSISTENT WITH THE CORPORATIONS AND SYSTEMS MISSION AND GOALS; S) SELECT INDEPENDENT AUDITORS FOR THE SYSTEM ENTITIES, INCLUDING THE CORPORATION; T) APPOINT THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION, WHO SHALL BE QUALIFIED THROUGH EDUCATION AND EXPERIENCE AND WHO SHALL BE GIVEN THE AUTHORITY TO MANAGE THE GENERAL OPERATION OF THE CORPORATION AND ITS FACILITIES. APPROVAL AND RECOMMENDATION POWERS: NONE OF THE ACTIONS SET FORTH BELOW SHALL BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE MEMBER. THE BOARD SHALL ADOPT RESOLUTIONS APPROVING ANY SUCH PROPOSED ACTION, PRIOR TO SUBMITTING THE MATTER TO THE MEMBER FOR ITS APPROVAL. THE ACTIONS SET FORTH BELOW MAY ALSO BE INITIATED BY THE MEMBER IN THE ABSENCE OF A RECOMMENDATION BY THE BOARD, SUBJECT TO THE BOARD'S SUBSEQUENT APPROVAL AND THE MEMBER'S FINAL APPROVAL. A) ADOPTION, AMENDMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OF THE CORPORATION; B) ADOPTION OF ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION.
FORM 990 REVIEW PROCESSFORM 990, PART VI, QUESTION 11BTHE DRAFT FORM 990 IS PREPARED BY THE CORPORATION'S ACCOUNTING FIRM WITH ASSISTENCE FROM THE SYSTEM FINANCE DEPARTMENT. THE RETURN IS THEN REVIEWED BY MANAGEMENT, INCLUDING SENIOR LEADERS FROM LEGAL, COMPLIANCE, HUMAN RESOURCES AND THE SYSTEM CEO FOR ACCURACY AND COMPLETENESS. AS NECESSARY, MANAGEMENT CONSULTS WITH EXTERNAL LEGAL AND OTHER EXPERTS TO ASSURE ACCURACY. THE FINAL FORM 990 IS MADE AVAILABLE TO THE CORPORATION'S BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING.
PROCEDURES FOR ADDRESSING CONFLICTS OF INTERESTFORM 990, PART VI, LINE 12CTHE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT THE INTERESTS OF PRESENCE HEALTH NETWORK AND ALL OF ITS AFFILIATED MINISTRIES (COLLECTIVELY "PRESENCE HEALTH") WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF ANY DIRECTOR, TRUSTEE, OFFICER, CORPORATE MEMBER APPOINTEE, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, SENIOR LEADERS, AND OTHERS IN A RECENT POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER PRESENCE HEALTH ("INTERESTED PERSONS"), AND CLARIFY THE STANDARDS OF CONDUCT, DUTIES AND OBLIGATIONS OF INTERESTED PERSONS IN THE CONTEXT OF POTENTIAL CONFLICTS OF INTEREST BY PROVIDING A METHOD FOR DISCLOSING AND RESOLVING SUCH POTENTIAL CONFLICTS. NO PRESENCE HEALTH ENTITY WILL ENGAGE IN ANY CONTRACT, TRANSACTION OR ARRANGEMENT INVOLVING A CONFLICT OF INTEREST UNLESS DISINTERESTED MEMBERS OF THE APPLICABLE BOARD OF DIRECTORS OR OTHER GOVERNING BODY DETERMINE BY A MAJORITY VOTE THAT APPROPRIATE SAFEGUARDS TO PROTECT THE CHARITABLE MISSION OF PRESENCE HEALTH HAVE BEEN IMPLEMENTED. TO FACILITATE THIS POLICY, ALL INTERESTED PERSONS HAVE A CONTINUING OBLIGATION TO PROMPTLY DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ALL DISCLOSURES MUST BE PROVIDED TO THE SYSTEM COMPLIANCE OFFICER AND GENERAL COUNSEL IN A WRITTEN DESCRIPTION OF THE MATERIAL FACTS. DISCLOSURE SHALL BE ON A CONFLICTS OF INTEREST QUESTIONNAIRE OR SIMILAR FORMAT AS DESCRIBED IN THE CONFLICTS OF INTEREST POLICY. ALL INTERESTED PERSONS SHALL ALSO COMPLETE A QUESTIONNAIRE BASED ON THE ASSUMPTION OF THE BOARD (OR OTHER RELEVANT) POSITION, AND THEREAFTER ON AT LEAST AN ANNUAL BASIS OR WHEN AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT ARISES. AT ANY TIME THAT AN ACTUAL, APPARENT OR A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED TO THE PRESENCE HEALTH NETWORK BOARD OF DIRECTORS, WHETHER THROUGH THE VOLUNTARY SUBMISSION OF A DISCLOSURE STATEMENT BY AN INTERESTED PERSON, OR BY A DISCLOSURE BY A PERSON OTHER THAN THE SUBJECT INTERESTED PERSON, THE BOARD OR APPLICABLE COMMITTEE SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, ONLY DISINTERESTED DIRECTORS/COMMITTEE MEMBERS MAY VOTE TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT IS FOUND TO EXIST THE INTERESTED PERSON WILL GENERALLY BE REQUIRED TO RECUSE HIM OR HERSELF DURING ANY MEETING IN WHICH THE BOARD OR COMMITTEE CONDUCTS THE EVALUATION OF THE SUBJECT TRANSACTION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. TO ENSURE THAT THE PRESENCE HEALTH OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS EXEMPT STATUS, TRANSACTIONS INVOLVING INTERESTED PERSONS ARE ONLY APPROVED IF, AFTER EXERCISING REASONABLE DUE DILIGENCE, THE BOARD DETERMINES THEY ARE FAIR AND REASONABLE, TAKING INTO ACCOUNT FACTORS SUCH AS WHETHER PRESENCE HEALTH COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT. HOWEVER, LENDING MONEY OR GUARANTYING AN OBLIGATION OF A DIRECTOR, OFFICER, OR EMPLOYEE OF PRESENCE HEALTH (EXCLUSIVE OF CUSTOMARY INSURANCE COVERAGE FOR ACTS DONE IN CONNECTION WITH SUCH INDIVIDUAL'S SERVICE TO OR EMPLOYMENT BY PRESENCE HEALTH) IS STRICTLY PROHIBITED.
COMPENSATION AND APPROVAL PROCESS FOR OFFICERS AND KEY EMPLOYEESFORM 990 PART VI, QUESTIONS 15A AND 15B, AND PART V, QUESTION 2ACOMPENSATION FOR THE CORPORATIONS CEO AND OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED IN ACCORDANCE WITH WRITTEN POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF DIRECTORS OF THE CORPORATIONS SOLE MEMBER, PRESENCE RHC CORPORATION (PRHCC) AND PRHCCS SOLE MEMBER, PRESENCE HEALTH NETWORK, THE SYSTEM PARENT CORPORATION. SUCH POLICIES AND PROCEDURES ARE APPLIED BY THE HUMAN RESOURCES COMMITTEE OF THE SYSTEM PARENT CORPORATION, WHICH CONSISTS WHOLLY OF INDEPENDENT DIRECTORS. THE PARENT CORPORATION USES MARKET DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH BASE SALARIES AND TOTAL CASH COMPENSATION OPPORTUNITIES. THE HUMAN RESOURCES COMMITTEE MONITORS EXECUTIVE TOTAL COMPENSATION AND APPROVES ALL COMPONENTS OF EXECUTIVE TOTAL COMPENSATION, ANNUALLY REVIEWING AND APPROVING COMPENSATION CHANGES FOR EACH EXECUTIVE, AND REGULARLY REPORTING ITS ACTIVITIES TO THE BOARD.
DOCUMENT AVAILABILITYFORM 990, PART VI, LINE 19THE CORPORATIONS ARTICLES OF INCORPORATION ARE ON FILE WITH THE STATE OF ILLINOIS. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE CORPORATION, TOGETHER WITH ITS AFFILIATES, ARE AVAILABLE FROM THE NATIONAL DISSEMINATION AGENT AS REQUIRED BY OUR BOND DOCUMENTS. CONFLICTS OF INTEREST POLICIES ARE NOT MADE AVAILABLE TO THE PUBLIC, HOWEVER A SUMMARY OF THE POLICY IS INCLUDED IN THE CORPORATION'S ANNUAL FORM 990.
COMMON PAYMASTERFORM 990, PART VII, SECTIONS A & BTHE CORPORATION, PRESENCE RESURRECTION MEDICAL CENTER (PRMC), FEIN 36-3330926, ACTS AS THE AGENT/COMMON PAYMASTER FOR ALL RESURRECTION HEALTH CARE AFFILIATES. CASH IS SWEPT FROM ALL AFFILIATES ON A DAILY BASIS TO RMC AND RMC ISSUES ALL PAYROLL AND ACCOUNTS PAYABLE CHECKS ON BEHALF OF ALL RESURRECTION HEALTH CARE AFFILIATES AND THE APPROPRIATE ACCOUNTING ENTRIES ARE RECORDED.
UNREALIZED GAINS AND LOSSESFORM 990, PART XI, LINE 5THE CHANGE IN THE UNREALIZED GAIN (LOSSES) ON THE RESURRECTION HEALTH CARE INVESTMENT PORTFOLIO IS RECORDED IN ITS ENTIRETY IN THE BOOKS AND RECORDS OF PRESENCE RHC CORPORATION.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESFORM 990, PART XI, LINE 9RECOGNITION OF CHANGE IN PENSION FUND STATUS $(19,800,595).
AUDITED FINANCIAL STATEMENTSFORM 990, PART XII, LINE 2BPRESENCE HEALTH NETWORK (AND AFFILIATES) HAS ITS CONSOLIDATED FINANCIAL STATEMENTS AUDITED BY AN INDEPENDENT ACCOUNTANT ANNUALLY. THE AUDIT OPINION IS ISSUED ON THE CONSOLIDATED FINANCIAL STATEMENTS AND EACH AFFILIATE IS NOT SEPARATELY AUDITED.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (27 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Presence Health Network
7435 West Talcott AvenueChicagoIL60631361649520Health CareIL501(C)(3)3nafalse
Resurrection University
3 Erie CourtOak ParkIL60302362182170EDUCATIONIL501(C)(3)3PRHCCtrue
Medicare Value Partners
100 North River RoadDes PlainesIL60016363495969Health CareIL501(C)(3)3PRHCCtrue
Presence Holy Family Medical Center
100 North River RoadDes PlainesIL60016362439318Health CareIL501(C)(3)3PRHCCtrue
Mount Loretto Nursing Home Inc
302 Swart Hill RoadAmsterdamNY12010141363014Senior LivingNY501(C)(3)3RM New Yorktrue
Presence Our Lady of Resurr Med Cntr
5645 West Addison StreetChicagoIL60634362644178Health CareIL501(C)(3)3PRHCCtrue
Provena Care Home
19065 Hickory Creek DriveMokenaIL60448460483587Health CareIL501(C)(3)9PLCtrue
Presence PRV Health
9223 W St Francis RoadFrankfortIL60423363366652Health CareIL501(C)(3)11-Type 1PHNfalse
Presence Home Care
19065 Hickory Creek DriveMokenaIL60448460483581Health CareIL501(C)(3)9PLCtrue
Presence Hospitals PRV
9223 W St Francis RoadFrankfortIL60423364195126Health CareIL501(C)(3)3PPRVHtrue
Laverna Terrace Housing Corp
19065 Hickory Creek DriveMokenaIL60448363438977SENIOR LIVINGIL501(C)(3)9PHPRVtrue
Provena Self-Insurance Trust
9223 W St Francis RoadFrankfortIL60423362987310InsuranceIL501(C)(3)9PPRVHtrue
Presence Life Connections
19065 Hickory Creek DriveMokenaIL60448371127787Health CareIL501(C)(3)7PPRVHtrue
Presence Behavioral Health
1820 South 25th AvenueBroadviewIL60155362709982Health CareIL501(C)(3)3PHStrue
Presence Ambulatory Services
7435 West Talcott AvenueChicagoIL60631364286236Health CareIL501(C)(3)3PRHCCtrue
Resurrection Development Foundation BOT
150 North River RoadDes PlainesIL60016363330929FundraisingIL501(C)(3)7PRHCCtrue
Presence RHC Corporation
7435 West Talcott AvenueChicagoIL60631362235165Parent CorpIL501(C)(3)3PHNfalse
Presence Home Care Services
5747 West DempsterMorton GroveIL60053362893936Home CareIL501(C)(3)3PRHCCtrue
Resurrection Nursing Home Inc
90 North Main StreetCastletonNY12033141348691NURSINGNY501(C)(3)3RM New Yorktrue
Presence RHC Senior Services
7435 West Talcott AvenueChicagoIL60631237061646NURSINGIL501(C)(3)3PRHCCtrue
Presence Healthcare Services
7447 West Talcott AvenueChicagoIL60631363330928Health CareIL501(C)(3)3PRHCCtrue
Presence St Francis Hospital of Evanston
355 Ridge AvenueEvanstonIL60202362167800Health CareIL501(C)(3)3PRHCCtrue
Saint Francis Hospital Auxiliary of Evan
355 Ridge AvenueEvanstonIL60202366143349FundraisingIL501(C)(3)7PSFHtrue
Presence St Mary and Elizabeth Med Ctnr
2233 West Division StreetChicagoIL60622362171079Health CareIL501(C)(3)3PRHCCtrue
Presence Saint Joseph Hospital Chicago
2900 North Lake Shore DriveChicagoIL60657363200170Health CareIL501(C)(3)3PRHCCtrue
Rainbow Hospice & Pall Care
1550 Bishop CourtMt ProspectIL60056363296367HospiceIL501(C)(3)9PHCStrue
Presence Nazarethville
300 North River RoadDes PlainesIL60016362801392NursingIL501(C)(3)11, Type IIPRHC Snr Srvtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileState
RH SLEEP CTR LP
665 W N AVELOMBARDIL60148261519667SLEEP CENTERIL
RH SLEEP CTR EVAN
665 W N AVELOMBARDIL60148261519556SLEEP CENTERIL
RH SLEEP CTR CHI NW
665 W N AVELOMBARDIL60148261519627SLEEP CENTERIL
RH SLEEP CTR RF
665 W N AVELOMBARDIL60148262819763SLEEP CENTERIL

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
L Gilbraith Insurance SPC LTD
68 W Bay Road PO Box 1109GRAND CAYMANCJInsuranceCJPRHCCForeign Companyfalse
Provena Assurance Corporation
MedicalPPRVHC Corp9223 W St Francis RoadFrankfortIL60423980420054IL
Presence Properties Inc
MedicalPPRVHC Corp9223 W St Francis RoadFrankfortIL60423363520630IL
Presence Service Corporation
MedicalPHPRVC Corp9223 W St Francis RoadFrankfortIL60423364314354IL
Presence Ventures Inc
MedicalPPRVHC Corp9223 W St Francis RoadFrankfortIL60423371168085IL
Resurrection Medical Center Auxiliary
FundraisingPR Med CtrC Corp7435 West Talcott AvenueChicagoIL60631366109825IL
Resurrection Ministries of New York
Parent CorpPRHCCC Corp90 N Main StCastletonNY12033141720818NY
Presence Health Care Preferred
MGD Care ContractPRHCCC Corptrue100 North River RoadDes PlainesIL60016363974620IL
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
RESURRECTION DEVELOPMENT FOUNDATION BOT
C668835CASH
PRESENCE SAINTS MARY AND ELIZABETH MED CNTR
Q275523791FMV
PRESENCE AMBULATORY SERVICES
Q3289058FMV
PRESENCE SAINT FRANCIS HOSPITAL
Q25570050FMV
PRESENCE SAINT JOSPEH HOSPITAL CHICAGO
Q205874769FMV
PRESENCE RHC CORPORATION
Q22002509FMV
PRESENCE OUR LADY OF RESURRECTION MED CNTR
Q108440007FMV
RESURRECTION DEVELOPMENT FOUNDATION BOT
Q5716545FMV
PRESENCE HEALTHCARE SERVICES
Q68844193FMV
PRESENCE BEHAVIORAL HEALTH PROCARE CENTERS
Q6907552FMV
PRESENCE RHC SENIOR SERVICES
Q111230146FMV
PRESENCE HOLY FAMILY MEDICAL CENTER
Q82370620FMV
PRESENCE HOME CARE SERVICES
Q13654582FMV
PRESENCE NAZARETHVILLE
Q1562449FMV
PRESENCE HEALTHCARE PREFERRED
Q19709993FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierReimbursements for Shared ServicesIdentifier
Return ReferenceForm 990, Schedule R, Part VReturnReference
ExplanationPresence Resurrection Medical Center (FEIN: 36-3330926) pays all of the compensation and accounts payable for all entities under the Presence Health System that were historically part of the Resurrection Health Care System ("Legacy Resurrection Entities"). Cash is deposited into an account by all Legacy Resurrection Entities and swept on a monthly basis to reimburse Presence Resurrection Medical Center for these expenses at cost. The amounts reported on Part V of Schedule R reflect the total cash transfers to/from Presence Resurrection Medical Center.Explanation

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.