FURP.ORG / PUBLIC DATA EXPLORER

SILVER CROSS HOSPITAL & MEDICAL CENTERS: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SILVER CROSS HOSPITAL & MEDICAL CENTERS (EIN 36-2174832)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-12
IRS object ID
201112249349301696
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)
Timestamp2011-08-12T15:54:01-04:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362174832EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Silver Cross Hospital and Medical CentersBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSILVNameControl
Phone8157407084Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 Maple RoadAddressLine1
CityJolietCity
StateILState
ZIP Code60432ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM BROWNLOWName
TitleCFOTitle
Date Signed2011-08-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPAUL PAWLAKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11200 MAPLE RDAddressLine1
CityJOLIETCity
StateILState
ZIP Code60432ZIPCode
FieldValueIRS element (for citing)
Gross Receipts267587437GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.silvercross.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1895YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO ESTABLISH, CONDUCT, MAINTAIN AND OPERATE HOSPITALS AND COMMUNITY MEDICAL CENTERS AND TO FURNISH OTHER FACILITIES FOR THE CARE OF PERSONS SUFFERING FROM ILLNESSES OR DISABILITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees2040TotalNbrEmployees
Total Nbr Volunteers454TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year820202ContributionsGrantsPriorYear
Contributions Grants Current Year3432699ContributionsGrantsCurrentYear
Program Service Revenue Prior Year228511506ProgramServiceRevenuePriorYear
Program Service Revenue CY242619807ProgramServiceRevenueCY
Investment Income Prior Year972069InvestmentIncomePriorYear
Investment Income Current Year6841727InvestmentIncomeCurrentYear
Other Revenue Prior Year1078133OtherRevenuePriorYear
Other Revenue Current Year997432OtherRevenueCurrentYear
Total Revenue Prior Year231381910TotalRevenuePriorYear
Total Revenue Current Year253891665TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year588600GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY345457GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year100647447SalariesEtcPriorYear
Salaries Etc Current Year106322172SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year126570350OtherExpensePriorYear
Other Expenses Current Year133121116OtherExpensesCurrentYear
Total Expenses Prior Year227806397TotalExpensesPriorYear
Total Expenses Current Year239788745TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3575513RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14102920RevenuesLessExpensesCY
Total Assets BOY635315461TotalAssetsBOY
Total Assets EOY645515050TotalAssetsEOY
Total Liabilities BOY435116705TotalLiabilitiesBOY
Total Liabilities EOY431174042TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY200198756NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY214341008NetAssetsOrFundBalancesEOY
Mission DescriptionTO ESTABLISH, CONDUCT, MAINTAIN AND OPERATE HOSPITALS AND COMMUNITY MEDICAL CENTERS AND TO FURNISH OTHER FACILITIES FOR THE CARE OF PERSONS SUFFERING FROM ILLNESSES OR DISABILITIES REQUIRING HOSPITAL CARE, COMMUNITY MEDICAL CARE OR CARE IN THE HOME.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense232332376Expense
Grants345457Grants
Revenue242605164Revenue
DescriptionProvision of inpatient and outpatient health care services. Hospital inpatient and observation days for the time period covered by this return totaled 66,330. Outpatient registrations totaled 200,594.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense214254Expense
Revenue14643Revenue
DescriptionCommunity education programs, free screenings/immunizations, and support of free community clinicDescription
FieldValueIRS element (for citing)
Total Program Service Expense232546630TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
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 OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
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 EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096182NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2040NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
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 VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN KREPPS VP FINANCENamePerson
Telephone Number8157407084TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 MAPLE ROADAddressLine1
CityJOLIETCity
StateILState
ZIP Code60432ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
PAUL PAWLAK
PRESIDENT/CEO1.0XX01098050415576
GEORGE F MAHONEY III
DIRECTOR1.0X000
STEVE MORRISSETTE
TREASURER1.0XX000
CONNIE CURRAN
DIRECTOR1.0X000
JACK CARLSTROM
DIRECTOR1.0X000
DOUGLAS HUTCHISON JR
First Vice Chairman1.0XX000
AL MCCOWAN
SECRETARY1.0XX000
JAMES ROOLF
CHAIRMAN1.0XX000
MARK STOFAN
Second Vice Chairman1.0XX000
SALVADOR RINELLA MD
DIRECTOR1.0X000
Brian Chaps
Director1.0X000
Thomas Donovan
Director1.0X000
SUSAN PROCK
Director1.0X000
Mary Totten
Director1.0X000
DAVID MIKOLAJCZAK DO
Director1.0X000
WILLIAM BROWNLOW
ASST TREASURER/CFO1.0X0559463190833
MARYBETH ANTONE
ADMIN DIRECTOR, CARDIOLOGY40.0163803015484X
THOMAS MURPHY
ADMIN DIRECTOR, SURGICAL SRVC40.0140213016908X
BRANDT FICK
DIRECTOR, EMERGENCY SRVC40.013478809200X
KAY NOVAK
DIRECTOR, ACCOUNTING40.0132938013750X
MARY BRENCZEWSKI
ADMIN DIRECTOR, CLINICAL40.0134774013169X
FieldValueIRS element (for citing)
Total Reportable Comp From Org706516TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1657513TotalReportableCompFrmRltdOrgs
Total Other Compensation674920TotalOtherCompensation
Number Individuals GT100 K61NumberIndividualsGT100K
Formers ListedfalseFormersListed
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
RTKL Associates
140 S Dearborn St suite 200CHICAGOIL60603Consulting3737980
WALKER ASSOCIATES INC
5421 FELTL RD SUITE 150MINNETONKAMN55343CONSTRUCTION MNGMT626054
ALLIED ANESTHESIA ASSOCIATES PC
40 SHUMAN BLVD SUITE 275NAPERVILLEIL60563CONSULTING476187
CROTHALL HEALTHCARE INC
955 CHESTERBROOK BLVDWAYNEPA19087ENVIR SRVC MNGMT436786
KPMG Peat Marwick
PO Box 120001DALLASTX75312Auditing/Consulting222500
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Related Organizations846315RelatedOrganizations
All Other Contributions2586384AllOtherContributions
Total Contributions3432699TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE900099240580856240580856
DEPARTMENT REVENUE90009920389512038951
FieldValueIRS element (for citing)
Total Program Service Revenue242619807TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6855672TotalRevenueColumn
Exclusion$6,855,672ExclusionAmount

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)
Real33725Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real33725Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column33725TotalRevenueColumn
Exclusion$33,725ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13681827Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13695772Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-13945Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-13945TotalRevenueColumn
Exclusion-$13,945ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA REVENUE900099931860$931,860
MANAGEMENT REVENUE90009921786$21,786
A/P DISCOUNTS90009910061$10,061
FieldValueIRS element (for citing)
Total Other Revenue963707TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column253891665TotalRevenueColumn
Related Or Exempt Function Income242619807RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,839,159ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total345457Total
Program Services345457ProgramServices

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total81022569Total
Program Services76161215ProgramServices
Management And General4861354ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3462738Total
Program Services3254974ProgramServices
Management And General207764ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15858632Total
Program Services14907114ProgramServices
Management And General951518ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5978233Total
Program Services5619539ProgramServices
Management And General358694ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total5678052Total
Program Services5678052ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total328011Total
Management And General328011ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total113933Total
Management And General113933ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total195156Total
Program Services48431ProgramServices
Management And General146725ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total13034683Total
Program Services13034683ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total60099759Total
Program Services60099759ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3193381Total
Program Services3001778ProgramServices
Management And General191603ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total158522Total
Program Services92815ProgramServices
Management And General65707ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total16806Total
Management And General16806ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6960172Total
Program Services6960172ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total23692963Total
Program Services23692963ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BAD DEBT EXPENSE1381620913816209
INSURANCE40887044088704
MISCELLANEOUS EXPENSE17380501738050
PLEDGE WRITEOFFS67156715

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total239788745Total
Program Services232546630ProgramServices
Management And General7242115ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY36017089BOY
EOY13124340EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9045247BOY
EOY9091067EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY459829BOY
EOY2475751EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY29015275BOY
EOY28808492EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY179731BOY
EOY176320EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2040287BOY
EOY2067308EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis500039416LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec178097089LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY203634637BOY
EOY321942327EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY298049136BOY
EOY212282614EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2018884BOY
EOY823532EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY54855346BOY
EOY54723299EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY635315461BOY
EOY645515050EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26337861BOY
EOY25557452EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY385825263BOY
EOY382368131EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22953581BOY
EOY23248459EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY435116705BOY
EOY431174042EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY192476660BOY
EOY203148117EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2644444BOY
EOY6014756EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5077652BOY
EOY5178135EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY200198756BOY
EOY214341008EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY635315461BOY
EOY645515050EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

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)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$31,035GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB31035TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART II-B, LINE 1FIdentifier
Explanation27% OF DUES PAID TO THE ILLINOIS HOSPITAL ASSOCIATION AND 24.42% OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION ARE USED BY THESE ORGANIZATIONS FOR LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance7722097BeginningOfYearBalance
Contributions3425991Contributions
Investment Earnings Or Losses371884InvestmentEarningsOrLosses
Other Expenditures128970OtherExpenditures
Administrative Expenses198109AdministrativeExpenses
End Of Year Balance11192893EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance7486792BeginningOfYearBalance
Contributions820202Contributions
Investment Earnings Or Losses119218InvestmentEarningsOrLosses
Other Expenditures541283OtherExpenditures
Administrative Expenses162832AdministrativeExpenses
End Of Year Balance7722097EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.53000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.47000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis26011757InvestmentCostOrOtherBasis
Other Cost Or Other Basis15671647OtherCostOrOtherBasis
Book Value41683404BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis345425587OtherCostOrOtherBasis
Depreciation100587116Depreciation
Book Value244838471BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2560976OtherCostOrOtherBasis
Depreciation484200Depreciation
Book Value2076776BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis105921744OtherCostOrOtherBasis
Depreciation73749203Depreciation
Book Value32172541BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4447705OtherCostOrOtherBasis
Depreciation3276570Depreciation
Book Value1171135BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings321942327TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES48531388
DEFERRED FINANCE CHARGES&OTHER6191911
FieldValueIRS element (for citing)
Total Book Value Other Assets54723299TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PROGRAMS$21,727,360
OTHER LONG-TERM LIABILITIES$891,105
DUE TO AFFILIATES$629,994
FieldValueIRS element (for citing)
Total Of Amounts23248459TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL INFORMATIONSchedule D Pt V Line 4All endowed funds are restricted to use by Silver Cross Hospital and Medical Centers. Some funds have no further restriction and the interest earned may be used for either operational or capital support. All restrictions regarding the uses of endowed funds are documented.
SUPPLEMENTAL INFORMATIONSchedule D Part X Line 2On October 1, 2007 the corporations adopted ASC Topic 740, "Accounting for Uncertainty in Income Taxes". ASC Topic 740 clarifies the accounting for uncertainty in tax positions and also provides guidance on when the tax positions are recognized in an entity's financial statements and how the values of these positions are determined. The adoption of ASC topic 740 had no impact on the consolidated financial statements.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense8006000TotalCommunityBenefitExpense
Net Community Benefit Expense8006000NetCommunityBenefitExpense
Percent Of Total Expense0.03540PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense27845000TotalCommunityBenefitExpense
Direct Offsetting Revenue22742000DirectOffsettingRevenue
Net Community Benefit Expense5103000NetCommunityBenefitExpense
Percent Of Total Expense0.02250PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense94525000TotalCommunityBenefitExpense
Direct Offsetting Revenue85538000DirectOffsettingRevenue
Net Community Benefit Expense8987000NetCommunityBenefitExpense
Percent Of Total Expense0.03970PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense130376000TotalCommunityBenefitExpense
Direct Offsetting Revenue108280000DirectOffsettingRevenue
Net Community Benefit Expense22096000NetCommunityBenefitExpense
Percent Of Total Expense0.09760PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2161300TotalCommunityBenefitExpense
Net Community Benefit Expense2161300NetCommunityBenefitExpense
Percent Of Total Expense0.00950PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense456644TotalCommunityBenefitExpense
Net Community Benefit Expense456644NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense427189TotalCommunityBenefitExpense
Net Community Benefit Expense427189NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense351578TotalCommunityBenefitExpense
Net Community Benefit Expense351578NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3396711TotalCommunityBenefitExpense
Net Community Benefit Expense3396711NetCommunityBenefitExpense
Percent Of Total Expense0.01480PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense133772711TotalCommunityBenefitExpense
Direct Offsetting Revenue108280000DirectOffsettingRevenue
Net Community Benefit Expense25492711NetCommunityBenefitExpense
Percent Of Total Expense0.11240PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$4,162,000BadDebtExpenseAmount
Amount Attributable To2622000AmountAttributableTo
Amount Reimbursed By Medicare85538000AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare86673000CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1135000MedicareSurplusOrShortfall

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 (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
SILVER CROSS HOSPITAL AND MEDICAL CENTER
1200 MAPLE RDJOLIETIL60432XXX
SILVER CROSS EMERGICARE CENTER
12701 W 143RD STHOMER GLENIL60441X

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaThe Hospital provides charity care assistance to patients who maintain a household income up to 200% above the Federal Poverty Level. In addition, the hospital provides a 40% discount off of hospital charges to all unisured patients.IncomeBasedCriteria
Annual Community Benefit ExplnSilver Cross Hospital completes an annual Community Benefits Report which is available on the Hospital wesite and upon request.AnnualCommunityBenefitExpln
Costing Method UsedCommunity Benefits Data detail summary and reports along with financial reports were used to complete the information on Part 1 Line 7.CostingMethodUsed
Subsidized Health Services ExplnSubsidized health services include providing OB physician support for the poor and uninsured expectant mothers from Will County Health Dept.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnBad debt expense of $13,816,209 was subtracted from total expenses prior to the calculation of column (f) in Part I Line 7.PercentOfTotalExpenseExpln
Bad Debt FootnoteThe financial statements do not include a footnote that describes bad debt expense. Bad debt is calculated using costing methods including cost to charge ratio using financial statements. When calculating the cost of bad debt, we are careful to avoid double counting the direct and indirect cost for items accounted for in Schedule H - Parts I, II, and III.BadDebtFootnote
Shortfall As Community BenefitThe hospital is designated as a Disproportionate Share Hospital and as such is a safety net to the community and provides care to many low income Medicare recipients. The Medicare loss sustained is a result of Medicare reimbursing at less than operating cost. Costs were attained using the Medicare cost report.ShortfallAsCommunityBenefit
Debt Collection PolicyThe Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. The Hospital does not pursue collection of amounts determined to qualify as charity care.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2 Silver Cross Hospital participates with other community organizations to develop the Will County Health Needs Assessment and Plan.NeedsAssessment
Patient Education AssistancePart VI, Line 3 Information regarding assistance for charity care is provided to patients by conducting interviews, post notices in the Hospital, and on the patient bill.PatientEducationAssistance
Community InformationPart VI, Line 4 Silver Cross Hospital cares for people that reside in areas primarily located in Will County, and portions of Grundy County and southwestern Cook County. Median incomes range broadly throughout the community with distinct pockets that have very low incomes. Our service area is composed of widely diverse cross sections of the population.CommunityInformation
Other InformationPart VI, Line 6 Silver Cross Hospital promotes the health of the community by offering several education programs which promote healthier lifestyles and improve health. In addition, SCH works with the Silver Cross Healthy Community Commission.OtherInformation
Reports Filed With StatesILReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1SILVER CROSS MEDICAL ASSOCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 MAPLE RDAddressLine1
CityJOLIETCity
StateILState
ZIP Code60432ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient364179805EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant345457AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantOPERATIONAL SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPART I, LINE 2Identifier
ExplanationTHE ORGANIZATION SHALL ADVISE AND MONITOR THE INVESTMENTS OF ENDOWMENTS AND GEYERAL FUNDS THROUGH ITS BOARD OF DIRECTORS AND THE SCHS BOARD OF DIRECTORS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PAUL PAWLAK
0626816019562502756090386246029330015136260185625
WILLIAM BROWNLOW
037059609577209309501618760289570750296088772
MARYBETH ANTONE
16316201550486011571039130179287000
THOMAS MURPHY
13937801550680010185067230157121000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Nonqualified Retirement PlanIdentifier
Return ReferenceSchedule J, PART I, LINE 4BReturnReference
ExplanationThe Supplemental Executive Retirement Program (SERP) is a non-qualified deferred compensation program designed to provide additional, market-competitive retirement benefits to certain management employees. The SERP was designed to provide retirement benefits that take into account an employee's total compensation, without regard to the annual limit on compensation that applies under qualified retirement plans. The Board has reviewed and approved the SERP benefit, concluding that it is a market-competitive benefit, and that total retirement benefits and total compensation are reasonable when compared to the benefits and compensation provided by similarly situated organizations to employees in comparable positions. For the reporting year, the following reported persons participated in the SERP and received the following payments: Paul Pawlak- $275,609 William Brownlow- $93,095 PART I, Line 3 Silver Cross Health System, the parent organization of Silver Cross Hospital, uses the following to establish executive compensation: 1) Compensation committee 2) Independent compensation consultant 3) Compensation survey 4) Approval by the Board of DirectorsExplanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
ILLINOIS FINANCE AUTHORITY
86109196745200FXY02009-06-11252872007REPLACEMENT HOSPITALfalsefalse
ILLINOIS FINANCE AUTHORITY
86109196745200FLE72008-06-1885528084REFUNDING PRIOR BONDSfalsefalse
ILLINOIS FINANCE AUTHORITY
86109196745200BSW92005-12-0892224786REFUNDING & CAPITALtruefalse
ILLINOIS FINANCE AUTHORITY
86109196745200BSY52005-12-0833625000REFUNDING & CAPITALtruefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
2539072912154059700395553501192064862012falsefalsefalsetrue
85528084332379600839288002008truefalsetruetrue
9384690166861970029712790451137342007falsetruetruetrue
343313302970019009709920117247752007truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruefalsefalse0.000000.000000.00000true
falsefalsefalsefalsefalse0.000000.000000.00000true
falsefalsetruefalsefalse0.000000.000000.00000true
falsefalsetruefalsefalse0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse
truetruefalsefalsefalsefalse
truetruefalsefalsefalsefalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
PART VI-A, LINE 6Silver Cross Health System is the sole corporate member of Silver Cross Hospital and Medical Centers.
PART VI-A, LINE 7aSilver Cross Health System may appoint members to the Board of Directors of Silver Cross Hospital and Medical Centers.
Pt VI-A, Line 7bAll decisions made by the Directors of Silver Cross Hospital and Medical Centers are subject to the approval of the Board of Directors of Silver Cross Health System.
Pt VI-B, Line 11AThe form is provided to the Chairman of the Governance and Management Effectiveness Committee of the Board of Directors. The form is prepared with the assistance of a public accounting firm.
Pt VI-B, Line 12cAny conflict of interest on the part of a Director, Officer, or Key Employee shall be disclosed on an annual basis using a questionnaire tool and is monitored and reviewed by the Corporate Compliance Officer. Indentified conflicts may be reviewed by the Board and when such interest becomes a matter of Board action, the Directors shall not vote or use personal influence on the matter and shall not be counted in a quorum for a meeting at which Board action is to be taken on the interest.
Pt VI-B, Line 15Silver Cross Health System, the parent organization of Silver Cross Hospital, uses the following to establish executive compensation: 1) Compensation Committee 2) Independent Compensation Consultant 3) Compensation Survey 4) Approval by the Board of Directors
Pt VI-C, Line 19Governing documents, conflicts of interest policy and financial statements are available to individuals upon request.
Schedule K, Part IThe 2009 Bonds (line A) were issued to finance the construction and equipping of a replacement hospital. The 2008A Bonds (line B) were issued solely for refinancing of the 2005B and 2005D Bond Issues, originally issued 12/8/05. The 2005A and 2005B Bonds (line C) were originally issued 12/8/05. The 2005B Bonds have been defeased by the 6/18/08 Bond Issue; the 2005A Bonds remain. The 2005C and 2005D Bonds (line D) were originally issued 12/8/05. The 2005C Bonds have been defeased by the 6/18/08 Bond Issue; the 2005D Bonds remain. The 2005A, B, C, and D Bond Issues were used to construct and equip a new emergency department, add patient rooms to the existing hospital facility, expand and renovate existing patient care areas, construct additional parking space and routine equipment expenditures.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SILVER CROSS HEALTH SYSTEM
1200 MAPLE RDJOLIETIL60432363185353HEALTH SYSTEMIL501(c)(3)11aNA
SILVER CROSS FOUNDATION
1200 MAPLE RDJOLIETIL60432363185350FUNDRAISINGIL501(c)(3)7SCHS
MIDWEST COMMUNITY REAL ESTATE CORP
1200 MAPLE RDJOLIETIL60432363461020REAL EST MNGTIL501(c)(3)11bSCHS
SILVER CROSS MEDICAL ASSOCIATES
1200 MAPLE RDJOLIETIL60432364179805MEDICAL CAREIL501(c)(3)11aSCHS

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
HEALTH SERVICES SYSTEM INC
1200 MAPLE RDJOLIETIL60432363262450HEALTHCARE SVCSILNAC
SILVER CROSS MANAGED CARE ORGANIZATION
1200 MAPLE RDJOLIETIL60432363876019Hlthcare SupportILNAC
PREFERRED PROVIDER ORG OF JOLIET
1200 MAPLE RDJOLIETIL60432363330680Hlthcare SupportILNAC638041420580.50000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
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 OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (13 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Silver Cross Foundation
c846315
Silver Cross Foundation
R1325000
Silver Cross Foundation
P229028
Health Service Systems Inc
P127804
Health Service Systems Inc
K56096
Health Service Systems Inc
d300000
Health Service Systems Inc
o56773
PPO Joliet
L83600
Midwest Community Real Estate Corp
p3820768
Midwest Community Real Estate Corp
r2450000
Midwest Community Real Estate Corp
j1577290
Midwest Community Real Estate Corp
q109120
Silver Cross Medical Associates
b345457