Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
MEDICARE VALUE PARTNERS |
363495969 | 3 | Yes | 0 | 0 | |
| (B)
PRESENCE HOLY FAMILY MEDICAL CENTER |
362439318 | 3 | Yes | 0 | 7,901,466 | |
| (C)
MOUNT LORETTO NURSING HOME INC |
141363014 | 3 | No | 0 | 0 | |
| (D)
PRESENCE HEALTH PARTNERS SERVICES |
362644178 | 3 | Yes | 0 | 0 | |
| (E)
PRESENCE CARE HOME |
460483587 | 9 | Yes | 0 | 9,396 | |
| (F)
PRESENCE HOME CARE |
460483581 | 9 | Yes | 0 | 465,653 | |
| (G)
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK |
364195126 | 3 | Yes | 0 | 48,271,945 | |
| (H)
LAVERNA TERRACE HOUSING CORPORATION |
363438977 | 9 | Yes | 0 | 0 | |
| (I)
PRESENCE LIFE CONNECTIONS |
371127787 | 9 | Yes | 0 | 2,664,383 | |
| (J)
PRESENCE BEHAVIORAL HEALTH |
362709982 | 3 | Yes | 0 | 790,107 | |
| (K)
PRESENCE AMBULATORY SERVICES |
364286236 | 9 | Yes | 0 | 2,087,619 | |
| (L)
PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES |
363330929 | 7 | Yes | 0 | 123,784 | |
| (M)
PRESENCE HOME CARE SERVICES |
362893936 | 3 | Yes | 0 | 1,008,921 | |
| (N)
PRESENCE RESURRECTION MEDICAL CENTER |
363330926 | 3 | Yes | 0 | 25,034,140 | |
| (O)
RESURRECTION NURSING HOME INC |
141348691 | 3 | No | 0 | 0 | |
| (P)
PRESENCE SENIOR SERVICES - CHICAGOLAND |
237061646 | 3 | Yes | 0 | 4,067,470 | |
| (Q)
PRESENCE HEALTHCARE SERVICES |
363330928 | 3 | Yes | 0 | 8,887,546 | |
| (R)
PRESENCE SAINT FRANCIS HOSPITAL |
362167800 | 3 | Yes | 0 | 16,779,569 | |
| (S)
PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER |
362171079 | 3 | Yes | 0 | 29,262,987 | |
| (T)
PRESENCE SAINT JOSEPH HOSPITAL CHICAGO |
363200170 | 3 | Yes | 0 | 20,840,524 | |
| (U)
ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME |
362841358 | 9 | Yes | 0 | 0 | |
| (V)
RAINBOW HOSPICE AND PALLIATIVE CARE |
363296367 | 9 | Yes | 0 | 0 | |
| (W)
PRESENCE NAZARETHVILLE |
362801392 | 9 | Yes | 0 | 298,946 | |
| (X)
RESURRECTION UNIVERSITY |
362182170 | 2 | Yes | 0 | 254,143 | |
| Total 24 | 0 | 168,748,599 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Part IV, Section A, Question 1 | SUPPORTED ORGANIZATIONS NOT LISTED IN THE CORPORATIONS GOVERNING DOCUMENTS. ALL OF THE CORPORATIONS SUPPORTED ORGANIZATIONS LISTED IN THIS SCHEDULE A, PART I, LINE 11G ARE LISTED IN THE CORPORATIONS GOVERNING DOCUMENTS, EXCEPT FOR THOSE NOTED OTHERWISE IN COLUMN (IV). WITH RESPECT TO THESE SUPPORTED ORGANIZATIONS WHICH ARE NOTED IN COLUMN (IV) BUT NOT LISTED IN THE CORPORATIONS GOVERNING DOCUMENTS, THE CORPORATION HAS A HISTORIC RELATIONSHIP THAT IT HAS CONTINUED THROUGHOUT THE EXISTENCE OF THESE SUPPORTED ORGANIZATIONS BY SERVING AS THE DIRECT OR ULTIMATE SOLE CORPORATE MEMBER. |
| Part IV, Section A, Question 2 | SUPPORTED ORGANIZATIONS WITHOUT IRS DETERMINATION OF STATUS UNDER SECTIONS 509(A)(1) OR 509(A)(2) ALL OF THE CORPORATIONS SUPPORTED ORGANIZATIONS ARE EXEMPT UNDER SECTIONS 509(A)(1) OR 509(A)(2) AS EVIDENCED BY RECEIPT OF AN INDEPENDENT DETERMINATION LETTER OF EXEMPTION, OR ARE BY VIRTUE OF INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY AND BEING THEREBY COVERED BY THE GROUP RULING OF EXEMPTION ISSUED BY THE IRS TO THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. |
| Part IV, Section A, Question 5a | THE CORPORATION ADDED RESURRECTION UNIVERSITY (FEIN: 36-2182170) AS A SUPPORTED ORGANIZATION. RESURRECTION UNIVERSITY WAS PREVIOUSLY DESIGNATED BY NAME AS A SUPPORTED ORGANIZATION IN THE CORPORATIONS ARTICLES OF INCORPORATION, AND WAS ADDED AS SUCH ON THIS FORM 990 TO ACCURATELY REFLECT RESURRECTION UNIVERSITY AS A SUPPORTED ORGANIZATION FOR REPORTING PURPOSES. THE CORPORATION REMOVED ST. FRANCIS HOSPITAL AUXILIARY (FEIN: 36-6143349) AS A SUPPORTED ORGANIZATION, AS IT DOES NOT PROVIDE GOVERNANCE OR FINANCIAL SUPPORT TO THIS ENTITY. |
| PART IV, SECTION A, QUESTION 6 | THE CORPORATION HAS PROVIDED MANAGEMENT AND ADMINISTRATIVE SERVICES TO A LIMITED NUMBER OF CERTAIN OUTSIDE ENTITIES FOR COST IN ACCORDANCE WITH ITS MISSION, SUCH AS MANAGEMENT SERVICES OF NOT-FOR-PROFIT HEALTHCARE PROVIDERS SUCH AS HOSPITALS, AND TO CERTAIN FOR-PROFIT AFFILIATES IN EXCHANGE FOR MANAGEMENT FEE ALLOCATIONS. |
| PART IV, SECTION D, QUESTION 2 | RELATIONSHIP WITH SUPPORTED ORGANIZATIONS THE CORPORATION SHARES SOME BOARD OVERLAP WITH SOME OF ITS SUPPORTED ORGANIZATIONS. THE CORPORATION ALSO HAS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATIONS, AS IT SERVES AS THE DIRECT OR INDIRECT SOLE CORPORATE MEMBER OF ALL OF ITS SUPPORTED ORGANIZATIONS. THE CORPORATION FURTHER SHARES A COMMON TREASURER, SECRETARY, ASSISTANT TREASURER, AND ASSISTANT SECRETARY WITH ALL OF ITS SUPPORTED ORGANIZATIONS OTHER THAN RESURRECTION UNIVERSITY, WHICH SHARES ONLY A COMMON SECRETARY. |
| PART IV, SECTION D, QUESTION 3 | SIGNIFICANT VOICE IN THE OPERATIONS OF SUPPORTING ORGANIZATION THE CORPORATION SERVES AS THE DIRECT OR INDIRECT SOLE CORPORATE MEMBER OF ALL ITS SUPPORTED ORGANIZATIONS, WHICH FURTHERS THE ACCOUNTABILITY WITHIN THE INTEGRATED HEALTH SYSTEM AS A WHOLE. ALL OF THE CORPORATIONS SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE CORPORATIONS OPERATIONS, THROUGH THEIR SHARED COMMON OFFICERS AND MANAGEMENT REPORTING STRUCTURES. |
| PART IV, SECTION E, QUESTION 2A & 2B | ACTIVITIES TEST SUBSTANTIALLY ALL OF THE CORPORATIONS ACTIVITIES DURING THE TAX YEAR DIRECTLY FURTHERED THE EXEMPT PURPOSES OF RESURRECTION UNIVERSITY THROUGH THE PROMOTION OF HEALTH CONSISTENT WITH THE CATHOLIC RELIGIOUS AND ETHICAL DIRECTIVES. RESURRECTION UNIVERSITY IS LOCATED AT THE PRESENCE SAINT ELIZABETH HOSPITAL AND RECEIVES CORPORATE AND BACK OFFICE SUPPORT FROM THE CORPORATION AND ITS AFFILIATES, AS WELL AS TRAINING OPPORTUNITIES AT PRESENCE HEALTH HOSPITALS FOR RESIDENT NURSES. ALL OF THESE ACTIVITIES ARE NECESSARY FOR THE OPERATION OF RESURRECTION UNIVERSITY AND, BUT FOR THE CORPORATIONS INVOLVEMENT, WOULD BE CONDUCTED BY RESURRECTION UNIVERSITY DIRECTLY. |
| PART IV, SECTION E, QUESTION 3A | AUTHORITY TO APPOINT A MAJORITY OF THE OFFICERS AND DIRECTORS OF SUPPORTED ORGANIZATIONS AS THE DIRECT OR INDIRECT SOLE CORPORATE MEMBER OF ITS SUPPORTED ORGANIZATIONS, THE CORPORATION HAS THE AUTHORITY TO APPOINT ALL MEMBERS OF THEIR RESPECTIVE BOARDS OF DIRECTORS, WITH THE EXCEPTION OF RESURRECTION UNIVERSITY DISCUSSED ABOVE. |
| PART IV, SECTION E, QUESTION 3B | DIRECTION OVER POLICIES, PROGRAMS, AND ACTIVITIES OF SUPPORTED ORGANIZATIONS. ALL INVESTMENT DECISIONS FOR THE MAJORITY OF THE CORPORATIONS SUPPORTED ORGANIZATIONS ARE MADE BY OR ON BEHALF OF THE CORPORATION PURSUANT TO INVESTMENT GUIDELINES APPROVED FROM TIME TO TIME WITH THE CORPORATIONS SOLE MEMBER. IN ITS CAPACITY AS THE DIRECT OR INDIRECT SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS, THE CORPORATION ALSO HAS CERTAIN RESERVE POWERS, SUCH AS THE EXCLUSIVE RIGHT TO APPROVE THE RESPECTIVE SUPPORTED ORGANIZATIONS: CAPITAL AND OPERATING BUDGETS; UNBUDGETED EXPENDITURES; NEW DEBT OR OTHER ENCUMBRANCES; EXECUTION OF DEEDS; UNBUDGETED SALES, PURCHASES, EXCHANGES, LEASE TRANSFERS, LITIGATION OR LEGAL SETTLEMENTS, BENEFITS PACKAGES, OR OTHER DISPOSITION OR OTHER SIGNIFICANT TRANSACTION INVOLVING THE NON-REAL ESTATE ASSETS; MATERIAL CHANGES IN THE KIND OF SERVICES RENDERED; STRATEGIC PLANS; MANAGEMENT CONTRACTS; LEVELS OF INSURANCE COVERAGE, EMPLOYEE BENEFITS, INFORMATION TECHNOLOGY, FINANCIAL MANAGEMENT AND LEGAL SERVICES; JOINT VENTURE ARRANGEMENTS; CONTRIBUTIONS AND DONATIONS; ACQUISITION OR DEVELOPMENT OF UNRELATED TRADES OR BUSINESSES; INDEPENDENT AUDITOR SELECTION; PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION; AND AMENDMENTS TO OR REPEAL OF THE SUPPORTED ORGANIZATIONS ARTICLES OF INCORPORATION AND BYLAWS. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, BOX C | DOING BUSINESS AS/ASSUMED NAMES PRESENCE CHICAGO HOSPITALS NETWORK ALSO OPERATES UNDER THE FOLLOWING ASSUMED NAMES: - CANA HEALTH - NEW BEGINNINGS PRENATAL PROGRAM - PROGRAMA PRENATAL NEUVA PROGRAM - PRESENCE RESURRECTION RETIREMENT COMMUNITY - PRESENCE ANSWERING SERVICE |
| FORM 990, PART I, LINE 1 | MISSION STATEMENT/SIGNIFICANT ACTIVITY 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. FORM 990, PART I, LINES 20 - 22 INCREASE IN ASSETS/LIABILITIES EFFECTIVE DECEMBER 31, 2015 THE FOLLOWING FIVE PRESENCE HEALTH HOSPITALS IN THE CHICAGO METRO AREA MERGED INTO PRESENCE CHICAGO HOSPITALS NETWORK (THE "CORPORATION"): PRESENCE RESURRECTION MEDICAL CENTER, PRESENCE HOLY FAMILY MEDICAL CENTER, PRESENCE SAINT FRANCIS HOSPITAL, PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO, AND PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER. THE CORPORATION'S YEAR END BALANCE SHEET REFLECTS THE COMBINED BALANCE SHEETS OF ALL HOSPITALS. |
| FORM 990, PART III, QUESTION 1 | MISSION STATEMENT INSPIRED BY THE HEALING MINISTRY OF JESUS CHRIST, PRESENCE CHICAGO HOSPITALS NETWORK PROVIDES ADMINISTRATIVE MANAGEMENT AND OTHER SUPPORT TO AFFILIATE CATHOLIC-SPONSORED HOSPITALS, NURSING HOMES, AND OTHER HEALTH CARE PROVIDERS, TO ENABLE THEM TO PROVIDE COMPASSIONATE, HOLISTIC CARE WITH A SPIRIT OF HEALING AND HOPE IN THE COMMUNITIES THEY SERVE. |
| FORM 990, PART I, QUESTION 5, AND PART V, QUESTION 2 | COMPENSATION AND FORM W-3 TRANSMITTAL OF WAGES AND TAX STATEMENT PRESENCE CHICAGO HOSPITALS NETWORK (THE "CORPORATION") 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. THE CORPORATIONS COMPENSATION IS PAID BY PRESENCE CARE TRANSFORMATION CORPORATION ("PCTC"), WHICH ISSUES THE FORMS W-2 AND W-3, AND THE EXPENSE IS TRANSFERRED TO THE CORPORATION. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO THE CORPORATION FROM PCTC. |
| FORM 990, PART V, QUESTION 1A | FORM 1096 TRANSMITTAL OF U.S. INFORMATION RETURNS PRESENCE CHICAGO HOSPITALS NETWORK (THE "CORPORATION") 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 THE CORPORATIONS ACCOUNTS PAYABLE REPORTABLE ON FORM 1096 ARE PAID BY PRESENCE CARE TRANSFORMATION CORPORATION ("PCTC"), WHICH ISSUES ALL FORMS 1099, AND THE EXPENSE IS TRANSFERRED TO THE CORPORATION. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO THE CORPORATION FROM PCTC. |
| FORM 990, PART VI, QUESTION 6 | MEMBERS OR SHAREHOLDERS THE CORPORATION HAS ONE MEMBER, PRESENCE HEALTH NETWORK, WHICH SHARES AN IDENTICAL BOARD OF DIRECTORS WITH THE CORPORATION. |
| FORM 990, PART VI, QUESTION 7A | PERSONS WITH AUTHORITY TO ELECT MEMBERS OF THE GOVERNING BODY THE BOARD OF DIRECTORS OF THE CORPORATION CONSIST OF THOSE INDIVIDUALS WHO THEN SERVE AS THE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATIONS SOLE MEMBER, PRESENCE HEALTH NETWORK (PHN). THE MEMBERS OF THE PHNS BOARD OF DIRECTORS ARE APPOINTED BY PHNS CORPORATE MEMBER, A BODY CURRENTLY CONSISTING OF TEN CATHOLIC RELIGIOUS WOMEN, EACH OF WHOM IS A MEMBER OF ONE OF THE FIVE SPONSORING MEMBER CONGREGATIONS OF PHN AND ITS AFFILIATES. |
| FORM 990, PART VI, QUESTION 7B | DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS THE FOLLOWING POWERS OVER THE CORPORATION AND ITS AFFILIATES ARE RESERVED TO AND SHALL BE EXERCISED EXCLUSIVELY BY PRESENCE HEALTH NETWORK (THE "MEMBER"): 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 CORPORATIONS 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) 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); I) 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; J) APPROVE ANY CONTRACT FOR THE MANAGEMENT OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION; K) 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; L) 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 CORPORATIONS OPERATIONS; M) APPROVE THE ESTABLISHMENT, TERMINATION, SALE OR SIGNIFICANT JOINT VENTURE RELATIONSHIP BY THE CORPORATION; N) APPROVE THE ACQUISITION OR DEVELOPMENT OF ANY BUSINESS OR ACTIVITY UNRELATED TO THE PROVISION OF HEALTH CARE SERVICES; O) APPROVE ANY MATERIAL AGREEMENT OR TRANSACTION WITH ANOTHER AFFILIATE; P) 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; Q) APPROVE ACCEPTANCE OF A CONTRIBUTION THAT IMPOSES A MATERIAL OBLIGATION ON THE CORPORATION, IF APPROVED BY THE CORPORATIONS AFFILIATE, THE RESURRECTION DEVELOPMENT FOUNDATION, AS CONSISTENT WITH THE CORPORATIONS AND SYSTEMS MISSION AND GOALS; R) DEFINE THE CRITERIA FOR THE SELECTION OF BANKS AND OTHER FINANCIAL DEPOSITORIES TO BE USED BY THE CORPORATION, AND AUTHORIZE THE PROCESS BY WHICH SIGNATORIES ON ALL BANK AND SIMILAR ACCOUNTS OF THE CORPORATION ARE APPROVED. S) SELECT INDEPENDENT AUDITORS FOR THE CORPORATION, IN CONNECTION WITH THE CONSOLIDATED AUDIT OF ALL SYSTEM ENTITIES. T) APPROVE OR CHANGE THE CORPORATIONS REGISTERED AGENT OR REGISTERED OFFICE, AS APPROPRIATE FROM TIME TO TIME. U) APPROVE ANY VOLUNTARY CHANGE TO THE CORPORATIONS STATUS OF AN ORGANIZATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS AMENDED FROM TIME TO TIME. V) EXERCISE ALL POWERS OF THE MEMBERS AND OWNERS OF ALL ENTITIES THAT COMPRISE THE PRESENCE RHC GROUP EXCEPT TO THE EXTENT OTHERWISE DELEGATED BY THE MEMBER. |
| FORM 990, PART VI, QUESTION 11B | FORM 990 REVIEW PROCESS THE DRAFT FORM 990 IS PREPARED BY THE CORPORATIONS 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 CONSULTS WITH EXTERNAL LEGAL AND OTHER EXPERTS TO ASSURE ACCURACY. THE FINAL FORM 990 IS PROVIDED 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 CORPORATIONS 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 CORPORATIONS 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 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 OF DIRECTORS OR APPLICABLE 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 INDIVIDUALS 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 CORPORATIONS CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED IN ACCORDANCE WITH WRITTEN POLICIES AND PROCEDURES ADOPTED BY THE BOARD OF DIRECTORS OF PRESENCE HEALTH NETWORK, THE SYSTEM PARENT CORPORATION WHICH SHARES A MIRROR BOARD WITH PRESENCE CARE TRANSFORMATION CORPORATION (PCTC) AND PRESENCE CHICAGO HOSPITALS NETWORK (PCHN). SUCH POLICIES AND PROCEDURES ARE APPLIED BY THE HUMAN RESOURCES COMMITTEE OF THE SYSTEM PARENT CORPORATION, WHICH CONSISTS WHOLLY OF INDEPENDENT DIRECTORS. THE SYSTEM PARENT CORPORATION USES MARKET DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH BASE SALARIES AND TOTAL CASH COMPENSATION OPPORTUNITIES. THE SYSTEM PARENTS 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 SYSTEM PARENTS BOARD. THE CORPORATION ANSWERS "NO" TO FORM 990, PART VI, QUESTION 15A AND 15B PER THE FORM 990 INSTRUCTIONS AS ALL COMPENSATION IS PAID BY A RELATED ORGANIZATION, PRESENCE CARE TRANSFORMATION CORPORATION, THE SYSTEMS STATUTORY EMPLOYER. |
| FORM 990, PART VI, LINE 19 | DOCUMENT AVAILABILITY THE CORPORATIONS 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 PRESENCE HEALTH SYSTEMS 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 CORPORATIONS FORM 990. |
| FORM 990, PART VII, SECTIONS A & B | STATUTORY EMPLOYER PRESENCE CARE TRANSFORMATION CORPORATION ("PCTC") (FEIN 36-3366652) ACTS AS THE AGENT FOR THE CORPORATION. CASH IS SWEPT FROM THE CORPORATION ON A DAILY BASIS TO PCTC AND PCTC ISSUES ALL PAYROLL AND ACCOUNTS PAYABLE CHECKS ON BEHALF OF AND AS AGENT FOR THE CORPORATION AND THE APPROPRIATE ACCOUNTING ENTRIES ARE RECORDED. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS TRANSFER TO PRESENCE RESURRECTION MEDICAL CENTER $(147,988,446) TRANSFER FROM PRESENCE HOLY FAMILY MEDICAL CENTER 28,646,021 TRANSFER FROM PRESENCE ST FRANCIS HOSPITAL 47,633,601 TRANSFER FROM PRESENCE ST JOSEPH HOSPITAL CHICAGO 89,489,849 TRANSFER FROM PRESENCE STS MARY AND ELIZABETH MEDICAL CENTER 103,797,552 TRANSFER TO PRESENCE HEALTH PARTNERS SERVICES (14,592,012) TRANSFER OF PHARMACIES FROM PHS 795,003 TRANSFER TO PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES (31,000,000) OTHER TRANSFERS FROM AFFILIATES 276,117,427 ------------- TOTAL $352,898,995 FORM 990, PART XII, LINE 2B AUDITED FINANCIAL STATEMENTS AN INDEPENDENT ACCOUNTANT ANNUALLY AUDITS THE CONSOLIDATED FINANCIAL STATEMENTS OF PRESENCE HEALTH NETWORK AND ITS AFFILIATES. THE AUDIT OPINION IS ISSUED ON THE CONSOLIDATED FINANCIAL STATEMENTS AND EACH AFFILIATE IS NOT SEPARATELY AUDITED. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTION AGENCY FEES TOTAL FEES:9483696 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PATIENT FINANCIAL SERVICES TOTAL FEES:6741017 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:INFORMATION TECHNOLOGY TOTAL FEES:6489404 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:HUMAN RESOURCES TOTAL FEES:4054564 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:DECISION SUPPORT TOTAL FEES:4034679 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ADMINISTRATION TOTAL FEES:3866945 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:FINANCE TOTAL FEES:3740182 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ERP IMPLEMENTATION TOTAL FEES:3664925 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ICD10 IMPLEMENTATION TOTAL FEES:3270493 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:7474823 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING SERVICES TOTAL FEES:4214871 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LAUNDRY FOR AFFILIATES TOTAL FEES:1762154 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PRINTING FOR AFFILIATES TOTAL FEES:244736 |
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