PRESENCE CARE TRANSFORMATION CORPORATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- PRESENCE CARE TRANSFORMATION CORPORATION (EIN 36-3366652)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201233209349307773
- Schema version
- 2011v1.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule J
- Schedule K
- Schedule K
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T15:41:10-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 West Nationwide Blvd Ste 500 | AddressLine1 |
| City | Columbus | City |
| State | OH | State |
| ZIP Code | 432152568 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363366652 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVENA HEALTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % DAVID WRIGLEY | InCareOfName |
| Name Control | PROV | NameControl |
| Phone | 8158062309 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9223 West ST FRANCIS ROAD | AddressLine1 |
| City | FRANKFORT | City |
| State | IL | State |
| ZIP Code | 604238334 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John A Orsini | Name |
| Title | Executive Vice President, CFO | Title |
| Date Signed | 2012-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KPMG LLP | Name |
| Phone | 6142492300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN ORSINI | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N RIVER ROAD 2ND FLOOR | AddressLine1 |
| City | DES PLAINES | City |
| State | IL | State |
| ZIP Code | 60016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 147711410 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.provena.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | Provides administrative and management support to non-profit, faith- based health care providers, including hospitals, nursing homes, senior care and other health care facilities and service centers. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 733 | TotalNbrEmployees |
| Total Nbr Volunteers | 23 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 97756808 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 101255436 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 53283195 | InvestmentIncomePriorYear |
| Investment Income Current Year | 46275021 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 116275 | OtherRevenuePriorYear |
| Other Revenue Current Year | 143819 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 151156278 | TotalRevenuePriorYear |
| Total Revenue Current Year | 147674276 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 63106053 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 63906059 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 72216755 | OtherExpensePriorYear |
| Other Expenses Current Year | 78571276 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 135322808 | TotalExpensesPriorYear |
| Total Expenses Current Year | 142477335 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 15833470 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5196941 | RevenuesLessExpensesCY |
| Total Assets BOY | 518199982 | TotalAssetsBOY |
| Total Assets EOY | 441808849 | TotalAssetsEOY |
| Total Liabilities BOY | 798878848 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 831700010 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -280678866 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -389891161 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROVENA HEALTH CONSISTS OF A NUMBER OF FAITH-BASED ORGANIZATIONS THAT WERE BROUGHT TOGETHER TO STRENGTHEN THE CATHOLIC HEALING MINISTRY IN THE REGION. AS A GROUP OF SIX HOSPITALS, AND FIFTEEN LONG TERM CARE AND RESIDENTIAL CENTERS, CLINICAL PROCEDURES AND ADMINISTRATIVE TASKS WILL BE SHARED IN ORDER TO CONTROL COSTS AND IMPLEMENT TECHNOLOGIES DESIGNED TO IMPROVE EFFICIENCY TO SUPPORT THE MISSION OF HEALTHCARE IN OUR COMMUNITIES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 138443982 | Expense |
| Revenue | 101255436 | Revenue |
| Description | PROVIDE MANAGEMENT AND CONSULTING SERVICES TO RELATED HEALTH CARE ORGANIZATIONS WHICH PROVIDE VARIOUS HEALTH CARE SERVICES LOCATED IN KANKAKEE, CHAMPAIGN-URBANA, ELGIN, JOLIET, ROCKFORD, AND AURORA ILLINOIS MARKETPLACES. | Description |
| Total Program Service Expense | 138443982 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | true | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 92 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 733 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAVID WRIGLEY | NamePerson |
| Telephone Number | 8478133728 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N RIVER ROAD 2ND FLOOR | AddressLine1 |
| City | DES PLAINES | City |
| State | IL | State |
| ZIP Code | 60016 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (50 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Other CompensationOtherCompensation | OfficerOfficer | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| WILLIAM BERRY PHD | |||||||||
| FORMER DIRECTOR | 1.0 | X | 0 | 0 | |||||
| BROTHER JAMES GAFFNEY FSC | |||||||||
| FORMER DIRECTOR | 1.0 | X | 0 | 0 | |||||
| AIDA GIACHELLO PHD | |||||||||
| FORMER DIRECTOR | 1.0 | X | 0 | 0 | |||||
| MARK HANSON | |||||||||
| DIRECTOR/FORMER CHAIRSPERSON | 1.0 | X | 0 | 0 | X | ||||
| SISTER LINDA HATTON SSCM | |||||||||
| FORMER SECRETARY | 1.0 | X | 0 | 0 | X | ||||
| THOMAS HUBERTY MD | |||||||||
| DIRECTOR/FORMER VICE CHAIR | 1.0 | X | 0 | 0 | X | ||||
| SISTER MARY ELIZABETH IMLER | |||||||||
| FORMER DIRECTOR | 1.0 | X | 0 | 0 | |||||
| BETTINA JOHNSON | |||||||||
| FORMER TREASURER | 1.0 | X | 0 | 0 | X | ||||
| LUCIA JONES | |||||||||
| FORMER DIRECTOR | 1.0 | X | 0 | 0 | |||||
| MARSHA LADENBURGER | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| SISTER TERRY MALTBY | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| BECKY MEGGESIN | |||||||||
| FORMER DIRECTOR | 1.0 | X | 0 | 0 | |||||
| DANIEL RUSSEL | |||||||||
| FORMER VICE CHAIRPERSON | 1.0 | X | 0 | 0 | X | ||||
| KENT RUSSELL | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| GUY WIEBKING | |||||||||
| CHAIRPERSON/ FORMER PRES & CEO | 40.0 | X | 798058 | 0 | X | ||||
| SANDRA BRUCE | |||||||||
| DIRECTOR/ PRESIDENT & CEO | 40.0 | X | 0 | 33589 | X | 1564401 | |||
| HAVEN COCKERHAM | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| SISTER PATRICIA KOSCHALKE CSFN | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| SISTER CLARA FRANCES KUSEK CR | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| SUSAN MCDONOUGH | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| VICTOR ORLER | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| SISTER MARY SHINNICK OSF | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| THOMAS SETTLES | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| SISTER EVELYN VARBONCOEUR SSCM | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| JAMES WINIKATES | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| ANTHONY FILER | |||||||||
| SYS COO | 40.0 | 695505 | 109308 | X | |||||
| JEFFREY BRICKMAN | |||||||||
| SYS SR VP/ PRES & CEO PSJMC | 40.0 | 605507 | 62998 | X | |||||
| MARGARET GAVIGAN | |||||||||
| SYS SR VP/ CCO | 40.0 | 577467 | 73651 | X | |||||
| ROBERT PERMUT | |||||||||
| SYS SR VP CMO | 40.0 | 542776 | 31311 | X | |||||
| MARGERY KIEFFER | |||||||||
| SYS SR VP/ GENERAL COUNSEL | 40.0 | 462355 | 54263 | X | |||||
| MICHAEL BROWN | |||||||||
| PRES & CEO PUSMC | 40.0 | 408462 | 50955 | X | |||||
| GARY GASBARRA | |||||||||
| REGIONAL VP FINANCE/ CFO | 40.0 | 383428 | 70629 | X | |||||
| TERRY SOLEM | |||||||||
| SYS SR VP HR | 40.0 | 381290 | 41332 | X | |||||
| EDWARD MOLARE | |||||||||
| SYS VP CORPORATE SERVICES | 40.0 | 366761 | 49623 | X | |||||
| CONNIE MARCH-CURTIS | |||||||||
| PRES & CEO PSS | 40.0 | 374873 | 51571 | X | |||||
| EUGENE MCMAHON | |||||||||
| PRESIDENT & CEO PSJH | 40.0 | 320354 | 67903 | X | |||||
| PAUL BELTER | |||||||||
| REGIONAL VP FINANCE/ CEO | 40.0 | 319489 | 51967 | X | |||||
| THOMAS NEHRING | |||||||||
| SYS SR VP MISSION SERVICES | 40.0 | 303421 | 42048 | X | |||||
| LINDA CHARLEY | |||||||||
| ASSISTANT SYS VP FINANCE | 40.0 | 282433 | 29634 | X | |||||
| RALPH FORNARI | |||||||||
| VP PMG | 40.0 | 275662 | 40129 | X | |||||
| DAVID BERTAUSKI | |||||||||
| SYS SR VP/ REGIONAL CEO | 40.0 | 788397 | 26429 | X | |||||
| MICHAEL ARNO | |||||||||
| PRESIDENT & CEO PSMH | 40.0 | 504656 | 57368 | X | |||||
| MARGARET GLEASON | |||||||||
| VP HOME CARE | 40.0 | 370900 | 20348 | X | |||||
| JOHN LYNCH | |||||||||
| SYS VP IS/ CIO | 40.0 | 333496 | 45722 | X | |||||
| EDWIN ROSE | |||||||||
| SYS VP MARKETING/ PLANNING | 40.0 | 253903 | 49077 | X | |||||
| MICHAEL GORDON | |||||||||
| VP FINANCE & CFO PLC | 40.0 | 233173 | 33617 | X | |||||
| LINDSEY ARTOLA | |||||||||
| SYS VP ADVOCACY | 40.0 | 224935 | 43563 | X | |||||
| PATRICK QUINN | |||||||||
| SYS DIR TREASURY | 40.0 | 373295 | 47874 | X | |||||
| LORETTA CLIFFORD | |||||||||
| SYS DIR REV CYCLE OPS | 40.0 | 222474 | 40240 | X | |||||
| WILLIAM BROWN | |||||||||
| SYS SR VP/ PRES & CEO PSJH | 40.0 | 254726 | 24912 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 10657796 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1564401 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1250061 | TotalOtherCompensation |
| Number Individuals GT100 K | 96 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| IMPACT ADVISORS | |||||
| 931 W 75TH STREET | NAPERVILLE | IL | 60565 | CONSULTING | 2501302 |
| CATHOLIC HEALTHCARE AUDIT NETWORK | |||||
| 231 S BEMISTON AVE SUITE 300 | CLAYTON | MO | 63105 | CONSULTING | 1894629 |
| XTEND HEALTHCARE LLC | |||||
| PO BOX 1709 | HENDERSONVILLE | TN | 37077 | COLLECTIONS | 3333615 |
| BOLINGBROOK INVESTORS | |||||
| 1717 MCKINNEY SUITE 900 | DALLAS | TX | 75202 | OFFICE RENT | 2043057 |
| RAYMOND E CLUTTS | |||||
| 1111 N PLAZA DR | SCHAUMBURG | IL | 601734981 | Collections | 2611288 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 35 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ADMIN REVENUE | Description |
| Business Code | 561000 | BusinessCode |
| Total Revenue Column | 101255436 | TotalRevenueColumn |
| Related Or Exempt Function Income | 101255436 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 101255436 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 46309809 | TotalRevenueColumn |
| Exclusion | $46,309,809 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2346 | TotalRevenueColumn |
| Exclusion | $2,346 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 37134 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -37134 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -37134 | TotalRevenueColumn |
| Exclusion | -$37,134 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER REVENUE | Description |
| Business Code | 561000 | BusinessCode |
| Total Revenue Column | 143819 | TotalRevenueColumn |
| Related Or Exempt Function Income | 143819 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 143819 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 147674276 | TotalRevenueColumn |
| Related Or Exempt Function Income | 101399255 | RelatedOrExemptFunctionIncome |
| Exclusion | $46,275,021 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11461143 | Total |
| Program Services | 10801687 | ProgramServices |
| Management And General | 659456 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33768160 | Total |
| Program Services | 33768160 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1212477 | Total |
| Program Services | 1212477 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14297143 | Total |
| Program Services | 14286216 | ProgramServices |
| Management And General | 10927 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3167136 | Total |
| Program Services | 3167136 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1478696 | Total |
| Program Services | 615033 | ProgramServices |
| Management And General | 863663 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 241902 | Total |
| Program Services | 241902 | ProgramServices |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70421 | Total |
| Program Services | 70171 | ProgramServices |
| Management And General | 250 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 975098 | Total |
| Program Services | 899523 | ProgramServices |
| Management And General | 75575 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3372134 | Total |
| Program Services | 3370514 | ProgramServices |
| Management And General | 1620 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310672 | Total |
| Program Services | 262887 | ProgramServices |
| Management And General | 47785 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125238 | Total |
| Program Services | 91855 | ProgramServices |
| Management And General | 33383 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31824775 | Total |
| Program Services | 31824775 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11318396 | Total |
| Program Services | 11318396 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1990478 | Total |
| Program Services | 1990478 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONSULTING | 2175729 | 859534 | 1316195 |
| REPAIRS & MAINTENANCE | 11681933 | 11645956 | 35977 |
| UTILITIES | 2441595 | 2390160 | 51435 |
| EQUIPMENT RENTAL EXPENSE | 1177121 | 1090666 | 86455 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9387088 | Total |
| Program Services | 8536456 | ProgramServices |
| Management And General | 850632 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 142477335 | Total |
| Program Services | 138443982 | ProgramServices |
| Management And General | 4033353 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2100 | BOY |
| EOY | 2100 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62669497 | BOY |
| EOY | 47208478 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16071906 | BOY |
| EOY | 20026919 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10454545 | BOY |
| EOY | 7099354 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 171223726 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 119675946 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39709462 | BOY |
| EOY | 51547780 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 299123255 | BOY |
| EOY | 242612007 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38309008 | BOY |
| EOY | 25037357 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36935305 | BOY |
| EOY | 35939254 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14924904 | BOY |
| EOY | 12335600 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 518199982 | BOY |
| EOY | 441808849 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41390741 | BOY |
| EOY | 26232302 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6548 | BOY |
| EOY | 3548 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 621672506 | BOY |
| EOY | 611365406 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 135809053 | BOY |
| EOY | 194098754 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 798878848 | BOY |
| EOY | 831700010 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -280678866 | BOY |
| EOY | -389891161 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -280678866 | BOY |
| EOY | -389891161 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 518199982 | BOY |
| EOY | 441808849 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5196941 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -114409236 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (6 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| PROVENA HOSPITALS | |||||
| 364195126 | 03 | true | true | true | $14,997,331 |
| PROVENA SERVICE CORP | |||||
| 364314354 | 0 | true | true | true | $17,434,618 |
| PROVENA SENIOR SERVICES | |||||
| 371127787 | 0 | true | true | true | -$8,169,570 |
| PROVENA CARE HOME | |||||
| 460483587 | 0 | true | true | true | $0 |
| PROVENA HOME HEALTH | |||||
| 460483581 | 0 | true | true | true | $1,127,894 |
| PROVENA HEALTH SELF INSURANCE TRUST | |||||
| 362987310 | 0 | true | true | true | $5,564,080 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 6 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 30954353 | SumOfAmounts |
| General Explanation | POSITIVE SUPPORT WAS PROVIDED TO PROVENA HOSPITALS, PROVENA SENIOR SERVICES AND PROVENA HEALTH SELF INSURANCE TRUST IN 2011. HOWEVER, AMOUNTS WERE OWED FROM THESE ENTITIES TO PROVENA HEALTH THAT WERE GREATER THAN THE SUPPORT PROVIDED WHICH REDUCED THE ACTUAL AMOUNT OF SUPPORT TRANSFERRED. | GeneralExplanation |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $196,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 196000 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION TO FORM 990 SCHEDULE C | Identifier |
| Return Reference | PART II-B, QUESTION 1I | ReturnReference |
| Explanation | THE ORGANIZATION MAINTAINS AN ADVOCACY SECTION ON ITS WEBSITE THAT INCLUDES POSITION PAPERS ON KEY ISSUES, AS WELL AS ALERTS FOR PEOPLE TO CONTACT LEGISLATORS ON PARTICULAR PIECES OF LEGISLATION. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 197831 | OtherCostOrOtherBasis |
| Depreciation | 197831 | Depreciation |
| Book Value | 0 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7920371 | OtherCostOrOtherBasis |
| Depreciation | 4390395 | Depreciation |
| Book Value | 3529976 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 154904286 | OtherCostOrOtherBasis |
| Depreciation | 115083783 | Depreciation |
| Book Value | 39820503 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8201238 | OtherCostOrOtherBasis |
| Depreciation | 3937 | Depreciation |
| Book Value | 8197301 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 51547780 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| LIMITED USE ASSETS | 24870356 | F |
| LT INVESTMENTS CAPTIVE | 167001 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 25037357 | TotalOfBookValueSecurities |
Investments Program Related InvestmentsProgramRelated (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INV IN PROVENA SENIOR SERVICES | 124013 | F |
| INV IN PROVENA VENTURES | 32162647 | F |
| INVESTMENT IN PPIC | 3652594 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 35939254 | TotalOfBookValueProgramRelated |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER LONG-TERM LIABILITIES | $29,832,391 |
| DUE TO AFFILIATES | $1,970,741 |
| WORKERS COMP LIABILITIES | $15,303,134 |
| PENSION LIABILITY | $146,992,488 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 194098754 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SupplemEntal Information | Identifier |
| Explanation | On January 1, 2008, Provena 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, Provena 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, 2011, Provena does not have any liabilities for any unrecognized tax benefits. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (30 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GUY WIEBKING | |||||||||||||
| 726939 | 0 | 71119 | 0 | 0 | 798058 | 51088 | |||||||
| SANDRA BRUCE | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 967144 | 597257 | 0 | 12250 | 21339 | 1597990 | 0 |
| ANTHONY FILER | |||||||||||||
| 553557 | 20000 | 121948 | 68280 | 41942 | 805727 | 0 | |||||||
| JEFFREY BRICKMAN | |||||||||||||
| 435991 | 40272 | 129244 | 41815 | 21792 | 669114 | 110744 | |||||||
| MARGARET GAVIGAN | |||||||||||||
| 481042 | 0 | 96425 | 53082 | 21482 | 652031 | 0 | |||||||
| ROBERT PERMUT | |||||||||||||
| 424895 | 0 | 117881 | 0 | 32207 | 574983 | 0 | |||||||
| MARGERY KIEFFER | |||||||||||||
| 293204 | 0 | 169151 | 37857 | 17320 | 517532 | 16890 | |||||||
| MICHAEL BROWN | |||||||||||||
| 327069 | 14135 | 67258 | 31125 | 20744 | 460331 | 0 | |||||||
| GARY GASBARRA | |||||||||||||
| 282138 | 14150 | 87140 | 37220 | 34323 | 454971 | 18305 | |||||||
| TERRY SOLEM | |||||||||||||
| 286154 | 13968 | 81168 | 26060 | 16110 | 423460 | 26923 | |||||||
| EDWARD MOLARE | |||||||||||||
| 249554 | 0 | 117207 | 34724 | 15813 | 417298 | 36048 | |||||||
| CONNIE MARCH-CURTIS | |||||||||||||
| 249768 | 27375 | 97730 | 31670 | 20815 | 427358 | 18069 | |||||||
| EUGENE MCMAHON | |||||||||||||
| 237049 | 25000 | 58305 | 37850 | 30966 | 389170 | 0 | |||||||
| PAUL BELTER | |||||||||||||
| 266230 | 0 | 53259 | 22822 | 30059 | 372370 | 0 | |||||||
| THOMAS NEHRING | |||||||||||||
| 234592 | 0 | 68829 | 26869 | 16069 | 346359 | 0 | |||||||
| LINDA CHARLEY | |||||||||||||
| 213312 | 0 | 69121 | 15408 | 15140 | 312981 | 18331 | |||||||
| RALPH FORNARI | |||||||||||||
| 217496 | 0 | 58166 | 19584 | 21459 | 316705 | 0 | |||||||
| WILLIAM BROWN | |||||||||||||
| 0 | 0 | 254726 | 0 | 25240 | 279966 | 0 | |||||||
| EDWIN ROSE | |||||||||||||
| 183389 | 0 | 70514 | 23874 | 26004 | 303781 | 0 | |||||||
| MICHAEL GORDON | |||||||||||||
| 187832 | 0 | 45341 | 15257 | 19106 | 267536 | 0 | |||||||
| LINDSEY ARTOLA | |||||||||||||
| 165931 | 0 | 59004 | 21568 | 22724 | 269227 | 0 | |||||||
| PATRICK QUINN | |||||||||||||
| 297489 | 0 | 75806 | 18512 | 30245 | 422052 | 6587 | |||||||
| LORETTA CLIFFORD | |||||||||||||
| 183640 | 0 | 38834 | 15528 | 25471 | 263473 | 0 | |||||||
| DON VRBA | |||||||||||||
| 146803 | 0 | 53866 | 12041 | 18485 | 231195 | 0 | |||||||
| THOMAS MANAK | |||||||||||||
| 142000 | 0 | 47803 | 12700 | 19109 | 221612 | 0 | |||||||
| ANDREA BASSI | |||||||||||||
| 150756 | 0 | 43059 | 12151 | 6501 | 212467 | 0 | |||||||
| DAVID BERTAUSKI | |||||||||||||
| 291550 | 0 | 496847 | 0 | 27325 | 815722 | 73300 | |||||||
| MICHAEL ARNO | |||||||||||||
| 255590 | 0 | 249066 | 25585 | 32696 | 562937 | 55529 | |||||||
| MARGARET GLEASON | |||||||||||||
| 114356 | 90499 | 166045 | 4723 | 16242 | 391865 | 43604 | |||||||
| JOHN LYNCH | |||||||||||||
| 238795 | 0 | 94701 | 23584 | 23052 | 380132 | 0 | |||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| part i, question 4a | PART I, QUESTION 4A THE FOLLOWING RECEIVED SEVERANCE PAYMENTS: William Brown $254,726 David Bertauski $202,583 Michael Arno $ 54,668 Margaret Gleason $ 72,787 |
| PART I, QUESTIONS 6A & 6B | THE ORGANIZATION HAS AN INCENTIVE COMPENSATION PLAN BASED ON KEY TARGETS BASED ON QUALITY, SERVICE, AND STEWARDSHIP. IF TARGETS ARE ACHIEVED, PAYOUTS ARE MADE TO COVERED EMPLOYEES. THE COVERED EMPLOYEES INCLUDE MANAGERS, DIRECTORS, VICE PRESIDENTS, AND CHIEF EXECUTIVE OFFICERS. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200FYA1 | 2009-06-25 | 194912720 | 09A-CAPITAL EXPENDITURE REIMBURSEM | false | false | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200FYF0 | 2009-07-09 | 50000000 | 09B-CAPITAL EXPENDITURE REIMBURSEM | false | false | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200FYG8 | 2009-07-09 | 41000000 | 09C-CAPITAL EXPENDITURE REIMBURSEM | false | false | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200FYH6 | 2009-07-09 | 25000000 | 09D-CAPITAL EXPENDITURE REIMBURSEM | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 200000000 | 19458800 | 0 | 0 | 3140000 | 0 | 0 | 175129200 | 0 | 0 | 2009 | true | false | true | true |
| 0 | 0 | 50000000 | 0 | 0 | 0 | 581897 | 0 | 0 | 50000000 | 0 | 0 | 2009 | true | false | true | true |
| 0 | 0 | 41000000 | 0 | 0 | 0 | 477155 | 0 | 0 | 41000000 | 0 | 0 | 2009 | true | false | true | true |
| 0 | 0 | 25000000 | 0 | 0 | 0 | 290948 | 0 | 0 | 25000000 | 0 | 0 | 2009 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|
| false | false | true | true | false | 0 | true |
| false | false | true | true | false | 0 | true |
| false | false | true | true | false | 0 | true |
| false | false | true | true | false | 0 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|
| 0 | ||||||
| false | false | false | false | 0 | false | false |
| 0 | ||||||
| false | false | false | false | 0 | false | false |
| 0 | ||||||
| false | false | false | false | 0 | false | false |
| 0 | ||||||
| false | false | false | false | 0 | false | false |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200FU49 | 2010-02-11 | 115980000 | 10A-CAPITAL EXPENDITURE REIMBURSEM | false | false | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200FU72 | 2010-02-11 | 10020000 | 10B-CAPITAL EXPENDITURE REIMBURSEM | false | false | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200F5V7 | 2010-09-15 | 31000000 | 10C-CAPITAL EXPENDITURE REIMBURSEM | false | false | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200F5V7 | 2010-09-15 | 41000000 | 10D-CAPITAL EXPENDITURE REIMBURSEM | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 115980000 | 0 | 0 | 0 | 1458034 | 0 | 0 | 115980000 | 0 | 0 | 2010 | true | false | true | true |
| 0 | 0 | 10020000 | 0 | 0 | 0 | 125966 | 0 | 0 | 9558278 | 0 | 0 | 2010 | true | false | true | true |
| 0 | 0 | 31000000 | 0 | 0 | 0 | 425705 | 0 | 0 | 31000000 | 0 | 0 | 2010 | true | false | true | true |
| 0 | 0 | 41000000 | 0 | 0 | 0 | 564306 | 0 | 0 | 41000000 | 0 | 0 | 2010 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|
| false | false | true | true | false | 0 | true |
| false | false | true | true | false | 0 | true |
| false | false | true | true | false | 0 | true |
| false | false | true | true | false | 0 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|
| 0 | ||||||
| false | false | false | false | 0 | false | false |
| 0 | ||||||
| false | false | false | false | 0 | false | false |
| 0 | ||||||
| false | false | false | false | 0 | false | false |
| 0 | ||||||
| false | false | false | false | 0 | false | false |
Schedule K IRS990ScheduleK
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990 PART VI SECTION A, QUESTION 4 | On November 1, 2011, Provena Health and its affiliates ("Provena") and Resurrection Health ("RHC") completed a system merger to form Provena-Resurrection Health Network (d/b/a Presence Health). Pursuant to the merger, the two sponsoring congregations of RHC and the three sponsoring congregations of Provena agreed to jointly sponsor a new system composed of all entities comprising both systems, including Provena Health. The system merger was accomplished through the establishment of a new system parent corporation as the sole member of the former parent corporations of each system (i.e., Resurrection Health Care Corporation and Provena Health, respectively). The parent corporation of the newly merged health care system, Provena-Resurrection Health Network (d/b/a Presence Health) (referred to as Presence Health, herein), is a not_for_profit, tax_exempt corporation. The merger was effected to preserve and strengthen Catholic health care, furthering Provena's and RHC's charitable missions. Presence Health created the largest Catholic healthcare network in the State of Illinois, spanning 12 hospitals, 28 long_term care and senior residential facilities, more than 50 primary and specialty care clinics, and 6 home health agencies. The combined health system has hospital operations throughout Chicago, Des Plaines, Evanston, Aurora, Elgin, Joliet, Kankakee, Urbana, and Danville. Concurrent with the merger, directors of both Provena and RHC resigned at the effective date of the transaction, and a new Board of Directors was formed. The merger of Provena and RHC was approved by the Sponsors of both organizations to improve access to care in the communities served. | |
| FORM 990 PART VI SECTION A, QUESTIONS 7A & 7B | The corporate member consisting of 2 members appointed by the leadership teams of each of the five sponsoring congregations of religious women has the authority to appoint Board members and approve the recommendations of the Board. | |
| FORM 990 PART VI SECTION B, QUESTION 11B | THE DATA AND INFORMATION NECESSARY TO PREPARE THE FORM 990 WAS COMPILED BY PROVENA HEALTH'S ACCOUNTING GROUP. 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 ORGANIZATION HAS ADOPTED A POLICY THAT REQUIRES BOARD MEMBERS TO COMPLETE A STATEMENT THAT DISCLOSES ALL ACTIVITIES AND PROHIBITS VOTING ON ANY MATTERS INVOLVING ANY CONFLICTS. EVERY AGENDA HAS A STATEMENT THAT PROHIBITS VOTING ON AGENDA ITEMS WHERE BOARD MEMBERS HAVE CONFLICTS. VENDOR FILES ARE MATCHED WITH COMPANIES BOARD MEMBERS THAT HAVE AFFILIATIONS WITH TO DETERMINE IF CONFLICTS EXIST. | |
| FORM 990 PART VI SECTION B, QUESTIONS 15A & 15B | AN INDEPENDENT HUMAN RESOURCES COMPANY REVIEWS SALARY SURVEYS FOR CEO'S AND KEY EMPLOYEES DURING THE YEAR AND MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS or a designated board committee. | |
| 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 | Unrealized loss on securities (6,939,140) Change in FMV of interest rate swap 4,032,531 Change in FMV of derivative instruments (1,456,432) Net Asset Transfers (30,954,352) Cumulative effect of change in accounting principal (77,355,346) Impairment Expense (1,736,497) Other Changes in Net Assets or Fund Balances(Ln 5) (114,409,236) | Line 5, Other Change in Net Asset or Fund Balance |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (27 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| RESURRECTION HEALTH CARE CORPORATION | |||||||||
| 7435 WEST TALCOTT AVENUE | CHICAGO | IL | 60631 | 362235165 | SENIOR LIVING | IL | 501(C) (3) | 3 | na |
| RESURRECTION MEDICAL CENTER | |||||||||
| 7435 WEST TALCOTT AVENUE | CHICAGO | IL | 60631 | 363330926 | HEALTH CARE | IL | 501(C) (3) | 3 | NA |
| OUR LADY OF THE RESURRECTION MEDICAL CTR | |||||||||
| 5645 WEST ADDISON STREET | CHICAGO | IL | 60634 | 362644178 | HEALTH CARE | IL | 501(C) (3) | 3 | NA |
| Provena-Resurrection Health Network | |||||||||
| 7435 WEST TALCOTT AVENUE | CHICAGO | IL | 60631 | 361649520 | HEALTH CARE | IL | 501 (c )(3) | 3 | NA |
| SAINT FRANCIS HOSPITAL | |||||||||
| 355 RIDGE AVENUE | EVANSTON | IL | 60202 | 362167800 | HEALTH CARE | IL | 501(C) (3) | 3 | NA |
| SAINTS MARY AND ELIZABETH MEDICAL CENTER | |||||||||
| 2233 WEST DIVISION STREET | CHICAGO | IL | 60622 | 362171079 | HEALTH CARE | IL | 501(C) (3) | 3 | NA |
| HOLY FAMILY MEDICAL CENTER | |||||||||
| 100 n RIVER ROAD | DES PLAINES | IL | 60016 | 362439318 | HEALTH CARE | IL | 501(C) (3) | 3 | NA |
| Holy Family Health Care System Inc | |||||||||
| 100 N River Road | Des Plaines | IL | 60016 | 363495969 | health care | IL | 501 (c )(3) | 3 | NA |
| Saint Joseph Hospital | |||||||||
| 2900 North Lake Shore Drive | chicago | IL | 60657 | 363200170 | health care | IL | 501 (c )(3) | 3 | NA |
| Resurrection University | |||||||||
| 7435 West Talcott Avenue | chicago | IL | 60631 | 362182170 | health care | IL | 501 (c )(3) | 3 | NA |
| Resurrection Ambulatory Services | |||||||||
| 7435 West Talcott Avenue | Chicago | IL | 60631 | 364286236 | health care | IL | 501 (c )(3) | 3 | NA |
| Resurrection Senior Services | |||||||||
| 7435 West Talcott Avenue | chicago | IL | 60631 | 237061646 | senior living | IL | 501 (c )(3) | 3 | na |
| Resurrection Services | |||||||||
| 7447 West Talcott Avenue | chicago | IL | 60631 | 363330928 | health care | IL | 501 (c )(3) | 3 | na |
| Proviso Family Services | |||||||||
| 1820 South 25th Avenue | broadview | IL | 60155 | 362709982 | health care | IL | 501 (c )(3) | 3 | na |
| Resurrection Home Health Services | |||||||||
| 5747 West Dempster | morton grove | IL | 60053 | 362893936 | home care | IL | 501 (c )(3) | 3 | Resur Health |
| Resurrection Development Foundation | |||||||||
| 150 N River Road | des plaines | IL | 60016 | 363330929 | fundraising | IL | 501 (c )(3) | 7 | Resur Health |
| Resurrection Ministries of New York | |||||||||
| 90 N Main Street | castelton | NY | 12033 | 141720818 | parent corp | NY | 501 (c )(3) | 3 | Resur Health |
| Resurrection Nursing Home Inc | |||||||||
| 90 N Main Street | castelton | NY | 12033 | 141348691 | senior living | NY | 501 (c )(3) | 3 | Resur Min NY |
| Mount Loretto Nursing Home Inc | |||||||||
| 302 Swart Hill Road | amsterdam | NY | 12010 | 141363014 | senior living | NY | 501 (c )(3) | 3 | Resur Min NY |
| Resurrection Medical Center Auxiliary | |||||||||
| 7435 West Talcott Avenue | chicago | IL | 60631 | 366109825 | fundraising | IL | 501 (c )(3) | 7 | Resur MedCtr |
| Saint Francis Hospital Auxiliary | |||||||||
| 355 Ridge Avenue | evanston | IL | 60202 | 366143349 | fundraising | IL | 501 (c )(3) | 7 | St Fran Hosp |
| provena hospitals | |||||||||
| 9223 w st francis road | frankfort | IL | 60423 | 364195126 | healthcare | IL | 501(c)(3) | 3 | prov health |
| provena senior services | |||||||||
| 19065 hickory creek drive | mokena | IL | 60448 | 371127787 | healthcare | IL | 501(c)(3) | 7 | prov health |
| provena care home | |||||||||
| 19065 hickory creek drive | mokena | IL | 60448 | 460483587 | healthcare | IL | 501(c)(3) | 9 | prov health |
| provena home health inc | |||||||||
| 19065 hickory creek drive | mokena | IL | 60448 | 460483581 | healthcare | IL | 501(c)(3) | 9 | prov health |
| provena self-insurance trust | |||||||||
| 9223 west st st francis road | frankfort | IL | 60423 | 362987310 | healthcare | IL | 501(c)(3) | 9 | prov health |
| provena laverna terrace | |||||||||
| 19065 hickory creek drive | mokena | IL | 60448 | 363438977 | healthcare | IL | 501(c)(3) | 9 | prov health |
Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PROVENA VENTURES | |||||||||||
| 9223 West ST FRANCIS ROAD | FRANKFORT | IL | 60423 | 371168085 | MEDICAL | IL | Prov Health | C Corp | 39534 | 11016220 | 1.00000 |
| PROVENA SERVICE CORPORATION | |||||||||||
| 9223 WEST ST FRANCIS ROAD | FRANKFORT | IL | 60423 | 364314354 | MEDICAL | IL | pROV HOSP | C Corp | |||
| PROVENA PROPERTIES | |||||||||||
| 9223 west st francis road | frankfort | IL | 60423 | 363520630 | MEDICAL | IL | Prov Health | C Corp | 1.00000 | ||
| L Gilbraith Insurance SPC Ltd | |||||||||||
| 9223 west st francis road | frankfort | IL | 60423 | 980420054 | MEDICAL | IL | NA | C Corp | |||
| Resurrection health care preferred | |||||||||||
| 100 N River Road | des plaines | IL | 60016 | 363974620 | Mgd care contract | IL | RHCC | C corp | |||
| provena assurance corporation | |||||||||||
| 9223 west st francis road | frankfort | IL | 60423 | 980420054 | medical | IL | Prov Health | c corp | 1.00000 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| TRANSFERRED CASH TO PROVENA SERVICE CORP | |
| q | 17704000 |
| TRANSFERRED CASH TO PROVENA HOSPITALS | |
| q | 66550000 |
| TRANSFERRED CASH TO PROVENA HOME HEALTH | |
| q | 1300000 |
Comments