Presence Saint Joseph Hospital Chicago: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Presence Saint Joseph Hospital Chicago (EIN 36-3200170)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201313189349305726
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)
Timestamp2013-11-14T14:52:17-06:00Timestamp
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 Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363200170EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRESENCE SAINT JOSEPH HOSPITAL CHICAGOBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DAVID WRIGLEYInCareOfName
Name ControlPRESNameControl
Phone8478133728Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12900 NORTH LAKESHORE DRIVEAddressLine1
Address Line2SuiteAddressLine2
CityCHICAGOCity
StateILState
ZIP Code60657ZIPCode

Officer Officer

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

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRoberta Luskin-HawkNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12900 North Lakeshore DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60657ZIPCode
FieldValueIRS element (for citing)
Gross Receipts212896560GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.reshealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers110TotalNbrVolunteers
Total Gross UBI143912TotalGrossUBI
Net Unrelated Business Txbl Income1073NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year216206ContributionsGrantsPriorYear
Contributions Grants Current Year990577ContributionsGrantsCurrentYear
Program Service Revenue Prior Year99905353ProgramServiceRevenuePriorYear
Program Service Revenue CY208653589ProgramServiceRevenueCY
Investment Income Prior Year8944InvestmentIncomePriorYear
Investment Income Current Year34581InvestmentIncomeCurrentYear
Other Revenue Prior Year1502237OtherRevenuePriorYear
Other Revenue Current Year3217813OtherRevenueCurrentYear
Total Revenue Prior Year101632740TotalRevenuePriorYear
Total Revenue Current Year212896560TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5166GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year47345351SalariesEtcPriorYear
Salaries Etc Current Year96124607SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year52721708OtherExpensePriorYear
Other Expenses Current Year95330865OtherExpensesCurrentYear
Total Expenses Prior Year100072225TotalExpensesPriorYear
Total Expenses Current Year191455472TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1560515RevenuesLessExpensesPriorYear
Revenues Less Expenses CY21441088RevenuesLessExpensesCY
Total Assets BOY107381212TotalAssetsBOY
Total Assets EOY118480528TotalAssetsEOY
Total Liabilities BOY69210765TotalLiabilitiesBOY
Total Liabilities EOY58868993TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY38170447NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY59611535NetAssetsOrFundBalancesEOY
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
Expense164508074Expense
Revenue208653589Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense164508074TotalProgramServiceExpense
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
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
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
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 CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
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

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
AURORA ABELLA AUSTRIACO
DIRECTOR1.00.0X
LINDSEY ARTOLA
DIRECTOR/SYSTEM CEO APPOINTEE1.040.0X026710550107
MICHAEL BALDINGER MD
DIRECTOR1.00.0X
M TODD GRENDON MD
DIRECTOR1.00.0X
RAYNELDA HIDALGO MD
EX-OFFICIO1.00.0X
NKEMAKOLAM A IROEGBU MD
DIRECTOR/PROGRAM DIRECTOR40.00.0X024812435752
JACQUELINE LOWE
DIRECTOR1.00.0X
ROBERTA LUSKIN-HAWK MD
EX-OFFICIO/CEO40.00.0X041068965437
HONORABLE DIANN MARSALEK
DIRECTOR1.00.0X
STARR NOVAK
DIRECTOR1.040.0X037061471261
DENNIS O'DONNELL
Director1.040.0X027108926253
KATHLEEN RHINE
Director3.040.0X034222767019
JOHN WALTON
Director1.00.0X084727812739
ROBERT PERMUT MD
DIRECTOR1.040.0X070241110695
SANDRA BRUCE
PRESIDENT/CEO1.050.00133783139710X
JEANNIE C FREY
SECRETARY1.050.0052264279530X
JOHN A ORSINI CPA
TREASURER1.040.0060338795694X
CAROL J BUER
VICE PRESIDENT40.00.0023519144594X
WILLIAM J DUFFY
VP PATIENT CARE SVS & CNO40.00.001880139641X
MARK M CONNOLLY
CHAIRMAN40.00.0030770712503X
ABDOL H HOSSEINIAN
CHAIRMAN40.00.0030441137739X
JOEL B SPEAR
CHIEF MEDICAL OFFICER40.00.0027458022245X
BENJAMIN MATSUMOTO
FACULTY INSTRUCTOR40.00.0019595110069X
JOHN W STEINER
VP STRATEGY AND BUSINESS DVLP.40.00.001829099358X
NICOLA BYRNE
ASST. TREAS. (THRU 12/16/11)0.00.0027343731174X
JANET STIFTER
VP, CNO (THRU 8/5/11)0.00.001292156461X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs8014811TotalReportableCompFrmRltdOrgs
Total Other Compensation737981TotalOtherCompensation
Number Individuals GT100 K83NumberIndividualsGT100K
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
US BANK CORPORATE TRUST
PO BOX 70870ST PAULMN551709705Nursing temp agency1057716
MAXIT HEALTHCARE LLC
PO BOX 223866PITTSBURGPA152512866info technology848223
LINCOLN PARK CARDIOVASCULAR THORA
2800 NSHERIDAN RD 209CHICAGOIL60657Cardiovas Service834608
NORTHWESTERN MEDICAL FACULTY FOUNDA
676 ST CLAIR 800CHICAGOIL60611medical service600000
3-DIAMOND HEADACHE CLINIC RESEARCH
1460 N HALSTED ST 5CHICAGOIL60642medical service595672
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations676351RelatedOrganizations
All Other Contributions314226AllOtherContributions
Total Contributions990577TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Service Revenue621990204675331204675331
MEDICARE, MEDICAID MEAN USE90009939782583978258
FieldValueIRS element (for citing)
Total Program Service Revenue208653589TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column34581TotalRevenueColumn
Exclusion$34,581ExclusionAmount

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 ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria7221001296734$1,296,734
PARKING REVENUE812930940451$796,539143912
ALL OTHER REVENUE900099980628$980,628
FieldValueIRS element (for citing)
Total Other Revenue3217813TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column212896560TotalRevenueColumn
Related Or Exempt Function Income208653589RelatedOrExemptFunctionIncome
Unrelated Business Revenue143912UnrelatedBusinessRevenue
Exclusion$3,108,482ExclusionAmount

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)
Total953565Total
Program Services953565ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total79102534Total
Program Services79102534ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2818474Total
Program Services2818474ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7978975Total
Program Services7978975ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5271059Total
Program Services5271059ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total26509813Total
Management And General26509813ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total437585Total
Management And General437585ManagementAndGeneral

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)
Total13570027Total
Program Services13570027ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

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)
Total535518Total
Program Services535518ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total118465Total
Program Services118465ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total2477523Total
Program Services2477523ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9041744Total
Program Services9041744ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total-6567971Total
Program Services-6567971ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL SUPPLIES3122812231228122
IL MEDICAID TAX85207618520761
BAD DEBT EXPENSE26013682601368
UTILITIES24973582497358

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4360552Total
Program Services4360552ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total191455472Total
Program Services164508074ProgramServices
Management And General26947398ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY41927BOY
EOY46538EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY24526785BOY
EOY28400813EOY

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)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4737623BOY
EOY4103454EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4256772BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis125803231LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec62044394LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY66614002BOY
EOY63758837EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

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BOY0BOY
EOY0EOY

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)
BOY7204103BOY
EOY22170886EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY107381212BOY
EOY118480528EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY927193BOY
EOY398993EOY

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)
BOY68283572BOY
EOY58470000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY69210765BOY
EOY58868993EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY38170447BOY
EOY59611535EOY

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)
BOY38170447BOY
EOY59611535EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY107381212BOY
EOY118480528EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses21441088ReconcilationRevenueExpenses
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7327666OtherCostOrOtherBasis
Book Value7327666BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis69462348OtherCostOrOtherBasis
Depreciation24013791Depreciation
Book Value45448557BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8112554OtherCostOrOtherBasis
Depreciation3513825Depreciation
Book Value4598729BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis40900663OtherCostOrOtherBasis
Depreciation34516778Depreciation
Book Value6383885BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings63758837TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
SUNDRY RECEIVABLE741998
REINSURANCE RECEIVABLE1868000
DUE FROM AFFILIATES18650764
CHICAGO INVESTMENT IN MRI600595
FAM HEALTH NETWORK, RHCP BONUS309529
FieldValueIRS element (for citing)
Total Book Value Other Assets22170886TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
SELF INSURANCE LIABILITY$19,499,000
THIRD PARTY LIABILITIES$38,971,000
FieldValueIRS element (for citing)
Total Of Amounts58470000TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart X - FIN 48 FootnoteIdentifier
ExplanationPresence Health care 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. RHC and 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

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.DiscountedOtherPercentage
FieldValueIRS element (for citing)
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 Expense2009628TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2009628NetCommunityBenefitExpense
Percent Of Total Expense0.01060PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense27463900TotalCommunityBenefitExpense
Direct Offsetting Revenue13844984DirectOffsettingRevenue
Net Community Benefit Expense13618916NetCommunityBenefitExpense
Percent Of Total Expense0.07210PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense29473528TotalCommunityBenefitExpense
Direct Offsetting Revenue13844984DirectOffsettingRevenue
Net Community Benefit Expense15628544NetCommunityBenefitExpense
Percent Of Total Expense0.08270PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense593849TotalCommunityBenefitExpense
Direct Offsetting Revenue100DirectOffsettingRevenue
Net Community Benefit Expense593749NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense12589304TotalCommunityBenefitExpense
Direct Offsetting Revenue6317149DirectOffsettingRevenue
Net Community Benefit Expense6272155NetCommunityBenefitExpense
Percent Of Total Expense0.03320PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense23315054TotalCommunityBenefitExpense
Direct Offsetting Revenue17745816DirectOffsettingRevenue
Net Community Benefit Expense5569238NetCommunityBenefitExpense
Percent Of Total Expense0.02950PercentOfTotalExpense

Research Research

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

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense47758TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense47758NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense36545965TotalCommunityBenefitExpense
Direct Offsetting Revenue24063065DirectOffsettingRevenue
Net Community Benefit Expense12482900NetCommunityBenefitExpense
Percent Of Total Expense0.06610PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense66019493TotalCommunityBenefitExpense
Direct Offsetting Revenue37908049DirectOffsettingRevenue
Net Community Benefit Expense28111444NetCommunityBenefitExpense
Percent Of Total Expense0.14880PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense6657TotalCommunityBuildingExpense
Net Community Building Expense6657NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense1642TotalCommunityBuildingExpense
Net Community Building Expense1642NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense5313TotalCommunityBuildingExpense
Net Community Building Expense5313NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense13612TotalCommunityBuildingExpense
Net Community Building Expense13612NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,693,375BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare65504414AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare62364495CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall3139919MedicareSurplusOrShortfall

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 saint joseph hospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12900 N Lake Shore DriveAddressLine1
CitychicagoCity
StateILState
ZIP Code60657ZIPCode
FieldValueIRS element (for citing)
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 Saint Joseph HospitalBusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
OtherXOther
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
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
Other Needs AddressedXOtherNeedsAddressed
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 Line1Laboure ClinicBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12913 North Lakeshore DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60657ZIPCode
FieldValueIRS element (for citing)
Facility TypeClinic providing medical and mental health care for adults and childrenFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (2 entries)

IdentifierIdentifierExplanationExplanation
Part I, Line 3CThis question is not applicable because Presence Health uses the Federal Poverty Guidelines. PART I LINE 6A Presence Health, the parent corporation of Presence Saint Joseph Hospital (PSJH), 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, PSJH publishes a ministry-specific Implementation Strategy which outlines the goals and objectives PSJH 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 990s and Schedule 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 Saint Joseph Hospital has its own ministry link on this page. Through this link, Community Health Needs Assessment (CHNA) documents specific to Presence Saint Joseph Hospital 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 Saint Joseph Hospital to share with the community, which shows the local community benefit contributions, persons served, and the 2013 Prioritized Community Needs. PART I, LINE 7F Per 2012 Instructions for Schedule H (Form 990), the Bad Debt Expense of $2,693,375 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 I, LINE 7 Explanation of costing methodology The cost-to-charge ratio used to determine schedule H, Part I, Lind 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 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 Saint Joseph Hospital 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 Saint Joseph Hospital 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, medicine 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, 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 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. Please see the footnote on page 18 of the attached Audited Financial Statements. PART III, SECTION B, LINE 7 Presence Saint Joseph Hospital 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 be experienced by other than non-profit healthcare organizations. As such, Presence Saint Joseph Hospital 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 PSJH'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 attachment 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, 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 Committee was formed to represent stakeholders within the PSJH community, as well as to provide oversight and input throughout the CHNA process. The committee's role is also to assist in the identification of data-driven community priorities and to engage stakeholders in community solutions through partnerships and collaboration. By taking on a community approach to both the assessment and implementation strategies, the goal is to ensure the data, processes, and outputs add value to all community partners, not just the hosp
Part VI, 6: Affiliated Health Care SystemProvena 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 Holy Family 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

Form990 Schedule J Part II Form990ScheduleJPartII (20 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
LINDSEY ARTOLA
DIRECTOR/SYSTEM CEO APPOINTEE020737700059728027175022932031721200
NKEMAKOLAM A IROEGBU MD
DIRECTOR/PROGRAM DIRECTOR02481240000012406023346028387600
ROBERTA LUSKIN-HAWK MD
EX-OFFICIO/CEO0368662042027000390910263460476126042000
STARR NOVAK
DIRECTOR0340180030434000429150283460441875030415
DENNIS O'DONNELL
Director02410890300000002625003029734200
KATHLEEN RHINE
Director03339730825400043673023346040924608250
JOHN WALTON
Director0253898000593380012500023908600170593380
ROBERT PERMUT MD
DIRECTOR0257273000445138000106950713106045775
SANDRA BRUCE
PRESIDENT/CEO011023040235527000125000272100137754100
JEANNIE C FREY
SECRETARY0488063034579000563930231370602172034579
JOHN A ORSINI CPA
TREASURER0571824031563000741710215230699081031545
CAROL J BUER
VICE PRESIDENT0222179013012000241240204700279785013004
WILLIAM J DUFFY
VP PATIENT CARE SVS & CNO018801300000963803019765400
JANET STIFTER
VP, CNO (THRU 8/5/11)000001292150646100013567600
NICOLA BYRNE
ASST. TREAS. (THRU 12/16/11)05559700021784001232001885403046110217840
MARK M CONNOLLY
CHAIRMAN02677070400000001250003032021000
ABDOL H HOSSEINIAN
CHAIRMAN026547003894100012500025239034215000
JOEL B SPEAR
CHIEF MEDICAL OFFICER02645800100000001250009745029682500
BENJAMIN MATSUMOTO
FACULTY INSTRUCTOR017679801915300096730396020602000
JOHN W STEINER
VP STRATEGY AND BUSINESS DVLP.01829090000091480210019226700

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Supplemental Compensation InformationCompensation 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, PRESENCE RHC Corporation (PRHCC) and PRHCC'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 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. Severance Payments Schedule J, Part I, Line 4a Presence 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 positions 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: JOHN WALTON: $593,380 JANET STIFTER: $129,215 NICOLA BYRNE: $217,840
Payments From a Supplemental Non Qualified Retirement PlanThe following listed individuals participated in the organization's section 457(f) plan and earned unvested benefits during 2012 which are reported in column (C): ROBERTA LUSKIN-HAWK: $26,591 STARR NOVAK: $30,415 DENNIS O'DONNELL: $13,750 KATHLEEN RHINE: $31,173 JEANNIE C. FREY: $43,893 JOHN ORSINI: $61,671 CAROL BUER: $12,900 WILLIAM J. DUFFY: $272 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: ROBERTA LUSKIN-HAWK: $42,027 STARR NOVAK: $30,434 KATHLEEN RHINE: $8,254 SANDRA BRUCE: $235,527 JEANNIE C. FREY: $34,579 JOHN ORSINI: $31,563 CAROL BUER: $13,012Schedule J, Part I, Question 4B

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART I, QUESTION 5, AND PART V, QUESTION 2COMPENSATION AND FORM W-3 TRANSMITTAL OF WAGES AND TAX STATEMENTPresence saint joseph hospital chicago (PSJHC) REPORTS 0 EMPLOYEES ON FORM 990, PART I, QUESTION 5 AND FORM 990, PART V, QUESTION 2A AS IT IS NOT REQUIRED TO FILE FORM W-3, TRANSMITTAL OF WAGES AND TAX STATEMENT. PSJHC'S COMPENSATION IS PAID BY PRESENCE RESURRECTION MEDICAL CENTER (PRMC), which issues the forms W-2 and W-3, and the expense is TRANSFERRED TO PSJHC. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO PSJHC from PRMC. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A FOR 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. FOR THE CALENDAR ENDED DECEMBER 2012, THE HOSPITAL PROVIDED PATIENT CARE OF 61,714 PATIENT DAYS. ADMISSIONS TOTALED 12,277. THERE WERE 3,302 REHAB PATIENT DAYS AND 314 REHAB ADMISSIONS. THERE WERE 9,216 PSYCH PATIENT DAYS AND 1,363 PSYCH ADMISSIONS. THERE WERE 20,222 EMERGENCY ROOM VISITS, 112,836 OUTPATIENT VISITS, AND 7,021 SURGERIES. PRESENCE SAINT JOSEPH HOSPITAL CHICAGO, FOUNDED IN 1868 BY THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, IS A FULL SERVICE HEALTH CARE FACILITY SERVING CHICAGO'S NORTH SIDE. WITH OVER 130 YEARS OF SERVICE, PRESENCE SAINT JOSEPH HOSPITAL CHICAGO HAS A HIGHLY TRAINED TEAM OF EXPERTS WITH SPECIALTIES INCLUDING CANCER CARE AND DIAGNOSTIC IMAGING SERVICES WITH OPEN AND CLOSED MRI. FORM 990, PART V, QUESTION 1A FORM 1096 TRANSMITTAL OF U.S. INFORMATION RETURNS Presence saint joseph hospital chicago (PSJHC) REPORTS 0 ON FORM 990, PART V, QUESTION 1A AS IT IS NOT REQUIRED TO FILE FORM 1096, TRANSMITTAL OF U.S. INFORMATION RETURNS. ALL OF PSJHC'S ACCOUNTS PAYABLE REPORTABLE ON FORM 1096 ARE PAID BY PRESENCE RESURRECTION MEDICAL CENTER (PRMC), which issues all forms 1099, AND THE expense IS TRANSFERRED TO PSJHC. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO PSJHC FROM PRMC. Form 990, part vi, question 4 Changes to organizational documents The articles and bylaws of this corporation were amended effective AUGUST 30, 2012, to change the corporation's name to Presence saint Joseph Hospital Chicago. FORM 990, PART VI, QUESTION 6 MEMBERS OR SHAREHOLDERS Presence saint joseph hospital chicago HAS ONE MEMBER, PRESENCE RHC CORPORATION. FORM 990, PART VI, QUESTION 7A PERSONS WITH AUTHORITY TO ELECT MEMBERS OF THE GOVERNING BODY THE SOLE MEMBER, PRESENCE RHC CORPORATION, HAS THE POWER TO APPOINT MEMBERS OF THE GOVERNING BODY, OTHER THAN EX-OFFICIO DIRECTORS.
FORM 990, PART VI, QUESTION 7BDECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERSPRESENCE 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 CORPORATION'S 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 CORPORATION'S 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 CORPORATION'S AFFILIATE, THE RESURRECTION DEVELOPMENT FOUNDATION, AS CONSISTENT WITH THE CORPORATION'S AND SYSTEM'S 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, PART VI, QUESTION 11B FORM 990 REVIEW PROCESS THE 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.
FORM 990, PART VI, LINE 12CPROCEDURES FOR ADDRESSING CONFLICTS OF INTERESTTHE 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.
FORM 990 PART VI, QUESTIONS 15A AND 15B, AND PART V, QUESTION 2ACOMPENSATION AND APPROVAL PROCESS FOR OFFICERS AND KEY EMPLOYEESCOMPENSATION 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, PRESENCE RHC CORPORATION (PRHCC) AND PRHCC'S 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. FORM 990, PART VI, LINE 19 DOCUMENT AVAILABILITY THE CORPORATION'S 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 current policy is annually included in schedule o of the corporation's form 990. FORM 990, PART VII, SECTIONS A & B COMMON PAYMASTER PRESENCE RESURRECTION MEDICAL CENTER (PRMC) FEIN 36-3330926 ACTS AS THE AGENT FOR Presence saint joseph hospital chicago (PSJHC). CASH IS SWEPT FROM PSJHC ON A DAILY BASIS TO PRMC AND PRMC ISSUES ALL PAYROLL AND ACCOUNTS PAYABLE CHECKS ON BEHALF OF AND AS AGENT FOR PSJHC and APPROPRIATE ACCOUNTING ENTRIES ARE RECORDED. FORM 990, PART XI, LINE 5 UNREALIZED GAINS AND LOSSES THE 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. FORM 990, PART XII, LINE 2B AUDITED FINANCIAL STATEMENTS PRESENCE 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 MED CNTR
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 THE 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 DEVELOP FNDN 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
PRESENCE RESURRECTION MED CNTR
7435 WEST TALCOTT AVENUECHICAGOIL60631363330926HEALTH CAREIL501(C)(3)3PRHCCtrue
PRESENCE 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 SAINT FRANCIS HOSPITAL
355 RIDGE AVENUEEVANSTONIL60202362167800HEALTH CAREIL501(C)(3)3PRHCCtrue
SAINT FRANCIS HOSPITAL AUX OF EVAN
355 RIDGE AVENUEEVANSTONIL60202366143349FUNDRAISINGIL501(C)(3)7PSFHtrue
PRESENCE ST MARY AND ELIZABETH MED CNTR
2233 WEST DIVISION STREETCHICAGOIL60622362171079HEALTH 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 StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
RH SLEEP CTR LP
665 W N AVELOMBARDIL60148261519667SLEEP CENTERILN/A
RH SLEEP CTR EVAN
665 W N AVELOMBARDIL60148261519556SLEEP CENTERILN/A
RH SLEEP CTR CHI NW
665 W N AVELOMBARDIL60148261519627SLEEP CENTERILN/A
RH SLEEP CTR RF
665 W N AVELOMBARDIL60148262819763SLEEP CENTERILN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
L Gilbraith Insurance SPC LTD
68 W Bay Rd PO Box 1109Grand CaymanCJInsuranceCJPRHCCForeign Company00false
Provena Assurance Corporation
MedicalPPRVHC Corp00false9223 W St Francis RoadFrankfortIL60423980420054IL
Presence Properties Inc
MedicalPPRVHC Corp00false9223 W St Francis RoadFrankfortIL60423363520630IL
Presence Service Corporation
MedicalPHPRVC Corp00false9223 W St Francis RoadFrankfortIL60423364314354IL
Presence Ventures Inc
MedicalPPRVHC Corp00false9223 W St Francis RoadFrankfortIL60423371168085IL
Resurrection Health Care Preferred
MGD Care ContractPRHCCC Corp00false100 North River RoadDes PlainesIL60016363974620IL
Resurrection Medical Center Auxiliary
FundraisingNAC Corp00false7435 West Talcott AvenueChicagoIL60631366109825IL
Resurrection Ministries of New York
Parent CorpPRHCCC Corp00false90 North Main StreetCastletonIL12033141720818NY
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 OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
PRESENCE RESURRECTION DEVELOPMENT FOUNDATION
C673281CASH
PRESENCE RESURRECTION MEDICAL CENTER
p205874769FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule R, Part VIdentifier
Return ReferenceReimbursements for Shared ServicesReturnReference
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

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