PRESENCE LIFE CONNECTIONS: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- PRESENCE LIFE CONNECTIONS (EIN 37-1127787)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-10-27
- IRS object ID
- 201113009349300901
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-10-27T08:25:47-04:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 West Nationwide Blvd Ste 500 | AddressLine1 |
| City | Columbus | City |
| State | OH | State |
| ZIP Code | 432152568 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371127787 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVENA SENIOR SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PROV | NameControl |
| Phone | 7084787900 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19065 HICKORY CREEK DRIVE | AddressLine1 |
| City | MOKENA | City |
| State | IL | State |
| ZIP Code | 60448 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Anthony J Filer | Name |
| Title | Senior Vive President/COO | Title |
| Date Signed | 2011-10-26 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KPMG LLP | Name |
| Phone | 6142492300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CONNIE MARCH-CURTIS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19065 HICKORY CREEK DRIVE | AddressLine1 |
| City | Mokena | City |
| State | IL | State |
| ZIP Code | 60448 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 88716184 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | http://www.provena.org/seniors | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | PROVENA SENIOR SERVICES PROVIDES CARE TO THE ELDERLY in communities primarily in Northern and Central Illinois through long-term care and senior residential properties it owns and operates. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1379 | TotalNbrEmployees |
| Total Nbr Volunteers | 110 | TotalNbrVolunteers |
| Total Gross UBI | 151474 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 93526 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3398988 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 977833 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 89740324 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 84007773 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 216410 | InvestmentIncomePriorYear |
| Investment Income Current Year | 352631 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3326785 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3308070 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 96682507 | TotalRevenuePriorYear |
| Total Revenue Current Year | 88646307 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 61911124 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 57926500 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 45771 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 29423151 | OtherExpensePriorYear |
| Other Expenses Current Year | 28258693 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 91334275 | TotalExpensesPriorYear |
| Total Expenses Current Year | 86185193 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5348232 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2461114 | RevenuesLessExpensesCY |
| Total Assets BOY | 87910592 | TotalAssetsBOY |
| Total Assets EOY | 89614158 | TotalAssetsEOY |
| Total Liabilities BOY | 13400838 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 15258542 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 74509754 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 74355616 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | OUTPATIENT PHARMACY IN NORTHERN AND CENTRAL ILLINOIS AND INDIANA. PROVIDES CARE TO THE ELDERLY AND OWNS AND OPERATES 10 NURSING HOMES, FOUR INDEPENDENT LIVING FACILITIES, TWO ASSISTED LIVING FACILITIES, FOUR ADULT DAYCARE CENTERS, TWO COMMUNITY SERVICE FACILITIES, AND ONE OUTPATIENT PHARMACY IN NORTHERN AND CENTRAL ILLINOIS AND INDIANA. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 75803018 | Expense |
| Revenue | 70390979 | Revenue |
| Description | PROVENA SENIOR SERVICES PROVIDES NURSING CARE FOR LONG-TERM RESIDENTS WHO NEED ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5665066 | Expense |
| Revenue | 6875106 | Revenue |
| Description | PROVENA SENIOR SERVICES OPERATES 17 LONG-TERM CARE SENIOR RESIDENTIAL AND COMMUNITY-BASED SERVICE CAMPUSES. FACILITIES ARE LOCATED IN NORTHERN ILLINOIS WITH ONE LOCATION IN INDIANA. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3015188 | Expense |
| Revenue | 5953442 | Revenue |
| Description | Provena Senior Services operates a Pharmacy in Kankakee, IL That IS ONLY AVAILABLE TO ITS RESIDENTS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 1452037 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 1379700 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 85935309 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 173 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1379 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PATRICK QUINN | NamePerson |
| Telephone Number | 8158062328 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9223 WEST ST FRANCIS ROAD | AddressLine1 |
| City | Frankfort | City |
| State | IL | State |
| ZIP Code | 604238334 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Reportable Comp From OrganizationReportableCompFromOrganization | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| BARRY C HUEBNER | |||||||
| Vice CHAIR | 1.0 | X | X | ||||
| DENNIS SONNENBERG | |||||||
| DIRECTOR | 1.0 | X | |||||
| DEBRA Y CYBORSKI | |||||||
| treasurer | 1.0 | X | X | ||||
| CHERYL L LOWNEY | |||||||
| SECRETARY | 1.0 | X | X | ||||
| TIM PHILLIPpE | |||||||
| Chair | 1.0 | X | X | ||||
| PATRICIA GOMEZ | |||||||
| DIRECTOR | 1.0 | X | |||||
| CONNIE S MARCH | |||||||
| PRESIDENT/CEO | 1.0 | X | X | 419349 | 71112 | ||
| THERESA KWIATKOWSKI | |||||||
| DIRECTOR | 1.0 | X | |||||
| JUDY MARWICK | |||||||
| DIRECTOR | 1.0 | X | |||||
| TERRY SOLEM | |||||||
| DIRECTOR | 1.0 | X | 377149 | 64086 | |||
| Nancy T Dowd | |||||||
| Director | 1.0 | X | |||||
| Florida Freeman | |||||||
| Director | 1.0 | X | |||||
| Sr Margaret Mary Hinz | |||||||
| Director | 1.0 | X | |||||
| Sheila Sorrentino PhD RN | |||||||
| Director | 1.0 | X | |||||
| Sr Marie Mason | |||||||
| Director | 1.0 | X | |||||
| Sallie Miller | |||||||
| Director | 1.0 | X | |||||
| Phyllis Nichols | |||||||
| Director | 1.0 | X | |||||
| CRAIG CULVER | |||||||
| VP DEVELOPMENT | 40.0 | X | 33672 | 145152 | |||
| DAVID HOWARD | |||||||
| vp operations | 40.0 | X | 19247 | 206601 | |||
| KATHY DENNIS | |||||||
| VP CLINICAL SUPPORT | 40.0 | X | 19509 | 163356 | |||
| WENDELL PROVOST | |||||||
| VP SUPPORT SERVICES | 40.0 | X | 28431 | 197747 | |||
| NANCY SIEKIERKA | |||||||
| VP MISSION | 40.0 | X | 14049 | 112533 | |||
| mike gordon | |||||||
| vp finance & cfo | 40.0 | X | 240906 | 31842 | |||
| Susan Enright | |||||||
| V.P. Clinical Intergration | 40.0 | X | 139293 | 12634 | |||
| Marge Gleason | |||||||
| V.P. Homecare Operations | 40.0 | X | 184292 | 35349 | |||
| MICHAEL BORN | |||||||
| Pharmacy Director | 40.0 | 32005 | 154760 | X | |||
| CRAIG PROKUPEK | |||||||
| ADMINISTRATOR | 40.0 | 17353 | 136617 | X | |||
| mark fedyk | |||||||
| director of data analysis | 40.0 | 11955 | 116635 | X | |||
| lynda olinski | |||||||
| director of accounting | 40.0 | 7842 | 115972 | X | |||
| Ann Dodge | |||||||
| Administrator | 40.0 | 17984 | 121116 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1470489 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1360989 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 417070 | TotalOtherCompensation |
| Number Individuals GT100 K | 20 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ROCHE DIETITIANS | |||||
| 51 E BURLINGTON ST | RIVERSIDE | IL | 605462124 | CONSULTING | 116732 |
| Shawnee Construction Engineering | |||||
| 7701 Opportunity Drive | FORT WAYNE | IN | 46825 | Construction | 937739 |
| Mid-America Roofing Inc | |||||
| 1304 Enterprise Drive | ROMEOVILLE | IL | 60446 | Construction | 178123 |
| Select Rehabilitation | |||||
| PO Box 809056 | CHICAGO | IL | 60678 | Therapy Services | 9242309 |
| Alverno Clinical Laboratories | |||||
| 2434 Interstate Plaza Drive | HAMMOND | IN | 46324 | LAB services | 250502 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| All Other Contributions | 977833 | AllOtherContributions |
| Total Contributions | 977833 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REV. | 900099 | 24589675 | 24589675 |
| MEDICARE/MEDICAID PAYMENTS | 900099 | 59418098 | 59418098 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 84007773 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 361048 | TotalRevenueColumn |
| Exclusion | $361,048 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 15689 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 24106 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -8417 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -8417 | TotalRevenueColumn |
| Exclusion | -$8,417 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 115762 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 45771 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 69991 | TotalRevenueColumn |
| Exclusion | $69,991 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| MANAGEMENT SERVICE | 541610 | 438630 | 151474 | $287,156 |
| CHILD CARE | 900099 | 614147 | $614,147 | |
| PURCHASE REBATES | 900099 | 516342 | $516,342 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1668960 | TotalRevenueColumn |
| Exclusion | $1,668,960 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3238079 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 88646307 | TotalRevenueColumn |
| Related Or Exempt Function Income | 84007773 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 151474 | UnrelatedBusinessRevenue |
| Exclusion | $3,509,227 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1481177 | Total |
| Program Services | 1481177 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44953321 | Total |
| Program Services | 44840428 | ProgramServices |
| Management And General | 112893 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1487557 | Total |
| Program Services | 1482952 | ProgramServices |
| Management And General | 4605 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6243979 | Total |
| Program Services | 6235391 | ProgramServices |
| Management And General | 8588 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3760466 | Total |
| Program Services | 3737867 | ProgramServices |
| Management And General | 22599 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 466411 | Total |
| Program Services | 463521 | ProgramServices |
| Management And General | 2890 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -175505 | Total |
| Program Services | -175505 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130524 | Total |
| Program Services | 127405 | ProgramServices |
| Management And General | 3119 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2284193 | Total |
| Program Services | 2274726 | ProgramServices |
| Management And General | 9467 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4035744 | Total |
| Program Services | 4025773 | ProgramServices |
| Management And General | 9971 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3000051 | Total |
| Program Services | 3000051 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2773894 | Total |
| Program Services | 2773894 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4008091 | Total |
| Program Services | 4006940 | ProgramServices |
| Management And General | 1151 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1653703 | Total |
| Program Services | 1653703 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| ILLINOIS/INDIANA BED TAX | 888073 | 888073 | |
| REAL ESTATE TAXES | 599610 | 599610 | |
| SUPPLIES & DRUGS | 3289130 | 3287122 | 2008 |
| PROVISION FOR BAD DEBT | 859860 | 859860 | |
| FOOD | 3498805 | 3497879 | 926 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 946109 | Total |
| Program Services | 874442 | ProgramServices |
| Management And General | 25896 | ManagementAndGeneral |
| Fundraising | 45771 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86185193 | Total |
| Program Services | 85935309 | ProgramServices |
| Management And General | 204113 | ManagementAndGeneral |
| Fundraising | 45771 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12496354 | BOY |
| EOY | 13137926 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11676479 | BOY |
| EOY | 11368039 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 682337 | BOY |
| EOY | 704078 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 173512 | BOY |
| EOY | 214949 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 115723820 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 60063987 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54741839 | BOY |
| EOY | 55659833 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6917083 | BOY |
| EOY | 7577039 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1222988 | BOY |
| EOY | 952294 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87910592 | BOY |
| EOY | 89614158 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10292866 | BOY |
| EOY | 11120835 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 493887 | BOY |
| EOY | 347243 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45859 | BOY |
| EOY | 1164939 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2568226 | BOY |
| EOY | 2625525 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13400838 | BOY |
| EOY | 15258542 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72743610 | BOY |
| EOY | 72596758 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1522880 | BOY |
| EOY | 1515594 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 243264 | BOY |
| EOY | 243264 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74509754 | BOY |
| EOY | 74355616 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87910592 | BOY |
| EOY | 89614158 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2461114 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2615252 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1825290 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1621364 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1609410 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3398988 | CurrentTaxYearMinus1Year |
| Current Tax Year | 977833 | CurrentTaxYear |
| Total | 9432885 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1825290 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1621364 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1609410 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3398988 | CurrentTaxYearMinus1Year |
| Current Tax Year | 977833 | CurrentTaxYear |
| Total | 9432885 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 9432885 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1094517 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1089676 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 433325 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 278232 | CurrentTaxYearMinus1Year |
| Current Tax Year | 361048 | CurrentTaxYear |
| Total | 3256798 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 38775 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 83384 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 65134 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 43561 | CurrentTaxYearMinus1Year |
| Current Tax Year | 93526 | CurrentTaxYear |
| Total | 324380 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2672593 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2963776 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3535297 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3427862 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2917773 | CurrentTaxYear |
| Total | 15517301 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 28531364 | TotalSupport |
| Gross Receipts From Admissions Etc | 715001070 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.33061 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.33441 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests PY170 | X | ThirtyThreePercntTestsPY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4796124 | OtherCostOrOtherBasis |
| Book Value | 4796124 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 88112143 | OtherCostOrOtherBasis |
| Depreciation | 45768245 | Depreciation |
| Book Value | 42343898 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2084665 | OtherCostOrOtherBasis |
| Depreciation | 1638514 | Depreciation |
| Book Value | 446151 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20359968 | OtherCostOrOtherBasis |
| Depreciation | 12657228 | Depreciation |
| Book Value | 7702740 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 370920 | OtherCostOrOtherBasis |
| Book Value | 370920 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 55659833 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RESIDENT DEPOSITS | $451,550 |
| DUE TO AFFILIATES | $1,099,900 |
| DEFERRED COMPENSATION | $442,616 |
| OTHER CURRENT LIABILITIES | $192,715 |
| CONDITIONAL ASSET RETIREMENT | $438,744 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2625525 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Explanation | On January 1, 2008, Provena adopted ASC Subtopic 740-10 Income Taxes- Overall, which addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under ASC Subtopic 740-10, Provena may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. ASC Subtopic 740-10 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods and requires increased disclosures. At the date of adoption, and as of December 31, 2010, Provena does not have any liabilities for any unrecognized tax benefits. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Dancing w/Stars | NameOfEvent1 |
| Gross Receipts Event1 | 42785 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 42785 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 14558 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Golf Outing | NameOfEvent2 |
| Gross Receipts Event2 | 61351 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 61351 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 27083 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 11626 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 11626 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 4130 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 115762 | GrossReceiptsTotal |
| Gross Revenue Total Events | 115762 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 45771 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 45771 | DirectExpenseSummaryEvents |
| Net Income Summary | 69991 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CONNIE S MARCH | |||||||||||
| 271471 | 54549 | 93329 | 48639 | 22473 | 490461 | ||||||
| TERRY SOLEM | |||||||||||
| 287046 | 33615 | 56488 | 48969 | 15117 | 441235 | ||||||
| MICHAEL BORN | |||||||||||
| 122476 | 22555 | 9729 | 9135 | 22870 | 186765 | ||||||
| CRAIG CULVER | |||||||||||
| 110481 | 29594 | 5077 | 9852 | 23820 | 178824 | ||||||
| DAVID HOWARD | |||||||||||
| 159164 | 41057 | 6380 | 15266 | 3981 | 225848 | ||||||
| KATHY DENNIS | |||||||||||
| 126870 | 31060 | 5426 | 12259 | 7250 | 182865 | ||||||
| WENDELL PROVOST | |||||||||||
| 147591 | 35903 | 14253 | 13307 | 15124 | 226178 | ||||||
| mike gordon | |||||||||||
| 183841 | 33938 | 23127 | 14244 | 18334 | 273484 | ||||||
| CRAIG PROKUPEK | |||||||||||
| 108297 | 19689 | 8631 | 9209 | 8144 | 153970 | ||||||
| Susan Enright | |||||||||||
| 124349 | 10738 | 4206 | 8955 | 3679 | 151927 | ||||||
| Marge Gleason | |||||||||||
| 155776 | 9072 | 19444 | 18892 | 17074 | 220258 | ||||||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990 PART VI SECTION A, QUESTIONS 7A & 7B | The member body consisting of 2 members appointed by the leadership teams of each sponsoring congregation that are Franciscan Sisters of the Sacred Heart, Servants of the Holy Heart of Mary, USA Province and Sisters of Mercy, West, Mid-West Region has the authority to appoint Board members and approve the recommendations of the Board | |
| FORM 990 PART VI SECTION A, QUESTION 11A | the board reviews the form 990 and supporting schedules at a meeting before submission to the IRS. the return is submitted with the board package and is also placed on a board member website. annual education sessions on the 990 are also given to the board. | |
| FORM 990 PART VI SECTION B, QUESTIONS 12A, 12B, & 12C | THE ORGANIZATION HAS ADOPTED A POLICY THAT REQUIRES BOARD MEMBERS TO COMPLETE A STATEMENT THAT DISCLOSES ALL ACTIVITIES AND PROHIBITS VOTING ON ANY MATTERS INVOLVING ANY CONFLICTS. EVERY AGENDA HAS A STATEMENT THAT PROHIBITS VOTING ON AGENDA ITEMS WHERE BOARD MEMBERS HAVE CONFLICTS. VENDOR FILES ARE MATCHED WITH COMPANIES THAT BOARD MEMBERS HAVE AFFILIATIONS WITH TO DETERMINE IF CONFLICTS EXIST. | |
| FORM 990 PART VI SECTION B, QUESTIONS 15A & 15B | AN INDEPENDENT HUMAN RESOURCES COMPANY REVIEWS SALARY SURVEYS FOR CEO'S AND KEY EMPLOYEES DURING THE YEAR AND MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS. | |
| FORM 990 PART VI SECTION C, QUESTION 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE ON THE ORGANIZATION'S WEBSITE. | |
| form 990 Part XI, Line 5 | Transfers to Affiliates (2,072,160) Unrealized Gain 373,587 Net Fundraising Income (69,991) Net Assets Adjustment forProvena Laverna Terrace (740,297) Goodwill Impairment (106,391) ------------ Total Changes in Net Assets (2,615,252) | Change in net assets |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alverno Provena Hospitals Laboratory | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2434 Interstate Plaza Drive | AddressLine1 |
| City | Hammond | City |
| State | IN | State |
| ZIP Code | 46324 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203238867 | EIN |
| Primary Activities | Healthcare | PrimaryActivities |
| Legal Domicile State | IN | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| PROVENA HOSPITALS | ||||||||||
| 9223 WEST ST FRANCIS ROAD | FRANKFORT | IL | 60423 | 364195126 | HEALTHCARE | IL | 501(c)(3) | 3 | N/A | |
| PROVENA CARE HOME | ||||||||||
| 19065 Hickory Creek Drive | Mokena | IL | 60448 | 460483587 | HEALTHCARE | IL | 501(c)(3) | 9 | N/A | |
| PROVENA HOME HEALTH INC | ||||||||||
| 19065 Hickory Creek Drive | Mokena | IL | 60448 | 460483581 | HEALTHCARE | IL | 501(c)(3) | 9 | N/A | |
| PROVENA HEALTH | ||||||||||
| 9223 WEST ST FRANCIS ROAD | FRANKFORT | IL | 60423 | 363366652 | HEALTHCARE | IL | 501(c)(3) | 11 | N/A | |
| PROVENA LAVERNA TERRACE | ||||||||||
| 19065 Hickory Creek Drive | Mokena | IL | 60448 | 363438977 | HEALTHCARE | IL | 501(c)(3) | 9 | NA | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| PROVENA VENTURES | |||||||||
| 9223 WEST ST FRANCIS ROAD | FRANKFORT | IL | 60423 | 371168085 | MEDICAL | IL | N/A | C CORP | |
| PROVENA SERVICE CORPORATION | |||||||||
| 9223 WEST ST FRANCIS ROAD | FRANKFORT | IL | 60423 | 364314354 | MEDICAL | IL | C CORP | PROVENA HOSPITA | |
| PROVENA PROPERTIES | |||||||||
| 9223 WEST ST FRANCIS ROAD | FRANKFORT | IL | 60423 | 363520630 | MEDICAL | IL | N/A | C CORP | |
| PROVENA ASSURANCE CORPORATION | |||||||||
| 9223 WEST ST FRANCIS ROAD | FRANKFORT | IL | 60423 | 980420054 | MEDICAL | IL | N/A | C CORP | |
| PROVENA SELF-INSURANCE TRUST | |||||||||
| 9223 WEST ST FRANCIS ROAD | FRANKFORT | IL | 60423 | 362987310 | INSURANCE | IL | TRUST | PROVENA HEALTH | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |