PRESENCE LEGACY ASSOCIATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
PRESENCE LEGACY ASSOCIATION (EIN 36-1649520)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201131369349306428
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-16T15:53:07-07:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN361649520EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Westlake HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone8478133723Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11225 W Lake StreetAddressLine1
CityMelrose ParkCity
StateILState
ZIP Code60160ZIPCode

Officer Officer

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

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonM Patricia ShehornNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11225 W Lake StreetAddressLine1
CityMelrose ParkCity
StateILState
ZIP Code60160ZIPCode
FieldValueIRS element (for citing)
Gross Receipts100369841GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.reshealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1939YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionResurrection Health Care exists to witness God's sustaining love through compassionate, family-centered care. Motivated by a reverence for life and respect for those we serve, we are committed to improving the health and well-being of our community.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers35TotalNbrVolunteers
Total Gross UBI623871TotalGrossUBI
Net Unrelated Business Txbl Income-13649NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3212719ContributionsGrantsPriorYear
Contributions Grants Current Year904795ContributionsGrantsCurrentYear
Program Service Revenue Prior Year98251588ProgramServiceRevenuePriorYear
Program Service Revenue CY98831450ProgramServiceRevenueCY
Investment Income Prior Year8777InvestmentIncomePriorYear
Investment Income Current Year9725InvestmentIncomeCurrentYear
Other Revenue Prior Year665616OtherRevenuePriorYear
Other Revenue Current Year623871OtherRevenueCurrentYear
Total Revenue Prior Year102138700TotalRevenuePriorYear
Total Revenue Current Year100369841TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year58254920SalariesEtcPriorYear
Salaries Etc Current Year56788551SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year42322412OtherExpensePriorYear
Other Expenses Current Year74375861OtherExpensesCurrentYear
Total Expenses Prior Year100577332TotalExpensesPriorYear
Total Expenses Current Year131164412TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1561368RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-30794571RevenuesLessExpensesCY
Total Assets BOY33782458TotalAssetsBOY
Total Assets EOY14837960TotalAssetsEOY
Total Liabilities BOY86206057TotalLiabilitiesBOY
Total Liabilities EOY33235178TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-52423599NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-18397218NetAssetsOrFundBalancesEOY
Mission DescriptionFaithful to the spirit of our Sponsors, Resurrection Health Care exists to witness God's sustaining love through compassionate, family-centered care. Motivated by a reverence for life and respect for those we serve, we are committed to improving the health and well-being of our community. We promote a climate that empowers all of us to effectively steward our human and financial resources.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense119405505Expense
DescriptionHospital patient services rendered to residents of the surrounding community. Patient days = 36,509 discharges = 7,974 Beds= 308Description
Total Program Service Expense119405505TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 N River RdAddressLine1
CityDes PlainesCity
StateILState
ZIP Code60016ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorHighest Compensated EmployeeHighestCompensatedEmployeeKey EmployeeKeyEmployee
Tom Capobianco
Treasurer/CFO1.00X071809297585
Starr Novak
Director1.00033050674898X
Sandra Bruce
President & CEO1.00X090986432549
Ronald Struxness
Director/Exc VP1.00X080311234572X
Rebecca Lim
Physician40.00160800768880X
Peter Panton MD
Director1.00000X
Patrick Durkin
VP, Professional Services40.00016772435716X
Oleg Korolev
Physician40.00138283866549X
M Patricia Shehorn
CEO40.00X057324872454X
Joseph F Toomey
President & CEO1.00X0222410846
John A Orsini
Treasurer/CFO1.00X000
Jeannie C Frey
SVP Legal1.00X043124286287
Jane Stenske
VP, CNO40.00017719321153X
Jamie Kaye
Physician40.00137496851832X
James Sykes
Asst Treasurer1.00X024390331345
Ivette Estrada
Director1.00044695773089X
Enrique Arroyo
Director1.00000X
Bohdan Charkewycz
Physician40.00144739262221X
Alphonsa T George
Physician0.138263744250X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7220093TotalReportableCompFrmRltdOrgs
Total Other Compensation854226TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
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
United Medical SC
55 E 87th StreetNapervilleIL60565Physician Prof Serv420735
SpecialCare
502 Earth City PlazaEarth CityMO63045Professional Service354720
Medical Transcription Management
602 William StreetRiver ForestIL60305Transcription349699
Heartland Blood Centers
PO Box 2091AuroraIL60507Blood Services391708
Fresenius Management Services Inc
4013 Paysphere CircleChicagoIL60674Dialysis Management572564
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Related Organizations904795RelatedOrganizations
Total Contributions904795TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient Service revenueDescription
Business Code622110BusinessCode
Total Revenue Column98831450TotalRevenueColumn
Related Or Exempt Function Income98831450RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue98831450TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9725TotalRevenueColumn
Exclusion$9,725ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionReference LabDescription
Business Code621500BusinessCode
Total Revenue Column623871TotalRevenueColumn
Unrelated Business Revenue623871UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue623871TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column100369841TotalRevenueColumn
Related Or Exempt Function Income98831450RelatedOrExemptFunctionIncome
Unrelated Business Revenue623871UnrelatedBusinessRevenue
Exclusion$9,725ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total344917Total
Program Services344917ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total44629616Total
Program Services44629616ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2504946Total
Program Services2504946ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6064885Total
Program Services6064885ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3244187Total
Program Services3244187ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total31106Total
Management And General31106ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8727559Total
Program Services8727559ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14375041Total
Program Services14375041ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2068956Total
Program Services2068956ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total26441Total
Program Services26441ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total40718Total
Program Services40718ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total1021338Total
Program Services1021338ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2738564Total
Program Services2738564ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total5899687Total
Program Services5899687ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Provision for Bad Debts94063979406397
Medicaid Tax Assessments45438334543833
Loss on assets held for sale1362145013621450
Dues and Subscriptions125802125802
Centralized Services1172780111727801

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total21168Total
Program Services21168ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total131164412Total
Program Services119405505ProgramServices
Management And General11758907ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1201513BOY
EOY995917EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6769420BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY585518BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY194278BOY
EOY111061EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY25031729BOY
EOY13730982EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33782458BOY
EOY14837960EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1111541BOY
EOY5895647EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY28026185BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY57068331BOY
EOY27339531EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY86206057BOY
EOY33235178EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-52423599BOY
EOY-18397218EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-52423599BOY
EOY-18397218EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33782458BOY
EOY14837960EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$20,695GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$10,411OtherActivitiesAmount
Total Lobbying Expenditures IIB31106TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
phys billing a/r
Assets held for sale13730982
Assets held for sale
FieldValueIRS element (for citing)
Total Book Value Other Assets13730982TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Self insurance liability$21,912,202
Due to Third Part Payors$5,427,329
FieldValueIRS element (for citing)
Total Of Amounts27339531TotalOfAmounts
Total Revenue100369841TotalRevenue
Total Expenses131164412TotalExpenses
Excess Or Deficit For Year-30794571ExcessOrDeficitForYear
Other$64,820,952OtherAmount
Total Adjustments64820952TotalAdjustments
Excess Or Deficit Per FS34026381ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt100369841TotRevenueEtcAuditedFinclStmt
Revenue Subtotal100369841RevenueSubtotal
Total Revenue Per Form990100369841TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt131164412TotExpensesEtcAuditedFinclStmt
Expenses Subtotal131164412ExpensesSubtotal
Total Expenses Per Form990131164412TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteRHC and Affiliates 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. RHC and Affiliates do not have any liabilities for unrecognized tax benefits.
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesTransfer to affiliated organizations $64820952

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1726144TotalCommunityBenefitExpense
Net Community Benefit Expense1726144NetCommunityBenefitExpense
Percent Of Total Expense0.01320PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense31443675TotalCommunityBenefitExpense
Direct Offsetting Revenue18210237DirectOffsettingRevenue
Net Community Benefit Expense13233438NetCommunityBenefitExpense
Percent Of Total Expense0.10090PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense33169819TotalCommunityBenefitExpense
Direct Offsetting Revenue18210237DirectOffsettingRevenue
Net Community Benefit Expense14959582NetCommunityBenefitExpense
Percent Of Total Expense0.11410PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1349406TotalCommunityBenefitExpense
Direct Offsetting Revenue496835DirectOffsettingRevenue
Net Community Benefit Expense852571NetCommunityBenefitExpense
Percent Of Total Expense0.00650PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense5647487TotalCommunityBenefitExpense
Direct Offsetting Revenue1649143DirectOffsettingRevenue
Net Community Benefit Expense3998344NetCommunityBenefitExpense
Percent Of Total Expense0.03050PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense222601TotalCommunityBenefitExpense
Net Community Benefit Expense222601NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served5374PersonsServed
Total Community Benefit Expense22801TotalCommunityBenefitExpense
Net Community Benefit Expense22801NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served5374PersonsServed
Total Community Benefit Expense7242295TotalCommunityBenefitExpense
Direct Offsetting Revenue2145978DirectOffsettingRevenue
Net Community Benefit Expense5096317NetCommunityBenefitExpense
Percent Of Total Expense0.03890PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served5374PersonsServed
Total Community Benefit Expense40412114TotalCommunityBenefitExpense
Direct Offsetting Revenue20356215DirectOffsettingRevenue
Net Community Benefit Expense20055899NetCommunityBenefitExpense
Percent Of Total Expense0.15290PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense6316TotalCommunityBuildingExpense
Net Community Building Expense6316NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense460TotalCommunityBuildingExpense
Net Community Building Expense460NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs15NumberOfActivitiesOrPrograms
Persons Served266PersonsServed
Total Community Building Expense40734TotalCommunityBuildingExpense
Net Community Building Expense40734NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served100PersonsServed
Total Community Building Expense4084TotalCommunityBuildingExpense
Net Community Building Expense4084NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served362PersonsServed
Total Community Building Expense275388TotalCommunityBuildingExpense
Direct Offsetting Revenue152337DirectOffsettingRevenue
Net Community Building Expense123051NetCommunityBuildingExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs25NumberOfActivitiesOrPrograms
Persons Served728PersonsServed
Total Community Building Expense326982TotalCommunityBuildingExpense
Direct Offsetting Revenue152337DirectOffsettingRevenue
Net Community Building Expense174645NetCommunityBuildingExpense
Percent Of Total Expense0.00130PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$3,075,538BadDebtExpenseAmount

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1Westlake HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11225 W Lake StreetAddressLine1
CityMelrose ParkCity
StateILState
ZIP Code60160ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaDiscount for Low-Income Uninsured Patients. Financial Assistance/Charity Care discounts or discounted fee schedules is available for Medically Necessary Hospital Services provided to Uninsured Patients who are unable to pay all or part of the otherwise applicable charge for their care due to financial need, as documented in accordance with this Policy. Patients demonstrating financial need based on household income at or below one hundred percent (100%) of the Federal Poverty Level, combined with a general lack of liquid assets, will receive a one hundred percent (100%) discount on Medically Necessary Hospital Services. Patients generally lacking liquid assets who have household income between one hundred percent (100%) and up to four hundred percent (400%) of the Federal Poverty Level will receive a sliding-scale discount for such hospital care, at levels approved by the RHC Executive Leadership Team.Payment Caps Under Illinois Uninsured Patient Discount Act. To the extent required by the Illinois Uninsured Patient Discount Act, and subject to other eligibility standards and exclusions as set forth by such law including standards based on asset level, Uninsured Patients who are Illinois residents having household income of up to six hundred percent (600%) of the Federal Poverty Level shall not be required to pay to an RHC hospital more than twenty five percent (25%) of such patient's family gross income within a twelve (12) month period.Other Payment Caps. An Uninsured Patient who is eligible for Financial Assistance/Charity Care at an RHC Hospital pursuant to the criteria set forth in Section 5.1 or 5.3 below shall be eligible for a payment cap based on RHC's charitable commitment to catastrophic medical expenses assistance based on medical indigence, as follows:For an eligible Uninsured Patient who demonstrates that s/he has a household income of four hundred percent (400%) or less of the Federal Poverty Level, such patient's payment obligation within any 12-month period is limited to the higher of: (a) ten percent (10%) of the patient's annual gross household income; or (b) ten percent (10%) of the patient's Non-Retirement Household Liquid Assets.For an eligible Uninsured Patient who demonstrates that s/he has a household income over four hundred percent (400%) of the Federal Poverty Level, or less, such patient's payment obligation within any 12-month period is limited to the higher of: (a) fifteen percent (15%) of annual gross household income; or (b) fifteen percent (15%) of the patient's Non-Retirement Household Liquid Assets.Financial Assistance/Charity Care for Insured Patients. Subject to insurance and governmental program restrictions (which may limit the ability to grant a discount on co-pays or deductibles, versus discounts on co-insurance), insured individuals, federal program beneficiaries and other individuals who are not automatically eligible for Financial Assistance/Charity Care hereunder but who demonstrate medical indigence or other financial need, may receive a Financial Assistance/Charity Care discount in similar or different amounts as are available to Uninsured Patients under this policy, as determined appropriate under the circumstances by RHC Patient Financial Services.Discounts for Uninsured, Medically Indigent Patients. Uninsured Patients whose household income is greater than four hundred percent (400%) of the Federal Poverty Level or who do not meet the automatic eligibility criteria set forth in Section 5 below, will nevertheless be eligible to receive a financial assistance/charity care discount based on a determination of medical indigence, by virtue of having medical bills from an RHC hospital in an amount equal to or greater than fifteen percent (15%) of their household income and available assets. Such Financial Assistance/Charity Care discount for uninsured higher income but medically indigent patients shall be one that is reasonable in relation to the individual patient's househousehold financial circumstances and the health status of the patient.IncomeBasedCriteria
Annual Community Benefit ExplnA system wide Community Benefit Report is filed by Resurrection Health Care and its affiliates. The 2010 Community Benefit Report entitled "stronger together" is available on www.reshealth.org.AnnualCommunityBenefitExpln
Percent Of Total Expense ExplnOur total expense from Form 990, Part IX, line 25, column (A) was $131,164,412. The bad debt expense included in this amount was $9,406,397. For purposes of calculating line 7, column (f) Westlake Hospital used the total expense which includes bad debt expense.PercentOfTotalExpenseExpln
Bad Debt FootnoteThe footnotes to Resurrection Health 's audited financial statements do not specifically address bad debt expense. The costing methodology used in determining the amounts reported in line 2 is based on the ratio of patient costs to charges. The bad debt (at cost) was calculated by applying the organization's cost to charge ratio to the organization's provision for uncollectible accounts receivable.BadDebtFootnote
Shortfall As Community BenefitThe shortfall of $1,606,103 on Part II Line 7 is the unreimbursed cost of providing for Medicare patients for Westlak Hospital operations,the unreimbursed cost of medicare was calculated using the cost to charge ratios from the Medicare cost report ratios.ShortfallAsCommunityBenefit
Debt Collection PolicyCollection policies are the same for all RHC entities which includes Westlake Hospital patients. Patients are notified of Westlake Hospital's financial assistance policy at time of registration via posted notifications and on every account statement that is sent. We make this available in a number of languages. On receipt of the information, we will determine eligibility for financial assistance and notify the patient as quickly as possible. The Hospital does not pursue collection of amounts from patients who are being reviewed for financial assistance eligibility or who are determined to qualify for charity care. If at any point in the collection process, documentation is received that indicates the patient is potentially eligible for financial assistance but has not applied for it, the account is referred back for a financial assistance review. In addition, all patients having difficulty paying their bills are directed to financial counselors. The financial counselors will work with our patients to qualify them for charity care or government program such as Medicaid. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off in accordance with our financial assistance policy. If there is any remaining balance, only that balance would be subject to our debt collection policy. If a patient has requested and/or filled out a financial aid application, all debt collection activities stop until eligibility for financial assistance can be determined. Our policy provides that once we have received the necessary documentation we will not refer any accounts for collection until we can determine whether the individual is insured and not eligible for financial assistance.DebtCollectionPolicy
Number Of Facility Type ExplnWestlake Hospital does not have any organizations that are not licensed.NumberOfFacilityTypeExpln
General ExplanationThe State of Illinois, Office of the Attorney General. In Illinois, the Attorney General requires that we report charity care based on the cost-to-charge ratio of the Medicare Cost Report and gives the option of reporting bad debt as cost or charges.Needs Assessment (continued)9. The Heartland Alliance is an independent, non-sectarian, non-profit organization serving more than 200,000 people annually. The 2010 Report on Illinois Poverty contains poverty data from 2008 and therefore do not fully capture the effects of the recession.10. Illinois Department of Public Health (IDPH) publishes The Illinois Project for Local Assessment of Needs (IPLAN), a community health assessment and planning process and online tool that is conducted every five years (2006 is most current data) by local health jurisdictions in Illinois. Internal Sources for Assessing Community Needs1. Resurrection Health Care's Strategic Planning Process, includes comprehensive assessments of service area demographics, identified needs, health care trends, market share, financial outcomes, capital needs, and other factors. 2. RES-INFO is a widely utilized Resurrection Health Care telephone service/contact center that provides nurse advice, physician referrals, health information and health care class registrations to callers. Staffed by clinicians and other professionals, community members access RES-INFO by utilizing a toll-free number and the RHC Website. Summary reports indicate the types of health care providers callers seek, the symptoms they need assistance with, the health information they are seeking, and the health classes and seminars they would like to take. 3. The Resurrection Health Care Website (www.reshealth.org) provides an online health information library as well as information related to the full continuum of available health care services, the Resurrection financial assistance program, educational programs and screenings, an online physician search and online job application system, to name a few of the available topics. A parallel version of the site is also available in Spanish. Regular review of site usage statistics provides useful information about the health concerns of website visitors. 4. Resurrection Health Care clinical educators, health educators and physicians supply significant empirical research on the needs of the community. Resurrection Health Care operates several clinics in and around each hospital. Clinical and professional staffs also obtain patient data through health education, health screenings, health fairs and other clinical encounters.GeneralExplanation
Needs AssessmentIn order to ascertain the health care needs of the community served by Resurrection Health Care, a number of internal and external sources were reviewed. The quantitative data focused on published health status indicators as well as our own direct measures of expressed community needs (via phone calls, website and survey responses), while the qualitative data relied upon the direct experience of RHC staff with clinical and health education responsibilities. External Sources for Assessing Community Needs1.Chicago Department of Public Health - Casting Chicago's Health Care Safety Net: A 12-Year Review of Chicago's Community-Based Primary Care System. The report highlights the changes that occurred in Chicago's community-based health care safety net system between 1990-2002. The report also explores, for the same 12-year period, changes in related indicators: general population characteristics, health status and insurance coverage. 2.We Plan 2005-2010 (in conjunction with The Cook County Department of Public Health) summarizes the process of assessment - a systematic collection and analysis in order to provide a basis for decision making and community strategic planning. We Plan 2005-2010 is a compilation of data and analysis, measurable objectives, available resources, interventions and preliminary implementation steps for three priority health indicators: chronic disease, violence and access to Care. 3.Taking a Closer Look at Illinois Uninsured (2009 edition) published by the Gilead Outreach & Referral Center, documents the most current demographics of uninsured individuals and families in Illinois. The report demonstrates that 1.6 million Illinoisans still lack basic health care coverage. 4.The Community Needs Index (CNI) is a standardized community need assessment tool offered by Thomson Reuters that demonstrates the link between community need and access to care. The CNI is a strong indicator of a community's demand for health care services. Specifically, the CNI score is an average of five different barrier scores that measure various socioeconomic indicators of each community: income, cultural, education, insurance and housing. The CNI tool uses a scale of 1 to 5: a score of 1 indicates the least need while a score of 5 represents the most need. This tool was applied to the Resurrection Health Care service area. 5. Metropolitan Chicago Healthcare Council (MCHC) Needs Assessment is a comprehensive, data driven approach to determine the health status, and understand the behaviors and needs of the residents of Cook, Lake, and DuPage counties. This study can be use to address and understand the needs of individual communities. 6.2009 Report on Chicago Region Poverty: In this ninth annual comprehensive analysis of poverty indicators in Illinois, the report explains that unemployment and poverty are correlated; rising unemployment precipitates an increase in poverty. With the Illinois unemployment rate already over 9 percent, the ripple effect on Illinoisans is severe, according to researchers.7.Healthy People 2020 is an updated initiative by the U.S. Department of Health and Human Services, composed of federal, state and territorial departments, to strategically focus on initiatives which can be measured and which promote healthy living and disease prevention. Their website offers information on many leading indicators that are currently being measured. In addition, all community benefit activities are reported and organized using the Community Benefit Inventory for Social Accountability (CBISA) software which utilizes the Healthy People 2010/2020 categories in its database.8. Metro Chicago Information Center (MCIC) is an organization that details information on community needs assessments for the city of Chicago. The information identifies the demographics and community needs by categorizing the city into six distinct areas or communities.NeedsAssessment
Patient Education AssistanceThe hospital maintains effective methods of communicating the availability of Financial Assistance/Charity Care discounts to all patients, in multiple appropriate media and in multiple appropriate languages. The mechanisms that the Hospital will use to communicate the availability of Financial Assistance/Charity Care will include, but are not limited to the following:1. Signage. Signs shall be conspicuously posted in the admission, registration and other appropriate areas of the hospital stating that patients may be eligible for Financial Assistance/Charity Care discounts, and describing how to obtain more information, including identification of appropriate hospital representatives by title. Such signs shall be prepared in English, Spanish, and any other language that is the primary language of at least 5% of the patients served by the hospital annually.2. Provision of Financial Assistance Materials to Uninsured Patients. RHC hospitals will provide a summary of its Financial Assistance Programs and a Financial Assistance application to all persons receiving hospital care that it identifies as Uninsured Patients at the time of in-person registration, admission, or such later time at which the patient is first identified as an Uninsured Patient. For patients presenting in the Emergency Department, all RHC hospitals will provide such Financial Assistance materials at such time and in such manner as is consistent with their obligations under EMTALA to assess and stabilize the patient before making inquiry of the patient's ability to pay.3. Brochures. Brochures, information sheets and/or similar forms of written communication regarding the hospital's Financial Assistance/Charity Care policy shall be maintained in appropriate areas of the hospital (e.g., the Emergency Department, organized registration areas, and the Business Office) stating in at least English, Spanish and Polish, that the hospital offers Financial Assistance/Charity Care discounts, and describing how to obtain more information.4. Website. Each RHC's section of the Resurrection Heath Care website must include: a notice in a prominent place that financial assistance is available at the hospital; a description of the financial assistance application process; and a copy of the RHC hospital financial assistance application form.5. Billing Notices. Each RHC hospital shall include a note on or with the Hospital bill and/or statement regarding the hospital's Financial Assistance/Charity Care program, and how the patient may apply for consideration under this program.6. Financial Counselors. Each RHC hospital shall have one or more financial counselors whose contact information is listed or provided with other information concerning the hospital's Financial Assistance/Charity Care discount program, who are available to discuss eligibility and other questions concerning the program, and to provide assistance with applications.7. Notification of Determination. When an RHC hospital has made a determination that a patient's bill is discounted or adjusted in whole or in part based on a determination of financial need, the hospital will notify the patient of such eligibility determination, and that there is no further collection action taken on the discounted portion of the patient's bill.PatientEducationAssistance
Community InformationTo determine our core community, a comprehensive list of factors were considered including inpatient, outpatient and emergency department patient origin, facility location, inpatient market share, net Resurrection Health Care market share, and ongoing community outreach efforts. Melrose Park- 60160Melrose Park- 60164Bellwood- 60104Maywood- 60153River Grove- 60171Franklin Park- 60131Stone Park- 60165Demographic Information (Based on 2007 data)-The Westlake Hospital core community has a total population of 120,441, which is projected to decrease 4.4% by year 2012.-Within the core community there are a total of 38,221 households. Of those households, 16,603 include related children. The median home value is 204, 619 and the median age is 34.-The core community is predominantly Hispanic and Black. However, there is a significant Caucasian population. (37.2% Hispanic, 28.6% White, 31.2% Black, 1.9% Asian) --The core community has an average household income of $59,665 with a 7.9% unemployment rate.-The population within the core community has varying levels of education with 10.5% holding a bachelor's degree or greater.- Resurrection Health Care hospitals offer either personal or telephonic medical interpretation services. There were 20,965 medical interpretations provided via telephone alone in FY10 across the system, in 77 different languages.Health Status Information -Within the Westlake Hospital core community, 18% of the population is uninsured based on 2007 data. Maywood has the highest number of uninsured (4,952) within the core community. -From years 2001-2003 Westlake Hospital core community's leading cause of death was heart disease. The second leading cause of death was cancer.CommunityInformation
Community Building ActivitiesChicago is a diverse city of unique neighborhoods. Westlake Hospital, like all Resurrection Health Care hospitals, has a Neighborhood Community Relations Committee made up of representatives of the hospital, local clergy, business groups, community service agencies and elected officials. These committees work together to identify community health needs and devise strategies and tactics to address those health needs together, with an overall goal of improving the health status of the community.Resurrection Health Care is part of Building a Healthier Chicago (BHC), a collaborative of local and national stakeholders working to strengthen efforts to promote the health of Chicago residents. BHC seeks to create integrated, effective and sustained community-wide partnerships for health promotion. Its goal is to improve the health of Chicago residents by providing information on policies and programs to help promote healthier lifestyle choices for Chicago residents as well as the prevention and treatment of high blood pressure.CommunityBuildingActivities
Other InformationThe hospital's Board of Directors is composed of physicians, senior officers and community representatives. The primary focus of the Hospital Boards is on quality and performance improvement, including oversight of physician credentialing decisions. Westlake Hospital has an open medical staff and extends privileges to qualified physicians in the community. As a not-for-profit organization, Resurrection Health Care applies surplus funds to improvements in patient care, medical education and research. Hospitals in the system which have negative operating margins, are able to continue to benefit from such investment because they are part of a system. New Services and Technologies and Capital Improvements:-Renovated and expanded Emergency Department.-Urogynocology Center for women-$10.1 million allocated to Westlake Hospital between 2002-2009 for providing and upgrading health information technology systems to facilitate the delivery of safer, more efficient patient care.-Medical residency program accommodates 30 categorical residents and five preliminary positions.Improving the Health of Our Community:-Mammogram program targeted at uninsured and underinsured patients.-Free screenings - including blood pressure, glucose, cholesterol, prostate, colonoscopy and bone density screenings - provided through program targeted at uninsured and underinsured patients.-All Kids Coordinator promotes enrollment in public aid programs-Annual Simple Steps to Fitness Walk.-Community leaders participate on the West Suburban-Westlake Neighborhood Community Relations Committee to create a community-wide partnership to improve our community's health.OtherInformation
Affiliated Health Care SystemA single governance structure for the system includes board members from the community, physicians, senior officers and external business and health care executives with an interest in serving Resurrection Health Care's communities.All Resurrection Health Care facilities have robust community relations and patient and family focused care initiatives. While each community is different, similar methods of community engagement are employed at each hospital. The Resurrection Development Foundation is an Illinois not-for-profit corporation organized to solicit, receive and account for charitable contributions that benefit all Resurrection Health Care entities. The mission of the Foundation is to build relationships and develop partnerships across Chicago to enhance Catholic-sponsored health care services to all who need them.AffiliatedHealthCareSystem
Reports Filed With StatesILReportsFiledWithStates

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Related OrgsBonusRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrg
Tom Capobianco
5993271187658329014295815677
Starr Novak
3305064366331235405404
Sandra Bruce
8018641080001225020299942413
Ronald Struxness
655938147174122502232283768467974
Rebecca Lim
498481506351824567688711095261
Patrick Durkin
15142416300193301638620344016300
Oleg Korolev
277808442502229944938711050301
M Patricia Shehorn
4076931655553586036594645702165555
Joseph F Toomey
222410846223256
Jeannie C Frey
40762123621470003928751752923621
Jane Stenske
1639311326219153200019834613262
Jamie Kaye
27682828750230824268001981401
James Sykes
2277861611724958638727524816117
Ivette Estrada
36128285675362263686352004685675
Bohdan Charkewycz
339767442501797150961311076251
Alphonsa T George
284698442504268871979391

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part III, Additional InformationPart III, Additional InformationResurrection Health Care Corporation's (RHCC) Compensation and Benefits Committee Compensation establishes the compensation methodology used to determine key executive compensation and monitors the compensation for compliance including approving the compensation for all members of the affiliated group including Westlake Hospital. The CEO of Westlake Hospital is paid by Resurrection Medical Center and her salary is including in this review. To assure that RHCC and it's affiliates complies with Intermediate Sanctions guidelines on reasonable compensation, the RHCC Compensation and Benefits Committee monitors executive total compensation by approving all components of executive total compensation, positioning RHCC executive total compensation competitively and appropriately, annually reviewing and approving compensation changes for each executive, and reporting its activities regularly to the Resurrection Health Care Board. Avg. Hours Worked For Related Organizations Form 990, Part VII, Section A, Line 1A The following individuals are employees of Resurrection Medical Center and generally work 40 hours per week. Approximately 1 hour of their regular work week is devoted to Westlake Hopsital. Sandra BruceJoseph F. Toomey Tom CapobiancoJohn OrsiniJames SykesJeannie C. FreyRonald StruxnessIvette EstradaStarr NovakThe following individuals are paid by Resurrection Medical Center, the entity that pays all of the systems employees. They generally work 40 hours per week for Westlake Hospital:M. Patricia ShehornPatrick DurkinJane StenskeJaime KayeAplohonsa GeorgeRebecca LimBohdan CharewyczOleg Korolev
Sch J, Part I, Line 7Part I, Line 7: Non-Fixed payments not listed aboveIncentive payments were made to the following physicians:Jaime KayeAplohonsa GeorgeRebecca LimBohdan CharewyczOleg KorolevPayments made as directed by the written employment agreement. The payments are paid if the physicians perform additional duties (on-call coverage, weekend coverage, etc.); meet certain productivity goals; or achieve other operating goals as defined in the contract.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableWestlake Hospital articles of incorporation are on file with the State of Illinois. Resurrection Health Care Corporation and Affiliates audited financial statements are available from the national dissemination agent as required by our bond documents. Conflicts of interest policies are not made available to the public.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCompensation at Resurrection Health Care Corporation (RHCC) and its affiliates is based upon a Board of Directors approved strategy that guides the corporations in establishing total compensation opportunities for the organization's executives. The overall purposes of the RHCC total compensation program are to enable the organization to recruit, motivate, reward, recognize, and retain highly talented executives with the skills required to align performance measures with RHCCs Mission, Vision, and strategic initiatives, and to achieve outstanding results on a continuous basis. To ensure RHC attracts and retains high quality executives with the appropriate skills, the organization uses external labor market data to validate its base salaries and total cash compensation opportunities. The marketplace in which RHCC assesses total compensation is both regional and national in scope and is primarily comprised of comparable healthcare systems and hospitals. To assure that RHCC complies with Intermediate Sanctions guidelines on reasonable compensation, the Board's Compensation and Benefits Committee closely monitors executive total compensation by approving all components of executive total compensation, positioning RHCC executive total compensation competitively and appropriately, annually reviewing and approving compensation changes for each executive, and reporting its activities regularly to the Board.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe compliance department coordinates an annual conflict of interest survey to determine the compliance with the conflict of interest policy and takes the required actions based on the survey results including reporting to the audit and compliance committee.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessA copy of the finalized form will be made available to the Westlake Hospital Board of Directors before filing.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe sole member, Resurrection Health Care Corporation, elects members of the governing body.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe Corporation has one member, Resurrection Health Care Corporation.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Resurrection Ministries of New York
90 N Main StreetCasteltonNY12033141720818parent corpNY501 c 33Resurrection Health Care Corporation
Resurrection Development Foundation
150 N River RoadDes PlainesIL60016363330929fund raisingIL501 c 37Resurrection Health Care Corporation
Resurrection Home Health Services
5747 West DempsterMorton GroveIL60053362893936home careIL501 c 33Resurrection Health Care Corporation
Resurrection Behavioral Health
1820 South 25th AvenueBroadviewIL60155362709982health careIL501 c 33Resurrection Health Care Corporation
Resurrection Services
7447 West Talcott AvenueChicagoIL60631363330928health careIL501 c 33Resurrection Health Care Corporation
Resurrection Senior Services
7435 West TalcottChicagoIL60631237061646senior livingIL501 c 33Resurrection Health Care Corporation
Resurrection Ambulatory Services
7435 W Talcott AveChicagoIL60631364286236parent corpIL501 c 33Resurrection Health Care Corporation
West Suburban Medical Center
3 Erie CourtOak ParkIL60302362182170health careIL501 c 33Resurrection Health Care Corporation
Saint Joseph Hospital
2900 North Lake Shore DriveChicagoIL60657363200170health careIL501 c 33Resurrection Health Care Corporation
Holy Family Health Care System Inc
100 N River RoadDes PlainesIL60016363495969health careIL501 c 33Resurrection Health Care Corporation
Holy Family Medical Center
100 N River RoadDes PlainesIL60016362439318health careIL501 c 33Resurrection Health Care Corporation
Saints Mary and Elizabeth Medical Ctr
2233 West Division StreetChicagoIL60622362171079health careIL501 c 33Resurrection Health Care Corporation
Saint Francis Hospital
355 Ridge AvenueEvanstonIL60202362167800health careIL501 c 33Resurrection Health Care Corporation
Our Lady of the Resurrection Med Ctr
5645 West Addison StreetChicagoIL60634362644178health careIL501 c 33Resurection Health Care Corporation
Resurrection Medical Center
7435 West Talcott AveChicagoIL60631363330926health careIL501 c 33Resurrection Health Care Corporation
Resurrection Healthcare Corporation
7435 W TalcottChicagoIL60631362235165parent corp and senior livingIL501 c 33na

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNADisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Belmont Harlem Surgery Center LLC
3101 North HarlemChicagoIL60634412237612med serviceILN/Afalsefalse
RES Health Sleep Care of River Forest
665 W North Ave 500LombardIL60148262189763med serviceILN/Afalsefalse
RES Health Sleep Care Center of Evanston
665 W North Ave 500LombardIL60148261519556med serviceILN/Afalsefalse
RESHealth Sleep Care Center of Chicago
Northwest 665 W North AveLombardIL60148261519627med serviceILN/Afalsefalse
RES Health Sleep Care of Lincoln Park
665 W North Ave 500LombardIL60148261519667med serviceILN/Afalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
L Gilbraith Insurance SPC Ltd
68 West Bay Road PO Box 1109CaymanCJInsuranceCJNAForeign Company
Resurrection Healthcare Preferred
Mgd care contractingNAC corp100 N River RoadDes PlainesIL60016363974620IL
RFCC Support LLC
medical servicesNAC Corp10101 Woodloch Forest DriveThe WoodlandsTX77380263026990IL
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Resurrection Development Foundation
c904795
Resurrection Medical Center
o78197590

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