Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 07-01-2018 , and ending 06-30-2019
BCheck if applicable:
CName of organization
Presence Chicago Hospitals Network
 
 
Doing business as
SEE SCHEDULE O
 
Number and street (or P.O. box if mail is not delivered to street address)
200 South Wacker Drive 1200
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Chicago, IL60606
D Employer identification number

36-2235165
E Telephone number

G Gross receipts $ 1,087,639,341
F Name and address of principal officer:
KEITH PARROTT
200 South Wacker Drive 1200
Chicago,IL60606
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
SEE SCHEDULE O
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:  
L Year of formation: 1949
M State of legal domicile: IL
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 7
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 6
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 854
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 2,902,444
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 340,322
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 932,546 2,988,700
9 Program service revenue (Part VIII, line 2g) ......... 542,823,010 1,070,492,646
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 297,813 182,266
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 7,545,041 12,867,092
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 551,598,410 1,086,530,704
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 6,000 394,000
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 207,960,600 412,000,711
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 347,066,997 638,445,912
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 555,033,597 1,050,840,623
19 Revenue less expenses. Subtract line 18 from line 12....... -3,435,187 35,690,081
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 816,476,538 772,784,828
21 Total liabilities (Part X, line 26)............. 171,410,357 144,897,870
22 Net assets or fund balances. Subtract line 21 from line 20..... 645,066,181 627,886,958
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2018)
Form 990 (2018)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: OUR MISSION AS PART OF A CATHOLIC HEALTH CARE SYSTEM IS TO FURTHER THE HEALING MINISTRY OF JESUS BY CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF ALL PEOPLE, ESPECIALLY THE POOR, IN THE COMMUNITIES WE SERVE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 728,665,868 including grants of $ 394,000 ) (Revenue $ 1,046,968,777 )
PRESENCE CHICAGO HOSPITALS NETWORK OPERATES 5 ACUTE CARE HOSPITALS AND 1 LONG TERM ACUTE CARE HOSPITAL. AMITA HEALTH RESURRECTION MEDICAL CENTER IS A 320-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2018 - JUNE 30, 2019, AMITA HEALTH RESURRECTION MEDICAL CENTER TREATED 12,341 ADULTS AND CHILDREN FOR A TOTAL OF 63,517 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 172,892 OUTPATIENT VISITS, WHICH INCLUDED 3,570 OUTPATIENT SURGERIES AND 41,251 EMERGENCY ROOM VISITS. AMITA HEALTH HOLY FAMILY MEDICAL CENTER IS A 172-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2018 - JUNE 30, 2019, AMITA HEALTH HOLY FAMILY MEDICAL CENTER TREATED 1,454 ADULTS AND CHILDREN FOR A TOTAL OF 31,067 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 18,283 OUTPATIENT VISITS, WHICH INCLUDED 911 OUTPATIENT SURGERIES. AMITA HEALTH ST FRANCIS HOSPITAL IS A 191-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2018 - JUNE 30, 2019, AMITA HEALTH ST FRANCIS HOSPITAL TREATED 7,757 ADULTS AND CHILDREN FOR A TOTAL OF 30,427 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 122,997 OUTPATIENT VISITS, WHICH INCLUDED 2,978 OUTPATIENT SURGERIES AND 35,125 EMERGENCY ROOM VISITS. AMITA HEALTH SAINT JOSEPH HOSPITAL - CHICAGO IS A 329-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2018 - JUNE 30, 2019, AMITA HEALTH SAINT JOSEPH HOSPITAL - CHICAGO TREATED 9,956 ADULTS AND CHILDREN FOR A TOTAL OF 51,473 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 100,528 OUTPATIENT VISITS, WHICH INCLUDED 4,974 OUTPATIENT SURGERIES AND 20,224 EMERGENCY ROOM VISITS. AMITA HEALTH ST MARY & ELIZABETH MEDICAL CENTER IS A 473-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2018 - JUNE 30, 2019, AMITA HEALTH ST MARY & ELIZABETH MEDICAL CENTER TREATED 17,629 ADULTS AND CHILDREN FOR A TOTAL OF 98,605 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 220,603 OUTPATIENT VISITS, WHICH INCLUDED 4,567 OUTPATIENT SURGERIES AND 63,738 EMERGENCY ROOM VISITS. PRESENCE CHICAGO HOSPITALS NETWORK OPERATES OUTPATIENT PHARMACIES. THESE PHARMACIES ARE PRIMARILY FOR THE CONVENIENCE OF PATIENTS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS.
4b (Code:   ) (Expenses $ 12,844,708 including grants of $   ) (Revenue $ 25,623,615 )
PRESENCE CHICAGO HOSPITALS NETWORK OPERATES 3 INDEPENDENT LIVING RETIREMENT COMMUNITIES - PRESENCE RESURRECTION RETIREMENT COMMUNITY IN CHICAGO, PRESENCE CASA SAN CARLO RETIREMENT COMMUNITY IN NORTHLAKE, AND PRESENCE BETHLEHEM WOODS RETIREMENT COMMUNITY IN LA GRANGE PARK .
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet741,510,576
Form 990 (2018)
Form 990 (2018)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II..............
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV
........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
Form 990 (2018)
Form 990 (2018)
Page 5
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
Yes
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
No
Form 990 (2018)
Form 990 (2018)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
7
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
6
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletSARA O'BRIEN11775 BOMAN DRIVE   MARYLAND HEIGHTS,MO63146 (314) 733-8070
Form 990 (2018)
Form 990 (2018)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) THOMAS HUBERTY MD
 
CHAIR
1.0
.................
2.0
X   X       0 0 0
(2) MARSHA LADENBURGER RN
 
VICE CHAIR
1.0
.................
2.0
X   X       0 0 0
(3) THOMAS RUSSE
 
DIRECTOR
1.0
.................
2.0
X           0 0 0
(4) GARY LIPINSKI MD
 
DIRECTOR
0.0
.................
50.0
X           0 449,137 23,008
(5) JAY BERGMAN
 
DIRECTOR (START 6/2019)
1.0
.................
1.0
X           0 0 0
(6) PATRICIA FOLTZ
 
DIRECTOR
1.0
.................
1.0
X           0 0 0
(7) MARK HANSON
 
DIRECTOR
1.0
.................
1.0
X           0 0 0
(8) BETTINA A JOHNSON
 
ASSISTANT TREASURER (END 12/2018)
0.0
.................
50.0
    X       0 269,108 16,099
(9) MARTIN H JUDD
 
PRESIDENT
50.0
.................
0.0
    X       994,366 0 35,269
(10) PATRICIA EDDY
 
TREASURER
0.0
.................
50.0
    X       0 491,134 36,023
(11) JULIE P ROKNICH
 
SECRETARY
0.0
.................
50.0
    X       0 299,953 34,317
(12) ROBERT MICHAEL DAHL
 
REGIONAL PRESIDENT & CEO - NWC
50.0
.................
0
      X     697,039 0 33,235
(13) JAMES LEON ROBINSON III
 
PRESIDENT - SJH CHICAGO
50.0
.................
0
      X     536,980 0 755,815
(14) YOLANDE D WILSON-STUBBS
 
PRESIDENT - HFMC LTACH
50.0
.................
0
      X     493,922 0 28,862
(15) KENNETH PRESTON JONES
 
PRESIDENT - PSFH
50.0
.................
0
      X     476,189 0 35,111
(16) LAURA L CONCANNON
 
CMO
50.0
.................
0
        X   463,446 0 34,275
(17) DAVID J BORDO MD
 
REGIONAL CMO
50.0
.................
0.0
        X   417,630 0 29,506
Form 990 (2018)
Form 990 (2018)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) MARTIN SIGLIN MD
 
CMO - SFH
50.0
.......................0
        X   383,906 0 30,576
(19) ROBERT ROSENBERGER
 
REGION CFO METRO CHICAGO
50.0
.......................0
        X   355,516 0 14,413
(20) JAMES H KELLEY
 
FORMER OFFICER (END 3/2018)
0.0
.......................0.0
          X 0 2,288,689 19,828
(21) ANN ERRICHETTI
 
FORMER OFFICER (END 3/2018)
0.0
.......................0.0
          X 0 2,399,925 9,481
(22) JEANNIE C FREY
 
FORMER OFFICER (END 3/2018)
0.0
.......................0.0
          X 0 1,669,694 13,959
(23) JEFFREY M ROONEY
 
FORMER OFFICER (END 3/2018)
0.0
.......................0.0
          X 0 967,249 20,127
(24) ROBYN PARKER
 
FORMER KEY EMPLOYEE (END 12/2015)
0.0
.......................50.0
          X 0 247,054 31,865
(25) THOMAS KOELBL
 
FORMER KEY EMPLOYEE (END 12/2015)
0.0
.......................50.0
          X 0 747,569 640,409










1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 4,818,994 9,829,512 1,842,179
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
NORTHSTAR ANESTHESIA OF ILLINOIS LLC

6225 STATE HWY 161
200
IRVING,TX75038
ANESTHESIA SERVICES 6,785,649
STREAMWOOD MGMT SERVICES

5730 W ROOOSEVELT ROAD
CHICAGO,IL606441580
MANAGEMENT SERVICES 5,840,588
HEALOGICS WOUND CARE AND HYPERBARIC SVCS

28525 NETWORK PLACE
CHICAGO,IL606731285
MEDICAL SERVICES 2,223,873
RAMAKRISHNA VELAMATI

2800 NORTH LAKE SHORE DRIVE
CHICAGO,IL606576254
MEDICAL SERVICES 1,148,274
DIAMOND HEADACHE CLINIC LTD

1460 NORTH HALSTED STREET
CHICAGO,IL60642
MEDICAL SERVICES 1,043,557
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet59
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 0
b Membership dues..1b 0
c Fundraising events..1c 0
d Related organizations1d 2,511,900
e Government grants (contributions)1e 476,407
f All other contributions, gifts, grants, and similar amounts not included above1f 393
g Noncash contributions included in lines 1a - 1f:$  
h Total. Add lines 1a-1f.......MediumBullet 2,988,700
 Program Service RevenueAmt Business Code
2a Net Patient Service Revenue 621990 1,037,451,950 1,037,451,950    
b Pharmacy Revenue 446110 4,700,007 4,291,218 408,789  
c Rental Income from Affiliates 531120 2,800,815 2,800,815    
d Income from Joint Ventures 621990 -83,741 -83,741    
e Net Resident Revenue 623000 25,623,615 25,623,615    
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f ....MediumBullet 1,070,492,646
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 337     337
4 Income from investment of tax-exempt bond proceedsMediumBullet 0     0
5 Royalties...........MediumBullet 0     0
(ii) Personal (i) Real
6a Gross rents 0 1,468,053
b Less: rental expenses   1,094,351
c Rental income or (loss) 0 373,702
d Net rental income or (loss)......MediumBullet 373,702   -255,694 629,396
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 196,215 0
b Less: cost or other basis and sales expenses 14,286  
c Gain or (loss) 181,929 0
d Net gain or (loss).....MediumBullet 181,929     181,929
8a Gross income from fundraising events (not including $ 0of contributions reported on line 1c). See Part IV, line 18 ....
a 0
b Less: direct expenses ...b 0
c Net income or (loss) from fundraising events..MediumBullet 0   0
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 0
b Less: direct expenses ...b 0
c Net income or (loss) from gaming activities..MediumBullet 0     0
10a Gross sales of inventory, less
returns and allowances ..
a 0
b Less: cost of goods sold ..b 0
c Net income or (loss) from sales of inventory..MediumBullet 0     0
Business Code Miscellaneous Revenue
11a Cafeteria/Vending Revenue 722514 4,270,909     4,270,909
b Education Revenue 611430 540,593 524,139 16,454  
c Child Care Revenue 624410 3,097,053   2,344,435 752,618
d All other revenue .... 4,584,835 1,575,607 388,460 2,620,768
e Total. Add lines 11a–11d ...... MediumBullet 12,493,390
12 Total revenue. See Instructions......MediumBullet 1,086,530,704 1,072,183,603 2,902,444 8,455,957
Form 990 (2018)
Form 990 (2018)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 394,000 394,000
2 Grants and other assistance to domestic individuals. See Part IV, line 22    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 4,086,787 0 4,086,787 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 331,856,983 296,972,409 34,884,574  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 12,453,661 11,737,128 716,533  
9 Other employee benefits ....... 39,218,878 34,849,534 4,369,344  
10 Payroll taxes ........... 24,384,402 21,612,823 2,771,579  
11 Fees for services (non-employees):        
a Management ...... 1,641   1,641  
b Legal ......... 155,435   155,435  
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 35,000   35,000  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 32,735,114 32,438,406 296,708 0
12 Advertising and promotion .... 965,923 863,958 101,965  
13 Office expenses ....... 2,763,204 1,544,713 1,218,491  
14 Information technology ...... 54,730 34,763 19,967  
15 Royalties ..        
16 Occupancy ........... 29,182,348 15,808,081 13,374,267  
17 Travel ............ 681,784 466,933 214,851  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 666,632 599,590 67,042  
20 Interest ........... 22,902,183 965,084 21,937,099  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 64,572,564 19,601,352 44,971,212  
23 Insurance ... 23,710,751 16,597,526 7,113,225  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Medical Supplies 139,877,255 139,877,255    
b Professional Fee to Affiliate 121,844,120 4,196,969 117,647,151  
c Purchased Services 107,775,051 63,198,720 44,576,331  
d Provider Tax 54,865,418 54,865,418    
e All other expenses 35,656,759 24,885,914 10,770,845 0
25 Total functional expenses. Add lines 1 through 24e 1,050,840,623 741,510,576 309,330,047 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 0 1 39,567
2 Savings and temporary cash investments ......... 2,232,527 2 2,748,996
3 Pledges and grants receivable, net ...... 74,098 3 5,982
4 Accounts receivable, net ............. 174,211,387 4 154,545,397
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
  6 0
7 Notes and loans receivable, net .... 0 7 0
8 Inventories for sale or use ........ 27,009,136 8 22,841,507
9 Prepaid expenses and deferred charges ...... 0 9 290,772
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 629,371,157
b Less: accumulated depreciation 10b 47,205,024 591,878,871 10c 582,166,133
11 Investments—publicly traded securities . 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 2,801,920 13 2,718,179
14 Intangible assets ............... 0 14 592,384
15 Other assets. See Part IV, line 11 ........... 18,268,599 15 6,835,911
16 Total assets. Add lines 1 through 15 (must equal line 34)... 816,476,538 16 772,784,828
Liabilities 17 Accounts payable and accrued expenses ..... 26,300,730 17 3,440,366
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 4,839,622 19 8,213,091
20 Tax-exempt bond liabilities ......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..   22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 140,270,005 25 133,244,413
26 Total liabilities. Add lines 17 through 25.. 171,410,357 26 144,897,870
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 645,066,181 27 627,886,958
28 Temporarily restricted net assets ........... 0 28 0
29 Permanently restricted net assets 0 29 0
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 645,066,181 33 627,886,958
34 Total liabilities and net assets/fund balances ........ 816,476,538 34 772,784,828
Form 990 (2018)
Form 990 (2018)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,086,530,704
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,050,840,623
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
35,690,081
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
645,066,181
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-52,869,304
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
627,886,958
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2018)
Form 990 (2018)
Additional Data


Software ID: 18007697
Software Version: 2018v3.1
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Presence Chicago Hospitals Network
 
Employer identification number

36-2235165
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9

10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 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
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
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 2018 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-2018
(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2018:
a From 2013.......  
b From 2014.......  
c From 2015.......  
d From 2016.......  
e From 2017.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2018 distributable amount  
i Carryover from 2013 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2018 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2018, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2018. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2019. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2014......  
b Excess from 2015.....  
c Excess from 2016.....  
d Excess from 2017.....  
e Excess from 2018.....  
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Name of the organization
Presence Chicago Hospitals Network
 
Employer identification number

36-2235165
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
Name of organization
Presence Chicago Hospitals Network
 
Employer identification number
36-2235165
Part I
Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 3
Name of organization
Presence Chicago Hospitals Network
 
Employer identification number

36-2235165
Part II
Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 4
Name of organization
Presence Chicago Hospitals Network
 
Employer identification number

36-2235165
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Presence Chicago Hospitals Network
 
Employer identification number

36-2235165
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 542,714 527,813 505,670 479,407 417,952
b Contributions ... 103,437 54,928 112,843 112,191 152,656
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
108,909 40,027 90,700 85,928 91,201
f Administrative expenses ....          
g End of year balance ...... 537,242 542,714 527,813 505,670 479,407
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet0 %
c
Temporarily restricted endowment SchDMd Bullet100 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
No
(ii) related organizations .................
3a(ii)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   137,380,000 137,380,000
b Buildings ....   370,342,858 19,172,010 351,170,848
c Leasehold improvements   2,484,822 189,320 2,295,502
d Equipment ....   104,799,499 27,354,699 77,444,800
e Other .....   14,363,978 488,995 13,874,983
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 582,166,133
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
NURSING HOME SECURITY DEPOSITS & ENTRANCE FEES  
MEDICAID SETTLEMENTS  
DUE TO AFFILIATES  
Other Liabilities 16,583,663
Estimated 3rd Party Payor Settlement 96,327,837
Physician Guarantee Liability 47,497
Recovery Tail Liability 4,432,704
Accrued Tax Liability 3,362,117
DEFERRED ACCOMMODATION FEES SHORT TERM 12,490,595
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 133,244,413
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part V, Line 4 Intended uses of endowment funds TEMPORARILY RESTRICTED FUNDS ARE IN POSSESSION OF PRESENCE CARE TRANSFORMATION CORPORATION TO BE ADMINISTERED AT THE CORPORATE LEVEL FOR THE BENEFIT OF THE SYSTEM'S CHAPELS WITHIN EACH HOSPITAL.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2019.
Schedule D (Form 990) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Presence Chicago Hospitals Network
 
Employer identification number

36-2235165
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    14,506,234 0 14,506,234 1.38 %
b Medicaid (from Worksheet 3, column a) . . . . .     239,330,750 254,738,370 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .         0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 253,836,984 254,738,370 14,506,234 1.38 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     935,839   935,839 0.09 %
f Health professions education (from Worksheet 5) . . .     49,838,066   49,838,066 4.74 %
g Subsidized health services (from Worksheet 6) . . . .     1,049,903   1,049,903 0.10 %
h Research (from Worksheet 7) .     58,758   58,758 0.01 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     365,026   365,026 0.03 %
j Total. Other Benefits . . 0 0 52,247,592 0 52,247,592 4.97 %
k Total. Add lines 7d and 7j . 0 0 306,084,576 254,738,370 66,753,826 6.35 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members
        0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 0 0 0 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
4,313,068
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
422,590,309
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
440,088,085
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-17,497,776
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1PRESENCE LAKESHORE GASTROENTEROLOGY LLC
 
ENDOSCOPY SERVICES 51 % 0 % 49 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?6Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 AMITA HEALTH SAINT JOSEPH HOSPITAL
2900 NORTH LAKE SHORE DRIVE
CHICAGO,IL60657
https://www.amitahealth.org/our-locations/hospitals/amita-health-saint-joseph-hospital-chicago/
0005983
X X   X     X     A
2 AMITA HEALTH RESURRECTION MEDICAL CENTER
7435 W TALCOTT AVENUE
CHICAGO,IL60631
https://www.amitahealth.org/our-locations/hospitals/amita-health-resurrection-medical-center-chicago
0006031
X X   X     X     A
3 AMITA HEALTH SAINT FRANCIS HOSPITAL
355 RIDGE AVENUE
EVANSTON,IL60202
https://www.amitahealth.org/our-locations/hospitals/amita-health-saint-francis-hospital-evanston/
0005991
X X   X     X   LEVEL I TRAUMA CNTR A
4 AMITA HEALTH SAINT MARY OF NAZARETH HOSPITAL
2233 W DIVISION ST
CHICAGO,IL60622
https://www.amitahealth.org/our-locations/hospitals/amita-health-saints-mary-and-elizabeth-medical-c
000607
X X   X     X     A
5 AMITA HEALTH SAINT ELIZABETH HOSPITAL
1431 N CLAREMONT
CHICAGO,IL60622
https://www.amitahealth.org/our-locations/hospitals/amita-health-saints-mary-and-elizabeth-medical-c
0006015
X X   X     X     A
6 AMITA HEALTH HOLY FAMILY MEDICAL CENTER
100 NORTH RIVER ROAD
DES PLAINES,IL60016
https://www.amitahealth.org/our-locations/hospitals/amita-health-holy-family-medical-center-des-plai
0006023
X               LT ACUTE CARE HOSPITAL A
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.amitahealth.org/about-us/community-benefit/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/
b
https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3E To better target community resources on the service area's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; opportunities for partnership; addressing disparities of subgroups; availability of evidence-based practices; and community input. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed.
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - AMITA HEALTH SAINT JOSEPH HOSPITAL. FOR THE TAX YEAR 2018 CHNA AMITA Health Saint Joseph Hospital Chicago and members of the Alliance for Health Equity, a collaborative of over 30 hospitals, 6 health departments, and 100 community partners, worked together over the 12 months (March 2018-March 2019) to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, the Alliance engaged diverse groups of community residents and stakeholders for surveys and focus groups as well as gathered robust data from various perspectives about health status and health behaviors. Primary data for the CHNA was collected through four methods: community input surveys; community resident focus groups and learning map sessions; health care and social service provider focus groups; and two stakeholder assessments led by partner health departments-Forces of Change Assessment and Health Equity Capacity Assessment. Secondary data was collected from the following sources: Peer-reviewed literature and white papers; Existing assessments and plans focused on key topic areas; Localized data compiled by several agencies including Chicago Department of Planning and Development, Chicago Metropolitan Agency for Planning, Housing Authority of Cook County, and state and local police departments; Localized data compiled by community-based organizations including Greater Chicago Food Depository and Voices of Child Health in Chicago; Hospitalization and emergency department rates (COMPdata) provided by Illinois Health and Hospital Association and analyzed by the Conduent Healthy Communities Institute; Data compiled by state agencies including Illinois Environmental Protection Agency, Illinois Department of Healthcare and Family Services, Illinois Department of Human Services, Illinois State Board of Education, and Illinois Department of Public Health; Data from federal sources including U.S. Census Bureau American Community Survey data compiled by Chicago Department of Public Health and Cook County Department of Health; Centers for Disease Control and Prevention; Centers for Medicare and Medicaid Services data accessed through the Dartmouth Atlas of Health Care; Health Resources and Services Administration; and United States Department of Agriculture. Partners form the Saint Joseph Hospital Chicago service area that provided input and engaged underserved, low-income or minority populations include: AIDS Foundation of Chicago American Cancer Society Anshe Amet Synagogue Asian Human Services Avondale Neighborhood Association CJE Senior Life Catholic Charities Chicago Hispanic Health Coalition Chicago Public Schools Common Pantry DePaul University Gilda's Club - Chicago Healthy Schools Campaign Lakeview Chamber of Commerce Lakeview East Chamber of Commerce Lakeview Pantry Lincoln Park Chamber of Commerce Northside Latin Progress Our Lady of Mount Carmel Academy Saint Benedict Parish Southeast Chamber of Commerce The Night Ministry Thresholds Unite Here Health
Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - AMITA HEALTH RESURRECTION MEDICAL CENTER. FOR THE TAX YEAR 2018 CHNA AMITA Health Resurrection Medical Center and members of the Alliance for Health Equity, a collaborative of over 30 hospitals, 6 health departments, and 100 community partners, worked together over the 12 months (March 2018-March 2019) to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, the Alliance engaged diverse groups of community residents and stakeholders for surveys and focus groups as well as gathered robust data from various perspectives about health status and health behaviors. Primary data for the CHNA was collected through four methods: community input surveys; community resident focus groups and learning map sessions; health care and social service provider focus groups; and two stakeholder assessments led by partner health departments-Forces of Change Assessment and Health Equity Capacity Assessment. Secondary data was collected from the following sources: Peer-reviewed literature and white papers; Existing assessments and plans focused on key topic areas; Localized data compiled by several agencies including Chicago Department of Planning and Development, Chicago Metropolitan Agency for Planning, Housing Authority of Cook County, and state and local police departments; Localized data compiled by community-based organizations including Greater Chicago Food Depository and Voices of Child Health in Chicago; Hospitalization and emergency department rates (COMPdata) provided by Illinois Health and Hospital Association and analyzed by the Conduent Healthy Communities Institute; Data compiled by state agencies including Illinois Environmental Protection Agency, Illinois Department of Healthcare and Family Services, Illinois Department of Human Services, Illinois State Board of Education, and Illinois Department of Public Health; Data from federal sources including U.S. Census Bureau American Community Survey data compiled by Chicago Department of Public Health and Cook County Department of Health; Centers for Disease Control and Prevention; Centers for Medicare and Medicaid Services data accessed through the Dartmouth Atlas of Health Care; Health Resources and Services Administration; and United States Department of Agriculture. Partners form the Resurrection Medical Center service area that provided input and engaged underserved, low-income or minority populations include: A-Abiding Care Northside Learning Center (CPS High School) Advocate Lutheran General Hospital Norwood Crossing Alderman Anthony Napolitano Norwood Life Society American Cancer Society Norwood Senior Center American Heart Association Norwood Park Chamber of Commerce American Medical Association Norwood Park Fire Department Ascension Living - Presence Resurrection Nursing & Rehabilitation Center Oak Street Health Ascension Living - Presence Resurrection Retirement Community Our Lady, Mother of the Church Aunt Bertha Park Ridge Fire Department Boy Scout Troop 626 Rainbow Hospice and Palliative Care Catholic Charities Representative Michael McAuliffe The Center of Concern Resurrection College Prep Chicago Fire Department Rosemont Park District Chicago Police Department - 16th District Rosemont Public Safety Commissioner Peter Silvestri Salvation Army Edison Park Chamber of Commerce State Senator John Mulroe Frisbie Senior Center Schiller Park Fire Department Greater Chicago Food Depository School District 207 Irving Park Food Pantry St. Cornelius Parish Mary, Seat of Wisdom Parish St. Juliana Parish Maine Community Youth Assistance Foundation (MCYAF) St. Maria Goretti Parish New Hope Community Food Pantry St. Thomas Orthodox Church, Chicago Niles Family Services Union Ridge Elementary School District #86 Niles Fire Department State Senator John Mulroe
Schedule H, Part V, Section B, Line 5 Facility A, 3 Facility A, 3 - AMITA HEALTH SAINT FRANCIS HOSPITAL. FOR THE TAX YEAR 2018 CHNA AMITA Health Saint Francis Hospital and members of the Alliance for Health Equity, a collaborative of over 30 hospitals, 6 health departments, and 100 community partners, worked together over the 12 months (March 2018-March 2019) to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, the Alliance engaged diverse groups of community residents and stakeholders for surveys and focus groups as well as gathered robust data from various perspectives about health status and health behaviors. Primary data for the CHNA was collected through four methods: community input surveys; community resident focus groups and learning map sessions; health care and social service provider focus groups; and two stakeholder assessments led by partner health departments-Forces of Change Assessment and Health Equity Capacity Assessment. Secondary data was collected from the following sources: Peer-reviewed literature and white papers; Existing assessments and plans focused on key topic areas; Localized data compiled by several agencies including Chicago Department of Planning and Development, Chicago Metropolitan Agency for Planning, Housing Authority of Cook County, and state and local police departments; Localized data compiled by community-based organizations including Greater Chicago Food Depository and Voices of Child Health in Chicago; Hospitalization and emergency department rates (COMPdata) provided by Illinois Health and Hospital Association and analyzed by the Conduent Healthy Communities Institute; Data compiled by state agencies including Illinois Environmental Protection Agency, Illinois Department of Healthcare and Family Services, Illinois Department of Human Services, Illinois State Board of Education, and Illinois Department of Public Health; Data from federal sources including U.S. Census Bureau American Community Survey data compiled by Chicago Department of Public Health and Cook County Department of Health; Centers for Disease Control and Prevention; Centers for Medicare and Medicaid Services data accessed through the Dartmouth Atlas of Health Care; Health Resources and Services Administration; and United States Department of Agriculture. Partners form the Saint Francis Hospital service area that provided input and engaged underserved, low-income or minority populations include: CPS Career and Technical Education Program CPS-Sullivan High School Michael Reese Health Trust Between Friends Rogers Park Business Alliance Loyola University Catholic Parishes Family Focus of Evanston Cradle to Career Seventh Day Adventist of Evanston Bethel African Methodist Episcopal Church Calm Classrooms Mental Health America Northshore Northwestern University Saint Nicholas Church Mobile Care Foundation Peer Services Asian Human Services Evanston Public Library Naomi Ruth Cohen Institute for Mental Health City of Evanston-Department of Health & Human Services
Schedule H, Part V, Section B, Line 5 Facility A, 4 Facility A, 4 - AMITA HEALTH SAINT MARY OF NAZARETH HOSPITAL. FOR THE TAX YEAR 2018 CHNA AMITA Health Saints Mary and Elizabeth Medical Center and members of the Alliance for Health Equity, a collaborative of over 30 hospitals, 6 health departments, and 100 community partners, worked together over the 12 months (March 2018-March 2019) to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, the Alliance engaged diverse groups of community residents and stakeholders for surveys and focus groups as well as gathered robust data from various perspectives about health status and health behaviors. Primary data for the CHNA was collected through four methods: community input surveys; community resident focus groups and learning map sessions; health care and social service provider focus groups; and two stakeholder assessments led by partner health departments-Forces of Change Assessment and Health Equity Capacity Assessment. Secondary data was collected from the following sources: Peer-reviewed literature and white papers; Existing assessments and plans focused on key topic areas; Localized data compiled by several agencies including Chicago Department of Planning and Development, Chicago Metropolitan Agency for Planning, Housing Authority of Cook County, and state and local police departments; Localized data compiled by community-based organizations including Greater Chicago Food Depository and Voices of Child Health in Chicago; Hospitalization and emergency department rates (COMPdata) provided by Illinois Health and Hospital Association and analyzed by the Conduent Healthy Communities Institute; Data compiled by state agencies including Illinois Environmental Protection Agency, Illinois Department of Healthcare and Family Services, Illinois Department of Human Services, Illinois State Board of Education, and Illinois Department of Public Health; Data from federal sources including U.S. Census Bureau American Community Survey data compiled by Chicago Department of Public Health and Cook County Department of Health; Centers for Disease Control and Prevention; Centers for Medicare and Medicaid Services data accessed through the Dartmouth Atlas of Health Care; Health Resources and Services Administration; and United States Department of Agriculture. Partners form the Saints Mary and Elizabeth Medical Center service area that provided input and engaged underserved, low-income or minority populations include: AIDS Foundation of Chicago American Cancer Society Anshe Amet Synagogue Catholic Charities El Rincon Asian Human Services HAS NAMI West Town Bikes Cristo Rey Roberto Clemente Academy La Casa Norte Bickerdike Redevelopment Corporation Catholic Charities Greater Humboldt Park Diabetes Puerto Rican Cultural Center Empowerment Center Chicago White Sox Community Fund Elevate Prime Care Susan G. Komen Josephinum Academy McCormick Tribune YWCA Erie Family Health Centers
Schedule H, Part V, Section B, Line 5 Facility A, 5 Facility A, 5 - AMITA HEALTH SAINT ELIZABETH HOSPITAL. FOR THE TAX YEAR 2018 CHNA AMITA Health Saints Mary and Elizabeth Medical Center and members of the Alliance for Health Equity, a collaborative of over 30 hospitals, 6 health departments, and 100 community partners, worked together over the 12 months (March 2018-March 2019) to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, the Alliance engaged diverse groups of community residents and stakeholders for surveys and focus groups as well as gathered robust data from various perspectives about health status and health behaviors. Primary data for the CHNA was collected through four methods: community input surveys; community resident focus groups and learning map sessions; health care and social service provider focus groups; and two stakeholder assessments led by partner health departments-Forces of Change Assessment and Health Equity Capacity Assessment. Secondary data was collected from the following sources: Peer-reviewed literature and white papers; Existing assessments and plans focused on key topic areas; Localized data compiled by several agencies including Chicago Department of Planning and Development, Chicago Metropolitan Agency for Planning, Housing Authority of Cook County, and state and local police departments; Localized data compiled by community-based organizations including Greater Chicago Food Depository and Voices of Child Health in Chicago; Hospitalization and emergency department rates (COMPdata) provided by Illinois Health and Hospital Association and analyzed by the Conduent Healthy Communities Institute; Data compiled by state agencies including Illinois Environmental Protection Agency, Illinois Department of Healthcare and Family Services, Illinois Department of Human Services, Illinois State Board of Education, and Illinois Department of Public Health; Data from federal sources including U.S. Census Bureau American Community Survey data compiled by Chicago Department of Public Health and Cook County Department of Health; Centers for Disease Control and Prevention; Centers for Medicare and Medicaid Services data accessed through the Dartmouth Atlas of Health Care; Health Resources and Services Administration; and United States Department of Agriculture. Partners form the Saints Mary and Elizabeth Medical Center service area that provided input and engaged underserved, low-income or minority populations include: AIDS Foundation of Chicago American Cancer Society Anshe Amet Synagogue Catholic Charities El Rincon Asian Human Services HAS NAMI West Town Bikes Cristo Rey Roberto Clemente Academy La Casa Norte Bickerdike Redevelopment Corporation Catholic Charities Greater Humboldt Park Diabetes Puerto Rican Cultural Center Empowerment Center Chicago White Sox Community Fund Elevate Prime Care Susan G. Komen Josephinum Academy McCormick Tribune YWCA Erie Family Health Centers
Schedule H, Part V, Section B, Line 5 Facility A, 6 Facility A, 6 - AMITA HEALTH HOLY FAMILY MEDICAL CENTER. FOR THE TAX YEAR 2018 CHNA AMITA Health Holy Family Medical Center and members of the Alliance for Health Equity, a collaborative of over 30 hospitals, 6 health departments, and 100 community partners, worked together over the 12 months (March 2018-March 2019) to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, the Alliance engaged diverse groups of community residents and stakeholders for surveys and focus groups as well as gathered robust data from various perspectives about health status and health behaviors. Primary data for the CHNA was collected through four methods: community input surveys; community resident focus groups and learning map sessions; health care and social service provider focus groups; and two stakeholder assessments led by partner health departments-Forces of Change Assessment and Health Equity Capacity Assessment. Secondary data was collected from the following sources: Peer-reviewed literature and white papers; Existing assessments and plans focused on key topic areas; Localized data compiled by several agencies including Chicago Department of Planning and Development, Chicago Metropolitan Agency for Planning, Housing Authority of Cook County, and state and local police departments; Localized data compiled by community-based organizations including Greater Chicago Food Depository and Voices of Child Health in Chicago; Hospitalization and emergency department rates (COMPdata) provided by Illinois Health and Hospital Association and analyzed by the Conduent Healthy Communities Institute; Data compiled by state agencies including Illinois Environmental Protection Agency, Illinois Department of Healthcare and Family Services, Illinois Department of Human Services, Illinois State Board of Education, and Illinois Department of Public Health; Data from federal sources including U.S. Census Bureau American Community Survey data compiled by Chicago Department of Public Health and Cook County Department of Health; Centers for Disease Control and Prevention; Centers for Medicare and Medicaid Services data accessed through the Dartmouth Atlas of Health Care; Health Resources and Services Administration; and United States Department of Agriculture. Partners form the Holy Family Medical Center service area that provided input and engaged underserved, low-income or minority populations include: Abbott Molecular Diagnostics Access Community Health Genesis Center Access to Care Advocate Lutheran General Hospital Bessie's Table/First United Methodist Church Bethesda Worship Center Catholic Charities City of Des Plaines City Hall and City Services Congressman Bob Dold Congresswoman Jan Schakowsky Daily Herald Des Plaines Community Foundation Des Plaines Health and Human Services Des Plaines American Legion Post 36 Des Plaines Chamber of Commerce Des Plaines Elks Lodge #5126 Des Plaines Fire Department Des Plaines History Center Des Plaines Park District Des Plaines Police Department Des Plaines Public Library Des Plaines Rotary Club DUI Services/Counseling Center Feldco Windows, Siding & Doors Frisbie Senior Center Kiwanis Club of Des Plaines Generations Health Care Network Goodwill Store & Donation Center Hart Schaffner & Marx Journal & Topics Newspaper Justrite Manufacturing Company Keys to Recovery Treatment Center Lattof YMCA LSG Sky Chefs Maine Community Youth Assistance Foundation (MCYAF) Maine Township City Offices MaineStay Youth and Family Services Maryville Academy Maryville Family Behavioral Health Clinic Mayor Matthew J. Bogusz McDonalds #1 Store Museum Metra Train Northshore University Medical Group Oakton Community College PACE Bus Rainbow Hospice Rivers Casino Salvation Army School District 207 School District 62 Science & Arts Academy Self-Help Closet and Food Pantry Senator Laura Murphy St. Zachary Catholic Church State Representative Martin Moylan The Center of Concern U.S. Post Office - Lee Street U.S. Post Office - Oakton Street
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. For the Tax Year 2018 collaborative Cook County CHNA, hospital and health system partners included: Nonprofit Hospital Members: Advocate Aurora Children's Hospital, Loyola Medicine- Loyola University Medical Center, Advocate Aurora Christ Medical Center, Loyola Medicine- MacNeal Hospital, Advocate Aurora Illinois Masonic Medical Center, Mercy Hospital & Medical Center, Advocate Aurora Lutheran General Hospital, Northwestern Memorial Hospital, Advocate Aurora South Suburban Hospital, Norwegian American Hospital, Advocate Aurora Trinity Hospital, Palos Community Hospital, AMITA Adventist Medical Center La Grange, Roseland Community Hospital, AMITA Alexian Brothers Medical Center, Rush Oak Park, Rush University Medical Center, Sinai Health System- Holy Cross Hospital, AMITA St. Alexius Medical Center and Alexian Brothers Behavioral Health Hospital, Sinai Health System- Mount Sinai Hospital, Sinai Health System- Schwab Rehabilitation Hospital, South Shore Hospital, Swedish Covenant Hospital, Ann & Robert H. Lurie Children's Hospital of Chicago, University of Chicago Medicine, The Loretto Hospital, University of Chicago Medicine-Ingalls Memorial Hospital, Loyola Medicine- Gottlieb Memorial Hospital Public Hospital Partners: Cook County Health- Stroger Hospital, Cook County Health- Provident Hospital, University of Illinois Hospital and Health Sciences System
Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. For the Tax Year 2018 collaborative Cook County CHNA, collaborating health departments were: Chicago Department of Public Health, Evanston Health and Human Services Department, Cook County Department of Public Health, Village of Skokie Health Department
Schedule H, Part V, Section B, Line 7 Facility A, 1 Facility A, 1 - facility reporting group a. COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO INDIVIDUALS ON THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS.
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - AMITA HEALTH SAINT JOSEPH HOSPITAL. Together, AMITA Health Saint Joseph Hospital Chicago and its collaborative partners and stakeholders have identified the following prioritized health needs in our community on the Tax Year 2018 Community Health Needs Assessment: Social and Structural Determinants of Health, including policies that advance equity and promote physical and mental well-being, and conditions that support healthy eating and active living. Access to Care, Community Resources, and Systems Improvements, consisting of timely linkage to appropriate care, and resources, referrals, coordination, and connection to community-based services. Mental Health and Substance Use Disorders, especially reducing stigma, increasing the reach and coordination of behavioral health services, and addressing the opioid epidemic. Chronic Condition Prevention and Management, focusing especially on metabolic diseases such as diabetes, heart disease, and hypertension, and on asthma, cancer, and complex chronic conditions. Summary of Implementation Strategy Social and Structural Determinants of Health Strategy: Common Pantry Financial Counselor: Provide an embedded counselor to help Common Pantry clients link to health care services as well as other social services using the Aunt Bertha platform. Resources & Collaboration: Common Pantry; Laboure Clinic; Greater Chicago Food Depository; AMITA Financial Counselor Anticipated Impact: Increase the number of direct referrals between patients and community organizations to reduce patient/community social determinants of health. Access to Care Community Resources and Systems Improvements Strategy: Aunt Bertha (Search & Connect): Through this public directory providers, staff, the public and community partners are able to search a vetted and updated directory of social services on our website, connecting to (i.e. food, housing, transportation, health, etc.). This directory provides a need based customized list of services for patients and provide the hospitals with various reports related to the needs. Additionally, the tool helps to address the social and structural determinants of health such as poverty, access to community resources, education and housing that are underlying root causes of health inequities. Resources & Collaboration: AMITA Health Community Resource Directory; Aunt Bertha, Community Based Organization, Faith Based Organizations, Front Line Associates Anticipated Impact: Increase the number of direct referrals between patients and community organizations to reduce patient/community social determinants of health. Mental Health and Substance Use Disorders Strategy: Mental Health First Aid: In response to a demonstrated system and state-wide need of addressing barriers to accessing and utilizing mental health services, AMITA Health Saint Joseph Hospital Chicago and its community partners implemented an evidence-based program, Mental Health First Aid (MHFA), to reduce the stigma associated with mental illness and improve the coordination of mental health care. MHFA trains community residents and first responders to recognize, respond, and seek assistance for signs of mental illness and substance abuse. Resources & Collaboration: AmeriCorps, Community-based organizations (CBOs), Faith-based organizations (FBOs), First responders/law enforcement, Mental Health First Aid USA, Trilogy Anticipated Impact: A reduction in self-reported poor mental health days as a result of greater identification of those in need of help. Chronic Condition Prevention and Management Strategy: Diabetic Programs (Self-Management & Prevention): In response to continued need to reduce the number of individuals with Type II diabetes as well as to lower the hospitalization rate of those diagnosed with Type II diabetes, AMITA Health is committed to providing additional programming for diabetic programming in the community. Resources & Collaboration: Community-based organi zations (CBOs), Faith-based organizations (FBOs), TouchPoint, YMCAs Anticipated Impact: Decrease prevalence of type 2 diabetes; decrease those with unmanaged diabetes. Needs That Will Not Be Addressed AMITA Health Saint Joseph Hospital Chicago will not directly address the following focus areas/priorities identified in the tax year 2018 CHNA: - Economic Vitality and Workforce Development - Education and Youth Development - Housing, Transportation, and Neighborhood Environment - Violence and Community Safety, Injury, including Violence-related injury - Trauma-Informed Care - Maternal and Child Health While critically important to overall community health, these specific priorities did not meet internally determined criteria that prioritized addressing needs by either continuing or expanding current programs, services, and initiatives to steward resources and achieve the greatest community impact. For these areas not chosen, there are service providers in the community better resourced to address these priorities. AMITA Health will work collaboratively with and support these organizations as appropriate to ensure service coordination and utilization.
Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - AMITA HEALTH RESURRECTION MEDICAL CENTER. Together, AMITA Health Resurrection Medical Center and its collaborative partners and stakeholders have identified the following prioritized health needs in our community on the tax year 2018 Community Health Needs Assessment: Social and Structural Determinants of Health, including policies that advance equity and promote physical and mental well-being, and conditions that support healthy eating and active living. Access to Care, Community Resources, and Systems Improvements, consisting of timely linkage to appropriate care, and resources, referrals, coordination, and connection to community-based services. Mental Health and Substance Use Disorders, especially reducing stigma, increasing the reach and coordination of behavioral health services, and addressing the opioid epidemic. Chronic Condition Prevention and Management, focusing especially on metabolic diseases such as diabetes, heart disease, and hypertension, and on asthma, cancer, and complex chronic conditions. Summary of Implementation Strategy Social and Structural Determinants of Health Strategy #1: Community Garden: The development of a community garden on the hospital campus to assist in the provision of additional fresh vegetables to at-risk communities. Resources & Collaboration: Boy Scouts of America, RMC Community Leader Board (CLB), New Hope House Northwest, aka New Hope Community Food Pantry, Unforgettable Edibles Anticipated Impact: Increase availability and access to fresh vegetables for those in need through our Community Garden. Strategy #2: Summer Meals & Backpack Program: Improve access to healthy meals for children by providing the Kids Summer Meals Program. Increase access for needy families to nutritious and easy-to-prepare food for the weekend with the weekend backpack food rescue program. Resources & Collaboration: Greater Chicago Food Depository (GCFD), New Hope House Northwest, aka New Hope Community Food Pantry, Union Ridge School Anticipated Impact: To reduce the number of children food insecure in the hospital's service area. Access to Care Community Resources and Systems Improvements Strategy: Aunt Bertha (Search & Connect): Through this public directory providers, staff, the public and community partners are able to search a vetted and updated directory of social services on our website, connecting to (i.e. food, housing, transportation, health, etc.). This directory provides a need based customized list of services for patients and provide the hospitals with various reports related to the needs. Additionally, the tool helps to address the social and structural determinants of health such as poverty, access to community resources, education and housing that are underlying root causes of health inequities. Resources & Collaboration: AMITA Health Community Resource Directory; Aunt Bertha, Community Based Organization, Faith Based Organizations, Front Line Associates Anticipated Impact: Increase the number of direct referrals between patients and community organizations to reduce patient/community social determinants of health. Mental Health and Substance Use Disorders Strategy: Mental Health First Aid: In response to a demonstrated system and state-wide need of addressing barriers to accessing and utilizing mental health services, AMITA Health Resurrection Medical Center and its community partners implemented an evidence-based program, Mental Health First Aid (MHFA), to reduce the stigma associated with mental illness and improve the coordination of mental health care. MHFA trains community residents and first responders to recognize, respond, and seek assistance for signs of mental illness and substance abuse. Resources & Collaboration: AmeriCorps, Community-based organizations (CBOs), Faith-based organizations (FBOs), First responders/law enforcement, Mental Health First Aid USA, Trilogy, Anticipated Impact: A reduction in self-reporter poor mental health days as a result of greater identification of those in need of help. Chronic Condition Prevention and Management Strategy#1: Flu/Fecal Occult Blood Test Screenings: The provision of Flu/Fecal Occult Blood Test (FOBT) screenings in the community Resources & Collaboration: American Cancer Society, Community-based organizations (CBOs), Faith-based organizations (FBOs), AMITA Nurse Navigators Anticipated Impact: To increase the number of community residents who know the risks for colon cancer and to provide those at risk with the Flu/Fecal Occult Blood Test (FOBT) screening. Strategy #2: Diabetic Programs (Self-Management & Prevention): In response to continued need to reduce the number of individuals with Type II diabetes as well as to lower the hospitalization rate of those diagnosed with Type II diabetes, AMITA Health is committed to providing additional programming for diabetic programming in the community. Resources & Collaboration: Community-based organizations (CBOs), Faith-based organizations (FBOs), TouchPoint, YMCAs Anticipated Impact: Decrease prevalence of type 2 diabetes; decrease those with unmanaged diabetes. Needs That Will Not Be Addressed AMITA Health Resurrection Medical Center will not directly address the following focus areas/priorities identified in the tax year 2018 CHNA: - Economic Vitality and Workforce Development - Education and Youth Development - Housing, Transportation, and Neighborhood Environment - Violence and Community Safety, Injury, including Violence-related injury - Trauma-Informed Care - Maternal and Child Health While critically important to overall community health, these specific priorities did not meet internally determined criteria that prioritized addressing needs by either continuing or expanding current programs, services, and initiatives to steward resources and achieve the greatest community impact. For these areas not chosen, there are service providers in the community better resourced to address these priorities. AMITA Health will work collaboratively with and support these organizations as appropriate to ensure service coordination and utilization.
Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - AMITA HEALTH SAINT FRANCIS HOSPITAL. Together, AMITA Health Saint Francis and its collaborative partners and stakeholders have identified the following prioritized health needs in our community on the tax year 2018 Community Health Needs Assessment: Social and Structural Determinants of Health, including policies that advance equity and promote physical and mental well-being, and conditions that support healthy eating and active living. Access to Care, Community Resources, and Systems Improvements, consisting of timely linkage to appropriate care, and resources, referrals, coordination, and connection to community-based services. Mental Health and Substance Use Disorders, especially reducing stigma, increasing the reach and coordination of behavioral health services, and addressing the opioid epidemic. Chronic Condition Prevention and Management, focusing especially on metabolic diseases such as diabetes, heart disease, and hypertension, and on asthma, cancer, and complex chronic conditions. Summary of Implementation Strategy Social and Structural Determinants of Health and Access to Care Community Resources and Systems Improvements Strategy: Aunt Bertha (Search & Connect): Through this public directory providers, staff, the public and community partners are able to search a vetted and updated directory of social services on our website, connecting to (i.e. food, housing, transportation, health, etc.). This directory provides a need based customized list of services for patients and provide the hospitals with various reports related to the needs. Additionally, the tool helps to address the social and structural determinants of health such as poverty, access to community resources, education and housing that are underlying root causes of health inequities. Resources & Collaboration: AMITA Health Community Resource Directory; Aunt Bertha, Community Based Organization, Faith Based Organizations, Front Line Associates Anticipated Impact: Increase the number of direct referrals between patients and community organizations to reduce patient/community social determinants of health. Mental Health and Substance Use Disorders Strategy #1: Mental Health First Aid: In response to a demonstrated system and state-wide need of addressing barriers to accessing and utilizing mental health services, AMITA Health Saint Francis Hospital Evanston its community partners implemented an evidence-based program, Mental Health First Aid (MHFA), to reduce the stigma associated with mental illness and improve the coordination of mental health care. MHFA trains community residents and first responders to recognize, respond, and seek assistance for signs of mental illness and substance abuse. Resources & Collaboration: AmeriCorps, Community-based organizations (CBOs), Faith-based organizations (FBOs), First responders/law enforcement, Mental Health First Aid USA, Trilogy Anticipated Impact: A reduction in self-reported poor mental health days as a result of greater identification of those in need of help. Strategy #2: Trilogy Program Linkage Program: An embedded mental health worker provides instant referrals and case management of patients or community members who present to AHSFHE needing connection to mental health or other social services. Resources & Collaboration: Trilogy, Case management, Emergency Department associates; physicians, grant funding, Community-based organizations (CBOs). Anticipated Impact: A reduction in the persons in a mental health crisis. Chronic Condition Prevention and Management Strategy: Diabetic Programs (Self-Management & Prevention): In response to continued need to reduce the number of individuals with Type II diabetes as well as to lower the hospitalization rate of those diagnosed with Type II diabetes, AMITA Health is committed to providing additional programing for diabetic programming in the community. Resources & Collaboration: Community-based organizations (CBOs), Faith-based organizations (FBOs), TouchPoint, YMCAs Anticipated Impact: Decrease prevalence of type 2 diabetes; decrease those with unmanaged diabetes. Needs That Will Not Be Addressed AMITA Health Saint Francis Hospital will not directly address the following focus areas/priorities identified in the tax year 2018 CHNA: - Economic Vitality and Workforce Development - Education and Youth Development - Housing, Transportation, and Neighborhood Environment - Violence and Community Safety, Injury, including Violence-related injury - Trauma-Informed Care - Maternal and Child Health While critically important to overall community health, these specific priorities did not meet internally determined criteria that prioritized addressing needs by either continuing or expanding current programs, services, and initiatives to steward resources and achieve the greatest community impact. For these areas not chosen, there are service providers in the community better resourced to address these priorities. AMITA Health will work collaboratively with and support these organizations as appropriate to ensure service coordination and utilization.
Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - AMITA HEALTH SAINT MARY OF NAZARETH HOSPITAL. Together, AMITA Health Saints Mary and Elizabeth Medical Center and its collaborative partners and stakeholders have identified the following prioritized health needs in our community on the tax year 2018 Community Health Needs Assessment: Social and Structural Determinants of Health, including policies that advance equity and promote physical and mental well-being, and conditions that support healthy eating and active living. Access to Care, Community Resources, and Systems Improvements, consisting of timely linkage to appropriate care, and resources, referrals, coordination, and connection to community-based services. Mental Health and Substance Use Disorders, especially reducing stigma, increasing the reach and coordination of behavioral health services, and addressing the opioid epidemic. Chronic Condition Prevention and Management, focusing especially on metabolic diseases such as diabetes, heart disease, and hypertension, and on asthma, cancer, and complex chronic conditions. Summary of Implementation Strategy Social and Structural Determinants of Health Strategy: To increase the consumption of and access to regionally produced fruits and vegetables to the community by increasing usage and expanding the West Town Health Market. Resources & Collaboration: Community Based Organization, Faith Based Organizations, Local Businesses/Owners; grant funds; Greater Chicago Food Depository; Greater West Town Community Development; West Town Bikes Anticipated Impact: Increase in the availability of and access to fruits and vegetables among low income populations. Access to Care Community Resources and Systems Improvements Strategy: Aunt Bertha (Search & Connect): Through this public directory providers, staff, the public and community partners are able to search a vetted and updated directory of social services on our website, connecting to (i.e. food, housing, transportation, health, etc.). This directory provides a need based customized list of services for patients and provide the hospitals with various reports related to the needs. Additionally, the tool helps to address the social and structural determinants of health such as poverty, access to community resources, education and housing that are underlying root causes of health inequities. Resources & Collaboration: AMITA Health Community Resource Directory; Aunt Bertha, Community Based Organization, Faith Based Organizations, Front Line Associates Anticipated Impact: Increase the number of direct referrals between patients and community organizations to reduce patient/community social determinants of health. Mental Health and Substance Use Disorders Strategy: Mental Health First Aid: In response to a demonstrated system and state-wide need of addressing barriers to accessing and utilizing mental health services, AMITA Health Saints Mary and Elizabeth Medical Center and its community partners implemented an evidence-based program, Mental Health First Aid (MHFA), to reduce the stigma associated with mental illness and improve the coordination of mental health care. MHFA trains community residents and first responders to recognize, respond, and seek assistance for signs of mental illness and substance abuse. Resources & Collaboration: AmeriCorps, Community-based organizations (CBOs), Faith-based organizations (FBOs), First responders/law enforcement, Mental Health First Aid USA, Trilogy Anticipated Impact: A reduction in self-reporter poor mental health days as a result of greater identification of those in need of help. Chronic Condition Prevention and Management Strategy #1: 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. Resources & Collaboration: Local schools; SMEMC educator staff; grant funds; Anticipated Impact: Reduction in obesity among local youth ages 11-14. Strategy #2: Diabetic Programs (Self-Management & Prevention): In response to continued need to reduce the number of individuals with Type II diabetes as well as to lower the hospitalization rate of those diagnosed with Type II diabetes, AMITA Health is committed to providing additional programming for diabetic programming in the community. Resources & Collaboration: Community-based organizations (CBOs), Faith-based organizations (FBOs), TouchPoint, YMCAs Anticipated Impact: Decrease prevalence of type 2 diabetes; decrease those with unmanaged diabetes. Needs That Will Not Be Addressed AMITA Health Alexian Brothers Medical Center Elk Grove Village will not directly address the following focus areas/priorities identified in the tax year 2018 CHNA: - Economic Vitality and Workforce Development - Education and Youth Development - Housing, Transportation, and Neighborhood Environment - Violence and Community Safety, Injury, including Violence-related injury - Trauma-Informed Care - Maternal and Child Health While critically important to overall community health, these specific priorities did not meet internally determined criteria that prioritized addressing needs by either continuing or expanding current programs, services, and initiatives to steward resources and achieve the greatest community impact. For these areas not chosen, there are service providers in the community better resourced to address these priorities. AMITA Health will work collaboratively with and support these organizations as appropriate to ensure service coordination and utilization.
Schedule H, Part V, Section B, Line 11 Facility A, 5 Facility A, 5 - AMITA HEALTH SAINT ELIZABETH HOSPITAL. Together, AMITA Health Saints Mary and Elizabeth Medical Center and its collaborative partners and stakeholders have identified the following prioritized health needs in our community on the tax year 2018 Community Health Needs Assessment: Social and Structural Determinants of Health, including policies that advance equity and promote physical and mental well-being, and conditions that support healthy eating and active living. Access to Care, Community Resources, and Systems Improvements, consisting of timely linkage to appropriate care, and resources, referrals, coordination, and connection to community-based services. Mental Health and Substance Use Disorders, especially reducing stigma, increasing the reach and coordination of behavioral health services, and addressing the opioid epidemic. Chronic Condition Prevention and Management, focusing especially on metabolic diseases such as diabetes, heart disease, and hypertension, and on asthma, cancer, and complex chronic conditions. Summary of Implementation Strategy Social and Structural Determinants of Health Strategy: To increase the consumption of and access to regionally produced fruits and vegetables to the community by increasing usage and expanding the West Town Health Market. Resources & Collaboration: Community Based Organization, Faith Based Organizations, Local Businesses/Owners; grant funds; Greater Chicago Food Depository; Greater West Town Community Development; West Town Bikes Anticipated Impact: Increase in the availability of and access to fruits and vegetables among low income populations. Access to Care Community Resources and Systems Improvements Strategy: Aunt Bertha (Search & Connect): Through this public directory providers, staff, the public and community partners are able to search a vetted and updated directory of social services on our website, connecting to (i.e. food, housing, transportation, health, etc.). This directory provides a need based customized list of services for patients and provide the hospitals with various reports related to the needs. Additionally, the tool helps to address the social and structural determinants of health such as poverty, access to community resources, education and housing that are underlying root causes of health inequities. Resources & Collaboration: AMITA Health Community Resource Directory; Aunt Bertha, Community Based Organization, Faith Based Organizations, Front Line Associates Anticipated Impact: Increase the number of direct referrals between patients and community organizations to reduce patient/community social determinants of health. Mental Health and Substance Use Disorders Strategy: Mental Health First Aid: In response to a demonstrated system and state-wide need of addressing barriers to accessing and utilizing mental health services, AMITA Health Saints Mary and Elizabeth Medical Center and its community partners implemented an evidence-based program, Mental Health First Aid (MHFA), to reduce the stigma associated with mental illness and improve the coordination of mental health care. MHFA trains community residents and first responders to recognize, respond, and seek assistance for signs of mental illness and substance abuse. Resources & Collaboration: AmeriCorps, Community-based organizations (CBOs), Faith-based organizations (FBOs), First responders/law enforcement, Mental Health First Aid USA, Trilogy Anticipated Impact: A reduction in self-reporter poor mental health days as a result of greater identification of those in need of help. Chronic Condition Prevention and Management Strategy #1: 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. Resources & Collaboration: Local schools; SMEMC educator staff; grant funds; Anticipated Impact: Reduction in obesity among local youth ages 11-14. Strategy #2: Diabetic Programs (Self-Management & Prevention): In response to continued need to reduce the number of individuals with Type II diabetes as well as to lower the hospitalization rate of those diagnosed with Type II diabetes, AMITA Health is committed to providing additional programming for diabetic programming in the community. Resources & Collaboration: Community-based organizations (CBOs), Faith-based organizations (FBOs), TouchPoint, YMCAs Anticipated Impact: Decrease prevalence of type 2 diabetes; decrease those with unmanaged diabetes. Needs That Will Not Be Addressed AMITA Health Alexian Brothers Medical Center Elk Grove Village will not directly address the following focus areas/priorities identified in the tax year 2018 CHNA: - Economic Vitality and Workforce Development - Education and Youth Development - Housing, Transportation, and Neighborhood Environment - Violence and Community Safety, Injury, including Violence-related injury - Trauma-Informed Care - Maternal and Child Health While critically important to overall community health, these specific priorities did not meet internally determined criteria that prioritized addressing needs by either continuing or expanding current programs, services, and initiatives to steward resources and achieve the greatest community impact. For these areas not chosen, there are service providers in the community better resourced to address these priorities. AMITA Health will work collaboratively with and support these organizations as appropriate to ensure service coordination and utilization.
Schedule H, Part V, Section B, Line 11 Facility A, 6 Facility A, 6 - AMITA HEALTH HOLY FAMILY MEDICAL CENTER. Together, AMITA Health Holy Family Medical Center and its collaborative partners and stakeholders have identified the following prioritized health needs in our community on the tax year 2018 Community Health Needs Assessment: Social and Structural Determinants of Health, including policies that advance equity and promote physical and mental well-being, and conditions that support healthy eating and active living. Access to Care, Community Resources, and Systems Improvements, consisting of timely linkage to appropriate care, and resources, referrals, coordination, and connection to community-based services. Mental Health and Substance Use Disorders, especially reducing stigma, increasing the reach and coordination of behavioral health services, and addressing the opioid epidemic. Chronic Condition Prevention and Management, focusing especially on metabolic diseases such as diabetes, heart disease, and hypertension, and on asthma, cancer, and complex chronic conditions. Summary of Implementation Strategy: Social and Structural Determinants of Health Strategy: Ministry Backpack Program: Improve access to food by providing easy-to-prepare meals every weekend for elementary school children and their families during the academic school year. Resources & Collaboration: School District 62, Cumberland School, First Congregational United Church of Christ Anticipated Impact: Reduce the number of children living in hunger within the Des Plaines community. Access to Care Community Resources and Systems Improvements: Strategy #1: Aunt Bertha (Search & Connect): this public directory providers, staff, the public and community partners are able to search a vetted and updated directory of social services on our website, connecting to (i.e. food, housing, transportation, health, etc.). This directory provides a need based customized list of services for patients and provide the hospitals with various reports related to the needs. Resources & Collaboration: AMITA Health Community Resource Directory; Aunt Bertha, Community Based Organization, Faith Based Organizations, Front Line Associates Anticipated Impact: Increase the number of direct referrals between patients and community organizations to reduce patient/community social determinants of health. Strategy #2: New Beginnings Pre-Natal Program: Provide comprehensive outpatient prenatal services and support to expectant mothers with limited financial resources to increase the proportion of pregnant women who receive early and adequate prenatal care. Resources & Collaboration: Salvation Army, City of Des Plaines, Department of Health & Human Services, AllKids, Maryville Academy, Walmart Anticipated Impact: Increase access to prenatal education and resources for those in the Des Plaines community. Mental Health and Substance Use Disorders Strategy #1: Mental Health First Aid: In response to a demonstrated system and state-wide need of addressing barriers to accessing and utilizing mental health services, AMITA Health Holy Family Medical Center and its community partners implemented an evidence-based program, Mental Health First Aid (MHFA), to reduce the stigma associated with mental illness and improve the coordination of mental health care. MHFA trains community residents and first responders to recognize, respond, and seek assistance for signs of mental illness and substance abuse. Resources & Collaboration: AmeriCorps, Community-based organizations (CBOs), Faith-based organizations (FBOs), First responders/law enforcement, Mental Health First Aid USA, Trilogy, Linden Oaks, Ecker Center, Anticipated Impact: A reduction in self-reported poor mental health days as a result of greater identification of those in need of help. Strategy #2: Keys to Recovery: Provide education and outreach efforts to the community regarding substance use disorders and the relationship between substance use disorder and mental health through the Keys to Recovery program in the community. Resources & Collaboration: MaineStay Youth and Family Service, Des Plaines Police Department, Park Ridge Police Department, Niles Township Anticipated Impact: Increased educational opportunities in the community about substance use, and how to recognize problems to seek treatment proactively. Needs That Will Not Be Addressed AMITA Health Holy Family Medical Center will not directly address the following focus areas/priorities identified in the tax year 2018 CHNA: - Economic Vitality and Workforce Development - Education and Youth Development - Housing, Transportation, and Neighborhood Environment - Violence and Community Safety, Injury, including Violence-related injury - Trauma-Informed Care - Maternal and Child Health - Chronic Condition Prevention and Management While critically important to overall community health, these specific priorities did not meet internally determined criteria that prioritized addressing needs by either continuing or expanding current programs, services, and initiatives to steward resources and achieve the greatest community impact. For these areas not chosen, there are service providers in the community better resourced to address these priorities. AMITA Health will work collaboratively with and support these organizations as appropriate to ensure service coordination and utilization.
Schedule H, Part V, Section B, Line 11 Facility A, 7 Facility A, 7 - FACILITY REPORTING GROUP A - PART I. ACTIONS TAKEN DURING FISCAL YEAR 2019 ON THE PRIOR CHNA: ALL REPORTING HOSPITALS PRIORITIZED THE FOLLOWING FOUR IDENTIFIED HEALTH NEEDS AS A RESULT OF STAKEHOLDER AND COMMUNITY INPUT AND ENGAGEMENT THROUGH THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY: * "SOCIAL DETERMINANTS": IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH WHILE REDUCING SOCIAL AND ECONOMIC INEQUITIES * "BEHAVIORAL HEALTH": IMPROVING MENTAL AND BEHAVIORAL HEALTH * "CHRONIC DISEASE": PREVENTING AND REDUCING CHRONIC DISEASE (FOCUSED ON RISK FACTORS - NUTRITION, PHYSICAL ACTIVITY, AND TOBACCO) * "ACCESS TO CARE": INCREASING ACCESS TO CARE AND COMMUNITY RESOURCES ALL IDENTIFIED HEALTH NEEDS ARE BEING ADDRESSED AT EACH HOSPITAL. WE HAVE IMPLEMENTED AN EVIDENCE-BASED APPROACH TO MEET EACH PRIORITIZED COMMUNITY NEED, EITHER BY DEVELOPING A NEW PROGRAM, STRENGTHENING AN EXISTING ONE, OR BORROWING A SUCCESSFUL MODEL FROM ANOTHER CONTEXT. WE PAID SPECIAL ATTENTION TO GAPS IN EXISTING SERVICES, THE NEEDS OF MARGINALIZED OR VULNERABLE POPULATIONS, AND WHETHER WORKING IN PARTNERSHIP WITH OTHER ORGANIZATIONS MIGHT HELP US ADDRESS NEEDS MORE HOLISTICALLY. THESE PROGRAMS EXIST ALONGSIDE OTHER COMMUNITY BENEFIT OPERATIONS AT PRESENCE HEALTH, SUCH AS A COMPREHENSIVE FINANCIAL ASSISTANCE POLICY AND A LARGE OUTLAY IN HEALTH PROFESSIONS EDUCATION, WHICH ALSO HELP ADDRESS COMMUNITY NEEDS WITHOUT THE USE OF FORMAL PROGRAM EVALUATION. BELOW ARE THE KEY INTERVENTIONS OUR HOSPITALS WERE IMPLEMENTED TO ADDRESS EACH PRIORITIZED HEALTH NEED. Goal 1: Reduce Inequities and Improve Social, Economic, and Structural Determinants of Health Strategy 1a. Improve the economic vibrancy, broad prosperity and financial security of our communities ANCHOR MISSION UTILIZE THE MINISTRY'S POSITION AS AN ANCHOR INSTITUTION TO DRIVE INVESTMENT IN VULNERABLE COMMUNITIES. AMITA Health Saints Mary and Elizabeth Medical Center (SMEMC): Hospital engagement, action, and leadership initiative is a collaboration between major Chicago hospitals to make tangible commitments to reduce gun violence, heal the physical and mental trauma that violence inflicts on victims, increase well-paying jobs and create other economic opportunities in the neighborhoods they serve. SMEMC participated and provided funding to West Side United, a hospital collaboration, aimed at reducing violence and uplifting the west side community through investments, workforce and educational opportunities. HEALTHCARE WORKFORCE COLLABORATIVE A SERIES OF PARTNERSHIPS AIMED AT ALIGNING AVAILABLE HEALTHCARE JOBS AND THE SKILLS OF CURRENT JOB SEEKERS. AMITA Health Saint Joseph Hospital Chicago: CPS NORTHSIDE LEARNING CENTER- COMMUNITY PARTNERSHIP WITH THE NORTH SIDE LEARNING CENTER CHICAGO PUBLIC HIGH SCHOOL FOR STUDENTS WITH COGNITIVE AND PHYSICAL DISABILITIES. STUDENTS PERFORM VOCATIONAL LEARNING ACTIVITIES WITH ASSIGNMENTS IN THE HOSPITAL EACH WEEK THROUGHOUT THE SCHOOL YEAR. 12 PARTICIPANTS IN SEPTEMBER 2018 ATTENDED FOR SILVERWARE TRAINING. STUDENTS COME FROM A SCHOOL FOR INDIVIDUALS WITH DISABILITIES. SCHOOL-BASED CAREER PIPELINE (ACHIEVING DREAMS) WORK WITH OUR ACADEMIC PARTNERS TO PROVIDE EXPOSURE AND TRAINING FOR STUDENTS INTERESTED IN HEALTHCARE CAREERS. AMITA Health Saint Joseph Hospital Chicago: CPS Health Career Program-Chicago Public Schools and the hospital have a partnership that allows for students who are interested in a health career to participate in internships, site visit days and job shadow days. Students from CPS schools spend a school day at the hospital shadowing staff in a variety of health careers. The goal is to increase their awareness of the health care profession as an option for a career choice. A total of 12 students from Westinghouse High School, North-Grand High School, RTC Medical Preparatory High School, Roosevelt High School, Sullivan High School, and Perspective M.S.A IIT Campus, Thornridge High School participated in this internship from June to August 2018. Managers provided supervision and training for health-related tasks within the department. Students interned for 20 hours a week for the 6 weeks. Students were paid by CPS or Ladies Of Virtue. AMITA Health Saint Francis Hospital: CPS Health Careers Program- This is a workforce development program aimed at students from the local community. The project provides a combination of site visits, job shadow days and an internship at the hospital. St. Francis provides coordination of the program and extensive managers to provide mentoring, guidance and supervision of the summer internship program. A total of 12 students from Roger Sullivan CPS High School participated in this internship from July to August 2018. AMITA Health Saint Francis Hospital: CPS Youth Workforce Initiative- A total of 8 students from Sullivan High Schools participated in a job shadow day in December 2018. They were taken as a group to hospital departments to discuss specific careers with those professionals. Departments visited were respiratory therapy, PT/OT/Speech therapy, Laboratory, Pathology, radiology, outpatient radiation oncology, outpatient nursing, and wound center. Amita Health Resurrection Medical Center: Workforce Mentoring Program- This program provides students an opportunity to job shadow and receive mentoring from healthcare providers in different departments at the medical center, such as Family Birth Center, Radiology & Ultrasound, Cancer Treatment, OT/ST/PT, ER, Family Practice, Pharmacy, & Child Care Center. A total of 45 students from Maine High School (District 207) and Resurrection High School participated in the program. YOUTH SUMMER EMPLOYMENT PROGRAM THAT EMPLOYS AT-RISK YOUTH (16-24) IN SUMMER JOBS AND APPRENTICESHIPS. Amita Health St. Joseph Hospital: Asian Human CYEP Program-Workforce development program for individuals age 18 - 25. Individuals are placed in entry level positions at the hospital. They are trained in a 13 week program. This is a 3-month opportunity program for individuals to be trained in to the workforce. Upon completion participants in the program will have the opportunity to apply for open positions with the hospital or at any of the other system hospitals or sites. A total of 9 young adults participated in the program working in food and nutrition services in October-November 2018. During this time students worked 459.25 hours and served 4,860 patients. Amita Health Saint Francis Hospital: ASIAN HUMAN SERVICES COMMUNITY YOUTH EMPLOYMENT PROGRAM (CYEP)- INDIVIDUALS AGE 18 - 24 ARE PLACED IN ENTRY LEVEL POSITIONS IN THE HOSPITAL. INDIVIDUALS ARE UNEMPLOYED BUT ARE SEEKING TO ENTER OR RE-ENTER THE WORKFORCE. ASIAN HUMAN SERVICES COORDINATES THE PROGRAM. THIS PROGRAM PROVIDES A 3 MONTH PAID EXPERIENCE FOR THE INDIVIDUALS. UPON COMPLETION, INDIVIDUALS CAN APPLY TO INTERVIEW FOR AVAILABLE POSITIONS AT PSJH OR ANY PH HOSPITAL. A TOTAL OF 2 YOUNG ADULTS PARTICIPATED IN THIS PROGRAM, WORKING IN FOOD AND NUTRITION SERVICES IN OCTOBER & NOVEMBER 2018. DURING THIS TIME THE STUDENTS WORKED 1678 HOURS AND SERVED 2760 PATIENTS. Strategy 1b. Improve the health, safety and accessibility of housing GREEN AND HEALTHY HOMES INITIATIVE PROGRAM TO REMEDIATE ENVIRONMENTAL HEALTH CONDITIONS THAT CAUSE POOR HEALTH SUCH AS ASTHMA TRIGGERS, LACK OF HOME VENTILATION AND LEAD PAINT. AMITA Health Saints Mary and Elizabeth Medical Center (SMEMC): GREEN AND HEALTHY HOMES- SMEMC partnered with Elevate Energy to launch a home-based asthma intervention. The intervention is based on a successful national model created by the Green & Healthy Homes Initiative (GHHI). GHHI provided free technical assistance to Presence Health on its pilot, via a grant GHHI received from the Robert Wood Johnson Foundation. With financial support from the Chicago Community Trust, SMEMC launched the pilot in early 2018. Over the course of the year, pilot staff recruited about 20 uninsured people under age 65 who had had at least one asthma-related Emergency Department visit or hospital admission in the previous year. Participants receive a home visit from a nurse educator, who taught them the basics of asthma, reviewed medications, and care plan. Patients who did not have a primary care providers were given information on how to obtain one. After the initial visit, Elevate Energy does a more comprehensive environmental assessment of the patient's home. Elevate Energy provides all patients with items to help with asthma control, including mattress and pillow covers, a HEPA vacuum, pest management supplies and green cleaning products. If the Elevate Energy assessment finds more serious issues, those participants receive minor home repairs, including mold remediation or carpet removal.
Schedule H, Part V, Section B, Line 11 Facility A, 8 Facility A, 8 - FACILITY REPORTING GROUP A - PART II. SUPPORTIVE HOUSING AND CARE LINKAGES FOR THE HOMELESS PROGRAM TO REMEDIATE HOMELESSNESS AND TRANSIENT LIVING BY PROVIDING CLOSER CARE COORDINATION AND REFERRALS TO TRANSITIONAL AND SUPPORTIVE HOUSING. AMITA Health Saint Francis Hospital: SOCIAL WORKER IN LIBRARY PROGRAM: The Social Worker in Library Program (SWIL) added a full-time, licensed clinical social worker (LCSW) to the Evanston Public Library to connect individuals who are experiencing homelessness, chronic unemployment, mental illness, and other complex needs with appropriate referrals and support utilizing the AMITA Health Community Resource Directory (Aunt Bertha). The LCSW will also build relationships with social service partners to ensure "warm hand off" for patrons, provide health workshops and trainings for library staff on general health topics, and facilitate community workshops and events for the public. ADVOCATING FOR THE EXPANSION OF AFFORDABLE HOUSING CREDITS IMPROVING THE LANDSCAPE OF AFFORDABLE HOUSING IN ILLINOIS BY ADVOCATING FOR GREATER USE OF HOUSING VOUCHERS AND MORE FINANCIAL SUPPORT FOR SUBSIDIZED HOUSING. AMITA Health Holy Family Medical Center HABITAT FOR HUMANITY- THROUGH A COMMUNITY PARTNERSHIP WITH HABITAT FOR HUMANITY, DESIGNED TO PAINT THE EXTERIOR OF SINGLE-FAMILY HOMES OWNED AND OCCUPIED BY PERSONS WITH LIMITED FINANCIAL RESOURCES, WHO ARE AT LEAST 60 YEARS OF AGE, A VETERAN, OR HAVE A PERMANENT DISABILITY, MAKING THEM UNABLE TO DO THE WORK THEMSELVES. A TOTAL OF 25 STAFF HOURS WAS PLACED IN THE PARTICIPATION OF A PROJECT WHERE THE EXTERIOR OF A SINGLE-FAMILY HOME DES PLAINES RESIDENT WITH LIMITED FINANCIAL RESOURCES. SCREEN FOR HOUSING AND UTILITY SECURITY DEVELOP A SCREENING TOOL WITH OUR HOSPITAL AND HEALTH DEPARTMENT PARTNERS TO IDENTIFY PATIENTS AND COMMUNITY MEMBERS LIVING IN UNSTABLE HOUSING OR SUFFERING FROM UTILITY BURDENS. ALL REPORTING HOSPITALS: AUNT BERTA SOFTWARE/COMMUNITY RESOURCES-Through this public directory providers, staff, the public and community partners can search a vetted and updated directory of social services on our website, connecting to (i.e. food, housing, transportation, health, etc.). The software was added to reporting hospitals in the summer of 2018. Staff access program to link at-risk patients to services within their zip code area. Over 2,000 actions are taken each month to connect patients to services. Strategy 1c. Reduce violence and mitigate the impact it has on the health and well-being of our neighbors ANTI-BULLYING CAMPAIGN DEVELOP STRATEGIES IN COLLABORATION WITH LOCAL PARTNERS TO REDUCE BULLYING AND CIRCUMVENT CYCLES OF VIOLENCE. AMITA Saints Mary and Elizabeth Medical Center: CANDO SCHOOL PROGRAM- HOSPITAL STAFF SERVE AS MENTORS TO COMMUNITY YOUTH AND HOLD A 4-WEEK SUMMER PROGRAM IN THE HOSPITAL. CLASSES ON ABSTINENCE, HEALTH, EXERCISE AND NUTRITION ARE PREPARED AND PROVIDED BY STAFF. IN ADDITION, THE STAFF SERVES AS MENTORS TO THE YOUTH AND FOCUS ON THE IMPORTANCE OF STAYING IN SCHOOL. MEETINGS ARE ALSO HELD ONCE A MONTH DURING THE SCHOOL YEAR. THIS 8 WEEK SUMMER PROGRAM KEEPS OUR YOUTH OFF THE STREETS DURING THE SUMMER AND TARGETS THOSE WHO OTHERWISE WOULD NOT HAVE HAD A CHANCE DUE TO ECONOMIC BACKGROUND. PARTNERED WITH CAMERON ELEMENTARY SCHOOL AND SERVED A TOTAL OF 112 NEW STUDENTS AND HELD A GRADUATION AND POST HEALTH SCREENING FOR 72 STUDENTS THAT HAD ATTENDED A PREVIOUS CAMP. Strategy 1d. Improve access to quality, healthy affordable food FARMER'S MARKET SPONSOR AND HOST SEASONAL FARMER'S MARKETS ON MINISTRY GROUNDS TO PROVIDE ACCESS TO HEALTHY FOOD TO COMMUNITY RESIDENTS, PATIENTS, AND ASSOCIATES. AMITA Saints Mary and Elizabeth Medical Center (SMEMC): WEST TOWN HEALTH MARKET- COUPON BOOKLETS ARE PROVIDED TO PARTICIPANTS AND OFFERS POINTS OF SALE DISCOUNTS TO SNAP PARTICIPANTS TO REDEEM AT SMEMC'S BI-MONTHLY FARMERS MARKETS. SMEMC WILL ALSO PROVIDE EDUCATION ON HEALTHY EATING AND THE BENEFIT OF COOKING WITH FRUITS AND VEGETABLES. OUTCOME WILL BE TO IMPROVE EATING HABITS FOR LOW-INCOME LOCAL RESIDENTS WHILE ALSO IMPROVING THEIR OVERALL HEALTH OUTCOMES. WEST TOWN HEALTH MARKET SERVED A TOTAL OF 94 PARTICIPANTS. SURPLUS PROJECT UTILIZE EXCESS FOOD PRODUCED IN MINISTRY CAFETERIAS BY PACKAGING AND DISTRIBUTING TO SUMMER LUNCH PROGRAMS, HOMELESS SHELTERS AND FOOD BANKS. AMITA Health Resurrection Medical Center (RMC): KIDS SUMMER FEEDING PROGRAM- THE PROGRAM (KIDS CAFE) IS IN RESPONSE TO A NEED THAT 1 IN 5 CHILDREN IN OUR COMMUNITIES IS FOOD INSECURE. WHEN SCHOOL IS OUT FOR SUMMER VACATION, CHILDREN ARE AT INCREASED RISK OF HUNGER. THIS PROGRAM IS SPONSORED BY THE ILLINOIS STATE DEPARTMENT OF AGRICULTURE, ADMINISTERED BY THE ILLINOIS STATE BOARD OF EDUCATION, AND IN PARTNERSHIP WITH THE GREATER CHICAGO FOOD DEPOSITORY, NEW HOPE COMMUNITY FOOD PANTRY, AND RMC. A TOTAL OF 419 PARTICIPANTS RECEIVED FOOD. AMITA Health Holy Family Medical Center (HFMC): BACKPACK MINISTRY- FOOD DONATION PROVIDED TO CUMBERLAND SCHOOL TO SERVE 330 LUNCHES TO THOSE WHO NEED IT. THE PROGRAM IS OFFERED IN COLLABORATION WITH ST STEPHENS AND FIRST CONGREGATIONAL CHURCH TO ADDRESS FOOD INSECURITY WITHIN THE COMMUNITY AND TO ADDRESS THE NEED IN SCHOOL STUDENTS FOR THE WEEKENDS TO BRIDGE THE GAP FROM THE LUNCH ON FRIDAY UNTIL THEY RETURN TO SCHOOL ON MONDAY. HFMC ALSO PARTICIPATED IN FOOD DONATION TO CATHOLIC CHARITIES FOR 55 PEOPLE. SNAP BENEFITS IMPROVE ENROLLMENT AND ADVOCATE FOR EXPANDED BENEFITS. AMITA Saints Mary and Elizabeth Medical Center (SMEMC): WEST TOWN HEALTH MARKET- COUPON BOOKLETS ARE PROVIDED TO PARTICIPANTS AND OFFERS POINTS OF SALE DISCOUNTS TO SNAP PARTICIPANTS TO REDEEM AT SMEMC'S BI-MONTHLY FARMERS MARKETS. SMEMC WILL ALSO PROVIDE EDUCATION ON HEALTHY EATING AND THE BENEFIT OF COOKING WITH FRUITS AND VEGETABLES. OUTCOME WILL BE TO IMPROVE EATING HABITS FOR LOW-INCOME LOCAL RESIDENTS WHILE ALSO IMPROVING THEIR OVERALL HEALTH OUTCOMES. WEST TOWN HEALTH MARKET SERVED A TOTAL OF 94 PARTICIPANTS. Goal 2: Improve Mental Health and Decrease Substance Abuse Strategy 2a. Increase awareness of mental health conditions and reduce stigma MENTAL HEALTH FIRST AID (MHFA) CERTIFICATE-BASED PROGRAM USING NATIONAL, EVIDENCE-BASED CURRICULUM THAT TEACHES THE SKILLS TO RESPOND TO THE SIGNS OF MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. AMITA Health Resurrection Medical Center (RMC): MHFA- COLLABORATED WITH THE OUR LADY MOTHER OF CHURCH AND ST. MARIA GORETTI SCHOOL TO PROVIDE THE TRAINING TO A TOTAL OF 31 PARTICIPANTS. AMITA Health Holy Family Medical Center: MHFA-COLLABORATED WITH DES PLAINES PUBLIC LIBRARY, MARYVILLE STEVENS CENTER, MARYVILLE SEXTON ACADEMY, DES PLAINES PARK DISTRICT, CATHOLIC CHARITIES, MENTAL HEALTH AMERICA OF THE NORTH SHORE TO PROVIDE THE TRAINING TO 267 INDIVIDUALS. AMITA Health Saint Francis Hospital: MHFA-COLLABORATED WITH GLENVIEW NORTHBROOK COALITION AND WITH THE YOUTH MENTAL FIRST AID TRAINING FOR PEER SERVICES TO PROVIDE THE TRAINING TO A TOTAL OF 40 INDIVIDUALS. AMITA Health Saint Joseph Hospital Chicago: MHFA-COLLABORATED WITH CHICAGO POLICE DEPARTMENT (19TH DISTRICT) PROVIDE THE TRAINING TO A TOTAL OF 22 INDIVIDUALS Strategy 2b. Develop telehealth policy solutions to address mental health professional shortages ADOLESCENT AND TEEN DRUG AND ALCOHOL PREVENTION PROVIDE INFORMATION OF LONG-TERM EFFECTS OF DRUG AND ALCOHOL USE TO REDUCE THE LEVEL OF ADOLESCENT DRUG AND ALCOHOL DRUG ABUSE AND PROMOTE POSITIVE MENTAL HEALTH AMONG TEENS IN OUR COMMUNITY. AMITA Health Resurrection Medical Center: COALITION BUILDING- PARTICIPATES IN MAINE COMMUNITY YOUTH ASSISTANCE FOUNDATION (MCYAF) COALITION MEETINGS AND PLANNED FOR PARTICIPATION IN DIFFERENT EVENTS OR PRESENTATIONS THAT ADDRESSED THE PREVENTION OF SUBSTANCE AND ALCOHOL ABUSE IN CHILDREN AND TEENS AND TO HELP LOBBY FOR POLICY CHANGES. PARTNER WITH ADDICTION AND RECOVERY GROUPS PROVIDE SPACE, RESOURCES AND SUPPORT FOR COMMUNITY-BASED ADDICTION AND RECOVERY PARTNERS. AMITA Health Resurrection Medical Center: IN-KIND ROOM USAGE FOR ALCOHOLIC ANONYMOUS MEETINGS- A TOTAL OF 53 MEETING HELD BETWEEN JULY 2018 - JUNE 2019. AMITA Health Saint Joseph Hospital Chicago: IN-KIND ROOM USAGE FOR ALCOHOLIC ANONYMOUS MEETINGS, A TOTAL OF 24 MEETINGS BETWEEN JULY-DECEMBER 2018. Strategy 2c. Increase access to Substance Abuse interventions and recovery programs Goal 3: Prevent and Reduce Chronic Disease Strategy 3a. Create a healthy care delivery community AMERICAN LUNG ASSOCIATION TOBACCO 21 ACT INCREASING THE MINIMUM AGE OF SALE FOR TOBACCO PRODUCTS TO AT LEAST 21 YEARS OLD WILL SIGNIFICANTLY REDUCE YOUTH TOBACCO USE AND SAVE THOUSANDS OF LIVES.
Schedule H, Part V, Section B, Line 11 Facility A, 9 Facility A, 9 - FACILITY REPORTING GROUP A - PART III. ALL REPORTING HOSPITALS: THROUGH LOCAL & STATE ADVOCACY EFFORTS, AMITA HEALTH WAS ABLE TO ASSIST IN THE PASSAGE OF THE TOBACCO 21 LAW THAT WENT INTO AFFECT IN 2019. THE NEW STATE MINIMUM TO PURCHASE TOBACCO PRODUCTS IS ILLINOIS IS 21 YEARS OLD, WHICH INCREASED FROM 18 YEARS OLD. Strategy 3b. Provide effective programming and partnerships for at-risk community members to lead active lives A-LIST DIABETES PREVENTION PROGRAM DIABETES SCREENING AND EDUCATION PROGRAM FOCUSING ON THE PREVENTION OF TYPE 2 DIABETES THROUGH LIFESTYLE AND NUTRITION THERAPY. AMITA Health Resurrection Medical Center: DIABETES PREVENTION PROGRAM- A TOTAL OF 142 PARTICIPANTS. AMITA Health Saint Francis Hospital: DIABETES PREVENTION PROGRAM- A TOTAL OF 159 PARTICIPANTS. Goal 4: Increase Access to Care and Community Resources Strategy 4a. Further align and partner with our faith communities to provide care, advocate for coverage and promote health and wellness FAITH COMMUNITY NURSING A PRACTICE SPECIALTY THAT FOCUSES ON THE INTENTIONAL CARE OF THE SPIRIT, PROMOTION OF AN INTEGRATIVE MODEL OF HEALTH AND PREVENTION AND MINIMIZATION OF ILLNESS WITHIN THE CONTEXT OF A COMMUNITY OF FAITH. AMITA Health Resurrection Medical Center: FAITH COMMUNITY NURSING PROVIDED SERVICES TO A TOTAL OF 923 PERSONS. Strategy 4b. Increase capacity and availability of clinical and community resources for vulnerable populations FQHC AND FREE CLINIC PARTNER SUPPORT PROVIDE FINANCIAL, REFERRAL, AND IN-KIND SUPPORT TO LOCAL FQHCS AND FREE CLINICS. AMITA Health Saint Joseph Hospital Chicago: COMMUNITY HEALTH CLINIC- SJH CHICAGO CONTRIBUTES TO THE PERSONNEL AND ANCILLARY SUPPORT AND PAYS A PERCENTAGE OF THE TOTAL COSTS. COSTS ARE BILLED QUARTERLY AND INCLUDE PAYMENT FOR THE FOLLOWING POSITIONS: CLINICAL MANAGER, CLINIC COORDINATOR, COORDINATOR OF VOLUNTEER SERVICES, PATIENT SERVICES COORDINATOR, PATIENT CARE ASSOCIATE, LAB ASSOCIATE, NURSES, PHARMACISTS, PHARMACY TECHNICIAN AND MEDICAL SUPPLIES, MEDICATION, AND OFFICE SUPPLIES. IN ADDITIONAL TO COSTS BILLED, THERE ARE ALSO FACULTY COSTS FOR THE SALARIES OF THE ATTENDING PHYSICIANS WHO SUPERVISE THE MEDICAL RESIDENTS. A TOTAL OF 7,530 PEOPLE WERE SERVED BETWEEN JULY 2018-JANUARY 2019. CANCER PREVENTION SCREENINGS PROVIDES LOW INCOME AND UNINSURED INDIVIDUALS WITH FREE MAMMOGRAMS AND FOLLOW-UP TESTING FOR BREAST CANCER, , WITH SUPPORT FROM THE SILVER LINING FOUNDATION AND THE SUSAN G. KOMEN FOUNDATION. AS WELL AS COLORECTAL FIT KIT SCREENINGS AMITA Health Resurrection Medical Center: CHARITABLE CONTRIBUTION TO A SILVER LINING FOUNDATION WHOSE MISSION IS TO ENSURE DIGNIFIED, RESPECTFUL AND EQUAL ACCESS EDUCATION AND SERVICES FOR ALL. CREATES PARTNERSHIPS WITH COMMUNITY, ADVOCACY AND HEALTHCARE ORGANIZATIONS PROVIDING MAMMOGRAMS AT NO COSTS TO WOMEN AND MEN. A TOTAL OF 48 PARTICIPANTS WERE ABLE TO OBTAIN IMAGING. AMITA Health Resurrection Medical Center: COLORECTAL CANCER SCREENINGS PROMOTED AWARENESS AND PROVIDED EDUCATION ON COLON CANCER. A TOTAL OF 131 PEOPLE WERE SCREENED AND 51 FECAL OCCULT BLOOD TEST KITS DISTRIBUTED. AMITA Health Saint Joseph Hospital Chicago: COLON CANCER SCREENINGS- PROMOTED AWARENESS AND PROVIDED EDUCATION ON COLON CANCER. A TOTAL OF 118 FECAL IMMUNOCHEMICAL TEST KITS (FIT KITS) DISTRIBUTED FOR COLON CANCER SCREENING. AMITA Health Holy Family Medical Center: CHARITABLE CONTRIBUTION TO A SILVER LINING FOUNDATION WHOSE MISSION IS TO ENSURE DIGNIFIED, RESPECTFUL AND EQUAL ACCESS EDUCATION AND SERVICES FOR ALL. CREATES PARTNERSHIPS WITH COMMUNITY, ADVOCACY AND HEALTHCARE ORGANIZATIONS PROVIDING MAMMOGRAMS AT NO COSTS TO WOMEN AND MEN. A TOTAL OF 48 PARTICIPANTS WERE ABLE TO OBTAIN IMAGING. Strategy 4c. Improve community members effective use of the health system and community resources WELLNESS SCREENINGS DEVELOP COMMUNITY ACCESS POINTS (HEALTH FAIRS, SCREENINGS, ETC.) TO IMPROVE HEALTH IN THE COMMUNITY. ALL REPORTING HOSPITALS: PROVIDED SCREENINGS IN COMMUNITY SETTINGS AS REQUESTED INCLUDING BLOOD PRESSURE SCREENINGS, DIABETES SCREENING, GLUCOSE CHECKS AND OTHER EDUCATION AS REQUESTED. Strategy 4d. Improve transportation resources VOUCHER SUPPORT PROVIDE VOUCHERS FOR RIDESHARE SERVICES AND PUBLIC TRANSPORTATION TO PATIENTS WITHOUT EASY ACCESS TO TRANSPORTATION TO THEIR FOLLOW-UP APPOINTMENTS, LEADING TO IMPROVED CONTINUITY OF CARE. AMITA Health Resurrection Medical Center: TRANSPORTATION CAB VOUCHERS--- PROVIDED VOUCHERS TO 133 PERSONS. TOTALING $29,024.
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address Type of Facility (describe)
1 LABOURE CLINIC
2913 N COMMONWEALTH
CHICAGO,IL60657
MEDICAL CARE CLINIC
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part I, Line 3c PART 1, LINE 3C IN ADDITION TO THE FEDERAL POVERTY GUIDELINES (FPG), WITH FPG FAMILY INCOME LIMIT FOR ELIGIBILITY OF FREE CARE OF 200% AND FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR DISCOUNTED CARE OF 600% THE FOLLOWING ELIGIBILITY CRITERIA ARE EXPLAINED IN THE FINANCIAL ASSISTANCE POLICY. PRESUMPTIVE ELIGIBILITY CRITERIA ANY PATIENT MEETING ANY OF THE CRITERIA SET FORTH BELOW WILL BE CONSIDERED PRESUMPTIVELY ELIGIBLE FOR FINANCIAL ASSISTANCE WITHOUT FURTHER DOCUMENTATION REQUIREMENTS. IN SUCH SITUATIONS, THE PATIENT IS DEEMED TO HAVE A FAMILY INCOME OF 200% OR LESS OF THE FEDERAL POVERTY LEVEL, AND THEREFORE ELIGIBLE FOR A 100% REDUCTION FROM MEDICALLY NECESSARY HOSPITAL CHARGES (I.E. FULL CHARITY WRITE OFF). PATIENTS WILL RECEIVE A MINIMUM OF ONE (1) STATEMENT TO PROVIDE A SUMMARY OF SERVICES AND ACCOUNT INFORMATION. PRESUMPTIVE ELIGIBILITY FOR 100% FINANCIAL ASSISTANCE WILL BE MADE FOR PATIENTS MEETING ANY OF THE FOLLOWING CRITERIA: A. PATIENT IS HOMELESS (WITH SUCH STATUS VERIFIED AFTER REVIEW OF AVAILABLE FACTS). B. PATIENT IS DECEASED WITH NO ESTATE. C. PATIENT IS MENTALLY OR PHYSICALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS/HER BEHALF. D. PATIENT IS CURRENTLY ELIGIBLE FOR MEDICAID, BUT WAS NOT ON A PRIOR DATE OF SERVICE OR FOR NON-COVERED SERVICES. E. PATIENT IS ENROLLED OR COVERED BY THE WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM (WIC). F. PATIENT IS ENROLLED OR COVERED BY THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR FOOD STAMP ELIGIBILITY (LINK). G. PATIENT IS ENROLLED OR COVERED BY THE ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM (ELIGIBLE FOR FREE AND REDUCED PRICE SCHOOL MEALS). H. PATIENT IS ENROLLED OR COVERED BY THE LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP). I. PATIENT OR FAMILY IS A QUALIFIED PARTICIPANT IN AN ORGANIZED COMMUNITY-BASED PROGRAM FOR PROVIDING ACCESS TO MEDICAL CARE THAT ACCESSES AND DOCUMENTS LIMITED LOW-INCOME FINANCIAL STATUS CRITERIA. J. PATIENT RECEIVES OR QUALIFIES FOR FREE CARE FROM A COMMUNITY CLINIC AFFILIATED WITH THE HOSPITAL OR KNOWN TO HAVE ELIGIBILITY STANDARDS SUBSTANTIALLY EQUIVALENT TO THAT OF THE HOSPITAL UNDER THIS POLICY, AND THE COMMUNITY CLINIC REFERS THE PATIENT TO THE HOSPITAL FOR TREATMENT OR FOR A PROCEDURE. K. PATIENT IS A RECIPIENT OF GRANT ASSISTANCE FOR MEDICAL SERVICES. L. PATIENT PARTICIPATES IN STATE-FUNDED PRESCRIPTION PROGRAMS. M. PATIENT OR PATIENT'S FAMILY IS ENROLLED IN ILLINOIS HOUSING DEVELOPMENT AUTHORITY'S RENTAL HOUSING SUPPORT PROGRAM. N. PATIENT OR PATIENT'S FAMILY HAS BEEN DETERMINED BY AN INDEPENDENT THIRD-PARTY REPORTING AGENCY TO HAVE FAMILY INCOME OF 200% OR LESS THAN THE FEDERAL POVERTY LEVEL. O. PATIENT OR PATIENT'S FAMILY'S INABILITY TO PAY ANY PORTION OF PATIENT-LIABILITY AMOUNT HAS BEEN VERIFIED BY AN INDEPENDENT THIRD-PARTY AGENCY. APPLICATION OF CATASTROPHIC DISCOUNT. THE CATASTROPHIC DISCOUNT WILL BE AVAILABLE TO PATIENTS WHO HAVE MEDICAL EXPENSES OVER A 12-MONTH PERIOD FOR MEDICALLY NECESSARY SERVICES FROM A PRESENCE HEALTH HOSPITAL THAT EXCEED 15% OF THE PATIENT'S FAMILY'S ANNUAL GROSS INCOME, EVEN AFTER PAYMENT BY THIRD-PARTY PAYERS. ANY PATIENT RESPONSIBILITY IN EXCESS OF 15% WILL BE WRITTEN OFF TO CHARITY. SERVICES THAT ARE NOT MEDICALLY NECESSARY WILL NOT BE ELIGIBLE FOR THIS DISCOUNT. UNINSURED SELF-PAY DISCOUNT 1. THERE IS NO APPLICATION PROCESS FOR THE PATIENT TO RECEIVE THE UNINSURED SELF-PAY DISCOUNT. THE DISCOUNT IS APPLIED BASED ON THE ACCOUNT'S SELF-PAY/UNINSURED STATUS. 2. PATIENTS RECEIVING PRE-NEGOTIATED DISCOUNTS (PACKAGE PRICING) FOR HOSPITAL SERVICES WILL NOT BE ELIGIBLE FOR THE UNINSURED SELF-PAY DISCOUNT. 3. IF A PATIENT IS SUBSEQUENTLY APPROVED FOR FINANCIAL ASSISTANCE, THE UNINSURED SELF-PAY DISCOUNT WILL BE REVERSED SO THAT THE FULL AMOUNT CAN BE RECOGNIZED AS A CHARITY DISCOUNT. FINANCIAL ASSISTANCE FOR CERTAIN CRIME VICTIMS. INDIVIDUALS WHO ARE DEEMED ELIGIBLE BY THE STATE OF ILLINOIS TO RECEIVE ASSISTANCE UNDER THE VIOLENT CRIME VICTIMS COMPENSATION ACT OR THE SEXUAL ASSAULT VICTIMS COMPENSATION ACT SHALL FIRST BE EVALUATED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BASED ON THE FINANCIAL ASSISTANCE GUIDELINES AND THE ELIGIBILITY CRITERIA. APPLICATIONS FOR REIMBURSEMENT UNDER SUCH CRIME VICTIMS FUNDS WILL BE MADE ONLY TO THE EXTENT OF ANY REMAINING PATIENT LIABILITY AFTER THE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION IS MADE. FINANCIAL ASSISTANCE FOR INSURED PATIENTS. FINANCIAL ASSISTANCE IN THE FORM OF 100% DISCOUNTS (FREE CARE) ARE AVAILABLE FOR PATIENT-LIABILITY AMOUNTS REMAINING AFTER INSURANCE PAYMENTS, FOR INSURED PATIENTS WHO ARE ILLINOIS RESIDENTS WITH FAMILY GROSS INCOME LESS THAN OR UP TO 200% OF THE FEDERAL POVERTY GUIDELINES. FOR INSURED PATIENTS WITH FAMILY GROSS INCOME BETWEEN 200% AND 400% OF THE FEDERAL POVERTY GUIDELINES, THE EXPECTED PATIENT PAYMENT WILL BE THE LESSER OF PATIENT'S OUT OF POCKET (OOP) LIABILITY REDUCED BY 100% OF THE HOSPITAL'S MEDICARE COST-TO-CHARGE RATIO OR THE AMOUNT THE PATIENT WOULD HAVE BEEN RESPONSIBLE FOR HAD THEY BEEN UNINSURED. THE AMOUNT OF FINANCIAL ASSISTANCE WILL BE DETERMINED ONCE ALL THIRD-PARTY PAYMENT AMOUNTS HAVE BEEN IDENTIFIED. IN ADDITION, INSURED PATIENTS WITH HIGH HOSPITAL BILLS MAY RECEIVE A CATASTROPHIC DISCOUNT. FINANCIAL ASSISTANCE FOR STUDENTS. FINANCIAL ASSISTANCE FOR VERIFIED FULL-TIME ENROLLED STUDENTS WITH INCOME OF 200% OR LESS OF THE FEDERAL POVERTY LEVEL WILL BE ELIGIBLE FOR A 100% REDUCTION FROM CHARGES (I.E., FULL CHARITY WRITE-OFF).
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION - Part II AMITA Health Saint Joseph Hospital Chicago (SJH-C): PRIMARY SERVICE AREA: 60657 CHICAGO - LAKEVIEW 60614 CHICAGO - LINCOLN PARK 60640 CHICAGO - UPTOWN 60626 CHICAGO - ROGERS PARK 60618 CHICAGO - AVONDALE/NORTH CENTER 60660 CHICAGO - EDGEWATER 60613 CHICAGO - LAKEVIEW 60641 CHICAGO - IRVING PARK 60647 CHICAGO - LOGAN SQUARE 60625 CHICAGO - ALBANY PARK/LINCOLN SQ 60645 CHICAGO - WEST ROGERS PARK 60610 CHICAGO - OLD TOWN 60639 CHICAGO - CRAGIN 60634 CHICAGO - DUNNING 60659 CHICAGO - NORTHTOWN 60630 CHICAGO - JEFFERSON PARK 60622 CHICAGO - WICKER PARK 60607 CHICAGO - WEST LOOP 60642 CHICAGO - RIVER WEST The total population of this service area in 2018 was 1,112,049 with the median age of 33.67 years which is lower than Illinois. The average median family income was $67,741 which is similar to the state, but there are geographical inequities that exist in income. The 60614 & 60642 zip codes had the highest median income over six-figures while the lowest income was $28,785 in the 60634 zip code. The average poverty rate in this service area was 16.2% again with geographical inequities with the 60634 zip code with 36.4% in poverty while the 60614, 60657 & 60630 has less than 10% poverty. The white population was the highest race in this service area at 51%, followed by black population at 12.85 and Asian population at 9.3%. The Hispanic/Latino population is 23.6% in this service area, with the highest zip codes with this population being 60641 (54%) & 60647 (45%). AMITA HEALTH SAINTS MARY AND ELIZABETH MEDICAL CENTER (SMEMC): PRIMARY SERVICE AREA: 60647 CHICAGO - LOGAN SQUARE 60622 CHICAGO - WICKER PARK 60639 CHICAGO - CRAGIN 60651 CHICAGO - HUMBOLDT PARK 60618 CHICAGO - AVONDALE/NORTH CENTER 60641 CHICAGO - IRVING PARK 60624 CHICAGO - GARFIELD PARK 60644 CHICAGO - AUSTIN 60612 CHICAGO - MEDICAL DISTRICT 60623 CHICAGO - LAWNDALE 60634 CHICAGO - DUNNING 60608 CHICAGO - PILSEN 60642 CHICAGO - RIVER WEST 60607 CHICAGO - WEST LOOP The total population for this service area in 2018 was 721,589 with the median age of 31.9 which is lower than the Illinois median. The median family income was $57,173 which is similar to the state, but there are geographical inequities that exist. The highest median income is in the 60642 with $101,939 and the lowest in the 60624 with $22,922. The poverty rate for this service area is 23.8% again with geographical inequities. The highest poverty is in the 60624 zip code at 44.2%. The white population makes up 27.4% of the population. The black population is at 33.3% and Asian population of 4.9%. The Hispanic/Latino population is 32.9% in this area, with the 60639 (78%) and 60623 (66%) having the highest percentages.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied.
Schedule H, Part II Community Building Activities COMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES 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 HEALTH HOSPITAL MINISTRIES ENGAGE IN A VARIETY OF COMMUNITY-BUILDING ACTIVITIES WHICH ULTIMATELY IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE ARE PRIVILEGED TO SERVE, EVEN THOUGH THEY ARE NOT SPECIFIC HEALTH ACTIVITIES. EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDE: -THE WORK OF ALL OF OUR HOSPITALS IN SUPPORT OF DISASTER READINESS AND EMERGENCY PREPAREDNESS. THIS WORK GOES ABOVE AND BEYOND ANY LICENSURE REQUIREMENTS TO PROACTIVELY ENSURE THAT OUR COMMUNITIES ARE SAFE AND PREPARED IF A DISASTER SHOULD PRESENT ITSELF. -COMMUNITY SUPPORT: DONATIONS FROM OUR MINISTRIES TO ORGANIZATIONS ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS. -COALITION BUILDING: LEADING COMMUNITY VISIONING ACTIVITIES, INVITING COMMUNITY STAKEHOLDERS AND RESIDENTS TO HELP THE HOSPITALS IMAGINE THE HEALTHY FUTURE OF THE HOSPITAL CAMPUS AND NEIGHBORHOODS. -WORKFORCE DEVELOPMENT: PARTNERING WITH LOCAL SCHOOLS TO PROVIDE INTERNSHIP OPPORTUNITIES IN HEALTHCARE CAREERS AND STRENGTHEN THE SCHOOL-TO-JOB PIPELINE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE FOR SHORT YEAR JULY 1, 2018 THROUGH JUNE 30, 2019 WAS $26,759,945 AT CHARGES, ($4,313,068 AT COST).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology PRESENCE CHICAGO HOSPITALS NETWORK has a very robust financial assistance program; therefore, no estimate is made for bad debt attributable to financial assistance eligible patients.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THEBADDEBT(IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 18-20.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE EXPENSE TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PRESENCE CHICAGO HOSPITALS NETWORK FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED. COLLECTION POLICIES ARE THE SAME FOR ALL PRESENCE HEALTH HOSPITALS. 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 ALL LANGUAGES SPOKEN BY AT LEAST 1,000 HOUSEHOLDS OF LIMITED ENGLISH PROFICIENCY IN THE AREA SERVED BY THE HOSPITAL ENTITY, PER FINAL RULE 501(R) GIUDELINES. 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 COLLECTIONS 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. IN CASES WHERE A PATIENT HAS BEEN BILLED BUT IS LATER DETERMINED TO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY WITHIN THE APPLICATION PERIOD, THE CHARGE IS REVERSED AND THE APPROPRIATE AMOUNT APPLIED TO CHARITY, AND THE PATIENT IS PROVIDED A REFUND IF THE FINAL PATIENT RESPONSIBILITY IS LESS THAN THE PATIENT ALREADY PAID. FOR MORE INFORMATION ABOUT PRESENCE HEALTH'S FINANCIAL ASSISTANCE PROGRAM, VISIT https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/
Schedule H, Part V, Section B, Line 16a FAP website A - AMITA HEALTH SAINT JOSEPH HOSPITAL: Line 16a URL: https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website A - AMITA HEALTH SAINT JOSEPH HOSPITAL: Line 16b URL: https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - AMITA HEALTH SAINT JOSEPH HOSPITAL: Line 16c URL: https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment PRESENCE CHICAGO HOSPITALS NETWORK JOINS FORCES WITH LOCAL COMMUNITY ORGANIZATIONS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) ARE COMPLETED FOR THE INDIVIDUAL COUNTIES WE SERVE WITH COMMUNITY PARTNERS EVERY 3 YEARS AS REQUIRED. TO SUPPLEMENT THE CHNA, PRESENCE HOSPITALS ALSO REVIEW AND ANALYZE INPATIENT AND EMERGENCY DEPARTMENT UTILIZATION ON AN ANNUAL BASIS TO UNCOVER ANY NEW COMMUNITY HEALTH TRENDS. THE COOK COUNTY HOSPITALS IN PRESENCE HEALTH SOURCED DATA ABOUT THEIR COMMUNITIES FROM PUBLICLY AVAILABLE SOURCES, SUCH AS THE US CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY. IN ADDITION TO ASSESSING THE HEALTH NEEDS, PRESENCE HOSPITAL MINISTRIES ALSO COMPLETE MEDICAL STAFF DEVELOPMENT PLANS. THE PLANS ARE CONDUCTED BY EXTERNAL CONSULTANTS, WHO PROVIDE AN INDEPENDENT ASSESSMENT OF THE NEED FOR PHYSICIANS BY SPECIALTY WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA AS DEFINED BY STARK REGULATIONS. IDENTIFYING COMMUNITY NEEDS IS JUST ONE STEP IN THE CHNA PROCESS. THE MOST CRITICAL STEP IS PRIORITIZING AND ALIGNING EXPERTISE TO MAKE AN IMPACT ON THE IDENTIFIED NEEDS. TO FACILITATE THIS PROCESS, THE BOARD OF DIRECTORS OF EACH HOSPITAL MINISTRY HAS APPOINTED A COMMUNITY LEADERSHIP BOARD THAT IS ULTIMATELY RESPONSIBLE FOR THE OVERSIGHT AND DIRECTION OF THE COMMUNITY BENEFIT INITIATIVES. ON A TRIENNIAL BASIS THIS ADVISORY BOARD, WHICH IS MADE UP OF COMMUNITY MEMBERS, APPROVES THE HOSPITAL'S IMPLEMENTATION STRATEGY PURSUANT TO AUTHORITY DELEGATED BY THE HOSPITAL MINISTRY'S BOARD OF DIRECTORS. THIS PLAN IDENTIFIES THE PRIORITIES AND ACTIONS THAT WILL TAKE PLACE TO TRANSFORM COMMUNITY HEALTH.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PRESENCE CHICAGO HOSPITALS NETWORK IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTHCARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HEALTH SYSTEM, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, PRESENCE HEALTH'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; PRESENCE HEALTH HOSPITALS PROVIDE FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 600% OF THE FEDERAL POVERTY LEVEL. PRESENCE HEALTH HOSPITALS WIDELY PUBLICIZE THEIR: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - BILLING AND COLLECTIONS POLICY - AMOUNT GENERALLY BILLED (AGB) CALCULATION - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - https://www.amitahealth.org/patient-resources/pay-your-bill/price-estimates/financial-assistance-documents PRESENCE CHICAGO HOSPITALS NETWORK MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - BILLING AND COLLECTIONS POLICY - AMOUNT GENERALLY BILLED CALCULATION - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL AND BY EMAIL. PRESENCE CHICAGO HOSPITALS NETWORK INFORMS THEIR PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND AND VERBALLY AND PATIENT REGISTRATION ENCOUNTERS. PRESENCE CHICAGO HOSPITALS NETWORK INFORMS THEIR PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS.
Schedule H, Part VI, Line 4 Community information PRESENCE CHICAGO HOSPITALS NETWORK HAS IDENTIFIED A SEPARATE SERVICE AREA FOR EACH OF ITS ACUTE CARE HOSPITALS UTILIZING A CONSISTENT METHODOLOGY AND REFLECTING A COMBINATION OF GEOGRAPHIC LOCATION AND MARKET SHARE CRITERIA. THE TOTAL SERVICE AREA OF EACH MINISTRY REPRESENTS APPROXIMATELY 80% TO 90% OF THE TOTAL INPATIENT DISCHARGES FROM THAT FACILITY. THE PRIMARY SERVICE AREA (THE "PRIMARY SERVICE AREA") OF EACH FACILITY REPRESENTS APPROXIMATELY 65 TO 75% OF SUCH DISCHARGES AND THE SECONDARY SERVICE AREA (THE "SECONDARY SERVICE AREA") OF EACH FACILITY REPRESENTS APPROXIMATELY 15 TO 25% OF SUCH DISCHARGES. THE PRIMARY SERVICE AREAS AND SECONDARY SERVICE AREAS HAVE BEEN DETERMINED BY UTILIZING A PATIENT ORIGIN ANALYSIS TO IDENTIFY THOSE ZIP CODES THAT REPRESENT INPATIENT DISCHARGES. THESE ZIP CODES ARE THEN MAPPED TO IDENTIFY GEOGRAPHIC COVERAGE OF THE PRIMARY SERVICE AREAS AND SECONDARY SERVICE AREAS. ALL OF THE REPORTING HOSPITALS RESIDE WITHIN COOK COUNTY INCLUDING THOSE HOSPITALS AT THAT ARE IN THE CITY OF CHICAGO. Age and gender U.S. Census Bureau population estimates for 2017 indicate that approximately 22% of the population in Cook County is under 18 years old and 14% is age 65 or older (U.S. Census Bureau, 2017). The percentage of individuals identifying as male or female in Cook County is approximately equal (U.S. Census Bureau, 2017). Data for the transgender and gender non-conforming populations in Cook County is limited. Based on preliminary analyses of Healthy Chicago Survey data, the Chicago Department of Public Health estimates that 10,500 adults living in Chicago identify as transgender or gender non-conforming. Race and ethnicity In 2017, the U.S. Census Bureau estimated that 42% of the population in Cook County identified as non Hispanic white, 24% identified as non-Hispanic African American/black, 8% identified as non-Hispanic Asian, 2% identified as two or more races, and 26% identified as Hispanic/Latino (U.S. Census Bureau, 2017). Immigration An estimated 21% of Chicago residents and 20% of Suburban Cook County residents are foreign-born (U.S. Census Bureau, American Community Survey, 2012-2016). In 2016, 1.6 million Illinois residents were native born Americans who had at least one immigrant parent (American Immigration Council, 2017). In 2015, the top countries of origin for foreign-born individuals living in Illinois were Mexico (38.2% of immigrants), India (8.1%), Poland (7%), the Philippines (5%), and China (4.3%) (American Immigration Council, 2017). Population density The most densely populated communities are on the North, West, Southwest, and Southeast Sides of Chicago and West suburban communities directly adjacent to the city (Cicero, Berwyn, Oak Park, and Elmwood Park). Population shifts Since 2000, Cook County as a whole has continued to experience a loss in population. However, the majority of population loss occurred in Chicago, while suburban Cook County's population has grown by almost one percent. While growth has been modest, the racial and ethnic make-up of Cook County has changed drastically. Overall, there has been a 10% decrease in the white population of Cook County. However, the population loss is not consistent across the area. Suburban Cook County had more than double the decrease in non-Hispanic white populations (14%) compared to Chicago (6%). Between 2000 and 2010, the African American/black population in Chicago has decreased by over 15% and increased 18% in Suburban Cook County. Along with most of the nation, Cook County experienced an increase in the Hispanic/Latino populations between 2000 and 2010. However, the increase was greatest in Suburban Cook County (47%). Other demographic shifts are not only increasing the size of priority populations in Suburban Cook County, but also shifting the distribution of the social determinants of health geographically. For example, poverty is increasing in the suburbs and decreasing in Chicago. While Chicago saw very little change in poverty and even experienced a 3% decrease in child poverty, Suburban Cook County saw dramatic rises in its poverty levels with child poverty increasing by over 75% between 2000 and 2010. Additional priority populations In addition to marginalized racial and ethnic groups, the following priority populations have been identified in Cook County including: homeless individuals and families; justice-involved youth and adults; people living with mental health conditions and/or substance use disorders; Alliance for Health Equity/13; people living with disabilities; older adults; immigrants and refugees; LGBTQ+; unemployed and underemployed; uninsured; veterans and former military; and children, adolescents, and young adults. Poverty Overall, the percentage of individuals living in poverty in Chicago and Suburban Cook County (16%) is higher than the state (14%) and national averages (15%). However, people of color experience higher rates of poverty than non-Hispanic whites. African Americans experience the highest rate with nearly a third of the population living in poverty. In addition, African Americans and Hispanic/Latinos have the lowest median household incomes. There are inequities in the geographic distribution of poverty as well. Communities with the highest poverty rates are primarily concentrated in the West and South regions of the city and county. AMITA Health Holy Family Medical Center (HFMC): AMITA Health Holy Family Medical Center SERVICE AREA INCLUDES THE ZIP CODES 60016 AND 60018, WHICH CORRESPOND TO THE COMMUNITIES OF DES PLAINES CITY AND UNINCORPORATED MAINE TOWNSHIP. THE TOTAL POPULATION OF ZIP CODES 60016 AND 60018 IN 2018 WAS 90,023, MAKING UP THE SERVICE AREA OF HFMC. COMBINED MEDIAN AGE FOR THIS POPULATION IS 40 YEARS WHICH IS SIMILAR TO THE ILLINOIS. THE RACIAL AND ETHNICITY STATISTICS INCLUDE 53% WHITE FOLLOWED BY 17.5% ASIAN WITH 24.5% HISPANIC/LATINO ETHNICITY. THE MEDIAN HOUSEHOLD INCOME IS $62,597, WHICH IS LOWER THAN THE STATE MEDIAN. POVERTY IN THIS AREA IS 11.5%. AMITA Health Holy Family Medical Center (HFMC) IS A LONG-TERM ACUTE CARE HOSPITAL, SERVING A SPECIALTY POPULATION OF MEDICALLY-COMPLEX PATIENTS. HFMC SPECIALIZES IN PROVIDING CARE FOR PATIENTS WHO ARE CRITICALLY ILL WITH COMPLEX CONDITIONS AND MUST BE HOSPITALIZED FOR AN EXTENDED PERIOD. IT IS THE ONLY SUCH HOSPITAL IN NORTHWEST CHICAGOLAND. AMITA Health Resurrection Medical Center (RMC): PRIMARY SERVICE AREA: 60631 CHICAGO - NORWOOD PARK 60634 CHICAGO - DUNNING 60706 HARWOOD HEIGHTS/NORRIDGE 60656 CHICAGO - ORIOLE PARK/ O'HARE 60630 CHICAGO - JEFFERSON PARK 60068 PARK RIDGE 60714 NILES 60646 CHICAGO - EDGEBROOK 60641 CHICAGO - IRVING PARK 60016 DES PLAINES According to the United Stated Census Bureau for 2017, the total population of AMITA Health Resurrection Medical Center's CHNA communities is 519,927. According to the United States Census Bureau for 2017, the percentage of White population remains over 80% in Edison Park/Norwood Park (60631), Dunning (60634), Forest Glen (60646), Oriole Park/O'Hare (60656), Harwood Heights (60706), Norridge (60706), and Park Ridge (60068). The greatest proportion of Hispanic residents is in Irving Park/Portage Park (60641), Elmwood Park (60707), Belmont-Cragin/Dunning/Montclare (60634), Rosemont (60018) and Schiller Park (60176). In Des Plaines (60016), 23.8% of the residents identified as Asian, 17.7% in Niles (60714) and 12% in Jefferson Park (60630). The poverty rate for this primary service area is 8.3%. The median family income is $43,987 which is lower than the state, but there are geographical inequities in income. The median age is 42, which is slightly higher than the state median. AMITA Health Saint Francis Hospital (SFH): PRIMARY SERVICE AREA: 60626 CHICAGO - ROGERS PARK 60645 CHICAGO - WEST ROGERS PARK 60202 EVANSTON 60660 CHICAGO - EDGEWATER 60076 SKOKIE 60201 EVANSTON 60659 CHICAGO - NORTHTOWN 60077 SKOKIE 60712 LINCOLNWOOD 60203 EVANSTON THE TOTAL POPULATION IN THIS SERVICE AREA IN 2018 IS 333,852 WITH AN AVERAGE MEDIAN AGE OF 38.8, WHICH IS SIMILAR TO THE STATE OF ILLINOIS. THE AVERAGE FAMILY INCOME IS $70,601 WHICH IS ALSO SIMILAR TO THE STATE, BUT THERE ARE GEOGRAPHICAL INEQUITIES IN INCOME IN THIS AREA. SIMILARLY, THE POVERTY RATE IS 13.75% BUT THERE ARE ALSO GEOGRAPHICAL INEQUITIES WITH SOME ZIP CODES VERY LOW (60203 WITH 1.3%) AND VERY HIGH (60626 WITH 24.8%). FIFTY-ONE PERCENT OF THE POPULATION IN THIS SERVICE AREA IS WHITE, FOLLOWED BY ASIAN AT 16.9% WITH 13.3% HISPANIC OR LATINO.
Schedule H, Part VI, Line 5 Promotion of community health PRESENCE CHICAGO HOSPITALS NETWORK CONSISTS OF 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. 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 HAS 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 PROVIDING 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. IN EACH OF THE COMMUNITIES WE SERVE, WE WORK WITH OTHERS - INCLUDING CHARITABLE ORGANIZATIONS, COMMUNITY HEALTH PROVIDERS, ELECTED OFFICIALS, BUSINESS LEADERS, SCHOOLS, CHURCHES, AND RESIDENTS - TO LOOK AT THE OVERALL HEALTH OF THE COMMUNITY AND IDENTIFY THE GREATEST NEEDS. WE THEN MAKE A PLAN AND DEVELOP STRATEGIES TOGETHER WITH OUR COMMUNITIES TO ADDRESS THE HIGHEST PRIORITY HEALTH NEEDS. THE HIGHEST PRIORITY NEEDS AND THE PROGRAMS WE'VE DEVELOPED TO MEET THESE NEEDS ARE IDENTIFIED IN PART V SECTION C IN THE DESCRIPTION FOR PART V SECTION B LINE 11.
Schedule H, Part VI, Line 6 Affiliated health care system PRESENCE CHICAGO HOSPITALS NETWORK BECAME AN AFFILIATE OF ASCENSION HEALTH AND JOINED AMITA HEALTH WHEN IT WAS ACQUIRED BY ASCENSION HEALTH ON MARCH 1, 2018. PRESENCE CHICAGO HOSPITALS NETWORK'S AFFILIATES ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, RESEARCH, AND HOME HEALTH,). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN MORE THAN 20 OF THE STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. AMITA HEALTH (WWW.AMITAHEALTH.ORG) IS A JOINT OPERATING COMPANY FORMED BY ASCENSION HEALTH AND ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION OF WHICH ADVENTIST MIDWEST HEALTH, AND ALEXIAN BROTHERS HEALTH SYSTEM, ARE THE MEMBERS. AMITA HEALTH WELCOMED PRESENCE HEALTH TO THE ORGANIZATION IN MARCH 2018, MAKING AMITA HEALTH THE LARGEST HEALTH SYSTEM IN ILLINIOS. THROUGH ITS MEMBERS, AMITA HEALTH HAS OVER 25,000 ASSOCIATES COMMITTED TO DELIVERING THE MOST EFFICIENT, HIGHEST QUALITY, FAITH-BASED CARE AT NINETEEN ACUTE AND SPECIALTY CARE HOSPITALS AND AT MORE THAN 200 AMBULATORY/CLINIC LOCATIONS. AMITA HEALTH HAS AN EXTENSIVE PROVIDER NETWORK OF OVER 7,000 HOSPITAL-AFFILIATED PHYSICIANS, AND THE AMITA HEALTH MEDICAL GROUP CONSISTS OF OVER 800 MULTI-SPECIALTY EMPLOYED PHYSICIANS AND ASSOCIATE PRACTITIONERS, RANKING IT AMONG THE LARGEST REGIONAL MEDICAL GROUPS. AMITA HEALTH'S MISSION IS TO EXTEND THE HEALING MINISTRY OF JESUS BY RESPECTING THE FAITH TRADITIONS OF THE MANY INDIVIDUALS AND FAMILIES IT SERVES ACROSS SUBURBAN CHICAGO. WITH A SACRED MISSION OF EXTENDING THE HEALING MINISTRY OF CHRIST, ADVENTHEALTH (WWW.ADVENTHEALTH.COM) IS A CONNECTED SYSTEM OF CARE FOR EVERY STAGE OF LIFE AND HEALTH. MORE THAN 80,000 SKILLED AND COMPASSIONATE CAREGIVERS IN PHYSICIAN PRACTICES, HOSPITALS, OUTPATIENT CLINICS, SKILLED NURSING FACILITIES, HOME HEALTH AGENCIES AND HOSPICE CENTERS PROVIDE INDIVIDUALIZED, HOLISTIC CARE. A CHRISTIAN MISSION, SHARED VISION, COMMON VALUES, FOCUS ON WHOLE-PERSON HEALTH AND COMMITMENT TO MAKING COMMUNITIES HEALTHIER UNIFY THE SYSTEM'S 45 HOSPITAL CAMPUSES AND HUNDREDS OF CARE SITES IN DIVERSE MARKETS THROUGHOUT NINE STATES. THE COVERED AFFILIATES WITHIN AMITA HEALTH PROVIDE THE COMMUNITY WITH A FULL RANGE OF COMPREHENSIVE HEALTHCARE SERVICES AND ACCESS TO THE MOST ADVANCED MEDICAL TECHNOLOGY. THEIR HEALTHCARE PROFESSIONALS ARE PASSIONATE ABOUT DELIVERING EXCEPTIONAL HEALTHCARE AND ARE PROUD OF THE POWERFUL, CUTTING-EDGE TECHNOLOGY OFFERED BY THE SYSTEM. THE COVERED AFFILIATES WITHIN AMITA HEALTH ALSO OFFER A WIDE RANGE OF COMMUNITY HEALTH SERVICES, CORPORATE WELLNESS PROGRAMS, PREVENTIVE CARE AND EDUCATION. AS CHARITABLE ORGANIZATIONS, THEY RECOGNIZE THAT NOT EVERYONE CAN AFFORD ESSENTIAL MEDICAL SERVICES AND THAT THEIR MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH AMITA HEALTH'S COMMITMENT TO SERVING ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT OR BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY ARE CONSIDERED AND PROVIDED WHEN APPROPRIATE. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY AND MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES INCLUDING, BUT NOT LIMITED TO, EDUCATIONAL AFFILIATIONS, HEALTH SCREENINGS, COUNSELING PROGRAMS, CONTINUING MEDICAL EDUCATION (CME) PROGRAMS AND DONATIONS TO COMMUNITY GROUPS.
Schedule H, Part VI, Line 7 State filing of community benefit report IL
Schedule H (Form 990) 2018
Additional Data


Software ID: 18007697
Software Version: 2018v3.1

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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Presence Chicago Hospitals Network
 
Employer identification number
36-2235165
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) PRIMECARE COMMUNITY HEALTH INC
2211 N Elston Ave STE 301
Chicago,IL60614
36-3845253 501(C)(3) 369,000       General Support
(2) COMMUNITY HEALTH ALLIANCE
3355 Douglas Rd STE 300
South Bend,IL466351780
35-1937156 501(C)(3) 15,000       General Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. ALL ORGANIZATIONS WHICH ARE RECIPIENTS OF GRANT FUNDS ARE TAX-EXEMPT ORGANIZATIONS DESCRIBED IN 501(C)(3) AND THEREFORE THE CORPORATION DOES NOT MONITOR THE USE OF THOSE FUNDS.
Schedule I (Form 990) 2018



Additional Data


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Software Version: 2018v3.1


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Presence Chicago Hospitals Network
 
Employer identification number

36-2235165
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1GARY LIPINSKI MD
 
DIRECTOR
(i)

(ii)
0
-------------
392,917
0
-------------
33,422
0
-------------
22,799
0
-------------
13,750
0
-------------
9,258
0
-------------
472,146
0
-------------
0
2JAMES H KELLEY
 
FORMER OFFICER (END 3/2018)
(i)

(ii)
0
-------------
167,469
0
-------------
742,410
0
-------------
1,378,809
0
-------------
13,750
0
-------------
6,078
0
-------------
2,308,517
0
-------------
227,637
3ANN ERRICHETTI
 
FORMER OFFICER (END 3/2018)
(i)

(ii)
0
-------------
148,824
0
-------------
963,282
0
-------------
1,287,819
0
-------------
8,078
0
-------------
1,403
0
-------------
2,409,405
0
-------------
0
4JEANNIE C FREY
 
FORMER OFFICER (END 3/2018)
(i)

(ii)
0
-------------
88,831
0
-------------
435,931
0
-------------
1,144,932
0
-------------
10,483
0
-------------
3,477
0
-------------
1,683,653
0
-------------
262,648
5JEFFREY M ROONEY
 
FORMER OFFICER (END 3/2018)
(i)

(ii)
0
-------------
133,257
0
-------------
163,335
0
-------------
670,657
0
-------------
13,750
0
-------------
6,377
0
-------------
987,377
0
-------------
83,914
6BETTINA A JOHNSON
 
ASSISTANT TREASURER (END 12/2018)
(i)

(ii)
0
-------------
200,603
0
-------------
61,692
0
-------------
6,813
0
-------------
0
0
-------------
16,099
0
-------------
285,207
0
-------------
0
7MARTIN H JUDD
 
PRESIDENT
(i)

(ii)
453,990
-------------
0
252,500
-------------
0
287,876
-------------
0
19,250
-------------
0
16,019
-------------
0
1,029,636
-------------
0
233,927
-------------
0
8PATRICIA EDDY
 
TREASURER
(i)

(ii)
0
-------------
263,592
0
-------------
160,938
0
-------------
66,603
0
-------------
13,750
0
-------------
22,273
0
-------------
527,157
0
-------------
41,624
9JULIE P ROKNICH
 
SECRETARY
(i)

(ii)
0
-------------
222,620
0
-------------
71,812
0
-------------
5,521
0
-------------
12,842
0
-------------
21,475
0
-------------
334,270
0
-------------
0
10ROBYN PARKER
 
FORMER KEY EMPLOYEE (END 12/2015)
(i)

(ii)
0
-------------
208,000
0
-------------
28,559
0
-------------
10,496
0
-------------
12,008
0
-------------
19,857
0
-------------
278,919
0
-------------
0
11THOMAS KOELBL
 
FORMER KEY EMPLOYEE (END 12/2015)
(i)

(ii)
0
-------------
347,687
0
-------------
338,566
0
-------------
61,316
0
-------------
623,448
0
-------------
16,961
0
-------------
1,387,978
0
-------------
0
12ROBERT MICHAEL DAHL
 
REGIONAL PRESIDENT & CEO - NWC
(i)

(ii)
380,315
-------------
0
170,743
-------------
0
145,981
-------------
0
13,750
-------------
0
19,485
-------------
0
730,273
-------------
0
99,767
-------------
0
13JAMES LEON ROBINSON III
 
PRESIDENT - SJH CHICAGO
(i)

(ii)
390,939
-------------
0
88,527
-------------
0
57,513
-------------
0
729,419
-------------
0
26,396
-------------
0
1,292,795
-------------
0
22,088
-------------
0
14YOLANDE D WILSON-STUBBS
 
PRESIDENT - HFMC LTACH
(i)

(ii)
285,301
-------------
0
150,780
-------------
0
57,840
-------------
0
13,088
-------------
0
15,773
-------------
0
522,783
-------------
0
30,003
-------------
0
15KENNETH PRESTON JONES
 
PRESIDENT - PSFH
(i)

(ii)
361,619
-------------
0
54,016
-------------
0
60,554
-------------
0
13,103
-------------
0
22,008
-------------
0
511,300
-------------
0
24,368
-------------
0
16LAURA L CONCANNON
 
CMO
(i)

(ii)
381,204
-------------
0
62,235
-------------
0
20,008
-------------
0
13,750
-------------
0
20,525
-------------
0
497,721
-------------
0
0
-------------
0
17DAVID J BORDO MD
 
REGIONAL CMO
(i)

(ii)
353,022
-------------
0
44,411
-------------
0
20,197
-------------
0
19,250
-------------
0
10,256
-------------
0
447,136
-------------
0
0
-------------
0
18MARTIN SIGLIN MD
 
CMO - SFH
(i)

(ii)
314,068
-------------
0
22,151
-------------
0
47,687
-------------
0
13,750
-------------
0
16,826
-------------
0
414,482
-------------
0
0
-------------
0
19ROBERT ROSENBERGER
 
REGION CFO METRO CHICAGO
(i)

(ii)
311,868
-------------
0
35,580
-------------
0
8,068
-------------
0
13,750
-------------
0
663
-------------
0
369,929
-------------
0
0
-------------
0
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A RELATED ORGANIZATION OF Presence Chicago Hospitals Network USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT & CEO: -COMPENSATION COMMITTEE, -INDEPENDENT COMPENSATION CONSULTANT, -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 4a Severance or change-of-control payment 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 INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS IN CALENDAR YEAR 2018: ANN ERRICHETTI - $1,188,221 JEANNIE C FREY - $727,448 JAMES H KELLEY - $1,026,946 JEFFREY M ROONEY - $499,990
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan IN ORDER TO ENHANCE THE ABILITY OF PRESENCE HEALTH TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT PERSONNEL BY PROVIDING ELIGIBLE EXECUTIVES WITH ADDITIONAL RETIREMENT BENEFITS ON A DEFERRED BASIS, A RELATED ORGANIZATION MAINTAINS AN UNFUNDED SUPPLEMENTAL RETIREMENT PLAN (THE "PLAN") FOR A SELECT GROUP OF MANAGEMENT, WHICH IS INTENDED TO COMPLY WITH SECTION 457(F), AND SECTION 409A OF THE INTERNAL REVENUE CODE. A RELATED ORGANIZATION CREDITS TO SUCH ELIGIBLE EXECUTIVE'S RETIREMENT ACCOUNT AN AMOUNT BASED ON A PERCENTAGE OF SALARY. EARNINGS AND/OR LOSSES ON INVESTMENTS ARE CREDITED AT A RATE EQUAL TO THE RATE OF RETURN OVER THE SAME PERIOD ON INVESTMENT OPTIONS SELECTED BY THE ELIGIBLE EXECUTIVE. ELIGIBLE EXECUTIVES ARE ENTITLED TO RECEIVE BENEFITS ON THE EARLIEST OF (I)JANUARY 1 OF THE THIRD CALENDAR YEAR BEGINNING AFTER THE YEAR IN WHICH SUCH CONTRIBUTION IS CREDITED, (II) ATTAINING AGE 62, OR (III) ATTAINING THE AGE OF 60 IF THE ELIGIBLE EXECUTIVE HAS COMPLETED TEN (10) YEARS OF SERVICE. THE FOLLOWING LISTED INDIVIDUALS BECAME VESTED IN SUPPLEMENTAL RETIREMENT BENEFITS UNDER THE SERP, AND THEREFORE HAD BENEFITS INCLUDED IN THEIR TAXABLE INCOME: MARTIN H JUDD - $233,927 PATRICIA EDDY - $41,624 ROBERT M DAHL - $99,767 JAMES L ROBINSON III - $22,088 YOLANDE D WILSON-STUBBS - $30,003 KENNETH P JONES - $24,368 JAMES H KELLEY - $227,637 JEANNIE C FREY - $262,648 JEFFREY M ROONEY - $83,914 THE FOLLOWING LISTED INDIVIDUALS PARTICIPATED IN THE ORGANIZATION'S SECTION 457(F) PLAN AND EARNED UNVESTED BENEFITS DURING 2018 WHICH ARE REPORTED IN COLUMN (C): GARY LIPINSKI - $13,750 MARTIN H JUDD - $19,250 PATRICIA EDDY - $13,750 JULIE P ROKNICH - $12,842 ROBERT M DAHL - $13,750 JAMES L ROBINSON III - $729,419 YOLANDE D WILSON-STUBBS - $13,088 KENNETH P JONES - $13,103 LAURA L CONCANNON - $13,750 DAVID J BORDO - $19,250 MARTIN SIGLIN - $13,750 ROBERT ROSENBERGER - $13,750 JAMES H KELLEY - $13,750 ANN ERRICHETTI - $8,078 JEANNIE C FREY - $10,483 JEFFREY M ROONEY -$13,750 ROBYN PARKER - $12,008 THOMAS KOELBL - $623,448
Schedule J (Form 990) 2018
Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Presence Chicago Hospitals Network
 
Employer identification number

36-2235165
Return Reference Explanation
Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENT The activity of PRESENCE CHICAGO HOSPITALS NETWORK is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of PRESENCE CHICAGO HOSPITALS NETWORK is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of PRESENCE CHICAGO HOSPITALS NETWORK.
Form 990, Part V, Line 1a FORM 1096 TRANSMITTAL OF US 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, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. ALL OF THE CORPORATION'S 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 V, Line 2a 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 CORPORATION'S 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 VI, Line 15a Process for Determining Compensation of Top Management Officials The process for determining compensation of the organization's CEO, Executive Director, or Top Management Official is performed by a related organization. The process includes review and approval by independent persons of the related organization's compensation committee, use of comparability data, and contemporaneous substantiation of deliberation and decision regarding the compensation arrangement. The compensation committee is charged with overseeing the process in a manner designed to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.
Form 990, Part VI, Line 15b Process for Determining Compensation of Other Officers and key Employees The process for determining compensation of the organization's other officers or key employees is performed by a related organization. The process includes review and approval by independent persons of the related organization's compensation committee, use of comparability data, and contemporaneous substantiation of deliberation and decision regarding the compensation arrangement. The compensation committee is charged with overseeing the process in a manner designed to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.
Form 990, Part VI, Line 4 Significant changes to organizational documents THE ORGANIZATION'S ARTICLES AND BYLAWS WERE AMENDED EFFECTIVE JUNE 19, 2019 TO REFLECT THE APPOINTMENT OF ASCENSION HEALTH ALLIANCE AS ITS TREASURY AGENT TO CONTROL FINANCES AND FINANCIAL POLICIES OF THE CORPORATION AND TO PERFORM BANKING, FINANCE AND OTHER TREASURY FUNCTIONS.
Form 990, Part VI, Line 6 Classes of members or stockholders PRESENCE CHICAGO HOSPITALS NETWORK HAS A SINGLE CORPORATE MEMBER, PRESENCE CARE TRANSFORMATION CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body PRESENCE CHICAGO HOSPITALS NETWORK HAS A SINGLE CORPORATE MEMBER, PRESENCE CARE TRANSFORMATION CORPORATION, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF PRESENCE CHICAGO HOSPITALS NETWORK.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO PRESENCE CHICAGO HOSPITALS NETWORK'S FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, PRESENCE CARE TRANSFORMATION CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD.
Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE.
Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST.
Form 990, Part VII, Section A, Line 1a 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 VIII, Line 11d Other Miscellaneous Revenue Miscellaneous Revenue - Total Revenue: 4584835, Related or Exempt Function Revenue: 1575607, Unrelated Business Revenue: 388460, Revenue Excluded from Tax Under Sections 512, 513, or 514: 2620768;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers To/From Affiliates - -52869304;
Form 990, Part XII, Line 3a PART XII, LINES 3A AND 3B ASCENSION HEALTH ALLIANCE COMPLETES A CONSOLIDATED SINGLE AUDIT (FORMERLY KNOWN AS A-133 AUDIT) WHICH INCLUDES ALL ENTITIES FOR WHICH IT IS THE ULTIMATE PARENT ORGANIZATION WHETHER THEY EXPENDED FEDERAL FUNDS DURING THE YEAR OR NOT.
Form 990, Part XII, Line 2c Change of oversight process or selection process PRESENCE CHICAGO HOSPITALS NETWORK is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.
Form 990, Page 1, Box C d/b/a NAMES PRESENCE CHICAGO HOSPITALS NETWORK ALSO OPERATES UNDER THE FOLLOWING ASSUMED NAMES: - Cana Health - New Beginnings Prenatal Program - Programma Prenatal Nueva Vida - Presence Resurrection Retirement Community - Presence Answering Service - Presence Infusion Care-Evanston - Presence Infusion Care-Park Ridge - Harborview Recovery Center - Keys to Recovery - SFH Prof Bldg Pharmacy - Presence Nazareth Family Center Pharmacy - The Apothecary-Chicago - Presence Saint Elizabeth Hospital - Presence Saints Mary and Elizabeth Hospital - Presence Saint Mary of Nazareth Hospital - Presence Saints Mary and Elizabeth Medical Center - Presence Saint Joseph Hospital-Chicago - Presence Saint Francis Hospital - Presence Resurrection Medical Center - PSMEMC Center for Cancer and Specialty Care Pharmacy - PSMEMC Infusion - AMITA Health Holy Family Medical Center Des Plaines - AMITA Health Resurrection Medical Center Chicago - AMITA Health Saint Francis Hospitals Evanston - AMITA Health Saints Mary and Elizabeth Medical Center Chicago - RMC Cardiology
Form 990, Page 1 Box J - Website Presence Chicago Hospitals Network does not have its own direct website; however, Presence Chicago Hospitals Network operates the following hospitals which have their own websites as follows: Presence Saint Joseph Hospital Chicago- https://www.amitahealth.org/our-locations/hospitals/amita-health-saint-joseph-hospital-chicago/ Presence Resurrection Medical Center- https://www.amitahealth.org/our-locations/hospitals/amita-health-resurrection-medical-center-chicago/ Presence Saint Francis Hospital- https://www.amitahealth.org/our-locations/hospitals/amita-health-saint-francis-hospital-evanston/ Presence Saint Mary of Nazareth Hospital- https://www.amitahealth.org/our-locations/hospitals/amita-health-saints-mary-and-elizabeth-medical-center-chicago/ Presence Saint Elizabeth Hospital- https://www.amitahealth.org/our-locations/hospitals/amita-health-saints-mary-and-elizabeth-medical-center-chicago/ Presence Holy Family Medical Center- https://www.amitahealth.org/our-locations/hospitals/amita-health-holy-family-medical-center-des-plaines/
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Presence Chicago Hospitals Network
 
Employer identification number

36-2235165
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)AFFINITY HEALTH SYSTEM
1506 Oneida St

Appleton,WI54915
39-1568866
HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC
 
Yes
 
(2)AGAPE COMMUNITY CENTER OF MILWAUKEE INC
6100 NORTH 42ND STREET

MILWAUKEE,WI53209
39-1641846
COMMUNITY CENTER WI 501(c)(3) 7 MINISTRY HEALTH CARE INC
 
Yes
 
(3)ALABAMA PROVIDENCE HEALTHCARE SERVICES
6801 AIRPORT BLVD

MOBILE,AL36608
46-2847744
SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM
 
Yes
 
(4)Alexian Brothers - AHS Midwest Region Health Co
2601 Navistar Drive

Lisle,IL60532
47-2360513
Joint Operating Company IL 501(c)(3) Type II NA
 
 
No
(5)Alexian Brothers Ambulatory Group
2601 Navistar Drive

Lisle,IL60532
36-4336931
Physician services IL 501(c)(3) 3 Alexian Brothers Health System
 
Yes
 
(6)Alexian Brothers Behavioral Health Hospital
1650 Moon Lake Blvd

Hoffman Estates,IL60169
36-4251848
Behavioral health hospital IL 501(c)(3) 3 Alexian Brothers Health System
 
Yes
 
(7)Alexian Brothers Bonaventure House
825 Wellington Avenue

Chicago,IL60657
36-3527899
Housing and supportive care services for persons with HIV/AIDS IL 501(c)(3) 10 Alexian Brothers Health System
 
Yes
 
(8)Alexian Brothers Center for Mental Health
3436 N Kennicott Avenue

Arlington Heights,IL60004
36-3045007
Outpatient community mental health services IL 501(c)(3) 10 Alexian Brothers Health System
 
Yes
 
(9)Alexian Brothers Community Services
12250 Weber Hill Rd Ste 200

St Louis,MO63127
36-4344423
PACE- Comprehensive & Coordinated Community Based Services TN 501(c)(3) 10 Ascension Health Senior Care
 
Yes
 
(10)Alexian Brothers Health System
200 South Wacker Drive

Chicago,IL60606
36-3260495
Supports the provision of healthcare services for related corporations for which it is a member IL 501(c)(3) Type III-FI Ascension Health
 
Yes
 
(11)Alexian Brothers Hospital Network
2601 Navistar Drive

Lisle,IL60532
36-3276552
Supports the provision of healthcare services for related corporations IL 501(c)(3) Type III-FI Alexian Brothers Health System
 
Yes
 
(12)ALEXIAN BROTHERS LANSDOWNE VILLAGE
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
43-1470362
SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(13)Alexian Brothers Medical Care Group NFP
2601 Navistar Drive

Lisle,IL60532
47-1930457
Physician services IL 501(c)(3) 3 Alexian Brothers Health System
 
Yes
 
(14)Alexian Brothers Medical Center
800 Biesterfield Road

Elk Grove Village,IL60007
36-2596381
Acute care hospital TX 501(c)(3) 3 Alexian Brothers Health System
 
Yes
 
(15)Alexian Brothers Medical Group Specialty Care
2601 Navistar Drive

Lisle,IL60532
81-1110738
SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM
 
Yes
 
(16)Alexian Brothers of San Jose Inc
2601 Navistar Drive

Lisle,IL60532
94-1530037
Acute care hospital (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System
 
Yes
 
(17)Alexian Brothers Senior Ministries
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
36-4484290
Supports the provision of healthcare for related corporations IL 501(c)(3) Type II Alexian Brothers Health System
 
Yes
 
(18)Alexian Brothers Services Inc
3040 W Salt Creek Ln

Arlington Heights,IL60005
43-1295333
HUD housing MO 501(c)(3) 10 Alexian Brothers Health System
 
Yes
 
(19)ALEXIAN BROTHERS SHERBROOKE VILLAGE
12250 Weber Hill Rd Ste 200

St Louis,MO63127
43-1592502
SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(20)Alexian Brothers Specialty Group
2601 Navistar Drive

Lisle,IL60532
80-0710751
Specialty physician practice group IL 501(c)(3) 3 Alexian Brothers Health System
 
Yes
 
(21)ALEXIAN VILLAGE OF MILWAUKEE INC
12250 Weber Hill Rd Ste 200

St Louis,MO63127
39-1351584
CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(22)ALEXIAN VILLAGE OF TENNESSEE
12250 Weber Hill Rd Ste 200

St Louis,MO63127
62-1136742
CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(23)ALVERNO PROVENA HOSPITAL LABORATORIES INC
2434 Interstate Plaza Drive

Hammond,IN46234
20-3238867
HEALTH CARE IN 501(c)(3) 3 Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL
S NETWORK
Yes
 
(24)AMERICAN SPORTS MEDICINE INSTITUTE
2660 10TH AVENUE SOUTH NO 505

BIRMINGHAM,AL35205
63-0952490
SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM
 
Yes
 
(25)ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME
1190 E 2900 N ROAD

CLIFTON,IL60927
36-2841358
RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS
 
Yes
 
(26)ASCENSION MICHIGAN CMG
28000 DEQUINDRE ROAD

WARREN,MI48092
38-2601348
HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE
 
Yes
 
(27)ASCENSION ALL SAINTS HOSPITAL INC
3801 SPRING STREET

RACINE,WI53405
39-1264986
HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
 
Yes
 
(28)ASCENSION ARIZONA
2202 N FORBES BLVD

TUCSON,AZ85745
86-0455920
HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(29)ASCENSION BORGESS FOUNDATION
1521 GULL ROAD

KALAMAZOO,MI49048
23-7222558
FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION BORGESS HOSPITAL
 
Yes
 
(30)ASCENSION BORGESS HOSPITAL
1521 GULL ROAD

KALAMAZOO,MI49048
38-1360526
HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(31)ASCENSION BORGESS LEE FOUNDATION
420 W HIGH STREET

DOWAGIAC,MI49047
38-2860459
FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION BORGESS-LEE HOSPITAL
 
Yes
 
(32)ASCENSION BORGESS-LEE HOSPITAL
420 WEST HIGH STREET

DOWAGIAC,MI49047
38-1490190
HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(33)ASCENSION BRIGHTON CENTER FOR RECOVERY
12851 GRAND RIVER

BRIGHTON,MI48116
38-1576680
HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(34)ASCENSION CALUMET HOSPITAL INC
614 MEMORIAL DRIVE

CHILTON,WI53014
39-0905385
HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(35)Ascension Care Management Insurance Holdings (FKA Global Health Partnership
)101 South Hanley Ste 450

St Louis,MO63105
46-1121862
Health care MO 501(c)(3) 7 Ascension Health Alliance
 
Yes
 
(36)ASCENSION EAGLE RIVER HOSPITAL INC
201 HOSPITAL ROAD

EAGLE RIVER,WI54521
39-0985690
HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(37)ASCENSION EASTWOOD BEHAVIORAL HEALTH
28000 DEQUINDRE ROAD

WARREN,MI48092
38-1958763
HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE
 
Yes
 
(38)ASCENSION GENESYS FOUNDATION
ONE GENESYS PARKWAY

GRAND BLANC,MI484398065
38-3591148
FOUNDATION MI 501(c)(3) Type I GENESYS HEALTH SYSTEM
 
Yes
 
(39)ASCENSION GENESYS HOSPITAL
ONE GENESYS PARKWAY

GRAND BLANC,MI484398065
38-2377821
HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(40)ASCENSION GOOD SAMARITAN HOSPITAL INC
601 SOUTH CENTER AVENUE

MERRILL,WI54452
39-0808503
HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(41)ASCENSION HEALTH
PO BOX 45998

ST LOUIS,MO63145
31-1662309
NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE
 
 
No
(42)ASCENSION HEALTH - IS INC
PO BOX 45998

ST LOUIS,MO63145
65-1257719
SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE
 
Yes
 
(43)ASCENSION HEALTH ALLIANCE
PO BOX 45998

ST LOUIS,MO63145
45-3358926
NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA
 
 
No
(44)ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T
RUST4600 EDMUNDSON RD

ST LOUIS,MO63134
36-7046706
SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE
 
Yes
 
(45)ASCENSION HEALTH GLOBAL MISSION
101 SOUTH HANLEY
SUITE 450
ST LOUIS,MO63105
65-1205990
SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE
 
Yes
 
(46)ASCENSION HEALTH SENIOR CARE
12250 Weber Hill Road

St Louis,MO63127
43-1227406
PARENT COMPANY MO 501(c)(3) Type I ASCENSION HEALTH
 
Yes
 
(47)ASCENSION WELFARE BENEFITS TRUST
PO BOX 46944

ST LOUIS,MO63146
43-1601369
TRUST MO 501(c)(9)   ASCENSION HEALTH
 
Yes
 
(48)ASCENSION LIVING - LAKESHORE AT SIENA INC
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
82-4710412
RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(49)ASCENSION MACOMB OAKLAND HOSPITAL
28000 DEQUINDRE ROAD

WARREN,MI48092
38-3322109
HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(50)ASCENSION MEDICAL GROUP MICHIGAN
28000 Dequnidre Rd

WARREN,MI48092
38-3494637
HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE
 
Yes
 
(51)ASCENSION MEDICAL GROUP PROMED
1521 GULL ROAD

KALAMAZOO,MI49048
38-3193801
HEALTHCARE SERVICES MI 501(c)(3) 10 BORGESS HEALTH ALLIANCE INC
 
Yes
 
(52)ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC
1570 APPLETON RD

MENASHA,WI54952
39-1127163
CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM
 
Yes
 
(53)ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC
824 ILLINOIS AVENUE

STEVENS POINT,WI54481
39-1965593
MEDICAL GROUP WI 501(c)(3) Type III-FI MINISTRY HEALTH CARE INC
 
Yes
 
(54)ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
400 WEST RIVER WOODS PARKWAY

GLENDALE,WI53212
39-1791586
MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
 
Yes
 
(55)ASCENSION MICHIGAN
28000 DEQUINDRE ROAD

WARREN,MI48092
38-2631907
HEALTH CARE MI 501(c)(3) Type I ASCENSION HEALTH
 
Yes
 
(56)ASCENSION MINISTRY AND MISSION FUND
PO BOX 45998

ST LOUIS,MO63145
27-3174701
SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE
 
Yes
 
(57)ASCENSION NE WISCONSIN INC
1506 S ONEIDA STREET

APPLETON,WI54915
39-0816818
HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(58)ASCENSION OUR LADY OF VICTORY HOSPITAL INC
1120 PINE STREET

STANLEY,WI54768
39-0807065
HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(59)ASCENSION PROVIDENCE
6901 MEDICAL PARKWAY

WACO,TX76712
74-1109636
HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS
 
Yes
 
(60)ASCENSION PROVIDENCE FOUNDATION
22101 MOROSS

DETROIT,MI48236
38-3526629
FUNDRAISING MI 501(c)(3) Type III-FI ST JOHN PROVIDENCE
 
Yes
 
(61)ASCENSION PROVIDENCE HOSPITAL
16001 WEST NINE MILE ROAD

SOUTHFIELD,MI48037
38-1358212
HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(62)ASCENSION PROVIDENCE ROCHESTER FOUNDATION FKA CRITTENTON HOSPITAL MEDICAL C
ENTER FOUNDATION1101 WEST UNIVERSITY DR

ROCHESTER,MI48307
38-2627336
SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL
 
Yes
 
(63)ASCENSION PROVIDENCE ROCHESTER HOSPITAL
1101 W UNIVERSITY DR

ROCHESTER,MI48307
38-1359247
GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(64)ASCENSION RIVER DISTRICT HOSPITAL
4100 RIVER ROAD

EAST CHINA,MI48054
38-3160564
HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(65)ASCENSION SACRED HEART-STMARY'S HOSPITALS INC
PO BOX 347

STEVENS POINT,WI54481
39-1390638
HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(66)ASCENSION SE WISCONSIN HOSPITAL INC
5000 WEST CHAMBERS STREET

MILWAUKEE,WI53210
39-0816857
HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
 
Yes
 
(67)ASCENSION SETON
1345 PHILOMENA STREET

AUSTIN,TX78723
74-1109643
DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS
 
Yes
 
(68)ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH
28000 DEQUINDRE ROAD

WARREN,MI48092
38-2262856
HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE
 
Yes
 
(69)ASCENSION ST CLARE'S HOSPITAL INC
3400 MINISTRY PARKWAY

WESTON,WI54476
72-1531917
HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(70)ASCENSION ST FRANCIS HOSPITAL INC
3237 SOUTH 16TH STREET

MILWAUKEE,WI53215
39-0907740
HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
 
Yes
 
(71)ASCENSION ST JOHN FOUNDATION
22101 MOROSS

DETROIT,MI48236
20-2961579
FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE
 
Yes
 
(72)ASCENSION ST JOHN HOSPITAL
28000 DEQUINDRE ROAD

WARREN,MI48092
38-1359063
HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(73)ASCENSION ST JOSEPH FOUNDATION
200 HEMLOCK ROAD

TAWAS CITY,MI48763
01-0790428
FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH'S HOSPITAL
 
Yes
 
(74)ASCENSION ST JOSEPH'S HOSPITAL
200 HEMLOCK ROAD

TAWAS CITY,MI48763
38-1443395
HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(75)ASCENSION ST MARY'S FOUNDATION
800 S WASHINGTON AVENUE

SAGINAW,MI48601
38-2246366
FUNDRAISING MI 501(c)(3) Type II ASCENSION ST MARY'S HOSPITAL
 
Yes
 
(76)ASCENSION ST MARY'S HOSPITAL
800 S WASHINGTON AVENUE

SAGINAW,MI48601
38-0997730
HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(77)ASCENSION ST MICHAEL'S HOSPITAL INC
900 ILLINOIS AVENUE

STEVENS POINT,WI54481
39-0808443
HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(78)ASCENSION STANDISH HOSPITAL
805 WEST CEDEAR STREET

STANDISH,MI48658
38-1671120
HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(79)ASCENSION TEXAS
1345 PHILOMENA STREET

AUSTIN,TX78723
45-4364243
DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH
 
Yes
 
(80)ASCENSION VIA CHRISTI HEALTH PARTNERS INC
8200 E THORN DRIVE

WICHITA,KS67226
48-0958974
MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC
 
Yes
 
(81)ASCENSION VIA CHRISTI HEALTH INC
8200 E THORN DRIVE

WICHITA,KS67226
48-1172107
HEALTH SYSTEM PARENT KS 501(c)(3) Type III-FI ASCENSION HEALTH
 
Yes
 
(82)ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC
1823 COLLEGE AVENUE

MANHATTAN,KS66502
48-1186704
HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC
 
Yes
 
(83)ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC
1 MT CARMEL WAY

PITTSBURG,KS66762
48-0543778
HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC
 
Yes
 
(84)ASCENSION VIA CHRISTI HOSPITAL WICHITA ST TERESA INC
14800 W ST TERESA

WICHITA,KS67235
27-1965272
HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC
 
Yes
 
(85)ASCENSION VIA CHRISTI HOSPITALS WICHITA INC
929 N SAINT FRANCIS

WICHITA,KS67214
48-1172106
HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC
 
Yes
 
(86)ASCENSION VIA CHRISTI PROPERTY SERVICES INC
8200 E THORN DRIVE

WICHITA,KS67226
48-0948571
PROPERTY MANAGEMENT KS 501(c)(4)   ASCENSION VIA CHRISTI HOSPITALS WICHITA INC
 
Yes
 
(87)ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC
1151 N ROCK ROAD

WICHITA,KS67206
48-1158274
REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC
 
Yes
 
(88)ASCENSION WISCONSIN LABORATORIES INC
3237 SOUTH 16TH STREET

MILWAUKEE,WI53215
39-1701402
LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
 
Yes
 
(89)ASCENSION WISCONSIN PHARMACYINC
19525 WEST NORTH AVENUE

BROOKFIELD,WI53005
39-1613624
PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
 
Yes
 
(90)BAPTIST HEALTH CARE AFFILIATES INC
2000 CHURCH STREET

NASHVILLE,TN37236
58-1509251
COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK
 
Yes
 
(91)BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC
2000 CHURCH STREET

NASHVILLE,TN37236
58-1861378
INACTIVE TN 501(c)(3) Type I SAINT THOMAS MIDTOWN HOSPITAL
 
Yes
 
(92)BLUE LADIES MINERALS INC
1345 PHILOMENA STREET

AUSTIN,TX78723
74-2971975
OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(c)(3) Type III-FI SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC
 
Yes
 
(93)BORGESS AMBULATORY CARE CORPORATION
1521 GULL ROAD

KALAMAZOO,MI49048
38-2468823
HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC
 
Yes
 
(94)BORGESS HEALTH ALLIANCE INC
1521 GULL ROAD

KALAMAZOO,MI49048
38-2335286
HEALTH SYSTEM PARENT MI 501(c)(3) Type III-FI ASCENSION MICHIGAN
 
Yes
 
(95)BORGESS NURSING HOME INC
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
38-2555589
SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(96)CARONDELET FOUNDATION INC
2202 N FORBES BLVD

TUSCON,AZ85716
86-0749574
FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA
 
Yes
 
(97)CARONDELET HEALTH
1000 CARONDELET DRIVE

KANSAS CITY,MO63145
43-1276738
HEALTH SYSTEM PARENT MO 501(c)(3) Type III-FI ASCENSION HEALTH
 
Yes
 
(98)CARONDELET HEART & VASCULAR INSTITUTE
2202 N FORBES BLVD

TUCSON,AZ85745
56-1943271
INACTIVE HOSPITAL AZ 501(c)(3) 3 ASCENSION ARIZONA
 
Yes
 
(99)CARONDELET LONG-TERM CARE FACILITIES INC
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
74-2505427
SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(100)CARONDELET REGIONAL MEDICAL PC
427 GUY PARK AVE

AMSTERDAM,NY12010
81-4769136
MEDICAL GROUP NY 501(c)(3) 3 ST MARY'S HEALTHCARE
 
Yes
 
(101)CATALPA HEALTH INC
N4642 COUNTY N

APPLETON,WI54914
45-4681563
BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM
 
Yes
 
(102)CENTER FOR GERONTOLOGY
5455 ALI DRIVE DEPT200

GRAND BLANC,MI484395195
38-2514708
ADULT DAY CARE MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH SERVICES
 
Yes
 
(103)CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC
2001 W 86TH STREET

INDIANAPOLIS,IN46260
35-1869951
FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC
 
Yes
 
(104)CMC FOUNDATION OF CENTRAL TEXAS
1345 PHILOMENA STREET

AUSTIN,TX78723
20-0468031
FUNDRAISING TX 501(c)(3) Type I ASCENSION TEXAS
 
Yes
 
(105)COLUMBIA COLLEGE OF NURSING Inc
4425 NORTH PORT WASHINGTON ROAD

GLENDALE,WI53212
39-1596986
COLLEGE WI 501(c)(3) 2 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC
 
Yes
 
(106)COLUMBIA ST MARY'S FOUNDATION INC
400 W RIVER WOODS PKWY

GLENDALE,WI53212
39-1494981
FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC
 
Yes
 
(107)COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC
4425 NORTH PORT WASHINGTON ROAD

GLENDALE,WI53212
39-0806315
HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC
 
Yes
 
(108)COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC
4425 NORTH PORT WASHINGTON ROAD

GLENDALE,WI53212
39-0807063
HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC
 
Yes
 
(109)COLUMBIA ST MARY'S HOSPITAL INC
400 WEST RIVER WOODS PARKWAY

GLENDALE,WI53212
39-1834639
HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH
 
Yes
 
(110)CORNERSTONE ASSISTED LIVING INC
2622 W Central Suite 100

Wichita,KS67203
48-1241079
RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(111)CRITTENTON CANCER CENTER
1101 WEST UNIVERSITY DR

ROCHESTER,MI48307
38-3239057
CANCER TREATMENT MI 501(c)(3) 10 ASCENSION PROVIDENCE ROCHESTER HOSPITAL
 
Yes
 
(112)DELL CHILDREN'S MEDICAL GROUP
1345 PHILOMENA STREET

AUSTIN,TX78723
74-2800601
DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION
 
Yes
 
(113)DR KATE NEWCOMB CONVALESCENT CENTER INC
PO BOX 829

WOODRUFF,WI54568
39-1357365
NURSING/ASSISTED LIVING SERVICES WI 501(c)(3) 10 HOWARD YOUNG HEALTH CARE INC
 
Yes
 
(114)FIELD NEUROSCIENCES INSTITUTE
800 S WASHINGTON AVENUE

SAGINAW,MI48601
38-2790703
MEDICAL RESEARCH ORGANIZATION MI 501(c)(3) 10 ASCENSION ST MARY'S HOSPITAL
 
Yes
 
(115)FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC
3400 MINISTRY PARKWAY

WESTON,WI54476
75-3193633
FOUNDATION WI 501(c)(3) Type I ASCENSION ST CLARE'S HOSPITAL INC
 
Yes
 
(116)FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD Inc
611 SAINT JOSEPH AVENUE

MARSHFIELD,WI54449
39-1684957
FOUNDATION WI 501(c)(3) Type I SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC
 
Yes
 
(117)GENESYS AMBULATORY HEALTH SERVICES
5455 ALI DR DEPT 200

GRAND BLANC,MI484395195
38-2371754
HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM
 
Yes
 
(118)GENESYS CONVALESCENT CENTER
8481 HOLLY ROAD

GRAND BLANC,MI484391812
38-2317364
CONVALESCENT CENTER MI 501(c)(3) 3 GENESYS AMBULATORY HEALTH SERVICES
 
Yes
 
(119)GENESYS HEALTH SYSTEM
ONE GENESYS PARKWAY

GRAND BLANC,MI484398065
38-3339703
HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN
 
Yes
 
(120)GLOBAL SOLIDARITY FUND
101 SOUTH HANLEY
SUITE 200
ST LOUIS,MO63105
83-1078006
SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE
 
Yes
 
(121)GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC
601 SOUTH CENTER AVENUE

MERRILL,WI54452
39-1627755
FOUNDATION WI 501(c)(3) Type I ASCENSION GOOD SAMARITAN HOSPITAL INC
 
Yes
 
(122)GULF COAST HEALTH SYSTEM
6801 AIRPORT BLVD

MOBILE,AL36608
63-0934712
HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM
 
Yes
 
(123)HAVEN OF OUR LADY OF PEACE INC
5151 N 9TH AVENUE

PENSACOLA,FL32504
59-3620346
NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM
 
Yes
 
(124)HEALTHCARE COLLABORATIVE
1345 PHILOMENA STREET

AUSTIN,TX78723
27-3220767
DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION
 
Yes
 
(125)HOWARD YOUNG FOUNDATION INC
240 MAPLE STREET

WOODRUFF,WI54568
39-1521169
CHARITABLE FOUNDATION WI 501(c)(3) 7 HOWARD YOUNG HEALTH CARE INC
 
Yes
 
(126)HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREET

WOODRUFF,WI54568
39-1499115
HOME OFFICE WI 501(c)(3) Type II MINISTRY HEALTH CARE INC
 
Yes
 
(127)JANE PHILLIPS MEMORIAL MEDICAL CENTER
3500 E FRANK PHILLIPS BLVD

BARTLESVILLE,OK74006
73-0606129
HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(128)JANE PHILLIPS NOWATA HOSPITAL INC
237 SOUTH LOCUST

NOWATA,OK74048
73-1440267
HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(129)LaVerna Terrace Housing Corporation
18927 HICKORY CREEK DRIVE
SUITE 300
MOKENA,IL60448
36-3438977
LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS
 
Yes
 
(130)LOURDES FOUNDATION
520 NORTH 4TH AVENUE

PASCO,WA99301
91-1528577
FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO
 
Yes
 
(131)Lourdes Realty Corporation Inc
169 Riverside Drive

Binghamton,NY13905
22-2873637
Rental of Health Care Facilities NY 501(c)(2)   Our Lady of Lourdes Memorial Hospital Inc
 
Yes
 
(132)MEDICAL SERVICES ENHANCEMENT INC
427 GUY PARK AVE

AMSTERDAM,NY12010
14-1776546
MEDICAL OFFICE BUILDING NY 501(c)(25)   ST MARY'S HEALTHCARE
 
Yes
 
(133)MEDICARE VALUE PARTNERS
2380 E Dempster Street

DES PLAINES,IL60016
36-3495969
HEALTH CARE IL 501(c)(3) 10 Presence Health Partners Services
 
Yes
 
(134)MERCY HEALTH FOUNDATION INC
PO BOX 3370

OSHKOSH,WI54903
23-7140261
FOUNDATION WI 501(c)(3) 10 AFFINITY HEALTH SYSTEM
 
Yes
 
(135)METRO PHYSICIANS INC
400 WEST RIVER WOODS PARKWAY

GLENDALE,WI53212
94-3436893
Medical Group WI 501(c)(3) 3 ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
 
Yes
 
(136)MINISTRY HEALTH CARE INC
10925 W LAKE PARK DR STE 100

MILWAUKEE,WI53224
39-1490371
PARENT CORPORATION WI 501(c)(3) Type II ASCENSION HEALTH
 
Yes
 
(137)MINISTRY WEIGHT MANAGEMENT INC
2251 NORTH SHORE DRIVE

RHINELANDER,WI54501
39-1829015
SPECIALTY HEALTH SERVICES WI 501(c)(3) 3 ASCENSION SACRED HEART-STMARY'S HOSPITALS INC
 
Yes
 
(138)OUR LADY OF LOURDES HOSPITAL AT PASCO
520 NORTH 4TH AVENUE

PASCO,WA99301
91-0349750
HEALTHCARE WA 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(139)OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
169 RIVERSIDE DRIVE

BINGHAMTON,NY13905
15-0532221
HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(140)OUR LADY OF PEACE INC
5285 Lewiston Road

Lewiston,NY14092
16-1608735
SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(141)OWASSO MEDICAL FACILITY INC
1923 SOUTH UTICA AVENUE

TULSA,OK74104
20-3700131
HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(142)PRESENCE AMBULATORY SERVICES
2380 E Dempster Street

DES PLAINES,IL60016
36-4286236
HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation
 
Yes
 
(143)PRESENCE BEHAVIORAL HEALTH
1820 SOUTH 25TH AVENUE

BROADVIEW,IL60155
36-2709982
HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation
 
Yes
 
(144)PRESENCE CARE HOME
18927 HICKORY CREEK DR 300

MOKENA,IL60448
46-0483587
HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION
 
Yes
 
(145)PRESENCE CARE TRANSFORMATION CORPORATION
200 South Wacker Drive

Chicago,IL60606
36-3366652
MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System
 
Yes
 
(146)PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
200 South Wacker Drive

Chicago,IL60606
36-4195126
HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation
 
Yes
 
(147)PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES
200 SOUTH WACKER DRIVE

CHICAGO,IL60606
36-3330929
FUNDRAISING IL 501(c)(3) 7 Alexian Brothers Health System
 
Yes
 
(148)PRESENCE HEALTH PARTNERS SERVICES
2380 E DEMPSTER AVE STE 236

DES PLAINES,IL60016
36-2644178
HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System
 
Yes
 
(149)PRESENCE HEALTHCARE SERVICES
2380 E Dempster Street

DES PLAINES,IL60016
36-3330928
HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation
 
Yes
 
(150)PRESENCE HOME CARE
18927 HICKORY CREEK DR 300

MOKENA,IL60448
46-0483581
HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION
 
Yes
 
(151)PRESENCE LIFE CONNECTIONS
18927 HICKORY CREEK DRIVE 300

MOKENA,IL60448
37-1127787
RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(152)PRESENCE SENIOR SERVICES CHICAGOLAND
100 NORTH RIVER ROAD

DES PLAINES,IL60016
23-7061646
RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(153)PRIMARY PHYSICIAN NETWORK LLC
3700 WASHINGTON AVENUE

EVANSVILLE,IN47750
20-8775914
DORMANT IN 501(c)(3) 10 ST MARY'S HEALTH INC
 
Yes
 
(154)PROVIDENCE BUILDING CORPORATION
6801 AIRPORT BLVD

MOBILE,AL36608
63-0914564
SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2)   GULF COAST HEALTH SYSTEM
 
Yes
 
(155)PROVIDENCE FOUNDATION
6801 AIRPORT BLVD

MOBILE,AL36608
63-0915493
SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM
 
Yes
 
(156)PROVIDENCE FOUNDATION INC
6901 MEDICAL PARKWAY

WACO,TX76712
74-2683112
SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE
 
Yes
 
(157)PROVIDENCE HEALTH ALLIANCE
6901 MEDICAL PARKWAY

WACO,TX76712
74-2696970
PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE
 
Yes
 
(158)PROVIDENCE HEALTH FOUNDATION INC
1150 VARNUM STREET NE

WASHINGTON,DC20017
52-1275583
FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL
 
Yes
 
(159)PROVIDENCE HEALTH SERVICES INC
1150 VARNUM STREET NE

WASHINGTON,DC20017
52-1275587
PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL
 
Yes
 
(160)PROVIDENCE HOSPITAL
6801 AIRPORT BLVD

MOBILE,AL36608
63-0288861
HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM
 
Yes
 
(161)PROVIDENCE HOSPITAL
1150 VARNUM STREET NE

WASHINGTON,DC20017
53-0196636
HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(162)PROVIDENCE PARK INC
300 W Highway 6

Waco,TX76712
61-1759304
SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(163)RAINBOW HOSPICE AND PALLIATIVE CARE
1550 BISHOP COURT

MOUNT PROSPECT,IL60056
36-3296367
HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation
 
Yes
 
(164)SACRED HEART FOUNDATION INC
5151 N 9TH AVENUE

PENSACOLA,FL32504
59-2436597
FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM
 
Yes
 
(165)SACRED HEART HEALTH SYSTEM INC
5151 N 9TH AVENUE

PENSACOLA,FL32504
59-0634434
HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC
 
Yes
 
(166)SACRED HEART HEALTH VENTURES INC
5151 N 9TH AVENUE

PENSACOLA,FL32504
57-1183283
INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM
 
Yes
 
(167)SACRED HEART REHABILITATION INSTITUTE Inc
4425 NORTH PORT WASHINGTON ROAD

GLENDALE,WI53212
39-0902199
REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC
 
Yes
 
(168)SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
1200 GRANT BLVD WEST

WABASHA,MN55981
41-0693877
HOSPITAL MN 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(169)SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC
611 SAINT JOSEPH AVENUE

MARSHFIELD,WI54449
39-0847631
HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(170)SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC
900 ILLINOIS AVENUE

STEVENS POINT,WI54481
39-1657410
FOUNDATION WI 501(c)(3) Type I ASCENSION ST MICHAEL'S HOSPITAL INC
 
Yes
 
(171)SAINT THOMAS HEALTH
4220 HARDING ROAD

NASHVILLE,TN37205
58-1716804
SYSTEM PARENT TN 501(c)(3) Type III-FI ASCENSION HEALTH
 
Yes
 
(172)SAINT THOMAS HEALTH FOUNDATIONS
PO BOX 380

NASHVILLE,TN37202
58-1663055
OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK
 
Yes
 
(173)SAINT THOMAS HICKMAN HOSPITAL
135 EAST SWAN STREET

CENTERVILLE,TN37033
58-1737573
HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC
 
Yes
 
(174)SAINT THOMAS HOME HEALTH
135 EAST SWAN STREET

CENTERVILLE,TN37033
62-1836937
HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL
 
Yes
 
(175)SAINT THOMAS MEDICAL PARTNERS
2000 CHURCH STREET

NASHVILLE,TN37236
62-1529858
HEALTHCARE PROVIDER TN 501(c)(3) 10 SAINT THOMAS NETWORK
 
Yes
 
(176)SAINT THOMAS MIDTOWN HOSPITAL
4220 HARDING ROAD

NASHVILLE,TN37205
62-1869474
ACUTE CARE HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH
 
Yes
 
(177)SAINT THOMAS NETWORK
4220 HARDING ROAD

NASHVILLE,TN37205
62-1284994
HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH
 
Yes
 
(178)SAINT THOMAS REGIONAL HOSPITALS
4220 HARDING PIKE

NASHVILLE,TN37205
47-4063046
HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH
 
Yes
 
(179)SAINT THOMAS RUTHERFORD FOUNDATION
1700 MEDICAL CENTER PARKWAY

MURFREESBORO,TN37219
62-1167917
FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL
 
Yes
 
(180)SAINT THOMAS RUTHERFORD HOSPITAL
1700 MEDICAL CENTER PARKWAY

MURFREESBORO,TN37219
62-0475842
HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH
 
Yes
 
(181)SAINT THOMAS WEST HOSPITAL
4220 HARDING ROAD

NASHVILLE,TN37205
62-0347580
HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH
 
Yes
 
(182)SALINA REGIONAL HOME MEDICAL SERVICES LLC
520 SOUTH SANTA FE AVE

SALINA,KS67401
43-1948057
MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC
 
Yes
 
(183)Savelli Properties Inc
2601 Navistar Drive

Lisle,IL60532
36-3308965
Owns or leases properties where healthcare services are delivered IL 501(c)(2)   Alexian Brothers Health System
 
Yes
 
(184)SETON CLINICAL ENTERPRISE CORPORATION
1345 PHILOMENA STREET

AUSTIN,TX78723
45-4364681
DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION TEXAS
 
Yes
 
(185)SETON FAMILY OF DOCTORS
1345 PHILOMENA STREET

AUSTIN,TX78723
26-4562522
DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION
 
Yes
 
(186)SETON FAMILY OF PEDIATRIC SURGEONS
1345 PHILOMENA STREET

AUSTIN,TX78723
27-1311790
DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION
 
Yes
 
(187)SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC
1345 PHILOMENA STREET

AUSTIN,TX78723
74-2212968
FUNDRAISING TX 501(c)(3) Type I ASCENSION TEXAS
 
Yes
 
(188)SETON HAYS FOUNDATION
1345 PHILOMENA STREET

AUSTIN,TX78723
26-2842608
FUNDRAISING TX 501(c)(3) Type I ASCENSION TEXAS
 
Yes
 
(189)SETON HEALTH CORPORATION OF SOUTHEAST MICHIGAN
28000 DEQUINDRE

WARREN,MI48092
38-2820107
HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE
 
Yes
 
(190)SETON HOSPITALIST SERVICE
1345 PHILOMENA STREET

AUSTIN,TX78723
45-2498998
DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 ASCENSION SETON
 
Yes
 
(191)SETON INSURANCE SERVICES CORPORATION
1345 PHILOMENA STREET

AUSTIN,TX78723
45-4364813
DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION TEXAS
 
Yes
 
(192)SETON MANOR INC
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
23-2960726
SKILLED NURSING FACILITY PA 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(193)SETON MEDICAL GROUP INC
900 CATON AVENUE

BALTIMORE,MD21229
39-2064992
PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY MD 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC
 
Yes
 
(194)SETON MEDICAL MANAGEMENT
6801 AIRPORT BLVD

MOBILE,AL36608
63-0937704
SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM
 
Yes
 
(195)SETON ORAL & MAXILLOFACIAL SURGERY
1345 PHILOMENA STREET

AUSTIN,TX78723
42-1670843
DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION
 
Yes
 
(196)SETON PROPERTY CORPORATION OF NORTH ALABAMA
810 ST VINCENTS DRIVE

BIRMINGHAM,AL35205
23-7326976
REAL ESTATE AL 501(c)(2)   ST VINCENT'S HEALTH SYSTEM
 
Yes
 
(197)SETON WILLIAMSON FOUNDATION
1345 PHILOMENA STREET

AUSTIN,TX78723
20-5330986
FUNDRAISING TX 501(c)(3) Type I ASCENSION TEXAS
 
Yes
 
(198)SETONUT DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP
1345 PHILOMENA STREET

AUSTIN,TX78723
74-2869762
DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION
 
Yes
 
(199)SJRMC INC
415 6TH STREET

LEWISTON,ID83501
82-0204264
HOSPITAL ID 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(200)SOUTHERN TIER MEDICAL CARE - NY PC
169 RIVERSIDE DRIVE

BINGHAMTON,NY13905
82-1103087
HEALTHCARE NY 501(c)(3) 3 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
 
Yes
 
(201)ST VINCENT'S AMBULATORY CARE INC
4205 BELFORT ROAD SUITE 4020

JACKSONVILLE,FL32216
59-2292041
PHYSICIAN PRACTICE FL 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC
 
Yes
 
(202)ST AGNES FOUNDATION
900 CATON AVENUE

BALTIMORE,MD21229
52-1415083
FUNDRAISING MD 501(c)(3) Type I ST AGNES HEALTHCARE
 
Yes
 
(203)ST AGNES HEALTHCARE INC
900 CATON AVENUE

BALTIMORE,MD21229
52-0591657
HOSPITAL MD 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(204)St Alexius Medical Center
1555 Barrington Road

Hoffman Estates,IL60194
36-4251846
Acute care hospital IL 501(c)(3) 3 Alexian Brothers Health System
 
Yes
 
(205)ST CATHERINE LABOURE MANOR INC
1750 Stockton Street

Jacksonville,FL32204
59-1878316
SKILLED NURSING FACILITY FL 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(206)ST ELIZABETH HOSPITAL FOUNDATION INC
1506 S ONEIDA STREET

APPLETON,WI54915
39-1256677
FOUNDATION WI 501(c)(3) 7 AFFINITY HEALTH SYSTEM
 
Yes
 
(207)ST JOHN AUXILIARY INC
1923 SOUTH UTICA AVENUE

TULSA,OK74104
73-0999759
HEALTH CARE OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(208)ST JOHN BROKEN ARROW INC
1923 SOUTH UTICA AVENUE

TULSA,OK74104
38-3833117
HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(209)ST JOHN BUILDING CORPORATION
1923 SOUTH UTICA AVENUE

TULSA,OK74104
61-1659782
REAL ESTATE OK 501(c)(2)   ST JOHN HEALTH SYSTEM INC
 
Yes
 
(210)ST JOHN HEALTH SYSTEM FOUNDATION INC
1923 SOUTH UTICA AVENUE

TULSA,OK74104
73-1133139
HEALTH CARE OK 501(c)(3) 7 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(211)ST JOHN HEALTH SYSTEM INC
1923 SOUTH UTICA AVENUE

TULSA,OK74104
73-1215174
SYSTEM PARENT OK 501(c)(3) Type I ASCENSION HEALTH
 
Yes
 
(212)ST JOHN MEDICAL CENTER INC
1923 SOUTH UTICA AVENUE

TULSA,OK74104
73-0579286
HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(213)ST JOHN PROVIDENCE
28000 DEQUINDRE ROAD

WARREN,MI48092
38-2244034
PARENT MI 501(c)(3) Type III-FI ASCENSION MICHIGAN
 
Yes
 
(214)ST JOHN SAPULPA INC
1923 SOUTH UTICA AVENUE

TULSA,OK74104
73-0662663
HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(215)ST JOHN VILLAS INC
1923 SOUTH UTICA AVENUE

TULSA,OK74104
73-1077367
NURSING HOME OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(216)ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC
1907 W SYCAMORE STREET

KOKOMO,IN46901
23-7313206
SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST JOSEPH HOSPITAL & HEALTH CENTER INC
 
Yes
 
(217)ST JOSEPH HOSPITAL & HEALTH CENTER INC
1907 W SYCAMORE STREET

KOKOMO,IN46901
35-0992717
HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(218)ST JOSEPH MEDICAL CENTER FOUNDATION
1000 CARONDELET DRIVE

KANSAS CITY,MO64114
43-1388461
FUNDRAISING MO 501(c)(3) Type III-FI CARONDELET HEALTH
 
Yes
 
(219)ST JOSEPH REGIONAL MEDICAL CENTER FOUNDATION INC
415 6TH STREET

LEWISTON,ID83501
51-0168321
FUNDRAISING ID 501(c)(3) Type I SJRMC Inc
 
Yes
 
(220)ST JOSEPH'S MINISTRIES INC
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
52-1835288
SKILLED NURSING FACILITY MD 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(221)ST LUKE'S-ST VINCENT'S HEALTHCARE INC
4205 BELFORT ROAD SUITE 4020

JACKSONVILLE,FL32216
26-0479484
HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC
 
Yes
 
(222)ST MARY'S - ST JOSEPH HEALTH SYSTEM
800 S WASHINGTON AVENUE

SAGINAW,MI48601
46-1084363
SUPPORTING ORGANIZATION MI 501(c)(3) Type III-FI ASCENSION MICHIGAN
 
Yes
 
(223)ST MARY'S AT HOME INC
3700 WASHINGTON AVENUE

EVANSVILLE,IN47750
35-1899560
DME/HOME CARE IN 501(c)(3) Type I ST MARY'S HEALTH INC
 
Yes
 
(224)ST MARY'S BUILDING CORPORATION
3700 WASHINGTON AVENUE

EVANSVILLE,IN47750
23-7248362
REAL ESTATE HOLDING COMPANY IN 501(c)(2)   ST MARY'S HEALTH INC
 
Yes
 
(225)ST MARY'S CARE PARTNERS INC
3700 WASHINGTON AVENUE

EVANSVILLE,IN47750
35-1899562
TAX-EXEMPT AFFILIATE REIMBURSEMENTS IN 501(c)(3) Type I ST MARY'S HEALTH INC
 
Yes
 
(226)ST MARY'S HEALTH FOUNDATION INC
3700 WASHINGTON AVENUE

EVANSVILLE,IN47750
23-7045370
SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST MARY'S HEALTH INC
 
Yes
 
(227)ST MARY'S HEALTH SERVICES INC
3700 WASHINGTON AVENUE

EVANSVILLE,IN47750
35-1679526
INVESTMENT SERVICES IN 501(c)(3) Type III-FI ST MARY'S HEALTH INC
 
Yes
 
(228)ST MARY'S HEALTH INC
3700 WASHINGTON AVENUE

EVANSVILLE,IN47750
35-0869065
HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(229)ST MARY'S HEALTHCARE
427 GUY PARK AVE

AMSTERDAM,NY12010
14-1347719
HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(230)ST MARY'S MEDICAL CENTER FOUNDATION
1000 CARONDELET DRIVE

KANSAS CITY,MO63145
43-1918107
FUNDRAISING MO 501(c)(3) Type III-FI CARONDELET HEALTH
 
Yes
 
(231)ST MARY'S MEDICAL GROUP LLC
3700 WASHINGTON AVENUE

EVANSVILLE,IN47750
26-1356310
PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT MEDICAL GROUP INC
 
Yes
 
(232)ST MARY'S OHIO VALLEY HEARTCARE LLC
901 ST MARYS DRIVE

EVANSVILLE,IN47714
27-3474697
DORMANT IN 501(c)(3) Type I ST MARY'S MEDICAL GROUP LLC
 
Yes
 
(233)ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES INC
3700 WASHINGTON AVENUE

EVANSVILLE,IN47750
20-5342518
AMBULANCE SERVICES IN 501(c)(4)   ST MARY'S HEALTH SERVICES INC
 
Yes
 
(234)ST MARY'S WARRICK HOSPITAL INC
1116 MILLIS AVENUE

BOONVILLE,IN47601
35-1343019
HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(235)ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC
2015 JACKSON STREET

ANDERSON,IN46016
35-2053693
SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT ANDERSON REGIONAL HOSPITAL INC
 
Yes
 
(236)ST VINCENT ANDERSON REGIONAL HOSPITAL INC
2015 JACKSON STREET

ANDERSON,IN46016
46-0877261
HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(237)ST VINCENT CARMEL HOSPITAL INC
13500 N MERIDIAN STREET

CARMEL,IN46032
74-3107055
HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(238)ST VINCENT CLAY HOSPITAL INC
1206 E NATIONAL AVENUE

BRAZIL,IN47834
35-2112529
CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(239)ST VINCENT DUNN HOSPITAL INC
1600 23RD STREET

BEDFORD,IN47421
27-2192831
CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(240)ST VINCENT FISHERS HOSPITAL INC
13861 OLIO ROAD

FISHERS,IN46037
45-4243702
HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(241)ST VINCENT FRANKFORT HOSPITAL FOUNDATION INC
1300 S JACKSON

FRANKFORT,IN46041
35-1531734
SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT FRANKFORT HOSPITAL INC
 
Yes
 
(242)ST VINCENT FRANKFORT HOSPITAL INC
1300 S JACKSON

FRANKFORT,IN46041
35-2099320
CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(243)ST VINCENT HEALTH INC
10330 N MERIDIAN STREET STE 430N

INDIANAPOLIS,IN46290
35-2052591
PARENT COMPANY IN 501(c)(3) Type III-FI ASCENSION HEALTH
 
Yes
 
(244)ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC
8333 NAAB ROAD STE 301

INDIANAPOLIS,IN46260
46-1227327
HEALTH AND WELLNESS SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC
 
Yes
 
(245)ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC
2001 W 86TH STREET

INDIANAPOLIS,IN46260
35-0869066
HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(246)ST VINCENT HOSPITAL FOUNDATION INC
8402 Harcourt Rd Ste 210

INDIANAPOLIS,IN46260
35-6088862
SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC
 
Yes
 
(247)ST VINCENT JENNINGS HOSPITAL FOUNDATION INC
301 HENRY STREET

NORTH VERNON,IN47265
84-1703732
DORMANT IN 501(c)(3) 1 ST VINCENT JENNINGS HOSPITAL INC
 
Yes
 
(248)ST VINCENT JENNINGS HOSPITAL INC
301 HENRY STREET

NORTH VERNON,IN47265
35-1841606
CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(249)ST VINCENT MADISON COUNTY HEALTH SYSTEM INC
1331 SOUTH A STREET

ELWOOD,IN46036
35-0876389
HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(250)ST VINCENT MEDICAL GROUP INC
8425 HARCOURT ROAD

INDIANAPOLIS,IN46260
27-2039417
PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT CARMEL HOSPITAL INC
 
Yes
 
(251)ST VINCENT MERCY HOSPITAL FOUNDATION INC
1331 SOUTH A STREET

ELWOOD,IN46036
31-1066871
SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT MADISON COUNTY HEALTH SYSTEM INC
 
Yes
 
(252)ST VINCENT RANDOLPH HOSPITAL FOUNDATION INC
473 GREENVILLE AVENUE

WINCHESTER,IN47394
35-2133006
SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT RANDOLPH HOSPITAL INC
 
Yes
 
(253)ST VINCENT RANDOLPH HOSPITAL INC
473 GREENVILLE AVENUE

WINCHESTER,IN47394
35-2103153
CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(254)ST VINCENT RAS INC
10330 N MERIDIAN STREET STE 400N

INDIANAPOLIS,IN46290
47-1289091
RETAIL AMBULATORY SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC
 
Yes
 
(255)ST VINCENT SALEM HOSPITAL INC
911 N SHELBY STREET

SALEM,IN47167
27-0847538
CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(256)ST VINCENT SETON SPECIALTY HOSPITAL INC
8050 TOWNSHIP LINE RD

INDIANAPOLIS,IN46260
35-1712001
LONG TERM CARE HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(257)ST VINCENT WILLIAMSPORT HOSPITAL FOUNDATION INC
412 N MONROE STREET

WILLIAMSPORT,IN47993
74-3130159
SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT WILLIAMSPORT HOSPITAL INC
 
Yes
 
(258)ST VINCENT WILLIAMSPORT HOSPITAL INC
412 N MONROE STREET

WILLIAMSPORT,IN47993
35-0784551
CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(259)ST VINCENT'S BIRMINGHAM
810 ST VINCENTS DRIVE

BIRMINGHAM,AL35205
63-0288864
HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM
 
Yes
 
(260)ST VINCENT'S BLOUNT
150 GILBREATH DRIVE

ONEONTA,AL35121
63-0909073
HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM
 
Yes
 
(261)ST VINCENT'S COLLEGE INC
2800 MAIN STREET

BRIDGEPORT,CT06606
06-1331677
COLLEGE OF HEALTH SCIENCE CT 501(c)(3) 2 STVINCENT'S MEDICAL CENTER
 
Yes
 
(262)ST VINCENT'S DEVELOPMENT INC
95 MERRITT BOULEVARD

TRUMBULL,CT06611
22-2554128
REAL ESTATE HOLDINGS CT 501(c)(25)   ST VINCENT'S HEALTH SERVICES CORP
 
Yes
 
(263)ST VINCENT'S EAST
50 MEDICAL PARK EAST DRIVE

BIRMINGHAM,AL35235
63-0578923
HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM
 
Yes
 
(264)ST VINCENT'S FOUNDATION OF ALABAMA INC
1 Medical Park East Drive

BIRMINGHAM,AL35235
63-0868066
FUNDRAISING AL 501(c)(3) 7 ST VINCENT'S HEALTH SYSTEM
 
Yes
 
(265)ST VINCENT'S FOUNDATION INC
4205 BELFORT ROAD SUITE 4020

JACKSONVILLE,FL32216
59-2219923
FUND RAISING FL 501(c)(3) 7 ST VINCENT'S HEALTH SYSTEM INC
 
Yes
 
(266)ST VINCENT'S HEALTH SERVICES CORP
2800 MAIN STREET

BRIDGEPORT,CT06606
22-2558134
HOLDING COMPANY CT 501(c)(3) Type I ST VINCENT'S MEDICAL CENTER
 
Yes
 
(267)ST VINCENT'S HEALTH SYSTEM
810 ST VINCENTS DRIVE

BIRMINGHAM,AL35205
63-0931008
HEALTH SYSTEM AL 501(c)(3) Type III-FI ASCENSION HEALTH
 
Yes
 
(268)ST VINCENT'S HEALTH SYSTEM INC
4205 BELFORT ROAD SUITE 4020

JACKSONVILLE,FL32216
59-3650609
PARENT ENTITY FL 501(c)(3) Type II ASCENSION HEALTH
 
Yes
 
(269)ST VINCENT'S MEDICAL CENTER
2800 MAIN STREET

BRIDGEPORT,CT06606
06-0646886
HOSPITAL AND SYSTEM PARENT CT 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(270)ST VINCENT'S MEDICAL CENTER-CLAY COUNTY INC
4205 BELFORT ROAD SUITE 4020

JACKSONVILLE,FL32216
46-1523194
HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC
 
Yes
 
(271)ST VINCENT'S MEDICAL CENTER FOUNDATION INC
2800 MAIN STREET

BRIDGEPORT,CT06606
22-2558132
FUNDRAISING CT 501(c)(3) 7 ST VINCENT'S HEALTH SERVICES CORP
 
Yes
 
(272)ST VINCENT'S MEDICAL CENTER INC
4205 BELFORT ROAD SUITE 4020

JACKSONVILLE,FL32216
59-0624449
HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC
 
Yes
 
(273)ST VINCENT'S MULTISPECIALTY GROUP INC
2800 MAIN STREET

BRIDGEPORT,CT06606
80-0458769
PHYSICIAN PRACTICES CT 501(c)(3) Type I ST VINCENT'S MEDICAL CENTER
 
Yes
 
(274)ST VINCENT'S SPECIAL NEEDS CENTER INC
95 MERRITT BOULEVARD

TRUMBULL,CT06611
06-0702617
PROGRAMS FOR SPECIAL NEEDS INDIVIDUALS CT 501(c)(3) 10 ST VINCENT'S HEALTH SERVICES CORP
 
Yes
 
(275)SVH REAL ESTATE INC
10330 N MERIDIAN STREET STE 430N

INDIANAPOLIS,IN46290
20-5002285
REAL ESTATE HOLDING COMPANY IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC
 
Yes
 
(276)THE CENTURIONS
2202 N FORBES BLVD

TUCSON,AZ85745
85-4088322
FOUNDATION AZ 501(c)(3) Type I CARONDELET FOUNDATION INC
 
Yes
 
(277)THE HEALTH SOURCE GROUP
5455 ALI DR DEPT 200

GRAND BLANC,MI484395195
38-2427678
PRG RELATED INVESTMENTS MI 501(c)(3) Type I GENESYS HEALTH SYSTEM
 
Yes
 
(278)THE HOWARD YOUNG MEDICAL CENTER INC
240 MAPLE STREET

WOODRUFF,WI54568
39-0873606
HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(279)THE SETON COVE INC
1345 PHILOMENA STREET

AUSTIN,TX78723
74-2727509
SPIRITUALITY CENTER TX 501(c)(3) Type I ASCENSION TEXAS
 
Yes
 
(280)TRI-COUNTY CLINICAL
1345 PHILOMENA STREET

AUSTIN,TX78723
26-4562712
DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION
 
Yes
 
(281)TWENTY-SIX DOORS INC
1345 PHILOMENA STREET

AUSTIN,TX78723
74-2855201
TO HOLD TITLE TO REAL PROPERTY TX 501(c)(25)   SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC
 
Yes
 
(282)UNIVERSAL HEALTH SERVICES
810 ST VINCENTS DRIVE

BIRMINGHAM,AL35205
63-0932323
PHYSICIAN GROUP AL 501(c)(3) Type II ST VINCENT'S HEALTH SYSTEM
 
Yes
 
(283)VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
48-1236589
PACE (SNF) KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(284)VIA CHRISTI VILLAGE GEORGETOWN INC
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
48-1129325
RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(285)VIA CHRISTI VILLAGE HAYS INC
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
20-2828680
RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(286)VIA CHRISTI VILLAGE MANHATTAN INC
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
48-1078862
RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(287)VIA CHRISTI VILLAGE MCLEAN INC
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
48-1247723
RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(288)VIA CHRISTI VILLAGE PITTSBURG INC
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
74-3070971
RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(289)VIA CHRISTI VILLAGE PONCA CITY INC
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
73-1153337
RETIREMENT COMMUNITY OK 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(290)VIA CHRISTI VILLAGES INC
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
48-0559086
MANAGEMENT COMPANY KS 501(c)(3) Type III-FI ASCENSION HEALTH SENIOR CARE
 
Yes
 
(291)VOLUNTEERS IN PARTNERSHIP WITH WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS INC
3807 SPRING STREET

RACINE,WI53405
93-0838390
FOUNDATION WI 501(c)(3) 10 ASCENSION ALL SAINTS HOSPITAL INC
 
Yes
 
(292)WAMEGO HOSPITAL ASSOCIATION INC
711 Genn Drive

Wamego,KS66547
72-1526400
HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC
 
Yes
 
(293)WHEATON FRANCISCAN - ELMBROOK MEMORIAL FOUNDATION INC
3237 SOUTH 16TH STREET

MILWAUKEE,WI53215
39-2028808
FOUNDATION WI 501(c)(3) Type I ASCENSION SE WISCONSIN HOSPITAL INC
 
Yes
 
(294)WHEATON FRANCISCAN - ST JOSEPH FOUNDATION INC
5000 WEST CHAMBERS STREET

MILWAUKEE,WI53210
39-1636804
FOUNDATION WI 501(c)(3) Type I ASCENSION SE WISCONSIN HOSPITAL INC
 
Yes
 
(295)WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS FOUNDATION INC
3805B SPRING STREET

RACINE,WI53405
39-1570877
FOUNDATION WI 501(c)(3) 7 ASCENSION ALL SAINTS HOSPITAL INC
 
Yes
 
(296)WHEATON FRANCISCAN HEALTHCARE - ELMBROOK MEMORIAL AUXILIARY
19333 WEST NORTH AVENUE

BROOKFIELD,WI53045
39-6068950
AUXILIARY WI 501(c)(3) Type III-FI ASCENSION SE WISCONSIN HOSPITAL INC
 
Yes
 
(297)WHEATON FRANCISCAN HEALTHCARE - FOUNDATION FOR ST FRANCIS AND FRANKLIN INC
3237 SOUTH 16TH STREET

MILWAUKEE,WI53215
32-0135258
FOUNDATION WI 501(c)(3) Type I ASCENSION ST FRANCIS HOSPITAL INC
 
Yes
 
(298)WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST FRANCIS INC
12250 Weber Hill Rd Ste 200

ST LOUIS,MO63127
39-1486775
RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(299)WHEATON FRANCISCAN HEALTHCARE-CIRCLE OF LIFE FOUNDATION INC
4300 BROWN DEER ROAD
SUITE 250
BROWN DEER,WI53223
56-2426294
FOUNDATION WI 501(c)(3) Type I ASCENSION WISCONSIN PHARMACY INC
 
Yes
 
(300)WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
400 WEST RIVER WOODS PARKWAY

GLENDALE,WI53212
39-1568865
PARENT CORPORATION IL 501(c)(3) Type III-FI ASCENSION HEALTH
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) Alexian Rehabilitation Services LLC

935 Beisner
Elk Grove Village,IL60007
30-0221481
Rehabilitation hospital IL NA
 
N/A               51 %
(2) ALVERNO CLINICAL LABORATORIES LLC

2434 INTERSTATE PLAZA DRIVE
HAMMOND,IN46324
20-3240648
MEDICAL SERVICE IN NA
 
N/A                
(3) AMBROSE PARKWOOD WEST II LLC

55 MONUMENT CIRCLE
STE 450
INDIANAPOLIS,IN46204
27-0532924
LAND HOLDINGS IN NA
 
N/A                
(4) AMBULATORY SURGERY CENTER LP

818 N Emporia Ste 108
WICHITA,KS67214
48-1114690
SURGERY CENTER KS NA
 
N/A                
(5) ASCENSION ALPHA FUND LLC

101 SOUTH HANLEY ROAD
SUITE 200
ST LOUIS,MO63105
90-0786464
INVESTMENTS MO NA
 
N/A                
(6) ASCENSION VIA CHRISTI IMAGING MANHATTAN LLC

1823 College Avenue
MANHATTAN,KS66502
48-1251984
RADIOLOGY SERVICES KS NA
 
N/A                
(7) ASCENSION WISCONSIN EMERUS JV LLC

8040 EXCELSIOR DRIVE
SUITE 400
MADISON,WI53717
38-4118568
ACUTE CARE HOSPITALS WI NA
 
N/A                
(8) BAPTIST WOMENS HEALTH CENTER LLC

1900 CHURCH STREET SUITE 300
NASHVILLE,TN37203
62-1772195
OWNS AND OPERATES SPECIALTY HOSPITAL TN NA
 
N/A                
(9) BELMONTHARLEM SURGERY CENTER LLC

3101 NORTH HARLEM
CHICAGO,IL60634
41-2237162
MEDICAL SERVICE IL NA
 
N/A                
(10) BONAVENTURE MEDICAL FOUNDATION LLC

2601 Navistar Drive
Lisle,IL60532
36-3978153
Manages managed care contracts DE NA
 
N/A                
(11) Borgess Health Partners LLC

28000 DeQuindre
Warren,MI48092
38-2648846
MANAGED CARE MI NA
 
N/A                
(12) CARMEL AMBULATORY SURGERY CENTER LLC

13421 OLD MERIDIAN STREET
STE 150
CARMEL,IN46032
32-0014795
AMBULATORY SURGERY CENTER IN NA
 
N/A                
(13) CENTRAL TEXAS LAUNDRY LLC

4255 PROFIT STREET
SAN ANTONIO,TX78219
74-2613749
LAUNDRY SERVICES TX NA
 
N/A                
(14) CHV III LP

101 SOUTH HANLEY ROAD
ST LOUIS,MO63105
45-4486925
INVESTMENTS MO NA
 
N/A                
(15) CHV IV LP

101 SOUTH HANLEY ROAD
ST LOUIS,MO63105
81-3953953
INVESTMENTS DE NA
 
N/A                
(16) ENDOSCOPY CENTER LLC

13421 OLD MERIDIAN STREET
STE 150
CARMEL,IN46032
32-0029881
ENDOSCOPY CENTER IN NA
 
N/A                
(17) ENDOSCOPY GROUP LLC

4810 NORTH DAVIS HIGHWAY
PENSACOLA,FL32503
59-3519881
MEDICAL SERVICES FL NA
 
N/A                
(18) Hospital Consolidated Laboratories LLC

39595 W 10 Mile Rd
Novi,MI48375
38-3318428
LAB SERVICES MI NA
 
N/A                
(19) INTERVENTIONAL REHABILITATION CENTER LLC

1549 AIRPORT BOULEVARD STE 420
PENSACOLA,FL32503
59-3673361
MEDICAL SERVICES FL NA
 
N/A                
(20) KANSAS SURGERY AND RECOVERY CENTER LLC

2770 North Webb Road
WICHITA,KS67226
48-1148580
SURGERY CENTER KS NA
 
N/A                
(21) KENOSHA DIGESTIVE HEALTH CENTER

1033 N MAYFAIR ROAD
SUITE 101
WAUWATUSA,WI53226
84-2167873
DIGESTIVE HEALTH WI NA
 
N/A                
(22) Lourdes Health Support LLC

333 Butternut Drive
Suite 100
Dewitt,NY13214
16-1611707
Medical Equipment Provider NY NA
 
N/A                
(23) MIDDLE TENNESSEE IMAGING LLC

400 N HIGHLAND AVENUE
MURFREESBORO,TN37219
01-0570490
DIAGNOSTIC IMAGING CENTER TN NA
 
N/A                
(24) MURFREESBORO DIAGNOSTIC IMAGING LLC

400 N HIGHLAND AVENUE
MURFREESBORO,TN37219
20-0291952
DIAGNOSTIC IMAGING CENTER TN NA
 
N/A                
(25) NAAB ROAD SURGERY CENTER LLC

8260 NAAB ROAD
STE 100
INDIANAPOLIS,IN46260
35-1991390
AMBULATORY SURGERY CENTER IN NA
 
N/A                
(26) Oklahoma Cancer Specialists Real Estate Company LLC

12697 E 51st St South
TULSA,OK74146
61-1774455
REAL ESTATE HOLDING OK NA
 
N/A                
(27) Open MRI of Michigan

411 W 13 MILE ROAD
MADISON HEIGHTS,MI48071
38-3544539
MRI Center MI NA
 
N/A                
(28) ORTHOPEDIC SURGERY CENTER OF THE FOX VALLEY LLC

2223 LIME KILN ROAD
SUITE 101
GREEN BAY,WI54311
84-2016212
SURGERY CENTER WI NA
 
N/A                
(29) PET LLC

5149 NORTH 9TH AVENUE SUITE 124
PENSACOLA,FL32504
59-3788701
MEDICAL SERVICES FL NA
 
N/A                
(30) PREMIER RADIOLOGY WISCONSIN LLC

500 W BROWN DEER ROAD
SUITE 202
BAYSIDE,WI53217
83-3180104
RADIOLOGY WI NA
 
N/A                
(31) Presence Lakeshore Gastroenterology LLC

150 N River Road
Suite 210
Des Plaines,IL60016
81-1750563
Medical Service IL PRESENCE CHICAGO HOSPITALS NETWORK
 
Related   1,320,996   No   Yes   51 %
(32) PROFESSIONAL CLINICAL LABORATORIES LLC

113 E 4TH ST
MICHIGAN CITY,IN46360
30-0711211
MEDICAL SERVICES IN NA
 
N/A                
(33) RADS OF AMERICA LLC

PO BOX 249
GOODLETTSVILLE,TN370700249
20-0597581
AMBULATORY SURGERY CENTER TN NA
 
N/A                
(34) SAINT THOMAS HOME RECOVERY CARE LLC

49 MUSIC SQUARE WEST
SUITE 401
NASHVILLE,TN37203
84-2100096
MEDICAL AND REHABILITATION SERVICES TN NA
 
N/A                
(35) SOUTH COAST REAL ESTATE VENTURE LLC

5907 HIGHWAY 90
MOSS POINT,MS39563
45-5599047
OWN REAL ESTATE FOR A PHYSICIAN OFFICE BUILDING MS NA
 
N/A                
(36) ST VINCENT'S OUTPATIENT SURGERY SERVICES LLC

810 ST VINCENTS DRIVE
BIRMINGHAM,AL35205
20-0708162
OUTPATIENT SURGERY AL NA
 
N/A                
(37) ST VINCENT'S SLEEP DISORDER CENTER

810 ST VINCENTS DRIVE
BIRMINGHAM,AL35205
63-1282288
SLEEP DISORDER CENTER AL NA
 
N/A                
(38) STVINCENT HEART CENTER OF INDIANA LLC

10580 N MERIDIAN STREET
INDIANAPOLIS,IN46290
36-4492612
HEART HOSPITAL IN NA
 
N/A                
(39) STHS SLEEP CENTER LLC

102 WOODMONT BOULEVARD SUITE 800
NASHVILLE,TN37205
20-3664894
OPERATES A SLEEP CENTER TN NA
 
N/A                
(40) The Michigan Institute for Advanced Surgery LLC

1375 S Lapeer Rd
109
Lake Orion,MI48360
03-0444972
OUTPATIENT SERVICES MI NA
 
N/A                
(41) TOWNE CENTRE SURGERY CENTER LLC

4599 TOWNE CENTRE
SAGINAW,MI48604
20-4943843
OUTPATIENT SERVICES MI NA
 
N/A                
(42) TRI-STATE COMMUNITY CLINICS LLC

8601 N KENTUCKY AVENUE
STE J
EVANSVILLE,IN47711
27-0885968
PRIMARY CARE PHYSICIAN PRACTICES IN NA
 
N/A                
(43) VIA CHRISTI MERCY CLINIC LLC

1 Mt Carmel Place
Pittsburg,KS66762
81-2927645
MEDICAL SERVICES KS NA
 
N/A                
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ADVANTAGE HEALTHCO INC

1345 PHILOMENA STREET
AUSTIN,TX78723
74-2698151
HEALTH SERVICES TX NA
 
C Corporation       Yes  
(2) ADVENT INC

28000 DEQUINDRE
WARREN,MI48092
38-2971743
RENTAL REAL ESTATE MI NA
 
C Corporation       Yes  
(3) AFFILIATED HEALTH SERVICES INC

28000 DEQUINDRE
WARREN,MI48092
38-2292922
MEDICAL SERVICES MI NA
 
C Corporation       Yes  
(4) AFFILIATED MEDICAL SERVICES LABORATORY INC

2916 E CENTRAL
WICHITA,KS67214
48-1239522
MEDICAL LABORATORY KS NA
 
C Corporation       Yes  
(5) AH INCUBATIONS ACCELERATOR INC

101 SOUTH HANLEY ROAD
SUITE 450
ST LOUIS,MO63105
45-5078523
MEDICAL SERVICE MO NA
 
C Corporation       Yes  
(6) ALEXIAN BROTHERS CORPUS CHRISTI HOUSING PROJECT LLC

3900 SOUTH GRAND
ST LOUIS,MO63118
94-3465394
HOUSING MO NA
 
C Corporation       Yes  
(7) Alexian Brothers Health Providers Association Inc

2601 Navistar Drive
Lisle,IL60532
36-3853286
Messenger model IPA IL NA
 
C Corporation       Yes  
(8) Alexian Village of Elk Grove

3040 W Salt Creek
Arlington Heights,IL60005
35-2211303
Tax credit financed housing IL NA
 
C Corporation       Yes  
(9) AMITA HEALTH CLINICALLY INTEGRATED NETWORK LLC

2601 NAVISTAR DRIVE
LISLE,IL60532
80-0967178
MANAGED CARE IL NA
 
C Corporation       Yes  
(10) ASCENSION CAPITAL UK LIMITED

FOUNTAIN HOUSE
130 FENCHURCH STREET
LONDON,ENGLANDEC3M5DJ
UK
INSURANCE UK NA
 
C Corporation       Yes  
(11) Ascension Care Management Health Partners Tennessee

102 WOODMONT BOULEVARD SUITE 700
NASHVILLE,TN37205
45-2958482
ACCOUTABLE CARE ORGANIZATION TN NA
 
C Corporation       Yes  
(12) ASCENSION CARE MANAGEMENT HEALTH PARTNERS INC

101 SOUTH HANLEY ROAD
SUITE 200
CLAYTON,MO63105
45-4413419
MEDICAL SERVICE MO ASCENSION HEALTH ALLIANCE
 
C Corporation       Yes  
(13) ASCENSION CARE MANAGEMENT HOLDINGS LTD AND SUBSIDIARIES

8220 IRVING
STERLING HEIGHTS,MI48312
38-3269272
INSURANCE AND TPA MI ASCENSION CARE MANAGEMENT INSURANCE HOLDINGS
 
C Corporation       Yes  
(14) ASCENSION HEALTH INSURANCE LIMITED

PO BOX 1159
GRAND CAYMAN,BahamasKY11102
CJ
INSURANCE CJ NA
 
C Corporation       Yes  
(15) ASCENSION HEALTH MASTER PENSION TRUST

11775 BORMAN DRIVE
SUITE 200
ST LOUIS,MO63146
36-6891022
TRUST MO NA
 
Trust       Yes  
(16) ASCENSION HEALTH RISK PURCHASING GROUP

101 SOUTH HANLEY ROAD
SUITE 450
ST LOUIS,MO63105
27-4176480
SUPPORTING ORGANIZATION MO NA
 
C Corporation       Yes  
(17) ASCENSION MEDICAL GROUP VIA CHRISTI PA

3311 EAST MURDOCK
WICHITA,KS67208
48-0993446
PROFESSIONAL ASSOCIATION KS NA
 
C Corporation       Yes  
(18) ASCENSION VENTURES CORPORATION

810 ST VINCENTS DRIVE
BIRMINGHAM,AL35205
63-1217059
MISC HEALTHCARE SERVICES AL NA
 
C Corporation       Yes  
(19) BAPTIST HEALTH CARE VENTURES INC

2000 CHURCH STREET
NASHVILLE,TN37236
62-0469214
HOLDING COMPANY TN NA
 
C Corporation       Yes  
(20) BAYLEY CONDOMINIUM ASSOCIATION

2121 HIGHLAND AVENUE SOUTH
BIRMINGHAM,AL35205
63-1209915
CONDOMINIUM ASSOCIATION AL NA
 
C Corporation       Yes  
(21) BEECHER BALLENGER SERVICES

ONE GENESYS PARKWAY
GRAND BLANC,MI484398065
38-2497922
HOLDING COMPANY MI NA
 
C Corporation       Yes  
(22) CARONDELET MEDICAL GROUP INC

2202 N FORBES BLVD
TUCSON,AZ85745
86-0836126
MEDICAL GROUP AZ NA
 
C Corporation       Yes  
(23) CARONDELET SPECIALIST GROUP INC

2202 N FORBES BLVD
TUCSON,AZ85745
28-1558773
PHYSICIAN PRACTICE AZ NA
 
C Corporation       Yes  
(24) CLINICAL HOLDINGS CORP

101 SOUTH HANLEY ROAD
SUITE 200
CLAYTON,MO63105
45-3802297
HOLDING COMPANY MO NA
 
C Corporation       Yes  
(25) CONSOLIDATED PHARMACY SERVICES INC AND SUBSIDIARIES

4205 BELFORT ROAD SUITE 4030
JACKSONVILLE,FL32216
59-3398033
RETAIL PHARMACY & PATIENT TRANSPORT FL NA
 
C Corporation       Yes  
(26) Corbett Corporation

169 Riverside Drive
Binghamton,NY13905
16-1268267
Property Management NY NA
 
C Corporation       Yes  
(27) CRITTENTON DEVELOPMENT CORPORATION

2251 N SQUIRREL RD STE 310
AUBURN HILLS,MI48326
38-2594115
REAL ESTATE MI NA
 
C Corporation       Yes  
(28) CRITTENTON MEDICAL PHARMACY INC

1135 West University Dr 105
ROCHESTER,MI48307
20-3773341
PHARMACY SERVICES MI NA
 
C Corporation       Yes  
(29) DELL CHILDREN'S HEALTH ALLIANCE

1345 PHILOMENA STREET
AUSTIN,TX78723
27-1311909
HEALTH SERVICES TX NA
 
C Corporation       Yes  
(30) EASTSIDE VENTURES

810 ST VINCENTS DRIVE
BIRMINGHAM,AL35205
63-0846221
MISC HEALTHCARE SERVICES AL NA
 
C Corporation       Yes  
(31) FAMILY MEDICINE CENTER CONDOMINIUM ASSOCIATION INC

1 SHIRCLIFF WAY
JACKSONVILLE,FL32204
26-1983355
CONDOMINIUM ASSOCIATION FL NA
 
C Corporation       Yes  
(32) FRANKLIN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION INC

400 WEST RIVER WOODS PARKWAY
GLENDALE,WI53212
34-1983857
CONDO ASSOCIATION WI NA
 
C Corporation       Yes  
(33) GENESYS PRACTICE PARTNERS

5445 ALI DRIVE DEPT 200
GRAND BLANC,MI48439
03-0516871
EMPLOYED PHY PRACTICE MI NA
 
C Corporation       Yes  
(34) GULF COAST DIVERSIFIED INC

5154 NORTH 9TH AVENUE
PENSACOLA,FL32507
59-2432798
INVESTMENT FL NA
 
C Corporation       Yes  
(35) HEALTHNET OF ALABAMA INC

PO BOX 830605
BIRMINGHAM,AL352830605
63-1027511
PREFERRED PROVIDER ORGANIZATION AL NA
 
C Corporation       Yes  
(36) HOWARD YOUNG CLINICS INC

240 MAPLE STREET
WOODRUFF,WI54568
39-1969706
HEALTHCARE WI NA
 
C Corporation       Yes  
(37) INDIAN CREEK CENTER INC

101 S Hanley Ste 200
St Louis,MO63105
48-0956627
MANAGEMENT MO NA
 
C Corporation       Yes  
(38) INTEGRATED HEALTHCARE SYSTEMS INC

3311 EAST MURDOCK
WICHITA,KS67208
48-0941549
CLINIC SERVICES KS NA
 
C Corporation       Yes  
(39) MADISON MEDICAL AFFILIATES INC

4425 N PORT WASHINGTON RD
GLENDALE,WI53212
39-1855720
HEALTHCARE WI NA
 
C Corporation       Yes  
(40) MID-STATE PROPERTIES INC

2000 CHURCH STREET
NASHVILLE,TN37236
62-1232018
INACTIVE TN NA
 
C Corporation       Yes  
(41) MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC

6801 AIRPORT BLVD
MOBILE,AL36608
46-1130426
HEALTHCARE SERVICES MS NA
 
C Corporation       Yes  
(42) OMNI MEDICAL GROUP INC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
73-1335536
MEDICAL SERVICES OK NA
 
C Corporation       Yes  
(43) PHYSICIAN SUPPORT SERVICES INC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
73-1437252
MEDICAL SERVICES OK NA
 
C Corporation       Yes  
(44) PHYSICIANS OF PASCO CONDOMINIUMS ASSOC

520 NORTH 4TH AVENUE
PASCO,WA99301
45-3691641
PROPERTY MANAGEMENT WA NA
 
C Corporation       Yes  
(45) PRESENCE PROPERTIES INC

100 NORTH RIVER ROAD
DES PLAINES,IL60016
36-3520630
MEDICAL IL NA
 
C Corporation       Yes  
(46) PRESENCE SERVICE CORPORATION

2380 E DEMPSTER STREET
DES PLAINES,IL60016
36-4314354
MEDICAL IL NA
 
C Corporation       Yes  
(47) PRESENCE VENTURES INC

100 NORTH RIVER ROAD
DES PLAINES,IL60016
37-1168085
MEDICAL IL NA
 
C Corporation       Yes  
(48) PROSPECT MEDICAL COMMONS CONDOMINIUM ASSOCIATION INC

4425 N Port Washington Rd
GLENDALE,WI53212
20-8042108
CONDO ASSOCIATION WI NA
 
C Corporation       Yes  
(49) PROVIDENCE PARK Inc

PO BOX 850429
MOBILE,AL36685
63-0886846
REAL ESTATE AL NA
 
C Corporation       Yes  
(50) REGIONAL MEDICAL LABORATORIES INC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
73-1131608
MEDICAL SERVICES OK NA
 
C Corporation       Yes  
(51) RESOURCE PHARMACIES INC

1150 VARNUM STREET NE
WASHINGTON,DC20017
52-1410076
RETAIL PHARMACY DC NA
 
C Corporation       Yes  
(52) SETON INSURANCE COMPANY

1345 PHILOMENA STREET
AUSTIN,TX78723
47-5395483
HEALTH SERVICES TX NA
 
C Corporation       Yes  
(53) SETON ACCOUNTABLE CARE ORGANIZATION INC

1345 PHILOMENA STREET
AUSTIN,TX78723
74-2677756
HEALTH SERVICES TX NA
 
C Corporation       Yes  
(54) SETON HEALTH ALLIANCE

1345 PHILOMENA STREET
AUSTIN,TX78723
45-3047469
HEALTH SERVICES TX NA
 
C Corporation       Yes  
(55) SETON HEALTH PLAN INC

1345 PHILOMENA STREET
AUSTIN,TX78723
74-2725348
HMO TX NA
 
C Corporation       Yes  
(56) SETON MSO INC

1345 PHILOMENA STREET
AUSTIN,TX78723
74-2870455
HEALTH SERVICES TX NA
 
C Corporation       Yes  
(57) SETON PHARMACY INC

4205 BELFORT ROAD SUITE 4030
JACKSONVILLE,FL32216
59-3001427
RETAIL PHARMACY FL NA
 
C Corporation       Yes  
(58) SETON PHYSICIAN HOSPITAL NETWORK

1345 PHILOMENA STREET
AUSTIN,TX78723
74-2643825
HEALTH SERVICES TX NA
 
C Corporation       Yes  
(59) SOVA INC

102 WOODMONT BOULEVARD SUITE 700
NASHVILLE,TN37205
26-1319638
HEALTH SERVICES TN NA
 
C Corporation       Yes  
(60) ST AGNES HEALTH VENTURES INC

900 CATON AVENUE
BALTIMORE,MD21229
52-1733632
HOLDING COMPANY MD NA
 
C Corporation       Yes  
(61) ST JOHN ANESTHESIA SERVICES INC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
20-3690446
MEDICAL SERVICES OK NA
 
C Corporation       Yes  
(62) ST JOHN PHYSICIANS INC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
73-1321032
MEDICAL SERVICES OK NA
 
C Corporation       Yes  
(63) ST JOHN URGENT CARE CLINICS INC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
20-4990275
MEDICAL SERVICES OK NA
 
C Corporation       Yes  
(64) ST JOSEPH HEALTH ENTERPRISES

200 HEMLOCK ROAD
TAWAS CITY,MI48764
38-2686747
OTHER MEDICAL MI NA
 
C Corporation       Yes  
(65) St Mary's Health

800 S Washington Avenue
Saginaw,MI48601
38-3477017
Dormant MI NA
 
C Corporation       Yes  
(66) ST MARY'S MEDICAL GROUP INC

3700 WASHINGTON AVE
EVANSVILLE,IN47750
35-2076827
INVESTMENT IN NA
 
C Corporation       Yes  
(67) St Vincent's Strategic Ventures Inc

4205 Belfort Road Suite 4030
Jacksonville,FL33213
59-3133073
LEASING FL NA
 
C Corporation       Yes  
(68) SUNFLOWER ASSURANCE LTD

PO BOX 1085
GRAND CAYMAN,BahamasKY11102
CJ
INSURANCE CJ NA
 
C Corporation       Yes  
(69) TEXTILE SYSTEMS INC

817 WALBRIDGE
KALAMAZOO,MI49007
38-2705047
LAUNDRY SERVICES MI NA
 
C Corporation       Yes  
(70) Thelen Corporation

3040 Salt Creek Lane
Arlington Heights,IL60005
36-3266316
Owns/ leases property; joint venture partner IL NA
 
C Corporation       Yes  
(71) TRAVEL SERVICES CORPORATION

PO BOX 45998
ST LOUIS,MO631455998
26-3764978
TRAVEL SERVICES MO NA
 
C Corporation       Yes  
(72) US HEALTH HOLDINGS LTD AND SUBSIDIARIES

8220 IRVING
STERLING HEIGHTS,MI48312
38-3269272
INSURANCE AND TPA MI NA
 
C Corporation       Yes  
(73) UTICA SERVICES INC

1923 SOUTH UTICA AVENUE
TULSA,OK74104
73-1057650
MEDICAL SERVICES OK NA
 
C Corporation       Yes  
(74) VCH IOWA PC

8200 E THORN DRIVE
WICHITA,KS67226
27-3983977
PROFESSIONAL ASSOCIATION IA NA
 
C Corporation       Yes  
(75) VCH IOWA PC TRUST

8200 E THORN DRIVE
WICHITA,KS67226
27-6937322
BENEFICIARY TRUST IA NA
 
Trust       Yes  
(76) VIA CHRISTI CLINIC SERVICES INC

8200 E THORN DRIVE
WICHITA,KS67226
27-3984287
CLINIC SERVICES KS NA
 
C Corporation       Yes  
(77) VIA CHRISTI HEALTH ALLIANCE IN ACCOUNTABLE CARE INC

8200 E THORN DRIVE
WICHITA,KS67226
48-2872857
ACO KS NA
 
C Corporation       Yes  
(78) VINCENTIAN VENTURES OF NORTH ALABAMA INC

810 ST VINCENTS DRIVE
BIRMINGHAM,AL35205
63-0965456
MISC HEALTHCARE SERVICES AL NA
 
C Corporation       Yes  
(79) VINCENTURES INC

95 MERRITT BOULEVARD
TRUMBULL,CT06611
06-1211417
INACTIVE CT NA
 
C Corporation       Yes  
(80) WHEATON FRANCISCAN ENTERPRISES INC

400 WEST RIVER WOODS PARKWAY
GLENDALE,WI53212
39-1985204
HOLDING CO WI NA
 
C Corporation       Yes  
(81) WHEATON FRANCISCAN HOLDINGS INC

400 WEST RIVER WOODS PARKWAY
GLENDALE,WI53212
39-1836357
HOLDING CO WI NA
 
C Corporation       Yes  
(82) WHEATON FRANCISCAN MEDICAL GROUP - SUSSEX INC

400 WEST RIVER WOODS PARKWAY
GLENDALE,WI53212
39-1361100
HEALTHCARE WI NA
 
C Corporation       Yes  
(83) WHEATON FRANCISCAN PROVIDER NETWORK INC

400 WEST RIVER WOODS PARKWAY
GLENDALE,WI53212
39-1952140
PROVIDER CONTRACT WI NA
 
C Corporation       Yes  
(84) WHEATON WAY CONDOMINIUM OWNERS ASSOCIATION INC

10101 SOUTH 27TH STREET
FRANKLIN,WI53123
30-0659830
CONDO ASSOCIATION WI NA
 
C Corporation       Yes  
(85) L GILBRAITH INSURANCE SPC LTD

68 W BAY ROAD PO BOX 1109
  GRAND CAYMANKY11120
CJ
INSURANCE CJ NA
 
C Corporation       Yes  
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) PRESENCE HEALTH PARTNERS SERVICES

P 101,711 FAIR MARKET VALUE
(2) PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES

C 1,852,373 FAIR MARKET VALUE
(3) Alexian Brothers Health System

C 659,527 FAIR MARKET VALUE
(4) Presence Care Transformation Corporation

P 908,052,799 FAIR MARKET VALUE
(5) Presence Care Transformation Corporation

M 167,903,344 FAIR MARKET VALUE
(6) Ascension Health Senior Care

P 2,205,210 FAIR MARKET VALUE
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R, Part V, Line 1p REIMBURSEMENTS FOR SHARED SERVICES PRESENCE CARE TRANSFORMATION CORPORATION (FEIN: 36-3366652) PAYS ALL OF THE COMPENSATION AND ACCOUNTS PAYABLE FOR ALL ENTITIES UNDER THE PRESENCE HEALTH SYSTEM AS THE DESIGNATED PAYMENT AGENT FOR SUCH ENTITIES. CASH IS DEPOSITED INTO AN ACCOUNT BY PRESENCE HEALTH ENTITIES AND SWEPT ON A MONTHLY BASIS TO REIMBURSE PRESENCE CARE TRANSFORMATION CORPORATION FOR THESE EXPENSES AT COST. THE AMOUNTS REPORTED ON PART V OF SCHEDULE R REFLECT THE TOTAL CASH TRANSFERS TO/FROM PRESENCE CARE TRANSFORMATION CORPORATION.
Schedule R (Form 990) 2018

Additional Data


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