2013-11-14T12:40:07-06:00 2012-12-31 420714325 MCGLADREY LLP 1 S WACKER DRIVE STE 800 CHICAGO IL 60606 990 2012-01-01 364383840 St George Corporation STGE 7089234000 12251 S 80th Avenue Palos Heights IL 60463 Hugh Rose 7089234000 2013-11-12 1 Wayne Harder P00294296 3126343400 2012 2016-02-24 21:20:13Z Hugh Rose 12251 S 80th Avenue Palos Heights IL 60463 2590277235 0 X N/A X 2000 IL Support Palos Community Hospital and St. George Wellness Center. 10 9 104 0 0 0 0 0 6911520 6891821 11244427 31691378 323490 640946 18479437 39224145 0 0 0 0 6323202 7676490 0 0 0 5187298 5173987 11510500 12850477 6968937 26373668 493233299 538699635 54491417 54927232 438741882 483772403 X St. George's purpose is to solicit and receive contributions on behalf of Palos Community Hospital ("Hospital") and St. George Wellness Center ("Wellness Center"), support educational activities related to rendering health care services, promote scientific research relating to the care of the sick, and to support the Hospital and Wellness Center and their respective purposes. 0 0 45460 103153 The St. George Corporation ("Corporation") is a supporting organization of the Palos Health System, which includes Palos Community Hospital ("Hospital") and St. George Wellness Center ("Wellness Center"), which are both IRC Section 501(c)(3) Organizations.The Corporation's purposes include: -Perform Oversight of Palos Community Hospital and St. George Wellness Center -Management of Endowment Assets -Promote Health Education -Promote Scientific Research -Promote Community HealthTo achieve these purposes, St. George Corporation will:Maintain and operate organization or facilities which provide healthcare or conduct healthcare related activities, including inpatient care, outpatient care, physician services, partial hospitalization, extended care, homecare, treatment of mental disease or affliction, and treatment of alcoholism or other chemical dependency.Solicit, receive and collect private and public donations and gifts of money.The hospital will transfer to the corporation all of the hospital's assets that are not directly used in connection with the hospital operations. The corporation will administer and distribute those assets, as well as asets received through the collection of private and public contributions of gifts, money or property, in a manner consistent with the corporation's purpose of supporting the hospital and wellness center.Grant money to the hospital and wellness center to support educational programs for the promotion of good health.Provide financial support to the hospital and wellness center to conduct scientific research.Participate in and financially support activities designed to promote community health.During 2012, St. George Corporation provided service for 18,000 inpatients and 326,899 outpatients at the hospital. Home Health operations provided 164,000 visits to patients in their homes and the doctors at Palos Medical Group provided 40,000 office visits. In addition, the Wellness Center served approximately 5,000 members during the year. 9133309 7200438 Palos Medical Group is a physician practice that employs primary care physicians and select specialists to help better serve the needs of the community as it relates to the projected shortage of such physicians. 9178769 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 8 0 1 104 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 1 1 IL X Hugh Rose 7089234000 12251 S 80th Avenue Palos Heights IL 604630930 Sister Margaret Wright 1.00 40.00 X X 0 0 5692 Richard Nogal 1.00 X X 0 0 0 Sister Anna Doyle 1.00 X X 0 0 0 Thomas Barcelona 1.00 X 0 0 0 Thomas F Courtney 1.00 X 0 0 0 Father Patrick O'Neill 1.00 X 0 0 0 Daniel Harris 1.00 X 0 0 0 James Reilly 1.00 X 0 0 0 Dr Jerome Murphy 1.00 X 0 0 0 Joseph Neverauskas 1.00 X 0 0 0 Lynn Egan 1.00 X 0 0 0 Hugh Rose 10.00 40.00 X 0 355232 28225 Michael J Lynch 40.00 X 354258 0 26050 Alex C DeJong 40.00 X 398424 0 29500 Richard J DeJong 40.00 X 360685 0 27423 Amit Joshi 40.00 X 348712 0 29947 Mark R Sinibaldi 40.00 X 263861 50000 14994 1725940 405232 161831 13 0 1 0 Montag & Caldwell Investment Counsel 3455 Peachtree Rd NE Atlanta GA 30366 Investment Management 280894 Smith Asset Management Group 100 Crescent Ct Suite 1150 Dallas TX 75201 Investment Management 257162 Barrow Hanley Mewhinney & Strauss Inc 2200 Ross Ave 31st Floor Dallas TX 75201 Investment Management 218723 Western Asset Management Company 385 East Colorado Blvd Pasadena CA 91101 Investment Management 205170 Southeastern Asset Management Inc 6410 Poplar Ave Ste 900 Memphis TN 38119 Investment Management 203648 7 Inpatient Revenue 900099 6786692 6786692 Outpatient Surgicenter 900099 105129 105129 6891821 11098057 11098057 512587 283411 229176 229176 229176 2571363000 2550769679 20593321 20593321 20593321 Medical Records 900099 12712 12712 399058 399058 411770 39224145 7303591 0 31920554 1624898 1624898 4940868 4449638 491230 166943 154398 12545 603495 558146 45349 340286 314716 25570 79350 79350 17119 16889 230 1688760 1688760 154211 154211 18091 18091 1163481 1159157 4324 3557 3557 35687 34441 1246 258268 83578 174690 353182 353182 Overhead Allocations 962400 962400 Medical Supplies/Drugs 233056 233056 Taxes & Licenses 197576 15805 181771 9249 5006 4243 12850477 9178769 3671708 0 2985568 757797 707864 523461 2556 0 5829847 1218630 4756169 4611217 424410926 473171611 3600000 3600000 56770216 56035549 493233299 538699635 1208971 1483620 53282446 53443612 54491417 54927232 X 438741882 483772403 438741882 483772403 493233299 538699635 26373668 18656853 0 X 0 1 X 1 0 X X X 0 0 0 Palos Comm Hospital 362169179 3 1 1 1 0 St George Wellness 364383845 9 1 1 1 0 2 0 1121396 1121396 4262897 1011414 3251483 445554 207216 238338 4611217 Investment in Joint Venture 4732456 Collateral Received For Securities Loaned 51300000 Due from Surgical Center 3093 56035549 Obligation for Collateral Received For Securities Loaned 51300000 Self-Insurance Reserve 1454053 Due to Palos Community Hospital 689559 53443612 X Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: St. George has received a determination letter from the Internal Revenue Service stating that they are exempt from the payment of income taxes under Section 501(c)(3) of the Internal Revenue Code. Palos Medical Group is a disregarded entity and is considered part of St. George for income tax filing purposes. Accordingly, income taxes are not provided for in the accompanying consolidated financial statements. The Corporation adopted the FASB-issued guidance for accounting for uncertainty in income taxes on January 1, 2007. St. George files a Form 990 (Return of Organization Exempt from Income Tax) annually. When these returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the following: the tax exempt status of each entity, the continued tax exempt status of bonds issued by the obligated group, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business taxable income (UBTI). UBTI is reported on Form 990T, as appropriate. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for unrecognized tax benefits in the accompanying consolidated balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Upon the adoption of the FASB issued guidance at January 1, 2007, and since that date through December 31, 2012, there were no unrecognized tax benefits identified and recorded as a liability. Forms 990 filed by St. George are subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Forms 990 filed by St. George are no longer subject to examination for the years 2008 and prior. 0 0 0 0 0 0 0 0 0 Hugh Rose 0 338232 0 0 0 17000 0 18750 0 9475 0 383457 0 0 Michael J Lynch 203148 0 137954 0 13156 0 11876 0 14174 0 380308 0 0 0 Alex C DeJong 224924 0 164001 0 9499 0 14249 0 15251 0 427924 0 0 0 Richard J DeJong 207804 0 140814 0 12067 0 13249 0 14174 0 388108 0 0 0 Amit Joshi 207889 0 131619 0 9204 0 11694 0 18253 0 378659 0 0 0 Mark R Sinibaldi 198989 50000 55033 0 9839 0 0 0 14994 0 278855 50000 0 0 Form 990, Part VI, Section B, line 11 Before filing the Form 990, we presented the completed Form 990 to the Investment Committee of the Board for their review and approval. After the Investment Committee approved the Form 990, it was submitted to the Board. Form 990, Part VI, Section B, line 12c Trustees are required to complete a Conflict of Interest Statement each year identifying any interests that could give rise to conflicts. These forms are reviewed and lists of potential conflicts are prepared and used to monitor trustee's involvement with decisions throughout the year. These annual disclosure statements are reviewed by PCH's VP of Human Resources. Any issue identified as part of this annual disclosure is referred to the President of PCH for disposition. Persons completing the conflict of interest form know to disclose any potential conflicts on an ongoing basis. An individual with a conflict of interest would be excluded from any discussion, vote, or decision that involved the conflict or decision. Form 990, Part VI, Section B, Line 15: Officers are compensated through a related entity, Palos Community Hospital. The CEO contract is a management contract with the religious order. The Executive Committee of the Board of Directors has the responsibility for her contract and salary. Annually Human Resources gathers market data on executive positions from a variety of published survey sources such as Metropolitan Healthcare Council (MCHC), Mercer, Watson Wyatt, etc. The market data is analyzed for organizations with similar size and characteristics (FTE's, revenue, beds, region, non-for profit, stand alone institutions, etc.) The mean, median and if available the 90th percentile rates are provided to the President/CEO for consideration and reviewed with the Board of Directors. Discussion and process are contemporaneously documented in the minutes. Form 990, Part VI, Section C, line 19 All policies, governing documents and financial statements required to be available to the public are available upon request. Requests can be made from the Financial Department of Palos Community Hospital. Palos Medical Group 15300 West Avenue Orland Park IL 60462 271472342 Physician Services IL 7200438 4534559 St George Corporation Palos Community Hospital 12251 S 80th Avenue Palos Heights IL 60463 362169179 Hospital IL 501(c)(3) 3 St George Corporation 1 St George Wellness Center 15430 West Avenue Orland Park IL 60462 364383845 Fitness Center IL 501(c)(3) 9 St George Corporation 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 Palos Community Hospital K 456108 FMV Palos Community Hospital O 207307 FMV Palos Community Hospital P 819144 FMV