2013-11-15T15:12:32-06:00 2012-12-31 KPMG LLP 191 West Nationwide Blvd Ste 500 Columbus OH 432152568 990 2012-01-01 371127787 PRESENCE LIFE CONNECTIONS % PATRICK QUINN PRES 7084787900 19065 HICKORY CREEK DRIVE Suite STE 310 MOKENA IL 60448 Connie March 7084786300 2013-08-13 true 6142492300 2012 2016-02-25 16:41:14Z CONNIE MARCH-CURTIS 19065 HICKORY CREEK DRIVE Mokena IL 60448 112987114 false X http://www.provena.org/seniors X 1997 IL Presence Life Connections PROVIDES CARE TO THE ELDERLY in communities primarily in Northern and Central Illinois through long-term care and senior residential properties it owns and operates. 13 11 2348 110 171579 99984 1025624 3832305 87821832 106131412 143545 436242 2451611 2545053 91442612 112945012 0 0 0 0 59026248 59106968 0 0 42102 27197480 47194784 86223728 106301752 5218884 6643260 85363679 92640917 14244402 15590831 71119277 77050086 X PROVIDES CARE TO THE ELDERLY AND OWNS AND OPERATES 10 NURSING HOMES, FOUR INDEPENDENT LIVING FACILITIES, TWO ASSISTED LIVING FACILITIES, FOUR ADULT DAYCARE CENTERS, TWO COMMUNITY SERVICE FACILITIES, AND ONE OUTPATIENT PHARMACY IN NORTHERN AND CENTRAL ILLINOIS AND INDIANA. false false 95321618 91023025 Presence Life Connections PROVIDES NURSING CARE FOR LONG-TERM RESIDENTS WHO NEED ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. 5571721 6774516 Presence Life Connections OPERATES 17 LONG-TERM CARE SENIOR RESIDENTIAL AND COMMUNITY-BASED SERVICE CAMPUSES. FACILITIES ARE LOCATED IN NORTHERN ILLINOIS WITH ONE LOCATION IN INDIANA. 3240270 6920061 Presence Life Connections OPERATES A PHARMACY IN KANKAKEE, IL THAT IS ONLY AVAILABLE TO ITS RESIDENTS. 1988977 1413810 106122586 true true false false false false false false false false true false false false true true false true false false false false false false true false false false false true false false false false false false false false false false false false false true false false false true 246 0 true 2348 true true true false false false false false false false false false X 13 11 false false false false true true true true true false true true true true true true true true true true false IL X X PATRICK QUINN 8158062328 9223 WEST ST FRANCIS ROAD Frankfort IL 604238334 DENNIS SONNENBERG 0.0 1.0 X X TIM PHILLIPpE 1.0 X X PATRICIA GOMEZ 1.0 X CONNIE S MARCH 20.0 20.0 X X 455318 0 21700 THERESA KWIATKOWSKI 1.0 X Nancy T Dowd 1.0 X Florida Freeman 1.0 X Sr Marie Mason 1.0 X X Sallie Miller 1.0 X X Phyllis Nichols 1.0 X Thomas E Smith 1.0 X James C Hagen 1.0 X Paul Skiem 1.0 X 0 411955 75891 CRAIG CULVER 20.0 20.0 X 86499 19444 DAVID HOWARD 20.0 20.0 X 203708 15092 KATHY DENNIS 20.0 20.0 X 171580 27713 WENDELL PROVOST 20.0 20.0 X 206923 26872 mike gordon 20.0 20.0 X 245725 40422 Susan Enright 20.0 20.0 X 178681 25710 NANCY GARCIA 20.0 20.0 X 129845 17733 Anthony Filer 20.0 20.0 X 769802 123823 Peter Goschy 20.0 20.0 X 189954 39445 Michael Born 40.0 X 133084 18254 Lynda Olinski 40.0 X 124674 7780 Craig Prokupek 40.0 X 115984 18180 Delicia Rucker 40.0 X 114738 23112 Miriam Simerly 40.0 X 111892 23338 3238407 411955 524509 21 false true false Select Rehabilitation INC 550 Frontage Road Suite 2415 NORTHFIELD IL 60093 Therapy Services 8690901 Scandroli Construction Corp 823 N Madison St ROCKFORD IL 61107 construction 1884914 BLDD Architects Inc 100 Merchant Street DECATUR IL 62523 architecture srvc 276388 scriptfleet great lakes po box 2513 ORLANDO FL 32802 delivery service 223284 lamp inc 460 n grove ave ELGIN IL 60123 construction 209445 5 3832305 3832305 NET PATIENT REV. 900099 34706240 34706240 MEDICARE/MEDICAID PAYMENTS 900099 71425172 71425172 106131412 436042 436042 0 0 0 0 0 200 0 200 200 200 139960 42102 97858 97858 0 0 CHILD CARE 900099 596911 596911 OTHER CARE FEES (HOUSING) 900099 408650 408650 CAFE 900099 344817 344817 1096817 171579 925238 2447195 112945012 106131412 171579 2809716 0 0 0 0 2447584 2447584 0 45139737 45039586 100151 1661582 1657959 3623 6221877 6257514 -35637 3636188 3638503 -2315 429145 427319 1826 90598 90558 40 69564 68103 1461 0 0 0 0 0 0 0 0 4154806 4146108 8698 0 0 0 2647628 2647628 1926064 1926064 4020556 4019845 711 1740243 1740393 -150 SUPPLIES & DRUGS 11957030 11955409 1621 PURCHASED SERVICES 10296509 10288873 7636 FOOD 3514323 3513463 860 FEDERAL & STATE TAX 44100 44100 6304218 6257677 4439 42102 106301752 106122586 137064 42102 0 0 10199518 13364734 0 0 14237955 19126354 0 0 0 0 0 0 788723 652763 202376 116184 112222670 62295376 49939976 49927294 7767990 8439317 0 0 0 0 0 0 2227141 1014271 85363679 92640917 10330629 11963536 0 0 330093 310431 0 0 0 0 0 0 1094537 1036325 0 0 2489143 2280539 14244402 15590831 X 69941648 73031131 934365 3775691 243264 243264 71119277 77050086 85363679 92640917 X 6643260 352616 -1065067 X false true X true false X 1609410 3398988 977833 1025624 777932 7789787 87422313 89935403 84294929 87821832 106131412 455605889 1446991 794261 684138 678350 694769 4298509 0 0 90478714 94128652 85956900 89525806 107604113 467694185 0 0 0 467694185 433325 278232 361048 251756 436042 1760403 65134 43561 73477 57825 77739 317736 498459 321793 434525 309581 513781 2078139 0 1204250 2186245 2185302 1667984 1607041 8850822 92181423 96636690 88576727 91503371 109724935 478623146 0.97717 0.97435 0.00434 0.00601 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 4046124 4046124 0 83065955 47332730 35733225 0 1987808 1610374 377434 0 19565514 13352272 6213242 0 3557269 3557269 49927294 0 RESIDENT DEPOSITS 443286 DUE TO AFFILIATES 816379 DEFERRED COMPENSATION 418087 OTHER CURRENT LIABILITIES 164043 CONDITIONAL ASSET RETIREMENT 438744 2280539 X Supplemental Information On January 1, 2008, Presence adopted ASC Subtopic 740-10 Income Taxes- Overall, which addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under ASC Subtopic 740-10, Presence may 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. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. ASC Subtopic 740-10 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods and requires increased disclosures. At the date of adoption, and as of December 31, 2012, Presence does not have any liabilities for any unrecognized tax benefits. Dancing W/Stars 44211 44211 12675 Golf Outing 77434 77434 24026 2 18315 18315 5401 139960 139960 42102 42102 97858 X X X X X false false false false false false false false false CONNIE S MARCH 318406 0 0 0 136912 0 0 0 22596 0 477914 0 19138 0 DAVID HOWARD 185578 14526 3604 14780 312 218800 0 KATHY DENNIS 156924 11994 2662 12487 15226 199293 WENDELL PROVOST 185700 14989 6234 0 0 206923 0 mike gordon 198787 0 46938 0 0 245725 0 Susan Enright 168044 10303 334 11705 14005 204391 0 Anthony Filer 633416 0 136386 78612 46124 894538 0 Peter Goschy 182921 7033 16781 22664 229399 Michael Born 134588 0 -1504 8270 9984 151338 0 Paul Skiem 0 367945 0 44010 0 0 0 55652 0 20239 0 487846 0 41160 FORM 990 PART VI SECTION A, QUESTIONS 6 PRESENCE PRV HEALTH IS THE SOLE MEMBER OF PRESENCE LIFE CONNECTIONS. FORM 990 PART VI SECTION A, QUESTIONS 7A & 7B PRESENCE LIFE CONNECTIONS' PARENT ORGANIZATION, PRESENCE PRV HEALTH, APPOINTS THE BOARD MEMBERS OF PRESENCE LIFE CONNECTIONS. FORM 990 PART VI SECTION A, QUESTION 11B THE DATA AND INFORMATION NECESSARY TO PREPARE THE FORM 990 WAS COMPILED BY PRESENCE LIFE CONNECTIONS. KPMG, AS EXTERNAL TAX PREPARERS, USED THIS INFORMATION TO PREPARE THE FORM 990. THE FINAL FORM 990 IS PROVIDED TO THE CORPORATION'S BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990 PART VI SECTION B, QUESTIONS 12A, 12B, & 12C The conflict of interest policy is monitored by the Presence Life Connections compliance officer. Pursuant to the policy, an annual conflict of interest questionnaire, aimed at determining any family and business relationship transactions or other transactions that may pose a potential conflict, is distributed to all covered persons (i.e., board members, officers and executive leadership or key employees). Covered persons are required to complete the questionnaire and disclose real or potential conflicts at the time when such conflicts arise. When someone becomes a covered person and annually thereafter, each covered person is required to sign a statement affirming that he/she: (1) has received a copy of the conflict of interest policy;(2) has read the policy and understands said policy; and (3) agrees to comply with all requirements of the policy, including completing the conflict of interest questionnaire. The completed questionnaires are reviewed by the finance and administration department. The procedures for addressing any conflict of interest includes, but is not limited to, the following: (1) the conflicting interest is fully disclosed to the board; (2) the interested person responds to factual questions related to the substance of the transaction or arrangement being considered, after which he/she shall leave the meeting; (3) the person with the conflict of interest is excluded from the discussion and approval of such transaction; (4) alternatives to the proposed transaction are investigated, competitive bids or comparable valuations are obtained; (5) any conflicting issues during the course of a board meeting which cannot be resolved is referred to the governance committee; and (6) the transaction or action must be approved by a majority of disinterested persons. FORM 990 PART VI SECTION B, QUESTIONS 15A & 15B THE COMPENSATION COMMITTEE OR OTHER AUTHORIZED COMMITTEE OF THE BOARD, NONE OF WHICH HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT, WAS ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR THE CEO AND KEY EMPLOYEES. THE COMMITTEE DEVELOPED, CONSISTENT WITH PRESENCE HOSPITAL PRV'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR THE CEO AND KEY EMPLOYEES. THE COMMITTEE ALSO REVIEWED APPROPRIATE COMPARABILITY DATA PREPARED BY AN INDEPENDENT CONSULTANT THAT UTILIZED NATIONAL NONPROFIT COMPENSATION SURVEYS IN DETERMINING THE CEO'S AND KEY EMPLOYEES' COMPENSATIONS. THE COMMITTEE'S WRITTEN RECORDS INCLUDE THE (1) TERMS OF THE ARRANGEMENT WITH THE DISQUALIFIED PERSON (INCLUDING THE DATE THE ARRANGEMENT WAS APPROVED); AND (2) A DESCRIPTION OF THE COMPARABLE DATA RELIED ON BY THE COMMITTEE. KEY DELIBERATIONS OF THE COMMITTEE, INCLUDING: (A) THE TERMS OF THE TRANSACTION THAT WAS APPROVED AND THE DATE IT WAS APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DEBATE ON THE TRANSACTION THAT WAS APPROVED AND THOSE WHO VOTED ON IT; (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED; AND (D) ANY ACTIONS TAKEN WITH RESPECT TO CONSIDERATION OF THE TRANSACTION BY ANYONE WHO IS OTHERWISE A MEMBER OF THE COMMITTEE BUT WHO HAD A CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION ARE ALSO DOCUMENTED IN MINUTES, WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING. FORM 990 PART VI SECTION C, QUESTION 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE ON THE ORGANIZATION'S WEBSITE. Form 990 Part XI, Line 5 Change in net assets Transfers to Affiliates (967,209) Net Fundraising Income (97,858) ------------ Total Changes in Net Assets -1,065,067 Presence RHC Corporation 7435 WEST TALCOTT AVENUE CHICAGO IL 60631 362235165 Parent Corp IL 501(C)(3) 7 RHCC false Presence Resurrection Medical Center 7435 WEST TALCOTT AVENUE CHICAGO IL 60631 363330926 HEALTH CARE IL 501(C)(3) 3 rhcc false Presence Our Lady-Resurrection Med Ctr 5645 WEST ADDISON STREET CHICAGO IL 60634 362644178 HEALTH CARE IL 501(C)(3) 3 rhcc false Presence Health Network 7435 WEST TALCOTT AVENUE CHICAGO IL 60631 361649520 HEALTH CARE IL 501(C)(3) 3 rhcc false Presence Saint Francis Hospital 355 RIDGE AVENUE EVANSTON IL 60202 362167800 HEALTH CARE IL 501(C)(3) 3 rhcc false PRESENCE SAINT MARY & ELIZABETH MED CTR 2233 WEST DIVISION STREET CHICAGO IL 60622 362171079 HEALTH CARE IL 501(C)(3) 3 RHCC false Presence Holy Family Medical Center 100 n RIVER ROAD DES PLAINES IL 60016 362439318 HEALTH CARE IL 501(C)(3) 3 rhcc false mEDICARE vALUE Partners 100 N River Road Des Plaines IL 60016 363495969 health care IL 501(C)(3) 3 rhcc false Presence Saint Joeseph Hospital-Chicago 2900 North Lake Shore Drive chicago IL 60657 363200170 health care IL 501(C)(3) 3 rhcc false Resurrection University 7435 West Talcott Avenue chicago IL 60631 362182170 health care IL 501(C)(3) 3 rhcc false Presence Ambulatory Services 7435 West Talcott Avenue Chicago IL 60631 364286236 health care IL 501(C)(3) 3 rhcc false Presence RHC Senior Services 7435 West Talcott Avenue chicago IL 60631 237061646 senior living IL 501(C)(3) 3 rhcc false Presence Healthcare Services 7447 West Talcott Avenue chicago IL 60631 363330928 health care IL 501(C)(3) 3 rhcc false Proviso Family Services 1820 South 25th Avenue broadview IL 60155 362709982 health care IL 501(C)(3) 3 res service false Presence Home Care Services 5747 West Dempster morton grove IL 60053 362893936 home care IL 501(C)(3) 3 Resur Health false Resurrection Development Foundation 150 N River Road des plaines IL 60016 363330929 fundraising IL 501(C)(3) 7 Resur Health false Resurrection Ministries of New York 90 N Main Street castelton NY 12033 141720818 parent corp NY 501(C)(3) 3 Resur Health false Resurrection Nursing Home Inc 90 N Main Street castelton NY 12033 141348691 senior living NY 501(C)(3) 3 Resur Min NY false Mount Loretto Nursing Home Inc 302 Swart Hill Road amsterdam NY 12010 141363014 senior living NY 501(C)(3) 3 Resur Min NY false Resurrection Medical Center Auxiliary 7435 West Talcott Avenue chicago IL 60631 366109825 fundraising IL 501(C)(3) 7 Resur MedCtr false Saint Francis Hospital Auxiliary 355 Ridge Avenue evanston IL 60202 366143349 fundraising IL 501(C)(3) 7 St Fran Hosp false Presence Hospital PRV 9223 w st francis road frankfort IL 60423 364195126 healthcare IL 501(C)(3) 3 prs prv heal false Presence PRV Health 9223 W St Francis Road Frankfort IL 60423 363366652 Support Org IL 501(C)(3) 11A Pres Health false provena care home 19065 hickory creek drive mokena IL 60448 460483587 healthcare IL 501(C)(3) 9 plc true Presence Home Care 19065 hickory creek drive mokena IL 60448 460483581 healthcare IL 501(C)(3) 9 plc true provena self-insurance trust 9223 west st st francis road frankfort IL 60423 362987310 healthcare IL 501(C)(3) 9 prs prv heal false provena laverna terrace 19065 hickory creek drive mokena IL 60448 363438977 healthcare IL 501(C)(3) 9 prs prv heal false PROVENA VENTURES 9223 WEST ST FRANCIS ROAD FRANKFORT IL 60423 371168085 MEDICAL IL PRS PRV HEAL C CORP false PROVENA SERVICE CORPORATION 9223 WEST ST FRANCIS ROAD FRANKFORT IL 60423 364314354 MEDICAL IL pRES hOSP PRV C CORP false PRESENCE PROPERTIES INC 9223 WEST ST FRANCIS ROAD FRANKFORT IL 60423 363520630 MEDICAL IL PRESENCE VENTUR C CORP false PROVENA HEALTH ASSURANCE SPC 980420054 SELF-INSUR IL PRES PRV HEALTH C CORP false L Gilbraith Insurance SPC LTD 68 West Bay Road PO Box 1109 FRANKFORT IL 60423 980420054 Medical IL NA C Corp false Resurrection Health care Preferred 100 N River Road Des Plaines IL 60016 363974620 MGD Care Cont IL RHCC false Presence Health Partners 200 s wacker drive chicago IL 60606 463111349 insurance hold co IL ph network c corp false false false false false false false false false false false false false false true true false true false