2011-08-12T15:54:01-04:00 2010-09-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2009-10-01 362174832 Silver Cross Hospital and Medical Centers SILV 8157407084 1200 Maple Road Joliet IL 60432 WILLIAM BROWNLOW 2011-08-12 3176817000 2009 2016-02-24 21:20:13Z PAUL PAWLAK 1200 MAPLE RD JOLIET IL 60432 267587437 false X www.silvercross.org X 1895 IL TO 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. 14 13 2040 454 0 0 820202 3432699 228511506 242619807 972069 6841727 1078133 997432 231381910 253891665 588600 345457 0 0 100647447 106322172 0 0 0 126570350 133121116 227806397 239788745 3575513 14102920 635315461 645515050 435116705 431174042 200198756 214341008 TO 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. false false 232332376 345457 242605164 Provision 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. 214254 14643 Community education programs, free screenings/immunizations, and support of free community clinic 232546630 true true false true false false false false true true false true false false false false false false false false true true false true true false false false false false false false false false false false false false false false true true false false true 182 0 true 2040 true false false false false false false false false false 14 13 false false false false true true true true true false false false true true true true true true true true true IL X JOHN KREPPS VP FINANCE 8157407084 1200 MAPLE ROAD JOLIET IL 60432 PAUL PAWLAK 1.0 X X 0 1098050 415576 GEORGE F MAHONEY III 1.0 X 0 0 0 STEVE MORRISSETTE 1.0 X X 0 0 0 CONNIE CURRAN 1.0 X 0 0 0 JACK CARLSTROM 1.0 X 0 0 0 DOUGLAS HUTCHISON JR 1.0 X X 0 0 0 AL MCCOWAN 1.0 X X 0 0 0 JAMES ROOLF 1.0 X X 0 0 0 MARK STOFAN 1.0 X X 0 0 0 SALVADOR RINELLA MD 1.0 X 0 0 0 Brian Chaps 1.0 X 0 0 0 Thomas Donovan 1.0 X 0 0 0 SUSAN PROCK 1.0 X 0 0 0 Mary Totten 1.0 X 0 0 0 DAVID MIKOLAJCZAK DO 1.0 X 0 0 0 WILLIAM BROWNLOW 1.0 X 0 559463 190833 MARYBETH ANTONE 40.0 X 163803 0 15484 THOMAS MURPHY 40.0 X 140213 0 16908 BRANDT FICK 40.0 X 134788 0 9200 KAY NOVAK 40.0 X 132938 0 13750 MARY BRENCZEWSKI 40.0 X 134774 0 13169 706516 1657513 674920 61 false true false RTKL Associates 140 S Dearborn St suite 200 CHICAGO IL 60603 Consulting 3737980 WALKER ASSOCIATES INC 5421 FELTL RD SUITE 150 MINNETONKA MN 55343 CONSTRUCTION MNGMT 626054 ALLIED ANESTHESIA ASSOCIATES PC 40 SHUMAN BLVD SUITE 275 NAPERVILLE IL 60563 CONSULTING 476187 CROTHALL HEALTHCARE INC 955 CHESTERBROOK BLVD WAYNE PA 19087 ENVIR SRVC MNGMT 436786 KPMG Peat Marwick PO Box 120001 DALLAS TX 75312 Auditing/Consulting 222500 9 846315 2586384 3432699 NET PATIENT REVENUE 900099 240580856 240580856 DEPARTMENT REVENUE 900099 2038951 2038951 242619807 6855672 6855672 0 0 33725 33725 33725 33725 13681827 13695772 -13945 -13945 -13945 0 0 0 CAFETERIA REVENUE 900099 931860 931860 MANAGEMENT REVENUE 900099 21786 21786 A/P DISCOUNTS 900099 10061 10061 963707 253891665 242619807 0 7839159 345457 345457 0 0 0 0 0 81022569 76161215 4861354 3462738 3254974 207764 15858632 14907114 951518 5978233 5619539 358694 5678052 5678052 328011 328011 113933 113933 0 0 195156 48431 146725 13034683 13034683 0 60099759 60099759 0 0 3193381 3001778 191603 158522 92815 65707 0 16806 16806 6960172 6960172 0 23692963 23692963 0 BAD DEBT EXPENSE 13816209 13816209 INSURANCE 4088704 4088704 MISCELLANEOUS EXPENSE 1738050 1738050 PLEDGE WRITEOFFS 6715 6715 239788745 232546630 7242115 0 36017089 13124340 9045247 9091067 459829 2475751 29015275 28808492 179731 176320 2040287 2067308 500039416 178097089 203634637 321942327 298049136 212282614 2018884 823532 54855346 54723299 635315461 645515050 26337861 25557452 385825263 382368131 22953581 23248459 435116705 431174042 X 192476660 203148117 2644444 6014756 5077652 5178135 200198756 214341008 635315461 645515050 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 31035 false false false 31035 false false PART II-B, LINE 1F 27% 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. 7722097 3425991 371884 128970 198109 11192893 7486792 820202 119218 541283 162832 7722097 0.00000 0.53000 0.47000 false false 26011757 15671647 41683404 345425587 100587116 244838471 2560976 484200 2076776 105921744 73749203 32172541 4447705 3276570 1171135 321942327 DUE FROM AFFILIATES 48531388 DEFERRED FINANCE CHARGES&OTHER 6191911 54723299 0 DUE TO THIRD PARTY PROGRAMS 21727360 OTHER LONG-TERM LIABILITIES 891105 DUE TO AFFILIATES 629994 23248459 SUPPLEMENTAL INFORMATION Schedule D Pt V Line 4 All 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 INFORMATION Schedule D Part X Line 2 On 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. true true X true X false true true false true true 8006000 8006000 0.03540 27845000 22742000 5103000 0.02250 94525000 85538000 8987000 0.03970 130376000 108280000 22096000 0.09760 2161300 2161300 0.00950 456644 456644 0.00200 427189 427189 0.00180 351578 351578 0.00150 3396711 3396711 0.01480 133772711 108280000 25492711 0.11240 false 4162000 2622000 85538000 86673000 -1135000 X true true SILVER CROSS HOSPITAL AND MEDICAL CENTER

1200 MAPLE RD JOLIET IL 60432

X X X SILVER CROSS EMERGICARE CENTER

12701 W 143RD ST HOMER GLEN IL 60441

X The 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. Silver Cross Hospital completes an annual Community Benefits Report which is available on the Hospital wesite and upon request. Community Benefits Data detail summary and reports along with financial reports were used to complete the information on Part 1 Line 7. Subsidized health services include providing OB physician support for the poor and uninsured expectant mothers from Will County Health Dept. Bad debt expense of $13,816,209 was subtracted from total expenses prior to the calculation of column (f) in Part I Line 7. The 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. The 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. The 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. Part VI, Line 2 Silver Cross Hospital participates with other community organizations to develop the Will County Health Needs Assessment and Plan. Part 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. Part 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. Part 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. IL true SILVER CROSS MEDICAL ASSOC 1200 MAPLE RD JOLIET IL 60432 364179805 501(C)(3) 345457 0 N/A N/A OPERATIONAL SUPPORT 1 PART I, LINE 2 THE ORGANIZATION SHALL ADVISE AND MONITOR THE INVESTMENTS OF ENDOWMENTS AND GEYERAL FUNDS THROUGH ITS BOARD OF DIRECTORS AND THE SCHS BOARD OF DIRECTORS. false true false false false false false false false PAUL PAWLAK 0 626816 0 195625 0 275609 0 386246 0 29330 0 1513626 0 185625 WILLIAM BROWNLOW 0 370596 0 95772 0 93095 0 161876 0 28957 0 750296 0 88772 MARYBETH ANTONE 163162 0 155 0 486 0 11571 0 3913 0 179287 0 0 0 THOMAS MURPHY 139378 0 155 0 680 0 10185 0 6723 0 157121 0 0 0 Supplemental Nonqualified Retirement Plan Schedule J, PART I, LINE 4B The 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 Directors ILLINOIS FINANCE AUTHORITY 861091967 45200FXY0 2009-06-11 252872007 REPLACEMENT HOSPITAL false false ILLINOIS FINANCE AUTHORITY 861091967 45200FLE7 2008-06-18 85528084 REFUNDING PRIOR BONDS false false ILLINOIS FINANCE AUTHORITY 861091967 45200BSW9 2005-12-08 92224786 REFUNDING & CAPITAL true false ILLINOIS FINANCE AUTHORITY 861091967 45200BSY5 2005-12-08 33625000 REFUNDING & CAPITAL true false 253907291 21540597 0 0 3955535 0 119206486 2012 false false false true 85528084 3323796 0 0 839288 0 0 2008 true false true true 93846901 6686197 0 0 2971279 0 45113734 2007 false true true true 34331330 2970019 0 0 970992 0 11724775 2007 true false true true false false true false false 0.00000 0.00000 0.00000 true false false false false false 0.00000 0.00000 0.00000 true false false true false false 0.00000 0.00000 0.00000 true false false true false false 0.00000 0.00000 0.00000 true false false false false false false false false false false false false true true false false false false true true false false false false PART VI-A, LINE 6 Silver Cross Health System is the sole corporate member of Silver Cross Hospital and Medical Centers. PART VI-A, LINE 7a Silver Cross Health System may appoint members to the Board of Directors of Silver Cross Hospital and Medical Centers. Pt VI-A, Line 7b All 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 11A The 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 12c Any 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 15 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 Directors Pt VI-C, Line 19 Governing documents, conflicts of interest policy and financial statements are available to individuals upon request. Schedule K, Part I The 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. SILVER CROSS HEALTH SYSTEM 1200 MAPLE RD JOLIET IL 60432 363185353 HEALTH SYSTEM IL 501(c)(3) 11a NA SILVER CROSS FOUNDATION 1200 MAPLE RD JOLIET IL 60432 363185350 FUNDRAISING IL 501(c)(3) 7 SCHS MIDWEST COMMUNITY REAL ESTATE CORP 1200 MAPLE RD JOLIET IL 60432 363461020 REAL EST MNGT IL 501(c)(3) 11b SCHS SILVER CROSS MEDICAL ASSOCIATES 1200 MAPLE RD JOLIET IL 60432 364179805 MEDICAL CARE IL 501(c)(3) 11a SCHS HEALTH SERVICES SYSTEM INC 1200 MAPLE RD JOLIET IL 60432 363262450 HEALTHCARE SVCS IL NA C SILVER CROSS MANAGED CARE ORGANIZATION 1200 MAPLE RD JOLIET IL 60432 363876019 Hlthcare Support IL NA C PREFERRED PROVIDER ORG OF JOLIET 1200 MAPLE RD JOLIET IL 60432 363330680 Hlthcare Support IL NA C 63804 142058 0.50000 false true true true false false false false false true false true true true true true true true Silver Cross Foundation c 846315 Silver Cross Foundation R 1325000 Silver Cross Foundation P 229028 Health Service Systems Inc P 127804 Health Service Systems Inc K 56096 Health Service Systems Inc d 300000 Health Service Systems Inc o 56773 PPO Joliet L 83600 Midwest Community Real Estate Corp p 3820768 Midwest Community Real Estate Corp r 2450000 Midwest Community Real Estate Corp j 1577290 Midwest Community Real Estate Corp q 109120 Silver Cross Medical Associates b 345457