NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWESTERN MEMORIAL HEALTHCARE (EIN 36-2169179)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201313189349303811
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T12:38:19-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S WACKER DRIVE STE 800 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362169179 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Palos Community Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PALO | NameControl |
| Phone | 7089234000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12251 S 80th Avenue | AddressLine1 |
| City | Palos Heights | City |
| State | IL | State |
| ZIP Code | 604630930 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | David Manchester | Name |
| Title | Interim President & CEO | Title |
| Phone | 7089234000 | Phone |
| Date Signed | 2013-11-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Wayne Harder | Name |
| PTIN | P00294296 | PTIN |
| Phone | 3126343400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | David Manchester | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12251 S 80th Avenue | AddressLine1 |
| City | Palos Heights | City |
| State | IL | State |
| ZIP Code | 604630930 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2240762964 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.paloscommunityhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | Palos Community Hospital is a 501(c)(3) community hospital whose primary objective is the provision of inpatient and outpatient services that are responsive to the health care needs of the residents of southwestern Cook County and northeastern sections of Will County. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3279 | TotalNbrEmployees |
| Total Nbr Volunteers | 733 | TotalNbrVolunteers |
| Total Gross UBI | 126692 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -17801 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 513089 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 398265 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 329037261 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 324923857 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 6572570 | InvestmentIncomePriorYear |
| Investment Income Current Year | 19921299 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4875184 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5022942 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 340998104 | TotalRevenuePriorYear |
| Total Revenue Current Year | 350266363 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 212878646 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 210174162 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 134224 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 119081652 | OtherExpensePriorYear |
| Other Expenses Current Year | 119740872 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 331960298 | TotalExpensesPriorYear |
| Total Expenses Current Year | 329915034 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 9037806 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 20351329 | RevenuesLessExpensesCY |
| Total Assets BOY | 699718688 | TotalAssetsBOY |
| Total Assets EOY | 742440787 | TotalAssetsEOY |
| Total Liabilities BOY | 441327622 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 451159937 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 258391066 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 291280850 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Palos Community Hospital (PCH) is a not-for-profit community hospital, which is operated in accordance with the Ethical and Religious Directives for Catholic Healthcare Facilities. The primary objective of PCH is the provision of inpatient and outpatient services that are responsive to the health care needs of the residents of southwestern Cook County and northeastern sections of Will County.In providing any service - be it preventive, curative or palliative - the overriding concern of the institution shall be that the quality of that service be of the highest caliber. PCH shall be committed to a continued review and analysis of the changing needs of the community it serves and shall respond to those needs with services that are readily available in a form that enhances their efficient use by physicians and patients. In addition, PCH shall maintain an ability to adapt to changes and influence forces in its environment effectively and expeditiously. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 202375027 | Expense |
| Revenue | 278739227 | Revenue |
| Description | It is the policy of Palos Community Hospital to provide quality medical health care to all persons regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The Hospital recognizes that not all individuals possess the ability or means to purchase essential medical services and further, that our mission is to serve our community with respect to providing healthcare services and healthcare education. Therefore, in keeping with the hospital's commitment to serve all members of the community, charity and/or subsidized care will be considered where the need and/or inability to pay are identified. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 34331014 | Expense |
| Revenue | 24417676 | Revenue |
| Description | Cardiovascular ServicesPalos Community Hospital provides a total continuum of cardiovascular services - from diagnosis and treatment through recovery and rehabilitation - to ensure that our patients receive the complete care they need close to home. Prior to the start of the program in 2005, Palos transferred patients from their local community to other hospitals. Within 3 years, Palos ranked 14th in Illinois for heart volume. This community need has grown as can be seen with continued increases in volume since the program began. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 21298150 | Expense |
| Revenue | 19923148 | Revenue |
| Description | Home HealthPalos Community Hospital Home Health, Private Duty, and Hospice services provide quality personal care and support to patients in their homes, nursing homes or hospitals. The Home Health staff assists the chronically ill, persons with functional impairments, those needing specialized skilled care at home, those recovering from a hospital stay and the terminally ill. In 2011, Home Health staff from Palos made nearly 93,000 home care visits, more than 29,000 hospice visits and provided more than 43,000 hours of private duty nursing assistance. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10658419 | Expense |
| Revenue | 4915088 | Revenue |
| Description | Behavioral HealthBehavioral Health Services at Palos meet the needs of individuals and families in the community struggling with relationship problems, emotional issues, psychological disorders and even chemical dependency. The programs include alcohol treatment; chemical dependency; group therapies for mental health or substance abuse issues; intensive outpatient programs; Kids Recover Too, since children in the family can be especially hard-hit by a parent's chemical abuse or dependency; and the Partial Hospital Program for those needing more intensive treatment for a psychiatric or duel diagnosis. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 10658419 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 4915088 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 268662610 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 181 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3279 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hugh A Rose | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7089234000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12251 S 80th Avenue | AddressLine1 |
| City | Palos Heights | City |
| State | IL | State |
| ZIP Code | 604630930 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Sister Anna Doyle | |||||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | |||
| Edward Mulcahy | |||||||||
| Chairman | 2.00 | X | X | 0 | 0 | 0 | |||
| Margaret Lustig | |||||||||
| Vice Chair | 2.00 | X | X | 0 | 0 | 0 | |||
| Thomas F Courtney | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Lawrence Hunt | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Gregory Paetow | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Sheila Pacholski until 9112 | |||||||||
| Director | 0.00 | X | 0 | 0 | 0 | ||||
| James Reilly | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Carole Ruzich | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Philip A Salvador | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Christie Sever until 9112 | |||||||||
| Director | 0.00 | X | 0 | 0 | 0 | ||||
| John Ward until 9112 | |||||||||
| Director | 0.00 | X | 0 | 0 | 0 | ||||
| Dr Mark Sinibaldi | |||||||||
| Director/Physician | 2.00 | X | 50000 | 263861 | 14994 | 40.00 | |||
| Lynn Egan | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| William Hanson | |||||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||||
| Sister Margaret Wright | |||||||||
| President | 40.00 | X | X | 0 | 0 | 5692 | |||
| Thomas J Lavery | |||||||||
| VP Medical Affairs | 40.00 | X | 463766 | 0 | 36798 | ||||
| David B Manchester | |||||||||
| Interim President and CEO | 40.00 | X | 406729 | 0 | 33504 | ||||
| Hugh A Rose | |||||||||
| VP Finance/CFO | 40.00 | X | 355232 | 0 | 28225 | ||||
| Randall J Oles | |||||||||
| VP Support Services | 40.00 | X | 330824 | 0 | 37609 | ||||
| Timothy J Brosnan | |||||||||
| VP Planning/Community Rela | 40.00 | X | 348376 | 0 | 37609 | ||||
| Marion J Baron | |||||||||
| VP Facilities & System Man | 40.00 | X | 284905 | 0 | 32262 | ||||
| Mary C Denisienko | |||||||||
| VP Human Resources | 40.00 | X | 262378 | 0 | 27672 | ||||
| Rosann S Demask | |||||||||
| VP Nursing | 40.00 | X | 231487 | 0 | 31438 | ||||
| Margaret J Carroll | |||||||||
| Chief Information Officer | 40.00 | 238837 | 0 | 36721 | X | ||||
| Bryan D Counts | |||||||||
| Staff Physician | 40.00 | 219299 | 0 | 33795 | X | ||||
| Arthur M Schroeder | |||||||||
| Staff Physician | 40.00 | 271604 | 0 | 12515 | X | ||||
| Mark D Diamond | |||||||||
| Staff Physician | 40.00 | 236122 | 0 | 24113 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3699559 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 263861 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 392947 | TotalOtherCompensation |
| Number Individuals GT100 K | 109 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Pepper Construction Company | |||||
| 18505 W Creek Drive | Tinley Park | IL | 60477 | Construction Services | 66257047 |
| Matthei & Colon Associates | |||||
| 332 S Michigan Avenue | Chicago | IL | 60604 | Architectural Services | 3905456 |
| Palos Anesthesia & Associates | |||||
| 40 Shuman Blvd Suite 275 | Naperville | IL | 60563 | Anesthesia Services | 970837 |
| Executive Health Resources Inc | |||||
| 15 Campus Blvd | Newtown Square | PA | 19073 | Billing/Coding Support | 861198 |
| Navin Haffty & Associates | |||||
| 1900 West Park Drive Suite 180 | Westborough | MA | 01581 | Information systems support | 746705 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 40 | NumberOfContractorsGT100K |
| Fundraising Events | 303225 | FundraisingEvents |
| All Other Contributions | 95040 | AllOtherContributions |
| Total Contributions | 398265 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Net Patient Revenue | 621110 | 317852986 | 317726294 | 126692 |
| Provider Tax Revenue | 900099 | 7159785 | 7159785 | |
| MRI Joint Venture | 900099 | -88914 | -88914 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 324923857 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7532742 | TotalRevenueColumn |
| Exclusion | $7,532,742 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1326407 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 849590 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 476817 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 476817 | TotalRevenueColumn |
| Exclusion | $476,817 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1901881000 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1889492443 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 12388557 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12388557 | TotalRevenueColumn |
| Exclusion | $12,388,557 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 244968 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 303225 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 154568 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 90400 | TotalRevenueColumn |
| Exclusion | $90,400 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| Cafeteria Revenue | 900099 | 1086041 | $1,086,041 | |
| Gift Shop Revenue | 900099 | 298402 | $298,402 | |
| Medical Records | 900099 | 213581 | 213581 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2857701 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2857701 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4455725 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 350266363 | TotalRevenueColumn |
| Related Or Exempt Function Income | 327868447 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 126692 | UnrelatedBusinessRevenue |
| Exclusion | $21,872,959 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2962310 | Total |
| Management And General | 2962310 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 157080779 | Total |
| Program Services | 129893611 | ProgramServices |
| Management And General | 27187168 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9445756 | Total |
| Program Services | 7666331 | ProgramServices |
| Management And General | 1779425 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29377768 | Total |
| Program Services | 23843481 | ProgramServices |
| Management And General | 5534287 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11307549 | Total |
| Program Services | 9177393 | ProgramServices |
| Management And General | 2130156 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2056807 | Total |
| Management And General | 2056807 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 223951 | Total |
| Management And General | 223951 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180847 | Total |
| Management And General | 180847 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1223589 | Total |
| Management And General | 1223589 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9029063 | Total |
| Program Services | 1854890 | ProgramServices |
| Management And General | 7174173 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1060089 | Total |
| Program Services | 917 | ProgramServices |
| Management And General | 1059172 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4320568 | Total |
| Program Services | 2746814 | ProgramServices |
| Management And General | 1573754 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2532884 | Total |
| Program Services | 271682 | ProgramServices |
| Management And General | 2261202 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 438977 | Total |
| Program Services | 428703 | ProgramServices |
| Management And General | 10274 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 178368 | Total |
| Program Services | 157650 | ProgramServices |
| Management And General | 20718 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5700226 | Total |
| Program Services | 5700226 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14004194 | Total |
| Program Services | 11261413 | ProgramServices |
| Management And General | 2742781 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1470976 | Total |
| Program Services | 799981 | ProgramServices |
| Management And General | 670995 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 49572741 | 49572741 | |
| Bad Debt Expense | 13668770 | 13668770 | |
| IL Tax Assessment | 7907103 | 7907103 | |
| Utilities | 2645519 | 2116415 | 529104 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3526200 | Total |
| Program Services | 1594489 | ProgramServices |
| Management And General | 1797487 | ManagementAndGeneral |
| Fundraising | 134224 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 329915034 | Total |
| Program Services | 268662610 | ProgramServices |
| Management And General | 61118200 | ManagementAndGeneral |
| Fundraising | 134224 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4673521 | BOY |
| EOY | 3875661 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35502265 | BOY |
| EOY | 31052727 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 624169 | BOY |
| EOY | 1016777 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1531486 | BOY |
| EOY | 1580877 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4517005 | BOY |
| EOY | 4854254 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 586097810 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 228841142 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 255919913 | BOY |
| EOY | 357256668 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 352678512 | BOY |
| EOY | 298906063 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44271817 | BOY |
| EOY | 43897760 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 699718688 | BOY |
| EOY | 742440787 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129130466 | BOY |
| EOY | 131616440 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 268120000 | BOY |
| EOY | 279590000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44077156 | BOY |
| EOY | 39953497 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 441327622 | BOY |
| EOY | 451159937 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 258281262 | BOY |
| EOY | 291166757 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109804 | BOY |
| EOY | 114093 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 258391066 | BOY |
| EOY | 291280850 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 699718688 | BOY |
| EOY | 742440787 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 20351329 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 12536061 | ReconciliationUnrealizedInvest |
| Reconcilation Prior Adjustment | 2394 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $33,080 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 33080 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | Illinois Hospital Association dues and American Hospital Association fees attributable to lobbying. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13912292 | OtherCostOrOtherBasis |
| Book Value | 13912292 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 413884852 | OtherCostOrOtherBasis |
| Depreciation | 108989132 | Depreciation |
| Book Value | 304895720 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 158300666 | OtherCostOrOtherBasis |
| Depreciation | 119852010 | Depreciation |
| Book Value | 38448656 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 357256668 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Investment in Affiliate | 2212017 |
| Collateral Received for Securities Loaned | 32900000 |
| Deferred Financing Costs | 3864381 |
| Malpractice Insurance Receivable | 4921362 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 43897760 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Obligation for Collateral Received for Securities Loaned | $32,900,000 |
| Tax Exempt Bond Liability Premium | $7,053,497 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 39953497 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 348270990 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 12536061 | NetUnrealizedGainsInvestments |
| Other Revenues | 849590 | OtherRevenues |
| Revenue Not Rptd F990 | 13385651 | RevenueNotRptdF990 |
| Revenue Subtotal | 334885339 | RevenueSubtotal |
| Investment Expenses Not Included | 1223589 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 14157435 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 15381024 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 350266363 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 315872265 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 849590 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 849590 | ExpensesNotRptdF990 |
| Expenses Subtotal | 315022675 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 1223589 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 13668770 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 14892359 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 329915034 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X, Line 2: | The Hospital has received a determination letter from the Internal Revenue Service stating that it is exempt from the payment of income taxes under Section 501(c)(3) of the Internal Revenue Code. Accordingly, income taxes are not provided for in the accompanying financial statements. The Hospital adopted the FASB-issued guidance for accounting for uncertainty in income taxes on January 1, 2007. The Hospital files a Form 990 (Return of Organization Exempt from Income Tax) annually. When this return is 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 hospitals include such matters as the following: the tax exempt status of the 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 (UBIT). UBIT is reported on Form 990-T, as appropriate. The benefit of a tax position is recognized in the 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 balance sheet 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. |
| Part XI, Line 2d - Other Adjustments: | Rental Expense 849,590. | |
| Part XI, Line 4b - Other Adjustments: | Unrestricted Contributions 488,665. Bad Debt Expense 13,668,770. | |
| Part XII, Line 2d - Other Adjustments: | Rental Expense 849,590. | |
| Part XII, Line 4b - Other Adjustments: | Bad Debt Expense 13,668,770. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | 2012 Dinner | NameOfEvent1 |
| Gross Receipts Event1 | 548193 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 303225 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 244968 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 20344 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 108810 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 20345 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 5069 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 548193 | GrossReceiptsTotal |
| Charitable Contributions Total | 303225 | CharitableContributionsTotal |
| Gross Revenue Total Events | 244968 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 20344 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 108810 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 20345 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 5069 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 154568 | DirectExpenseSummaryEvents |
| Net Income Summary | 90400 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 1000.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14834296 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14834296 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04690 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23526854 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13271952 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10254902 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03240 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 38361150 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13271952 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25089198 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07930 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 901663 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 127039 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 774624 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27808665 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17711343 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10097322 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03190 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 164917 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 164917 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28875245 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17838382 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11036863 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03480 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 67236395 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 31110334 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 36126061 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11410 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $13,668,770 | BadDebtExpenseAmount |
| Amount Attributable To | 3494642 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 104253046 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 129870428 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -25617382 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Palos Community Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12251 South 80th Avenue | AddressLine1 |
| City | Palos Heights | City |
| State | IL | State |
| ZIP Code | 60463 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PALOS COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 1000.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 1 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Palos Primary Care Center | ||||
| 15300 West Avenue Suite 122 | Orland Park | IL | 60462 | Primary Care Center |
| Palos Immediate Care Center | ||||
| 7340 W College Drive | Palos Heights | IL | 60463 | Immediate Care Center |
| Palos Home Health Care | ||||
| 15295 E 127th St | Lemont | IL | 60439 | Home Health Care |
| Palos Diagnostic & Women's Center | ||||
| 17333 S LaGrange Rd | Tinley Park | IL | 60477 | Diagnostic testing and Women's Health |
| Palos Sleep Disorders Center | ||||
| 11900 Southwest Highway | Palos Park | IL | 60464 | Sleep studies |
Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 3c: PCH's charity care is based on a sliding scale of the Federal Poverty Guidelines. PCH set the sliding scale to far exceed the minimum amounts set forth by the State of Illinois in The Hospital Uninsured Patient Discount Act by extending discounted care up to 1000% of the FPG vs. the minimum 600% as dictated by this law. | ||
| Part I, Line 7: The best available data was used to calculate the cost amounts reported in Item 7. This includes the overall hospital cost to charge ratio as well as direct and indirect costs for certain specific departments of the hospital. | ||
| Part I, L7 Col(f): The bad debt expense of $13,668,770 was included on Form 990, Part IX, Line 25, but subtracted for purposes of calculating the percentage in this column. | ||
| Part II: The health of the communities that PCH serves is a very important piece of PCH's mission statement. To date, our focus has been on providing the care needed within our community at high level of quality. As such we have implemented and/or maintained programs that we feel help to improve the wellness of the people we serve. PCH believes that given limited resources and time this serves our community better than community building activities as defined in this schedule. | ||
| Part III, Line 2: Bad debt expense is estimated by totaling the amounts sent to and written off by collection agencies plus an estimate of Accounts Receivable aged by financial class all multiplied by the appropriate cost to charge ratio. | ||
| Part III, Line 3: Information to determine this amount is not available. | ||
| Part III, Line 4: PCH calculates Charity Care cost using the hospital wide cost to charge ratio and applying that ratio to the charges written off to charity care per the hospital policy. No other Bad Debt amounts are included in the community benefit report.The Hospital provides care to all patients regardless of their ability to pay. Uncompensated care and community service provided by the Hospital are excluded from net patient service revenue. | ||
| Part III, Line 8: Medicare costs are calculated using the hospital wide cost to charge ratio. PCH does include the Medicare shortfall in its Illinois state community benefits report as PCH continues to treat its Medicare community despite the fact that its costs for these patients exceed reimbursement. | ||
| Part III, Line 9b: It is the policy of PCH not to pursue collection practices against patients known to qualify under the Charity Care policy. In some cases, this determination is not immediately known and collection processes are followed, but once it has been determined that a patient may be eligible for charity care, these practices are ceased. | ||
| Part V, Section B, Line 20d: Palos Community Hospital takes its commitment to serving the uninsured and underinsured members of its community very seriously and as a result has implemented a financial assistance policy that goes above and beyond the requirements of Illinois Public Act 095-0965 "Hospital Uninsured Patient Discount Act". This State Law was enacted with an effective date of April 1, 2009 and required that hospitals offer uninsured patients who met the minimum financial requirements (i.e. earnings less than 600% of the FPG and certain asset limitations) a rate equal to 135% of the hospital's most recently filed Medicare cost to charge ratio. PCH expanded the reach of this policy by extending the minimum financial requirements to 1,000% of the FPG to help more of its community qualify for a financial benefit and to give families that earn a lower percentage of the FPG deeper discounts. This policy was also extended to all clinically-necessary procedures and was not limited to emergency care only. Using the FPG, PCH created a set of discounts for patients without insurance that ranged from free care for those who earned less than 200% of the FPG to a 40% discount off of regularly billed charges for any uninsured patient who earned less than 1,000% of the FPG. PCH also created a policy to help those who are underinsured. Similar to its uninsured policy, the underinsured policy creates a set of discounts that can be applied to co-payments and deductibles owed for those patients that earn less than 300% of the FPG. | PALOS COMMUNITY HOSPITAL | |
| Part V, Section B, Line 21: Palos Community Hospital takes its commitment to serving the uninsured and underinsured members of its community very seriously and as a result has implemented a financial assistance policy that goes above and beyond the requirements of Illinois Public Act 095-0965 "Hospital Uninsured Patient Discount Act". This State Law was enacted with an effective date of April 1, 2009 and required that hospitals offer uninsured patients who met the minimum financial requirements (i.e. earnings less than 600% of the FPG and certain asset limitations) a rate equal to 135% of the hospital's most recently filed Medicare cost to charge ratio. PCH expanded the reach of this policy by extending the minimum financial requirements to 1,000% of the FPG to help more of its community qualify for a financial benefit and giving families that earn a lower percentage of the FPG deeper discounts. This policy was also extended to all clinically necessary procedures and was not limited to emergency care only. Using the FPG, PCH created a set of discounts for patients without insurance that ranged from free care for those who earned less than 200% of the FPG to a 40% discount off of regularly billed charges for any uninsured patient who earned less than 1,000% of the FPG. PCH also created a policy to help those who are underinsured. Similar to its uninsured policy, the underinsured policy creates a set of discounts that can be applied to co-payments and deductibles owed for those patients that earn less than 300% of the FPG. Because PCH's financial assistance policy so generously extends to patients who earn up to 1,000% of the FPG, it is possible that those patients could be responsible for charges that exceed an individual with insurance. If this situation arose, PCH would make every effort to work with the patient to limit their liability to a reasonable amount. | PALOS COMMUNITY HOSPITAL | |
| Part VI, Line 2: PCH consistently seeks to serve the needs of its community in a variety of ways. In order to better identify these needs, PCH teamed with the Metropolitan Chicago Healthcare Council (MCHC) to prepare a Community Health Assessment for the primary counties that PCH serves. This Community Health Assessment is a systematic, data-driven approach to determining the health status, behaviors and needs of residents in Cook, DuPage and Lake counties, Illinois. This Community Health Assessment will serve as a tool toward reaching three basic goals:- To improve residents' health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life.- To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socio-economic factors which have historically had a negative impact on residents' health.- To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care. | ||
| Part VI, Line 3: PCH utilizes several techniques to communicate a patient's eligibility for assistance under various programs. At the time of registration, each patient is referred to a copy of PCH's Charity Care Policy and asked to fill out a simple registration form that may help them qualify for Charity Care. This policy clearly lays out the eligibility requirements and what the patient must do to qualify. Also at registration, any patient without insurance is advised as to what other programs they may qualify for and are given assistance in applying as necessary. PCH employs a company that helps patients apply for Medicaid coverage and SSI disability. Upon discharge, each patient receives a summary bill that includes information related to eligibility for the Charity Care Policy. All inpatients without insurance are visited by a financial counselor who helps direct the patient and their families to the appropriate level of assistance. Signage regarding the charity care policy is posted at all registration areas and in the Emergency department. Finally, PCH proudly displays the assistance polices on their website along with a Charity application form. | ||
| Part VI, Line 4: Palos Community Hospital serves growing communities that expect to experience further growth in the coming years. Communities within the hospital's service area have seen overall growth in population of approximately 7.6% from 2000 to 2011 with a current estimated population of 603,793. Continued growth is anticipated. From 2011 to 2016, the population is expected to reach 624,638. Of those living within the service area of Palos Community Hospital: 50.91% are female87.62% are white82.41% are English-speakingThe median age is 37.74 years31.60% are high school graduates30.12% have had some college, and 28.36% have earned a bachelor's degree or beyond.14.00% of the residents would be considered uninsured or Medicaid eligible.There are no other hospitals located in PCH's primary service area. | ||
| Part VI, Line 5: PCH will assure the availability of quality inpatient, outpatient, emergency and home care services to the community at all times. Access to these services will be determined by clinical presentation and medical needs of the patient without consideration of the patient's ability to pay.PCH will be a resource for health education and wellness initiatives for residents of the service area.PCH will monitor the health care needs of its service area to assure the need for the services it offers and evaluate the opportunity to develop new programs and services as necessary.PCH will work together with and in support of other not-for-profit, educational, governmental, civic or community organizations, as appropriate, to promote health and wellness through awareness, education, research, access or support.PCH will have policies and procedures in place to provide for charity care for patients without financial resources, including the unreimbursed costs of government sponsored indigent health care.PCH will provide language assistance services as necessary to assure effective communication in the delivery of patient care.A majority of the governing body is comprised of persons who reside in the organization's primary service area who are neither employees nor independent contractors of the organization, nor family members thereof.All qualified physicians are eligible for consideration for staff privileges. The hospital applies surplus funds to improve patient care. | ||
| Part VI, Line 6: Palos Community Hospital is not part of an affiliated health care system. | ||
| IL | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Mark Sinibaldi | ||||||||||||||
| Director/Physician | 50000 | 263861 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 14994 | 50000 | 278855 | 0 | 0 |
| Thomas J Lavery | ||||||||||||||
| VP Medical Affairs | 446766 | 0 | 0 | 0 | 17000 | 0 | 18750 | 0 | 18048 | 0 | 500564 | 0 | 0 | 0 |
| David B Manchester | ||||||||||||||
| Interim President and CEO | 389729 | 0 | 0 | 0 | 17000 | 0 | 18750 | 0 | 14754 | 0 | 440233 | 0 | 0 | 0 |
| Hugh A Rose | ||||||||||||||
| VP Finance/CFO | 338232 | 0 | 0 | 0 | 17000 | 0 | 18750 | 0 | 9475 | 0 | 383457 | 0 | 0 | 0 |
| Randall J Oles | ||||||||||||||
| VP Support Services | 313824 | 0 | 0 | 0 | 17000 | 0 | 18750 | 0 | 18859 | 0 | 368433 | 0 | 0 | 0 |
| Timothy J Brosnan | ||||||||||||||
| VP Planning/Community Rela | 331376 | 0 | 0 | 0 | 17000 | 0 | 18750 | 0 | 18859 | 0 | 385985 | 0 | 0 | 0 |
| Marion J Baron | ||||||||||||||
| VP Facilities & System Man | 267905 | 0 | 0 | 0 | 17000 | 0 | 18750 | 0 | 13512 | 0 | 317167 | 0 | 0 | 0 |
| Mary C Denisienko | ||||||||||||||
| VP Human Resources | 245378 | 0 | 0 | 0 | 17000 | 0 | 18750 | 0 | 8922 | 0 | 290050 | 0 | 0 | 0 |
| Rosann S Demask | ||||||||||||||
| VP Nursing | 214487 | 0 | 0 | 0 | 17000 | 0 | 17049 | 0 | 14389 | 0 | 262925 | 0 | 0 | 0 |
| Margaret J Carroll | ||||||||||||||
| Chief Information Officer | 221837 | 0 | 0 | 0 | 17000 | 0 | 17965 | 0 | 18756 | 0 | 275558 | 0 | 0 | 0 |
| Bryan D Counts | ||||||||||||||
| Staff Physician | 202789 | 0 | 0 | 0 | 16510 | 0 | 15653 | 0 | 18142 | 0 | 253094 | 0 | 0 | 0 |
| Arthur M Schroeder | ||||||||||||||
| Staff Physician | 271604 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12515 | 0 | 284119 | 0 | 0 | 0 |
| Mark D Diamond | ||||||||||||||
| Staff Physician | 236122 | 0 | 0 | 0 | 0 | 0 | 6856 | 0 | 17257 | 0 | 260235 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 3 | ReturnReference |
| Explanation | The CEO contract is a management contract with the religious order. The Executive Committee of the Board of Directors has the responsibility for the contract and fees. 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 of our 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. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Ill Fin AuthorityPalos Comm Hospital | ||||||||
| A | 861091967 | 45200B3U0 | 2007-05-17 | 124814955 | Fund construction of parking garage & power plant | 0 | 1 | 0 |
| ILl Fin AuthorityPalos Comm Hospital | ||||||||
| B | 861091967 | 45200F2Z1 | 2010-05-06 | 151146301 | Fund construction of new patient bed pavilion and backfill of current struct | 0 | 1 | 0 |
| Ill Fin AuthorityPalos Comm Hospital | ||||||||
| C | 861091967 | 2010-04-12 | 100000000 | Fund construction of new patient bed pavilion and backfill of current struct | 0 | 1 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 124814955 | 55680574 | 2675871 | 66458510 | 2010 | 1 | 0 | 1 | 1 | |
| B | 157566708 | 1950637 | 155616071 | 2012 | 0 | 0 | 1 | 1 | ||
| C | 100000000 | 500000 | 11420000 | 2013 | 0 | 0 | 0 | 0 | 88080000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Thomas F Courtney Associates | |||
| Thomas F. Courtney, Director, is owner of Thomas F. Courtney & Associates | 172000 | Thomas F. Courtney & Associates assists Palos with collecting certain workers compensation and motor vehicle accident claims | 0 |
| Kathleen Wright | |||
| Sibling of Sister Margaret Wright, CEO | 56993 | Employment | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | St. George Corporation is the sole Corporate Member. |
| Form 990, Part VI, Section A, line 7a | St. George Corporation holds the power to appoint members of the governing body. |
| Form 990, Part VI, Section A, line 7b | St. George Corporation can exercise action on the following matters: (a) removal of directors, with or without cause; (b) all amendments to these bylaws or the Corporation's Articles of Incorporation; (c) The sale or transfer of substantially all of the property of the corporation, except for leases in excess of one year; (d) all long term borrowing in excess of one year; (e) merger or consolidation by the Corporation with any other institution, hospital, corporation or legal entity; (f) formal affiliation with a medical school or research facility; (g) acceptance of any gift, bequest or legacy that imposes a permanent or continuing obligation on the Corporation for a period of more than one year; (h) decisions to authorize voluntary dissolution of the Corporation or to revoke proceedings therefor; (i) adoption of a plan for the distribution of the assets of the Corporation; and (j) any other matters required by law to be submitted to the Corporate Member or which the Board determines by resolution to submit. |
| Form 990, Part VI, Section B, line 11 | Before filing the Form 990, the organization presented the completed Form 990 to the Finance Committee of the Board for their review and approval. After the Finance Committee approved the Form 990, it was submitted to the Board for final approval. |
| Form 990, Part VI, Section B, line 12c | On an annual basis key personnel (VP, department heads (budget administrators)) and all purchasing staff must complete a Conflict of Interest Form disclosing any conflict of interest that may exist or be perceived to exist between themselves and/or family members and vendors, contractors and others PCH has a contract/transaction agreement. These annual disclosure statements are reviewed by the 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 | The CEO contract is a management contract with the religious order. The Executive Committee of the Board of Directors has the responsibility for the contract and fees. 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St George Corporation | |||||||||||
| 12251 S 80th Avenue | Palos Heights | IL | 60463 | 364383840 | Health Care Provider | IL | 501(c)(3) | 11 a, Type I | N/A | 0 | |
| St George Wellness Center | |||||||||||
| 15430 West Avenue | Orland Park | IL | 60462 | 364383845 | Fitness Center | IL | 501(c)(3) | 9 | 0 | St George Corporation | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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