RESURRECTION UNIVERSITY: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
RESURRECTION UNIVERSITY (EIN 36-2182170)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201111369349306631
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-16T18:13:49-07:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362182170EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1West Suburban Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone8478133727Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13 Erie CourtAddressLine1
CityOak ParkCity
StateILState
ZIP Code60302ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJohn A OrsiniCPAName
TitleTreasurerTitle
Date Signed2011-05-16DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPatricia ShehornNameOfPrincipalOfficerPerson
Gross Receipts172350587GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.reshealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1935YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionResurrection 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers106TotalNbrVolunteers
Total Gross UBI109086TotalGrossUBI
Contributions Grants Prior Year1705934ContributionsGrantsPriorYear
Contributions Grants Current Year1027743ContributionsGrantsCurrentYear
Program Service Revenue Prior Year164154566ProgramServiceRevenuePriorYear
Program Service Revenue CY162310304ProgramServiceRevenueCY
Investment Income Prior Year950629InvestmentIncomePriorYear
Investment Income Current Year-238081InvestmentIncomeCurrentYear
Other Revenue Prior Year8858883OtherRevenuePriorYear
Other Revenue Current Year9250621OtherRevenueCurrentYear
Total Revenue Prior Year175670012TotalRevenuePriorYear
Total Revenue Current Year172350587TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year81334808SalariesEtcPriorYear
Salaries Etc Current Year81150422SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year122009846OtherExpensePriorYear
Other Expenses Current Year147683585OtherExpensesCurrentYear
Total Expenses Prior Year203344654TotalExpensesPriorYear
Total Expenses Current Year228834007TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-27674642RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-56483420RevenuesLessExpensesCY
Total Assets BOY82044587TotalAssetsBOY
Total Assets EOY45512070TotalAssetsEOY
Total Liabilities BOY166395365TotalLiabilitiesBOY
Total Liabilities EOY63846200TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-84350778NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-18334130NetAssetsOrFundBalancesEOY
Mission DescriptionFaithful to the spirit of our Sponsors, 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. We promote a climate that empowers all of us to effectively steward our human and financial resources.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense205634156Expense
DescriptionThe hospital provided patient care of 44,993 acute patient days and had 9,636 acute discharges. Skilled nursing patient days were 12,214 and discharges were 737. There were 49,017 emergency room visits and 6,272 surgeries.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4795074Expense
DescriptionOperated the College of Nursing to educate and train people for future service in health care.Description
FieldValueIRS element (for citing)
Total Program Service Expense210429230TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNicola Byrne VP FinanceNamePerson
Telephone Number8478133711TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 North River RoadAddressLine1
CityDes PlainesCity
StateILState
ZIP Code60016ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeIndividual Trustee Or DirectorIndividualTrusteeOrDirectorKey EmployeeKeyEmployee
Tom Capobianco
Treasurer/CFO1.00X071809297585
Scott A Levin
Physician40.00123708951947X
Sandra Bruce
President & CEO40.00X090986432549X
Ronald Struxness
Dir/Group EVP1.00X080311234572X
Michael De Haan MD
Director1.00000X
Max L Harris
Program Director40.00123843727941X
Marianne Schiavone
Director1.00000X
Kevin P Cullinane MD
Director1.00000X
Kenneth Blair
Medical Director40.00125770950819X
Joseph F Toomey
President & CEO1.00X0222410846X
John Orsini
Treasurer/CFO1.00X000
John Kirklakis MD
Director1.00000X
Joan Ormsby
VP,COO40.00026568726924X
Jay Kreuzer
Dir, EVP/CEO40.00X048762314128X
Ivette Estrada
Director1.00044695773089X
Isoken Koko
Physician40.00142757044221X
Deborah Davisson
VP, CNO40.00019719722645X
Daniel Torres
Physician0.123368827759X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5445435TotalReportableCompFrmRltdOrgs
Total Other Compensation505025TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
US Bank Corporate Trust
PO Box 70870St PaulMN551709705Banking Services1533953
Professional Anethesiologists SC
185 Penny Road Suite BEast DundeeIL60118Anesthesiology Svcs600000
PCC Community Wellness
14 W Lake StreetOak ParkIL60302Residency Teaching1183778
Fresenius Management Services Inc
16343 Collections CenterChicagoIL60693Dialysis Analysis711671
Diversified Emergency Service LLC
800 Oak LaneWestmontIL60559Emergency Services1202197
FieldValueIRS element (for citing)
Number Of Contractors GT100 K29NumberOfContractorsGT100K
Related Organizations1027743RelatedOrganizations
Total Contributions1027743TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient RevenueDescription
Total Revenue Column162310304TotalRevenueColumn
Related Or Exempt Function Income162310304RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue162310304TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-238081TotalRevenueColumn
Exclusion-$238,081ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1013998Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1013998Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1013998TotalRevenueColumn
Exclusion$1,013,998ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueBusiness CodeBusinessCodeExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Reference Lab109086109086
Other Revenue2861561900099$2,861,561
College of Nursing52659766116005265976
FieldValueIRS element (for citing)
Total Other Revenue8236623TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column172350587TotalRevenueColumn
Related Or Exempt Function Income167576280RelatedOrExemptFunctionIncome
Unrelated Business Revenue109086UnrelatedBusinessRevenue
Exclusion$3,637,478ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total462884Total
Program Services462884ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total63169987Total
Program Services63169987ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3496770Total
Program Services3496770ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9490386Total
Program Services9490386ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4530395Total
Program Services4530395ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total18000Total
Program Services18000ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total38677Total
Management And General38677ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2969593Total
Program Services2969593ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total686813Total
Program Services686813ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total184344Total
Program Services184344ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total2168011Total
Program Services2168011ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8692605Total
Program Services8692605ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total-2264546Total
Program Services-2264546ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies2380254823802548
Purchased Services97099479709947
Loss on assets held for sale5220826652208266
Centralized Services1836610018366100
Bad Debt1861740918617409

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12485818Total
Program Services12485818ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total228834007Total
Program Services210429230ProgramServices
Management And General18404777ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY185183BOY
EOY2030377EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY17351209BOY
EOY378296EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1512590BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY619163BOY
EOY372729EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2878858BOY
EOY2902566EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY59497584BOY
EOY39828102EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY82044587BOY
EOY45512070EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13032003BOY
EOY11162984EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY153363362BOY
EOY52683216EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY166395365BOY
EOY63846200EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-84367512BOY
EOY-18334130EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16734BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-84350778BOY
EOY-18334130EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY82044587BOY
EOY45512070EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$22,381GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$16,296OtherActivitiesAmount
Total Lobbying Expenditures IIB38677TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Other receivables
Assets held for sale39798905
29197
FieldValueIRS element (for citing)
Total Book Value Other Assets39828102TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Unapplied cash$1,924,301
Rounding$2
Malpractice Liability$43,336,665
Due to/from third party payors$7,422,248
FieldValueIRS element (for citing)
Total Of Amounts52683216TotalOfAmounts
Total Revenue172350587TotalRevenue
Total Expenses228834007TotalExpenses
Excess Or Deficit For Year-56483420ExcessOrDeficitForYear
Other$122,609,174OtherAmount
Total Adjustments122609174TotalAdjustments
Excess Or Deficit Per FS66125754ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt172350587TotRevenueEtcAuditedFinclStmt
Revenue Subtotal172350587RevenueSubtotal
Total Revenue Per Form990172350587TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt228834007TotExpensesEtcAuditedFinclStmt
Expenses Subtotal228834007ExpensesSubtotal
Total Expenses Per Form990228834007TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8Identifier
Return ReferencePart XI, Line 8: Other Changes in Net Assets or Fund BalancesReturnReference
ExplanationTransfer to/from affiliated organizations $XXX-XX-XXXXExplanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3083130TotalCommunityBenefitExpense
Net Community Benefit Expense3083130NetCommunityBenefitExpense
Percent Of Total Expense0.01350PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense33194047TotalCommunityBenefitExpense
Direct Offsetting Revenue19588620DirectOffsettingRevenue
Net Community Benefit Expense13605427NetCommunityBenefitExpense
Percent Of Total Expense0.05950PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense36277177TotalCommunityBenefitExpense
Direct Offsetting Revenue19588620DirectOffsettingRevenue
Net Community Benefit Expense16688557NetCommunityBenefitExpense
Percent Of Total Expense0.07290PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense708269TotalCommunityBenefitExpense
Net Community Benefit Expense708269NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense7054219TotalCommunityBenefitExpense
Direct Offsetting Revenue2667276DirectOffsettingRevenue
Net Community Benefit Expense4386943NetCommunityBenefitExpense
Percent Of Total Expense0.01920PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2335172TotalCommunityBenefitExpense
Net Community Benefit Expense2335172NetCommunityBenefitExpense
Percent Of Total Expense0.01020PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense22364TotalCommunityBenefitExpense
Net Community Benefit Expense22364NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10120024TotalCommunityBenefitExpense
Direct Offsetting Revenue2667276DirectOffsettingRevenue
Net Community Benefit Expense7452748NetCommunityBenefitExpense
Percent Of Total Expense0.03260PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense46397201TotalCommunityBenefitExpense
Direct Offsetting Revenue22255896DirectOffsettingRevenue
Net Community Benefit Expense24141305NetCommunityBenefitExpense
Percent Of Total Expense0.10550PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Amount Reimbursed By Medicare48071079AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare42654255CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall5416824MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1West Suburban Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line13 Erie CourtAddressLine1
CityOak ParkCity
StateILState
ZIP Code60302ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaDiscount 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.IncomeBasedCriteria
Annual Community Benefit ExplnA system wide Community Benefit Report is filed by Resurrection Health Care and its affiliates. The 2010 Community Benefit Report entitled "stronger together" is available on www.reshealth.org.AnnualCommunityBenefitExpln
Percent Of Total Expense ExplnOur total expense from Form 990, Part IX, line 25, column (A) was $228,834,007. The bad debt expense included in this amount was $18,617,409. For purposes of calculating line 7, column (f) West Suburban Medical Center used the total expense which includes bad debt expense.PercentOfTotalExpenseExpln
Bad Debt FootnoteThe footnotes to Resurrection Health 's audited financial statements do not specifically address bad debt expense. The costing methodology used in determining the amounts reported in line 2 is based on the ratio of patient costs 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.BadDebtFootnote
Debt Collection PolicyCollection policies are the same for all RHC entities which includes West Suburban Medical Center's patients. Patients are notified of West Suburban 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.DebtCollectionPolicy
Number Of Facility Type ExplnWest Suburban Medical Center does not have any organizations that are not licensed.NumberOfFacilityTypeExpln
General ExplanationThe State of Illinois, Office of the Attorney General. In Illinois, the Attorney General requires that we report charity care based on the cost-to-charge ratio of the Medicare Cost Report and gives the option of reporting bad debt as cost or charges.Needs Assessment (continued)9. The Heartland Alliance is an independent, non-sectarian, non-profit organization serving more than 200,000 people annually. The 2010 Report on Illinois Poverty contains poverty data from 2008 and therefore do not fully capture the effects of the recession.10. 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. Internal Sources for Assessing Community Needs1. 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. 2. 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. 3. 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. 4. 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.GeneralExplanation
Needs AssessmentIn order to ascertain the health care needs of the community served by Resurrection Health Care, a number of internal and external sources were reviewed. The 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), while the qualitative data relied upon the direct experience of RHC staff with clinical and health education responsibilities. External Sources for Assessing Community Needs1.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. 2.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. We Plan 2005-2010 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. 3.Taking a Closer Look at Illinois Uninsured (2009 edition) published by the Gilead Outreach & Referral Center, documents the most current demographics of uninsured individuals and families in Illinois. The report demonstrates that 1.6 million Illinoisans still lack basic health care coverage. 4.The Community Needs Index (CNI) is a standardized community need assessment tool offered by Thomson Reuters that demonstrates the link between community need and access to care. The CNI is a strong indicator of a community's demand for health care services. Specifically, the CNI score is an average of five different barrier scores that measure various socioeconomic indicators of each community: income, cultural, education, insurance and housing. The CNI tool uses a scale of 1 to 5: a score of 1 indicates the least need while a score of 5 represents the most need. This tool was applied to the Resurrection Health Care service area. 5. 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 use to address and understand the needs of individual communities. 6.2009 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.7.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.8. 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.NeedsAssessment
Patient Education AssistanceThe 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 Heath 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.PatientEducationAssistance
Community InformationTo 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. Oak Park- 60301, 60302, 60304 River Forest- 60305Belmont Cragin- 60639Chicago-Austin- 60644Chicago- Humboldt Park- 60651Elmwood Park- 60707Demographic Information (Based on 2007 data)-The West Suburban Medical Center core community has a total population of 329,939, which is projected to decrease 1.6 % by year 2012. -Within the core community there are a total of 104,510 households. The median home value is 271,896 and the median age is 32.-The core community is racially/ethnically diverse. (32% Hispanic, 42% Black, 23% White, and 1.6% Asian) -The core community has an average household income of $49,124 with a 10.8% unemployment rate. -The population within the core community has varying levels of education with 20.5% holding a bachelor's degree or greater. - Resurrection Health Care hospitals offer either personal or telephonic medical interpretation services. There were 20,965 medical interpretations provided via telephone alone in FY10 across the system, in 77 different languages.Health Status Information -Within the West Suburban Medical Center core community, 26% of the population is uninsured based on 2007 data. Belmont/Cragin have the highest number of uninsured (29,563) within the core community. -A majority of the core community is at high risk for not having received breast cancer and/or cholesterol screening and not engaging in monthly exercise. -In 2003 West Suburban Medical Center core community's leading cause of death was heart disease. The second leading cause of death was cancer.CommunityInformation
Community Building ActivitiesChicago is a diverse city of unique neighborhoods. West Suburban 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.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.CommunityBuildingActivities
Other InformationThe hospital's Board of Directors is composed of physicians, senior officers and community representatives. The primary focus of the Hospital Boards is on quality and performance improvement, including oversight of physician credentialing decisions. West Suburban Medical Center has an open medical staff and extends privileges to qualified physicians in the community. As a not-for-profit organization, Resurrection Health Care applies surplus funds to improvements in patient care, medical education and research. Hospitals in the system which have negative operating margins, are able to continue to benefit from such investment because they are part of a system. New Services and Technologies and Capital Improvements:-$81.7 million invested in capital improvements planned between 2002 and 2009 including construction of a new Emergency Department and deferred maintenance investments.-?$6 million allocated to West Suburban Medical Center between 2002 and 2009 for providing and upgrading health information technology systems to facilitate the delivery of safer, more efficient patient care.-?For almost 100 years West Suburban has been home to the West Suburban College of Nursing. The College is an upper division specialty nursing college with 250 nursing students. There are currently 650 former students employed in the City of Chicago.Improving the Health of Our Community:-Reach Out program annually helps over 500 uninsured individuals gain access to essential resources such as medical care, housing and employment.-Monthly physician lectures and health screenings on various topics offered to more than100 participants.-Neighborhood Advisory Committee established to obtain community input from area residents regarding the construction of a new Emergency Department.-Community leaders participate on the West Suburban Neighborhood Community Relations Committee to create a community-wide partnership to improve our community's health.OtherInformation
Affiliated Health Care SystemA 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.All Resurrection Health 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. 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.AffiliatedHealthCareSystem
Reports Filed With StatesILReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Related OrgsBonusRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrg
Tom Capobianco
5993271187658329014295815677118765
Scott A Levin
2348073136620581289036122821
Sandra Bruce
8018641080001225020299942413
Ronald Struxness
655938147174122502232283768467974
Max L Harris
23843723941400026637811
Kenneth Blair
23771733596172233085281199921
Joseph F Toomey
222410846223256
Joan Ormsby
245273204142692429261120414
Jay Kreuzer
4100344662012250187850175173602
Ivette Estrada
36128285675362263686352004685675
Isoken Koko
37870027750164714717911488701
Deborah Davisson
186395108022264521984210802
Daniel Torres
1892592125665032614471444291

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part III, Additional InformationPart III, Additional InformationResurrection 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 Our Lady of the Resurrection Medical Center. The CEO of West Suburban Medical Center is paid by Resurrection Medical Center and her salary is including 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. Avg. Hours Worked For Related Organizations Form 990, Part VII, Section A, Line 1A The following individuals are employees of Resurrection Medical Center and generally work 40 hours per week. Approximately 1 hour of their regular work week is devoted to West Suburban Medical Center. Sandra BruceJoseph F. Toomey Tom CapobiancoJohn OrsiniJames SykesJeannie C. FreyRonald StruxnessStar NovakIvette EstradaThe following individuals are paid by Resurrection Medical Center, the entity that pays all of the systems employees. They generally work 40 hours per week for West Suburban Medical Center:Jay KreuzerPatricia ShehornJoan OrmsbyDeborah DavissonIsoken KokoKenneth BlairMax HarrisScott LevinDaniel Torres
Sch J, Part I, Line 7Part I, Line 7: Non-Fixed payments not listed aboveIncentive payments were made to the following physicians:Isoken KokoKenneth BlairScott LevinDaniel TorresPayments made as directed by the written employment agreement. The payments are paid if the physicians perform additional duties (on-call coverage, weekend coverage, etc.); meet certain productivity goals; or achieve other operating goals as defined in the contract.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableWest Suburban Medical Centers articles of incorporation are on file with the State of Illinois. Resurrection Health Care Corporation and Affiliates audited financial statements 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 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCompensation at Resurrection Health Care Corporation (RHCC) and its affiliates is based upon a Board of Directors approved strategy that guides the corporations in establishing total compensation opportunities for the organization's executives. The overall purposes of the RHCC total compensation program are to enable the organization to recruit, motivate, reward, recognize, and retain highly talented executives with the skills required to align performance measures with RHCCs 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 data 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 Committee closely 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 Board.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe compliance department coordinates an annual conflict of interest survey to determine the compliance with the conflict of interest policy and takes the required actions based on the survey results including reporting to the audit and compliance committee.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessA copy of the finalized form will be made available to the West Suburban Medical Center Board of Directors before filing.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe sole member, Resurrection Health Care Corporation, elects members of the governing body.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe Corporation has one member, Resurrection Health Care Corporation.
Form 990, Part III, Line 4dForm 990, Part III, Line 4d : Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Operated the College of Nursing to educate and train people for future service in health care.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Resurrection Ministries of New York
90 N Main StreetCasteltonNY12033141720818parent corpNY501 (c)(3)3Resurrection Health Care Corporation
Resurrection Development Foundation
150 N River RoadDes PlainesIL60016363330929fundraisingIL501 (c)(3)7Resurrection Health Care Corporation
Resurrection Home Health Services
5747 West DempsterMorton GroveIL60053362893936home careIL501 (c)(3)3Resurrection Health Care Corporation
Proviso Family Services dba Resurrecti
1820 South 25th AvenueBroadviewIL60155362709982health careIL501 (C)(3)3Resurrection Health Care Corporation
Resurrection Services
7447 West Talcott AvenueChicagoIL60631363330928health careIL501 (c)(3)3Resurrection Health Care Corporation
Resurrection Senior Services
7435 West Talcott AvenueChicagoIL60631237061646senior livingIL501 (c)(3)3Resurrection Health Care Corporation
West Suburban Health Services
3 Erie CourtOak ParkIL60302364286236parent corpIL501 (c)(3)3Resurrection Health Care Corporation
Saint Joseph Hospital
2900 North Lake Shore DriveChicagoIL60657363200170health careIL501 (c)(3)3Resurrection Health Care Corporation
Holy Family Health Care System Inc
100 N River RoadDes PlainesIL60016362439318health careIL501 (c)(3)3Resurrection Health Care Corporation
Holy Family Medical Center
100 N River RoadDes PlainesIL60016363495969health careIL501 (c)(3)3Resurrection Health Care Corporation
Saints Mary and Elizabeth Medical Ctr
2233 West Division StreetChicagoIL60622362171079health careIL501 (c)(3)3Resurrection Health Care Corporation
Saint Francis Hospital
355 Ridge AvenueEvanstonIL60202362167800health careIL501 (c)(3)3Resurrection Health Care Corporation
Westlake Community Hospital
1225 West Lake StreetMelrose ParkIL60160361649520health careIL501 (c)(3)3Resurrection Health Care Corporation
Our Lady of the Resurrection Medical Ctr
5645 West Addison StreetChicagoIL60634362644178health careIL501 (c)(3)3Resurrection Health Care Corporation
Resurrection Medical Center
7435 West Talcott AvenueChicagoIL60631363330926health careIL501(c)(3)3Resurrection Health Care Corporation
Resurrection Health Care Corporation
7435 West Talcott AvenueChicagoIL60631362235165parent corp and senior livingIL501(c)(3)3na

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNADisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Belmont Harlem Surgery Center
3101 North HarlemChicagoIL60634412237612med svcesILN/Afalsefalse
RESHealth Sleep Care Center of River
Forest 665 W North Avenue 500LombardIL60148262189763med svcesILN/Afalsefalse
RESHealth Sleep Care Center of Evanston
665 W North Avenue 500LombardIL60148261519556med svcesILN/Afalsefalse
RESHealth Sleep Care Center of Chicago
Northwest 665 W North Avenue 500LombardIL60148261519627med svcesILN/Afalsefalse
RESHealth Sleep Care Center of Lincoln
Park 665 W North Avenue 500LombardIL60148261519667med svcesILN/Afalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
L Gilbraith Insurance SPC Ltd
68 West Road PO Box 1109Grant CaymanBFInsuranceBFRHCCForeign-366939276321.00000
Resurrection Health Preferred
Mgd. Care ContractingResurrection Health Care Corporationc corp37722277166011.00000100 N River RoadDes PlainesIL60016363974620IL
RFCC Support LLC
medical servicesWest Suburban Medical Centerc corp0.8000010101 Woodloch Forest DriveThe WoodlandsTX77380263026990IL
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Resurrection Development Foundation
c1027743
Resurrection Medical Center
o124060299

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