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)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 07-01-2019 , and ending 06-30-2020
BCheck if applicable:
CName of organization
Presence Central and Suburban Hospitals Network
 
 
Doing business as
SEE SCHEDULE O
 
Number and street (or P.O. box if mail is not delivered to street address)
C/O TAX DEPARTMENT PO BOX 45998
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ST LOUIS, MO631455998
D Employer identification number

36-4195126
E Telephone number

G Gross receipts $ 799,430,104
F Name and address of principal officer:
KEITH PARROTT
C/O TAX DEPARTMENT PO BOX 45998
ST LOUIS,MO631455998
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: 1997
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 2019 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 779
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 804,639
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 354,064
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 404,473 39,575,260
9 Program service revenue (Part VIII, line 2g) ......... 814,419,606 755,902,183
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 6,932,821 38,906
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 9,527,055 3,435,791
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 831,283,955 798,952,140
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 256,066 235,923
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) 275,597,573 0
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).... 526,179,095 848,253,457
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 802,032,734 848,489,380
19 Revenue less expenses. Subtract line 18 from line 12....... 29,251,221 -49,537,240
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 430,679,416 520,201,301
21 Total liabilities (Part X, line 26)............. 107,296,904 416,001,132
22 Net assets or fund balances. Subtract line 21 from line 20..... 323,382,512 104,200,169
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 (2019)
Form 990 (2019)
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: ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS.
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 $ 532,182,670 including grants of $ 235,923 ) (Revenue $ 756,102,082 )
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK OPERATED 4 ACUTE CARE HOSPITALS. AMITA HEALTH ST. MARY'S HOSPITAL IS A 178-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2019 - JUNE 30, 2020, AMITA HEALTH ST. MARY'S HOSPITAL TREATED 5,074 ADULTS AND CHILDREN FOR A TOTAL OF 19,198 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 108,183 OUTPATIENT VISITS, WHICH INCLUDED 2,664 OUTPATIENT SURGERIES AND 24,296 EMERGENCY ROOM VISITS. AMITA HEALTH ST. JOSEPH MEDICAL CENTER IS A 478-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2019 - JUNE 30, 2020, AMITA HEALTH ST. JOSEPH MEDICAL CENTER TREATED 17,040 ADULTS AND CHILDREN FOR A TOTAL OF 83,764 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 287,163 OUTPATIENT VISITS, WHICH INCLUDED 5,335 OUTPATIENT SURGERIES AND 54,560 EMERGENCY ROOM VISITS. AMITA HEALTH ST. JOSEPH HOSPITAL - ELGIN IS A 184-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2019 - JUNE 30, 2020, AMITA HEALTH ST. JOSEPH HOSPITAL - ELGIN TREATED 5,709 ADULTS AND CHILDREN FOR A TOTAL OF 31,385 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 114,220 OUTPATIENT VISITS, WHICH INCLUDED 2,163 OUTPATIENT SURGERIES AND 22,544 EMERGENCY ROOM VISITS. AMITA HEALTH MERCY MEDICAL CENTER IS A 267-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2019 - JUNE 30, 2020, AMITA HEALTH MERCY MEDICAL CENTER TREATED 6,845 ADULTS AND CHILDREN FOR A TOTAL OF 33,893 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 137,539 OUTPATIENT VISITS, WHICH INCLUDED 1,692 OUTPATIENT SURGERIES AND 32,562 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. As part of the Ascension Catholic health ministry, the filing organization served in support of Ascension's commitment to both care for patients and communities and support caregivers and other associates through the challenges of the COVID-19 global pandemic in FY20.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet532,182,670
Form 990 (2019)
Form 990 (2019)
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 V......
10
 
No
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 IXClick to see attachment............
11d
Yes
 
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
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
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........Click to see attachment
22
Yes
 
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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) 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, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? 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
287
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
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
 
No
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
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 (2019)
Form 990 (2019)
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
 
No
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'Brien4600 EDMUNDSON ROAD   ST LOUIS,MO631343806 (314) 733-8000
Form 990 (2019)
Form 990 (2019)
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.

See instructions for the order in which to list the persons above.
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) MARK HANSON ESQ
 
CHAIR
 1.0
.................
2.0 		X   X       0 0 0
(2) THOMAS HUBERTY MD
 
VICE CHAIR
 1.0
.................
1.0 		X   X       0 0 0
(3) DAVID J BORDO MD
 
DIRECTOR
 0.0
.................
50.0 		X           0 407,123 25,453
(4) JAY BERGMAN
 
DIRECTOR
 1.0
.................
1.0 		X           0 0 0
(5) MARSHA LADENBURGER RN
 
DIRECTOR (END 7/2019)
 1.0
.................
1.0 		X           0 0 0
(6) PATRICIA FOLTZ
 
DIRECTOR
 1.0
.................
1.0 		X           0 0 0
(7) STEVE TALTY MD
 
DIRECTOR
 1.0
.................
0 		X           0 0 0
(8) THOMAS RUSSE
 
DIRECTOR
 1.0
.................
1.0 		X           0 0 0
(9) DANA L GILBERT
 
PRESIDENT
 0.0
.................
50.0 		    X       0 516,647 26,829
(10) EARL J BARNES II
 
TREASURER (START 11/2019)
 0.0
.................
50.0 		    X       0 514,654 1,716
(11) JULIE P ROKNICH
 
SECRETARY
 0.0
.................
50.0 		    X       0 243,411 18,059
(12) PAUL E BELTER
 
TREASURER (END 11/2019)
 0.0
.................
50.0 		    X       0 1,098,169 26,068
(13) RICHARD D CARTER
 
CFO, AMITA HEALTH (START 4/2020)
 0.0
.................
50.0 		    X       0 0 0
(14) CHRISTOPHER S SHRIDE
 
FORMER KEY EMPLOYEE (END 12/2018)
 0.0
.................
50.0 		      X     0 377,624 28,881
(15) BETTINA A JOHNSON
 
FORMER OFFICER (END 12/2018)
 0.0
.................
50.0 		          X 0 316,363 17,045
(16) CONNIE J NOLTEMEYER
 
FORMER KEY EMPLOYEE (END 12/2014)
 0.0
.................
50.0 		          X 0 147,979 10,628
(17) MICHAEL L BROWN
 
FORMER KEY EMPLOYEE (END 12/2018)
 0.0
.................
50.0 		          X 0 461,896 13,430
Form 990 (2019)
Form 990 (2019)
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) PATRICIA EDDY
 
FORMER OFFICER (END 12/2018)
 0.0
.......................50.0 		          X 0 288,479 28,586
(19) ROBERT J ERICKSON
 
FORMER KEY EMPLOYEE (END 12/2018)
 0.0
.......................50.0 		          X 0 415,537 21,469






















1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 0 4,787,882 218,164
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
ALVERNO CLINICAL LABORATORIES LLC

26051 NETWORK PLACE
CHICAGO,IL606731260 		LABORATORY SERVICES 8,271,217
AMERICAN ANESTHESIOLOGY ASSOCIATES OF IL

PO BOX 281034
ATLANTA,GA303841034 		ANESTHESIA SERVICES 1,383,149
CARDIAC SURGERY ASSOCIATES SC

2650 WARRENVILLE ROAD
DOWNERS GROVE,IL605152075 		MEDICAL SERVICES 1,074,890
JOINT DYNAMICS LLC

505 WEXFORD COURT
ST CHARLES,IL60175 		MEDICAL SERVICES 692,000
ANESTHESIA ASSOCIATES LTD

2540 HANFORD LN
AURORA,IL605026969 		ANESTHESIA SERVICES 535,110
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet21
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 772,873
e Government grants (contributions)1e 38,801,002
f All other contributions, gifts, grants, and similar amounts not included above1f 1,385
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 39,575,260
Program Service RevenueAmt Business Code
2a Net Patient Service Revenue 621990 752,290,551 752,254,384 36,167  
b Pharmacy Revenue 446110 1,521,013 1,294,683 226,330  
c Rental Income from Affiliates 531120 1,465,348 1,465,348    
d Services to Affiliates 561000 511,357 511,357    
e Income from Joint Ventures 900099 113,914 -193,426 307,340  
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f .....MediumBullet 755,902,183
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 27,125     27,125
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   1,133,427 6a
b Less: rental expenses   364,838 6b
c Rental income or (loss) 0 768,589 6c
d Net rental income or (loss).......MediumBullet 768,589     768,589
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 13,017   7a
b Less: cost or other basis and sales expenses 1,236   7b
c Gain or (loss) 11,781 0 7c
d Net gain or (loss).........MediumBullet 11,781     11,781
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a 233,896
b Less: cost of goods sold .. 10b 111,890
c Net income or (loss) from sales of inventory..MediumBullet 122,006     122,006
Business Code Miscellaneous Revenue
11a Cafeteria/Vending Revenue 722514 1,970,302   8,612 1,961,690
b Leased Employees 561300 119,531   119,531  
c Building Support services 811000 72,467   72,467  
d All other revenue .... 382,896 199,899 34,192 148,805
e Total. Add lines 11a–11d ...... MediumBullet 2,545,196
12 Total revenue. See instructions.....MediumBullet 798,952,140 755,532,245 804,639 3,039,996
Form 990 (2019)
Form 990 (2019)
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 .... 229,923 229,923
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 6,000 6,000
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ...........        
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........        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ...... 569 569    
b Legal ......... 46,647   46,647  
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 155   155  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 37,170,196 27,203,054 9,967,142 0
12 Advertising and promotion .... 219,522 126,101 93,421  
13 Office expenses ....... 1,799,789 613,615 1,186,174  
14 Information technology ...... 234,022 192,725 41,297  
15 Royalties ..        
16 Occupancy ........... 21,054,769 19,310,923 1,743,846  
17 Travel ............ 102,548 43,577 58,971  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 171,513 108,262 63,251  
20 Interest ........... 13,414,807   13,414,807  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 34,114,303 31,288,811 2,825,492  
23 Insurance ... 13,145,727   13,145,727  
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 Wage & Benefit Allocation 250,212,017 200,162,530 50,049,487  
b Professional Fee to Affiliate 168,230,328   168,230,328  
c Medical Supplies 138,253,508 118,761,439 19,492,069  
d UBI Tax Expense 139,546   139,546  
e All other expenses 169,943,491 134,135,141 35,808,350 0
25 Total functional expenses. Add lines 1 through 24e 848,489,380 532,182,670 316,306,710 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 (2019)
Form 990 (2019)
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 ........ 13,504 1 13,504
2 Savings and temporary cash investments ......... 7,029,296 2 1,543,360
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 114,777,242 4 98,294,502
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 20,269,186 8 19,008,904
9 Prepaid expenses and deferred charges ...... 77,716 9 2,899,514
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 368,099,101
b Less: accumulated depreciation 10b 57,199,860 282,797,638 10c 310,899,241
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 1,539,961 13 270,832
14 Intangible assets ............... 413,315 14 562,077
15 Other assets. See Part IV, line 11 ........... 3,761,558 15 86,709,367
16 Total assets. Add lines 1 through 15 (must equal line 33)... 430,679,416 16 520,201,301
Liabilities 17 Accounts payable and accrued expenses ..... 2,895,142 17 60,259,438
18 Grants payable ...   18  
19 Deferred revenue ......... 2,314,727 19 0
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
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 102,087,035 25 355,741,694
26 Total liabilities. Add lines 17 through 25.. 107,296,904 26 416,001,132
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 323,382,512 27 104,200,169
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 323,382,512 32 104,200,169
33 Total liabilities and net assets/fund balances ........ 430,679,416 33 520,201,301
Form 990 (2019)
Form 990 (2019)
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
798,952,140
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
848,489,380
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-49,537,240
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
323,382,512
5
Net unrealized gains (losses) on investments ...............
5
2,674
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
1,462,114
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-171,109,891
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
104,200,169
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
 
No
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
 
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID: 19010655
Software Version: 2019v5.0
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 instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Presence Central and Suburban Hospitals Network
 
Employer identification number

36-4195126
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed 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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 2019 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-2019 		(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, 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 2019. 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 2020. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
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) 2019


Additional Data


Software ID: 19010655
Software Version: 2019v5.0
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
2019
Name of the organization
Presence Central and Suburban Hospitals Network
 
Employer identification number

36-4195126
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
Presence Central and Suburban Hospitals Network
  		Employer identification number
36-4195126
Part I
Contributors
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 3
Name of organization
Presence Central and Suburban Hospitals Network
  		Employer identification number

36-4195126
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 4
Name of organization
Presence Central and Suburban Hospitals Network
  		Employer identification number

36-4195126
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) (2019)

Additional Data


Software ID: 19010655
Software Version: 2019v5.0
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 instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Presence Central and Suburban Hospitals Network
 
Employer identification number

36-4195126
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 FASB 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 FASB 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 FASB 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) 2019

Schedule D (Form 990) 2019
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 ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
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)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
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 ..... 0 23,750,000 23,750,000
b Buildings .... 0 230,160,526 23,251,255 206,909,271
c Leasehold improvements 0 2,946,143 548,512 2,397,631
d Equipment .... 0 67,270,294 31,034,689 36,235,605
e Other ..... 0 43,972,138 2,365,404 41,606,734
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 310,899,241
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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)Other Receivables 1,793,086
(2)Physician Guarantee Asset 45,928
(3)Estimated 3rd Party Payor Settlements 2,551,321
(4)Right of Use Operating Lease Asset 37,551,534
(5)Due from Affiliates 44,766,697
(6)Savings Plan Receivable 801
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 86,709,367
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  
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 355,741,694
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) 2019

Schedule D (Form 990) 2019
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 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, 2020.
Schedule D (Form 990) 2019


Additional Data


Software ID: 19010655
Software Version: 2019v5.0




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
2019
Open to Public Inspection
Name of the organization
Presence Central and Suburban Hospitals Network
 
Employer identification number

36-4195126
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) . . . 		    27,052,176   27,052,176 3.19 %
b Medicaid (from Worksheet 3, column a) . . . . .     191,127,354 128,251,845 62,875,509 7.41 %
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 0 218,179,530 128,251,845 89,927,685 10.60 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 65 22,198 810,268 35,107 775,161 0.09 %
f Health professions education (from Worksheet 5) . . . 10 9,682 2,329,319 63,178 2,266,141 0.27 %
g Subsidized health services (from Worksheet 6) . . . .         0 0 %
h Research (from Worksheet 7) . 1   444   444 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 19 886 417,035   417,035 0.05 %
j Total. Other Benefits . . 95 32,766 3,557,066 98,285 3,458,781 0.41 %
k Total. Add lines 7d and 7j . 95 32,766 221,736,596 128,350,130 93,386,466 11.01 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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 1 24 1,224   1,224 0 %
2 Economic development         0 0 %
3 Community support 2 261 10,452   10,452 0 %
4 Environmental improvements 1   9,000   9,000 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building 2   974   974 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development 1 1 1,208   1,208 0 %
9 Other         0 0 %
10 Total 7 286 22,858 0 22,858 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 Healthcare 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
5,691,596
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
313,801,138
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
399,484,313
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-85,683,175
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 %
1KANKAKEE VALLEY DIALYSIS CENTER
  		DIALYSIS CENTER 50 %   50 %
2DREYER MERCY AMBULATORY SURGERY CENTER
  		AMBULATORY SURGERY CENTER 40 %   60 %
3CENTER FOR DIGESTIVE HEALTH
  		DIGESTIVE HEALTH SERVICES 10 %   90 %
4PRESENCE SAINT JOSEPH HOSPITAL ORTHOPEDIC CLINICAL CO-MANAGEMENT COMPANY LL
C 		MANAGEMENT OF ORTHOPEDIC SERVICE LINE 20 %   80 %
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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?4Name, 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 MEDICAL CENTER
333 N MADISON STREET
JOLIET,IL60435
https://www.amitahealth.org/our-locations/hospitals/amita-health-saint-joseph-medical-center-joliet/
0004838 		X X         X      
2 AMITA HEALTH MERCY MEDICAL CENTER
1325 NORTH HIGHLAND AVENUE
AURORA,IL60506
https://www.amitahealth.org/our-locations/hospitals/amita-health-mercy-medical-center-aurora/
0004903 		X X         X      
3 AMITA HEALTH SAINT JOSEPH HOSPITAL
77 NORTH AIRLITE AVENUE
ELGIN,IL60123
https://www.amitahealth.org/our-locations/hospitals/amita-health-saint-joseph-hospital-elgin/
0004887 		X X         X      
4 AMITA HEALTH SAINT MARY'S HOSPITAL
500 WEST COURT STREET
KANKAKEE,IL60901
https://www.amitahealth.org/our-locations/hospitals/amita-health-st-mary-s-hospital-kankakee/
0004879 		X X         X      
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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)
AMITA HEALTH SAINT JOSEPH MEDICAL CENTER
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): 		1
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 19
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 19
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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
AMITA HEALTH SAINT JOSEPH MEDICAL CENTER
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
www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/
b
www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
AMITA HEALTH SAINT JOSEPH MEDICAL CENTER
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) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
AMITA HEALTH SAINT JOSEPH MEDICAL CENTER
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) 2019
Schedule H (Form 990) 2019
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)
AMITA HEALTH MERCY MEDICAL CENTER
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): 		2
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 17
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 17
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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
AMITA HEALTH MERCY MEDICAL CENTER
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
www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/
b
www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
AMITA HEALTH MERCY MEDICAL CENTER
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) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
AMITA HEALTH MERCY MEDICAL CENTER
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) 2019
Schedule H (Form 990) 2019
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)
AMITA HEALTH SAINT JOSEPH HOSPITAL
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): 		3
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 17
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 17
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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
AMITA HEALTH SAINT JOSEPH HOSPITAL
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
www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/
b
www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
AMITA HEALTH SAINT JOSEPH HOSPITAL
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) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
AMITA HEALTH SAINT JOSEPH HOSPITAL
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) 2019
Schedule H (Form 990) 2019
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)
AMITA HEALTH SAINT MARY'S HOSPITAL
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): 		4
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 17
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 17
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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
AMITA HEALTH SAINT MARY'S HOSPITAL
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
www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/
b
www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
AMITA HEALTH SAINT MARY'S HOSPITAL
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) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
AMITA HEALTH SAINT MARY'S HOSPITAL
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) 2019
Schedule H (Form 990) 2019
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, 20a, 20b, 20c, 20d, 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 , 1 Facility , 1 - AMITA HEALTH SAINT JOSEPH MEDICAL CENTER. AMITA Health Saint Joseph Medical Center Joliet (AHSJMCJ) and members of the Will County Mobilizing through Action, Planning and Partnership (MAPP) Collaborative, a collaborative of the Will County Health Department, local hospitals and community partners, worked together over 16 months (May 2018-November 2019) to build a comprehensive 2019 Community Health Needs Assessment (CHNA) for Will County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, Will County MAPP Collaborative have engaged diverse groups of community residents and stakeholders and gathered robust data from various perspectives about health status and health behaviors. These prioritized health needs were selected in coordination with community residents and stakeholders through dedicated workgroups, focus groups, and 1,688 community survey responses. IN 2018, THE WILL COUNTY MAPP COLLABORATIVE CONVENED TO CONDUCT THE FOURTH ITERATION OF THE MAPP PROCESS. MAPP IS A COMMUNITY-DRIVEN, STRATEGIC PLANNING FRAMEWORK THAT ASSISTS COMMUNITIES IN DEVELOPING AND IMPLEMENTING EFFORTS AROUND THE PRIORITIZATION OF PUBLIC HEALTH ISSUES AND THE IDENTIFICATION OF RESOURCES TO ADDRESS THEM, AS DEFINED BY THE 10 ESSENTIAL PUBLIC HEALTH SERVICES. THE MAPP PROCESS HAS SIX PHASES WHICH INCLUDE FOUR ASSESSMENTS. COMMUNITY HEALTH STATUS ASSESSMENT THE COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) IS ONE OF FOUR ASSESSMENTS CONDUCTED AS A PART OF THE MAPP PROCESS. DURING THIS ASSESSMENT, INFORMATION REGARDING DEMOGRAPHICS, HEALTH STATUS, HEALTH BEHAVIORS, AND SOCIAL DETERMINANTS IN THE COMMUNITY IS GATHERED AND ANALYZED. DATA IS COLLECTED FROM A VARIETY OF RESOURCES AND ANALYZED COMPARING LOCAL, STATE, AND NATIONAL BENCHMARKS WHEN AVAILABLE. THE CHSA WAS CONDUCTED MAY 2018 - JANUARY 2019. COMMUNITY THEMES AND STRENGTHS ASSESSMENT THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) AIMS TO GATHER COMMUNITY MEMBERS' PERCEPTIONS, THOUGHTS, OPINIONS, AND CONCERNS REGARDING QUALITY OF LIFE IN WILL COUNTY. THIS INPUT PROVIDES VALUABLE INSIGHT INTO THE ISSUES OF IMPORTANCE TO THE COMMUNITY. THE CTSA WAS CONDUCTED MARCH-AUGUST 2019. FORCES OF CHANGE ASSESSMENT THE FORCES OF CHANGE ASSESSMENT (FOCA) AIMS TO IDENTIFY ALL THE FORCES AND ASSOCIATED OPPORTUNITIES AND THREATS THAT CAN AFFECT, EITHER NOW OR IN THE FUTURE, THE LOCAL PUBLIC HEALTH SYSTEM. FORCES MAY BE SOCIAL, ECONOMIC, POLITICAL, TECHNOLOGICAL, ENVIRONMENTAL, SCIENTIFIC, LEGAL, AND/OR ETHICAL IN NATURE. FORCES CAN BE TRENDS, FACTORS, OR EVENTS. THE FOCA WAS CONDUCTED FEBRUARY-MAY 2019. LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) WAS HELD VIA ELECTRONIC SURVEY AND WAS CONDUCTED IN MAY 2019.. THE LPHSA IS USED TO UNDERSTAND THE OVERALL STRENGTHS AND WEAKNESSES OF THE PUBLIC HEALTH SYSTEM BASED ON THE 10 ESSENTIAL PUBLIC HEALTH SERVICES. THE WILL COUNTY MAPP COLLABORATIVE WAS FORMED FOLLOWING THE COMPLETION OF THE MAPP PROJECT IN 2011. THE SECOND ITERATION OF THE MAPP PROCESS BEGAN IN SEPTEMBER 2012 AND WAS COMPLETED IN MAY 2014. THE THIRD ROUND OF THE MAPP PROCESS BEGAN IN JANUARY 2016 AND THE FOURTH ROUND BEGAN IN 2018 FOR COMPLETION IN LATE 2019. THE MAPP EXECUTIVE COMMITTEE MEETS QUARTERLY TO PROVIDE OVERSIGHT TO THE ONGOING MAPP PROCESS AND MAKE RECOMMENDATIONS TO THE OVERALL OPERATIONS OF THE MAPP COLLABORATIVE. A PROGRAM COORDINATOR WAS APPOINTED IN MARCH 2013. THE COORDINATOR IS A FULL-TIME STAFF MEMBER OF THE WILL COUNTY HEALTH DEPARTMENT, WITH PARTIAL FUNDING BY THE WILL COUNTY MAPP COLLABORATIVE. ACTION TEAMS WERE ESTABLISHED AROUND THE IDENTIFIED PRIORITIES AND HAVE BEEN IMPLEMENTING ACTION PLANS AND STRATEGIES TO ADDRESS THOSE NEEDS. THE ACTION TEAMS ARE LED BY CHAIRS AND CO-CHAIRS FROM PARTNER ORGANIZATIONS. MOST OF THE TEAMS MEET MONTHLY OR BI-MONTHLY AS NEEDED. ORGANIZATIONS INVOLVED IN THE MAPP EXECUTIVE COMMITTEE ARE LISTED BELOW. AMITA Health Aunt Martha's Health Services Catholic Charities Diocese of Joliet Chestnut Health Systems Easterseals Joliet Region, Inc. Edward-Elmhurst Hospital Governors State University Greater Joliet Area YMCA New Life Church Senior Services of Will County Silver Cross Hospital Stepping Stones, Inc. Three Rivers Manufacturers' Association United Way of Will County Valley View School District Will County Board Will County Community Health Center Will County Executive's Office Will County Health Department Will-Grundy Medical Clinic PRIORITIZATION OF STRATEGIC ISSUES ON SEPTEMBER 13, 2019, FORTY WILL COUNTY PUBLIC HEALTH STAKEHOLDERS PARTICIPATED IN A PLANNING SESSION AT AMITA HEALTH SAINT JOSEPH MEDICAL CENTER TO REVIEW KEY FINDINGS FROM THE FOUR MAPP ASSESSMENTS, IDENTIFY CROSS-CUTTING THEMES AND POTENTIAL STRATEGIC ISSUES, AND PRIORITIZE A SET OF STRATEGIC ISSUES. Together with our community stakeholders, we have identified the following prioritized health needs in our community: Behavioral Health and Substance Use, including prevention, treatment coordination, linkages, policy and education. Access to Health Care, enforcing coordination and linkage of services to ensure access to quality health services. Access to Food & Nutrition, creating healthy food access and linkages through mapping, education and empowerment. Stabilization of the Built Environment, including health services linkages, environmental evaluations for housing.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - AMITA HEALTH SAINT JOSEPH MEDICAL CENTER. AMITA HEALTH SAINT JOSEPH MEDICAL CENTER PARTNERED WITH SILVER CROSS HOSPITAL, ADVENTIST BOLINGBROOK HOSPITAL AND EDWARD-elmhurst health.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - AMITA HEALTH SAINT JOSEPH MEDICAL CENTER. -Aunt Martha's Health Services; -Catholic Charities Diocese of Joliet; -Chestnut Health Systems; -Easterseals Joliet Region, Inc.; -Governors State University; -Greater Joliet Area YMCA; -New Life Church; -Senior Services of Will County ; -Stepping Stones, Inc.; -Three Rivers Manufacturers' Association; -United Way of Will County; -Valley View School District; -Will County Board ; -Will County Community Health Center; -Will County Executive's Office; -Will County Health Department; -Will-Grundy Medical Clinic
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - AMITA HEALTH SAINT JOSEPH MEDICAL CENTER. 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 , 1 Facility , 1 - AMITA HEALTH SAINT JOSEPH MEDICAL CENTER. AMITA Health Saint Joseph Medical Center (SJMC) has developed an Implementation Strategy for the next three years that describes the programs we are undertaking to address these prioritized health needs in our community. Prioritized Health Needs The following prioritized health needs will be addressed in the 2021-2023 (fiscal year) implementation strategy FOR THE TAX YEAR 2019 CHNA: Behavioral Health and Substance Use Access to Health Care Access to Food & Nutrition Stabilization of the Built Environment This implementation strategy was approved by the Presence Health Suburban Network Board on October 29, 2020. The collective monitoring, reporting progress and revising will ensure the plan remains relevant and effective. Behavioral Health and Substance Use 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 Medical Center Joliet and its community partners will continue to implement 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. Anticipated Impact: By June 2023, AMITA Health Saint Joseph Medical Center Joliet and its community partners will have trained an additional 200 persons in Mental Health First Aid. Strategy: Warm Hand-off Program with Family Guidance Centers In partnership with Family Guidance Center, a non-profit behavioral health organization, continue the Warm Handoff Program for those AMITA Health Saint Joseph Medical Center Joliet patients with an identified substance use disorder. Family Guidance Center provides a full-time Certified Alcohol and Drug Counselor (CADC) on site at SJMC to identify patients suffering with SUD that might be looking for treatment options. Family Guidance specializes in finding appropriate inpatient or intensive outpatient treatment for those individuals who are uninsured or underinsured. Through the initiation of this program in 2019, over 600 persons have been screened and nearly 58 persons have attended treatment. Anticipated Impact: By June 2023, 150 patients screened through this partnership will have attended treatment (inpatient or outpatient) with Family Guidance Center or another SUD provider. Access to Health Care Strategy: Partnership with Will-Grundy Medical Clinic and Aunt Martha's Health & Wellness (FQHC) In order to increase and secure access to primary health care for those uninsured and underinsured, AMITA has partnered with Aunt Martha's to ensure patients are assigned a medical home for post discharge care. In collaboration, Aunt Martha's provided on-site coordinators and phone liaisons to AMITA Health Saint Joseph Medical Center, to round in the emergency department as well as on inpatient units to coordinate primary care visits for patients and sign patients up for Medicaid services or insurance on the federal exchanges. Additionally, AMITA Health provides clinic space within the Medical Center campus for Aunt Martha's at a rental fee of only $1 per year to ensure ease of access and the provision of quality health care for the low-income community. This location has over 9,500 visits in FY19 including over 4,600 unique patient visits. AMITA Health Saint Joseph Medical Center Joliet will continue to support and provide in-kind surgical and ancillary care for patients registered with the Will-Grundy Medical Clinic. The Clinic annually serves over 800 persons, who are the most economically vulnerable in our community and are not eligible for government assistance. Anticipated Impact: By June 2023, over 50% of AHSJMCJ patients scheduled for post-discharge appointments with Aunt Martha's Health & Wellness will keep their appointments. Access to Food and Nutrition Strategy: Rx Mobile Food Pantries & Micro Pantry In collaboration with Northern Illinois Food Bank (NIFB), continue the provisioning of the Rx Mobile Food Pantries and other food interventions in high need areas within the SJMC community. Work with community partner organizations to help promote the availability of and locations of the pantries. Continue to refer patients from the outpatient dietician and diabetes center to track health outcomes related to obtaining healthy foods. On average, each pantry truck serves 220 individuals with free healthy food options that they would normally not obtain on their limited incomes. Additionally, continue to support and stock the Micro Pantry on the SJMC campus, which provides 24/7 access to emergency food. A stocked pantry provides an average of 90 meals per day to those in need. Anticipated Impact: Through June 2023, a monthly average of 220 persons will be provided with free healthy food options through the Rx Mobile Food Pantry and other food interventions conducted by AHSJMCJ. Stabilizing the Built Environment Strategy: Health & Housing Collaboration Using established models of health and housing collaboration, work with the local Continuum of Care, the lead agency within a geographical area that coordinates homeless prevention and services, and other key community agencies to develop a multi agency collaborative. Support the strategic planning of the local Continuum of Care to ensure homeless persons health factors and interactions within the local public health system are prioritized. Anticipated Impact: By June 2023, in partnership with the Continuum of Care, establish a Health & Housing Collaborative to increase care coordination of the homeless population in Will County. Summary of Progress FY20: In FY20, the following indicates the progress made on programming conducted to address the identified health needs of the hospital from the 2017 & 2019 CHNA findings, as the 2019 CHNA was approved during this the FY20 fiscal year. In addition to the strategic initiatives below, each hospital provided many additional health education initiatives, health focused events, in-kind services and cash donations to support and respond to the needs of the community. Prioritized Health Need: Preventing Chronic Diseases: Food Access SJMC continued to host its 24/7 emergency food pantry, a micro pantry, on its campus in FY20. Associate time was spent organizing, coordinating donations, and restocking the micro pantry that provides approximately 90 [IME1] meals per day. In FY2020, a new program, Rx Mobile Food Pantry, was initiated in partnership with Northern Illinois Food Bank to bring an on-site mobile food pantry truck to the hospital campus twice per month to provide free produce, meat and dairy. This initiative provided food to over 8,200 persons from July 2019-June 2020. Prioritized Health Need: Access to Dental & Health Care Through a commitment throughout AMITA Health, SJMC associates utilized the social determinant of health software, Aunt Bertha, to connect and refer patients to local resources such as food pantry, health clinics, utilities support and more. This systemic software is utilized at the patient's bedside as social needs arise that affect their health. Additionally, AMITA Health hosts Aunt Bertha on our external consumer website for community members to search for their own resources. In FY20, additional community partners were added to the resource portal and additional associates were trained on the platform. SJMC continued to provide in-kind clinic space to Aunt Martha's Health & Wellness, a federally qualified health center to ensure ease of access and the provision of quality health care for the low-income community. This location had over 9,500 visits in FY20 including over 4,600 unique patient visits. Additionally, SJMC and Aunt Martha's leadership meet to provide care coordination. In FY20, SJMC continued to support and provide in-kind surgical and ancillary care for patients registered with the Will-Grundy Medical Clinic. This free clinic serves over 800 persons annually, who are the most economically vulnerable in the community and are not eligible for government assistance. Prioritized Health Need: Behavioral Health In FY20, SJMC began a warm hand-off program in partnership with Family Guidance Centers. Through this effort, over 600 persons were screened and 58 persons attended treatment. AMITA Health has committed to providing free mental health first aid training and workshops in all our hospital communities. In FY20, SJMC provided training to 11 persons. Due to the COVID-19 pandemic, additional in-person trainings were put on hold.
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 , 1 Facility , 1 - AMITA HEALTH MERCY MEDICAL CENTER. THE CHNA PROCESS WAS INITIATED BY AMITA HEALTH MERCY MEDICAL CENTER AND AMITA HEALTH SAINT JOSEPH HOSPITAL IN COLLABORATION WITH THE COMMUNITIES THEY SERVE, THE KANE COUNTY HEALTH DEPARTMENT, DELNOR HOSPITAL, RUSH-COPLEY MEDICAL CENTER, SHERMAN HOSPITAL, FOX VALLEY UNITED WAY AND THE UNITED WAY OF ELGIN. ENGAGEMENT OF PUBLIC HEALTH EXPERTISE THE KANE COUNTY HEALTH DEPARTMENT FACILITATED THE CHNA PROCESS BY USING THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) TOOL. AMITA HEALTH MERCY MEDICAL CENTER SERVED AS ONE OF EIGHT PARTNERS THAT PARTICIPATED IN THE KANE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS PROVIDED THE OPPORTUNITY FOR AMITA HEALTH MERCY MEDICAL CENTER TO ACTIVELY PROVIDE EXPERTISE, INPUT, AND FINANCIAL SUPPORT. PARTNERS ALSO INVOLVED IN THIS PROCESS INCLUDED THE FOUR OTHER HOSPITALS IN KANE COUNTY INCLUDING DELNOR HOSPITAL, AMITA HEALTH SAINT JOSEPH HOSPITAL, RUSH-COPLEY MEDICAL CENTER, SHERMAN HOSPITAL, AS WELL AS FOX VALLEY UNITED WAY AND THE UNITED WAY OF ELGIN. COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) COMMITTEE TO PROVIDE COMMUNITY LEVEL OVERSIGHT FOR THE PROCESS, A DIVERSE GROUP OF COMMUNITY STAKEHOLDERS AND AMITA HEALTH MERCY MEDICAL CENTER REPRESENTATIVES WERE INVITED TO PARTICIPATE ON THE CHIP STEERING COMMITTEE. TO ENSURE REPRESENTATIVE ENGAGEMENT, PERSONAL INVITATIONS WERE SENT TO ORGANIZATIONS REPRESENTING CULTURAL, LINGUISTIC, RACIAL, ETHNIC, AND OTHER MINORITY GROUPS. IN ADDITION, INDIVIDUALS WITH SPECIALIZED QUALIFICATIONS IN DEALING WITH SPECIAL POPULATIONS OR CLINICAL GROUPS WERE SOLICITED FOR THEIR PARTICIPATION. FINALLY, EFFORTS WERE MADE TO INCLUDE INDIVIDUALS ON THE CHIP STEERING COMMITTEE WITH PUBLIC HEALTH EXPERTISE. THOSE WHO COMMITTED TO THE ASSESSMENT AND PLANNING PROCESS BECAME THE EIGHT MEMBERS OF THE CHNA STEERING COMMITTEE, WHICH CONTINUES TO MEET REGULARLY TO PROVIDE FEEDBACK AND OVERSIGHT, ASSESS PROGRESS, AND MODIFY PLANS AS NEEDED. THE KANE COUNTY CHIP STEERING COMMITTEE MEMBERS ARE LISTED BELOW: -KANE COUNTY HEALTH DEPARTMENT -UNITED WAY OF ELGIN -AMITA HEALTH MERCY MEDICAL CENTER -AMITA HEALTH SAINT JOSEPH HOSPITAL -ADVOCATE SHERMAN HOSPITAL -FOX VALLEY UNITED WAY -INC BOARD -CADENCE HEALTH -RUSH-COPLEY MEDICAL CENTER TO ESTABLISH PRIORITIES FOR THE IDENTIFIED NEEDS, AMITA HEALTH MERCY MEDICAL CENTER ENGAGED IN A JOINT PRIORITIZATION EXERCISE WITH OTHER KANE COUNTY PARTNER ORGANIZATIONS. ON MAY 10TH, 2018, THE KANE COUNTY HEALTH DEPARTMENT AND THE COLLABORATING HOSPITAL PARTNERS CONVENED A GROUP OF COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH (SEE AREAS OF OPPORTUNITY ABOVE). FOLLOWING THE DATA REVIEW, PRC ANSWERED ANY QUESTIONS AND FACILITATED A GROUP DIALOGUE, ALLOWING PARTICIPANTS TO ADVOCATE FOR ANY OF THE HEALTH ISSUES DISCUSSED. AFTERWARD, PARTICIPANTS WERE PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY KANE COUNTY HEALTH DEPARTMENT AND COLLABORATING PARTNER ORGANIZATIONS; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 157 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. AMITA HEALTH MERCY MEDICAL CENTER WILL USE THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. WHILE THE HOSPITAL WILL LIKELY NOT IMPLEMENT STRATEGIES FOR ALL OF THE HEALTH ISSUES LISTED ABOVE, THE RESULTS OF THIS PRIORITIZATION EXERCISE WILL BE USED TO INFORM THE DEVELOPMENT OF THE HOSPITAL'S ACTION PLAN TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS IN THE COMING YEARS.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - AMITA HEALTH MERCY MEDICAL CENTER. AMITA HEALTH MERCY MEDICAL CENTER PARTNERED WITH SHERMAN HOSPITAL, CADENCE HEALTH, AMITA HEALTH SAINT JOSEPH HOSPITAL AND RUSH-COPLEY MEDICAL CENTER TO COMPLETE THEIR CHNA.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - AMITA HEALTH MERCY MEDICAL CENTER. KANE COUNTY HEALTH DEPARTMENT; UNITED WAY OF ELGIN; FOX VALLEY UNITED WAY; INC BOARD
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - AMITA HEALTH MERCY MEDICAL CENTER. 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 , 1 Facility , 1 - AMITA HEALTH MERCY MEDICAL CENTER - Part I. BASED ON THE CHNA FINDINGS, INTERNAL RESOURCES, AND INTERNAL EXPERTISE, THE AREAS OF FOCUS FOR THE TAX YEAR 2017 IMPLEMENTATION STRATEGY PLAN THAT AMITA HEALTH MERCY MEDICAL CENTER WILL HELP ADDRESS INCLUDE: - MENTAL HEALTH - CHRONIC DISEASE - INCOME AND EDUCATION ALL SIGNIFICANT NEEDS IDENTIFIED IN THE TAX YEAR 2017 CHNA EXCEPT FOR INCOME & EDUCATION. AMITA HEALTH MERCY MEDICAL CENTER IS ACTIVELY PARTICIPATING ON THE KANE COUNTY INCOME & EDUCATION ACTION TEAM. AN ENVIRONMENTAL SCAN WAS COMPLETED IN 2018 TO BETTER TARGET ACTION TEAM ACTIVITIES. THERE ARE INITIATIVES PLANNED TO TARGET EARLY CAREER DEVELOPMENT FOR MIDDLE SCHOOL STUDENTS. AMITA HEALTH MERCY MEDICAL CENTER WILL CONTINUE TO SUPPORT AND COLLABORATE WITH THIS ACTION TEAM. FAITH COMMUNITY NURSING PROGRAM THE FAITH COMMUNITY NURSING (FCN) PROGRAM AT AMITA HEALTH MERCY MEDICAL CENTER INTEGRATES FAITH AND HEALTH IN ORDER TO SERVE THE HEALTH CARE NEEDS OF MEMBERS OF FAITH CONGREGATIONS AND THE COMMUNITY. THE FCN ROLE IS A SPECIALTY OF NURSING FOCUSED ON THE INTEGRATION OF THE SPIRITUAL DIMENSION INTO THE HEALTH SYSTEM THROUGH VISITS INVOLVING ADVOCACY, REFERRAL, WELLNESS EDUCATION AND NAVIGATION OF THE HEALTH SYSTEM. IN 2019, AMITA HEALTH MERCY MEDICAL CENTER PROVIDED FAITH COMMUNITIES WITH HEALTH INFORMATION AND RESOURCES INTEGRATING THE SPIRITUAL DIMENSION WITH EVIDENCE-BASED KNOWLEDGE TO ENHANCE DECISION MAKING FOR OPTIMAL HEALTHY CHOICES. THE FOLLOWING PARISHES WERE ENGAGED OUR LADY OF MERCY CATHOLIC CHURCH, ST. KATHARINE DREXEL CATHOLIC CHURCH, BETHANY LUTHERAN CATHOLIC CHURCH, MAIN BAPTIST CHURCH, FOX VALLEY FAITH & HEALTH NETWORK. TOTAL PARTICIPANTS INT EH PROGRAM IN 2019 WERE 6,583. TAKE CHARGE OF YOUR HEALTH TAKE CHARGE OF YOUR HEALTH CHRONIC DISEASE SELF-MANAGEMENT PROGRAM IS A 6-WEEK PROGRAM WITH PARTICIPANTS EDUCATION WORKSHOP THAT IS EVIDENCE BASED CHRONIC DISEASE SELF MANAGEMENT PROGRAM DEVELOPED BY STANFORD SCHOOL OF MEDICINE PATIENT EDUCATION RESEARCH CENTER. THE PROGRAM PROVIDES INFORMATION AND TEACHES PRACTICAL SKILLS ON MANAGING CHRONIC HEALTH PROBLEMS. LIVE WELL, BE WELL PROGRAM GIVES PEOPLE THE CONFIDENCE AND MOTIVATION THEY NEED TO MANAGE THE CHALLENGES OF LIVING WITH CHRONIC DISEASE INCLUDING COMMUNICATION WITH PHYSICIANS, SYMPTOM MANAGEMENT, ACTION PLANNING & STRATEGIES FOR DISEASE PREVENTION. CAREGIVERS ARE ENCOURAGED TO ATTEND. IN 2019, AMITA HEALTH MERCY MEDICAL CENTER PROVIDED ACCESS TO TAKE CHARGE OF YOUR HEALTH WORKSHOPS FOR INDIVIDUALS DIAGNOSED WITH AT LEAST ONE CHRONIC DISEASE TO FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), LOCAL PHYSICIANS AND FAITH COMMUNITIES. TWENTY PARTICIPANTS WERE ENROLLED IN THIS PROGRAM IN FY2019. COMMUNITY WELLNESS PROGRAM THE COMMUNITY WELLNESS PROGRAM PROVIDES COMMUNITY EDUCATION AND SCREENING PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS BOTH IN THE COMMUNITY AND MAIN HOSPITAL LOCATION. COMPONENTS OF THE PROGRAM INCLUDE: BLOOD PRESSURE, BLOOD GLUCOSE, BLOOD LIPID, BODY-FAT AND BODY MASS INDEX (BMI) SCREENINGS. HEALTH EDUCATION TOPICS ON CHRONIC DISEASE INCLUDE HYPERTENSION, STROKE, DIABETES, OBESITY AND HEART DISEASE. IN 2019, AMITA HEALTH MERCY MEDICAL CENTER PROVIDED INCREASED ACCESS TO HEALTH SCREENINGS SERVICES AND HEALTH EDUCATION, INCLUDING WELLNESS AND CHRONIC DISEASE PREVENTION TO FAITH COMMUNITIES, AT LOCAL HEALTH FAIR, AT LOCAL FOOD PANTRY'S AND AT FEDERALLY QUALIFIED HEALTH CENTER'S. SCREENING INCLUDED METABOLIC SCREENINGS ALONG WITH HEALTH EDUCATION ON CHRONIC DISEASE (STROKE, DIABETES, HEART DISEASE, HIGH BLOOD PRESSURE) TO OVER 1,300 PERSONS. A-LIST DIABETES PREVENTION PROGRAM A-LIST IS A DIABETES SCREENING AND EDUCATION PROGRAM THAT FOCUSES TO PREVENT THE ONSET OF TYPE 2 DIABETES. ESTABLISHED IN 2011, THE A-LIST: ACHIEVING GOOD HEALTH DIABETES PREVENTION PROGRAM IS AN 8-WEEK PROGRAM THAT COMBINES DIABETES PREVENTION EDUCATION STRATEGIES AND MEDICAL NUTRITION THERAPY CONCURRENTLY. PARTICIPANTS MUST HAVE AT LEAST ONE RISK FACTOR FOR TYPE 2 DIABETES BUT MUST NOT BE DIAGNOSED UPON PROGRAM ENTRY. PARTICIPANTS MEET WITH A DIABETES EDUCATOR FOR AN INDIVIDUAL INITIAL ASSESSMENT TO DETERMINE THE PLAN OF CARE. PARTICIPANTS WILL THEN ATTEND EIGHT 1.5-HOUR WORKSHOPS AND TWO INDIVIDUAL MEDICAL NUTRITION THERAPY SESSIONS. HEALTHY BEHAVIOR GOALS ARE SELECTED BY PARTICIPANTS AND A DIABETES EDUCATOR AT THE BEGINNING OF THE PROGRAM AND THEN TO BE RE-EVALUATED MIDWAY THROUGH THE PROGRAM AND UPON PROGRAM COMPLETION OR AS NEEDED. IN 2019, 26 PERSONS PARTICIPATED IN A-LIST WITH 100% REPORTING INCREASED KNOWLEDGE ON DIABETES RISK FACTORS, NUTRITION AND DIABETES PREVENTION STRATEGIES. A1C ACHIEVER DIABETES MANAGEMENT PROGRAM THE A1C ACHIEVER DIABETES MANAGEMENT PROGRAM IS A 2-3 MONTH DIABETES SELF-MANAGEMENT EDUCATION PROGRAM, WHICH HAS ACHIEVED EDUCATION RECOGNITION PROGRAM STATUS BY THE AMERICAN DIABETES ASSOCIATION AND FOLLOW THE NATIONAL STANDARDS FOR DIABETES SELF MANAGEMENT EDUCATION AND SUPPORT. PATIENTS ARE REFERRED TO THE PROGRAM BY THEIR PRIMARY HEALTHCARE PROVIDER. THE PROGRAM INCLUDES AND INITIAL ASSESSMENT, FOLLOWED BY A SERIES OF 5 CLASSES AND CONCLUDING WITH A FINAL ASSESSMENT. THE DIABETES EDUCATORS ARE NURSES, DIETITIANS AND PHARMACISTS. THE GOAL FOR THE PROGRAM IS TO ADOPT HEALTHIER BEHAVIORS WHICH WILL LEAD TO IMPROVED GLYCEMIC CONTROL. IN 2019, AMITA HEALTH MERCY MEDICAL CENTER OFFERED THE SELF-MANAGEMENT TRAINING AND EDUCATION TO COMMUNITY WITH AN EMPHASIS ON THE UNDERSERVED. 80% DROPPED THEIR A1C SCORE AND 66% KEPT THEIR A1C SCORE LESS THAN 7%. ACTIVE SHOOTER RESPONSE COMMUNITY TRAINING IN RESPONSE TO THE ACTIVE SHOOTER EVENT THAT OCCURRED IN AURORA, IL IN FEBRUARY 2019, AMITA HEALTH MERCY MEDICAL CENTER PARTNERED WITH THE AURORA POLICE DEPARTMENT (APD) OFFERING ALICE: ACTIVE SHOOTER RESPONSE TRAINING TO SEVERAL LOCAL FAITH COMMUNITIES. ALICE (ALERT, LOCKDOWN, INFORM, COUNTER, EVACUATE) TRAINING PROVIDES PREPARATION AND A PLAN FOR INDIVIDUALS AND ORGANIZATIONS ON HOW TO MORE PROACTIVELY HANDLE THE THREAT OF AN AGGRESSIVE INTRUDER OR ACTIVE SHOOTER EVENT. ALICE TRAINING OPTION BASED TACTICS HAVE BECOME THE ACCEPTED RESPONSE, VERSUS THE TRADITIONAL "LOCKDOWN ONLY" APPROACH. PROGRAM PARTICIPANTS INCREASED RECOGNITION OF ALICE OPTION-BASED TACTICS AND IMPROVED CONFIDENCE IN RESPONDING TO AN AGGRESSIVE INTRUDER OR ACTIVE SHOOTER EVENT. HAVING DEMONSTRATED ITS EFFECTIVENESS, THE PROGRAM CONTINUES TO EXPAND AND ADD BOTH PARTICIPANTS AND PARTNERS IN THE FAITH COMMUNITY. IN 2019, 130 COMMUNITY PARTICIPANTS COMPLETED THE TRAINING HELD BY AMITA HEALTH MERCY MEDICAL CENTER. MENTAL HEALTH FIRST AID TRAINING IN RESPONSE TO A DEMONSTRATED SYSTEM AND STATE-WIDE NEED OF ADDRESSING BARRIERS TO ACCESSING AND UTILIZING MENTAL HEALTH SERVICES, AMITA HEALTH MERCY MEDICAL CENTER INTRODUCED MENTAL HEALTH FIRST AID (MHFA), TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL ILLNESS AND IMPROVE THE COORDINATION OF MENTAL HEALTH CARE THROUGHOUT A SIX COUNTY SERVICE AREA. COMMUNITY STAKEHOLDERS PARTNERED IN THE DEVELOPMENT OF THE STRATEGY AND ITS IMPLEMENTATION THROUGHOUT THE PROCESS, RECRUITING TRAINEES, IDENTIFYING RESOURCES, AND DISSEMINATING FINDINGS. PROGRAM PARTICIPANTS INCREASED RECOGNITION OF MENTAL HEALTH DISORDERS, INCREASED UNDERSTANDING OF APPROPRIATE TREATMENTS, IMPROVED CONFIDENCE IN PROVIDING HELP TO OTHERS DURING CRISIS SITUATIONS, AND DECREASED STIGMATIZING ATTITUDES. HAVING DEMONSTRATED ITS EFFECTIVENESS, THE PROGRAM CONTINUES TO EXPAND AND ADD BOTH PARTICIPANTS AND PARTNERS. IN 2019, MENTAL HEALTH FIRST AID FOR PUBLIC SAFETY WAS INTRODUCED. THIS TRAINING IS AVAILABLE TO FIRST RESPONDERS. FORTY-FOUR PERSONS ATTENDED MHFA TRAINING HELD BY AMITA HEALTH MERCY MEDICAL CENTER IN 2019.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - AMITA HEALTH MERCY MEDICAL CENTER-PART 2. Summary of Progress FY20: In FY20, the following indicates the progress made on programming conducted to address the identified health needs of the hospital, based on the most recent CHNA findings. In addition to the strategic initiatives below, each hospital provided many additional health education initiatives, health focused events, in-kind services and cash donations to support and respond to the needs of the community. Prioritized Health Need: Income & Education Through a commitment throughout AMITA Health, MMC associates utilized the social determinant of health software, Aunt Bertha, to connect and refer patients to local resources such as food pantry, health clinics, utilities support and more. This systemic software is utilized at the patient's bedside as social needs arise that affect their health. Additionally, AMITA Health hosts Aunt Bertha on our external consumer website for community members to search for their own resources. In FY20, additional community partners were added to the resource portal and additional associates were trained on the platform. In FY20, a micro pantry was added to the campus of MMC to assist those in poverty or low-income with an emergency food source. Associate time was spent organizing, coordinating donations, and restocking the pantry that provides approximately 90[IME1] meals per day. MMC continued to provide a community garden on its campus with the annual produce yield being added to their micro pantry or donated to the Aurora Interfaith Food Pantry. MMC hosted Aurora University nursing student for their Community Health and Diabetes rotations, however, this was put on hold due to the restrictions that came about to address the pandemic. Faith Community Nurses from MMC worked in collaboration with local churches to host mobile food pantries as well as provide prepared meals to vulnerable community members. Prioritized Health Need: Mental Health AMITA Health has committed to providing free mental health first aid training and workshops in all our hospital communities. In FY20, MMC provided training to 19 community members in English and 22 in Spanish. Due to the COVID-19 pandemic, additional in-person trainings were put on hold. MMC continued to provide dedicated staff for 36 hours per week for the Behavioral Health Resource and Referral Call Center in FY20. This centralized resource and referral center addresses the diverse behavioral health needs of the community by directing callers to available community resources by a dedicated BHS counselor. MMC continued to serve on the FUSE (Frequent Users Systems Engagement) coalition to provide wrap around services to high utilizers of health, social and law enforcement services. Prioritized Health Need: Chronic Diseases In FY20, MMC continued to provide free diabetes prevention program to the community. Twelve persons participated with programming having to cease in the spring of 2020 due to COVID-19 restrictions. MMC provided a Diabetes Support Group that is open to any community member who has diabetes and family members or to anyone who wishes to learn more about diabetes and prevention. Different diabetes related educational presentations were provided along with healthy diabetes friendly recipes. In FY20 the support group served 16 participants. The support group was put on hold in the spring of 2020 due to COVID-19 restrictions. MMC continued to provide the Faith Community Nursing program to local churches and parishes to improve the health of the local community. In FY20, MMC provided over 4,800 health visits to 19 parishes and churches.
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 , 1 Facility , 1 - AMITA HEALTH SAINT JOSEPH HOSPITAL. THE CHNA PROCESS WAS INITIATED BY AMITA HEALTH SAINT JOSEPH HOSPITAL AND AMITA HEALTH MERCY MEDICAL CENTER IN COLLABORATION WITH THE COMMUNITIES THEY SERVE, THE KANE COUNTY HEALTH DEPARTMENT, DELNOR HOSPITAL, RUSH-COPLEY MEDICAL CENTER, SHERMAN HOSPITAL, FOX VALLEY UNITED WAY AND THE UNITED WAY OF ELGIN. ENGAGEMENT OF PUBLIC HEALTH EXPERTISE THE KANE COUNTY HEALTH DEPARTMENT FACILITATED THE CHNA PROCESS BY USING THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) TOOL. AMITA HEALTH SAINT JOSEPH HOSPITAL SERVED AS ONE OF EIGHT PARTNERS THAT PARTICIPATED IN THE KANE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS PROVIDED THE OPPORTUNITY FOR AMITA HEALTH SAINT JOSEPH HOSPITAL TO ACTIVELY PROVIDE EXPERTISE, INPUT, AND FINANCIAL SUPPORT. PARTNERS ALSO INVOLVED IN THIS PROCESS INCLUDED THE FOUR OTHER HOSPITALS IN KANE COUNTY INCLUDING DELNOR HOSPITAL, AMITA HEALTH MERCY MEDICAL CENTER, RUSH-COPLEY MEDICAL CENTER, SHERMAN HOSPITAL, AS WELL AS FOX VALLEY UNITED WAY AND THE UNITED WAY OF ELGIN. COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) COMMITTEE: TO PROVIDE COMMUNITY LEVEL OVERSIGHT FOR THE PROCESS, A DIVERSE GROUP OF COMMUNITY STAKEHOLDERS AND AMITA HEALTH SAINT JOSEPH HOSPITAL REPRESENTATIVES WERE INVITED TO PARTICIPATE ON THE CHIP STEERING COMMITTEE. TO ENSURE REPRESENTATIVE ENGAGEMENT, PERSONAL INVITATIONS WERE SENT TO ORGANIZATIONS REPRESENTING CULTURAL, LINGUISTIC, RACIAL, ETHNIC, AND OTHER MINORITY GROUPS. IN ADDITION, INDIVIDUALS WITH SPECIALIZED QUALIFICATIONS IN DEALING WITH SPECIAL POPULATIONS OR CLINICAL GROUPS WERE SOLICITED FOR THEIR PARTICIPATION. FINALLY, EFFORTS WERE MADE TO INCLUDE INDIVIDUALS ON THE CHIP STEERING COMMITTEE WITH PUBLIC HEALTH EXPERTISE. THOSE WHO COMMITTED TO THE ASSESSMENT AND PLANNING PROCESS BECAME THE EIGHT MEMBERS OF THE CHNA STEERING COMMITTEE, WHICH CONTINUES TO MEET REGULARLY TO PROVIDE FEEDBACK AND OVERSIGHT, ASSESS PROGRESS, AND MODIFY PLANS AS NEEDED. THE KANE COUNTY CHIP STEERING COMMITTEE MEMBERS ARE LISTED BELOW: KANE COUNTY HEALTH DEPARTMENT UNITED WAY OF ELGIN AMITA HEALTH MERCY MEDICAL CENTER AMITA HEALTH ST. JOSEPH HOSPITAL ADVOCATE SHERMAN HOSPITAL FOX VALLEY UNITED WAY INC BOARD CADENCE HEALTH RUSH-COPLEY MEDICAL CENTER TO ESTABLISH PRIORITIES FOR THE IDENTIFIED NEEDS, AMITA HEALTH SAINT JOSEPH HOSPITAL ENGAGED IN A JOINT PRIORITIZATION EXERCISE WITH OTHER KANE COUNTY PARTNER ORGANIZATIONS. ON MAY 10TH, 2018, THE KANE COUNTY HEALTH DEPARTMENT AND THE COLLABORATING HOSPITAL PARTNERS CONVENED A GROUP OF COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH. FOLLOWING THE DATA REVIEW, PRC ANSWERED ANY QUESTIONS AND FACILITATED A GROUP DIALOGUE, ALLOWING PARTICIPANTS TO ADVOCATE FOR ANY OF THE HEALTH ISSUES DISCUSSED. AFTERWARD, PARTICIPANTS WERE PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY KANE COUNTY HEALTH DEPARTMENT AND COLLABORATING PARTNER ORGANIZATIONS; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 157 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. AMITA HEALTH SAINT JOSEPH HOSPITAL WILL USE THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. WHILE THE HOSPITAL WILL LIKELY NOT IMPLEMENT STRATEGIES FOR ALL OF THE HEALTH ISSUES LISTED ABOVE, THE RESULTS OF THIS PRIORITIZATION EXERCISE WILL BE USED TO INFORM THE DEVELOPMENT OF THE HOSPITAL'S ACTION PLAN TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS IN THE COMING YEARS.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - AMITA HEALTH SAINT JOSEPH HOSPITAL. AMITA HEALTH SAINT JOSEPH HOSPITAL PARTNERED WITH SHERMAN HOSPITAL, AMITA HEALTH MERCY MEDICAL CENTER, CADENCE HEALTH AND RUSH-COPLEY MEDICAL CENTER TO COMPLETE THEIR CHNA.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - AMITA HEALTH SAINT JOSEPH HOSPITAL. KANE COUNTY HEALTH DEPARTMENT; UNITED WAY OF ELGIN; FOX VALLEY UNITED WAY; INC BOARD
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - AMITA HEALTH SAINT JOSEPH HOSPITAL. 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 , 1 Facility , 1 - AMITA HEALTH SAINT JOSEPH HOSPITAL-PART 1. BASED ON THE CHNA FINDINGS, INTERNAL RESOURCES, AND INTERNAL EXPERTISE, THE AREAS OF FOCUS FOR THE TAX YEAR 2017 IMPLEMENTATION STRATEGY PLAN THAT AMITA HEALTH SAINT JOSEPH HOSPITAL WILL HELP ADDRESS INCLUDE: - MENTAL HEALTH - CHRONIC DISEASE - INCOME AND EDUCATION ALL SIGNIFICANT NEEDS IDENTIFIED IN TAX YEAR 2017 CHNA ARE BEING ADDRESSED EXCEPT INCOME AND EDUCATION. IN LIEU OF A DIRECT STRATEGY TO ADDRESS THE NEED, AMITA HEALTH SAINT JOSEPH HOSPITAL JOINED THE ALIGNMENT FOR COLLABORATIVE EDUCATION COALITION IN 2018. THIS COLLABORATIVE IS FOCUSED ON THE COLLECTIVE IMPACT OF BUSINESSES AND THE SCHOOL COMMUNITIES. THEY ARE PARTNERING WITH ELGIN SCHOOL DISTRICT U-46 TO IMPROVE CAREER PATHWAYS, EARLY EDUCATION SUCCESS AND INCREASE TRAUMA EDUCATION. AMITA HEALTH SAINT JOSEPH HOSPITAL PROVIDED FUNDING TO ASSIST THE COLLABORATIVE IN THEIR EFFORTS IN DECEMBER 2018. TAKE CHARGE OF YOUR HEALTH TAKE CHARGE OF YOUR HEALTH CHRONIC DISEASE SELF-MANAGEMENT PROGRAM IS A 6-WEEK PROGRAM WITH PARTICIPANTS EDUCATION WORKSHOP THAT IS EVIDENCE BASED CHRONIC DISEASE SELF MANAGEMENT PROGRAM DEVELOPED BY STANFORD SCHOOL OF MEDICINE PATIENT EDUCATION RESEARCH CENTER. THE PROGRAM PROVIDES INFORMATION AND TEACHES PRACTICAL SKILLS ON MANAGING CHRONIC HEALTH PROBLEMS. LIVE WELL, BE WELL PROGRAM GIVES PEOPLE THE CONFIDENCE AND MOTIVATION THEY NEED TO MANAGE THE CHALLENGES OF LIVING WITH CHRONIC DISEASE INCLUDING COMMUNICATION WITH PHYSICIANS, SYMPTOM MANAGEMENT, ACTION PLANNING & STRATEGIES FOR DISEASE PREVENTION. CAREGIVERS ARE ENCOURAGED TO ATTEND. IN 2019, AMITA HEALTH SAINT JOSEPH HOSPITAL PROVIDED ACCESS TO TAKE CHARGE OF YOUR HEALTH WORKSHOPS FOR INDIVIDUALS DIAGNOSED WITH AT LEAST ONE CHRONIC DISEASE TO FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), LOCAL PHYSICIANS AND FAITH COMMUNITIES. TWENTY PARTICIPANTS WERE ENROLLED IN THIS PROGRAM IN FY2019. COMMUNITY WELLNESS PROGRAM THE COMMUNITY WELLNESS PROGRAM PROVIDES COMMUNITY EDUCATION AND SCREENING PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS BOTH IN THE COMMUNITY AND MAIN HOSPITAL LOCATION. COMPONENTS OF THE PROGRAM INCLUDE: BLOOD PRESSURE, BLOOD GLUCOSE, BLOOD LIPID, BODY-FAT AND BODY MASS INDEX (BMI) SCREENINGS. HEALTH EDUCATION TOPICS ON CHRONIC DISEASE INCLUDE HYPERTENSION, STROKE, DIABETES, OBESITY AND HEART DISEASE. IN 2019, AMITA PROVIDED INCREASED ACCESS TO HEALTH SCREENINGS SERVICES AND HEALTH EDUCATION, INCLUDING WELLNESS AND CHRONIC DISEASE PREVENTION TO FAITH COMMUNITIES, AT LOCAL HEALTH FAIR, AT LOCAL FOOD PANTRY'S AND AT FEDERALLY QUALIFIED HEALTH CENTER'S. SCREENING INCLUDED METABOLIC SCREENINGS ALONG WITH HEALTH EDUCATION ON CHRONIC DISEASE (STROKE, DIABETES, HEART DISEASE, HIGH BLOOD PRESSURE) TO OVER 400 PERSONS. CDC NATIONAL DIABETES PREVENTION PROGRAM THE NATIONAL DIABETES PREVENTION PROGRAM (NATIONAL DPP) IS AN EVIDENCE-BASED LIFESTYLE CHANGE PROGRAM. PEOPLE AT RISK FOR TYPE 2 DIABETES PARTICIPATE IN THE PROGRAM AND WORK TO REDUCE THEIR RISK OF TYPE 2 DIABETES. HEALTHY BEHAVIOR GOALS ARE SELECTED BY PARTICIPANTS AND A DIABETES EDUCATOR AT THE BEGINNING OF THE PROGRAM AND THEN TO BE RE-EVALUATED MIDWAY THROUGH THE PROGRAM AND UPON PROGRAM COMPLETION OR AS NEEDED. IN 2019, 36 PERSONS PARTICIPATED IN THE DPP PROVIDE BY AMITA HEALTH SAINT JOSEPH HOSPITAL. A1C ACHIEVER DIABETES MANAGEMENT PROGRAM THE A1C ACHIEVER DIABETES MANAGEMENT PROGRAM IS A 2-3 MONTH DIABETES SELF-MANAGEMENT EDUCATION PROGRAM, WHICH HAS ACHIEVED EDUCATION RECOGNITION PROGRAM STATUS BY THE AMERICAN DIABETES ASSOCIATION AND FOLLOW THE NATIONAL STANDARDS FOR DIABETES SELF MANAGEMENT EDUCATION AND SUPPORT. PATIENTS ARE REFERRED TO THE PROGRAM BY THEIR PRIMARY HEALTHCARE PROVIDER. THE PROGRAM INCLUDES AND INITIAL ASSESSMENT, FOLLOWED BY A SERIES OF 5 CLASSES AND CONCLUDING WITH A FINAL ASSESSMENT. THE DIABETES EDUCATORS ARE NURSES, DIETITIANS AND PHARMACISTS. THE GOAL FOR THE PROGRAM IS TO ADOPT HEALTHIER BEHAVIORS WHICH WILL LEAD TO IMPROVED GLYCEMIC CONTROL. IN 2019, AMITA HEALTH SAINT JOSEPH HOSPITAL OFFERED THE SELF-MANAGEMENT TRAINING AND EDUCATION TO COMMUNITY WITH AN EMPHASIS ON THE UNDERSERVED. 79% DROPPED THEIR A1C SCORE AND 67% KEPT THEIR A1C SCORE LESS THAN 7%. MENTAL HEALTH FIRST AID TRAINING 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 INTRODUCED MENTAL HEALTH FIRST AID (MHFA), TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL ILLNESS AND IMPROVE THE COORDINATION OF MENTAL HEALTH CARE THROUGHOUT A SIX COUNTY SERVICE AREA. COMMUNITY STAKEHOLDERS PARTNERED IN THE DEVELOPMENT OF THE STRATEGY AND ITS IMPLEMENTATION THROUGHOUT THE PROCESS, RECRUITING TRAINEES, IDENTIFYING RESOURCES, AND DISSEMINATING FINDINGS. PROGRAM PARTICIPANTS INCREASED RECOGNITION OF MENTAL HEALTH DISORDERS, INCREASED UNDERSTANDING OF APPROPRIATE TREATMENTS, IMPROVED CONFIDENCE IN PROVIDING HELP TO OTHERS DURING CRISIS SITUATIONS AND DECREASED STIGMATIZING ATTITUDES. HAVING DEMONSTRATED ITS EFFECTIVENESS, THE PROGRAM CONTINUES TO EXPAND AND ADD BOTH PARTICIPANTS AND PARTNERS. IN 2019, MENTAL HEALTH FIRST AID FOR PUBLIC SAFETY WAS INTRODUCED. THIS TRAINING IS AVAILABLE TO FIRST RESPONDERS. EIGHTY-EIGHT PERSONS ATTENDED MHFA TRAININGS HELD BY AMITA HEALTH SAINT JOSEPH HOSPITAL IN 2019. MENTAL HEALTH MENTAL HEALTH FIRST AID (MHFA): AN EVIDENCED-BASED PROGRAM AIMED AT REDUCING THE STIGMA ASSOCIATED WITH MENTAL ILLNESS AND IMPROVES THE COORDINATION OF MENTAL HEALTH CARE THROUGHOUT A SIX COUNTY SERVICE AREA. PROGRAM PARTICIPANTS INCREASED RECOGNITION OF MENTAL HEALTH DISORDERS, INCREASED UNDERSTANDING OF APPROPRIATE TREATMENTS, IMPROVED CONFIDENCE IN PROVIDING HELP TO OTHERS DURING CRISIS SITUATIONS, AND DECREASED STIGMATIZING ATTITUDES. HAVING DEMONSTRATED ITS EFFECTIVENESS, THE PROGRAM CONTINUES TO EXPAND AND ADD BOTH PARTICIPANTS AND PARTNERS. CHRONIC DISEASE I'M REDUCING OBESITY IN CHILDREN (IROC) NUTRITION PROGRAM: THE IROC NUTRITION PROGRAM IS DESIGNED TO PROVIDE A SERIES OF EIGHT 1.0 HOUR WORKSHOPS THAT WILL EMPHASIZE PROPER NUTRITION EDUCATION FOR PARENTS AND CHILDREN INCLUDING GOAL SETTING AND MOTIVATION RELATED TO HEALTHY BEHAVIOR ISSUES. THE WORKSHOPS ALSO PROVIDE FAMILIES WITH INFORMATION AND RESOURCES RELEVANT TO THE TOPICS COVERED. PARENTS ATTEND AN EDUCATION WORKSHOP PRESENTED BY A REGISTERED DIETITIAN AS CHILDREN CONCURRENTLY PARTICIPATE IN A COOKING DEMONSTRATION ACTIVITY LED BY A REGISTERED NURSE. CHILDREN CREATE AND EAT HEALTHY SNACKS IN THE CLASS THAT INTRODUCES LITTLE COOKS TO THE KITCHEN WITH EASY RECIPES, SIMPLE MEASUREMENTS AND KITCHEN SAFETY. A1C ACHIEVER DIABETES MANAGEMENT PROGRAM: "LIFE WITH DIABETES" IS A 2-3 MONTH PROGRAM THAT COMBINES DIABETES SELF-MANAGEMENT EDUCATION AND MEDICAL NUTRITION THERAPY CONCURRENTLY. PATIENTS WHO ARE REFERRED MEET WITH A DIABETES EDUCATOR FOR AN INDIVIDUAL INITIAL ASSESSMENT TO DETERMINE THE PLAN OF CARE. PATIENTS ATTEND SIX 1.5 HOUR SESSIONS AND TWO INDIVIDUAL MEDICAL NUTRITION THERAPY SESSIONS. PATIENTS SELECT HEALTHY BEHAVIOR GOALS. ALL PATIENTS THAT ACHIEVE AN A1C OF LESS THAN 7% BECOME PART OF THE "A 1C ACHIEVER" PROGRAM WHICH IS A PATIENT RECOGNITION PROGRAM THAT REWARDS PATIENTS FOR ACHIEVING GLYCEMIC CONTROL. DIABETES PREVENTION PROGRAM: THE NATIONAL DIABETES PREVENTION PROGRAM (NATIONAL DPP) IS AN EVIDENCE-BASED LIFESTYLE CHANGE PROGRAM. PEOPLE AT RISK FOR TYPE 2 DIABETES PARTICIPATE IN THE PROGRAM AND WORK TO REDUCE THEIR RISK OF TYPE 2 DIABETES.HEALTHY BEHAVIOR GOALS ARE SELECTED BY PARTICIPANTS AND A DIABETES EDUCATOR AT THE BEGINNING OF THE PROGRAM AND THEN TO BE RE-EVALUATED MIDWAY THROUGH THE PROGRAM AND UPON PROGRAM COMPLETION OR AS NEEDED. COMMUNITY WELLNESS PROGRAM: THE COMMUNITY WELLNESS PROGRAM PROVIDES COMMUNITY EDUCATION AND SCREENING PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS BOTH IN THE COMMUNITY AND MAIN HOSPITAL LOCATION. COMPONENTS OF THE PROGRAM INCLUDE: BLOOD PRESSURE, BLOOD GLUCOSE, BLOOD LIPID, BODY FAT AND BODY MASS INDEX (BMI) SCREENINGS. HEALTH EDUCATION TOPICS ON CHRONIC DISEASE INCLUDE HYPERTENSION, STROKE, DIABETES, OBESITY AND HEART DISEASE.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - AMITA HEALTH SAINT JOSEPH HOSPITAL-PART 2. LIVE WELL, BE WELL (LWBW) CHRONIC DISEASE SELF-MANAGEMENT PROGRAM: THE LWBW CHRONIC DISEASE SELF-MANAGEMENT PROGRAM IS A 6-WEEK PROGRAM WITH EDUCATION WORKSHOPS. IT IS AN EVIDENCE BASE PROGRAM DEVELOPED BY STANFORD SCHOOL OF MEDICINE PATIENT EDUCATION RESEARCH CENTER. THE PROGRAM PROVIDES INFORMATION AND TEACHES PRACTICAL SKILLS ON MANAGING CHRONIC HEALTH PROBLEMS. LIVE WELL, BE WELL PROGRAM GIVES PEOPLE THE CONFIDENCE AND MOTIVATION THEY NEED TO MANAGE THE CHALLENGES OF LIVING WITH CHRONIC DISEASE INCLUDING COMMUNICATION WITH PHYSICIANS, SYMPTOM MANAGEMENT, ACTION PLANNING & STRATEGIES FOR DISEASE PREVENTION. CAREGIVERS ARE ENCOURAGED TO ATTEND. INCOME AND EDUCATION LOCAL SCHOOL PARTNERSHIPS: WORK WITH AREA SCHOOLS TO DEVELOP TRAINING AND INTERNSHIP PROGRAMS FOR STUDENTS, IMPROVE HEALTH EDUCATION, AND STRENGTHEN THE ECONOMIC VIBRANCY OF OUR NEIGHBORHOOD. PROVIDE ADVOCACY AND SUPPORT FOR LOCAL PARTNERSHIPS WITH SCHOOLS AND SCHOOL DISTRICTS. Summary of Progress FY20: In FY20, the following indicates the progress made on programming conducted to address the identified health needs of the hospital, based on the most recent CHNA findings. In addition to the strategic initiatives below, each hospital provided many additional health education initiatives, health focused events, in-kind services and cash donations to support and respond to the needs of the community. Prioritized Health Need: Income & Education Through a commitment throughout AMITA Health, SJH associates utilized the social determinant of health software, Aunt Bertha, to connect and refer patients to local resources such as food pantry, health clinics, utilities support and more. This systemic software is utilized at the patient's bedside as social needs arise that affect their health. Additionally, AMITA Health hosts Aunt Bertha on our external consumer website for community members to search for their own resources. In FY20, additional community partners were added to the resource portal and additional associates were trained on the platform. SJH continued to partner with the Alignment for Collaborative Education Partnership to increase workforce development opportunities for low-income youth from the U-46 Elgin School District. Prioritized Health Need: Mental Health AMITA Health has committed to providing free mental health first aid training and workshops in all our hospital communities. In FY20, SJH provided trainings to 37 community members. Due to the COVID-19 pandemic, additional in-person trainings were put on hold. SJH continued to serve on the FUSE (Frequent Users Systems Engagement) coalition to provide wrap around services to high utilizers of health, social and law enforcement services. Prioritized Health Need: Chronic Diseases In FY20, SJH began to provide free diabetes prevention program to the community. Twelve persons participated with programming having to cease in the spring of 2020 due to COVID-19 restrictions. SJH continued in early FY20 to provide the Whole Body Approach to Chronic Disease Prevention, a ten week non-diet curriculum to evaluate and improve participant's relationship with food, movement and body image to lower the risk of chronic disease. Seven participants attend weekly sessions and were provided with fresh produce. This program is a partnership with Northern Illinois Food Bank and Northern Illinois University. In FY20 SJH partnered with Greater Elgin Family Care Center to provide free mini diabetes classes. The served a total of 12 participants and had to cease the program due to COVID-19 restrictions. SJH continued to provide a community garden on its campus with the annual produce yield donated low-income patients of the Diabetes Center. Seven raised bed yields were donated to these patients in need of additional fruit and vegetables.
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 , 1 Facility , 1 - AMITA HEALTH SAINT MARY'S HOSPITAL. IN EARLY 2017, THE PARTNERSHIP FOR A HEALTHY COMMUNITY CONVENED TO CONDUCT THE THIRD ITERATION OF THE MAPP PROCESS. MAPP IS A COMMUNITY-DRIVEN, STRATEGIC PLANNING FRAMEWORK THAT ASSISTS COMMUNITIES IN DEVELOPING AND IMPLEMENTING EFFORTS AROUND THE PRIORITIZATION OF PUBLIC HEALTH ISSUES AND THE IDENTIFICATION OF RESOURCES TO ADDRESS THEM, AS DEFINED BY THE 10 ESSENTIAL PUBLIC HEALTH SERVICES. THE MAPP PROCESS HAS SIX PHASES WHICH INCLUDE FOUR ASSESSMENTS. ENGAGEMENT OF PUBLIC HEALTH EXPERTISE THE KANKAKEE COUNTY HEALTH DEPARTMENT AND PSMH CO-FACILITATED THE CHNA PROCESS BY USING THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) TOOL. THE PARTNERSHIP FOR A HEALTHY COMMUNITY FORMALLY ENGAGED THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) FOR ASSISTANCE IN PLANNING AND EXECUTING THE CHNA PROCESS. IPHI SERVED AS AN EXPERT PUBLIC HEALTH CONSULTANT THROUGHOUT THE CHNA TIMELINE. CHNA STEERING COMMITTEE THE STEERING COMMITTEE OF THE KANKAKEE PARTNERSHIP MEETS REGULARLY TO PROVIDE OVERSIGHT TO THE ONGOING MAPP PROCESS AND MAKE RECOMMENDATIONS. ACTION TEAMS WERE ESTABLISHED AROUND THE IDENTIFIED PRIORITIES AND HAVE BEEN IMPLEMENTING ACTION PLANS AND STRATEGIES TO ADDRESS THOSE NEEDS. THE ACTION TEAMS ARE LED BY CHAIRS AND CO-CHAIRS FROM PARTNER ORGANIZATIONS. MOST OF THE TEAMS MEET MONTHLY OR BI-MONTHLY AS NEEDED. ORGANIZATIONS ON THE KANKAKEE PARTNERSHIP FOR A HEALTHY COMMUNITY STEERING COMMITTEE ARE LISTED BELOW: - HELEN WHEELER CENTER FOR COMMUNITY MENTAL HEALTH - KANKAKEE COUNTY HEALTH DEPARTMENT - KANKAKEE COUNTY HISPANIC PARTNERSHIP - IROQUOIS & KANKAKEE COUNTY REGIONAL OFFICE OF EDUCATION - PRESENCE ST. MARY'S HOSPITAL - RIVERSIDE MEDICAL CENTER - UNITED WAY OF KANKAKEE & IROQUOIS COUNTIES THE GENERAL MEMBERSHIP CONSISTS OF PARTNERS WHO ARE NOT INVOLVED DIRECTLY WITH AN ACTION TEAM, BUT PARTICIPATE AS APPROPRIATE FOR THEIR ORGANIZATION. THEY CONTRIBUTE TO THE OVERALL ASSESSMENT PROCESS AND SOME IMPLEMENTATION STRATEGIES. PROCESS USED TO IDENTIFY COMMUNITY NEEDS EVERY FIVE YEARS, LOCAL HEALTH DEPARTMENTS IN ILLINOIS MUST COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND HEALTH PLAN AS A REQUIREMENT FOR RECERTIFICATION WITH THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH). THIS PROCESS IS KNOWN AS ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEED, (IPLAN). HOSPITALS ARE REQUIRED BY THE IRS TO COMPLETE A CHNA EVERY THREE YEARS. FOR THE 2018 ASSESSMENT AND PLANNING PROCESS, THE PARTNERSHIP FOR A HEALTHY COMMUNITY USED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS AS AN EQUIVALENT FOR IPLAN. THE KANKAKEE COUNTY HEALTH DEPARTMENT AND AMITA HEALTH SAINT MARY'S HOSPITAL PARTNERED TO FACILITATE THE MAPP PROCESS IN 2012 AND AGAIN IN 2015 AND 2018. FROM FEBRUARY 2017 THROUGH MARCH 2018 FOUR SEPARATE ASSESSMENTS WERE CONDUCTED. MAPP IS A PROCESS THAT PROVIDES A COMPREHENSIVE FRAMEWORK FOR ASSESSING COMMUNITY NEEDS, AND DEVELOPING AND ADDRESSING STRATEGIC ISSUES. THE PURPOSE OF THE KANKAKEE COUNTY MAPP PROCESS IS TO PROVIDE A COMMUNITY PLAN THAT IS DEVELOPED BY AND FOR THE COMMUNITY. THE BENEFITS OF KANKAKEE COUNTY ENGAGING IN THIS PROCESS INCLUDE: -A HEALTHIER COMMUNITY THAT IMPROVES THE QUALITY OF LIFE FOR THE PEOPLE WHO LIVE AND WORK IN IT. -INCREASED VISIBILITY OF PUBLIC HEALTH IN THE COMMUNITY. -INCREASED AWARENESS AND KNOWLEDGE ABOUT PUBLIC HEALTH ISSUES. -PREPARATION OF OUR LOCAL PUBLIC HEALTH SYSTEM TO BETTER ANTICIPATE, MANAGE AND RESPOND TO CHANGES IN THE COUNTY. -GREATER COLLABORATION AND SHARING OF RESOURCES AMONG PARTNERS. -REFLECTION OF PRIORITIES IN HOSPITAL IMPLEMENTATION STRATEGIES. MAPP HAS SIX PHASES. THE FIRST FIVE PHASES WERE COMPLETED OVER TWENTY-TWO MONTHS. PHASE SIX, THE ACTION CYCLE, IS AN ONGOING PROCESS OF PLANNING, IMPLEMENTING AND EVALUATING. KANKAKEE COUNTY IS CURRENTLY IN PHASE SIX OF THE PROCESS.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - AMITA HEALTH SAINT MARY'S HOSPITAL. AMITA HEALTH SAINT MARY'S HOSPITAL PARTNERED WITH RIVERSIDE MEDICAL CENTER TO COMPLETE THEIR CHNA.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - AMITA HEALTH SAINT MARY'S HOSPITAL. HELEN WHEELER CENTER FOR COMMUNITY MENTAL HEALTH; KANKAKEE COUNTY HEALTH DEPARTMENT; KANKAKEE COUNTY HISPANIC PARTNERSHIP; IROQUOIS & KANKAKEE COUNTY REGIONAL OFFICE OF EDUCATION; UNITED WAY OF KANKAKEE & IROQUOIS COUNTIES
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - AMITA HEALTH SAINT MARY'S HOSPITAL. 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 , 1 Facility , 1 - AMITA HEALTH SAINT MARY'S HOSPITAL-Part 1. AMITA HEALTH SAINT MARY'S HOSPITAL HAS IDENTIFIED THE FOLLOWING THREE FOCUS AREAS AS SIGNIFICANT HEALTH NEEDS FOR THE TAX YEAR 2017 CHNA. THESE ARE THE FOCUS AREAS IDENTIFIED BY THE PARTNERSHIP FOR A HEALTHY COMMUNITY (PHC) THROUGH A COLLECTIVE PRIORITIZATION PROCESS. ACCESS TO HEALTH -FOCUS AREAS: PREVENTION AND PRIMARY CARE, SOCIAL DETERMINANTS OF HEALTH & CHRONIC DISEASE BEHAVIORAL HEALTH -FOCUS AREAS: SUBSTANCE USE, MENTAL HEALTH, & TRAUMA AWARENESS AND PREVENTION EDUCATION AND EMPLOYMENT -FOCUS AREAS: JOB SKILLS, EMPLOYABILITY, & CAREER LADDER THE PRIORITIZED FOCUS AREAS WERE AGREED UPON BASED ON THE NEEDS THROUGHOUT KANKAKEE COUNTY. THESE NEEDS WERE ALSO GUIDED BY INFORMAL FEEDBACK FROM COMMUNITY AND HOSPITAL STAKEHOLDERS. NO WRITTEN FEEDBACK WAS RECEIVED ON AMITA HEALTH SAINT MARY'S HOSPITAL'S PREVIOUS CHNA OR IMPLEMENTATION STRATEGY. AMITA HEALTH SAINT MARY'S HOSPITAL HAS SEVERAL EXISTING PROGRAMS THAT ARE ALREADY ADDRESSING THESE NEEDS, AND OUR 2018 IMPLEMENTATION STRATEGY FURTHER REFINED THESE PROGRAMS AND IDENTIFIED NEW ONES TO ENSURE THAT ALL PRIORITIZED HEALTH NEEDS ARE ADDRESSED. ACCESS TO HEALTH SOCIAL DETERMINANTS OF HEALTH SCREENINGS CONDUCT ROUTINE SCREENINGS ON PATIENTS REGARDING THEIR ACCESS TO SERVICES AND RESOURCES. PROVIDE RESOURCE AND ASSISTANCE TO THOSE PATIENTS TO ENSURE ACCESS TO HEALTH. AMITA HEALTH SAINT MARY'S HOSPITAL PARTICIPATES IN THE AHC STUDY AND OUR CASE MANAGEMENT TEAM IS ACTIVELY SCREENING PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH PER THE GRANT GUIDELINES AND REFERRING AS NEEDED USING THE AMITA HEALTH COMMUNITY RESOURCE PLATFORM (AUNT BERTHA). THIS COMMUNITY RESOURCE PLATFORM IS FREE FOR THE COMMUNITY AND PATIENTS TO USE TO LOOK FOR SERVICES IN THEIR AREA RELATED TO SOCIAL DETERMINANTS OF HEALTH. MOBILE FOOD PANTRY & MICRO PANTRY: DEVELOPMENT HOST MOBILE FOOD PANTRY TRUCKS AND PLACE MICRO PANTRIES IN DESIGNATED FOOD DESERTS. AMITA HEALTH SAINT MARY'S HOSPITAL ADDED A MICRO FOOD PANTRY TO OUR CAMPUS IN 2019. THIS EMERGENCY PANTRY IS STOCKED BY DONATIONS FROM OUR ASSOCIATES AND STOCKING IS COORDINATED BY OUR PATIENT CARE COUNSEL PRESIDENT. ADDITIONALLY, DUE TO FOOD INSECURITY IN KANKAKEE COUNTY, AMITA HEALTH SAINT MARY'S HOSPITAL HAS BEEN PLANNING IN CONJUNCTION WITH NORTHERN ILLINOIS FOOD BANK TO DEVELOP THE SCREEN AND INTERVENE PROGRAM. THIS PROGRAM WILL PROVIDE FREE NUTRITIOUS FOODS TO PATIENTS WHO TEST POSITIVE FOR FOOD INSECURITY AND HAVE AN UNDERLYING CHRONIC DISEASE ISSUE. RN IN A LIBRARY: PLACE AN AMITA HEALTH SAINT MARY'S HOSPITAL COMMUNITY HEALTH NURSE AT THE PUBLIC LIBRARY TO ANSWER HEALTH QUESTIONS, LINK INDIVIDUALS TO HEALTH AND OTHER SOCIAL SERVICES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. THIS PROGRAM WAS ESTABLISHED IN JUNE 2019 AND BEGAN WITH ONSITE AMITA HEALTH SAINT MARY'S HOSPITAL NURSE TO ASSIST WITH ANSWERING GENERAL HEALTH QUESTIONS, PROVIDING GENERAL HEALTH AND WELLNESS SCREENINGS, LINK INDIVIDUALS TO HEALTH AND OTHER SOCIAL SERVICE NEED TO THOSE IN THE LIBRARY. WE PROVIDE THE NURSE 4 DAYS PER MONTH (16 HOURS PER MONTH) AND CONTINUE TO WORK WITH LIBRARY ADMINISTRATION TO TWEAK HOURS AND LOCATION OF SERVICE. AMITA HEALTH SAINT MARY'S HOSPITAL HAS EXTENDED THE NURSE IN A LIBRARY CONCEPT TO A LOCAL CLINIC THAT SERVES PRIMARILY A HISPANIC POPULATION THAT DO NOT HAVE ACCESS TO HEALTH CARE. THE COMMUNITY HEALTH CARE NURSE PROVIDES THESE SAME SERVICES AT THE CLINIC 2 DAYS PER WEEK AND SEES ON AVERAGE 10 PEOPLE PER SHIFT. WE FIT! & FIT N HEALTHY: PROVIDE EXERCISE AND HEALTH PROGRAMS IN LOW-INCOME AREAS FOR YOUTH AND ADULTS. AMITA HEALTH SAINT MARY'S HOSPITAL OFFERS THE FIT-N-HEALTHY PROGRAM IN 5-10 WEEK SESSIONS IN LOW-INCOME AREAS OF KANKAKEE COUNTY FOCUSING ON THOSE AREAS IDENTIFIED AS HAVING A HIGHER RISK OF CHRONIC DISEASE AND DECREASED ACCESS TO HEALTH. BY BRINGING THIS PROGRAM TO THE COMMUNITY, WE ARE REDUCING THE NEED FOR TRANSPORTATION TO ACCESS FREE EXERCISE AND HEALTHY LIFESTYLE CLASSES. IN THE SUMMER, CHILDREN ARE ADDED TO THE PROGRAM WITH THE NAME WE FIT! THIS PROGRAM ENCOURAGES PARENTS AND THEIR CHILDREN TO EXERCISE TOGETHER TO INCREASE PHYSICAL ACTIVITY WITHIN AT RISK, LOW-INCOME COMMUNITIES. PADS PROGRAM/FORTITUDE: AMITA HEALTH SAINT MARY'S HOSPITAL PROVIDES SUPPORT AND IN-KIND SERVICES THE FAITH-BASED, ROTATING HOMELESS SHELTER MODEL IN KANKAKEE COUNTY. AMITA HEALTH SAINT MARY'S HOSPITAL ALSO ASSISTS IN COORDINATING ASSOCIATE VOLUNTEERS FOR TRAINING AND OPPORTUNITIES WITHIN THE PADS PROGRAM. BEHAVIORAL HEALTH 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 SAINT MARY'S HOSPITAL CONDUCTS 2 MENTAL HEALTH FIRST AID TRAINING SESSIONS EACH SUMMER PER YEAR IN COORDINATION WITH HELEN WHEELER COMMUNITY MENTAL HEALTH CENTER IN KANKAKEE. IN AUGUST 2018, A YOUTH TRAINING WAS PROVIDED TO THE COMMUNITY. TWO ADDITIONAL TRAINING WERE OFFERED IN JUL AND AUGUST 2019. OPIOID EDUCATION: PROVIDERS & COMMUNITY CONDUCT TRAINING FOR NURSING, PHYSICIANS AND OTHER PROVIDERS ON PAIN ASSESSMENT, MONITORING AND SAFE OPIOID PRESCRIBING. COMMUNITY CONDUCT EDUCATION CAMPAIGN ON OPIOID ADDICTION AWARENESS AS WELL AS SAFE USE, STORAGE, AND DISPOSAL OF OPIOIDS WHEN PRESCRIBED. MULTIPLE LEADERS FROM AMITA HEALTH SAINT MARY'S HOSPITAL PARTICIPATE IN THE KANKAKEE COUNTY OPIOID TASK FORCE LED BY THE KANKAKEE COUNTY HEALTH DEPARTMENT. FOCUS OF THE GROUP IS TO PROVIDE COMMUNITY EDUCATION, TRAINING AND NARCAN KIT DISBURSEMENT. AMITA HEALTH SAINT MARY'S HOSPITAL IS WORKING ON DEVELOPING A TRAINING PROGRAM TO EXTEND EDUCATION FOR MEDICAL STAFF AND AMITA HEALTH MEDICAL GROUP PROVIDERS AND STAFF. CHILDREN'S MENTAL HEALTH 2.0 INITIATIVE (PROJECT SUN): PARTNER IN COMMUNITY COLLABORATIVE TO REMEDY SYSTEM FOR CHILDREN'S MENTAL HEALTH SERVICES. MULTIPLE LEADERS OF AMITA HEALTH SAINT MARY'S HOSPITAL PARTICIPATE IN THE PROJECT SUN COLLABORATION. FOCUS OF GROUP IS TO PROVIDE COMMUNITY AWARENESS, EDUCATION AND SUPPORT SERVICES IN RELATION TO PEDIATRIC MENTAL HEALTH SERVICES, OF WHICH THERE IS A GAP IN SERVICES IN KANKAKEE COUNTY. EDUCATION & EMPLOYMENT ANCHOR MISSION: ALIGNMENT OF HIRING AND PROCUREMENT PRACTICES LOCALLY TO ENSURE VITALITY IN THE COMMUNITIES WE SERVE. AMITA HEALTH SAINT MARY'S HOSPITAL LEADERS PARTICIPATES WITH KANKAKEE COUNTY WORKFORCE DEVELOPMENT AND ECONOMIC DEVELOPMENT TEAMS TO IDENTIFY NEEDS WITHIN THE COUNTY TO ADDRESS UNEMPLOYMENT, JOB FORCE TRAINING, OUT-COMMUTING, ETC. HEALTH CLINIC AT SCHOOL: IMPLEMENT HEALTH CLINIC ON SCHOOL CAMPUS TO INCREASE HEALTHCARE TRAINING OPPORTUNITIES AS WELL AS ACCESS TO CARE. SMH IN 2019 PARTNERED WITH KANKAKEE DISTRICT 111 TO CREATE A FIRST EVER HIGH SCHOOL CNA PROGRAM. DISTRICT 111 PROVIDES SEVERAL COLLEGE CREDITS PROGRAMS AS PART OF THEIR CURRICULUM TO INCREASE GRADUATION AND EMPLOYMENT RATES AMONG THEIR STUDENTS. THE CNA PROGRAM AT AMITA HEALTH SAINT MARY'S HOSPITAL ALLOWS HIGH SCHOOL SENIORS STUDYING TO BE A CNA TO RECEIVE THEIR CLINICALS IN A HOSPITAL SETTING ON THE UNITES WORKING HAND IN HAND WITH OUR NURSES. AMITA HEALTH SAINT MARY'S HOSPITAL MENTORING PROGRAM & SPEAKER BUREAU: PARTNER WITH LOCAL HIGH SCHOOLS TO DEVELOP MENTORING OPPORTUNITIES AND SPEAKING ENGAGEMENTS FOR YOUTH TO LEARN ABOUT VARIOUS HEALTH CAREERS. IN THE LAST 2 YEARS, AMITA HEALTH SAINT MARY'S HOSPITAL HAS INCREASED THEIR COLLABORATION WITH LOCAL HIGH SCHOOLS AND EMPLOYMENT GROUPS TO PROVIDE JOB SHADOWING, HIGH SCHOOL VOLUNTEER PROGRAM AND HAVE EVEN PARTICIPATED IN A GRADUATE TO GET PAID PROGRAM WHERE LOCAL HIGH SCHOOL COUNSELORS AND ADMINISTRATORS TOURED 4 LOCAL EMPLOYERS TO LEARN ABOUT LOCAL JOB OPPORTUNITIES FOR THEIR STUDENTS THAT MAY NOT REQUIRE A 4-YEAR COLLEGE DEGREE. Summary of Progress FY20: In FY20, the following indicates the progress made on programming conducted to address the identified health needs of the hospital, based on the most recent CHNA findings. In addition to the strategic initiatives below, each hospital provided many additional health education initiatives, health focused events, in-kind services and cash donations to support and respond to the needs of the community. Prioritized Health Need: Education & Employment Beginning in the fall of 2019, SMH began hosting high school students to complete their CNA certificates to increase workforce skills. This was in participation with Kankakee District 111 Training Program. In FY20, twenty-seven students completed their training program at SMH.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - AMITA HEALTH SAINT MARY'S HOSPITAL-Part 2. Prioritized Health Need: Access to Health Through a commitment throughout AMITA Health, SMH associates utilized the social determinant of health software, Aunt Bertha, to connect and refer patients to local resources such as food pantry, health clinics, utilities support and more. This systemic software is utilized at the patient's bedside as social needs arise that affect their health. Additionally, AMITA Health hosts Aunt Bertha on our external consumer website for community members to search for their own resources. In FY20, additional community partners were added to the resource portal and additional associates were trained on the platform. SMH continued to provide free exercise and fitness program in low-income settings to reduce transportation and access to physical activity. The Fit N Healthy and We Fit program served over 900 persons in FY20. SMH provided a Nurse in the Library program in partnership with the Kankakee Public Library to identify patrons in need of assistance to health services or social services. This SMH RN provided consultations to over 45 persons in FY20. In FY20 a 24/7 emergency food pantry, a micro pantry, was added to the SMH campus. Associate time was spent organizing, coordinating donations and restocking the micro pantry that provides approximately 90 meals per day. During FY20, planning between SMH and Northern Illinois Food Bank took place to begin the Rx Mobile Pantry program in early FY21. The Rx Mobile Pantries provide free fruits, vegetables, meats and dairy to those that are in need. Prioritized Health Need: Behavioral Health AMITA Health has committed to providing free mental health first aid training and workshops in all our hospital communities. In FY20, SMH provided trainings to 23 community members. Due to the COVID-19 pandemic, additional in-person trainings were put on hold. SMH participates on the executive planning committee of Project SUN, a county-wide effort to increase linkages to behavioral health services for youth.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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?21
Name and address Type of Facility (describe)
1 PRESENCE PHYSICAL THERAPY
3000 W JEFFERSON ST
JOLIET,IL60435 		PHYSICAL THERAPY
2 PRESENCE PHYSICAL THERAPY SERVICES
600 SOUTH WEBER ROAD
ROMEOVILLE,IL60446 		PHYSICAL THERAPY
3 PRESENCE CENTER FOR WOUND CARE
301 NORTH MADISON ST
JOLIET,IL60435 		WOUND CARE CENTER
4 PRESENCE PHYSICAL THERAPYINDUSTRIAL REHAB
852 SHARP AVENUE
SHOREWOOD,IL60404 		PHYSICAL THERAPY
5 MERCY PROFESSION BUILDING PHARMACY
1315 N HIGHLAND
AURORA,IL60506 		OUTPATIENT PHARMACY
6 PRESENCE PHYSICAL REHAB & SPORT INJURY
2132 JEFFERSON STREET
JOLIET,IL60435 		PHYSICAL THERAPY
7 PRESENCE PHYSICAL THERAPY SERVICES
1812 LINCOLN HIGHWAY
NEW LENOX,IL60451 		PHYSICAL THERAPY
8 PRESENCE PHYSICAL THERAPY SERVICES
15120 WALLIN DRIVE
PLAINFIELD,IL60544 		PHYSICAL THERAPY
9 PRESENCE SLEEP DISORDER CENTER
2132 JEFFERSON STREET
JOLIET,IL60435 		SLEEP DISORDER CENTER
10 PRESENCE MANTENO MEDCENTRE
501 LOCUST STREET
MANTENO,IL60950 		MEDICAL OFFICE BUILDING
11 PRESENCE MEDCENTRE EAST
455 WEST COURT STREET
KANKAKEE,IL60901 		MEDICAL OFFICE BUILDING
12 PRESENCE MEDCENTRE WEST
555 WEST COURT STREET
KANKAKEE,IL60901 		MEDICAL OFFICE BUILDING
13 PRESENCE MOMENCE MEDCENTRE
739 NORTH DIXIE HIGHWAY
MOMENCE,IL60954 		MEDICAL OFFICE BUILDING
14 PRESENCE PEOTONE MEDCENTRE
117 SOUTH HARLEM AVENUE
PEOTONE,IL60468 		MEDICAL OFFICE BUILDING
15 PRESENCE ST MARY'S REGIONAL CANCER CTR
100 PROVENA WAY
BOURONNAIS,IL60914 		REGIONAL ONCOLOGY CENTER
16 PRESENCE ST MARY'S IMAGING CENTER
100 PROVENA WAY
BOURONNAIS,IL60914 		IMAGING CENTER
17 PRESENCE SLEEP DISORDER
656 N CONVENT STREET
BOURONNAIS,IL60914 		SLEEP DISORDER CENTER
18 PRESENCE ADVANCED IMAGING
410 EAST LINCOLN HIGHWAY
NEW LENOX,IL60451 		IMAGING CENTER
19 PRESENCE HEALTING ARTS PAVILION
410 EAST LINCOLN HIGHWAY
NEW LENOX,IL60451 		MEDICAL OFFICE BUILDING
20 PRESENCE ADVANCED IMAGING
2000 GLENWOOD AVENUE
JOLIET,IL60435 		IMAGING CENTER
21 PRESENCE HEALING ARTS PAVILION
16615 SOUTH ROUTE 59
PLAINFIELD,IL60586 		MEDICAL OFFICE BUILDING
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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 I, 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 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. 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: WITH THE GOAL OF MAKING COMMUNITIES A THRU WORKING WITH LOCAL LEGISLATORS ON POLICY, SYSTEMS AND ENVIRONMENTAL CHANGES. -WORKFORCE DEVELOPMENT: PARTNERING WITH LOCAL SCHOOLS TO ALLOW LOCAL TEEN PARTICIPANTS THE OPPORTUNITY TO USE THEIR TIME AND TALENTS FOR THOSE IN NEED, WHILE PROVIDING THEMSELVES WITH EXCELLENT EXPOSURE TO MANY HEALTH-RELATED CAREERS, AS WELL AS BUSINESS COMMUNICATIONS AND EARLY CHILDHOOD TEACHING.
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 JULY 1, 2019 THROUGH JUNE 30, 2020 WAS $31,852,201 AT CHARGES, ($5,691,596 AT COST).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology PRESENCE CENTRAL AND SUBURBAN 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 THE BAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 16-18.
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 CENTRAL AND SUBURBAN 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 - AMITA HEALTH SAINT JOSEPH MEDICAL CENTER: Line 16a URL: www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/; - AMITA HEALTH MERCY MEDICAL CENTER: Line 16a URL: www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/; - AMITA HEALTH SAINT JOSEPH HOSPITAL: Line 16a URL: www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/; - AMITA HEALTH SAINT MARY'S HOSPITAL: Line 16a URL: www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website - AMITA HEALTH SAINT JOSEPH MEDICAL CENTER: Line 16b URL: www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/; - AMITA HEALTH MERCY MEDICAL CENTER: Line 16b URL: www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/; - AMITA HEALTH SAINT JOSEPH HOSPITAL: Line 16b URL: www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/; - AMITA HEALTH SAINT MARY'S HOSPITAL: Line 16b URL: www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - AMITA HEALTH SAINT JOSEPH MEDICAL CENTER: Line 16c URL: www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/; - AMITA HEALTH MERCY MEDICAL CENTER: Line 16c URL: www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/; - AMITA HEALTH SAINT JOSEPH HOSPITAL: Line 16c URL: www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/; - AMITA HEALTH SAINT MARY'S HOSPITAL: Line 16c URL: www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment PRESENCE CENTRAL AND SUBURBAN 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. 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 CENTRAL AND SUBURBAN 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 CENTRAL AND SUBURBAN HOSPITALS NETWORK MAKE 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 CENTRAL AND SUBURBAN 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 DURING PATIENT REGISTRATION ENCOUNTERS. PRESENCE CENTRAL AND SUBURBAN 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 Saint Joseph Medical Center AMITA HEALTH SAINT JOSEPH MEDICAL CENTER RESIDES IN WILL COUNTY, WHICH TOTAL POPULATION IS APPROXIMATELY 692,661 AS OF 2017. A MAJORITY OF THESE WILL COUNTY RESIDENTS RESIDE IN JOLIET, PLAINFIELD, BOLINGBROOK, AND ROMEOVILLE. WILL COUNTY IS PREDOMINANTLY URBAN, WITH 96.07% OF THE TOTAL POPULATION LIVING IN URBAN AREAS. GEOGRAPHICALLY, SOUTHERN WILL COUNTY IS LARGELY RURAL. THE MEDIAN AGE OF WILL COUNTY IS 36.2 YEARS, AND THE COUNTY'S POPULATION IS SLIGHTLY YOUNGER THAN ILLINOIS' POPULATION. THE POPULATION OF FOREIGN-BORN RESIDENTS IN WILL COUNTY INCREASED SLIGHTLY BETWEEN 2011 AND 2016 (AN INCREASE OF 2,767 RESIDENTS). CURRENTLY, THE FOREIGN-BORN POPULATION CONSTITUTES 11.7% OF THE WILL COUNTY POPULATION. IN 2016, THE MAJORITY OF WILL COUNTY'S POPULATION WAS WHITE (74.2%), FOLLOWED BY BLACK/AFRICAN AMERICAN (11.2%), ASIAN (5.1%), AND AMERICAN INDIAN/ALASKA NATIVE (0.2%). THE MEDIAN HOUSEHOLD FAMILY INCOME IN 2018 WAS $97,733 IN WILL COUNTY WHICH HIGHER THAN ILLINOIS. HOWEVER, THERE ARE GEOGRAPHICAL INEQUITIES THAT EXIST IN INCOME WITH LOWER MEDIAN IN THE 60433 & 60432 (BOTH JOLIET) ZIP CODES AS WELL AS AMONG THE HISPANIC & LATINO POPULATIONS. AMITA HEALTH SAINT JOSEPH MEDICAL CENTER SERVICE AREA IS DEFINED BY ZIP CODES BELOW: SERVICE AREA: PRIMARY MARKET - ZIP CODE CITY 60435 JOLIET 60436 JOLIET 60544 PLAINFIELD 60433 JOLIET 60431 JOLIET 60432 JOLIET 60434 JOLIET 60585 PLAINFIELD 60586 PLAINFIELD 60403 CREST HILL 60404 SHOREWOOD SERVICE AREA: SECONDARY MARKET - ZIP CODE CITY 60451 NEW LENOX 60481 WILMINGTON 60450 MORRIS 60410 CHANNAHON 60446 ROMEOVILLE 60447 MINOOKA 60416 COAL CITY 60408 BRAIDWOOD 60421 ELWOOD 60441 LOCKPORT 60448 MOKENA 60442 MANHATTAN 60423 FRANKFORT 60440 BOLINGBROOK 60424 GARDNER 60439 LEMONT 60407 BRACEVILLE 60474 SOUTH WILMINGTON 60491 HOMER GLEN St. Mary's Hospital AMITA HEALTH ST. MARY'S HOSPITAL IS LOCATED WITHIN KANKAKEE COUNTY. ACCORDING TO THE US CENSUS BUREAU, KANKAKEE HAS GROWN STEADILY OVER THE YEARS. HOWEVER, FROM 2010 TO 2015 THE POPULATION HAS DECREASED SLIGHTLY. THE TOTAL POPULATION FOR KANKAKEE WAS PROJECTED TO REACH 110,024 IN 2018. KANKAKEE COUNTY IS MAINLY URBAN WITH 75.4% OF THE TOTAL POPULATION (85,703 PEOPLE) LIVING IN URBAN AREAS. A MAJORITY OF KANKAKEE COUNTY RESIDENTS RESIDE IN THE CENTRAL PART OF THE COUNTY. THE MEDIAN AGE OF KANKAKEE COUNTY IS 37.6 YEARS, WHICH IS SIMILAR TO THE MEDIAN POPULATION OF ILLINOIS (37.9). IN 2018, THE FOREIGN-BORN POPULATION CONSISTS OF NEARLY 5% OF THE KANKAKEE COUNTY POPULATION. THE MAJORITY OF KANKAKEE COUNTY RESIDENTS ARE WHITE (79.7%) WHICH IS HIGHER THAN THE WHITE POPULATIONS IN THE ILLINOIS (71.67%) AND US (72.75%). FIFTEEN PERCENT OF THE POPULATION IS BLACK, IS SLIGHTLY HIGHER THAN THE ILLINOIS (14.23%) AND US (12.67%). TEN PERCENT OF THE POPULATION IS HISPANIC OR LATINO, WHICH HAS INCREASED FROM 8.2% IN 2010. IN 2017, THE MEDIAN FAMILY INCOME IS SIGNIFICANTLY LESS IN KANKAKEE COUNTY ($56,543) THAN THE INCOME FOR ILLINOIS RESIDENTS, AND SLIGHTLY LESS THAN THE US POPULATION. THE MEDIAN FAMILY INCOME IS HIGHEST AMONG WHITE NON-HISPANICS, AND LOWEST AMONG BLACKS. THE MEDIAN FAMILY INCOME IS HIGHEST AMONG FAMILIES MARRIED WITH CHILDREN, AND LOWEST AMONG SINGLE FEMALES WITH CHILDREN. AMITA HEALTH ST. MARY'S HOSPITAL SERVICE AREA IS DEFINED BY ZIP CODES BELOW: SERVICE AREA: PRIMARY MARKET - ZIP CODE CITY 60901 KANKAKEE 60914 BOURBONNAIS 60915 BRADLEY 60954 MOMENCE 60950 MANTENO SERVICE AREA: SECONDARY MARKET - ZIP CODE CITY 60964 SAINT ANNE 60927 CLIFTON 60922 CHEBANSE 60940 GRANT PARK 60970 WATSEKA 60941 HERSCHER 60913 BONFIELD 60938 GILMAN 60911 ASHKUM 60955 ONARGA 60944 HOPKINS PARK 60951 MARTINTON 60930 DANFORTH 60910 AROMA PARK 60912 BEAVERVILLE 60919 CABERY 60961 REDDICK 60917 BUCKINGHAM 60935 ESSEX 60928 CRESCENT CITY 60481 WILMINGTON 60468 PEOTONE 60420 DWIGHT 60958 PEMBROKE TOWNSHIP Mercy Medical Center AURORA, WHERE AMITA HEALTH MERCY MEDICAL CENTER RESIDES, IS THE SECOND LARGEST CITY IN ILLINOIS AND ACCOUNTS FOR MOST OF THE HOSPITAL'S PRIMARY SERVICE AREA. A TOTAL OF 530,839 PEOPLE LIVE IN THE 519.36 SQUARE MILE REPORT AREA DEFINED FOR KANE COUNTY ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2014-18 5-YEAR ESTIMATES. NEARLY 73% OFF THE POPULATION IN KANE COUNTY IS WHITE, FOLLOWED BY OTHER RACE AT 14.7% IN 2018. NEARLY 32% OF THE POPULATION IS HISPANIC OR LATINO ETHNICITY. THE MEDIAN AGE IS 37 YEARS WHICH IS SIMILAR TO THAT OF ILLINOIS. NEARLY 18% OF THE POPULATION IS FOREIGN-BORN IN KANE COUNTY WHICH IS SIGNIFICANTLY HIGHER THAN ILLINOIS (14.0%) AND THE UNITED STATED (13.4%) IN 2018. NINETY-SIX PERCENT OF THE POPULATION RESIDES IN URBAN AREAS OF THE COUNTY. IN 2018, THE MEDIAN FAMILY INCOME IS $90,558, WHICH IS HIGHER THAN ILLINOIS AND THE UNITED STATES. THERE ARE GEOGRAPHICAL DISPARITIES THAT EXIST WITH LOWER INCOMES IN THE AURORA AND ELGIN. MARRIED COUPLES WITH OR WITHOUT CHILDREN EARN THE MOST INCOME IN KANE COUNTY WHILE SINCE MALES WITH CHILDREN EARN THE LEAST. ASIAN AND NON-HISPANIC WHITE POPULATIONS EARN THE MOST WHILE BLACK POPULATIONS, OTHER RACE POPULATIONS AND HISPANIC POPULATIONS EARN THE LEAST. AMITA HEALTH MERCY MEDICAL CENTER'S SERVICE AREA IS DEFINED BY ZIP CODES BELOW: SERVICE AREA: PRIMARY MARKET - ZIP CODE CITY 60506 AURORA 60505 AURORA 60542 NORTH AURORA 60538 MONTGOMERY 60504 AURORA 60507 AURORA 60502 AURORA SERVICE AREA: SECONDARY MARKET - ZIP CODE CITY 60510 BATAVIA 60543 OSWEGO 60560 YORKVILLE 60548 SANDWICH 60545 PLANO 60174 SAINT CHARLES 60554 SUGAR GROVE 60134 GENEVA 60552 SOMONAUK 60503 AURORA 60511 BIG ROCK 60520 HINCKLEY 60119 ELBURN 60115 DEKALB 60541 NEWARK St. Joseph Hospital AMITA HEALTH SAINT JOSEPH HOSPITAL RESIDES IN KANE COUNTY. A TOTAL OF 530,839 PEOPLE LIVE IN THE 519.36 SQUARE MILE REPORT AREA DEFINED FOR KANE COUNTY ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2014-18 5-YEAR ESTIMATES. NEARLY 73% OFF THE POPULATION IN KANE COUNTY IS WHITE, FOLLOWED BY OTHER RACE AT 14.7% IN 2018. NEARLY 32% OF THE POPULATION IS HISPANIC OR LATINO ETHNICITY. THE MEDIAN AGE IS 37 YEARS WHICH IS SIMILAR TO THAT OF ILLINOIS. NEARLY 18% OF THE POPULATION IS FOREIGN-BORN IN KANE COUNTY WHICH IS SIGNIFICANTLY HIGHER THAN ILLINOIS (14.0%) AND THE UNITED STATES (13.4%) IN 2018. NINETY-SIX PERCENT OF THE POPULATION RESIDES IN URBAN AREAS OF THE COUNTY. IN 2018, THE MEDIAN FAMILY INCOME IS $90,558, WHICH IS HIGHER THAN ILLINOIS AND THE UNITED STATES. THERE ARE GEOGRAPHICAL DISPARITIES THAT EXIST WITH LOWER INCOMES IN THE AURORA AND ELGIN. MARRIED COUPLES WITH OR WITHOUT CHILDREN EARN THE MOST INCOME IN KANE COUNTY WHILE SINCE MALES WITH CHILDREN EARN THE LEAST. ASIAN AND NON-HISPANIC WHITE POPULATIONS EARN THE MOST WHILE BLACK POPULATIONS, OTHER RACE POPULATIONS AND HISPANIC POPULATIONS EARN THE LEAST. AMITA HEALTH SAINT JOSEPH HOSPITAL'S SERVICE AREA IS DEFINED BY ZIP CODE BELOW: SERVICE AREA: PRIMARY MARKET - ZIP CODE CITY 60123 ELGIN 60120 ELGIN 60124 ELGIN 60121 ELGIN 60110 CARPENTERSVILLE 60177 SOUTH ELGIN 60140 HAMPSHIRE 60118 DUNDEE SERVICE AREA: SECONDARY MARKET - ZIP CODE CITY 60102 ALGONQUIN 60103 BARTLETT 60174 SAINT CHARLES 60014 CRYSTAL LAKE 60107 STREAMWOOD 60142 HUNTLEY 60098 WOODSTOCK 60050 MCHENRY 60051 MCHENRY 60156 LAKE IN THE HILLS 60175 SAINT CHARLES 60136 GILBERTS 60134 GENEVA 60013 CARY 60152 MARENGO 60135 GENOA 60109 BURLINGTON 60012 CRYSTAL LAKE 60180 UNION
Schedule H, Part VI, Line 5 Promotion of community health PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK ARE FAITH-BASED MINISTRIES THAT PROVIDE SERVICES BASED UPON THE ETHICAL AND RELIGIOUS DIRECTIVES OF THE CATHOLIC CHURCH. PRESENCE HEALTH HOSPITALS ENHANCE THE PUBLIC HEALTH OF OUR COMMUNITIES BY: 1. ENSURING OUR MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS. 2. 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 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 CENTRAL AND SUBURBAN HOSPITALS NETWORK BECAME AN AFFILIATE OF ASCENSION HEALTH AND JOINED AMITA HEALTH WHEN IT WAS ACQUIRED BY ASCENSION HEALTH ON MARCH 1, 2018. PRESENCE CENTRAL AND SUBURBAN 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 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) 2019
Additional Data


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Software Version: 2019v5.0

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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
2019
Open to Public
Inspection
Name of the organization
Presence Central and Suburban Hospitals Network
 
Employer identification number
36-4195126
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) WILL GRUNDY MEDICAL CLINIC
213 East Cass Street
Joliet,IL60432 		36-3492306 501(C)(3) 50,000       GENERAL SUPPORT
(2) UNITED WAY OF WILL COUNTY
54 N Ottawa Stree Suite 300
Joliet,IL60432 		36-2515625 501(C)(3) 25,000       GENERAL SUPPORT
(3) YOUNG MENS CHRISTIAN ASSOCIATION JOLIET
749 Houbolt Road
Joliet,IL60431 		36-2169197 501(c)(3) 24,999       GENERAL SUPPORT
(4) CENTER OF INFORMATION OF ELGIN
28 N GROVE AVE
suite 200
elgin,IL60120 		36-2776988 501(c)(3) 129,924       rent assistance
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
4
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) 2019

Schedule I (Form 990) 2019
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) Scholarships 1 6,000      
(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) OR GOVERNMENTAL ENTITIES AND THEREFORE THE CORPORATION DOES NOT MONITOR THE USE OF THOSE FUNDS.
Schedule I (Form 990) 2019



Additional Data


Software ID: 19010655
Software Version: 2019v5.0


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
2019
Open to Public Inspection
Name of the organization
Presence Central and Suburban Hospitals Network
 
Employer identification number

36-4195126
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 on 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 on 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) 2019

Schedule J (Form 990) 2019
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
1DAVID J BORDO MD
 
DIRECTOR 		(i)

(ii)		 0
-------------
370,909 		0
-------------
0 		0
-------------
36,214 		0
-------------
0 		0
-------------
25,453 		0
-------------
432,576 		0
-------------
0
2PATRICIA EDDY
 
FORMER OFFICER (END 12/2018) 		(i)

(ii)		 0
-------------
263,583 		0
-------------
4,932 		0
-------------
19,964 		0
-------------
0 		0
-------------
28,586 		0
-------------
317,065 		0
-------------
0
3BETTINA A JOHNSON
 
FORMER OFFICER (END 12/2018) 		(i)

(ii)		 0
-------------
252,122 		0
-------------
50,000 		0
-------------
14,241 		0
-------------
0 		0
-------------
17,045 		0
-------------
333,408 		0
-------------
0
4JULIE P ROKNICH
 
SECRETARY 		(i)

(ii)		 0
-------------
225,904 		0
-------------
0 		0
-------------
17,507 		0
-------------
0 		0
-------------
18,059 		0
-------------
261,470 		0
-------------
0
5EARL J BARNES II
 
TREASURER (START 11/2019) 		(i)

(ii)		 0
-------------
383,654 		0
-------------
110,000 		0
-------------
21,000 		0
-------------
0 		0
-------------
1,716 		0
-------------
516,370 		0
-------------
0
6DANA L GILBERT
 
PRESIDENT 		(i)

(ii)		 0
-------------
461,080 		0
-------------
0 		0
-------------
55,567 		0
-------------
0 		0
-------------
26,829 		0
-------------
543,476 		0
-------------
0
7PAUL E BELTER
 
TREASURER (END 11/2019) 		(i)

(ii)		 0
-------------
474,053 		0
-------------
360,954 		0
-------------
263,162 		0
-------------
8,400 		0
-------------
17,668 		0
-------------
1,124,237 		0
-------------
0
8CONNIE J NOLTEMEYER
 
FORMER KEY EMPLOYEE (END 12/2014) 		(i)

(ii)		 0
-------------
146,200 		0
-------------
0 		0
-------------
1,779 		0
-------------
0 		0
-------------
10,628 		0
-------------
158,607 		0
-------------
0
9ROBERT J ERICKSON
 
FORMER KEY EMPLOYEE (END 12/2018) 		(i)

(ii)		 0
-------------
308,310 		0
-------------
54,614 		0
-------------
52,613 		0
-------------
0 		0
-------------
21,469 		0
-------------
437,006 		0
-------------
0
10MICHAEL L BROWN
 
FORMER KEY EMPLOYEE (END 12/2018) 		(i)

(ii)		 0
-------------
359,519 		0
-------------
56,037 		0
-------------
46,340 		0
-------------
0 		0
-------------
13,430 		0
-------------
475,326 		0
-------------
0
11CHRISTOPHER S SHRIDE
 
FORMER KEY EMPLOYEE (END 12/2018) 		(i)

(ii)		 0
-------------
326,671 		0
-------------
19,180 		0
-------------
31,773 		0
-------------
0 		0
-------------
28,881 		0
-------------
406,505 		0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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 THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING CALENDAR YEAR 2019: PAUL E BELTER - $166,098
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED PAYMENT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING CALENDAR YEAR 2019.
Schedule J (Form 990) 2019

Additional Data


Software ID: 19010655
Software Version: 2019v5.0
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
2019
Open to Public
Inspection
Name of the organization
Presence Central and Suburban Hospitals Network
 
Employer identification number

36-4195126
Return Reference Explanation
Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENT The activity of PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK.
Form 990, Part VI, Line 15a Process for Determining Compensation of Top Management Official THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED 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 OR KEY EMPLOYEES THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED 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 6 Classes of members or stockholders PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK HAS ONE MEMBER, PRESENCE CARE TRANSFORMATION CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Subject to the AMITA Affiliation Agreement and the decision making authority of Ascension and Ascension Health, the Ascension Class directors of the Corporate member shall decide the appointment and removal of members of the Board of Corporation of PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Subject to the AMITA affiliation agreement and the decision making authority of Ascension and Ascension Health, the Ascension Class Directors of the Corporate member shall decide all decisions that have a material impact on PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK.
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 RELATED ENTITIES THE ORGANIZATION UTILIZES AN AFFILIATE AS THE COMMON PAY AGENT. EMPLOYEES REPORTED IN PART VII MAY HAVE DUTIES THAT IMPACT MULTIPLE RELATED ENTITIES. TOTAL AVERAGE HOURS WORKED AND COMPENSATION AND BENEFITS PAID ARE REPORTED. IN DOING SO, IF AVAILABLE, A COMMON LAW EMPLOYER ANALYSIS IS USED TO DETERMINE WHETHER THE HOURS AND COMPENSATION/BENEFITS ARE REPORTABLE AS ATTRIBUTABLE DIRECTLY TO THE FILING ORGANIZATION OR ANOTHER ENTITY; OTHERWISE, THE BEST AVAILABLE INFORMATION HAS BEEN USED AS THE BASIS FOR ALLOCATIONS UTILIZED IN THE REPORTING.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Miscellaneous Revenue - Total Revenue: 381661, Related or Exempt Function Revenue: 199899, Unrelated Business Revenue: 34192, Revenue Excluded from Tax Under Sections 512, 513, or 514: 147570; late penalty fees - Total Revenue: 1235, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1235;
Form 990, Part IX, Line 11g Other Expenses Other Miscellaneous Operating Expense - Total Expense: 25537, Program Service Expense: 25537, Management and General Expenses: , Fundraising Expenses: ; Physician Fees to Affiliate - Total Expense: 3367636, Program Service Expense: 3367636, Management and General Expenses: , Fundraising Expenses: ; Minor Equipment - Total Expense: 1798293, Program Service Expense: 1674455, Management and General Expenses: 123838, Fundraising Expenses: ; Equipment Lease - Total Expense: 5671133, Program Service Expense: 4972198, Management and General Expenses: 698935, Fundraising Expenses: ; Provider Tax - Total Expense: 44930580, Program Service Expense: 44930580, Management and General Expenses: , Fundraising Expenses: ; Other Non Medical Supplies - Total Expense: 5076200, Program Service Expense: 1727106, Management and General Expenses: 3349094, Fundraising Expenses: ; Dues - Total Expense: 193561, Program Service Expense: 112114, Management and General Expenses: 81447, Fundraising Expenses: ; Maintenance & Repairs - Total Expense: 2358346, Program Service Expense: 1522456, Management and General Expenses: 835890, Fundraising Expenses: ; Licenses & Permits - Total Expense: 354956, Program Service Expense: 112753, Management and General Expenses: 242203, Fundraising Expenses: ; Books & Subscriptions - Total Expense: 96216, Program Service Expense: 65219, Management and General Expenses: 30997, Fundraising Expenses: ; Charitable Expense - Total Expense: 482160, Program Service Expense: 482160, Management and General Expenses: , Fundraising Expenses: ; Purchased Services - Total Expense: XXX-XX-XXXX, Program Service Expense: 74964955, Management and General Expenses: 30264241, Fundraising Expenses: ; ambulance transport expenses - Total Expense: 230106, Program Service Expense: 74601, Management and General Expenses: 155505, Fundraising Expenses: ; record retention expenses - Total Expense: 129571, Program Service Expense: 103371, Management and General Expenses: 26200, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS WITH AFFILIATES - -XXX-XX-XXXX;
Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant PRESENCE CENTRAL AND SUBURBAN 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 CENTRAL AND SUBURBAN HOSPITALS NETWORK ALSO OPERATES UNDER THE FOLLOWING ASSUMED NAMES: - Mercy Professional Building Pharmacy - Covenant Outpatient Pharmacy - Highland Answering Service - Presence Covenant Medical Center - Presence Mercy Medical Center - Presence Saint Joseph Hospital - Elgin - Presence Saint Joseph Medical Center - Presence United Samaritans Medical Center - Presence St. Mary's Hospital - Presence Surgery Center - Joliet - The Apothecary - Danville - Presence Immediate Care - Plainfield - Presence Imaging - Plainfield - Presence United Samaritans Medical Center Foundation - Presence St. Mary's Hospital Foundation - Presence Saint Joseph Medical Center Foundation - Presence Mercy Medical Center Foundation - Presence Covenant Medical Center Foundation - Presence Saint Joseph Hospital - Elgin Foundation - Pro Ambulance - Presence N.E.W. You Center - AMITA Health Mercy Medical Center Aurora - AMITA Health Saint Joseph Hospital Elgin - AMITA Health Saint Joseph Medical Center Joliet - AMITA Heatlh St. Mary's Hospital Kankakee
Form 990, Page 1 Box J Website Presence Central and Suburban Hospitals Network does not have its own direct website; however, Presence Central and Suburban Hospitals Network operates the following hospitals which have their own websites as follows: AMITA St. Joseph Medical Center- https://www.amitahealth.org/our-locations/hospitals/amita-health-saint-joseph-medical-center-joliet/ AMITA Mercy Medical Center- https://www.amitahealth.org/our-locations/hospitals/amita-health-mercy-medical-center-aurora/ AMITA St. Joseph Hospital- https://www.amitahealth.org/our-locations/hospitals/amita-health-saint-joseph-hospital-elgin/ AMITA St. Mary's Hospital- https://www.amitahealth.org/our-locations/hospitals/amita-health-st-mary-s-hospital-kankakee/
FORM 990, PAGE 1 PHYSICAL ADDRESS THE PHYSICAL ADDRESS FOR THIS ENTITY IS 200 South Wacker Drive, Suite 1200, Chicago, Illinois 60606. THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 19010655
Software Version: 2019v5.0
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
2019
Open to Public Inspection
Name of the organization
Presence Central and Suburban Hospitals Network
 
Employer identification number

36-4195126
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
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1568866 		HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC
 
Yes
 
(2)ALABAMA PROVIDENCE HEALTHCARE SERVICES
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
46-2847744 		SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM
 
Yes
 
(3)ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
47-2360513 		JOINT OPERATING COMPANY IL 501(c)(3) Type II NA
 
 
No
(4)Alexian Brothers Ambulatory Group
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-4336931 		Physician services IL 501(c)(3) 3 Alexian Brothers Health System
 
Yes
 
(5)Alexian Brothers Behavioral Health Hospital
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-4251848 		Behavioral health hospital IL 501(c)(3) 3 Alexian Brothers Health System
 
Yes
 
(6)Alexian Brothers Bonaventure House
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-3527899 		Housing and supportive care services for persons with HIV/AIDS IL 501(c)(3) 10 Alexian Brothers Health System
 
Yes
 
(7)Alexian Brothers Center for Mental Health
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-3045007 		Outpatient community mental health services IL 501(c)(3) 10 Alexian Brothers Health System
 
Yes
 
(8)Alexian Brothers Community Services
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-4344423 		PACE- Comprehensive & Coordinated Community Based Services IL 501(c)(3) 10 Ascension Health Senior Care
 
Yes
 
(9)Alexian Brothers Health System
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
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
 
(10)Alexian Brothers Hospital Network
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-3276552 		Supports the provision of healthcare services for related corporations IL 501(c)(3) Type III-FI Alexian Brothers Health System
 
Yes
 
(11)ALEXIAN BROTHERS LANSDOWNE VILLAGE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
43-1470362 		SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(12)Alexian Brothers Medical Care Group NFP
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
47-1930457 		Physician services IL 501(c)(3) 3 Alexian Brothers Health System
 
Yes
 
(13)Alexian Brothers Medical Center
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-2596381 		Acute care hospital IL 501(c)(3) 3 Alexian Brothers Health System
 
Yes
 
(14)Alexian Brothers Medical Group Specialty Care
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
81-1110738 		SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM
 
Yes
 
(15)Alexian Brothers of San Jose Inc
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
94-1530037 		Acute care hospital (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System
 
Yes
 
(16)Alexian Brothers Senior Ministries
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-4484290 		Supports the provision of healthcare for related corporations IL 501(c)(3) Type II Alexian Brothers Health System
 
Yes
 
(17)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
 
(18)ALEXIAN BROTHERS SHERBROOKE VILLAGE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
43-1592502 		SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(19)Alexian Brothers Specialty Group
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
80-0710751 		Specialty physician practice group IL 501(c)(3) 3 Alexian Brothers Health System
 
Yes
 
(20)ALEXIAN VILLAGE OF MILWAUKEE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1351584 		CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(21)ALEXIAN VILLAGE OF TENNESSEE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
62-1136742 		CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(22)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
 
(23)AMERICAN SPORTS MEDICINE INSTITUTE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
63-0952490 		SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM
 
Yes
 
(24)ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-2841358 		RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS
 
Yes
 
(25)ASCENSION ALL SAINTS HOSPITAL FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1570877 		FOUNDATION WI 501(c)(3) 7 ASCENSION ALL SAINTS HOSPITAL INC
 
Yes
 
(26)ASCENSION ALL SAINTS HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1264986 		HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
 
Yes
 
(27)ASCENSION ALLEGAN FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2802463 		FUNDRAISING MI 501(c)(3) Type I ASCENSION ALLEGAN HOSPITAL
 
Yes
 
(28)ASCENSION ALLEGAN HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-1359180 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(29)ASCENSION ALLEGAN PROFESSIONAL HEALTH SERVICES INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
20-5800012 		HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(30)ASCENSION ARIZONA
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
86-0455920 		HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(31)ASCENSION BORGESS FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
23-7222558 		FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS HOSPITAL
 
Yes
 
(32)ASCENSION BORGESS HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-1360526 		HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(33)ASCENSION BORGESS LEE FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2860459 		FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION BORGESS-LEE HOSPITAL
 
Yes
 
(34)ASCENSION BORGESS-LEE HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-1490190 		HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(35)ASCENSION BRIGHTON CENTER FOR RECOVERY
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-1576680 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(36)ASCENSION CALUMET HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-0905385 		HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(37)Ascension Care Management Insurance Holdings
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
46-1121862 		Health care MO 501(c)(3) Type I Ascension Care Management LLC
 
Yes
 
(38)ASCENSION DEPAUL HOLDINGS OF EL PASO
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
74-2734755 		SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH
 
Yes
 
(39)ASCENSION EAGLE RIVER HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-0985690 		HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(40)ASCENSION EASTWOOD BEHAVIORAL HEALTH
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-1958763 		HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE
 
Yes
 
(41)ASCENSION GENESYS FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-3591148 		FOUNDATION MI 501(c)(3) Type II GENESYS HEALTH SYSTEM
 
Yes
 
(42)ASCENSION GENESYS HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2377821 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(43)ASCENSION GOOD SAMARITAN HOSPITAL FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1627755 		FOUNDATION WI 501(c)(3) Type II ASCENSION GOOD SAMARITAN HOSPITAL INC
 
Yes
 
(44)ASCENSION GOOD SAMARITAN HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-0808503 		HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(45)ASCENSION HEALTH
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
31-1662309 		NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE
 
 
No
(46)ASCENSION HEALTH - IS INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
65-1257719 		SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE
 
Yes
 
(47)ASCENSION HEALTH ALLIANCE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
45-3358926 		NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA
 
 
No
(48)ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T
RUSTC/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-7046706 		SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE
 
Yes
 
(49)ASCENSION HEALTH GLOBAL MISSION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
65-1205990 		SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE
 
Yes
 
(50)ASCENSION HEALTH SENIOR CARE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
43-1227406 		PARENT COMPANY MO 501(c)(3) Type II ASCENSION HEALTH
 
Yes
 
(51)ASCENSION LIVING - LAKESHORE AT SIENA INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
82-4710412 		RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(52)ASCENSION MACOMB OAKLAND HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-3322109 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(53)ASCENSION MEDICAL GROUP GENESYS
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
83-1617112 		HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC
 
Yes
 
(54)ASCENSION MEDICAL GROUP MICHIGAN
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-3494637 		HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC
 
Yes
 
(55)ASCENSION MEDICAL GROUP PROMED
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-3193801 		HEALTHCARE SERVICES MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC
 
Yes
 
(56)ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1127163 		CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM
 
Yes
 
(57)ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1965593 		MEDICAL GROUP WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(58)ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1791586 		MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
 
Yes
 
(59)ASCENSION MICHIGAN
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2631907 		HEALTH CARE MI 501(c)(3) 10 ASCENSION HEALTH
 
Yes
 
(60)ASCENSION MICHIGAN CMG
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2601348 		HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE
 
Yes
 
(61)ASCENSION MINISTRY AND MISSION FUND
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
27-3174701 		SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE
 
Yes
 
(62)ASCENSION NE WISCONSIN INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-0816818 		HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(63)ASCENSION OUR LADY OF VICTORY HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-0807065 		HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(64)ASCENSION PROVIDENCE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
74-1109636 		HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS
 
Yes
 
(65)ASCENSION PROVIDENCE FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-3526629 		FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE
 
Yes
 
(66)ASCENSION PROVIDENCE HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-1358212 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(67)ASCENSION PROVIDENCE ROCHESTER FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2627336 		SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL
 
Yes
 
(68)ASCENSION PROVIDENCE ROCHESTER HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-1359247 		GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(69)ASCENSION RIVER DISTRICT HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-3160564 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(70)ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1390638 		HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(71)ASCENSION SE WISCONSIN HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-0816857 		HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
 
Yes
 
(72)ASCENSION SETON
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
74-1109643 		DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS
 
Yes
 
(73)ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2262856 		HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE
 
Yes
 
(74)ASCENSION ST CLARE'S HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
72-1531917 		HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(75)ASCENSION ST ELIZABETH FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1256677 		FOUNDATION WI 501(c)(3) 7 AFFINITY HEALTH SYSTEM
 
Yes
 
(76)ASCENSION ST FRANCIS HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-0907740 		HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
 
Yes
 
(77)ASCENSION ST JOHN FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
20-2961579 		FUNDRAISING MI 501(c)(3) 7 ST JOHN PROVIDENCE
 
Yes
 
(78)ASCENSION ST JOHN HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-1359063 		HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(79)ASCENSION ST JOSEPH FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
01-0790428 		FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH'S HOSPITAL
 
Yes
 
(80)ASCENSION ST JOSEPH HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-1443395 		HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(81)ASCENSION ST MARY'S FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2246366 		FUNDRAISING MI 501(c)(3) Type III-FI ASCENSION ST MARY'S HOSPITAL
 
Yes
 
(82)ASCENSION ST MARY'S HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-0997730 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(83)ASCENSION ST MICHAEL'S HOSPITAL FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1657410 		FOUNDATION WI 501(c)(3) Type I ASCENSION ST MICHAEL'S HOSPITAL INC
 
Yes
 
(84)ASCENSION ST MICHAEL'S HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-0808443 		HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(85)ASCENSION STANDISH HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-1671120 		HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN
 
Yes
 
(86)ASCENSION TEXAS
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
45-4364243 		DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH
 
Yes
 
(87)ASCENSION VIA CHRISTI HEALTH PARTNERS INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
48-0958974 		MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC
 
Yes
 
(88)ASCENSION VIA CHRISTI HEALTH INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
48-1172107 		HEALTH SYSTEM PARENT KS 501(c)(3) Type I ASCENSION HEALTH
 
Yes
 
(89)ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
48-1186704 		HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC
 
Yes
 
(90)ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
48-0543778 		HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC
 
Yes
 
(91)ASCENSION VIA CHRISTI HOSPITAL WICHITA ST TERESA INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
27-1965272 		HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC
 
Yes
 
(92)ASCENSION VIA CHRISTI HOSPITALS WICHITA INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
48-1172106 		HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC
 
Yes
 
(93)ASCENSION VIA CHRISTI PROPERTY SERVICES INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
48-0948571 		PROPERTY MANAGEMENT KS 501(c)(4)   ASCENSION VIA CHRISTI HOSPITALS WICHITA INC
 
Yes
 
(94)ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
48-1158274 		REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC
 
Yes
 
(95)ASCENSION WELFARE BENEFITS TRUST
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
43-1601369 		VEBA MO 501(c)(9)   ASCENSION HEALTH ALLIANCE
 
Yes
 
(96)ASCENSION WISCONSIN FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1494981 		FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC
 
Yes
 
(97)ASCENSION WISCONSIN LABORATORIES INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1701402 		LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
 
Yes
 
(98)ASCENSION WISCONSIN PHARMACY INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1613624 		PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
 
Yes
 
(99)BAPTIST HEALTH CARE AFFILIATES INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
58-1509251 		COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK
 
Yes
 
(100)BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
58-1861378 		INACTIVE TN 501(c)(3) Type I SAINT THOMAS MIDTOWN HOSPITAL
 
Yes
 
(101)BLUE LADIES MINERALS INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
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
 
(102)BORGESS AMBULATORY CARE CORPORATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2468823 		HOLDING COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC
 
Yes
 
(103)BORGESS HEALTH ALLIANCE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2335286 		HEALTH SYSTEM PARENT MI 501(c)(3) Type III-FI ASCENSION MICHIGAN
 
Yes
 
(104)BORGESS NURSING HOME INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2555589 		SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(105)CARONDELET FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
86-0749574 		FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA
 
Yes
 
(106)CARONDELET HEALTH
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
43-1276738 		HEALTH SYSTEM PARENT MO 501(c)(3) Type I ASCENSION HEALTH
 
Yes
 
(107)CARONDELET LONG-TERM CARE FACILITIES INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
74-2505427 		SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(108)CARONDELET REGIONAL MEDICAL PC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
81-4769136 		MEDICAL GROUP NY 501(c)(3) 3 ST MARY'S HEALTHCARE
 
Yes
 
(109)CARROLL MANOR
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
83-2068871 		SKILLED NURSING FACILITY DC 501(c)(3) 10 Ascension Health Senior Care
 
Yes
 
(110)CATALPA HEALTH INC
N4642 COUNTY N

APPLETON,WI54914
45-4681563 		BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM
 
Yes
 
(111)CENTER FOR GERONTOLOGY
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2514708 		ADULT DAY CARE MI 501(c)(3) Type II Ascension Health Senior Care
 
Yes
 
(112)CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-1869951 		FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC
 
Yes
 
(113)CMC FOUNDATION OF CENTRAL TEXAS
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
20-0468031 		FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS
 
Yes
 
(114)COLUMBIA COLLEGE OF NURSING Inc
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1596986 		COLLEGE WI 501(c)(3) 2 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC
 
Yes
 
(115)COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-0806315 		HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC
 
Yes
 
(116)COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-0807063 		HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC
 
Yes
 
(117)COLUMBIA ST MARY'S INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1834639 		HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH
 
Yes
 
(118)CORNERSTONE ASSISTED LIVING INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
48-1241079 		RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(119)DELL CHILDREN'S MEDICAL GROUP
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
74-2800601 		DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION
 
Yes
 
(120)DR KATE NEWCOMB CONVALESCENT CENTER INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1357365 		NURSING/ASSISTED LIVING SERVICES WI 501(c)(3) 10 HOWARD YOUNG HEALTH CARE INC
 
Yes
 
(121)FIELD NEUROSCIENCES INSTITUTE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2790703 		MEDICAL RESEARCH ORGANIZATION MI 501(c)(3) 10 ASCENSION ST MARY'S HOSPITAL
 
Yes
 
(122)FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
75-3193633 		FOUNDATION WI 501(c)(3) Type I ASCENSION ST CLARE'S HOSPITAL INC
 
Yes
 
(123)FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD Inc
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1684957 		FOUNDATION WI 501(c)(3) Type II SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC
 
Yes
 
(124)GENESYS AMBULATORY HEALTH SERVICES
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2371754 		HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM
 
Yes
 
(125)GENESYS CONVALESCENT CENTER
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2317364 		CONVALESCENT CENTER MI 501(c)(3) 3 GENESYS AMBULATORY HEALTH SERVICES
 
Yes
 
(126)GENESYS HEALTH SYSTEM
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-3339703 		HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN
 
Yes
 
(127)GULF COAST HEALTH SYSTEM
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
63-0934712 		HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM
 
Yes
 
(128)HAVEN OF OUR LADY OF PEACE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
59-3620346 		NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM
 
Yes
 
(129)HEALTHCARE COLLABORATIVE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
27-3220767 		DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION
 
Yes
 
(130)HOWARD YOUNG HEALTH CARE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1499115 		HOME OFFICE WI 501(c)(3) Type II MINISTRY HEALTH CARE INC
 
Yes
 
(131)JANE PHILLIPS MEMORIAL MEDICAL CENTER
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
73-0606129 		HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(132)JANE PHILLIPS NOWATA HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
73-1440267 		HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(133)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
 
(134)LOURDES FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
91-1528577 		FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO
 
Yes
 
(135)Lourdes Realty Company Inc
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
22-2873637 		Rental of Health Care Facilities NY 501(c)(2)   Our Lady of Lourdes Memorial Hospital Inc
 
Yes
 
(136)MEDICAL SERVICES ENHANCEMENT INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
14-1776546 		MEDICAL OFFICE BUILDING NY 501(c)(25)   ST MARY'S HEALTHCARE
 
Yes
 
(137)MEDICARE VALUE PARTNERS
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-3495969 		HEALTH CARE IL 501(c)(3) 10 Presence Health Partners Services
 
Yes
 
(138)MERCY HEALTH FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
23-7140261 		FOUNDATION WI 501(c)(3) 10 AFFINITY HEALTH SYSTEM
 
Yes
 
(139)METRO PHYSICIANS INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
94-3436893 		Medical Group WI 501(c)(3) 3 ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
 
Yes
 
(140)MINISTRY HEALTH CARE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1490371 		PARENT CORPORATION WI 501(c)(3) Type I ASCENSION HEALTH
 
Yes
 
(141)OUR LADY OF LOURDES HOSPITAL AT PASCO
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
91-0349750 		HEALTHCARE WA 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(142)OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
15-0532221 		HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(143)OUR LADY OF PEACE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
16-1608735 		SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(144)OWASSO MEDICAL FACILITY INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
20-3700131 		HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(145)PRESENCE AMBULATORY SERVICES
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-4286236 		HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation
 
Yes
 
(146)PRESENCE BEHAVIORAL HEALTH
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-2709982 		HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation
 
Yes
 
(147)PRESENCE CARE HOME
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
46-0483587 		HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION
 
Yes
 
(148)PRESENCE CARE TRANSFORMATION CORPORATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-3366652 		MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System
 
Yes
 
(149)PRESENCE CHICAGO HOSPITALS NETWORK
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-2235165 		HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation
 
Yes
 
(150)PRESENCE HEALTH PARTNERS SERVICES
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-2644178 		HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System
 
Yes
 
(151)PRESENCE HEALTHCARE SERVICES
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-3330928 		HEALTH CARE IL 501(c)(3) 3 Presence Care Transformation Corporation
 
Yes
 
(152)PRESENCE HOME CARE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
46-0483581 		HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION
 
Yes
 
(153)PRESENCE LIFE CONNECTIONS
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
37-1127787 		RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(154)PRESENCE SENIOR SERVICES CHICAGOLAND
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
23-7061646 		RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(155)PRIMARY PHYSICIAN NETWORK LLC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
20-8775914 		DORMANT IN 501(c)(3) 10 ST MARY'S HEALTH INC
 
Yes
 
(156)PROVIDENCE BUILDING CORPORATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
63-0914564 		SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2)   GULF COAST HEALTH SYSTEM
 
Yes
 
(157)PROVIDENCE FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
63-0915493 		SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM
 
Yes
 
(158)PROVIDENCE FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
74-2683112 		SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE
 
Yes
 
(159)PROVIDENCE HEALTH ALLIANCE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
74-2696970 		PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE
 
Yes
 
(160)PROVIDENCE HEALTH FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
52-1275583 		FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL
 
Yes
 
(161)PROVIDENCE HEALTH SERVICES INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
52-1275587 		PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL
 
Yes
 
(162)PROVIDENCE HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
63-0288861 		HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM
 
Yes
 
(163)PROVIDENCE HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
53-0196636 		HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(164)PROVIDENCE PARK INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
61-1759304 		SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(165)RAINBOW HOSPICE AND PALLIATIVE CARE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-3296367 		HEALTH CARE IL 501(c)(3) 10 Presence Care Transformation Corporation
 
Yes
 
(166)SACRED HEART FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
59-2436597 		FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM
 
Yes
 
(167)SACRED HEART HEALTH SYSTEM INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
59-0634434 		HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC
 
Yes
 
(168)SACRED HEART HEALTH VENTURES INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
57-1183283 		INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM
 
Yes
 
(169)SACRED HEART REHABILITATION INSTITUTE Inc
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-0902199 		REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC
 
Yes
 
(170)SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
41-0693877 		HOSPITAL MN 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(171)SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-0847631 		HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(172)SAINT THOMAS HEALTH
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
58-1716804 		SYSTEM PARENT TN 501(c)(3) Type II ASCENSION HEALTH
 
Yes
 
(173)SAINT THOMAS HEALTH FOUNDATIONS
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
58-1663055 		OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK
 
Yes
 
(174)SAINT THOMAS HICKMAN HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
58-1737573 		HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC
 
Yes
 
(175)SAINT THOMAS HOME HEALTH
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
62-1836937 		HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL
 
Yes
 
(176)SAINT THOMAS MEDICAL PARTNERS
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
62-1529858 		HEALTHCARE PROVIDER TN 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC
 
Yes
 
(177)SAINT THOMAS MIDTOWN HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
62-1869474 		ACUTE CARE HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH
 
Yes
 
(178)SAINT THOMAS NETWORK
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
62-1284994 		HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH
 
Yes
 
(179)SAINT THOMAS REGIONAL HOSPITALS
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
47-4063046 		HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH
 
Yes
 
(180)SAINT THOMAS RUTHERFORD FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
62-1167917 		FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL
 
Yes
 
(181)SAINT THOMAS RUTHERFORD HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
62-0475842 		HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH
 
Yes
 
(182)SAINT THOMAS WEST HOSPITAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
62-0347580 		HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH
 
Yes
 
(183)SALINA REGIONAL HOME MEDICAL SERVICES LLC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
43-1948057 		MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC
 
Yes
 
(184)Savelli Properties Inc
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-3308965 		Owns or leases properties where healthcare services are delivered IL 501(c)(2)   Alexian Brothers Health System
 
Yes
 
(185)SETON CLINICAL ENTERPRISE CORPORATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
45-4364681 		DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION TEXAS
 
Yes
 
(186)SETON FAMILY OF DOCTORS
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
26-4562522 		DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION
 
Yes
 
(187)SETON FAMILY OF PEDIATRIC SURGEONS
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
27-1311790 		DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION
 
Yes
 
(188)SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
74-2212968 		FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS
 
Yes
 
(189)SETON HAYS FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
26-2842608 		FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS
 
Yes
 
(190)SETON HEALTH CORPORATION OF SOUTHEAST MICHIGAN
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2820107 		HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE
 
Yes
 
(191)SETON HOSPITALIST SERVICE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
45-2498998 		DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 ASCENSION SETON
 
Yes
 
(192)SETON INSURANCE SERVICES CORPORATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
45-4364813 		DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS
 
Yes
 
(193)SETON MANOR INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
23-2960726 		SKILLED NURSING FACILITY PA 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(194)SETON MEDICAL GROUP INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-2064992 		PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY MD 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC
 
Yes
 
(195)SETON MEDICAL MANAGEMENT
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
63-0937704 		SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM
 
Yes
 
(196)SETON ORAL & MAXILLOFACIAL SURGERY
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
42-1670843 		DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION
 
Yes
 
(197)SETON PROPERTY CORPORATION OF NORTH ALABAMA
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
23-7326976 		REAL ESTATE AL 501(c)(2)   ST VINCENT'S HEALTH SYSTEM
 
Yes
 
(198)SETON WILLIAMSON FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
20-5330986 		FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS
 
Yes
 
(199)SETONUT DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
74-2869762 		DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION
 
Yes
 
(200)SJRMC INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
82-0204264 		HOSPITAL ID 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(201)SOUTHERN TIER MEDICAL CARE - NY PC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
82-1103087 		HEALTHCARE NY 501(c)(3) 3 OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
 
Yes
 
(202)ST AGNES FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
52-1415083 		FUNDRAISING MD 501(c)(3) Type I ST AGNES HEALTHCARE INC
 
Yes
 
(203)ST AGNES HEALTHCARE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
52-0591657 		HOSPITAL MD 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(204)St Alexius Medical Center
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-4251846 		Acute care hospital IL 501(c)(3) 3 Alexian Brothers Health System
 
Yes
 
(205)ST CATHERINE LABOURE MANOR INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
59-1878316 		SKILLED NURSING FACILITY FL 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(206)ST JOHN AUXILIARY INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
73-0999759 		HEALTH CARE OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(207)ST JOHN BROKEN ARROW INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-3833117 		HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(208)ST JOHN BUILDING CORPORATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
61-1659782 		REAL ESTATE OK 501(c)(2)   ST JOHN HEALTH SYSTEM INC
 
Yes
 
(209)ST JOHN HEALTH SYSTEM FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
73-1133139 		FUNDRAISING OK 501(c)(3) 7 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(210)ST JOHN HEALTH SYSTEM INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
73-1215174 		SYSTEM PARENT OK 501(c)(3) Type I ASCENSION HEALTH
 
Yes
 
(211)ST JOHN MEDICAL CENTER INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
73-0579286 		HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(212)ST JOHN PROVIDENCE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2244034 		PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN
 
Yes
 
(213)ST JOHN SAPULPA INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
73-0662663 		HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(214)ST JOHN VILLAS INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
73-1077367 		NURSING HOME OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC
 
Yes
 
(215)ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
23-7313206 		SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST JOSEPH HOSPITAL & HEALTH CENTER INC
 
Yes
 
(216)ST JOSEPH HOSPITAL & HEALTH CENTER INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-0992717 		HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(217)ST JOSEPH MEDICAL CENTER FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
43-1388461 		FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH
 
Yes
 
(218)ST JOSEPH REGIONAL MEDICAL CENTER FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
51-0168321 		FUNDRAISING ID 501(c)(3) Type I SJRMC Inc
 
Yes
 
(219)ST JOSEPH'S MINISTRIES INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
52-1835288 		SKILLED NURSING FACILITY MD 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(220)ST LUKE'S-ST VINCENT'S HEALTHCARE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
26-0479484 		HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC
 
Yes
 
(221)ST MARY'S AT HOME INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-1899560 		DME/HOME CARE IN 501(c)(3) Type I ST MARY'S HEALTH INC
 
Yes
 
(222)ST MARY'S BUILDING CORPORATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
23-7248362 		REAL ESTATE HOLDING COMPANY IN 501(c)(2)   ST MARY'S HEALTH INC
 
Yes
 
(223)ST MARY'S HEALTH FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
23-7045370 		SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST MARY'S HEALTH INC
 
Yes
 
(224)ST MARY'S HEALTH SERVICES INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-1679526 		INVESTMENT SERVICES IN 501(c)(3) Type I ST MARY'S HEALTH INC
 
Yes
 
(225)ST MARY'S HEALTH INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-0869065 		HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(226)ST MARY'S HEALTHCARE
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
14-1347719 		HOSPITAL NY 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(227)ST MARY'S MEDICAL CENTER FOUNDATION
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
43-1918107 		FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH
 
Yes
 
(228)ST MARY'S MEDICAL GROUP LLC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
26-1356310 		PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT MEDICAL GROUP INC
 
Yes
 
(229)ST MARY'S OHIO VALLEY HEARTCARE LLC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
27-3474697 		DORMANT IN 501(c)(3) Type I ST MARY'S MEDICAL GROUP LLC
 
Yes
 
(230)ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
20-5342518 		AMBULANCE SERVICES IN 501(c)(4)   ST MARY'S HEALTH SERVICES INC
 
Yes
 
(231)ST MARY'S WARRICK HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-1343019 		HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(232)ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-2053693 		SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT ANDERSON REGIONAL HOSPITAL INC
 
Yes
 
(233)ST VINCENT ANDERSON REGIONAL HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
46-0877261 		HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(234)ST VINCENT CARMEL HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
74-3107055 		HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(235)ST VINCENT CLAY HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-2112529 		CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(236)ST VINCENT DUNN HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
27-2192831 		CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(237)ST VINCENT FISHERS HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
45-4243702 		HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(238)ST VINCENT FRANKFORT HOSPITAL FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-1531734 		SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT FRANKFORT HOSPITAL INC
 
Yes
 
(239)ST VINCENT FRANKFORT HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-2099320 		CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(240)ST VINCENT HEALTH INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-2052591 		PARENT COMPANY IN 501(c)(3) Type III-FI ASCENSION HEALTH
 
Yes
 
(241)ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
46-1227327 		HEALTH AND WELLNESS SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC
 
Yes
 
(242)ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-0869066 		HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(243)ST VINCENT HOSPITAL FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-6088862 		SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC
 
Yes
 
(244)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
 
(245)ST VINCENT JENNINGS HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-1841606 		CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(246)ST VINCENT MADISON COUNTY HEALTH SYSTEM INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-0876389 		HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(247)ST VINCENT MEDICAL GROUP INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
27-2039417 		PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT CARMEL HOSPITAL INC
 
Yes
 
(248)ST VINCENT MERCY HOSPITAL FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
31-1066871 		SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT MADISON COUNTY HEALTH SYSTEM INC
 
Yes
 
(249)ST VINCENT RANDOLPH HOSPITAL FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-2133006 		SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT RANDOLPH HOSPITAL INC
 
Yes
 
(250)ST VINCENT RANDOLPH HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-2103153 		CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(251)ST VINCENT RAS INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
47-1289091 		RETAIL AMBULATORY SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC
 
Yes
 
(252)ST VINCENT SALEM HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
27-0847538 		CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(253)ST VINCENT SETON SPECIALTY HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-1712001 		LONG TERM CARE HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(254)ST VINCENT WILLIAMSPORT HOSPITAL FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
74-3130159 		SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT WILLIAMSPORT HOSPITAL INC
 
Yes
 
(255)ST VINCENT WILLIAMSPORT HOSPITAL INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
35-0784551 		CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC
 
Yes
 
(256)ST VINCENT'S AMBULATORY CARE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
59-2292041 		PHYSICIAN PRACTICE FL 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC
 
Yes
 
(257)ST VINCENT'S BIRMINGHAM
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
63-0288864 		HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM
 
Yes
 
(258)ST VINCENT'S BLOUNT
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
63-0909073 		HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM
 
Yes
 
(259)ST VINCENT'S COLLEGE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
06-1331677 		INACTIVE CT 501(c)(3) 10 STVINCENT'S MEDICAL CENTER
 
Yes
 
(260)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
 
(261)ST VINCENT'S EAST
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
63-0578923 		HOSPITAL AL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM
 
Yes
 
(262)ST VINCENT'S FOUNDATION OF ALABAMA INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
63-0868066 		FUNDRAISING AL 501(c)(3) 7 ST VINCENT'S HEALTH SYSTEM
 
Yes
 
(263)ST VINCENT'S FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
59-2219923 		FUND RAISING FL 501(c)(3) 7 ST VINCENT'S HEALTH SYSTEM INC
 
Yes
 
(264)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
 
(265)ST VINCENT'S HEALTH SYSTEM
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
63-0931008 		HEALTH SYSTEM AL 501(c)(3) Type III-FI ASCENSION HEALTH
 
Yes
 
(266)ST VINCENT'S HEALTH SYSTEM INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
59-3650609 		PARENT ENTITY FL 501(c)(3) Type II ASCENSION HEALTH
 
Yes
 
(267)ST VINCENT'S MEDICAL CENTER
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
06-0646886 		HOSPITAL AND SYSTEM PARENT CT 501(c)(3) 3 ASCENSION HEALTH
 
Yes
 
(268)ST VINCENT'S MEDICAL CENTER FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
22-2558132 		FUNDRAISING CT 501(c)(3) 7 ST VINCENT'S MEDICAL CENTER
 
Yes
 
(269)ST VINCENT'S MEDICAL CENTER INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
59-0624449 		HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC
 
Yes
 
(270)ST VINCENT'S MEDICAL CENTER-CLAY COUNTY INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
46-1523194 		HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC
 
Yes
 
(271)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
 
(272)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
 
(273)SVH REAL ESTATE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
20-5002285 		REAL ESTATE HOLDING COMPANY IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC
 
Yes
 
(274)THE HEALTH SOURCE GROUP
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
38-2427678 		PRG RELATED INVESTMENTS MI 501(c)(3) Type II GENESYS HEALTH SYSTEM
 
Yes
 
(275)THE HOWARD YOUNG MEDICAL CENTER INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-0873606 		HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC
 
Yes
 
(276)THE SETON COVE INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
74-2727509 		SPIRITUALITY CENTER TX 501(c)(3) Type II ASCENSION TEXAS
 
Yes
 
(277)TRI-COUNTY CLINICAL
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
26-4562712 		DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION
 
Yes
 
(278)TWENTY-SIX DOORS INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
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
 
(279)UNIVERSAL HEALTH SERVICES
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
63-0932323 		PHYSICIAN GROUP AL 501(c)(3) Type II ST VINCENT'S HEALTH SYSTEM
 
Yes
 
(280)VIA CHRISTI FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
36-4943550 		FOUNDATION KS 501(c)(3) 7 ASCENSION VIA CHRISTI HEALTH INC
 
Yes
 
(281)VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
48-1236589 		PACE (SNF) KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(282)VIA CHRISTI VILLAGE GEORGETOWN INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
48-1129325 		RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(283)VIA CHRISTI VILLAGE HAYS INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
20-2828680 		RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(284)VIA CHRISTI VILLAGE MANHATTAN INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
48-1078862 		RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(285)VIA CHRISTI VILLAGE MCLEAN INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
48-1247723 		RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(286)VIA CHRISTI VILLAGE PITTSBURG INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
74-3070971 		RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(287)VIA CHRISTI VILLAGE PONCA CITY INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
73-1153337 		RETIREMENT COMMUNITY OK 501(c)(3) 10 VIA CHRISTI VILLAGES INC
 
Yes
 
(288)VIA CHRISTI VILLAGES INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
48-0559086 		MANAGEMENT COMPANY KS 501(c)(3) Type III-FI ASCENSION HEALTH SENIOR CARE
 
Yes
 
(289)VOLUNTEERS IN PARTNERSHIP WITH WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
93-0838390 		FOUNDATION WI 501(c)(3) 10 ASCENSION ALL SAINTS HOSPITAL INC
 
Yes
 
(290)WAMEGO HOSPITAL ASSOCIATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
72-1526400 		HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC
 
Yes
 
(291)WHEATON FRANCISCAN - ELMBROOK MEMORIAL FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-2028808 		FOUNDATION WI 501(c)(3) Type I ASCENSION SE WISCONSIN HOSPITAL INC
 
Yes
 
(292)WHEATON FRANCISCAN - ST JOSEPH FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1636804 		FOUNDATION WI 501(c)(3) Type I ASCENSION SE WISCONSIN HOSPITAL INC
 
Yes
 
(293)WHEATON FRANCISCAN HEALTHCARE - ELMBROOK MEMORIAL AUXILIARY
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-6068950 		AUXILIARY WI 501(c)(3) Type III-FI ASCENSION SE WISCONSIN HOSPITAL INC
 
Yes
 
(294)WHEATON FRANCISCAN HEALTHCARE - FOUNDATION FOR ST FRANCIS AND FRANKLIN INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
32-0135258 		FOUNDATION WI 501(c)(3) Type I ASCENSION ST FRANCIS HOSPITAL INC
 
Yes
 
(295)WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST FRANCIS INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1486775 		RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE
 
Yes
 
(296)WHEATON FRANCISCAN HEALTHCARE-CIRCLE OF LIFE FOUNDATION INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
56-2426294 		FOUNDATION WI 501(c)(3) Type I ASCENSION WISCONSIN PHARMACY INC
 
Yes
 
(297)WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC
C/O TAX DEPARTMENT
PO BOX 45998
ST LOUIS,MO631455998
39-1568865 		PARENT CORPORATION IL 501(c)(3) Type I ASCENSION HEALTH
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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                
(2) ALLEGAN GENERAL HOSPITAL PAIN ADMINISTRATION SERVICES LLC

555 LINN STREET
ALLEGAN,MI49010
47-3706652 		PAIN MANAGEMENT MI NA
  		N/A                
(3) ALVERNO CLINICAL LABORATORIES LLC

2434 INTERSTATE PLAZA DRIVE
HAMMOND,IN46324
20-3240648 		MEDICAL SERVICE 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 ATHO CARRY LP

101 SOUTH HANLEY ROAD
ST LOUIS,MO63105
84-4224833 		INVESTMENTS DE NA
  		N/A                
(7) ASCENSION HEALTH AT HOME LLC

1A BURTON HILLS BOULEVARD
NASHVILLE,TN37215
47-1704527 		INVESTMENTS DE NA
  		N/A                
(8) ASCENSION TOWERBROOK HEALTHCARE OPPORTUNITIES LP

65 EAST 55TH STREET 19TH FLOOR
NEW YORK,NY10022
98-1500387 		INVESTMENTS NY NA
  		N/A                
(9) ASCENSION VIA CHRISTI IMAGING MANHATTAN LLC

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

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

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

3101 NORTH HARLEM
CHICAGO,IL60634
41-2237162 		MEDICAL SERVICE IL NA
  		N/A                
(13) Bonaventure Medical Foundation LLC

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

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

13421 OLD MERIDIAN STREET
STE 150
CARMEL,IN46032
32-0014795 		AMBULATORY SURGERY CENTER IN NA
  		N/A                
(16) CB-AH PARALLEL FUND II LP

200 CLARENDON STREET
17TH FLOOR
BOSTON,MA02116
04-3585156 		INVESTMENTS MA NA
  		N/A                
(17) CENTRAL TEXAS LAUNDRY LLC

4255 PROFIT STREET
SAN ANTONIO,TX78219
36-4778018 		LAUNDRY SERVICES TX NA
  		N/A                
(18) CHV II LP

101 SOUTH HANLEY ROAD
CLAYTON,MO63105
26-0534243 		INVESTMENTS MO NA
  		N/A                
(19) CHV III LP

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

101 SOUTH HANLEY ROAD
ST LOUIS,MO63105
81-3953953 		INVESTMENTS DE NA
  		N/A                
(21) COLLABORATIVE HEALTH VENTURES V LP

101 SOUTH HANLEY ROAD
CLAYTON,MO63105
84-4668723 		INVESTMENTS MO NA
  		N/A                
(22) CUMBERLAND BEHAVIORAL HEALTH LLC

6100 Tower Circle
Suite 1000
Franklin,TN37067
32-0530876 		behavioral clinic operations TN NA
  		N/A                
(23) ENDOSCOPY CENTER LLC

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

4810 NORTH DAVIS HIGHWAY
PENSACOLA,FL32503
59-3519881 		MEDICAL SERVICES FL NA
  		N/A                
(25) HAYS JV PARTNERS LLC

569 Brookwood Village
Suite 901
Birmingham,AL35209
85-2037257 		Holding Company for Ambulatory Surgery Center Investment TX NA
  		N/A                
(26) Hospital Consolidated Laboratories LLC

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

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

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

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

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

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

400 N HIGHLAND AVENUE
MURFREESBORO,TN37219
20-0291952 		DIAGNOSTIC IMAGING CENTER TN NA
  		N/A                
(33) MY HEALTH ASCENSION MANAGEMENT LLC

28000 DEQUINDRE ROAD
WARREN,MI48092
85-1304904 		URGENT CARE CENTER MI NA
  		N/A                
(34) NAAB ROAD SURGERY CENTER LLC

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

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

411 W 13 MILE ROAD
MADISON HEIGHTS,MI48071
38-3544539 		MRI Center MI NA
  		N/A                
(37) 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                
(38) PCAC GI JV LLC

2601 Navistar Drive
Lisle,IL60532
85-0878312 		AMBULATORY SURGERY CENTER IL NA
  		N/A                
(39) PET LLC

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

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

150 N River Road
Suite 210
Des Plaines,IL60016
81-1750563 		Medical Service IL NA
  		N/A                
(42) PROFESSIONAL CLINICAL LABORATORIES LLC

2434 INTERSTATE PLAZA DR
HAMMOND,IN46324
30-0711211 		MEDICAL SERVICES IN NA
  		N/A                
(43) RADS OF AMERICA LLC

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

49 MUSIC SQUARE WEST
SUITE 401
NASHVILLE,TN37203
84-2100096 		MEDICAL AND REHABILITATION SERVICES TN NA
  		N/A                
(45) SAINT THOMAS REHABILITATION HOSPITAL LLC

680 S 4TH STREET
LOUISVILLE,KY40202
81-4303298 		REHABILITATION HOSPITAL KY NA
  		N/A                
(46) 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                
(47) ST VINCENT'S OUTPATIENT SURGERY SERVICES LLC

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

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

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

102 WOODMONT BOULEVARD SUITE 800
NASHVILLE,TN37205
20-3664894 		OPERATES A SLEEP CENTER TN NA
  		N/A                
(51) STONEGATE JV PARTNERS LLC

569 Brookwood Village
Suite 901
Birmingham,AL35209
85-2023852 		Holding Company for Ambulatory Surgery Center Investment TX NA
  		N/A                
(52) THP - ST VINCENT VENTURE LLC

1415 LOUISIANA STREET
27TH FLOOR
HOUSTON,TX77002
81-3184703 		FREESTANDING ED'S TX NA
  		N/A                
(53) TOWNE CENTRE SURGERY CENTER LLC

4599 TOWNE CENTRE
SAGINAW,MI48604
20-4943843 		OUTPATIENT SERVICES MI NA
  		N/A                
(54) VIA CHRISTI MERCY CLINIC LLC

1 Mt Carmel Place
Pittsburg,KS66762
81-2927645 		MEDICAL SERVICES KS NA
  		N/A                
(55) RACINE DIGESTIVE HEALTH CENTER LLC

1033 N MAYFAIR ROAD
SUITE 101
WAUWATOSA,WI53226
84-4211105 		DIGESTIVE HEALTH WI NA
  		N/A                
(56) PROVIDENCE VENTURES LLC

26750 PROVIDENCE PKWY
SUITE 100
NOVI,MI48734
16-1704029 		INVESTMENT MI 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) AFFILIATED HEALTH SERVICES INC

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

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

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

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

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

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

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

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

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

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

8220 IRVING
STERLING HEIGHTS,MI48312
38-3269272 		INSURANCE AND TPA MI NA
  		C Corporation       Yes  
(13) ASCENSION HEALTH INSURANCE LIMITED

PO BOX 1159
GRAND CAYMAN,BahamasKY11102
CJ
INSURANCE CJ NA
  		C Corporation       Yes  
(14) ASCENSION HEALTH RISK PURCHASING GROUP

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

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

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

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

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

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

101 South Hanley Road
ST LOUIS,MO63105
86-0836126 		MEDICAL GROUP AZ NA
  		C Corporation       Yes  
(21) CARONDELET SPECIALIST GROUP INC

101 South Hanley Road
ST LOUIS,MO63105
26-1558773 		PHYSICIAN PRACTICE AZ NA
  		C Corporation       Yes  
(22) CLINICAL HOLDINGS CORP

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

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

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

2251 N SQUIRREL RD STE 310
AUBURN HILLS,MI48326
38-2594115 		REAL ESTATE MI NA
  		C Corporation       Yes  
(26) DELL CHILDREN'S HEALTH ALLIANCE

1345 PHILOMENA STREET
AUSTIN,TX78723
27-1311909 		HEALTH SERVICES TX NA
  		C Corporation       Yes  
(27) FAMILY MEDICINE CENTER CONDOMINIUM ASSOCIATION INC

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

400 WEST RIVER WOODS PARKWAY
GLENDALE,WI53212
34-1983857 		CONDO ASSOCIATION WI NA
  		C Corporation       Yes  
(29) GULF COAST DIVERSIFIED INC

5154 NORTH 9TH AVENUE
PENSACOLA,FL32507
59-2432798 		INVESTMENT FL NA
  		C Corporation       Yes  
(30) INDIAN CREEK CENTER INC

101 South Hanley Road
St Louis,MO63105
48-0956627 		MANAGEMENT MO NA
  		C Corporation       Yes  
(31) INTEGRATED HEALTHCARE SYSTEMS INC

3311 EAST MURDOCK
WICHITA,KS67208
48-0941549 		CLINIC SERVICES KS NA
  		C Corporation       Yes  
(32) L GILBRAITH INSURANCE SPC LTD

C/O Strategic Risk Solutions
PO BOX 1159
  GRAND CAYMANKY11102
CJ
INSURANCE CJ NA
  		C Corporation       Yes  
(33) MADISON MEDICAL AFFILIATES INC

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

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

6801 AIRPORT BLVD
MOBILE,AL36608
46-1130426 		HEALTHCARE SERVICES MS NA
  		C Corporation       Yes  
(36) PRESENCE SERVICE CORPORATION

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

100 NORTH RIVER ROAD
DES PLAINES,IL60016
37-1168085 		MEDICAL IL NA
  		C Corporation       Yes  
(38) PROVIDENCE PARK Inc

PO BOX 850429
MOBILE,AL36685
63-0886846 		REAL ESTATE AL NA
  		C Corporation       Yes  
(39) RESOURCE PHARMACIES INC

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

1345 PHILOMENA STREET
AUSTIN,TX78723
47-5395483 		HEALTH SERVICES TX NA
  		C Corporation       Yes  
(41) SETON HEALTH ALLIANCE

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

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

1345 PHILOMENA STREET
AUSTIN,TX78723
74-2870455 		HEALTH SERVICES TX NA
  		C Corporation       Yes  
(44) SETON PHYSICIAN HOSPITAL NETWORK AND SUBSIDIARIES

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

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

900 CATON AVENUE
BALTIMORE,MD21229
52-1733632 		HOLDING COMPANY MD NA
  		C Corporation       Yes  
(47) ST JOSEPH HEALTH ENTERPRISES

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

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

3700 WASHINGTON AVE
EVANSVILLE,IN47750
35-2076827 		INVESTMENT IN NA
  		C Corporation       Yes  
(50) SUNFLOWER ASSURANCE LTD

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

817 WALBRIDGE
KALAMAZOO,MI49007
38-2705047 		LAUNDRY SERVICES MI NA
  		C Corporation       Yes  
(52) THE PROSPECT MEDICAL COMMONS CONDOMINIUM ASSOCIATION INC

4425 N PORT WASHINGTON RD
GLENDALE,WI53212
20-8042108 		CONDO ASSOCIATION WI NA
  		C Corporation       Yes  
(53) Thelen Corporation

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

PO BOX 45998
ST LOUIS,MO631455998
26-3764978 		TRAVEL SERVICES MO NA
  		C Corporation       Yes  
(55) UTICA SERVICES INC AND SUBSIDIARIES

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

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

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

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

8200 E THORN DRIVE
WICHITA,KS67226
46-2872857 		ACO KS NA
  		C Corporation       Yes  
(60) VINCENTIAN VENTURES OF NORTH ALABAMA INC AND SUBSIDIARIES

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

95 MERRITT BOULEVARD
TRUMBULL,CT06611
06-1211417 		INACTIVE CT NA
  		C Corporation       Yes  
(62) WHEATON FRANCISCAN HOLDINGS INC AND SUBSIDIARIES

400 WEST RIVER WOODS PARKWAY
GLENDALE,WI53212
39-1836357 		HOLDING CO WI NA
  		C Corporation       Yes  
(63) WHEATON FRANCISCAN PROVIDER NETWORK INC

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

10101 SOUTH 27TH STREET
FRANKLIN,WI53212
30-0659830 		CONDO ASSOCIATION WI NA
  		C Corporation       Yes  
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
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
 
No
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
Yes
 
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
Yes
 
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) Alexian Brothers Ambulatory Group

 P 54,421 FAIR MARKET VALUE
(2) Alexian Brothers Health System

 C 772,873 FAIR MARKET VALUE
(3) Alexian Brothers Health System

 P 83,671,394 FAIR MARKET VALUE
(4) Alexian Brothers Health System

 Q 20,721,135 FAIR MARKET VALUE
(5) Alexian Brothers Medical Center

 Q 102,071 FAIR MARKET VALUE
(6) AMITA Health Clinically Integrated Network LLC

 Q 94,620 FAIR MARKET VALUE
(7) Ascension Health Alliance Professional and General Liability Self Insurance
Trust
 P 11,167,203 FAIR MARKET VALUE
(8) Ascension Health-IS Inc

 P 247,441 FAIR MARKET VALUE
(9) Presence Care Transformation

 J 247,725 FAIR MARKET VALUE
(10) Presence Care Transformation

 P 288,568,669 FAIR MARKET VALUE
(11) Presence Care Transformation

 Q 12,643,386 FAIR MARKET VALUE
(12) Presence Care Transformation

 S 646,745,581 FAIR MARKET VALUE
(13) Presence Healthcare Services

 J 1,182,343 FAIR MARKET VALUE
(14) Presence Healthcare Services

 O 179,585 FAIR MARKET VALUE
(15) Presence Healthcare Services

 P 3,729,367 FAIR MARKET VALUE
(16) Presence Healthcare Services

 Q 123,290 FAIR MARKET VALUE
(17) Presence Properties

 P 187,219 FAIR MARKET VALUE
(18) Rainbow Hospice and Palliative

 P 1,200,071 FAIR MARKET VALUE
(19) St Alexius Medical Center

 Q 73,409 FAIR MARKET VALUE
(20) Medicare Value Partners

 S 511,357 FAIR MARKET VALUE
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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) 2019
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2019

Additional Data


Software ID: 19010655
Software Version: 2019v5.0