2013-11-15T09:00:04-06:00 2012-12-31 ERNST & YOUNG US LLP 155 NORTH WACKER DRIVE CHICAGO IL 60606 990 2012-01-01 362171079 PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER % DAVID WRIGLEY PRES 3127702000 2233 WEST DIVISION STREET Suite CHICAGO IL 60622 TONY FILER 2013-11-11 3128792000 2012 2016-03-07 17:11:31Z Margaret McDermott 2233 WEST DIVISION STREET CHICAGO IL 60622 321220686 false 0928 X www.presencehealth.org X 1958 IL INSPIRED BY THE HEALING MINISTRY OF JESUS CHRIST, WE PRESENCE HEALTH, A CATHOLIC HEALTH SYSTEM, PROVIDE COMPASSIONATE, HOLISTIC CARE WITH A SPIRIT OF HEALING AND HOPE IN THE COMMUNITIES WE SERVE. 9 6 0 62 84509 30412 204056 4444039 147852674 309672559 1792669 5070156 791138 2033932 150640537 321220686 21046 0 0 0 60609836 120845691 0 0 0 91092459 154578006 151723341 275423697 -1082804 45796989 285050832 300032368 93292192 62476739 191758640 237555629 INSPIRED BY THE HEALING MINISTRY OF JESUS CHRIST, WE PRESENCE HEALTH, A CATHOLIC HEALTH SYSTEM, PROVIDE COMPASSIONATE, HOLISTIC CARE WITH A SPIRIT OF HEALING AND HOPE IN THE COMMUNITIES WE SERVE. false false 16595793 39601525 Presence Saints Mary and Elizabeth Medical Center is an important resource for such health care services as family medicine, emergency care, and maternal and child health care. 206774147 246430167 THE HOSPITAL PROVIDED PATIENT CARE THAT INCLUDED 55,600 ACUTE PATIENT DAYS AND ACUTE DISCHARGES OF 13,899. THERE WERE 3,408 REHAB PATIENT DAYSAND TOTAL REHAB DISCHARGES OF 290. PSYCH PATIENT DAYS 51,793 RESULTING IN DISCHARGES OF 6,202. EXTENDED CARE PATIENT DAYS WERE 5,409 RESULTING IN EXTENDED CARE DISCHARGES OF 395. THERE WERE 69,777 EMERGENCY ROOM VISITS, 3,114 INPATIENT SURGERIES AND 4,908 OUTPATIENT SURGERIES. 15722403 24680433 Presence Saints Mary and Elizabeth Medical Center is an important resource within the Community for behavioral health care servises. 239092343 true true false false false false false false false true true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true X 0 0 0 true true false false false false false false false false false X 9 6 false false false false true true true true true false false true true true true true true false false false X DAVID WRIGLEY 8478133728 100 NORTH RIVER ROAD DES PLAINES IL 60016 X JEAN BLAKE 1.0 0.0 X 0 0 0 SUNHIL DESAI MD 1.0 0.0 X 0 0 0 DAVID DILORETO MD 3.0 40.0 X 0 580253 78721 RICHARD FERRANS MD 1.0 40.0 X 0 409399 67675 Sr Mary Ellen Goeller PHJC 1.0 0.0 X 0 0 0 MARGARET G MCDERMOTT 40.0 0.0 X 0 534340 91487 STEVEN YELLEN MD 1.0 0.0 X 0 0 0 RAUL SAAVEDRA MD 1.0 0.0 X NAGARPU S R REDDY MD 1.0 0.0 X SANDRA BRUCE 1.0 50.0 X 0 1337831 39710 JEANNIE C FREY 1.0 50.0 X 0 522642 79530 JOHN A ORSINI CPA 1.0 40.0 X 0 603387 95694 MARTIN H JUDD 40.0 0.0 X 0 344210 43494 SUZANNE LAMBERT 40.0 0.0 X 0 247937 32597 BALVINDAR SAREEN 40.0 0.0 X 0 222268 26804 KIZITO C OJIAKO 40.0 0.0 X 0 279398 35846 MICHAEL H FRIEDMAN 40.0 0.0 X 0 243078 43466 NIMIT K AGGARWAL 40.0 0.0 X 0 239690 11985 TOCHUKWV ONYEKWULUJE 40.0 0.0 X 0 210265 37720 JOHN WALTON 0.0 0.0 X 0 847278 12739 NICOLA BYRNE 0.0 0.0 X 0 273437 31174 0 6895413 728642 106 true true false Streamwood Management Services 1400 EAST IRVING PARK RD STREAMWOOD IL 60107 Management Services 6394560 Division Anesthesia Group PC 432 GOOSE NECK COURT DARIEN IL 60561 Physician Services 933333 Neurolife SC 912 SOUTH WOOD STREET CHICAGO IL 60612 Physician Services 552449 AndersonRasorPartners LLP 100 SOUTH WACKER DRIVE CHICAGO IL 60606 Legal Services 214882 Barker and Castro LLP 115 S LA SALLE STREET CHICAGO IL 60603 Legal Services 144618 14 365777 4078262 4444039 Net Patient Service Revenue 621990 304814166 304814166 MEANINGFUL USE/BLUE CROSS BONUS/ELEC MED RECORDS 900099 4858393 4858393 309672559 5070156 5070156 0 0 0 0 0 0 0 0 0 Reference Lab Services 621990 84509 84509 Cafeteria/Food Services 722210 909857 909857 All other revenue 900099 1039566 1039566 2033932 321220686 310712125 84509 5980013 0 0 0 0 1294064 1294064 0 98905539 98905539 3636611 3636611 10416221 10416221 6593256 6593256 36331354 36331354 0 0 0 0 0 26881852 26881852 0 0 0 0 4119854 4119854 0 0 0 3564734 3564734 0 12305858 12305858 -4883611 -4883611 BAD DEBT EXPENSE 16486751 16486751 MEDICAL SUPPLIES 34632150 34632150 TAXES AND ASSESSMENTS 20828433 20828433 DUES AND SUBSCRIPTIONS 308228 308228 4002403 4002403 275423697 239092343 36331354 0 21527 21794 0 0 0 0 35376691 31879014 0 0 0 0 0 0 4255990 3866672 10604863 118304 192834999 115791186 82422662 77043813 86436711 82014486 0 0 0 0 0 0 65932388 105088285 285050832 300032368 7492806 7570786 0 0 0 0 0 0 0 0 0 0 0 0 14000000 14011004 71799386 40894949 93292192 62476739 X 191758640 234055629 0 3500000 0 0 191758640 237555629 285050832 300032368 45796989 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3500000 0 0 3500000 false false 6146453 6146453 123191382 67360313 55831069 63215175 48408828 14806347 281989 20045 259944 77043813 Due From Affiliates 101014631 FAMILY HEALTH NETWORK RECEIV. 933600 Reinsurance Receivable 2004000 Capitation Receivable 807559 Interest Receivable 310434 AMBULATORY CLINIC RENT RECEIV. 18061 105088285 0 ACCRUED PROF. LIABILITY INSURANCE 29586001 DUE TO THIRD PARTY PAYORS 11308948 40894949 X Part X - Fin 48 Footnote Presence Health Care 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. Presence Health Care and affiliates do not have any liabilities for unrecognized tax benefits. true true X true X true X 600. true true true false true true 7388701 0 7388701 0.02850 99013247 142234299 -43220982 0 0 0 0.00000 106401948 142234299 -35832281 0.02850 207156 0 207156 0.00080 7172709 1464319 5708390 0.02200 46500429 44819916 1680513 0.00650 0 0 0 0.00000 273119 0 273119 0.00110 54153413 46284235 7869178 0.03040 160555361 188518534 -27963103 0.05890 true 16486751 97268538 80282891 16985647 X true true 2 1 St mary of Nazareth hospital

2233 W division street chicago IL 60622

X X X X A 2 ST ELIZABETH HOSPITAL

1431 N claremont chicago IL 60622

X X X X A PRESENCE SAINTS MARY AND ELIZABETH MC 1 true X X X X X X X X X 12 true false true X X X X X X X X X true false true true 200. true 600. true X X X X X X X X true true X X X X X X true false X X X X true X false false Part I, Line 3c - Charity Care Eligibility Criteria This question is not applicable because Presence Health uses the Federal Poverty Guidelines. PART I LINE 6A Presence Health, the parent corporation of Presence Saints Mary and Elizabeth Medical Center (PSMEMC), published a Community Benefit Report for 2012, which details the combined charitable impact Presence Health facilities have within the communities they serve. In addition to the Community Benefit Report for 2012, PSMEMC publishes a ministry-specific Implementation Strategy which outlines the goals and objectives PSMEMC has established to address the prioritized needs of its community. The Presence Health system is referenced in this document, but other hospitals within the Presence Health system file their own 990s and Schedule H. PART I LINE 6B The 2012 Presence Health Community Benefit Report 2012 was made publicly available through a variety of ways to share the information with the community at large: - Print version of report. The report will be mailed from the system office to community partners, elected officials and local leaders. - Website - A robust community section has been developed and can be found online at www.presencehealth.org/community. This section includes an online, downloadable flipbook of the 2012 Community Benefit Report. Presence Saints Mary and Elizabeth Medical Center has its own ministry link on this page. Through this link, Community Health Needs Assessment (CHNA) documents specific to Presence Saints Mary and Elizabeth Medical Center can be downloaded, including a community-friendly CHNA flipbook, the source documents of all data reviewed, an overall CHNA Report, and an Implementation Strategy. - PowerPoint presentation - A standard PowerPoint of the entire 2012 Community Benefit Report has been made available. A customized version of this presentation has also been created for Presence Saints Mary and Elizabeth Medical Center to share with the community, which shows the local community benefit contributions, persons served, and the 2013 Prioritized Community Needs. Part I, Line 7b Presence Saints Mary and Elizabeth Medical Center receives money through the disproportionate share program. The United States government provides funding to hospitals that treat indigent patients through the Disproportionate Share Hospital (DSH) programs in areas with high percentages of Medicare as Supplemental Security Income patients, under which facilities are able to receive at least partial compensation. Direct offsetting revenue for PSMEMC was higher in 2012 and included 56,687,425 of DSH payments. Without these payments PSMEMC would not be able to provide the services needed to the community. PART I, LINE 7F Per 2012 Instructions for Schedule H (Form 990), the Bad Debt Expense of $16,486,751 has been removed from the denominator in calculating the percentage of total expense in Line 7. PART I LINE 7G Costs from physician clinics are not included in subsidized service totals. PART I LINE 7 The cost-to-charge ratio used to determine Schedule H, Part I, Line 7A, financial assistance at cost, and Schedule H, Part I, Line 7B, unreimbursed Medicaid, was derived from worksheet 2, ratio of patient care cost to charges. The remaining amounts reported on Line 7 are reported at cost. PART II. COMMUNITY BUILDING ACTIVITIES Community building activities include programs that improve the community's health and safety by addressing the root causes and social determinants of health problems, such as poverty, homelessness and environmental hazards. Participation in collaborative community efforts to promote public health initiatives is also included, such as engagement in coalitions and advocacy for health improvement. These activities strengthen the community's capacity to promote the health and well-being of its residents by offering the expertise and resources of the health care organization. Presence Saints Mary and Elizabeth Medical Center engages in a variety of community-building activities which ultimately improve the health of the communities we are privileged to serve, even though they are not specific health activities. Examples of community building activities include: - All of our hospitals work to support disaster readiness and emergency preparedness. This work goes above and beyond any licensure requirements to proactively ensure our communities are safe and prepared if a disaster should present itself. - Presence Saints Mary and Elizabeth Medical Center participates in several community coalitions, such as Building a Healthier Chicago. Building a Healthier Chicago is a collaborative of more than 150 local and national stakeholders including: US Department of Health and Human Services -Region V, Chicago Department of Public Health, Institute of Medicine in Chicago, and the Chicago Medical Society. The goal of Building a Healthier Chicago is to improve the health of Chicago's residents and employees through the integration of new and existing public health, business, medicine and community efforts. The goals are geared toward achieving: reduction of health risks, improvement of health systems, and elimination of health disparities. It is our belief that working in collaboration with community partners helps to build the foundation for a healthier community. PART III. BAD DEBT, MEDICARE, & COLLECTION PRACTICES PART III, SECTION A, LINE 3 The provision for financial assistance policy allows for accounts in bad debt to be approved for financial assistance if the patient meets the criteria. There are possible financial assistance accounts in bad debt, although the exact percentage is unknown as we do not have the appropriate tools to determine this percentage is unknown as we do not have the appropriate tools to determine this percentage accurately. PART III, SECTION B, LINE 4 - Bad Debt Expenses For tax return purposes the bad debt expense is shown on Part IX, statement of functional expense. For audit purposes the organization follows ASU 2011-07 presentation. Please see footnote on page 18 of the attached audited financial statements. PART III, SECTION B, LINE 7 Presence Saints Mary and Elizabeth Medical Center believes it is important for the community and the IRS to be made aware of government shortfalls, specifically Medicare. However, we acknowledge that a Medicare shortfall may be experienced by other than non-profit healthcare organizations. As such, Presence Saints Mary and Elizabeth Medical Center acknowledges that Medicare shortfall may not be considered community benefit. PART III, SECTION C, LINE 8 The organization computes the Medicare shortfall based on a ratio of cost to charges. PART III, SECTION C, LINE 9B Collection policies are the same for all Presence Health entities, which includes PSMEMC's patients. Patients are notified of the financial assistance policy at the time of registration via posted notifications and on every account statement that is sent to them. This information is available in a number of languages. Patients may apply for financial assistance at any time during the revenue cycle. Per the Provision for Financial Assistance Policy, the collection process is as follows: 1. Pre-Litigation Review. Prior to an account being authorized for the filing of suit for non-payment of a patient bill, a final review of the account will be conducted and approved by the Financial Counseling Representative (or designee) to make sure that no application of financial assistance was ever received and that there exists objective evidence that the patient does have sufficient financial means to pay all or part of his/her bill. Prior to a collections suit being filed, the Self-pay Collection Director must review and approve. 2. Residential Liens. No hospital will place a lien on the primary residence of a patient who has been determined to be eligible for Financial Assistance/Charity Care, for payment of the patient's undiscounted balance due. Further, in no case will any hospital execute a lien by forcing the sale or foreclosure of the primary residence of any patient to pay for any outstanding medical bill. 3. No Use of Body Attachments. No hospital will use body attachment to require any person, whether receiving Financial Assistance/Charity Care discounts or not, to appear in court. 4. Collection Agency Referrals. Each hospital Finance accounting will ensure that all collection agencies used to collect patient bills promptly refer any patient who indicates financial need, or otherwise appears to qualify for Financial Assistance/Charity Care discounts, to a financial counselor to determine if the patient is eligible for such a charitable discount. For more information about the Presence Health Financial Assistance Program, visit www.presencehealth.org/patients-and-visitors/financial-assistance. PART V. FACILITY INFORMATION PART V, SECTION A Presence Saints Mary and Elizabeth Medical Center 2233 West Division Street Chicago, IL 60622 http://presencehealth.org/locations/hospitals/presence-saints- PART VI, 5: PROMOTION OF COMMUNITY HEALTH Presence Health Hospitals are faith-based ministries that provide services based upon the ethical and religious directives of the Catholic Church. Presence Health hospitals enhance the public health of our communities by: 1. Ensuring our medical staff is open to all qualified physicians. 2. Ensuring all of our hospitals are accredited and in good standing with the Joint Commission Accreditation of Healthcare Organizations. 3. Ensuring our board of directors is diverse and able to provide expertise, and made up of independent members of the communities we serve. Our board members must follow a conflict of interest policy. 4. Reinvesting surplus funds into the organization to improve patient care though new programs and technology 5. Providing financial assistance, sliding scale discounts and having collection practices that are in compliance with state and federal guidelines. In addition, we follow the financial assistance and charity guidelines of the Catholic Health Association. 6. Participating in all government sponsored health care programs, Medicare, Medicaid, CHAMPUS, Tricare, SCHIP and others. 7. Providing emergency room services in all of our communities and provide training to local fire departments and ambulances. Our emergency room participates with local police and fire departments in disaster drills. 8. Staffing Board Certified Emergency Room Physicians in our emergency room and urgent care services. We treat patients according to EMTALA guidelines and serve all patients regardless of ability to pay. In addition, we are committed to determining the needs of our communities and creating ways to meet those needs. The obligation to reach out to those in need and improve health flows directly from our Catholic identity and the heritage of our founding congregations. The PSMEMC Senior Leadership Team and the Governing Board have a strong commitment to community health initiatives. Community initiatives and activities have ongoing monitoring and evaluation for program effectiveness. The following programs are existing community benefit programs PSMEMC sponsors in the community. LIFESMART PSMEMC provides a 10 week program to seniors and women in the community to provide health education on topics such as nutrition, exercise, domestic violence and cardiovascular disease. The program is held in seven different locations throughout the community, including Julia Center Women's Group, schools and parent groups. Screenings are provided in the first and last sessions to observe the progress each individual has made. JOSEPHINUM ACADEMY HEALTH SESSIONS PSMEMC teaches health class at this school on topics such as abstinence, the reproductive system, healthy relationships and healthy nutrition. LET'S MOVE OUR NUMBERS The Let's Move Our Numbers program provides community education and screening programs on a variety of health and wellness topics both in the community and main hospital location. Components of the program include: blood pressure, blood glucose, blood lipid panel, body mass index (BMI) and/or body fat analysis. Health education topics on chronic disease include obesity, hypertension, heart disease, stroke, diabetes, and cancer. The results are given to the diabetic nurse educator for any follow-up that is needed. BLOCK BY BLOCK Block-By-Block is an initiative of the Greater Humboldt Park Community Campaign Against Diabetes. The program was developed by community organizations, local universities, and hospitals working together to improve the health of the community. The Campaign is a one-of-the-kind, community driven, study/intervention designed to reduce the impact of diabetes in the Humboldt Park community. The Block by Block Campaign focuses on a 72 block area in Chicago where diabetes prevalence rates are highest. PSMEMC supports this program by providing a secretary to help organize the educational sessions with local residents. ILLINOIS BREAST AND CERVICAL CANCER PROGRAM PSMEMC's Community Education Department provides breast and cervical health education throughout the CHNA service area, particularly for women who are uninsured. The educators also help women apply for financial aid. Presence Health physicians provide access to care for women who are most vulnerable in the community. CHILDREN'S AWARENESS OF NUTRITION, DIABETES AND OBESITY (CANDO) CAMP The CANDO Camp is a three week program that targets children (ages 11-14) to teach them how to live healthier lifestyles. The following topics are covered in the program: obesity, health and nutrition, abstinence, bullying and education. This program will be expanded into local schools in April. SMEMC educators receive grant funding to provide this program in the community. DIABETES EMPOWERMENT CENTER PSMEMC's diabetic educators provide community training and will determine if their initiatives can be linked to the CHNA Action Team's work. PART VI, 6: AFFILIATED HEALTH CARE SYSTEM Provena Health and Resurrection Health Care combined on November 1, 2011 to form a new health system, Presence Health, creating a comprehensive family of not-for-profit health care services and the single largest Catholic health system in Illinois. Presence Health embodies the act of being present in every moment we share with those we serve and is the cornerstone of a patient, resident and family-centered care environment. "Presence" Health embodies the way we choose to be present in our communities, as well as with one another and those we serve. Presence Health is sponsored by five congregations of Catholic religious women: the Franciscan Sisters of the Sacred Heart, the Servants of the Holy Heart of Mary, the Sisters of the Holy Family of Nazareth, Sisters of Mercy of the Americas and the Sisters of the Resurrection. As was the case from our very beginnings, Presence Health is called to be much more than just a provider of health services. Presence Health has instilled within all of its ministries that are committed to responding to the needs of those we are privileged to serve; delivering high quality care that is accessible to all. It is this culture of caring and giving that drives our diligent efforts to ensure we return the optimal value of our charitable assets to our local communities. As a not-for-profit health system, Presence Health invests its net gains from operations into the community through programs to serve vulnerable populations, such as the poor and uninsured, manage chronic conditions, and promote health education and promotion outreach and initiatives. In Fiscal Year 2012, this included $168 million in community benefit activities. Presence Health thus takes a systems approach to its community benefit efforts, and therefore ensures its member hospitals and other entities and affiliates are helping to promote and address the health needs of the communities they serve. For more information on Presence Health, visit www.presencehealth.org PART VI, 7: STATE FILING OF COMMUNITY BENEFIT REPORT Presence Health files its annual community benefit report in Illinois. X X X X true true false false false false false DAVID DILORETO MD 0 547926 0 32327 0 0 0 55584 0 23137 0 658974 0 32306 RICHARD FERRANS MD 0 334399 0 75000 0 0 0 48818 0 18857 0 477074 0 0 MARGARET G MCDERMOTT 0 481578 0 52762 0 0 0 68802 0 22685 0 625827 0 52726 SANDRA BRUCE 0 1102304 0 235527 0 0 0 12500 0 27210 0 1377541 0 0 JEANNIE C FREY 0 488063 0 34579 0 0 0 56393 0 23137 0 602172 0 34579 JOHN A ORSINI CPA 0 571824 0 31563 0 0 0 74171 0 21523 0 699081 0 31545 JOHN WALTON 0 253898 0 0 0 593380 0 12500 0 239 0 860017 0 593380 NICOLA BYRNE 0 55597 0 0 0 217840 0 12320 0 18854 0 304611 0 217840 MARTIN H JUDD 0 333076 0 11134 0 0 0 42627 0 867 0 387704 0 11127 SUZANNE LAMBERT 0 232423 0 15514 0 0 0 24473 0 8124 0 280534 0 12506 BALVINDAR SAREEN 0 197268 0 25000 0 0 0 13915 0 12889 0 249072 0 0 KIZITO C OJIAKO 0 279398 0 0 0 0 0 12500 0 23346 0 315244 0 0 MICHAEL H FRIEDMAN 0 229145 0 13933 0 0 0 12154 0 31312 0 286544 0 0 NIMIT K AGGARWAL 0 239690 0 0 0 0 0 11982 0 3 0 251675 0 0 TOCHUKWV ONYEKWULUJE 0 210265 0 0 0 0 0 10513 0 27207 0 247985 0 0 Supplemental Compensation Information Compensation for the Corporation's CEO and other officers or key employees is determined in accordance with written policies and procedures adopted by the board of directors of the Corporation's sole member, PRESENCE RHC Corporation (PRHCC) and PRHCC's sole member, the system parent corporation. Such policies and procedures are applied by the Human Resources Committee of the system parent corporation, which consists wholly of independent directors. The parent corporation uses market data compiled by an independent compensation consultant to establish base salaries and total cash compensation opportunities. The Human Resources Committee monitors executive total compensation and approves all components of executive total compensation, annually reviewing and approving compensation changes for each executive, and regularly reporting its activities to the Board. Severance Payments Schedule J, Part I, Line 4a Presence has three Severance Plans depending upon level. These plans allow individuals whose jobs have been eliminated and who have not been able to find a similar position within the System time to transition. The number of weeks of wage continuation are based upon length of service. The plans are not funded. The following individuals received severance payments in calendar year 2012: JOHN WALTON: $593,380 NICOLA BYRNE: $217,840 Payments From a Supplemental Non Qualified Retirement Plan Schedule J, Part I, Question 4B The following listed individuals participated in the organization's section 457(f) plan and earned unvested benefits during 2012 which are reported in column (C): DAVID DILORETO: $43,084 RICHARD FERRANS: $36,318 MARGARET MCDERMOTT: $56,302 JEANNIE C. FREY: $43,893 JOHN A. ORSINI: $61,671 MARTIN JUDD: $30,127 SUZANNE LAMBERT: $12,915 BALVINDAR SAREEN: $ 3,160 Also in response to question 4B, the following listed individuals became vested in supplemental retirement benefits under the SERP, and therefore had benefits included in their taxable income: DAVID DILORETO: $32,327 MARGARET MCDERMOTT: $52,762 SANDRA BRUCE: $235,527 JEANNIE C. FREY: $34,579 JOHN A. ORSINI: $31,563 MARTIN JUDD: $11,134 SUZANNE LAMBERT: $12,514 FORM 990, PART I, QUESTION 5, AND PART V, QUESTION 2 COMPENSATION AND FORM W-3 TRANSMITTAL OF WAGES AND TAX STATEMENT Presence Saints Mary and Elizabeth Medical center (PSMEMC) REPORTS 0 EMPLOYEES ON FORM 990, PART I, QUESTION 5 AND FORM 990, PART V, QUESTION 2A AS IT IS NOT REQUIRED TO FILE FORM W-3, TRANSMITTAL OF WAGES AND TAX STATEMENT. PSMEMC'S COMPENSATION IS PAID BY PRESENCE RESURRECTION MEDICAL CENTER (PRMC), which issues the forms w-2 and w-3, AND the expense is TRANSFERRED TO PSMEMC. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO PSMEMC from PRMC. FORM 990, PART V, QUESTION 1A FORM 1096 TRANSMITTAL OF U.S. INFORMATION RETURNS Presence Saints Mary and Elizabeth Medical center (PSMEMC) REPORTS 0 ON FORM 990, PART V, QUESTION 1A AS IT IS NOT REQUIRED TO FILE FORM 1096, TRANSMITTAL OF U.S. INFORMATION RETURNS. ALL OF PSMEMC'S ACCOUNTS PAYABLE REPORTABLE ON FORM 1096 ARE PAID BY PRESENCE RESURRECTION MEDICAL CENTER (PRMC), WHICH ISSUES ALL FORMS 1099 AND THE EXPENSE IS TRANSFERRED TO PSMEMC. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO PSMEMC FROM PRMC. Form 990, part vi, question 4 Changes to organizational documents The articles and bylaws of this corporation were amended effective august 30, 2012, to change the corporation's name to Presence saints mary and elizabeth medical center. FORM 990, PART VI, QUESTION 6 MEMBERS OR SHAREHOLDERS Presence Saints Mary and Elizabeth Medical center HAS ONE MEMBER, PRESENCE RHC CORPORATION. FORM 990, PART VI, QUESTION 7A PERSONS WITH AUTHORITY TO ELECT MEMBERS OF THE GOVERNING BODY THE SOLE MEMBER, PRESENCE RHC CORPORATION, HAS THE POWER TO APPOINT MEMBERS OF THE GOVERNING BODY, OTHER THAN EX-OFFICIO DIRECTORS. FORM 990, PART VI, QUESTION 7B DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS PRESENCE RHC CORPORATION (THE "MEMBER"), THROUGH ITS BOARD OF DIRECTORS, hAS CERTAIN RESERVE POWERS WITH RESPECT to THE FOLLOWING. GENERAL POWERS AND RESPONSIBILITIES: THE MEMBER SHALL PROVIDE OVERSIGHT AND SUPPORT FOR THE ACTIVITIES OF THE CORPORATION, FOR THE PURPOSE OF ASSURING THAT ALL ACTIONS OF THE CORPORATION ARE CONSISTENT WITH THE MISSION, PHILOSOPHY AND PURPOSES OF THE SPONSORING CONGREGATIONS; THE ETHICAL AND RELIGIOUS DIRECTIVES; THE MISSION STATEMENT AND CORE VALUES OF THE RESURRECTION HEALTH CARE SYSTEM; AND BEST PRACTICES IN HEALTH CARE AND RELATED ACTIVITIES. EXCLUSIVE POWERS: IN FURTHERANCE OF THE EXERCISE OF ITS GENERAL POWERS AND RESPONSIBILITIES, THE MEMBER SHALL HAVE THE EXCLUSIVE POWER TO: A) AMEND OR REPEAL THE BYLAWS OF THE CORPORATION; B) APPOINT AND REMOVE ALL OFFICERS OF THE CORPORATION, OTHER THAN THE PRESIDENT (WHO SITS EX OFFICIO), AND ALL DIRECTORS OF THE CORPORATION; C) APPROVE CAPITAL AND OPERATING BUDGETS AND LONG-TERM CAPITAL EQUIPMENT PLANS FOR THE CORPORATION; D) APPROVE UNBUDGETED EXPENDITURES IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER FROM TIME TO TIME; E) APPROVE ANY BORROWING OR SIGNIFICANT INCURRENCE OF DEBT BY THE CORPORATION, OR ANY SALE, PURCHASE, ALIENATION, EXCHANGE, SIGNIFICANT LEASEs (OTHER THAN IN THE ORDINARY COURSE) OR ENCUMBRANCES OF THE CORPORATION'S REAL PROPERTY, EXCEPT THOSE MADE PURSUANT TO APPROVED BUDGETS; F) APPROVE EXECUTION OF ANY DEEDS, MORTGAGES, BONDS, OR MAJOR EQUIPMENT LEASES, Except THOSE ENTERED INTO PURSUANT TO APPROVED BUDGETS; G) APPROVE ANY OTHER SIGNIFICANT AND UNBUDGETED SALE PURCHASE, EXCHANGE, SIGNIFICANT LEASE (OTHER THAN IN THE ORDINARY COURSE) TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OR OTHER SIGNIFICANT TRANSACTION INVOLVING THE NON-REAL-ESTATE ASSETS OF THE CORPORATION; H) DIRECT AND APPROVE ANY CONTRIBUTIONS, DONATIONS OR OTHER ASSET TRANSFERS WITHOUT CONSIDERATION TO THE MEMBER OR ANY AFFILIATE, IN FURTHERANCE OF SYSTEM MISSION, GOALS AND VALUES; I) APPROVE MATERIAL CHANGES IN THE KIND OF SERVICES RENDERED, SUCH AS THE ADDITION OR DISCONTINUATION OF ANY MAJOR SERVICE LINE (E.G., OBSTETRICS) OR CHANGE IN THE FUNDAMENTAL NATURE OF SERVICES PROVIDED BY THE CORPORATION (E.G., CHANGE FROM GENERAL TO LONG TERM ACUTE CARE); J) APPROVE STRATEGIC PLANS FOR THE CORPORATION THAT FURTHER SYSTEM MISSION AND VALUES, AND SUPPORT THE ABILITY OF THE CORPORATION AND ITS AFFILIATES TO PROVIDE HIGH-QUALITY CARE AND SERVICES; K) APPROVE ANY CONTRACT FOR THE MANAGEMENT OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION; L) APPROVE ANY SELECTION OR MODIFICATION OF THE BUSINESS NAME OR LOGO OF THE CORPORATION OR ANY PROGRAM OR DIVISION OF THE CORPORATION, OR THE USE OF ANY CORPORATE OR BUSINESS NAME OF THE CORPORATION BY AN ENTITY OTHER THAN THE MEMBER OR AN AFFILIATE; M) PROVIDE INSURANCE COVERAGE, STANDARDIZED EMPLOYEE PAYROLL STANDARDS AND BENEFITS, INFORMATION SYSTEMS AND TECHNOLOGY, FINANCIAL MANAGEMENT SERVICES, LEGAL, MARKETING, RISK MANAGEMENT AND OTHER ADMINISTRATIVE SERVICES NECESSARY TO SUPPORT THE CORPORATION'S OPERATIONS; N) APPROVE THE ESTABLISHMENT, TERMINATION, SALE OR SIGNIFICANT JOINT VENTURE RELATIONSHIP BY THE CORPORATION; O) APPROVE THE ACQUISITION OR DEVELOPMENT OF ANY BUSINESS OR ACTIVITY UNRELATED TO THE PROVISION OF HEALTH CARE SERVICES; P) APPROVE ANY MATERIAL AGREEMENT OR TRANSACTION WITH ANOTHER AFFILIATE; Q) APPROVE ANY MATERIAL AFFILIATION WITH A MEDICAL SCHOOL OR RESEARCH FACILITY; R) APPROVE ACCEPTANCE OF A CONTRIBUTION THAT IMPOSES A MATERIAL OBLIGATION ON THE CORPORATION, IF APPROVED BY THE CORPORATION'S AFFILIATE, THE RESURRECTION DEVELOPMENT FOUNDATION, AS CONSISTENT WITH THE CORPORATION'S AND SYSTEM'S MISSION AND GOALS; S) SELECT INDEPENDENT AUDITORS FOR THE SYSTEM ENTITIES, INCLUDING THE CORPORATION; T) APPOINT THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION, WHO SHALL BE QUALIFIED THROUGH EDUCATION AND EXPERIENCE AND WHO SHALL BE GIVEN THE AUTHORITY TO MANAGE THE GENERAL OPERATION OF THE CORPORATION AND ITS FACILITIES. APPROVAL AND RECOMMENDATION POWERS: NONE OF THE ACTIONS SET FORTH BELOW SHALL BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE MEMBER. THE BOARD SHALL ADOPT RESOLUTIONS APPROVING ANY SUCH PROPOSED ACTION, PRIOR TO SUBMITTING THE MATTER TO THE MEMBER FOR ITS APPROVAL. THE ACTIONS SET FORTH BELOW MAY ALSO BE INITIATED BY THE MEMBER IN THE ABSENCE OF A RECOMMENDATION BY THE BOARD, SUBJECT TO THE BOARD'S SUBSEQUENT APPROVAL AND THE MEMBER'S FINAL APPROVAL. A) ADOPTION, AMENDMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OF THE CORPORATION; B) ADOPTION OF ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION. FORM 990, PART VI, QUESTION 11B FORM 990 REVIEW PROCESS THE DRAFT FORM 990 IS PREPARED BY THE CORPORATION'S ACCOUNTING FIRM WITH ASSISTANCE FROM THE SYSTEM FINANCE DEPARTMENT. THE RETURN IS THEN REVIEWED BY MANAGEMENT, INCLUDING SENIOR LEADERS FROM LEGAL, COMPLIANCE, HUMAN RESOURCES AND THE SYSTEM CEO FOR ACCURACY AND COMPLETENESS. AS NECESSARY, management will CONSULT WITH EXTERNAL LEGAL AND OTHER EXPERTS TO ASSURE ACCURACY. THE FINAL FORM 990 IS MADE AVAILABLE TO THE CORPORATION'S BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, LINE 12C PROCEDURES FOR ADDRESSING CONFLICTS OF INTEREST THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT THE INTERESTS OF PRESENCE HEALTH NETWORK AND ALL OF ITS AFFILIATED MINISTRIES (COLLECTIVELY "PRESENCE HEALTH") WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF ANY DIRECTOR, TRUSTEE, OFFICER, CORPORATE MEMBER APPOINTEE, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, SENIOR LEADERS, AND OTHERS IN A RECENT POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER PRESENCE HEALTH ("INTERESTED PERSONS"), AND CLARIFY THE STANDARDS OF CONDUCT, DUTIES AND OBLIGATIONS OF INTERESTED PERSONS IN THE CONTEXT OF POTENTIAL CONFLICTS OF INTEREST BY PROVIDING A METHOD FOR DISCLOSING AND RESOLVING SUCH POTENTIAL CONFLICTS. NO PRESENCE HEALTH ENTITY WILL ENGAGE IN ANY CONTRACT, TRANSACTION OR ARRANGEMENT INVOLVING A CONFLICT OF INTEREST UNLESS DISINTERESTED MEMBERS OF THE APPLICABLE BOARD OF DIRECTORS OR OTHER GOVERNING BODY DETERMINE BY A MAJORITY VOTE THAT APPROPRIATE SAFEGUARDS TO PROTECT THE CHARITABLE MISSION OF PRESENCE HEALTH HAVE BEEN IMPLEMENTED. TO FACILITATE THIS POLICY, ALL INTERESTED PERSONS HAVE A CONTINUING OBLIGATION TO PROMPTLY DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ALL DISCLOSURES MUST BE PROVIDED TO THE SYSTEM COMPLIANCE OFFICER AND GENERAL COUNSEL IN A WRITTEN DESCRIPTION OF THE MATERIAL FACTS. DISCLOSURE SHALL BE ON A CONFLICTS OF INTEREST QUESTIONNAIRE OR SIMILAR FORMAT AS DESCRIBED IN THE CONFLICTS OF INTEREST POLICY. ALL INTERESTED PERSONS SHALL ALSO COMPLETE A QUESTIONNAIRE BASED ON THE ASSUMPTION OF THE BOARD (OR OTHER RELEVANT) POSITION, AND THEREAFTER ON AT LEAST AN ANNUAL BASIS OR WHEN AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT ARISES. AT ANY TIME THAT AN ACTUAL, APPARENT OR A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED TO THE PRESENCE HEALTH NETWORK BOARD OF DIRECTORS, WHETHER THROUGH THE VOLUNTARY SUBMISSION OF A DISCLOSURE STATEMENT BY AN INTERESTED PERSON, OR BY A DISCLOSURE BY A PERSON OTHER THAN THE SUBJECT INTERESTED PERSON, THE BOARD OR APPLICABLE COMMITTEE SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, ONLY DISINTERESTED DIRECTORS/COMMITTEE MEMBERS MAY VOTE TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT IS FOUND TO EXIST THE INTERESTED PERSON WILL GENERALLY BE REQUIRED TO RECUSE HIM OR HERSELF DURING ANY MEETING IN WHICH THE BOARD OR COMMITTEE CONDUCTS THE EVALUATION OF THE SUBJECT TRANSACTION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. TO ENSURE THAT THE PRESENCE HEALTH OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS EXEMPT STATUS, TRANSACTIONS INVOLVING INTERESTED PERSONS ARE ONLY APPROVED IF, AFTER EXERCISING REASONABLE DUE DILIGENCE, THE BOARD DETERMINES THEY ARE FAIR AND REASONABLE, TAKING INTO ACCOUNT FACTORS SUCH AS WHETHER PRESENCE HEALTH COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT. HOWEVER, LENDING MONEY OR GUARANTYING AN OBLIGATION OF A DIRECTOR, OFFICER, OR EMPLOYEE OF PRESENCE HEALTH (EXCLUSIVE OF CUSTOMARY INSURANCE COVERAGE FOR ACTS DONE IN CONNECTION WITH SUCH INDIVIDUAL'S SERVICE TO OR EMPLOYMENT BY PRESENCE HEALTH) IS STRICTLY PROHIBITED. FORM 990 PART VI, QUESTIONS 15A AND 15B, AND PART V, QUESTION 2A COMPENSATION AND APPROVAL PROCESS FOR OFFICERS AND KEY EMPLOYEES COMPENSATION FOR THE CORPORATION'S CEO AND OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED IN ACCORDANCE WITH WRITTEN POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF DIRECTORS OF THE CORPORATION'S SOLE MEMBER, PRESENCE RHC CORPORATION (PRHCC) AND PRHCC'S SOLE MEMBER, PRESENCE HEALTH NETWORK, THE SYSTEM PARENT CORPORATION. SUCH POLICIES AND PROCEDURES ARE APPLIED BY THE HUMAN RESOURCES COMMITTEE OF THE SYSTEM PARENT CORPORATION, WHICH CONSISTS WHOLLY OF INDEPENDENT DIRECTORS. THE Parent CORPORATION USES MARKET DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH BASE SALARIES AND TOTAL CASH COMPENSATION OPPORTUNITIES. THE HUMAN RESOURCES COMMITTEE MONITORS EXECUTIVE TOTAL COMPENSATION AND APPROVES ALL COMPONENTS OF EXECUTIVE TOTAL COMPENSATION, ANNUALLY REVIEWING AND APPROVING COMPENSATION CHANGES FOR EACH EXECUTIVE, AND REGULARLY REPORTING ITS ACTIVITIES TO THE BOARD. FORM 990, PART VI, LINE 19 DOCUMENT AVAILABILITY THE CORPORATION'S ARTICLES OF INCORPORATION ARE ON FILE WITH THE STATE OF ILLINOIS. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE CORPORATION, TOGETHER WITH ITS AFFILIATES, ARE AVAILABLE FROM THE NATIONAL DISSEMINATION AGENT AS REQUIRED BY OUR BOND DOCUMENTS. CONFLICTS OF INTEREST POLICIES ARE NOT MADE AVAILABLE TO THE PUBLIC, HOWEVER, A SUMMARY OF THE CURRENT POLICY IS ANNUALLY INCLUDED IN SCHEDULE O OF THE CORPORATION'S FORM 990. FORM 990, PART VII, SECTIONS A & B COMMON PAYMASTER PRESENCE RESURRECTION MEDICAL CENTER (PRMC) FEIN 36-3330926 ACTS AS THE AGENT FOR Presence Saints Mary and Elizabeth Medical center (PSMEMC). CASH IS SWEPT FROM PSMEMC ON A DAILY BASIS TO PRMC AND PRMC ISSUES ALL PAYROLL AND ACCOUNTS PAYABLE CHECKS ON BEHALF OF AND AS AGENT FOR PSMEMC and APPROPRIATE ACCOUNTING ENTRIES ARE RECORDED. FORM 990, PART XI, LINE 5 UNREALIZED GAINS AND LOSSES THE CHANGE IN THE UNREALIZED GAIN (LOSSES) ON THE RESURRECTION HEALTH CARE INVESTMENT PORTFOLIO IS RECORDED IN ITS ENTIRETY IN THE BOOKS AND RECORDS OF PRESENCE RHC CORPORATION. FORM 990, PART XII, LINE 2B AUDITED FINANCIAL STATEMENTS PRESENCE HEALTH NETWORK (AND AFFILIATES) HAS ITS CONSOLIDATED FINANCIAL STATEMENTS AUDITED BY AN INDEPENDENT ACCOUNTANT ANNUALLY. THE AUDIT OPINION IS ISSUED ON THE CONSOLIDATED FINANCIAL STATEMENTS AND EACH AFFILIATE IS NOT SEPARATELY AUDITED. PRESENCE HEALTH NETWORK 7435 WEST TALCOTT AVENUE CHICAGO IL 60631 361649520 HEALTH CARE IL 501(C)(3) 3 NA false RESURRECTION UNIVERSITY 3 ERIE COURT OAK PARK IL 60302 362182170 Education IL 501(C)(3) 3 PRHCC true MEDICARE VALUE PARTNERS 100 NORTH RIVER ROAD DES PLAINES IL 60016 363495969 HEALTH CARE IL 501(C)(3) 3 PRHCC true PRESENCE HOLY FAMILY MED CNTR 100 NORTH RIVER ROAD DES PLAINES IL 60016 362439318 HEALTH CARE IL 501(C)(3) 3 PRHCC true MOUNT LORETTO NURSING HOME INC 302 SWART HILL ROAD AMSTERDAM NY 12010 141363014 SENIOR LIVING NY 501(C)(3) 3 RM NEW YORK true Presence OUR LADY OF THE RESURR MED CNTR 5645 WEST ADDISON STREET CHICAGO IL 60634 362644178 HEALTH CARE IL 501(C)(3) 3 PRHCC true PROVENA CARE HOME 19065 HICKORY CREEK DRIVE MOKENA IL 60448 460483587 HEALTH CARE IL 501(C)(3) 9 PLC true PRESENCE PRV HEALTH 9223 W ST FRANCIS ROAD FRANKFORT IL 60423 363366652 HEALTH CARE IL 501(C)(3) 11-type 1 PHN false PRESENCE HOME CARE 19065 HICKORY CREEK DRIVE MOKENA IL 60448 460483581 HEALTH CARE IL 501(C)(3) 9 PLC true PRESENCE HOSPITALS PRV 9223 W ST FRANCIS ROAD FRANKFORT IL 60423 364195126 HEALTH CARE IL 501(C)(3) 3 PPRVH true LAVERNA TERRACE HOUSING CORP 19065 HICKORY CREEK DRIVE MOKENA IL 60448 363438977 Senior Living IL 501(C)(3) 9 PHPRV true PROVENA SELF-INSURANCE TRUST 9223 W ST FRANCIS ROAD FRANKFORT IL 60423 362987310 INSURANCE IL 501(C)(3) 9 PPRVH true PRESENCE LIFE CONNECTIONS 19065 HICKORY CREEK DRIVE MOKENA IL 60448 371127787 HEALTH CARE IL 501(C)(3) 7 PPRVH true PRESENCE BEHAVIORAL HEALTH 1820 SOUTH 25TH AVENUE BROADVIEW IL 60155 362709982 HEALTH CARE IL 501(C)(3) 3 PHS true PRESENCE AMBULATORY SERVICES 7435 WEST TALCOTT AVENUE CHICAGO IL 60631 364286236 HEALTH CARE IL 501(C)(3) 3 PRHCC true RESURRECTION DEVELOP FNDN BOT 150 NORTH RIVER ROAD DES PLAINES IL 60016 363330929 FUNDRAISING IL 501(C)(3) 7 PRHCC true PRESENCE RHC CORPORATION 7435 WEST TALCOTT AVENUE CHICAGO IL 60631 362235165 PARENT CORP IL 501(C)(3) 3 PHN false PRESENCE HOME CARE SERVICES 5747 WEST DEMPSTER MORTON GROVE IL 60053 362893936 HOME CARE IL 501(C)(3) 3 PRHCC true PRESENCE RESURRECTION MED CNTR 7435 WEST TALCOTT AVENUE CHICAGO IL 60631 363330926 HEALTH CARE IL 501(C)(3) 3 PRHCC true RESURRECTION NURSING HOME INC 90 NORTH MAIN STREET CASTLETON NY 12033 141348691 Nursing NY 501(C)(3) 3 RM NEW YORK true PRESENCE RHC SENIOR SERVICES 7435 WEST TALCOTT AVENUE CHICAGO IL 60631 237061646 Nursing IL 501(C)(3) 3 PRHCC true PRESENCE HEALTHCARE SERVICES 7447 WEST TALCOTT AVENUE CHICAGO IL 60631 363330928 HEALTH CARE IL 501(C)(3) 3 PRHCC true PRESENCE SAINT FRANCIS HOSPITAL 355 RIDGE AVENUE EVANSTON IL 60202 362167800 HEALTH CARE IL 501(C)(3) 3 PRHCC true SAINT FRANCIS HOSPITAL AUX OF EVAN 355 RIDGE AVENUE EVANSTON IL 60202 366143349 FUNDRAISING IL 501(C)(3) 7 PSFH true SAINT JOSEPH HOSPITAL CHICAGO 2900 NORTH LAKE SHORE DRIVE CHICAGO IL 60657 363200170 HEALTH CARE IL 501(C)(3) 3 PRHCC true RAINBOW HOSPICE & PALL CARE 1550 BISHOP COURT MT PROSPECT IL 60056 363296367 HOSPICE IL 501(C)(3) 9 PHCS true PRESENCE NAZARETHVILLE 300 NORTH RIVER ROAD DES PLAINES IL 60016 362801392 NURSING IL 501(C)(3) 11, TYPE II PRHC SNR SRV true RH SLEEP CTR LP 665 W N AVE LOMBARD IL 60148 261519667 SLEEP CENTER IL RH SLEEP CTR EVAN 665 W N AVE LOMBARD IL 60148 261519556 SLEEP CENTER IL RH SLEEP CTR CHI NW 665 W N AVE LOMBARD IL 60148 261519627 SLEEP CENTER IL RH SLEEP CTR RF 665 W N AVE LOMBARD IL 60148 262819763 SLEEP CENTER IL L GILBRAITH INSURANCE SPC LTD 68 W BAY RD PO BOX 1109 GRAND CAYMAN CJ INSURANCE CJ PRHCC FOREIGN COmpany 0 0 0.00000 PROVENA ASSURANCE CORPORATION 9223 W ST FRANCIS ROAD FRANKFORT IL 60423 980420054 MEDICAL IL PPRVH C CORP 0 0 0.00000 PRESENCE PROPERTIES INC 9223 W ST FRANCIS ROAD FRANKFORT IL 60423 363520630 MEDICAL IL PPRVH C CORP 0 0 0.00000 PRESENCE SERVICE CORPORATION 9223 W ST FRANCIS ROAD FRANKFORT IL 60423 364314354 MEDICAL IL PHPRV C CORP 0 0 0.00000 PRESENCE VENTURES INC 9223 W ST FRANCIS ROAD FRANKFORT IL 60423 371168085 MEDICAL IL PPRVH C CORP 0 0 0.00000 RESURRECTION MEDICAL CENTER AUX 7435 WEST TALCOTT AVENUE CHICAGO IL 60631 366109825 FUNDRAISING IL PR MED CTR C CORP 0 0 0.00000 RESURRECTION MINISTRIES OF NEW YORK 90 NORTH MAIN STREET CASTLETON NY 12033 141720818 PARENT CORP NY PRHCC C CORP 0 0 0.00000 PRESENCE HEALTH CARE PREFERRED 100 NORTH RIVER ROAD DES PLAINES IL 60016 363974620 MGD CARE CONTRACT IL PRHCC C CORP 0 0 0.00000 false false true false false false false false false false false false false false false true false false false Resurrection Development Foundation BOT C 365777 CASH Presence Resurrection Medical Center p 275523791 FMV Reimbursements for Shared Services Form 990, Schedule R, Part V Presence Resurrection Medical Center (FEIN: 36-3330926) pays all of the compensation and accounts payable for all entities under the Presence Health System that were historically part of the Resurrection Health Care System ("Legacy Resurrection Entities"). Cash is deposited into an account by all Legacy Resurrection Entities and swept on a monthly basis to reimburse Presence Resurrection Medical Center for these expenses at cost. The amounts reported on Part V of Schedule R reflect the total cash transfers to/from Presence Resurrection Medical Center.