PRESENCE CARE TRANSFORMATION CORPORATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- PRESENCE CARE TRANSFORMATION CORPORATION (EIN 36-3366652)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-10-27
- IRS object ID
- 201133009349300128
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-10-27T12:29:55-05:00 | 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 | 363366652 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVENA HEALTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PROV | NameControl |
| Phone | 8158062309 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9223 West ST FRANCIS ROAD | AddressLine1 |
| City | FRANKFORT | City |
| State | IL | State |
| ZIP Code | 604238334 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Anthony J Filer | Name |
| Title | senior vice president, CFO | Title |
| Phone | 8158062309 | Phone |
| 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 | Guy Weibking | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9223 W ST FRANCIS ROAD | AddressLine1 |
| City | FRANKFORT | City |
| State | IL | State |
| ZIP Code | 60423 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 151156278 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.provena.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | Shares clinical procedures and administrative tasks between a group of six faith based hospitals and fifteen residential centers to control costs and implement technologies designed to improve efficiency. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 709 | TotalNbrEmployees |
| Total Nbr Volunteers | 14 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 95994950 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 97756808 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 23613561 | InvestmentIncomePriorYear |
| Investment Income Current Year | 53283195 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 218516 | OtherRevenuePriorYear |
| Other Revenue Current Year | 116275 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 119827027 | TotalRevenuePriorYear |
| Total Revenue Current Year | 151156278 | 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 | 55439055 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 63106053 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 98452944 | OtherExpensePriorYear |
| Other Expenses Current Year | 72216755 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 153891999 | TotalExpensesPriorYear |
| Total Expenses Current Year | 135322808 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -34064972 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 15833470 | RevenuesLessExpensesCY |
| Total Assets BOY | 495642366 | TotalAssetsBOY |
| Total Assets EOY | 518199982 | TotalAssetsEOY |
| Total Liabilities BOY | 804021367 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 798878848 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -308379001 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -280678866 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVENA HEALTH CONSISTS OF A NUMBER OF FAITH-BASED ORGANIZATIONS THAT WERE BROUGHT TOGETHER TO STRENGTHEN THE CATHOLIC HEALING MINISTRY IN THE REGION. AS A GROUP OF SIX HOSPITALS, AND FIFTEEN LONG TERM CARE AND RESIDENTIAL CENTERS, CLINICAL PROCEDURES AND ADMINISTRATIVE TASKS WILL BE SHARED IN ORDER TO CONTROL COSTS AND IMPLEMENT TECHNOLOGIES DESIGNED TO IMPROVE EFFICIENCY to support the mission of healthcare in our communities. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 133824441 | Expense |
| Revenue | 97756808 | Revenue |
| Description | PROVIDE MANAGEMENT AND CONSULTING SERVICES TO RELATED HEALTH ORGANIZATIONS WHICH PROVIDE VARIOUS HEALTH CARE SERVICES LOCATED IN KANKAKEE, CHAMPAIGN-URBANA, ELGIN, JOLIET, ROCKFORD, AND ILLINOIS MARKETPLACES. | Description |
| Total Program Service Expense | 133824441 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | 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 | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | 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 | false | 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 | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | 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 | true | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 86 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 709 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| 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 | 14 | 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 | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| 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 W ST FRANCIS ROAD | AddressLine1 |
| City | FRANKFORT | City |
| State | IL | State |
| ZIP Code | 60423 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (41 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| WILLIAM BERRY PHD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| ROBERT BIEDRON | |||||||||
| CHAIRPERSON | 1.0 | X | 0 | 0 | 0 | X | |||
| AIDA GIACHELLO PHD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| MARK HANSON | |||||||||
| VICE CHAIRPERSON | 1.0 | X | 0 | 0 | 0 | X | |||
| SISTER LINDA HATTON SSCM | |||||||||
| SECRETARY | 1.0 | X | 0 | 0 | X | ||||
| THOMAS HUBERTY MD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| SISTER MARY ELIZABETH IMLER | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| BETTINA JOHNSON | |||||||||
| TREASURER | 1.0 | X | 0 | 0 | X | ||||
| LUCIA JONES | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| SISTER TERRY MALTBY | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| BECKY MEGGESIN | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| DANIEL RUSSEL | |||||||||
| VICE CHAIRPERSON | 1.0 | X | 0 | 0 | |||||
| KENT RUSSELL | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | |||||
| GUY WIEBKING | |||||||||
| DIRECTOR/ PRESIDENT & CEO | 40.0 | X | 836955 | 12250 | X | ||||
| Marsha Ladenburger | |||||||||
| Director | 1.0 | X | 0 | 0 | |||||
| JEFFREY BRICKMAN | |||||||||
| SYS SR VP/ PRES & CEO PSJMC | 40.0 | 755911 | 96789 | X | |||||
| WILLIAM BROWN | |||||||||
| SYS SR VP/ PRES & CEO PSJH | 40.0 | 671382 | 30108 | X | |||||
| ANTHONY FILER | |||||||||
| SYS SR VP FINANCE/CFO | 40.0 | 647860 | 109267 | X | |||||
| DAVID BERTAUSKI | |||||||||
| SYS SR VP/ REGIONAL CEO | 40.0 | 577156 | 90247 | X | |||||
| MARGARET GAVIGAN | |||||||||
| SYS SR VP/ CCO | 40.0 | 544420 | 84543 | X | |||||
| STEPHEN SCOGNA | |||||||||
| PRES & CEO PSJH | 40.0 | 530403 | 116869 | X | |||||
| ROBERT PERMUT | |||||||||
| SYS SR VP CMO | 40.0 | 563624 | 75607 | X | |||||
| EDWARD MOLARE | |||||||||
| SYS VP CORPORATE SERVICES | 40.0 | 431152 | 65543 | X | |||||
| CONNIE MARCH-CURTIS | |||||||||
| PRES & CEO PSS | 40.0 | 419349 | 71112 | X | |||||
| MARGERY KIEFFER | |||||||||
| SYS SR VP/ GENERAL COUNSEL | 40.0 | 413592 | 69492 | X | |||||
| GARY GASBARRA | |||||||||
| REGIONAL VP FINANCE/ CFO | 40.0 | 403151 | 83499 | X | |||||
| TERRY SOLEM | |||||||||
| SYS SR VP HR | 40.0 | 377149 | 64086 | X | |||||
| MICHAEL ARNO | |||||||||
| PRESIDENT & CEO PSMH | 40.0 | 345270 | 90985 | X | |||||
| JOHN LYNCH | |||||||||
| SYS VP IS/ CIO | 40.0 | 326022 | 68413 | X | |||||
| PAUL BELTER | |||||||||
| REGIONAL VP FINANCE/ CEO | 40.0 | 316969 | 62724 | X | |||||
| MICHAEL BROWN | |||||||||
| PRES & CEO PUSMC | 40.0 | 318105 | 57638 | X | |||||
| JAMES WITT | |||||||||
| PRES & CEO PMMC | 40.0 | 309572 | 63798 | X | |||||
| THOMAS NEHRING | |||||||||
| SYS SR VP MISSION SERVICES | 40.0 | 296512 | 59306 | X | |||||
| EDWIN ROSE | |||||||||
| SYS VP MARKETING/ PLANNING | 40.0 | 274906 | 67825 | X | |||||
| LINDA CHARLEY | |||||||||
| ASSISTANT SYS VP FINANCE | 40.0 | 270664 | 25986 | X | |||||
| PATRICK QUINN | |||||||||
| SYS DIR TREASURY/CORP CONTR | 40.0 | 301747 | 62670 | X | |||||
| BRYANT HAMMIG | |||||||||
| SYS DIR MANAGED CARE | 40.0 | 288299 | 49197 | X | |||||
| LORETTA CLIFFORD | |||||||||
| SYS DIR REV CYCLE OPS | 40.0 | 228955 | 50313 | X | |||||
| OKSANA SHULZHENKO | |||||||||
| PHYSICIAN | 40.0 | 222668 | 4453 | X | |||||
| SUSAN MORELLI-PURICELLI | |||||||||
| SYS DIR PATIENT SAFETY | 40.0 | 217715 | 36142 | X | |||||
| STEVEN HUNTER | |||||||||
| FORMER SYS PRES & CEO | 40.0 | 701526 | 10163 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 11591034 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1679025 | TotalOtherCompensation |
| Number Individuals GT100 K | 99 | NumberIndividualsGT100K |
| Formers Listed | true | 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 |
|---|---|---|---|---|---|
| HURON CONSULTING GROUP LLC | |||||
| 4795 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | CONSULTING | 7174120 |
| CATHOLIC HEALTHCARE AUDIT NETWORK | |||||
| 231 S BEMISTON AVE SUITE 300 | CLAYTON | MO | 63105 | CONSULTING | 2059607 |
| MIRAMED REVENUE GROUP | |||||
| 991 OAK CREEK DRIVE | LOMBARD | IL | 60148 | COLLECTIONS | 2029052 |
| BOLINGBROOK INVESTORS | |||||
| PARK SEVENTEEN 1717 MCKINNEY AVE | DALLAS | TX | 75202 | OFFICE RENT | 1996798 |
| RAYMOND E CLUTTS | |||||
| 1111 N PLAZA DR SUITE 405 | SCHAUMBURG | IL | 601734981 | Collections | 3042508 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 22 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ADMIN REVENUE | Description |
| Business Code | 561000 | BusinessCode |
| Total Revenue Column | 97756808 | TotalRevenueColumn |
| Related Or Exempt Function Income | 97756808 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 97756808 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 53280428 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2767 | TotalRevenueColumn |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER REVENUE | Description |
| Business Code | 561000 | BusinessCode |
| Total Revenue Column | 116275 | TotalRevenueColumn |
| Related Or Exempt Function Income | 116275 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 116275 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 151156278 | TotalRevenueColumn |
| Related Or Exempt Function Income | 97873083 | RelatedOrExemptFunctionIncome |
| Exclusion | $0 | 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 | 11096211 | Total |
| Program Services | 10154248 | ProgramServices |
| Management And General | 941963 | ManagementAndGeneral |
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 | 33286106 | Total |
| Program Services | 33286106 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1190731 | Total |
| Program Services | 1190731 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14375778 | Total |
| Program Services | 14375778 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3157227 | Total |
| Program Services | 3157227 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 656068 | Total |
| Program Services | 656068 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 253164 | Total |
| Program Services | 253164 | ProgramServices |
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 | 2634904 | Total |
| Program Services | 2572977 | ProgramServices |
| Management And General | 61927 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100648 | Total |
| Program Services | 100648 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 801747 | Total |
| Program Services | 722400 | ProgramServices |
| Management And General | 79347 | ManagementAndGeneral |
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 | 3447628 | Total |
| Program Services | 3447628 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 235577 | Total |
| Program Services | 207790 | ProgramServices |
| Management And General | 27787 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82588 | Total |
| Program Services | 75780 | ProgramServices |
| Management And General | 6808 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36149595 | Total |
| Program Services | 36149595 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12456566 | Total |
| Program Services | 12456566 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2019458 | Total |
| Program Services | 2019458 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| CONSULTING | 265353 | 265353 | ||
| REPAIRS & MAINTENANCE | 9075565 | 9046986 | 28579 | 0 |
| UTILITIES | 2202491 | 2151126 | 51365 | |
| EQUIPMENT RENTAL EXPENSE | 1164326 | 1062744 | 101582 | |
| RECRUITMENT | 234077 | 233624 | 453 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 437000 | Total |
| Program Services | 238444 | ProgramServices |
| Management And General | 198556 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135322808 | Total |
| Program Services | 133824441 | ProgramServices |
| Management And General | 1498367 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2100 | BOY |
| EOY | 2100 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42428898 | BOY |
| EOY | 62669497 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9890947 | BOY |
| EOY | 16071906 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8609188 | BOY |
| EOY | 10454545 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 156849645 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 117140183 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44152189 | BOY |
| EOY | 39709462 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 291327304 | BOY |
| EOY | 299123255 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47801034 | BOY |
| EOY | 38309008 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36935305 | BOY |
| EOY | 36935305 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14495401 | BOY |
| EOY | 14924904 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 495642366 | BOY |
| EOY | 518199982 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30937740 | BOY |
| EOY | 41390741 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 6548 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 836000 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 629883359 | BOY |
| EOY | 621672506 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142364268 | BOY |
| EOY | 135809053 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 804021367 | BOY |
| EOY | 798878848 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -308379001 | BOY |
| EOY | -280678866 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -308379001 | BOY |
| EOY | -280678866 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 495642366 | BOY |
| EOY | 518199982 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 15833470 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 11866665 | 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) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (6 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| PROVENA HOSPITALS | |||||
| 364195126 | 03 | true | true | true | -$4,157,121 |
| PROVENA SERVICE CORP | |||||
| 364314354 | 03 | true | true | true | $10,843,228 |
| PROVENA SENIOR SERVICES | |||||
| 371127787 | 05 | true | true | true | -$2,072,160 |
| PROVENA CARE HOME | |||||
| 460483587 | 09 | true | true | true | $0 |
| PROVENA HOME HEALTH | |||||
| 460483581 | 09 | true | true | true | $135,831 |
| PROVENA HEALTH SELF INSURANCE TRUST | |||||
| 362987310 | 09 | true | true | true | -$24,224,184 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 6 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | -19474406 | SumOfAmounts |
| General Explanation | POSITIVE SUPPORT WAS PROVIDED TO PROVENA HOSPITALS, PROVENA SENIOR SERVICES AND PROVENA HEALTH SELF INSURANCE TRUST IN 2010. HOWEVER, AMOUNTS WERE OWED FROM THESE ENTITIES TO PROVENA HEALTH THAT WERE GREATER THAN THE SUPPORT PROVIDED WHICH REDUCED THE ACTUAL AMOUNT OF SUPPORT TRANSFERRED. | GeneralExplanation |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $180,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 180000 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION TO FORM 990 SCHEDULE C | Identifier |
| Explanation | PART II-B, QUESTION 1I THE ORGANIZATION MAINTAINS AN ADVOCACY SECTION ON ITS WEBSITE THAT INCLUDES POSITION PAPERS ON KEY ISSUES, AS WELL AS ALERTS FOR PEOPLE TO CONTACT LEGISLATORS ON PARTICULAR PIECES OF LEGISLATION. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 197831 | OtherCostOrOtherBasis |
| Depreciation | 197831 | Depreciation |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7901828 | OtherCostOrOtherBasis |
| Depreciation | 3952147 | Depreciation |
| Book Value | 3949681 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 144702090 | OtherCostOrOtherBasis |
| Depreciation | 112986268 | Depreciation |
| Book Value | 31715822 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4047896 | OtherCostOrOtherBasis |
| Depreciation | 3937 | Depreciation |
| Book Value | 4043959 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 39709462 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| LIMITED USE ASSETS | 38172007 | F |
| LT INVESTMENTS CAPTIVE | 137001 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 38309008 | TotalOfBookValueSecurities |
Investments Program Related InvestmentsProgramRelated (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INV IN PROVENA SENIOR SERVICES | 124013 | F |
| INV IN PROVENA VENTURES | 32162647 | F |
| INVESTMENT IN PPIC | 4648645 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 36935305 | TotalOfBookValueProgramRelated |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER LONG-TERM LIABILITIES | $29,994,063 |
| DUE TO AFFILIATES | $1,695,186 |
| WORKERS COMP LIABILITIES | $12,300,486 |
| PENSION LIABILITY | $91,819,318 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 135809053 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemntal 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | 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 | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (27 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|
| GUY WIEBKING | |||||
| 787764 | 0 | 49191 | 12250 | 914 | 850119 |
| PATRICK QUINN | |||||
| 225247 | 18684 | 57816 | 35148 | 28405 | 365300 |
| BRYANT HAMMIG | |||||
| 212924 | 20241 | 55134 | 32264 | 17797 | 338360 |
| LORETTA CLIFFORD | |||||
| 188204 | 17375 | 23376 | 25226 | 25087 | 279268 |
| OKSANA SHULZHENKO | |||||
| 222668 | 0 | 0 | 4453 | 0 | 227121 |
| SUSAN MORELLI-PURICELLI | |||||
| 170362 | 14675 | 32678 | 19852 | 16996 | 254563 |
| JEFFREY BRICKMAN | |||||
| 540902 | 82794 | 132215 | 77700 | 19089 | 852700 |
| WILLIAM BROWN | |||||
| 72698 | 26877 | 571807 | 8986 | 22036 | 702404 |
| ANTHONY FILER | |||||
| 505495 | 59049 | 83316 | 73043 | 37138 | 758041 |
| DAVID BERTAUSKI | |||||
| 462173 | 81940 | 33043 | 64486 | 26657 | 668299 |
| MARGARET GAVIGAN | |||||
| 428837 | 52351 | 63232 | 64253 | 21204 | 629877 |
| STEPHEN SCOGNA | |||||
| 376404 | 90745 | 63254 | 82374 | 35409 | 648186 |
| ROBERT PERMUT | |||||
| 489444 | 0 | 74180 | 52949 | 23572 | 640145 |
| EDWARD MOLARE | |||||
| 268666 | 32068 | 130418 | 50540 | 15917 | 497609 |
| CONNIE MARCH-CURTIS | |||||
| 271471 | 54549 | 93329 | 48639 | 22387 | 490375 |
| MARGERY KIEFFER | |||||
| 310555 | 38457 | 64580 | 53552 | 16854 | 483998 |
| GARY GASBARRA | |||||
| 297897 | 38213 | 67041 | 50837 | 33576 | 487564 |
| TERRY SOLEM | |||||
| 287046 | 33615 | 56488 | 48969 | 16031 | 442149 |
| MICHAEL ARNO | |||||
| 256167 | 48230 | 40873 | 43334 | 48565 | 437169 |
| JOHN LYNCH | |||||
| 255629 | 29320 | 41073 | 47679 | 21648 | 395349 |
| PAUL BELTER | |||||
| 276926 | 13352 | 26691 | 34408 | 29230 | 380607 |
| MICHAEL BROWN | |||||
| 251128 | 13953 | 53024 | 39001 | 19551 | 376657 |
| JAMES WITT | |||||
| 254248 | 20791 | 34533 | 44138 | 20574 | 374284 |
| THOMAS NEHRING | |||||
| 228177 | 29030 | 39305 | 43469 | 16751 | 356732 |
| EDWIN ROSE | |||||
| 203260 | 23370 | 48276 | 42236 | 26503 | 343645 |
| LINDA CHARLEY | |||||
| 207359 | 20499 | 42806 | 12635 | 14265 | 297564 |
| STEVEN HUNTER | |||||
| 0 | 0 | 701526 | 0 | 11077 | 712603 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| part i, question 4a | PART I, QUESTION 4A THE FOLLOWING RECEIVED SEVERANCE PAYMENTS: STEVEN HUNTER 701,526 |
| PART I, QUESTIONS 6A & 6B | THE ORGANIZATION HAS AN INCENTIVE COMPENSATION PLAN BASED ON KEY TARGETS BASED ON QUALITY, SERVICE, AND STEWARDSHIP. IF TARGETS ARE ACHIEVED, PAYOUTS ARE MADE TO COVERED EMPLOYEES. THE COVERED EMPLOYEES INCLUDE MANAGERS, DIRECTORS, VICE PRESIDENTS, AND CHIEF EXECUTIVE OFFICERS. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200FYA1 | 2009-06-25 | 194912720 | 09A-capital expenditure reimbu | false | false | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200FYF0 | 2009-07-09 | 50000000 | 09b-capital expenditure reimbu | false | false | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200FYG8 | 2009-07-09 | 41000000 | 09c-capital expenditure reimbu | false | false | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200FYH6 | 2009-07-09 | 25000000 | 09d-capital expenditure reimbu | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| 200000000 | 19458800 | 3140000 | 175129200 | 2009 | true | false | true | true |
| 50000000 | 581897 | 50000000 | 2009 | true | false | true | true | |
| 41000000 | 477155 | 41000000 | 2009 | true | false | true | true | |
| 25000000 | 290948 | 25000000 | 2009 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | false | true | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | true | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | true | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | true | false | true | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | false | false | false | false | false |
| false | false | false | false | false | false |
| false | true | false | false | false | false |
| false | true | false | false | false | false |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ELIZABETH HUGHES | NamePerson |
| Purpose Of Loan | RELOCATION | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $350,000 | OriginalPrincipalAmount |
| Balance Due | 100867 | BalanceDue |
| Default | false | Default |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 100867 | TotalBalanceDue |
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 B, 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 BOARD MEMBERS THAT 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 | Unrealized gain on securities 14,261,185 Change in FMV of interest rate swap 95,114 Change in FMV of derivative instruments (6,791,743) Net Asset Transfers 19,474,405 Cumulative effect of change in accounting principal (15,172,296) Other Changes in Net Assets or Fund Balances (Line 5) 11,866,665 | Line 5, Other Change in Net Asset or Fund Balance |
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 |
| Total Income | 102287227 | TotalIncome |
| EOY Assets | 150000 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (6 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 W ST FRANCIS ROAD | FRANKFORT | IL | 60423 | 364195126 | HEALTHCARE | IL | 501(c)(3) | 3 | N/A | |
| PROVENA SENIOR SERVICES | ||||||||||
| 19065 HICKORY CREEK DRIVE | MOKENA | IL | 60448 | 371127787 | HEALTHCARE | IL | 501(C)(3) | 7 | 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 SELF-INSURANCE TRUST | ||||||||||
| 9223 WEST ST ST FRANCIS ROAD | FRANKFORT | IL | 60423 | 362987310 | INSURANCE | IL | 501(c)(3) | 9 | NA | |
| PROVENA LAVERNA TERRACE | ||||||||||
| 19065 HICKORY CREEK DRIVE STE 310 | Mokena | IL | 60448 | 363438977 | HEALTHCARE | IL | 501(c)(3) | 9 | NA | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PROVENA VENTURES | ||||||||||||
| 9223 West ST FRANCIS ROAD | FRANKFORT | IL | 60423 | 371168085 | MEDICAL | IL | N/A | C Corp | -277397 | 10983414 | 1.00000 | |
| 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 | C Corp | NA | ||||
| 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 | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| TRANSFERRED CASH TO PROVENA SERVICE CORP FOR | |
| q | 10846117 |
| ACCOUNTS PAYABLE AND PAYROLL | |
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