2012-05-17T16:33:53-07:00 2011-06-30 990 2010-07-01 362439318 Holy Family Medical Center HOLY 8478133725 100 N River Road Des Plaines IL 60016 John AOrsini CPA 2012-05-17 2010 2016-02-24 21:20:13Z John Baird 100 N River Rd Des Plaines IL 60016 80568413 false false 0928 X www.reshealth.org X 1958 IL Resurrection Health Care exists to witness God's sustaining love through compassionate. family centered care. Motivated by a reverence for life and respect for those we serve, we are committed to improving the health and well-being of our community. 7 2 0 80 36512 215261 52800 89760649 79194568 -332917 -247059 776667 1321045 90419660 80321354 0 0 40470175 40246411 0 0 42214166 29069432 82684341 69315843 7735319 11005511 47777967 53332465 80253038 74802021 -32475071 -21469556 Resurrection Health Care exists to witness God's sustaining love through compassionate. family centered care. Motivated by a reverence for life and respect for those we serve, we are committed to improving the health and well-being of our community. false false 62042781 80321354 Holy Family provided patient care of 35,101 Inpatient days and 22,391 Outpatient visits during FY2011. Surgeries totaled 1,636. 62042781 true true false false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false false false false true false false false false true 0 0 false 0 false true true false false false false false false false false false 0 false false false false false false false false false false false X 7 2 false false false false true true true true true false false false false true true true true true true true false false X David Wrigley 8478133728 100 N River Road Des Plaines IL 60016 Tom Capobianco 0.00 X 0 694184 42637 Timothy Cahill DO 11.00 X 0 28215 0 Thelma Lacson 40.00 X 0 115853 20335 Stephen J Talty 3.00 X 0 54587 0 Sister Kathleen Ann Stadler CS 1.00 X 0 0 0 Sandra Bruce 1.00 X 0 903163 30928 Pamela S Bell 40.00 X 0 154010 19402 Nicola Byrne 1.00 X 0 225462 26915 Marti Edwards 40.00 X 0 161959 30557 Mannish Tanna MD 1.00 X 0 16625 0 Mahendra C Patel 40.00 X 0 113279 6783 Keith Bakken 40.00 X 0 109977 25145 John Walton 1.00 X X 0 638238 103181 John Heller III MHA MPA 1.00 X 0 0 0 John Baird 40.00 X X 0 342512 74949 John A Orsini CPA 1.00 X 0 327558 56589 Jeannie Frey 1.00 X 0 439590 81847 James Sykes 1.00 X 0 224381 31001 Ellen Ho 40.00 X 0 140282 20175 4689875 570444 0 true true false US Bank Corporate TrustShiftwise POBox 70870 St Paul MN 55170 Temporary Labor 120923 Gerotec Inc PO Box 43 Highland Park IL 60035 Management Services 217474 GE Healthcare PO Box 96483 Chicago IL 60693 Medical Services 1131828 Elgin Laboratory Physicians Ltd 77 North Airlite St Elgin IL 60123 Physician Services 160450 AlholmMonahan KlaukeHayOldenburg 221 N Lasalle St Suite 450 Chicago IL 60601 Legal Services 108615 5 52800 52800 REFERENCE LAB 621500 36512 36512 NET PATIENT SERVICE REV 622110 79158056 79158056 79194568 0 0 0 764835 764835 764835 764835 247059 -247059 -247059 -247059 0 0 0 Other Revenue 556210 556210 556210 80321354 78910997 36512 1321045 0 0 0 0 609977 609977 0 31096598 31096598 2066330 2066330 4223369 4223369 2250137 2250137 7273062 7273062 0 0 0 0 0 1748037 1748037 87373 87373 133214 133214 0 0 1848884 1848884 114274 114274 0 0 1341271 1341271 0 4556383 4556383 194525 194525 Supplies 8544925 8544925 Repairs 380689 380689 Purchased Services 2633696 2633696 Other Expenses 2239679 2239679 IL Medicaid Tax 2869296 2869296 -4895876 -4895876 69315843 62042781 7273062 0 0 1226607 1254070 0 15268547 22042641 0 0 0 1105030 905340 1146536 1055903 123264221 95311749 28980638 27952472 0 0 0 0 50609 122039 47777967 53332465 10956406 9437253 30750771 29680013 38545861 35684755 80253038 74802021 X -32475071 -21469556 -32475071 -21469556 47777967 53332465 X 11005511 4 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 342000 342000 86758806 66510171 20248635 4077827 3887423 190404 32085588 24914155 7171433 27952472 Self insurance liability 5058398 Due to affiliates 30626357 35684755 Part X Part X : FIN48 Footnote RHC 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. 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100 N River Rd Des Plaines IL 60016

X X Specializes in Acute Long Term Care Holy Family Medical Center 1 Part VI - Additional Information Part II Describe how community building activities promoted the health of the communities it serves.continueThese community building, health improvement and collaborative efforts indicate our belief that our community responsibilities extend well beyond the walls of our facility.Other examples of community building activities include: "The e-CARES program in which connections are made between employees who wish to donate used household items and community members who are suffering from economic distress and hardships and who could use these donated items. Employees have connected directly with the marginalized individuals in the community to donate furniture, appliances, clothing, food and other items of need."Holy Family Medical Center, through the parent corporation, maintains an ongoing partnership with Hospital Sisters Mission Outreach whose mission is the recovery and responsible redistribution of healthcare equipment and supplies to developing countries. The commitment attributes to local community health by being good stewards of our community resources and not contributing to the landfills within our communities. In addition, this activity promotes the health of the community that receives the equipment and supplies by giving them the tools that they need to better meet the health needs of their community. The Resurrection Health Care Mission statement declares that "motivated by a reverence for life and respect for those we serve, we are committed to improving the health and well-being of our community". Holy Family Medical Center strives to uphold its Mission.Part VI, 2: Needs Assessment continue..-RES-INFO is a widely utilized Resurrection Health Care telephone service/contact center that provides nurse advice, physician referrals, health information and health care class registrations to callers. Staffed by clinicians and other professionals, community members access RES-INFO by utilizing a toll-free number and the RHC Website. Summary reports indicate the types of health care providers callers seek, the symptoms they need assistance with, the health information they are seeking, and the health classes and seminars they would like to take. -The Resurrection Health Care Website (www.reshealth.org) provides an online health information library as well as information related to the full continuum of available health care services, the Resurrection financial assistance program, educational programs and screenings, an online physician search and online job application system, to name a few of the available topics. A parallel version of the site is also available in Spanish. Regular review of site usage statistics provides useful information about the health concerns of website visitors.-Resurrection Health Care clinical educators, health educators and physicians supply significant empirical research on the needs of the community. Resurrection Health Care operates several clinics in and around each hospital. Clinical and professional staffs also obtain patient data through health education, health screenings, health fairs and other clinical encounters. Part VI, 4 Community Information.continueWithin the Holy Family Medical Center core community, 13 % of the population is uninsured based on 2007 data. Des Plaines has the highest number of uninsured (10,698) within the core communityPart VI, 5 Promotion of Community Health..continueFinally, Holy Family Medical Center offers health and wellness fairs. Although these fairs are open to everyone in the community, they provide a significant source of information about personal health risk indicators as well as follow-up information, health resources and references to poor and low income individuals who have no other resource for this basic health care information. These programs are often sponsored by local elected officials (Mayors, Aldermen, and Congressmen) or local churches and congregations with Holy Family Medical Center providing the health care resources (staff, supplies, information, etc.). Part V - Explanation of Number of Facility Type Holy Family Medical Center does not have any organizations that are not licensed. Part VI - States Where Community Benefit Report Filed IL Part VI - Affilated Health Care System Roles and Promotion Effective March 1, 2001, the Sisters of the Holy Family of Nazareth and the Sisters of the Resurrection began the co-sponsorship of Resurrection Health Care in order to assure the provision of ongoing quality healthcare services to the communities served by the sponsors. A single governance structure for the system includes board members from the community, physicians, senior officers and external business and health care executives with an interest in serving Resurrection Health Care's communities.Resurrection Health Care is the parent corporation of all subsidiary corporations including, but not limited to, our Hospital Corporations, Resurrection Senior Services, Resurrection Services (including all ambulatory corporations), Resurrection Home Health Services, Resurrection Behavioral Health and Resurrection Development Foundation, to name the most significant ministries. Resurrection Health Care provides acute healthcare, acute long term care, long-term care services, behavioral health services and ambulatory care services to communities primarily located in north and northwest Chicago, at various locations throughout Cook County in Illinois.All Resurrection Health Care acute care facilities have robust community relations and patient and family focused care initiatives. While each community is different, similar methods of community engagement are employed at each hospital. Also, the Resurrection Development Foundation is an Illinois not-for-profit corporation organized to solicit, receive and account for charitable contributions that benefit all Resurrection Health Care entities. The mission of the Foundation is to build relationships and develop partnerships across Chicago to enhance Catholic-sponsored health care services to all who need them.In addition, through its affiliations with area medical schools, Saints Mary and Elizabeth Medical Center offers residency programs in family medicine and podiatry.From the very beginnings of our various ministries decades ago, Resurrection Health Care has been called to be much more than a just a provider of health services. Resurrection Health Care strives to live out its Mission every day for every patient or resident. It has communicated its mandate to all of its ministries that we are committed to responding to the needs of those we are privileged to serve. Our vision is to 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. In addition, the Sponsoring Congregations of Resurrection Health Care have promulgated criteria (called Sponsor Expectations) that are directed toward the governance and management of all affiliated corporations and provide guidance for decisions, policies and everyday practices. Sponsor Expectation 7 stipulates that "Resurrection Health Care will be a moral force in society, working with other organizations to address the needs of the poor and the marginalized and affect the change needed to insure that all will have access to safe, quality health care across the continuum of care."Finally, it is the expectation of our Sponsors that every affiliate corporation live out our Mission mandate: "Motivated by a reverence for life and respect for those we serve, we are committed to improving the health and well-being of our community." Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Resurrection Health Care Hospitals are faith based ministries that provide services based upon the ethical and religious directives of the Catholic Church. Resurrection Health Care operates five acute care hospitals and one long term acute care hospital. Resurrection Health Care's hospitals enhance the public health of our communities by:1.Ensuring our medical staff is open to all qualified physicians,2.All of our hospitals are accredited and in good standing with the Healthcare Facilities Accreditation Program (HFAP)3.Ensuring our board of directors is diverse and able to provide expertise, and made up of independent members of the communities we serve. Our board members must follow a conflict of interest policy.4.Surplus funds are reinvested into the organization to improve patient care though new programs and technology.5.Provide financial assistance and sliding scale discounts and have collection practices that are in compliance with state and federal guideline. In addition, we follow the financial assistance and charity guidelines of the Catholic Health Association.6.We participate in all government sponsored health care programs, Medicare, Medicaid, CHAMPUS, Tricare, SCHIP and others.7.We provide emergency room services in all of our communities and provide training to local fire departments and ambulances. Our emergency room participates with local police and fire departments in disaster drills.8.Our emergency room services and urgent care services are staffed by Board Certified Emergency Room Physicians and treat patients according to EMTALA guidelines and serve all patients regardless of ability to pay.9.Five of our hospitals qualified for disproportionate share.10.We have a significant commitment to the education and training of health professionals including doctors, nurses, radiology technicians and chaplains.In addition, we are committed to determining the needs of our communities and creating ways to meet those needs. The obligation to reach out to those in need and improve health flows directly from our Catholic identity and the heritage of our founding congregations. Below are a few examples of how Holy Family Medical Center promotes the health of the community served.At Holy Family Medical Center (HFMC) employees support the "Heart of Gold" initiative. This program consists of donations of food, clothing and free will cash donations to be used for the homeless and unemployed in the Des Plaines area. Many of the homeless people in this community live in the nearby forest preserve and depend on the food and clothing for their continued survival. HFMC partners with Catholic Charities to distribute the items and money to those most in need in the community. The donated money is converted to gift certificates and typically distributed to the mothers of the families.HFMC supports the "Care A Van" project. This service provides transportation to low income community residents to various health care appointments. In fiscal year 2011, a total of 2022 people were served by this program.HFMC is the only specialty hospital campus in Illinois with comprehensive outpatient services including same day surgery, G.I. lab, health, medical imaging, women's health, sleep disorder treatment, lab, cardiology and physical, occupational and speech therapies.There is an extensive substance abuse treatment program including inpatient detoxification, partial hospitalization and outpatient counseling services.HFMC provides an Immediate Care and Occupational Health Center partnership with Oakton Community College to help train senior nursing students.There is an onsite child care center for local children ages 6 weeks to 6 years.HFMC provides discounted outpatient services to community patients of Access Genesis Center in Des Plaines.Holy Family Medical Center also subsidizes the New Beginnings Program. This is a program that provides prenatal, delivery and post-partum care for low income women and families. Part VI - Community Building Activities Chicago is a diverse city of unique neighborhoods. Holy Family Medical Center, like all Resurrection Health Care hospitals, has a Neighborhood Community Relations Committee made up of representatives of the hospital, local clergy, business groups, community service agencies and elected officials. These committees work together to identify community health needs and devise strategies and tactics to address those health needs together, with an overall goal of improving the health status of the community.Holy Family Medical Center, through its parent corporation Resurrection Health Care, is part of Building a Healthier Chicago (BHC), a collaborative of local and national stakeholders working to strengthen efforts to promote the health of Chicago residents. BHC seeks to create integrated, effective and sustained community-wide partnerships for health promotion. Its goal is to improve the health of Chicago residents by providing information on policies and programs to help promote healthier lifestyle choices for Chicago residents as well as the prevention and treatment of high blood pressure.Holy Family Medical Center engages in a variety of Community Building Activities. These activities include programs that address the root causes ofhealth problems, such as awareness of critical health care numbers, health care screenings and referrals, maternal and family outreach services, obesity awareness, the prevalence of diabetes and programs and services that promote fitness, weight loss, healthy nutrition and healthier lifestyles. For the reporting period, over 13, 745 persons were engaged in some form of community health improvement and community building services and activities. In addition, community building activities, whenever possible, were done in collaboration with other agencies and programs within the service area of Holy Family Medical Center. It is our belief that working in collaboration with other community partners helps in building the foundation of a healthier community.Examples of community collaborations includes working with City of Des Plaines Health and Human Services, Des Plaines Healthy Community Partnership Health Advocacy Coalition, Frisbie Senior Center, YMCA, Maryville Academy, Catholic Charities, American Lung Association, Avon Corporation (Breast Cancer prevention and awareness), Maine Township Senior Citizens Social Program -Mainestreamers, American Heart Association- Heart Walk, Senator Dan Kotowski's office and Des Plaines Ministerial Association to name a few. For the reporting period, these collaborative efforts resulted in over 8,500 persons served. Part VI - Community Information Resurrection Health Care is a family of health care services providing advanced medical care and exceptional customer service with compassion and hope. Its hospitals, nursing homes, retirement communities, home health services, behavioral health programs and other services are conveniently located in many Chicagoland neighborhoods. Resurrection Health Care serves a diverse community of over two million people from forty (40) zip codes primarily located on the North/Northwest Side of Chicago and surrounding suburbs. This large and varied region requires comprehensive service to a number of populations: uninsured and poorly insured; all age categories-children, adults, seniors; various ethnic populations and immigrants; and individuals from various prominent disease categories. The primary service area of Resurrection Health Care hospitals in 2011 is characterized as follows: "The population is approximately 41.0% White, 33.2% Hispanic, 16.1% African-American, 7.0% Asian and 2.7% other non-Hispanic."The Hispanic population represents 33.2%of the population of the service area, compared to the national average of 16.1%."Approximately 19.6% of Resurrection Health Care's primary service area population is uninsured. "The unemployment rate in the primary service area is 10.6% of the total labor force The number of females of childbearing ages (15-44) is expected to decrease by 5.8% over the next five years."Individuals 65 and over are 11.2% of the primary service area."The overall population of the service area is expected to decrease by -0.2%over the next 5 years."The median 2011 household income for the primary service area is $51,223Resurrection Health Care is a not-for-profit Catholic organization sponsored by the Sisters of the Holy Family of Nazareth and the Sisters of the Resurrection.To determine our core community, a comprehensive list of factors were considered including inpatient, outpatient and emergency department patient origin, facility location, inpatient market share, net Resurrection Health Care market share, and ongoing community outreach efforts.The core communities served by Holy Family Medical Center is as follows:Des Plaines- 60016Des Plaines- 60018Mount Prospect- 60056Wheeling- 60090Prospect Heights- 60070 Holy Family Medical Center is a long-term acute care hospital caring for medically-complex patients, the only such hospital in Northwest Chicagoland. Holy Family specializes in providing care for patients who are critically ill with complex conditions and must be hospitalized an extended period. Holy Family Medical Center combines specialized expertise with the personalized, patient-focused attention. As a long-term acute care hospital, we offer a range of services through coordinated and focused care teams.Demographic Information (Based on 2011 data)The Holy Family Medical Center core community has a total population of 192,117, which is projected to decrease 0.5% by year 2016. Within the core community there are a total of 72,458 households with an average household income of $73,121. The median home value is $243,782 and the median age is 39. The core community is predominantly White (58.9%). However, there is a significant Hispanic population (22.8% Hispanic, 2.0% Black, and 14.3% Asian). The population within the core community has varying levels of education with 35.9% holding a bachelor's degree or greater.Within the core community, 10.8% of the population is uninsured in 2011. By 2016, the uninsured population will drop to 3.8%.Holy Family Medical Center's top five non-English languages are Spanish, Russian, Polish, Italian, and Gujarati. Resurrection Health Care hospitals offer either personal or telephonic medical interpretation services. There were 21,151 medical interpretations provided via telephone alone in FY11 across the system, in 71 different languages.Health Status Information. Part VI - Patient Education of Eligibility for Assistance The hospital maintains effective methods of communicating the availability of Financial Assistance/Charity Care discounts to all patients, in multiple appropriate media and in multiple appropriate languages. The mechanisms that the Hospital will use to communicate the availability of Financial Assistance/Charity Care will include, but are not limited to the following:1.Signage. Signs shall be conspicuously posted in the admission, registration and other appropriate areas of the hospital stating that patients may be eligible for Financial Assistance/Charity Care discounts, and describing how to obtain more information, including identification of appropriate hospital representatives by title. Such signs shall be prepared in English, Spanish, and any other language that is the primary language of at least 5% of the patients served by the hospital annually.2.Provision of Financial Assistance Materials to Uninsured Patients. RHC hospitals will provide a summary of its Financial Assistance Programs and a Financial Assistance application to all persons receiving hospital care that it identifies as Uninsured Patients at the time of in-person registration, admission, or such later time at which the patient is first identified as an Uninsured Patient. For patients presenting in the Emergency Department, all RHC hospitals will provide such Financial Assistance materials at such time and in such manner as is consistent with their obligations under EMTALA to assess and stabilize the patient before making inquiry of the patient's ability to pay.3.Brochures. Brochures, information sheets and/or similar forms of written communication regarding the hospital's Financial Assistance/Charity Care policy shall be maintained in appropriate areas of the hospital (e.g., the Emergency Department, organized registration areas, and the Business Office) stating in at least English, Spanish and Polish, that the hospital offers Financial Assistance/Charity Care discounts, and describing how to obtain more information.4.Website. Each RHC's section of the Resurrection Health Care website must include: a notice in a prominent place that financial assistance is available at the hospital; a description of the financial assistance application process; and a copy of the RHC hospital financial assistance application form.5.Billing Notices. Each RHC hospital shall include a note on or with the Hospital bill and/or statement regarding the hospital's Financial Assistance/Charity Care program, and how the patient may apply for consideration under this program.6.Financial Counselors. Each RHC hospital shall have one or more financial counselors whose contact information is listed or provided with other information concerning the hospital's Financial Assistance/Charity Care discount program, who are available to discuss eligibility and other questions concerning the program, and to provide assistance with applications.7.Notification of Determination. When an RHC hospital has made a determination that a patient's bill is discounted or adjusted in whole or in part based on a determination of financial need, the hospital will notify the patient of such eligibility determination, and that there is no further collection action taken on the discounted portion of the patient's bill. Part VI - Needs Assessment In order to ascertain the health care needs of the community served by Resurrection Health Care, a number of primary data sources sources were reviewed. This quantitative data focused on published health status indicators as well as our own direct measures of expressed community needs (via phone calls, website and survey responses). In addition, qualitative data was used which was obtained from the direct experience of RHC staff with clinical and health education responsibilities. For the upcoming fiscal year, we will be complementing these primary data sources with a formal process to obtain and utilize secondary data sources within the communities themselves.The current sources for assessing community health status and needs include the following:-Metropolitan Chicago Healthcare Council (MCHC) Needs Assessment is a comprehensive, data driven approach to determine the health status, and understand the behaviors and needs of the residents of Cook, Lake, and DuPage counties. This study can be used to address and understand the needs of individual communities. -Chicago Department of Public Health - Casting Chicago's Health Care Safety Net: A 12-Year Review of Chicago's Community-Based Primary Care System. The report highlights the changes that occurred in Chicago's community-based health care safety net system between 1990-2002. The report also explores, for the same 12-year period, changes in related indicators: general population characteristics, health status and insurance coverage. -Metro Chicago Information Center (MCIC) is an organization that details information on community needs assessments for the city of Chicago. The information identifies the demographics and community needs by categorizing the city into six distinct areas or communities. -We Plan 2005-2010 (in conjunction with The Cook County Department of Public Health) summarizes the process of assessment - a systematic collection and analysis in order to provide a basis for decision making - and community strategic planning. This information is a compilation of data and analysis, measurable objectives, available resources, interventions and preliminary implementation steps for three priority health indicators: chronic disease, violence and access to Care. -2009 Report on Chicago Region Poverty: In this ninth annual comprehensive analysis of poverty indicators in Illinois, the report explains that unemployment and poverty are correlated; rising unemployment precipitates an increase in poverty. With the Illinois unemployment rate already over 9 percent, the ripple effect on Illinoisans is severe, according to researchers-Illinois Department of Public Health (IDPH) publishes The Illinois Project for Local Assessment of Needs (IPLAN), a community health assessment and planning process and online tool that is conducted every five years (2006 is most current data) by local health jurisdictions in Illinois. -Healthy People 2020 is an updated initiative by the U.S. Department of Health and Human Services, composed of federal, state and territorial departments, to strategically focus on initiatives which can be measured and which promote healthy living and disease prevention. Their website offers information on many leading indicators that are currently being measured. In addition, all community benefit activities are reported and organized using the Community Benefit Inventory for Social Accountability (CBISA) software which utilizes the Healthy People 2010/2020 categories in its database.In addition to the data sources mentioned above, we also use available internal resources that arise from our direct connection to the community we serve. These sources include:-Resurrection Health Care's Strategic Planning Process, includes comprehensive assessments of service area demographics, identified needs, health care trends, market share, financial outcomes, capital needs, and other factors. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Collection policies are the same for all RHC entities which includes Holy Family Medical Center's patients. Patients are notified of Holy Family Medical Center's financial assistance policy at time of registration via posted notifications and on every account statement that is sent. We make this available in a number of languages. On receipt of the information, we will determine eligibility for financial assistance and notify the patient as quickly as possible. The Hospital does not pursue collection of amounts from patients who are being reviewed for financial assistance eligibility or who are determined to qualify for charity care.If at any point in the collection process, documentation is received that indicates the patient is potentially eligible for financial assistance but has not applied for it, the account is referred back for a financial assistance review.In addition, all patients having difficulty paying their bills are directed to financial counselors. The financial counselors will work with our patients to qualify them for charity care or government program such as Medicaid. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off in accordance with our financial assistance policy. If there is any remaining balance, only that balance would be subject to our debt collection policy.If a patient has requested and/or filled out a financial aid application, all debt collection activities stop until eligibility for financial assistance can be determined. Our policy provides that once we have received the necessary documentation we will not refer any accounts for collection until we can determine whether the individual is insured and not eligible for financial assistance. Part III, Line 8 - Explanation Of Shortfall As Community Benefit The shortfall of $662,486 on Part III, Line 7 is the unreimbursed cost of providing services for Medicare patients and should be treated as community benefit. Part III, Line 4 - Bad Debt Expense The footnotes to Resurrection Health Care's audited financial statements do not specifically address bad debt expense, rather, the footnote describes Resurrection Health Care's patient accounts receivable policy. Patient accounts receivable are stated at net realizable value. Resurrection Health Care evaluates the collectability of its accounts receivable based on the length of time the receivable is outstanding, payer class, historical collection experience, and trends in health care insurance programs. Accounts receivable are charged to the allowance for uncollectible accounts when they are deemed uncollectible. The costing methodology used in determining the amounts reported on line 2 is based on the ratio of patient care cost to charges. The bad debt (at cost) was calculated by applying the organization's cost to charge ratio to the organization's provision for uncollectible accounts receivable. Resurrection Health Care makes every effort to identify those patients who are eligible for charity care or other financial assistance by strictly adhering to its Charity Care policy. We believe that Resurrection has a population of patients who are uninsured or underinsured but who do not complete the charity care assessment. Although Resurrection responded to Part III, Line 3 as 0, the response would be accurately noted as unknown. We strongly believe, despite significant proactive measures, there are a percentage of bad debts that could be considered community benefit. However, at this time we do not believe we have the appropriate tools to determine this percentage accurately. Part I, Line 7, Column F - Explanation of Bad Debt Expense Per the 990H instructions, the bad debt expense amount of $(4,955,456) has been removed from the denominator in calculating percentage of total expenses for scheduled H Part I line 7. Part I, Line 7 - Explanation of Costing Methodology Per the 990H instructions, the cost to charge ratio used to determine 7a. Financial assistance at cost and 7b. Unreimbursed Medicaid was derived from Worksheet 2, Ratio of Patient Care Cost to Charges. Part I, Line 6a - Related Organization Community Benefit Report Resurrection Health care, the parent corporation of Holy Family Medical Center, publishes an annual Report to Our Communities, which details the combined charitable impact our facilities, have within the communities we serve. This report is inclusive of our hospital and non-hospital ministries. The report is distributed to federal, local and state officials, community leaders, religious leaders and other groups. It is also posted on the World Wide Web and widely available on our consumer Web site (www.reshealth.org.) Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) Discount for Low-Income Uninsured Patients. Financial Assistance/Charity Care discounts or discounted fee schedules is available for Medically Necessary Hospital Services provided to Uninsured Patients who are unable to pay all or part of the otherwise applicable charge for their care due to financial need, as documented in accordance with this Policy. Patients demonstrating financial need based on household income at or below one hundred percent (100%) of the Federal Poverty Level, combined with a general lack of liquid assets, will receive a one hundred percent (100%) discount on Medically Necessary Hospital Services. Patients generally lacking liquid assets who have household income between one hundred percent (100%) and up to four hundred percent (400%) of the Federal Poverty Level will receive a sliding-scale discount for such hospital care, at levels approved by the RHC Executive Leadership Team.Payment Caps Under Illinois Uninsured Patient Discount Act. To the extent required by the Illinois Uninsured Patient Discount Act, and subject to other eligibility standards and exclusions as set forth by such law including standards based on asset level, Uninsured Patients who are Illinois residents having household income of up to six hundred percent (600%) of the Federal Poverty Level shall not be required to pay to an RHC hospital more than twenty five percent (25%) of such patient's family gross income within a twelve (12) month period.Other Payment Caps. An Uninsured Patient who is eligible for Financial Assistance/Charity Care at an RHC Hospital pursuant to the criteria set forth in Section 5.1 or 5.3 below shall be eligible for a payment cap based on RHC's charitable commitment to catastrophic medical expenses assistance based on medical indigence, as follows:For an eligible Uninsured Patient who demonstrates that s/he has a household income of four hundred percent (400%) or less of the Federal Poverty Level, such patient's payment obligation within any 12-month period is limited to the higher of: (a) ten percent (10%) of the patient's annual gross household income; or (b) ten percent (10%) of the patient's Non-Retirement Household Liquid Assets.For an eligible Uninsured Patient who demonstrates that s/he has a household income over four hundred percent (400%) of the Federal Poverty Level, or less, such patient's payment obligation within any 12-month period is limited to the higher of: (a) fifteen percent (15%) of annual gross household income; or (b) fifteen percent (15%) of the patient's Non-Retirement Household Liquid Assets.Financial Assistance/Charity Care for Insured Patients. Subject to insurance and governmental program restrictions (which may limit the ability to grant a discount on co-pays or deductibles, versus discounts on co-insurance), insured individuals, federal program beneficiaries and other individuals who are not automatically eligible for Financial Assistance/Charity Care hereunder but who demonstrate medical indigence or other financial need, may receive a Financial Assistance/Charity Care discount in similar or different amounts as are available to Uninsured Patients under this policy, as determined appropriate under the circumstances by RHC Patient Financial Services.Discounts for Uninsured, Medically Indigent Patients. Uninsured Patients whose household income is greater than four hundred percent (400%) of the Federal Poverty Level or who do not meet the automatic eligibility criteria set forth in Section 5 below, will nevertheless be eligible to receive a financial assistance/charity care discount based on a determination of medical indigence, by virtue of having medical bills from an RHC hospital in an amount equal to or greater than fifteen percent (15%) of their household income and available assets. Such Financial Assistance/Charity Care discount for uninsured higher income but medically indigent patients shall be one that is reasonable in relation to the individual patient's househousehold financial circumstances and the health status of the patient. X X X X X true false false false false false false true false false Tom Capobianco 341261 352923 40300 2337 736821 Sandra Bruce 903163 12250 18678 934091 Pamela S Bell 129760 24250 7922 11480 173412 Nicola Byrne 225462 26915 252377 Marti Edwards 155784 6175 16794 13763 192516 6175 John Walton 638238 90104 13077 741419 John Baird 342512 51751 23198 417461 John A Orsini CPA 298683 28875 43795 12794 384147 Jeannie Frey 402087 37503 51490 30357 521437 37503 James Sykes 224381 24840 6161 255382 Ellen Ho 137782 2500 8762 11413 160457 Sch J, Part III, Additional Information Part III, Additional Information Resurrection Health Care Corporation's (RHCC) Compensation and Benefits Committee Compensation establishes the compensation methodology used to determine key executive compensation and monitors the compensation for compliance including approving the compensation for all members of the affiliated group including Holy Family Medical Center. The CEO of Holy Family Medical Center is paid by Resurrection Medical Center and his salary is included in this review. To assure that RHCC and it s affiliates complies with Intermediate Sanctions guidelines on reasonable compensation, the RHCC Compensation and Benefits Committee monitors executive total compensation by approving all components of executive total compensation, positioning RHCC executive total compensation competitively and appropriately, annually reviewing and approving compensation changes for each executive, and reporting its activities regularly to the Resurrection Health Care Board. Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above Bonus payments were made to the following officers:John Orsini - Payments made as directed by the written employment agreement.Additional pay was made to the following key employee:John WaltonPayments made to compensate for additional duties assumed during the vacancy of the CFO position.Other Incentive payments were made the following highly compensated employees:Elllen Ho/Keith Bakken/Pamela Sue BellIncentive payments are based upon a formula. The payments are calculated after certain performance and operating goals are achieved. Form 990, Part VII, Section A & B Resurrection Medical Center (RMC) FEIN 36-3330926 acts as the agent / common paymaster for Holy Family Medical Center (HFMC). Cash is swept from HFMC on a daily basis to RMC and RMC issues all payroll and accounts payable checks on behalf of and as agent for HFMC and the appropriate accounting entries are recorded. Form 990 Part I Question 5 & Part V 1-2 Compensation and Form W-3 Transmittal of Wages and Tax StatementHoly Family Medical Center (HFMC) reports 0 employees on Form 990 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. As discussed in the note regarding Common Paymaster below, HFMC's compensation is paid by Resurrection Medical Center (RMC) and transferred to HFMC. The compensation amounts reported in this 990 reflect the amount transferred to HFMC from RMC.All Compensation presented is for the period January 1, 2010 to December 31, 2010. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Holy Family Medical Center's articles of incorporation are on file with the state of Illinois. Resurrection Health Care Corporation and Affiliates audited financial statments are available from the national dissemination agent as required by our bond documents. Conflicts of interest policies are not made available to the public. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Compensation at Resurrection Health Care Corporation(RHCC) and its affiliates is based upon a Board of Direcors approved strategy that guides the corporations in establishing total compensation opportunites for the organizations's executives. The overall purposes of the RHCC total compensation program are to enable the organization to recruit, motivate, rewared, recognize, and retain highly talented executives with the skills required to align performance measures with RHCC's Mission, Vision, and strategic initiatives, and to achieve outstanding results on a continuous basis. To ensure RHC attracts and retains high quality executives with the appropriate skills, the organization uses external labor market to validate its base salaries and total cash compensation opportunities. The marketplace in which RHCC assesses total compensation is both regional and national in scope and is primarily comprised of comparable healthcare systems and hospitals. To assure that RHCC complies with intermediate Sanctions guidelines on reasonable compensation, the Board's Compensation and Benefits Committe closely monitors executive total compensation by approving all components of executive total compensation, positioning RHCC executive total compensation competively and appropriately, annually reviewing and approving compensation changes for each executive, and reporting its activities regularly to the board. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The Vice President of Compliance coordinates an annual confilct of interest survey to deterrmine the compliance with the conflict of interest policy and takes the required actions based on the survey results. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process The returns were prepared by the Resurrection accounting staff with assistance by the community benefit, payroll, human resources, and legal departments after which point the returns were reviewed by the Business Unit Chief Financial Officer. Any unusual items were discussed with outside advisors. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The sole member, Resurrection Health Care Corporation. elects members of the governing body. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The organization has one member, Resurrection Health Care Corporation Mount Loretto Nursing Home 302 Swart Hill Road Amsterdam NY 12010 141363014 Senior Living NY 501(c)(3) 3 Resurrection Ministries of New York false Resurrection Nursing Home Inc 90 N Main Street Castleton NY 12033 141348691 Senior Living NY 501(c)(3) 3 Resurrection Ministries of New York false Holy Family Health Care System 100 N River Rd Des Plaines IL 60016 363495969 Healthcare IL 501(c)(3) 3 Resurrection Health Care Corporation false Resurrection Ambulatory Services 7435 W Talcott Chicago IL 60631 364286236 Healthcare IL 501(c)(3) 3 Resurrection Health Care Corporation false Resurrection Ministries of New York 90 N Main Street Castleton NY 12033 141720818 senior living NY 501(c)(3) 3 Resurrection Health Care Corporation false Resurrection Development Foundation 150 N River Rd Des Plaines IL 60016 363330929 Fundraising IL 501(c)(3) 7 Resurrection Health Care Corporation false Resurrection Home Health Services 5747 West Dempster Morton Grove IL 60053 362893936 Home Care IL 501(c)(3) 3 Resurrection Health Care Corporation false Proviso Family Svcs dba RBH 1820 South 25th Ave Broadview IL 60155 362709982 Health Care IL 501(c)(3) 3 Resurrection Health Care Corporation false Resurrection Services 7447 West Talcott Ave Chicago IL 60631 363330928 Health Care IL 501(c)(3) 3 Resurrection Health Care Corporation false Resurrection Senior Services 7435 West Talcott Ave Chicago IL 60631 237061646 Senior Living IL 501(c)(3) 3 Resurrection Health Care Corporation false Cana West Ministry Services 7435 W Talcott Ave Chicago IL 60631 362182170 Health Care IL 501(c)(3) 3 Resurrection Health Care Corporation false Saint Joseph Hospital 2900 North Lake Shore Dr Chicago IL 60657 363200170 Health Care IL 501(c)(3) 3 Resurrection Health Care Corp false Saints Mary and Elizabeth Medical Center 2233 West Division St Chicago IL 60622 362171079 Health Care IL 501(c)(3) 3 Resurrection Health Care Corporation false St Francis Hospital 355 Ridge Ave Evanston IL 60202 362167800 Health Care IL 501(c)(3) 3 Resurrection Health Care Corporation false Cana Lakes Healthcare 7435 W Talcott CHicago IL 60631 361649520 Health Care IL 501(c)(3) 3 Resurrection Health Care Corporation false Our Lady of the Resurrection Medical Ctr 5645 West Addison St Chicago IL 60634 362644178 Health Care IL 501(c)(3) 3 Resurrection Health Care Corporation false Resurrection Medical Center 7435 West Talcott Ave Chicago IL 60631 363330926 Health Care IL 501(c)(3) 3 Resurrection Health Care Corporation false Resurrection Health Care Corporation 7435 West Talcott Ave Chicago IL 60631 362235165 parent corp and senior living IL 501(c)(3) 3 na false Belmont Harlem Surgery Ctr LLC 3101 North Harlem Chicago IL 60634 412237612 Medical Svc IL na na false false RES Hlth Sleep Ctr of River Forest LLC 665 W North Ave 500 Lombard IL 60148 262189763 Medical Svc IL na na false false RES Hlth Sleep Ctr of Evanston LLC 665 W North Ave 500 Lombard IL 60148 261519556 Medical Svc IL na na false false RES Hlth Sleep Ctr of Chicago NW LLC 665 W North Ave 500 Lombard IL 60148 261519627 Medical Svc IL na na false false RES Hlth Sleep Ctr of Lincoln Park LLC 665 W North Ave 500 Lombard IL 60148 261519667 Medical Svc IL na na false false L Gilbraith Insurance SPC Ltd 68 1109 West Bay Rd PO Box 1109 Grand Cayman CJ Insurance CJ na Foreign Co. Resurrection Health Care Preferred 100 N River Rd Des Plaines IL 60016 363974620 Mgd Care Contracting IL na C Corp false false true false false false false false false false false false false false true false false false Resurrection Development Foundation c 52800 Resurrection Medical Center o 56033808