TY 2020 Form 990

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) MARK HANSON ESQ VICE CHAIR	1.0 ................. 2.0	X	X		0	0
(2) THOMAS HUBERTY MD CHAIR	1.0 ................. 1.0	X	X		0	0
(3) GARY R LIPINSKI MD DIRECTOR	0.0 ................. 50.0	X			486,362	28,246
(4) JAY BERGMAN DIRECTOR	1.0 ................. 1.0	X			0	0
(5) PATRICIA FOLTZ DIRECTOR	1.0 ................. 1.0	X			0	0
(6) THOMAS RUSSE DIRECTOR	1.0 ................. 1.0	X			0	0
(7) G THOR THORDARSON PRESIDENT	0.0 ................. 0.0		X		0	0
(8) JULIE P ROKNICH SECRETARY	0.0 ................. 50.0		X		273,326	30,595
(9) RICHARD D CARTER CFO, AMITA HEALTH	0.0 ................. 50.0		X		626,478	31,953
(10) BETTINA A JOHNSON FORMER OFFICER (END 12/2018)	0.0 ................. 50.0			X	263,154	1,997
(11) KENNETH P JONES FORMER KEY EMPLOYEE (END 12/2018)	0.0 ................. 50.0			X	472,726	46,218
(12) MARTIN H JUDD FORMER OFFICER (END 11/2019)	0.0 ................. 0.0			X	493,150	0
(13) PATRICIA EDDY FORMER OFFICER (END 6/2020)	0.0 ................. 50.0			X	297,137	12,547
(14) ROBERT M DAHL FORMER KEY EMPLOYEE (END 12/2018)	0.0 ................. 50.0			X	521,762	36,573
(15) ROBYN PARKER FORMER KEY EMPLOYEE (END 12/2015)	0.0 ................. 50.0			X	249,012	38,602
(16) THOMAS KOELBL FORMER KEY EMPLOYEE (END 12/2015)	0.0 ................. 0.0			X	272,083	0
(17) YOLANDE D WILSON-STUBBS FORMER KEY EMPLOYEE (END 12/2018)	0.0 ................. 50.0			X	401,211	35,706

(A) Name and business address	(B) Description of services	(C) Compensation
NORTHSTAR ANESTHESIA OF ILLINOIS LLC PO BOX 613073 DALLAS,TX752613073	ANESTHESIA SERVICES	7,712,380
POWER CONSTRUCTION COMPANY LLC 8750 W BRYN MAWR AVE STE 500 CHICAGO,IL606313546	CONSTRUCTION SERVICES	5,177,139
CEP AMERICA ILLINOIS LLP 2100 POWELL STREET STE 400 EMERYVILLE,IL946081803	PHYSICIAN SERVICES	3,895,436
BHC STREAMWOOD MGMT SERVICES 1400 E IRVING PARK ROAD STREAMWOOD,IL601073201	MANAGEMENT SERVICES	2,996,992
RAM VELAMATI MD SC 1S376 SUMMIT AVE CT D STE 4C OAKBROOK TERRACE,IL60181	PHYSICIAN SERVICES	2,394,949
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 67

- TIN:

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

2020

Open to Public
Inspection

Name of the organization

Presence Chicago Hospitals Network

Employer identification number

36-2235165

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


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) 2020

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)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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

Gross receipts from related activities, etc. (see instructions) ..................

First 5 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

Public support percentage for 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2019. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2020

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)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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.)..

First 5 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

Public support percentage for 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2019. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

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.

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.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

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.

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.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c 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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

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.

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) .

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).

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.

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.

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.

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

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) 2020

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

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?

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).

By reason of the relationship described in line 2 above, 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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

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.

Did the activities described in line 2a, above 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.

Parent of Supported Organizations. Answer lines 3a and 3b below.

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?If "Yes" or "No", provide details in Part VI.

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.

Schedule A (Form 990 or 990-EZ) 2020

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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 0.015 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 0.035	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2020

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 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 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

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) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Name of the organization

Presence Chicago Hospitals Network

Employer identification number

36-2235165

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization Presence Chicago Hospitals Network

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization Presence Chicago Hospitals Network		Employer identification number 36-2235165

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization Presence Chicago Hospitals Network			Employer identification number 36-2235165
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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) (2020)

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Presence Chicago Hospitals Network

Employer identification number

36-2235165

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2020

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2020

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

2,657

Total. Add lines 1c through 1i ....................................................................................................

2,657

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO THE NATIONAL LONG TERM HOSPITAL ASSOCIATION THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. PRESENCE CHICAGO HOSPITALS NETWORK DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.

Schedule C (Form 990 or 990EZ) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

2020

Open to Public Inspection

Name of the organization

Presence Chicago Hospitals Network

Employer identification number

36-2235165

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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.

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.

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

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2020

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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 ....	54,607	537,242	542,714	527,813	505,670
b	Contributions ...	1,515	39,127	103,437	54,928	112,843
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	24,931	521,762	108,909	40,027	90,700
f	Administrative expenses ....
g	End of year balance ......	31,191	54,607	537,242	542,714	527,813

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

0 %

Term endowment SchDMd Bullet

100 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .......................

3a(i)

(ii) Related organizations .......................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

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	137,380,000		137,380,000
b	Buildings ....	0	453,186,076	66,957,904	386,228,172
c	Leasehold improvements	0	0	0	0
d	Equipment ....	0	96,603,660	46,208,523	50,395,137
e	Other .....	0	20,023,468	2,370,671	17,652,797
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					591,656,106

Schedule D (Form 990) 2020

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.)

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.)

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				5,153,783
(2)Physician Guarantee Asset				13,278
(3)Estimated 3rd Party Payor Settlements				5,693,870
(4)Due from Affiliates				56,672,266
(5)Right of Use Operating Lease Asset				69,835,321
(6)Third Party Receivables				1,086,780
(7)Assets Held for Sale				825,000
(8)Security Deposits				132,029
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				139,412,327

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.)	460,730,046
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) 2020

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Schedule D, Part V, Line 4 Intended uses of endowment funds	TEMPORARILY RESTRICTED FUNDS ARE IN POSSESSION OF PRESENCE CARE TRANSFORMATION CORPORATION TO BE ADMINISTERED AT THE CORPORATE LEVEL FOR THE BENEFIT OF THE SYSTEM'S CHAPELS WITHIN EACH HOSPITAL.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2021.

Schedule D (Form 990) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

2020

Open to Public Inspection

Name of the organization

Presence Chicago Hospitals Network

Employer identification number

36-2235165

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other 25000 %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 60000 %

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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

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) . . .			25,985,772		25,985,772	2.29 %
b	Medicaid (from Worksheet 3, column a) . . . . .			290,130,354	255,965,392	34,164,962	3.01 %
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	316,116,126	255,965,392	60,150,734	5.29 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	62	24,095	1,240,389	21,428	1,218,961	0.11 %
f	Health professions education (from Worksheet 5) . . .	24	3,695	40,690,842		40,690,842	3.58 %
g	Subsidized health services (from Worksheet 6) . . . .	2	943	267,463		267,463	0.02 %
h	Research (from Worksheet 7) .					0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	21	2,305	1,393,990		1,393,990	0.12 %
j	Total. Other Benefits . .	109	31,038	43,592,684	21,428	43,571,256	3.83 %
k	Total. Add lines 7d and 7j .	109	31,038	359,708,810	255,986,820	103,721,990	9.13 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

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
1	Physical improvements and housing	3	686	11,304		11,304
2	Economic development					0
3	Community support	4	1,556	18,148		18,148
4	Environmental improvements					0
5	Leadership development and training for community members					0
6	Coalition building	5	86	4,629		4,629
7	Community health improvement advocacy					0
8	Workforce development	3	42	1,705		1,705
9	Other					0
10	Total	15	2,370	35,786	0	35,786

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

457,611,172

Enter Medicare allowable costs of care relating to payments on line 5.....

525,181,440

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-67,570,268

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1PRESENCE LAKESHORE GASTROENTEROLOGY LLC	ENDOSCOPY SERVICES	51 %	0 %	49 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2020

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?6Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Other (describe)	Facility reporting group
1	AMITA HEALTH SAINT JOSEPH HOSPITAL 2900 NORTH LAKE SHORE DRIVE CHICAGO,IL60657 https://www.amitahealth.org/location/amita-health-saint-joseph-hospital-chicago 0005983	X	X	X	X		A
2	AMITA HEALTH RESURRECTION MEDICAL CENTER 7435 W TALCOTT AVENUE CHICAGO,IL60631 https://www.amitahealth.org/location/amita-health-resurrection-medical-center-chicago 0006031	X	X	X	X		A
3	AMITA HEALTH SAINT FRANCIS HOSPITAL 355 RIDGE AVENUE EVANSTON,IL60202 https://www.amitahealth.org/location/amita-health-saint-francis-hospital-evanston 0005991	X	X	X	X	LEVEL I TRAUMA CNTR	A
4	AMITA HEALTH SAINT MARY OF NAZARETH HOSPITAL 2233 W DIVISION ST CHICAGO,IL60622 https://www.amitahealth.org/our-locations/hospitals/amita-health-saints-mary-and-elizabeth-medical-c 000607	X	X	X	X		A
5	AMITA HEALTH SAINT ELIZABETH HOSPITAL 1431 N CLAREMONT CHICAGO,IL60622 https://www.amitahealth.org/location/amita-health-saints-mary-and-elizabeth-medical-center-chicago-s 0006015	X	X	X	X		A
6	AMITA HEALTH HOLY FAMILY MEDICAL CENTER 100 NORTH RIVER ROAD DES PLAINES,IL60016 https://www.amitahealth.org/our-locations/hospitals/amita-health-holy-family-medical-center-des-plai 0006023	X				LT ACUTE CARE HOSPITAL	A

Schedule H (Form 990) 2020

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

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 .................

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..................................

Yes

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. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://www.amitahealth.org/about-us/community-benefit-and-health-needs-assessment/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://www.amitahealth.org/about-us/community-benefit-and-health-needs-assessment/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.0%
and FPG family income limit for eligibility for discounted care of 600.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy

The FAP application form was widely available on a website (list url):

https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy

A plain language summary of the FAP was widely available on a website (list url):
https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	A
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2020

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	In Presence Chicago Hospitals Network most recent CHNAs, significant health needs of the community were identified after analyzing secondary data and community input. As part of the collaborative CHNA process, Presence Chicago Hospitals Network along with the members of the Alliance for Health Equity used the Mobilizing for Action through Planning and Partnerships (MAPP) model process to collectively identify the top strategic issues (Phase 4: Identifying Strategic Issues) that identified the prioritized health needs. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - AMITA HEALTH SAINT JOSEPH HOSPITAL. Presence Chicago Hospitals Network and members of the Alliance for Health Equity, a collaborative of over 30 hospitals, 6 health departments, and 100 community partners, worked together over the 12 months (March 2018-March 2019) to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, the Alliance engaged diverse groups of community residents and stakeholders for surveys and focus groups as well as gathered robust data from various perspectives about health status and health behaviors. Primary data for the CHNA was collected through four methods: community input surveys; community resident focus groups and learning map sessions; health care and social service provider focus groups; and two stakeholder assessments led by partner health departments-Forces of Change Assessment and Health Equity Capacity Assessment Secondary data was collected from the following sources: Peer-reviewed literature and white papers; Existing assessments and plans focused on key topic areas; Localized data compiled by several agencies including Chicago Department of Planning and Development, Chicago Metropolitan Agency for Planning, Housing Authority of Cook County, and state and local police departments; Localized data compiled by community-based organizations including Greater Chicago Food Depository and Voices of Child Health in Chicago; Hospitalization and emergency department rates (COMPdata) provided by Illinois Health and Hospital Association and analyzed by the Conduent Healthy Communities Institute; Data compiled by state agencies including Illinois Environmental Protection Agency, Illinois Department of Healthcare and Family Services, Illinois Department of Human Services, Illinois State Board of Education, and Illinois Department of Public Health; Data from federal sources including U.S. Census Bureau American Community Survey data compiled by Chicago Department of Public Health and Cook County Department of Health; Centers for Disease Control and Prevention; Centers for Medicare and Medicaid Services data accessed through the Dartmouth Atlas of HealthCare; Health Resources and Services Administration; and United States Department of Agriculture. The medically underserved, low-income and minority populations represented through these methods and/or organizations include: AIDS FOUNDATION OF CHICAGO AMERICAN CANCER SOCIETY ANSHE AMET SYNAGOGUE ASIAN HUMAN SERVICES AVONDALE NEIGHBORHOOD ASSOCIATION CJE SENIOR LIFE CATHOLIC CHARITIES CHICAGO HISPANIC HEALTH COALITION CHICAGO PUBLIC SCHOOLS COMMON PANTRY DEPAUL UNIVERSITY GILDA'S CLUB - CHICAGO HEALTHY SCHOOLS CAMPAIGN LAKEVIEW CHAMBER OF COMMERCE LAKEVIEW EAST CHAMBER OF COMMERCE LAKEVIEW PANTRY LINCOLN PARK CHAMBER OF COMMERCE NORTHSIDE LATIN PROGRESS OUR LADY OF MOUNT CARMEL ACADEMY SAINT BENEDICT PARISH SOUTHEAST CHAMBER OF COMMERCE THE NIGHT MINISTRY THRESHOLDS UNITE HERE HEALTH
Schedule H, Part V, Section B, Line 5 Facility A, 2	Facility A, 2 - AMITA HEALTH RESURRECTION MEDICAL CENTER. Presence Chicago Hospitals Network and members of the Alliance for Health Equity, a collaborative of over 30 hospitals, 6 health departments, and 100 community partners, worked together over the 12 months (March 2018-March 2019) to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, the Alliance engaged diverse groups of community residents and stakeholders for surveys and focus groups as well as gathered robust data from various perspectives about health status and health behaviors. Primary data for the CHNA was collected through four methods: community input surveys; community resident focus groups and learning map sessions; health care and social service provider focus groups; and two stakeholder assessments led by partner health departments-Forces of Change Assessment and Health Equity Capacity Assessment Secondary data was collected from the following sources: Peer-reviewed literature and white papers; Existing assessments and plans focused on key topic areas; Localized data compiled by several agencies including Chicago Department of Planning and Development, Chicago Metropolitan Agency for Planning, Housing Authority of Cook County, and state and local police departments; Localized data compiled by community-based organizations including Greater Chicago Food Depository and Voices of Child Health in Chicago; Hospitalization and emergency department rates (COMPdata) provided by Illinois Health and Hospital Association and analyzed by the Conduent Healthy Communities Institute; Data compiled by state agencies including Illinois Environmental Protection Agency, Illinois Department of Healthcare and Family Services, Illinois Department of Human Services, Illinois State Board of Education, and Illinois Department of Public Health; Data from federal sources including U.S. Census Bureau American Community Survey data compiled by Chicago Department of Public Health and Cook County Department of Health; Centers for Disease Control and Prevention; Centers for Medicare and Medicaid Services data accessed through the Dartmouth Atlas of HealthCare; Health Resources and Services Administration; and United States Department of Agriculture. The medically underserved, low-income and minority populations represented through these methods and/or organizations include: A-ABIDING CARE NORTHSIDE LEARNING CENTER (CPS HIGH SCHOOL) ADVOCATE LUTHERAN GENERAL HOSPITAL NORWOOD CROSSING ALDERMAN ANTHONY NAPOLITANO NORWOOD LIFE SOCIETY AMERICAN CANCER SOCIETY NORWOOD SENIOR CENTER AMERICAN HEART ASSOCIATION NORWOOD PARK CHAMBER OF COMMERCE AMERICAN MEDICAL ASSOCIATION NORWOOD PARK FIRE DEPARTMENT ASCENSION LIVING - PRESENCE RESURRECTION NURSING & REHABILITATION CENTER OAK STREET HEALTH ASCENSION LIVING - PRESENCE RESURRECTION RETIREMENT COMMUNITY OUR LADY, MOTHER OF THE CHURCH AUNT BERTHA PARK RIDGE FIRE DEPARTMENT BOY SCOUT TROOP 626 RAINBOW HOSPICE AND PALLIATIVE CARE CATHOLIC CHARITIES REPRESENTATIVE MICHAEL MCAULIFFE THE CENTER OF CONCERN RESURRECTION COLLEGE PREP CHICAGO FIRE DEPARTMENT ROSEMONT PARK DISTRICT CHICAGO POLICE DEPARTMENT - 16TH DISTRICT ROSEMONT PUBLIC SAFETY COMMISSIONER PETER SILVESTRI SALVATION ARMY EDISON PARK CHAMBER OF COMMERCE STATE SENATOR JOHN MULROE FRISBIE SENIOR CENTER SCHILLER PARK FIRE DEPARTMENT GREATER CHICAGO FOOD DEPOSITORY SCHOOL DISTRICT 207 IRVING PARK FOOD PANTRY ST. CORNELIUS PARISH MARY, SEAT OF WISDOM PARISH ST. JULIANA PARISH MAINE COMMUNITY YOUTH ASSISTANCE FOUNDATION (MCYAF) ST. MARIA GORETTI PARISH NEW HOPE COMMUNITY FOOD PANTRY ST. THOMAS ORTHODOX CHURCH, CHICAGO NILES FAMILY SERVICES UNION RIDGE ELEMENTARY SCHOOL DISTRICT #86 NILES FIRE DEPARTMENT STATE SENATOR JOHN MULROE
Schedule H, Part V, Section B, Line 5 Facility A, 3	Facility A, 3 - AMITA HEALTH SAINT FRANCIS HOSPITAL. Presence Chicago Hospitals Network and members of the Alliance for Health Equity, a collaborative of over 30 hospitals, 6 health departments, and 100 community partners, worked together over the 12 months (March 2018-March 2019) to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, the Alliance engaged diverse groups of community residents and stakeholders for surveys and focus groups as well as gathered robust data from various perspectives about health status and health behaviors. Primary data for the CHNA was collected through four methods: community input surveys; community resident focus groups and learning map sessions; health care and social service provider focus groups; and two stakeholder assessments led by partner health departments-Forces of Change Assessment and Health Equity Capacity Assessment Secondary data was collected from the following sources: Peer-reviewed literature and white papers; Existing assessments and plans focused on key topic areas; Localized data compiled by several agencies including Chicago Department of Planning and Development, Chicago Metropolitan Agency for Planning, Housing Authority of Cook County, and state and local police departments; Localized data compiled by community-based organizations including Greater Chicago Food Depository and Voices of Child Health in Chicago; Hospitalization and emergency department rates (COMPdata) provided by Illinois Health and Hospital Association and analyzed by the Conduent Healthy Communities Institute; Data compiled by state agencies including Illinois Environmental Protection Agency, Illinois Department of Healthcare and Family Services, Illinois Department of Human Services, Illinois State Board of Education, and Illinois Department of Public Health; Data from federal sources including U.S. Census Bureau American Community Survey data compiled by Chicago Department of Public Health and Cook County Department of Health; Centers for Disease Control and Prevention; Centers for Medicare and Medicaid Services data accessed through the Dartmouth Atlas of HealthCare; Health Resources and Services Administration; and United States Department of Agriculture. The medically underserved, low-income and minority populations represented through these methods and/or organizations include: PS CAREER AND TECHNICAL EDUCATION PROGRAM CPS-SULLIVAN HIGH SCHOOL MICHAEL REESE HEALTH TRUST BETWEEN FRIENDS ROGERS PARK BUSINESS ALLIANCE LOYOLA UNIVERSITY CATHOLIC PARISHES FAMILY FOCUS OF EVANSTON CRADLE TO CAREER SEVENTH DAY ADVENTIST OF EVANSTON BETHEL AFRICAN METHODIST EPISCOPAL CHURCH CALM CLASSROOMS MENTAL HEALTH AMERICA NORTHSHORE NORTHWESTERN UNIVERSITY SAINT NICHOLAS CHURCH MOBILE CARE FOUNDATION PEER SERVICES ASIAN HUMAN SERVICES EVANSTON PUBLIC LIBRARY NAOMI RUTH COHEN INSTITUTE FOR MENTAL HEALTH CITY OF EVANSTON-DEPARTMENT OF HEALTH & HUMAN SERVICES
Schedule H, Part V, Section B, Line 5 Facility A, 4	Facility A, 4 - AMITA HEALTH SAINT MARY OF NAZARETH HOSPITAL. Presence Chicago Hospitals Network and members of the Alliance for Health Equity, a collaborative of over 30 hospitals, 6 health departments, and 100 community partners, worked together over the 12 months (March 2018-March 2019) to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, the Alliance engaged diverse groups of community residents and stakeholders for surveys and focus groups as well as gathered robust data from various perspectives about health status and health behaviors. Primary data for the CHNA was collected through four methods: community input surveys; community resident focus groups and learning map sessions; health care and social service provider focus groups; and two stakeholder assessments led by partner health departments-Forces of Change Assessment and Health Equity Capacity Assessment Secondary data was collected from the following sources: Peer-reviewed literature and white papers; Existing assessments and plans focused on key topic areas; Localized data compiled by several agencies including Chicago Department of Planning and Development, Chicago Metropolitan Agency for Planning, Housing Authority of Cook County, and state and local police departments; Localized data compiled by community-based organizations including Greater Chicago Food Depository and Voices of Child Health in Chicago; Hospitalization and emergency department rates (COMPdata) provided by Illinois Health and Hospital Association and analyzed by the Conduent Healthy Communities Institute; Data compiled by state agencies including Illinois Environmental Protection Agency, Illinois Department of Healthcare and Family Services, Illinois Department of Human Services, Illinois State Board of Education, and Illinois Department of Public Health; Data from federal sources including U.S. Census Bureau American Community Survey data compiled by Chicago Department of Public Health and Cook County Department of Health; Centers for Disease Control and Prevention; Centers for Medicare and Medicaid Services data accessed through the Dartmouth Atlas of HealthCare; Health Resources and Services Administration; and United States Department of Agriculture. The medically underserved, low-income and minority populations represented through these methods and/or organizations include: AIDS FOUNDATION OF CHICAGO AMERICAN CANCER SOCIETY ANSHE AMET SYNAGOGUE CATHOLIC CHARITIES EL RINCON ASIAN HUMAN SERVICES HAS NAMI WEST TOWN BIKES CRISTO REY ROBERTO CLEMENTE ACADEMY LA CASA NORTE BICKERDIKE REDEVELOPMENT CORPORATION CATHOLIC CHARITIES GREATER HUMBOLDT PARK DIABETES PUERTO RICAN CULTURAL CENTER EMPOWERMENT CENTER CHICAGO WHITE SOX COMMUNITY FUND ELEVATE PRIME CARE SUSAN G. KOMEN JOSEPHINUM ACADEMY MCCORMICK TRIBUNE YWCA ERIE FAMILY HEALTH CENTERS
Schedule H, Part V, Section B, Line 5 Facility A, 5	Facility A, 5 - AMITA HEALTH SAINT ELIZABETH HOSPITAL. Presence Chicago Hospitals Network and members of the Alliance for Health Equity, a collaborative of over 30 hospitals, 6 health departments, and 100 community partners, worked together over the 12 months (March 2018-March 2019) to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, the Alliance engaged diverse groups of community residents and stakeholders for surveys and focus groups as well as gathered robust data from various perspectives about health status and health behaviors. Primary data for the CHNA was collected through four methods: community input surveys; community resident focus groups and learning map sessions; health care and social service provider focus groups; and two stakeholder assessments led by partner health departments-Forces of Change Assessment and Health Equity Capacity Assessment. Secondary data was collected from the following sources: Peer-reviewed literature and white papers; Existing assessments and plans focused on key topic areas; Localized data compiled by several agencies including Chicago Department of Planning and Development, Chicago Metropolitan Agency for Planning, Housing Authority of Cook County, and state and local police departments; Localized data compiled by community-based organizations including Greater Chicago Food Depository and Voices of Child Health in Chicago; Hospitalization and emergency department rates (COMPdata) provided by Illinois Health and Hospital Association and analyzed by the Conduent Healthy Communities Institute; Data compiled by state agencies including Illinois Environmental Protection Agency, Illinois Department of Healthcare and Family Services, Illinois Department of Human Services, Illinois State Board of Education, and Illinois Department of Public Health; Data from federal sources including U.S. Census Bureau American Community Survey data compiled by Chicago Department of Public Health and Cook County Department of Health; Centers for Disease Control and Prevention; Centers for Medicare and Medicaid Services data accessed through the Dartmouth Atlas of HealthCare; Health Resources and Services Administration; and United States Department of Agriculture. Partners from the Saints Mary & Elizabeth Medical Center service area that provided input and engaged underserved, low-income or minority populations include: AIDS FOUNDATION OF CHICAGO AMERICAN CANCER SOCIETY ANSHE AMET SYNAGOGUE CATHOLIC CHARITIES EL RINCON ASIAN HUMAN SERVICES HAS NAMI WEST TOWN BIKES CRISTO REY ROBERTO CLEMENTE ACADEMY LA CASA NORTE BICKERDIKE REDEVELOPMENT CORPORATION CATHOLIC CHARITIES GREATER HUMBOLDT PARK DIABETES PUERTO RICAN CULTURAL CENTER EMPOWERMENT CENTER CHICAGO WHITE SOX COMMUNITY FUND ELEVATE PRIME CARE SUSAN G. KOMEN JOSEPHINUM ACADEMY MCCORMICK TRIBUNE YWCA ERIE FAMILY HEALTH CENTERS
Schedule H, Part V, Section B, Line 5 Facility A, 6	Facility A, 6 - AMITA HEALTH HOLY FAMILY MEDICAL CENTER. Presence Chicago Hospitals Network and members of the Alliance for Health Equity, a collaborative of over 30 hospitals, 6 health departments, and 100 community partners, worked together over the 12 months (March 2018-March 2019) to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, the Alliance engaged diverse groups of community residents and stakeholders for surveys and focus groups as well as gathered robust data from various perspectives about health status and health behaviors. Primary data for the CHNA was collected through four methods: community input surveys; community resident focus groups and learning map sessions; health care and social service provider focus groups; and two stakeholder assessments led by partner health departments-Forces of Change Assessment and Health Equity Capacity Assessment. Secondary data was collected from the following sources: Peer-reviewed literature and white papers; Existing assessments and plans focused on key topic areas; Localized data compiled by several agencies including Chicago Department of Planning and Development, Chicago Metropolitan Agency for Planning, Housing Authority of Cook County, and state and local police departments; Localized data compiled by community-based organizations including Greater Chicago Food Depository and Voices of Child Health in Chicago; Hospitalization and emergency department rates (COMPdata) provided by Illinois Health and Hospital Association and analyzed by the Conduent Healthy Communities Institute; Data compiled by state agencies including Illinois Environmental Protection Agency, Illinois Department of Healthcare and Family Services, Illinois Department of Human Services, Illinois State Board of Education, and Illinois Department of Public Health; Data from federal sources including U.S. Census Bureau American Community Survey data compiled by Chicago Department of Public Health and Cook County Department of Health; Centers for Disease Control and Prevention; Centers for Medicare and Medicaid Services data accessed through the Dartmouth Atlas of HealthCare; Health Resources and Services Administration; and United States Department of Agriculture. Partners from the Holy Family Medical Center service area that provided input and engaged underserved, low-income or minority populations include: ABBOTT MOLECULAR DIAGNOSTICS ACCESS COMMUNITY HEALTH GENESIS CENTER ACCESS TO CARE ADVOCATE LUTHERAN GENERAL HOSPITAL BESSIE'S TABLE/FIRST UNITED METHODIST CHURCH BETHESDA WORSHIP CENTER CATHOLIC CHARITIES CITY OF DES PLAINES CITY HALL AND CITY SERVICES CONGRESSMAN BOB DOLD CONGRESSWOMAN JAN SCHAKOWSKY DAILY HERALD DES PLAINES COMMUNITY FOUNDATION DES PLAINES HEALTH AND HUMAN SERVICES DES PLAINES AMERICAN LEGION POST 36 DES PLAINES CHAMBER OF COMMERCE DES PLAINES ELKS LODGE #5126 DES PLAINES FIRE DEPARTMENT DES PLAINES HISTORY CENTER DES PLAINES PARK DISTRICT DES PLAINES POLICE DEPARTMENT DES PLAINES PUBLIC LIBRARY DES PLAINES ROTARY CLUB DUI SERVICES/COUNSELING CENTER FELDCO WINDOWS, SIDING & DOORS FRISBIE SENIOR CENTER KIWANIS CLUB OF DES PLAINES GENERATIONS HEALTH CARE NETWORK GOODWILL STORE & DONATION CENTER HART SCHAFFNER & MARX JOURNAL & TOPICS NEWSPAPER JUSTRITE MANUFACTURING COMPANY KEYS TO RECOVERY TREATMENT CENTER LATTOF YMCA LSG SKY CHEFS MAINE COMMUNITY YOUTH ASSISTANCE FOUNDATION (MCYAF) MAINE TOWNSHIP CITY OFFICES MAINESTAY YOUTH AND FAMILY SERVICES MARYVILLE ACADEMY MARYVILLE FAMILY BEHAVIORAL HEALTH CLINIC MAYOR MATTHEW J. BOGUSZ MCDONALDS #1 STORE MUSEUM METRA TRAIN NORTHSHORE UNIVERSITY MEDICAL GROUP OAKTON COMMUNITY COLLEGE PACE BUS RAINBOW HOSPICE RIVERS CASINO SALVATION ARMY SCHOOL DISTRICT 207
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. For the Tax Year 2018 collaborative Cook County CHNA, hospital and health system partners included: Nonprofit Hospital Members: ADVOCATE AURORA CHILDREN'S HOSPITAL ADVOCATE AURORA CHRIST MEDICAL CENTER ADVOCATE AURORA ILLINOIS MASONIC MEDICAL CENTER ADVOCATE AURORA LUTHERAN GENERAL HOSPITAL ADVOCATE AURORA SOUTH SUBURBAN HOSPITAL ADVOCATE AURORA TRINITY HOSPITAL AMITA ADVENTIST MEDICAL CENTER LA GRANGE ALEXIAN BROTHERS MEDICAL CENTER AMITA HOLY FAMILY MEDICAL CENTER AMITA RESURRECTION MEDICAL CENTER AMITA SAINT FRANCIS HOSPITAL AMITA SAINT JOSEPH HOSPITAL AMITA SAINTS MARY AND ELIZABETH MEDICAL CENTER ST. ALEXIUS MEDICAL CENTER ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO COOK COUNTY HEALTH- PROVIDENT HOSPITAL COOK COUNTY HEALTH- STROGER HOSPITAL JACKSON PARK HOSPITAL LOYOLA MEDICINE- GOTTLIEB MEMORIAL HOSPITAL LOYOLA MEDICINE- LOYOLA UNIVERSITY MEDICAL CENTER LOYOLA MEDICINE- MACNEAL HOSPITAL MERCY HOSPITAL & MEDICAL CENTER NORTHWESTERN MEMORIAL HOSPITAL NORWEGIAN AMERICAN HOSPITAL PALOS COMMUNITY HOSPITAL PUBLIC HOSPITAL PARTNERS ROSELAND COMMUNITY HOSPITAL RUSH OAK PARK RUSH UNIVERSITY MEDICAL CENTER SINAI HEALTH SYSTEM- HOLY CROSS HOSPITAL SINAI HEALTH SYSTEM- MOUNT SINAI HOSPITAL SINAI HEALTH SYSTEM- SCHWAB REHABILITATION HOSPITAL SOUTH SHORE HOSPITAL SWEDISH COVENANT HOSPITAL THE LORETTO HOSPITAL UNIVERSITY OF CHICAGO MEDICINE UNIVERSITY OF CHICAGO MEDICINE-INGALLS MEMORIAL HOSPITAL UNIVERSITY OF ILLINOIS HOSPITAL AND HEALTH SCIENCES SYSTEM
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. For the Tax Year 2018 collaborative Cook County CHNA, collaborating health departments were: Chicago Department of Public Health Cook County Department of Public Health
Schedule H, Part V, Section B, Line 7 Facility A, 1	Facility A, 1 - facility reporting group a. COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO INDIVIDUALS ON THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - AMITA HEALTH SAINT JOSEPH HOSPITAL. Together, AMITA Health Presence Chicago Hospitals Network and its collaborative partners and stakeholders have identified the following prioritized health needs in our community on the 2019 Community Health Needs Assessment: Social and Structural Determinants of Health, including policies that advance equity and promote physical and mental well-being, and conditions that support healthy eating and active living. Access to Care, Community Resources, and Systems Improvements, consisting of timely linkage to appropriate care, and resources, referrals, coordination, and connection to community-based services. Mental Health and Substance Use Disorders, especially reducing stigma, increasing the reach and coordination of behavioral health services, and addressing the opioid epidemic. Chronic Condition Prevention and Management, focusing especially on metabolic diseases such as diabetes, heart disease, and hypertension, and on asthma, cancer, and complex chronic conditions. However, certain factors impact the Presence Chicago Hospitals Network ability to fully address all of the identified needs. Presence Chicago Hospitals Network will not directly address the following focus areas/priorities identified in the 2019 CHNA: - Economic Vitality and Workforce Development - Education and Youth Development - Housing, Transportation, and Neighborhood Environment - Maternal and Child Health - Violence and Community Safety, Injury - Trauma-Informed Care While critically important to overall community health, these specific priorities did not meet internal criteria that further prioritized how to achieve the greatest community impact. For these areas not chosen, there are service providers in the community better resourced to address these priorities. AMITA Health Presence Chicago Hospitals Network will work collaboratively with and support these organizations as appropriate to ensure service coordination and utilization. The information below describes actions taken in the reporting period from the AMITA Health Presence Chicago Hospitals Network 2019-2021 Implementation Strategy plans and other priority programs designed to address each priority need including any indicators for improvement. Social & Structural Determinants of Health Strategy: Common Pantry Financial Counselor Progress: Due to the constraints of the pandemic especially on our most socially disadvantaged and minority communities, the associates and Saint Joseph Hospital - Chicago, have had to prioritize other efforts. Recruitment for this program is on-going. In addition, resources for open enrollment & other benefits were provided to the community and our community partners via Advocatia. AMITA Health provided free community assistance for enrollment efforts through Advocatia. Access to Care, Community Resources & Systems Improvement Strategy: AMITA Health Resource Directory (Aunt Bertha) Progress: Saint Joseph Hospital 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. Additionally, an external website is hosted for the community as a community benefit to search for their own resources. In FY21, additional community partners were added to the resource portal and training held for Community Based Organizations. There are on average 4,331 resources available in the directory for the hospital community. Mental Health & Substance Use Disorder Strategy: Mental Health First Aid Trainings Progress: In FY21, Saint Joseph Hospital continued reaching out to external partners to host trainings. However, due to the COVID-19 pandemic, in-person trainings were put on hold. Planning ensued to offer a MHFA training in a virtual format. Virtual trainings began in late 2020. Nine virtual trainings were held serving 58 individuals in FY21. Chronic Condition Prevention & Management Strategy: Diabetes Prevention Program Progress: Due to the pandemic, the Diabetes Prevention Program was converted to a virtual format offering the CDC program. In FY21, 8 program groups were offered in both English & Spanish.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - AMITA HEALTH RESURRECTION MEDICAL CENTER. Together, AMITA Health Presence Chicago Hospitals Network and its collaborative partners and stakeholders have identified the following prioritized health needs in our community on the 2019 Community Health Needs Assessment: Social and Structural Determinants of Health, including policies that advance equity and promote physical and mental well-being, and conditions that support healthy eating and active living. Access to Care, Community Resources, and Systems Improvements, consisting of timely linkage to appropriate care, and resources, referrals, coordination, and connection to community-based services. Mental Health and Substance Use Disorders, especially reducing stigma, increasing the reach and coordination of behavioral health services, and addressing the opioid epidemic. Chronic Condition Prevention and Management, focusing especially on metabolic diseases such as diabetes, heart disease, and hypertension, and on asthma, cancer, and complex chronic conditions. However, certain factors impact the Presence Chicago Hospitals Network ability to fully address all of the identified needs. Presence Chicago Hospitals Network will not directly address the following focus areas/priorities identified in the 2019 CHNA: - Economic Vitality and Workforce Development - Education and Youth Development - Housing, Transportation, and Neighborhood Environment - Maternal and Child Health - Violence and Community Safety, Injury - Trauma-Informed Care While critically important to overall community health, these specific priorities did not meet internal criteria that further prioritized how to achieve the greatest community impact. For these areas not chosen, there are service providers in the community better resourced to address these priorities. AMITA Health Presence Chicago Hospitals Network will work collaboratively with and support these organizations as appropriate to ensure service coordination and utilization. Social & Structural Determinants of Health Strategy: Community Garden Progress: Each year, 100% of the produce from the community garden will be donated to the underserved clients of the local food pantry: New Hope House Northwest, aka New Hope Community Food Pantry. Nearly 900 pounds of produce was provided to the pantries, which equals approximately 742 meals using the Feeding America calculations. Social & Structural Determinants of Health Strategy: Kids Summer Meals Program & Weekend Backpack Program Progress: Through these programs in FY21, over 620 children were served with 6,500 meals reaching 9 zip codes in the hospital's service area. Social & Structural Determinants of Health Strategy: Micro Pantry Progress: A 24/7 emergency food pantry was added to the hospital campus in FY21. This pantry served 622 persons with food & provided 797 personal care items. Access to Care, Community Resources & Systems Improvement Strategy: AMITA Health Resource Directory (Aunt Bertha) Progress: Resurrection Medical Center 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. Additionally, an external website is hosted for the community as a community benefit to search for their own resources. In FY21, additional community partners were added to the resource portal and training held for Community Based Organizations. There are on average 3,940 resources available in the directory for the hospital community. Chronic Condition Prevention & Management Strategy: Diabetes Prevention Program Progress: In FY21, six in-person cohort program groups were provided with an 81% completion rate. Due to the pandemic, class sizes were limited based on CDC guidance. Chronic Condition Prevention & Management Strategy: Flu/Fecal Occult Blood Test (FOBT) Screenings Progress: In FY21, 197 people were screened in the community with the free FOBT provided by the hospital. Mental Health & Substance Use Disorder Strategy: Mental Health First Aid Trainings Progress: In FY21, Resurrection Medical Center continued reaching out to external partners to host trainings. However, due to the COVID-19 pandemic, in-person trainings were put on hold. Planning ensued to offer a MHFA training in a virtual format. Virtual trainings began in late 2020. Three virtual trainings were held serving 12 individuals in FY21.
Schedule H, Part V, Section B, Line 11 Facility A, 3	Facility A, 3 - AMITA HEALTH SAINT FRANCIS HOSPITAL. Together, AMITA Health Presence Chicago Hospitals Network and its collaborative partners and stakeholders have identified the following prioritized health needs in our community on the 2019 Community Health Needs Assessment: Social and Structural Determinants of Health, including policies that advance equity and promote physical and mental well-being, and conditions that support healthy eating and active living. Access to Care, Community Resources, and Systems Improvements, consisting of timely linkage to appropriate care, and resources, referrals, coordination, and connection to community-based services. Mental Health and Substance Use Disorders, especially reducing stigma, increasing the reach and coordination of behavioral health services, and addressing the opioid epidemic. Chronic Condition Prevention and Management, focusing especially on metabolic diseases such as diabetes, heart disease, and hypertension, and on asthma, cancer, and complex chronic conditions. However, certain factors impact the Presence Chicago Hospitals Network ability to fully address all of the identified needs. Presence Chicago Hospitals Network will not directly address the following focus areas/priorities identified in the 2019 CHNA: - Economic Vitality and Workforce Development - Education and Youth Development - Housing, Transportation, and Neighborhood Environment - Maternal and Child Health - Violence and Community Safety, Injury - Trauma-Informed Care While critically important to overall community health, these specific priorities did not meet internal criteria that further prioritized how to achieve the greatest community impact. For these areas not chosen, there are service providers in the community better resourced to address these priorities. AMITA Health Presence Chicago Hospitals Network will work collaboratively with and support these organizations as appropriate to ensure service coordination and utilization. Access to Care, Community Resources & Systems Improvement Strategy: AMITA Health Resource Directory (Aunt Bertha) Progress: Saint Francis Hospital 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. Additionally, an external website is hosted for the community as a community benefit to search for their own resources. In FY21, additional community partners were added to the resource portal and training held for Community Based Organizations. There are on average 3,919 resources available in the directory for the hospital community. Mental Health & Substance Use Disorder Strategy: Mental Health First Aid Trainings Progress: In FY21, Saint Francis Hospital continued reaching out to external partners to host trainings. However, due to the COVID-19 pandemic, in-person trainings were put on hold. Planning ensued to offer a MHFA training in a virtual format. Virtual trainings began in late 2020. Four virtual trainings were held in FY21. Mental Health & Substance Use Disorder Strategy: Trilogy Linkage Program Progress: In FY21, Saint Francis Hospital continued to offer a mental health worker to the patients and the community. A total of 349 individuals were served with referrals through this program. Chronic Condition Prevention & Management Strategy: Diabetes Prevention Program Progress: In FY21, three in-person cohort program groups were provided with an 81% completion rate. Due to the pandemic, class sizes were limited based on CDC guidance in January 2021, Saint Francis Hospital began partnership with the McGaw Evanston YMCA to partner on the program. The first partnered cohort began in May 2021.
Schedule H, Part V, Section B, Line 11 Facility A, 4	Facility A, 4 - AMITA HEALTH SAINT MARY OF NAZARETH HOSPITAL. Together, AMITA Health Presence Chicago Hospitals Network and its collaborative partners and stakeholders have identified the following prioritized health needs in our community on the 2019 Community Health Needs Assessment: Social and Structural Determinants of Health, including policies that advance equity and promote physical and mental well-being, and conditions that support healthy eating and active living. Access to Care, Community Resources, and Systems Improvements, consisting of timely linkage to appropriate care, and resources, referrals, coordination, and connection to community-based services. Mental Health and Substance Use Disorders, especially reducing stigma, increasing the reach and coordination of behavioral health services, and addressing the opioid epidemic. Chronic Condition Prevention and Management, focusing especially on metabolic diseases such as diabetes, heart disease, and hypertension, and on asthma, cancer, and complex chronic conditions. However, certain factors impact the Presence Chicago Hospitals Network ability to fully address all of the identified needs. Presence Chicago Hospitals Network will not directly address the following focus areas/priorities identified in the 2019 CHNA: - Economic Vitality and Workforce Development - Education and Youth Development - Housing, Transportation, and Neighborhood Environment - Maternal and Child Health - Violence and Community Safety, Injury - Trauma-Informed Care While critically important to overall community health, these specific priorities did not meet internal criteria that further prioritized how to achieve the greatest community impact. For these areas not chosen, there are service providers in the community better resourced to address these priorities. AMITA Health Presence Chicago Hospitals Network will work collaboratively with and support these organizations as appropriate to ensure service coordination and utilization. Social & Structural Determinants of Health Strategy: West Town Health Market Progress: In FY21, 19 markets were offered to the community with on average 5 vendors offering seasonal produce. Over 4,430 clients (SNAP beneficiaries) were served by these markets with free produce. Due to pandemic, curb-side pickup and deliveries to local organizations was instituted. Access to Care, Community Resources & Systems Improvement Strategy: AMITA Health Resource Directory (Aunt Bertha) Progress: Saints Mary & Elizabeth Medical Center 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. Additionally, an external website is hosted for the community as a community benefit to search for their own resources. In FY21, additional community partners were added to the resource portal and training held for Community Based Organizations. There are on average 4,115 resources available in the directory for the hospital community. Mental Health & Substance Use Disorder Strategy: Mental Health First Aid Trainings Progress: In FY21, Saints Mary & Elizabeth Medical Center continued reaching out to external partners to host trainings. However, due to the COVID-19 pandemic, in-person trainings were put on hold. Planning ensued to offer a MHFA training in a virtual format. Virtual trainings began in late 2020. Three virtual trainings were held in FY21. Chronic Condition Prevention & Management Strategy: Diabetes Prevention Program Progress: In FY21, in-person cohorts were not offered due to the pandemic constraints. A virtual model began in both English & Spanish that was offered to the community. Chronic Condition Prevention & Management Strategy: CANDO Camp Progress: The CANDO was offered to children in both the summer of 2020 & 2021. During this time 29 & 16 children were provided education on healthy lifestyles. During the programs, 100% of the students lowered or maintained their BMI.
Schedule H, Part V, Section B, Line 11 Facility A, 5	Facility A, 5 - AMITA HEALTH SAINT ELIZABETH HOSPITAL. Together, AMITA Health Presence Chicago Hospitals Network and its collaborative partners and stakeholders have identified the following prioritized health needs in our community on the 2019 Community Health Needs Assessment: Social and Structural Determinants of Health, including policies that advance equity and promote physical and mental well-being, and conditions that support healthy eating and active living. Access to Care, Community Resources, and Systems Improvements, consisting of timely linkage to appropriate care, and resources, referrals, coordination, and connection to community-based services. Mental Health and Substance Use Disorders, especially reducing stigma, increasing the reach and coordination of behavioral health services, and addressing the opioid epidemic. Chronic Condition Prevention and Management, focusing especially on metabolic diseases such as diabetes, heart disease, and hypertension, and on asthma, cancer, and complex chronic conditions. However, certain factors impact the Presence Chicago Hospitals Network ability to fully address all of the identified needs. Presence Chicago Hospitals Network will not directly address the following focus areas/priorities identified in the 2019 CHNA: - Economic Vitality and Workforce Development - Education and Youth Development - Housing, Transportation, and Neighborhood Environment - Maternal and Child Health - Violence and Community Safety, Injury - Trauma-Informed Care While critically important to overall community health, these specific priorities did not meet internal criteria that further prioritized how to achieve the greatest community impact. For these areas not chosen, there are service providers in the community better resourced to address these priorities. AMITA Health Presence Chicago Hospitals Network will work collaboratively with and support these organizations as appropriate to ensure service coordination and utilization. Social & Structural Determinants of Health Strategy: West Town Health Market Progress: In FY21, 19 markets were offered to the community with on average 5 vendors offering seasonal produce. Over 4,430 clients (SNAP beneficiaries) were served by these markets with free produce. Due to pandemic, curb-side pickup and deliveries to local organizations was instituted. Access to Care, Community Resources & Systems Improvement Strategy: AMITA Health Resource Directory (Aunt Bertha) Progress: Saints Mary & Elizabeth Medical Center 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. Additionally, an external website is hosted for the community as a community benefit to search for their own resources. In FY21, additional community partners were added to the resource portal and training held for Community Based Organizations. There are on average 4,115 resources available in the directory for the hospital community. Mental Health & Substance Use Disorder Strategy: Mental Health First Aid Trainings Progress: In FY21, Saints Mary & Elizabeth Medical Center continued reaching out to external partners to host trainings. However, due to the COVID-19 pandemic, in-person trainings were put on hold. Planning ensued to offer a MHFA training in a virtual format. Virtual trainings began in late 2020. Three virtual trainings were held in FY21. Chronic Condition Prevention & Management Strategy: Diabetes Prevention Program Progress: In FY21, in-person cohorts were not offered due to the pandemic constraints. A virtual model began in both English & Spanish that was offered to the community. Chronic Condition Prevention & Management Strategy: CANDO Camp Progress: The CANDO was offered to children in both the summer of 2020 & 2021. During this time 29 & 16 children were provided education on healthy lifestyles. During the programs, 100% of the students lowered or maintained their BMI.
Schedule H, Part V, Section B, Line 11 Facility A, 6	Facility A, 6 - AMITA HEALTH HOLY FAMILY MEDICAL CENTER. Together, AMITA Health Presence Chicago Hospitals Network and its collaborative partners and stakeholders have identified the following prioritized health needs in our community on the 2019 Community Health Needs Assessment: Social and Structural Determinants of Health, including policies that advance equity and promote physical and mental well-being, and conditions that support healthy eating and active living. Access to Care, Community Resources, and Systems Improvements, consisting of timely linkage to appropriate care, and resources, referrals, coordination, and connection to community-based services. Mental Health and Substance Use Disorders, especially reducing stigma, increasing the reach and coordination of behavioral health services, and addressing the opioid epidemic. Chronic Condition Prevention and Management, focusing especially on metabolic diseases such as diabetes, heart disease, and hypertension, and on asthma, cancer, and complex chronic conditions. However, certain factors impact the Presence Chicago Hospitals Network ability to fully address all of the identified needs. Presence Chicago Hospitals Network will not directly address the following focus areas/priorities identified in the 2019 CHNA: - Economic Vitality and Workforce Development - Education and Youth Development - Housing, Transportation, and Neighborhood Environment - Maternal and Child Health - Violence and Community Safety, Injury - Trauma-Informed Care While critically important to overall community health, these specific priorities did not meet internal criteria that further prioritized how to achieve the greatest community impact. For these areas not chosen, there are service providers in the community better resourced to address these priorities. AMITA Health Presence Chicago Hospitals Network will work collaboratively with and support these organizations as appropriate to ensure service coordination and utilization. Social & Structural Determinants of Health Strategy: Backpack Ministry Program Progress: In FY21, the program was offered with District 62 elementary schools. This program served 210 persons. Access to Care, Community Resources & Systems Improvement Strategy: AMITA Health Resource Directory (Aunt Bertha) Progress: Holy Family Medical Center 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. Additionally, an external website is hosted for the community as a community benefit to search for their own resources. In FY21, additional community partners were added to the resource portal and training held for Community Based Organizations. Access to Care, Community Resources & Systems Improvement Strategy: New Beginnings Prenatal Program Progress: Holy Family Medical Center continued to provide funding for this program in FY21. This program served 866 mothers & children in FY21. Mental Health & Substance Use Disorder Strategy: Mental Health First Aid Trainings Progress: In FY21, Holy Family Medical Center continued reaching out to external partners to host trainings. However, due to the COVID-19 pandemic, in-person trainings were put on hold. Planning ensued to offer a MHFA training in a virtual format. Virtual trainings began in late 2020. One virtual MHFA training was offered and one workshop in FY21.

Schedule H (Form 990) 2020

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?6
Name and address		Type of Facility (describe)
1	Seton Family Health Center 711 North Ave Chicago,IL60610	Medical Care Clinic
2	LABOURE CLINIC 2913 N COMMONWEALTH CHICAGO,IL60657	MEDICAL CARE CLINIC
3	The Apothecary Chicago 7447 W Talcott Avenue Chicago,IL60631	OUTPATIENT PHARMACY
4	Lakeview Internal Medicine 2913 N COMMONWEALTH CHICAGO,IL60657	MEDICAL CARE CLINIC
5	St Francis Retail Pharmacy 800 Austin Street Evanston,IL60202	OUTPATIENT PHARMACY
6	Nazareth Family Center Retail Pharmacy 1127 N OAKLEY BLVD Chicago,IL60622	OUTPATIENT PHARMACY
7
8
9
10

Schedule H (Form 990) 2020

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part I, Line 3c PART 1, LINE 3C	IN ADDITION TO THE FEDERAL POVERTY GUIDELINES (FPG), WITH FPG FAMILY INCOME LIMIT FOR ELIGIBILITY OF FREE CARE OF 200% AND FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR DISCOUNTED CARE OF 600% THE FOLLOWING ELIGIBILITY CRITERIA ARE EXPLAINED IN THE FINANCIAL ASSISTANCE POLICY. PRESUMPTIVE ELIGIBILITY CRITERIA ANY PATIENT MEETING ANY OF THE CRITERIA SET FORTH BELOW WILL BE CONSIDERED PRESUMPTIVELY ELIGIBLE FOR FINANCIAL ASSISTANCE WITHOUT FURTHER DOCUMENTATION REQUIREMENTS. IN SUCH SITUATIONS, THE PATIENT IS DEEMED TO HAVE A FAMILY INCOME OF 200% OR LESS OF THE FEDERAL POVERTY LEVEL, AND THEREFORE ELIGIBLE FOR A 100% REDUCTION FROM MEDICALLY NECESSARY HOSPITAL CHARGES (I.E. FULL CHARITY WRITE OFF). PATIENTS WILL RECEIVE A MINIMUM OF ONE (1) STATEMENT TO PROVIDE A SUMMARY OF SERVICES AND ACCOUNT INFORMATION. PRESUMPTIVE ELIGIBILITY FOR 100% FINANCIAL ASSISTANCE WILL BE MADE FOR PATIENTS MEETING ANY OF THE FOLLOWING CRITERIA: A. PATIENT IS HOMELESS (WITH SUCH STATUS VERIFIED AFTER REVIEW OF AVAILABLE FACTS). B. PATIENT IS DECEASED WITH NO ESTATE. C. PATIENT IS MENTALLY OR PHYSICALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS/HER BEHALF. D. PATIENT IS CURRENTLY ELIGIBLE FOR MEDICAID, BUT WAS NOT ON A PRIOR DATE OF SERVICE OR FOR NON-COVERED SERVICES. E. PATIENT IS ENROLLED OR COVERED BY THE WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM (WIC). F. PATIENT IS ENROLLED OR COVERED BY THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR FOOD STAMP ELIGIBILITY (LINK). G. PATIENT IS ENROLLED OR COVERED BY THE ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM (ELIGIBLE FOR FREE AND REDUCED PRICE SCHOOL MEALS). H. PATIENT IS ENROLLED OR COVERED BY THE LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP). I. PATIENT OR FAMILY IS A QUALIFIED PARTICIPANT IN AN ORGANIZED COMMUNITY-BASED PROGRAM FOR PROVIDING ACCESS TO MEDICAL CARE THAT ACCESSES AND DOCUMENTS LIMITED LOW-INCOME FINANCIAL STATUS CRITERIA. J. PATIENT RECEIVES OR QUALIFIES FOR FREE CARE FROM A COMMUNITY CLINIC AFFILIATED WITH THE HOSPITAL OR KNOWN TO HAVE ELIGIBILITY STANDARDS SUBSTANTIALLY EQUIVALENT TO THAT OF THE HOSPITAL UNDER THIS POLICY, AND THE COMMUNITY CLINIC REFERS THE PATIENT TO THE HOSPITAL FOR TREATMENT OR FOR A PROCEDURE. K. PATIENT IS A RECIPIENT OF GRANT ASSISTANCE FOR MEDICAL SERVICES. L. PATIENT PARTICIPATES IN STATE-FUNDED PRESCRIPTION PROGRAMS. M. PATIENT OR PATIENT'S FAMILY IS ENROLLED IN ILLINOIS HOUSING DEVELOPMENT AUTHORITY'S RENTAL HOUSING SUPPORT PROGRAM. N. PATIENT OR PATIENT'S FAMILY HAS BEEN DETERMINED BY AN INDEPENDENT THIRD-PARTY REPORTING AGENCY TO HAVE FAMILY INCOME OF 200% OR LESS THAN THE FEDERAL POVERTY LEVEL. O. PATIENT OR PATIENT'S FAMILY'S INABILITY TO PAY ANY PORTION OF PATIENT-LIABILITY AMOUNT HAS BEEN VERIFIED BY AN INDEPENDENT THIRD-PARTY AGENCY. APPLICATION OF CATASTROPHIC DISCOUNT THE CATASTROPHIC DISCOUNT WILL BE AVAILABLE TO PATIENTS WHO HAVE MEDICAL EXPENSES OVER A 12-MONTH PERIOD FOR MEDICALLY NECESSARY SERVICES FROM A PRESENCE HEALTH HOSPITAL THAT EXCEED 15% OF THE PATIENT'S FAMILY'S ANNUAL GROSS INCOME, EVEN AFTER PAYMENT BY THIRD-PARTY PAYERS. ANY PATIENT RESPONSIBILITY IN EXCESS OF 15% WILL BE WRITTEN OFF TO CHARITY. SERVICES THAT ARE NOT MEDICALLY NECESSARY WILL NOT BE ELIGIBLE FOR THIS DISCOUNT. UNINSURED SELF-PAY DISCOUNT 1. THERE IS NO APPLICATION PROCESS FOR THE PATIENT TO RECEIVE THE UNINSURED SELF-PAY DISCOUNT. THE DISCOUNT IS APPLIED BASED ON THE ACCOUNT'S SELF-PAY/UNINSURED STATUS. 2. PATIENTS RECEIVING PRE-NEGOTIATED DISCOUNTS (PACKAGE PRICING) FOR HOSPITAL SERVICES WILL NOT BE ELIGIBLE FOR THE UNINSURED SELF-PAY DISCOUNT. 3. IF A PATIENT IS SUBSEQUENTLY APPROVED FOR FINANCIAL ASSISTANCE, THE UNINSURED SELF-PAY DISCOUNT WILL BE REVERSED SO THAT THE FULL AMOUNT CAN BE RECOGNIZED AS A CHARITY DISCOUNT. FINANCIAL ASSISTANCE FOR CERTAIN CRIME VICTIMS INDIVIDUALS WHO ARE DEEMED ELIGIBLE BY THE STATE OF ILLINOIS TO RECEIVE ASSISTANCE UNDER THE VIOLENT CRIME VICTIMS COMPENSATION ACT OR THE SEXUAL ASSAULT VICTIMS COMPENSATION ACT SHALL FIRST BE EVALUATED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BASED ON THE FINANCIAL ASSISTANCE GUIDELINES AND THE ELIGIBILITY CRITERIA. APPLICATIONS FOR REIMBURSEMENT UNDER SUCH CRIME VICTIMS FUNDS WILL BE MADE ONLY TO THE EXTENT OF ANY REMAINING PATIENT LIABILITY AFTER THE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION IS MADE. FINANCIAL ASSISTANCE FOR INSURED PATIENTS FINANCIAL ASSISTANCE IN THE FORM OF 100% DISCOUNTS (FREE CARE) ARE AVAILABLE FOR PATIENT-LIABILITY AMOUNTS REMAINING AFTER INSURANCE PAYMENTS, FOR INSURED PATIENTS WHO ARE ILLINOIS RESIDENTS WITH FAMILY GROSS INCOME LESS THAN OR UP TO 200% OF THE FEDERAL POVERTY GUIDELINES. FOR INSURED PATIENTS WITH FAMILY GROSS INCOME BETWEEN 200% AND 400% OF THE FEDERAL POVERTY GUIDELINES, THE EXPECTED PATIENT PAYMENT WILL BE THE LESSER OF PATIENT'S OUT OF POCKET (OOP) LIABILITY REDUCED BY 100% OF THE HOSPITAL'S MEDICARE COST-TO-CHARGE RATIO OR THE AMOUNT THE PATIENT WOULD HAVE BEEN RESPONSIBLE FOR HAD THEY BEEN UNINSURED. THE AMOUNT OF FINANCIAL ASSISTANCE WILL BE DETERMINED ONCE ALL THIRD-PARTY PAYMENT AMOUNTS HAVE BEEN IDENTIFIED. IN ADDITION, INSURED PATIENTS WITH HIGH HOSPITAL BILLS MAY RECEIVE A CATASTROPHIC DISCOUNT. FINANCIAL ASSISTANCE FOR STUDENTS FINANCIAL ASSISTANCE FOR VERIFIED FULL-TIME ENROLLED STUDENTS WITH INCOME OF 200% OR LESS OF THE FEDERAL POVERTY LEVEL WILL BE ELIGIBLE FOR A 100% REDUCTION FROM CHARGES (I.E., FULL CHARITY WRITE-OFF). PRESENCE CHICAGO HOSPITALS NETWORK ALSO USES ASSET LEVEL AS A FACTOR IN DETERMINING ELIGIBILITY FOR FREE AND DISCOUNTED CARE.
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION - Part II	AMITA HEALTH SAINT FRANCIS HOSPITAL THE TOTAL POPULATION IN THIS SERVICE AREA IN 2018 IS 333,852 WITH AN AVERAGE MEDIAN AGE OF 38.8, WHICH IS SIMILAR TO THE STATE OF ILLINOIS. THE AVERAGE FAMILY INCOME IS $70,601 WHICH IS ALSO SIMILAR TO THE STATE, BUT THERE ARE GEOGRAPHICAL INEQUITIES IN INCOME IN THIS AREA. SIMILARLY, THE POVERTY RATE IS 13.75% BUT THERE ARE ALSO GEOGRAPHICAL INEQUITIES WITH SOME ZIP CODES VERY LOW (60203 WITH 1.3%) AND VERY HIGH (60626 WITH 24.8%). FIFTY-ONE PERCENT OF THE POPULATION IN THIS SERVICE AREA IS WHITE, FOLLOWED BY ASIAN AT 16.9% WITH 13.3% HISPANIC OR LATINO. PRIMARY SERVICE AREA: 60626 CHICAGO - ROGERS PARK 60645 CHICAGO - WEST ROGERS PARK 60202 EVANSTON 60660 CHICAGO - EDGEWATER 60076 SKOKIE 60201 EVANSTON 60659 CHICAGO - NORTHTOWN 60077 SKOKIE 60712 LINCOLNWOOD 60203 EVANSTON AMITA HEALTH SAINTS MARY AND SAINT ELIZABETH HOSPITAL THE TOTAL POPULATION FOR THIS SERVICE AREA IN 2018 WAS 721,589 WITH THE MEDIAN AGE OF 31.9 WHICH IS LOWER THAN THE ILLINOIS MEDIAN. THE MEDIAN FAMILY INCOME WAS $57,173 WHICH IS SIMILAR TO THE STATE, BUT THERE ARE GEOGRAPHICAL INEQUITIES THAT EXIST. THE HIGHEST MEDIAN INCOME IS IN THE 60642 WITH $101,939 AND THE LOWEST IN THE 60624 WITH $22,922. THE POVERTY RATE FOR THIS SERVICE AREA IS 23.8% AGAIN WITH GEOGRAPHICAL INEQUITIES. THE HIGHEST POVERTY IS IN THE 60624 ZIP CODE AT 44.2%. THE WHITE POPULATION MAKES UP 27.4% OF THE POPULATION. THE BLACK POPULATION IS AT 33.3% AND ASIAN POPULATION OF 4.9%. THE HISPANIC/LATINO POPULATION IS 32.9% IN THIS AREA, WITH THE 60639 (78%) AND 60623 (66%) HAVING THE HIGHEST PERCENTAGES. 60647 CHICAGO - LOGAN SQUARE 60622 CHICAGO - WICKER PARK 60639 CHICAGO - CRAGIN 60651 CHICAGO - HUMBOLDT PARK 60618 CHICAGO - AVONDALE/NORTH CENTER 60641 CHICAGO - IRVING PARK 60624 CHICAGO - GARFIELD PARK 60644 CHICAGO - AUSTIN 60612 CHICAGO - MEDICAL DISTRICT 60623 CHICAGO - LAWNDALE 60634 CHICAGO - DUNNING 60608 CHICAGO - PILSEN 60642 CHICAGO - RIVER WEST 60607 CHICAGO - WEST LOOP AMITA HEALTH HOLY FAMILY MEDICAL CENTER AMITA HEALTH HOLY FAMILY MEDICAL CENTER (HFMC): AMITA HEALTH HOLY FAMILY MEDICAL CENTER SERVICE AREA INCLUDES THE ZIP CODES 60016 AND 60018, WHICH CORRESPOND TO THE COMMUNITIES OF DES PLAINES CITY AND UNINCORPORATED MAINE TOWNSHIP. THE TOTAL POPULATION OF ZIP CODES 60016 AND 60018 IN 2018 WAS 90,023, MAKING UP THE SERVICE AREA OF HFMC. COMBINED MEDIAN AGE FOR THIS POPULATION IS 40 YEARS WHICH IS SIMILAR TO THE ILLINOIS. THE RACIAL AND ETHNICITY STATISTICS INCLUDE 53% WHITE FOLLOWED BY 17.5% ASIAN WITH 24.5% HISPANIC/LATINO ETHNICITY. THE MEDIAN HOUSEHOLD INCOME IS $62,597, WHICH IS LOWER THAN THE STATE MEDIAN. POVERTY IN THIS AREA IS 11.5%. AMITA HEALTH HOLY FAMILY MEDICAL CENTER (HFMC) IS A LONG-TERM ACUTE CARE HOSPITAL, SERVING A SPECIALTY POPULATION OF MEDICALLY-COMPLEX PATIENTS. HFMC SPECIALIZES IN PROVIDING CARE FOR PATIENTS WHO ARE CRITICALLY ILL WITH COMPLEX CONDITIONS AND MUST BE HOSPITALIZED FOR AN EXTENDED PERIOD. IT IS THE ONLY SUCH HOSPITAL IN NORTHWEST CHICAGOLAND.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	PRESENCE CHICAGO HOSPITALS NETWORK REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE FOLLOWING RELATED ORGANIZATION'S ANNUAL COMMUNITY BENEFIT REPORT: ALEXIAN BROTHERS HOSPITAL NETWORK 36-3276552
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	During this tax year, the Presence Chicago Hospitals Network engaged in community building activities that improve the community's health and safety by addressing the root causes of health problems, such as poverty and environmental hazards. Participation in collaborative community efforts to promote such public health initiatives also includes engagement in coalitions and advocacy for health improvement to strengthen the community's capacity to promote health and well-being by offering the expertise and resources of the healthcare organization. Hospital ministries engaged in a variety of community building activities such as: -The work of all our hospitals on disaster readiness and emergency preparedness work. This work goes above and beyond any licensure requirement to proactively ensure our communities are safe and prepared for disasters. -Community support donations from our ministries to organizations addressing root causes of health problems. -Coalition building with the goal of making the communities healthier working with local legislators on policy, systems and environmental changes. -Workforce development programs in partnership with local schools that allow teen participants the opportunity to help those in need while providing exposure to health-related careers as well as other non-clinical health roles.
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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	PRESENCE CHICAGO HOSPITALS NETWORK has a very robust financial assistance program; therefore, no estimate is made for bad debt attributable to financial assistance eligible patients.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE ORGANIZATION IS PART OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 14-17.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE EXPENSE TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	PRESENCE CHICAGO HOSPITALS NETWORK FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED. COLLECTION POLICIES ARE THE SAME FOR ALL PRESENCE HEALTH HOSPITALS. PATIENTS ARE NOTIFIED OF THE FINANCIAL ASSISTANCE POLICY AT THE TIME OF REGISTRATION VIA POSTED NOTIFICATIONS AND ON EVERY ACCOUNT STATEMENT THAT IS SENT TO THEM. THIS INFORMATION IS AVAILABLE IN ALL LANGUAGES SPOKEN BY AT LEAST 1,000 HOUSEHOLDS OF LIMITED ENGLISH PROFICIENCY IN THE AREA SERVED BY THE HOSPITAL ENTITY, PER FINAL RULE 501(R) GIUDELINES. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE REVENUE CYCLE. PER THE PROVISION FOR FINANCIAL ASSISTANCE POLICY, THE COLLECTION PROCESS IS AS FOLLOWS: 1. PRE-LITIGATION REVIEW: PRIOR TO AN ACCOUNT BEING AUTHORIZED FOR THE FILING OF SUIT FOR NON-PAYMENT OF A PATIENT BILL, A FINAL REVIEW OF THE ACCOUNT WILL BE CONDUCTED AND APPROVED BY THE FINANCIAL COUNSELING REPRESENTATIVE (OR DESIGNEE) TO MAKE SURE THAT NO APPLICATION OF FINANCIAL ASSISTANCE WAS EVER RECEIVED AND THAT THERE EXISTS OBJECTIVE EVIDENCE THAT THE PATIENT DOES HAVE SUFFICIENT FINANCIAL MEANS TO PAY ALL OR PART OF HIS/HER BILL. PRIOR TO A COLLECTIONS SUIT BEING FILED, THE SELF-PAY COLLECTIONS DIRECTOR MUST REVIEW AND APPROVE. 2. RESIDENTIAL LIENS: NO HOSPITAL WILL PLACE A LIEN ON THE PRIMARY RESIDENCE OF A PATIENT WHO HAS BEEN DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE/CHARITY CARE, FOR PAYMENT OF THE PATIENT'S UNDISCOUNTED BALANCE DUE. FURTHER, IN NO CASE WILL ANY HOSPITAL EXECUTE A LIEN BY FORCING THE SALE OR FORECLOSURE OF THE PRIMARY RESIDENCE OF ANY PATIENT TO PAY FOR ANY OUTSTANDING MEDICAL BILL. 3. NO USE OF BODY ATTACHMENTS: NO HOSPITAL WILL USE BODY ATTACHMENT TO REQUIRE ANY PERSON, WHETHER RECEIVING FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNTS OR NOT, TO APPEAR IN COURT. 4. COLLECTION AGENCY REFERRALS: EACH HOSPITAL FINANCE ACCOUNTING WILL ENSURE THAT ALL COLLECTION AGENCIES USED TO COLLECT PATIENT BILLS PROMPTLY REFER ANY PATIENT WHO INDICATES FINANCIAL NEED, OR OTHERWISE APPEARS TO QUALIFY FOR FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNTS, TO A FINANCIAL COUNSELOR TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR SUCH A CHARITABLE DISCOUNT. IN CASES WHERE A PATIENT HAS BEEN BILLED BUT IS LATER DETERMINED TO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY WITHIN THE APPLICATION PERIOD, THE CHARGE IS REVERSED AND THE APPROPRIATE AMOUNT APPLIED TO CHARITY, AND THE PATIENT IS PROVIDED A REFUND IF THE FINAL PATIENT RESPONSIBILITY IS LESS THAN THE PATIENT ALREADY PAID. FOR MORE INFORMATION ABOUT PRESENCE HEALTH'S FINANCIAL ASSISTANCE PROGRAM, VISIT https://www.amitahealth.org/patient-resources/pay-your-bill/financial-assistance/
Schedule H, Part V, Section B, Line 16a FAP website	A - AMITA HEALTH SAINT JOSEPH HOSPITAL: Line 16a URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - AMITA HEALTH SAINT JOSEPH HOSPITAL: Line 16b URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - AMITA HEALTH SAINT JOSEPH HOSPITAL: Line 16c URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy;
Schedule H, Part VI, Line 2 Needs assessment	PRESENCE CHICAGO HOSPITALS NETWORK JOINS FORCES WITH LOCAL COMMUNITY ORGANIZATIONS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) ARE COMPLETED FOR THE INDIVIDUAL COUNTIES WE SERVE WITH COMMUNITY PARTNERS EVERY 3 YEARS AS REQUIRED. TO SUPPLEMENT THE CHNA, PRESENCE HOSPITALS ALSO REVIEW AND ANALYZE INPATIENT AND EMERGENCY DEPARTMENT UTILIZATION ON AN ANNUAL BASIS TO UNCOVER ANY NEW COMMUNITY HEALTH TRENDS. THE COOK COUNTY HOSPITALS IN PRESENCE HEALTH SOURCED DATA ABOUT THEIR COMMUNITIES FROM PUBLICLY AVAILABLE SOURCES, SUCH AS THE US CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY. IN ADDITION TO ASSESSING THE HEALTH NEEDS, PRESENCE HOSPITAL MINISTRIES ALSO COMPLETE MEDICAL STAFF DEVELOPMENT PLANS. THE PLANS ARE CONDUCTED BY EXTERNAL CONSULTANTS, WHO PROVIDE AN INDEPENDENT ASSESSMENT OF THE NEED FOR PHYSICIANS BY SPECIALTY WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA AS DEFINED BY STARK REGULATIONS. IDENTIFYING COMMUNITY NEEDS IS JUST ONE STEP IN THE CHNA PROCESS. THE MOST CRITICAL STEP IS PRIORITIZING AND ALIGNING EXPERTISE TO MAKE AN IMPACT ON THE IDENTIFIED NEEDS. TO FACILITATE THIS PROCESS, THE BOARD OF DIRECTORS OF EACH HOSPITAL MINISTRY HAS APPOINTED A COMMUNITY LEADERSHIP BOARD THAT IS ULTIMATELY RESPONSIBLE FOR THE OVERSIGHT AND DIRECTION OF THE COMMUNITY BENEFIT INITIATIVES. ON A TRIENNIAL BASIS THIS ADVISORY BOARD, WHICH IS MADE UP OF COMMUNITY MEMBERS, APPROVES THE HOSPITAL'S IMPLEMENTATION STRATEGY PURSUANT TO AUTHORITY DELEGATED BY THE HOSPITAL MINISTRY'S BOARD OF DIRECTORS. THIS PLAN IDENTIFIES THE PRIORITIES AND ACTIONS THAT WILL TAKE PLACE TO TRANSFORM COMMUNITY HEALTH.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PRESENCE CHICAGO HOSPITALS NETWORK IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTHCARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HEALTH SYSTEM, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, PRESENCE HEALTH'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; PRESENCE HEALTH HOSPITALS PROVIDE FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 600% OF THE FEDERAL POVERTY LEVEL. PRESENCE HEALTH HOSPITALS WIDELY PUBLICIZE THEIR: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - BILLING AND COLLECTIONS POLICY - AMOUNT GENERALLY BILLED (AGB) CALCULATION - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - https://www.amitahealth.org/patient-resources/pay-your-bill/price-estimates/financial-assistance-documents PRESENCE CHICAGO HOSPITALS NETWORK MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - BILLING AND COLLECTIONS POLICY - AMOUNT GENERALLY BILLED CALCULATION - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL AND BY EMAIL. PRESENCE CHICAGO HOSPITALS NETWORK INFORMS THEIR PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND AND VERBALLY AND PATIENT REGISTRATION ENCOUNTERS. PRESENCE CHICAGO HOSPITALS NETWORK INFORMS THEIR PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS.
Schedule H, Part VI, Line 4 Community information	Saint Joseph Hospital The population of the Saint Joseph Hospital primary service area was estimated to be 1,271,212 in 2020. The median age was 35.3, which is lower than the state of Illinois. The median family income was $105,435, which is higher than the state of Illinois. Sixty-eight percent of the population is White, with 9% as Asian and 10.7% as Black. Twenty-five percent of the population is Hispanic or Latinx ethnicity, however there are several zip codes with over 40% of the population identified as this ethnicity. The poverty rate in the hospital's primary service area is 13.4%, which is higher than the state of Illinois. Resurrection Medical Center The population of the Resurrection Medical Center primary service area was estimated to be 451,940 in 2020. The median age was 42.3, which is higher than the state of Illinois. The median family income was $92,500, which is higher than the state of Illinois. Seventy-nine percent of the population is White, with 9.5% as Asian and 2.2% as Black. Twenty-one percent of the population is Hispanic or Latinx ethnicity, however there are several zip codes with over 35% of the population identified as this ethnicity. The poverty rate in the hospital's primary service area is 8.7%, which is lower than the state of Illinois. Saint Francis Hospital The population of the Saint Francis Hospital primary service area was estimated to be 364,448 in 2020. The median age was 39.3, which is similar to the state of Illinois. The median family income was $91,792, which is higher than the state of Illinois. Sixty-three percent of the population is White, with 17% as Asian and 12% as Black. Fourteen percent of the population is Hispanic or Latinx ethnicity, which is lower than the state of Illinois. The poverty rate in the hospital's primary service area is 13.5%, which is higher than the state of Illinois. Saints Mary & Elizabeth Medical Center The population of the Saints Mary & Elizabeth Medical Center primary service area was estimated to be 828,768 in 2020. The median age was 33.6, which is lower than the state of Illinois. The median family income was $69,923, which is similar to the state of Illinois. Fifty percent of the population is White, with 4% as Asian, 29% as Black and nearly 18% mixed or some other race. Thirty-six percent of the population is Hispanic or Latinx ethnicity, however there are several zip codes with over 50% of the population identified as this ethnicity. The poverty rate in the hospital's primary service area is 20%, which is much higher than the state of Illinois. Holy Family Medical Center Holy Family Medical Center is a long-term care hospital serving a population of medically-complex patients from the state of Illinois as well as surrounding states. It is the only such hospital in northwest Chicagoland. The population of the immediate surrounding community of the hospital is estimated to be 89,328 in 2020. The median age was 40.1, which is higher than the state of Illinois. The median family income was $79,453, which is higher than the state of Illinois. Seventy-three percent of the population is White, with 17% as Asian and 3% as Black. Twenty-six percent of the population is Hispanic or Latinx ethnicity. The poverty rate in the hospital's primary service area is 11%, which is lower than the state of Illinois.
Schedule H, Part VI, Line 5 Promotion of community health	PRESENCE CHICAGO HOSPITALS NETWORK CONSISTS OF FAITH-BASED MINISTRIES THAT PROVIDE SERVICES BASED UPON THE ETHICAL AND RELIGIOUS DIRECTIVES OF THE CATHOLIC CHURCH. PRESENCE HEALTH HOSPITALS ENHANCE THE PUBLIC HEALTH OF OUR COMMUNITIES BY: 1. ENSURING OUR MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS. 2. ALL OF OUR HOSPITALS ARE ACCREDITED AND IN GOOD STANDING WITH THE JOINT COMMISSION ACCREDITATION OF HEALTHCARE ORGANIZATIONS. 3. ENSURING OUR BOARD OF DIRECTORS IS DIVERSE AND ABLE TO PROVIDE EXPERTISE, AND MADE UP OF INDEPENDENT MEMBERS OF THE COMMUNITIES WE SERVE. OUR BOARD MEMBERS MUST FOLLOW A CONFLICT OF INTEREST POLICY. 4. REINVESTING SURPLUS FUNDS INTO THE ORGANIZATION TO IMPROVE PATIENT CARE THOUGH NEW PROGRAMS AND TECHNOLOGY. 5. PROVIDING FINANCIAL ASSISTANCE, SLIDING SCALE DISCOUNTS AND HAS COLLECTION PRACTICES THAT ARE IN COMPLIANCE WITH STATE AND FEDERAL GUIDELINES. IN ADDITION, WE FOLLOW THE FINANCIAL ASSISTANCE AND CHARITY GUIDELINES OF THE CATHOLIC HEALTH ASSOCIATION. 6. PARTICIPATING IN ALL GOVERNMENT SPONSORED HEALTH CARE PROGRAMS, MEDICARE, MEDICAID, CHAMPUS, TRICARE, SCHIP AND OTHERS. 7. PROVIDING EMERGENCY ROOM SERVICES IN ALL OF OUR COMMUNITIES AND PROVIDING TRAINING TO LOCAL FIRE DEPARTMENTS AND AMBULANCES. OUR EMERGENCY ROOM PARTICIPATES WITH LOCAL POLICE AND FIRE DEPARTMENTS IN DISASTER DRILLS. 8. STAFFING BOARD CERTIFIED EMERGENCY ROOM PHYSICIANS IN OUR EMERGENCY ROOM AND URGENT CARE SERVICES. WE TREAT PATIENTS ACCORDING TO EMTALA GUIDELINES AND SERVE ALL PATIENTS REGARDLESS OF ABILITY TO PAY. IN ADDITION, WE ARE COMMITTED TO DETERMINING THE NEEDS OF OUR COMMUNITIES AND CREATING WAYS TO MEET THOSE NEEDS. THE OBLIGATION TO REACH OUT TO THOSE IN NEED AND IMPROVE HEALTH FLOWS DIRECTLY FROM OUR CATHOLIC IDENTITY AND THE HERITAGE OF OUR FOUNDING CONGREGATIONS. IN EACH OF THE COMMUNITIES WE SERVE, WE WORK WITH OTHERS - INCLUDING CHARITABLE ORGANIZATIONS, COMMUNITY HEALTH PROVIDERS, ELECTED OFFICIALS, BUSINESS LEADERS, SCHOOLS, CHURCHES, AND RESIDENTS - TO LOOK AT THE OVERALL HEALTH OF THE COMMUNITY AND IDENTIFY THE GREATEST NEEDS. WE THEN MAKE A PLAN AND DEVELOP STRATEGIES TOGETHER WITH OUR COMMUNITIES TO ADDRESS THE HIGHEST PRIORITY HEALTH NEEDS.
Schedule H, Part VI, Line 6 Affiliated health care system	PRESENCE CHICAGO HOSPITALS NETWORK BECAME AN AFFILIATE OF ASCENSION HEALTH AND JOINED AMITA HEALTH WHEN IT WAS ACQUIRED BY ASCENSION HEALTH ON MARCH 1, 2018. PRESENCE CHICAGO HOSPITALS NETWORK'S AFFILIATES ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, RESEARCH, AND HOME HEALTH,). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 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) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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

2020

Open to Public
Inspection

Name of the organization
Presence Chicago Hospitals Network

Employer identification number
36-2235165

Part I

General Information on Grants and Assistance

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? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) PRIMECARE COMMUNITY HEALTH INC 2211 N Elston Avenue STE 301 Chicago,IL606149278	36-3845253	501(C)(3)	1,353,748				support local community health centers
(2) Des Plaines Chamber of Commerce & Industry 1400 E Touhy Ave STE 145 Des Plaines,IL60018	36-3641046	501(C)(3)	6,000				support veterans back to work program 2020

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2020

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	ALL ORGANIZATIONS WHICH ARE RECIPIENTS OF GRANT FUNDS ARE TAX-EXEMPT ORGANIZATIONS DESCRIBED IN 501(C)(3) AND THEREFORE THE CORPORATION DOES NOT MONITOR THE USE OF THOSE FUNDS.

Schedule I (Form 990) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Presence Chicago Hospitals Network

Employer identification number

36-2235165

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .....

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? ....

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

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:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

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 ............

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 ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2020

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1GARY R LIPINSKI MD DIRECTOR	(i) (ii)	0 ------------- 443,909	0 ------------- 42,453	0 ------------- 0	0 ------------- 15,675	0 ------------- 12,571	0 ------------- 514,608	0 ------------- 0
2PATRICIA EDDY FORMER OFFICER (END 6/2020)	(i) (ii)	0 ------------- 99,255	0 ------------- 0	0 ------------- 197,882	0 ------------- 2,846	0 ------------- 9,701	0 ------------- 309,684	0 ------------- 0
3BETTINA A JOHNSON FORMER OFFICER (END 12/2018)	(i) (ii)	0 ------------- 35,040	0 ------------- 0	0 ------------- 228,114	0 ------------- 688	0 ------------- 1,309	0 ------------- 265,151	0 ------------- 0
4MARTIN H JUDD FORMER OFFICER (END 11/2019)	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 493,150	0 ------------- 0	0 ------------- 0	0 ------------- 493,150	0 ------------- 0
5RICHARD D CARTER CFO, AMITA HEALTH	(i) (ii)	0 ------------- 486,899	0 ------------- 0	0 ------------- 139,579	0 ------------- 14,250	0 ------------- 17,703	0 ------------- 658,431	0 ------------- 0
6JULIE P ROKNICH SECRETARY	(i) (ii)	0 ------------- 238,907	0 ------------- 24,512	0 ------------- 9,907	0 ------------- 10,970	0 ------------- 19,625	0 ------------- 303,921	0 ------------- 0
7ROBERT M DAHL FORMER KEY EMPLOYEE (END 12/2018)	(i) (ii)	0 ------------- 409,645	0 ------------- 67,326	0 ------------- 44,791	0 ------------- 15,675	0 ------------- 20,898	0 ------------- 558,335	0 ------------- 0
8KENNETH P JONES FORMER KEY EMPLOYEE (END 12/2018)	(i) (ii)	0 ------------- 375,623	0 ------------- 56,533	0 ------------- 40,570	0 ------------- 14,250	0 ------------- 31,968	0 ------------- 518,944	0 ------------- 0
9THOMAS KOELBL FORMER KEY EMPLOYEE (END 12/2015)	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 272,083	0 ------------- 0	0 ------------- 0	0 ------------- 272,083	0 ------------- 0
10ROBYN PARKER FORMER KEY EMPLOYEE (END 12/2015)	(i) (ii)	0 ------------- 221,030	0 ------------- 16,670	0 ------------- 11,312	0 ------------- 12,740	0 ------------- 25,862	0 ------------- 287,614	0 ------------- 0
11YOLANDE D WILSON-STUBBS FORMER KEY EMPLOYEE (END 12/2018)	(i) (ii)	0 ------------- 303,792	0 ------------- 72,138	0 ------------- 25,281	0 ------------- 15,675	0 ------------- 20,031	0 ------------- 436,917	0 ------------- 0

Schedule J (Form 990) 2020

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(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING CALENDAR YEAR 2020: PATRICIA EDDY - $189,706 BETTINA A JOHNSON - $221,168 MARTIN H JUDD - $493,150 THOMAS KOELBL - $272,083
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 2020.

Schedule J (Form 990) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Presence Chicago Hospitals Network

Employer identification number

36-2235165

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .	X	56	469,615	NONE
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2020)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
Schedule M, Part I Explanations of reporting method for number of contributions	Drugs and medical supplies - number of contributions

Schedule M (Form 990) (2020)

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

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

2020

Open to Public
Inspection

Name of the organization

Presence Chicago Hospitals Network

Employer identification number

36-2235165

Return Reference	Explanation
Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENT	The activity of PRESENCE CHICAGO HOSPITALS NETWORK is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of PRESENCE CHICAGO HOSPITALS NETWORK is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of PRESENCE CHICAGO HOSPITALS NETWORK.
Form 990, Part IV, Line 24a TAX EXEMPT BONDS	THE FILING ENTITY IS A HEALTH FACILITY THAT IS PART OF ASCENSION HEALTH SYSTEM. ASCENSION HEALTH ALLIANCE ISEITHERTHE BORROWER FOR,OR SECURES,TAX EXEMPT HOSPITAL REVENUE BONDS. THE FILING ENTITYMAYHOLD AN INTERCOMPANY NOTE PAYABLE WITH ASCENSION HEALTH ALLIANCE, AND THIS INFORMATION IS REPORTED ON THE BALANCE SHEET.
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 CHICAGO 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 CHICAGO 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 CHICAGO 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 2f Other Program Service Revenue	Other Miscellanous Revenue - Total Revenue: 472438, Related or Exempt Function Revenue: 472438, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Income from Joint Ventures - Total Revenue: 556974, Related or Exempt Function Revenue: 556974, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Management Fees - Total Revenue: 441216, Related or Exempt Function Revenue: 441216, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Late Penalty Fees - Total Revenue: 220, Related or Exempt Function Revenue: 220, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Records Fees - Total Revenue: 3, Related or Exempt Function Revenue: 3, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Staff Dues - Total Revenue: -9600, Related or Exempt Function Revenue: -9600, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Miscellanous Revenue - Total Revenue: 2947887, Related or Exempt Function Revenue: 625747, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 2322140; IRS Refund - Total Revenue: 47398, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 47398; Education Revenue - Total Revenue: -1300, Related or Exempt Function Revenue: -1300, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Expenses	Physician Fees to Affiliate - Total Expense: 7916362, Program Service Expense: 7855362, Management and General Expenses: 61000, Fundraising Expenses: ; Minor Equipment - Total Expense: 3316521, Program Service Expense: 3095305, Management and General Expenses: 221216, Fundraising Expenses: ; Equipment Lease - Total Expense: 5924477, Program Service Expense: 5917547, Management and General Expenses: 6930, Fundraising Expenses: ; Provider Tax - Total Expense: 62285871, Program Service Expense: 62285871, Management and General Expenses: , Fundraising Expenses: ; Other Non Medical Supplies - Total Expense: 5030578, Program Service Expense: 3195957, Management and General Expenses: 1834621, Fundraising Expenses: ; Dues - Total Expense: 379153, Program Service Expense: 232120, Management and General Expenses: 147033, Fundraising Expenses: ; Maintenance & Repairs - Total Expense: 2956007, Program Service Expense: 2729351, Management and General Expenses: 226656, Fundraising Expenses: ; Licenses & Permits - Total Expense: 654214, Program Service Expense: 202186, Management and General Expenses: 452028, Fundraising Expenses: ; Books & Subscriptions - Total Expense: 313325, Program Service Expense: 273386, Management and General Expenses: 39939, Fundraising Expenses: ; Charitable Expense - Total Expense: 20397, Program Service Expense: 20397, Management and General Expenses: , Fundraising Expenses: ; Other Miscellaneous Expenses - Total Expense: 4443234, Program Service Expense: 858245, Management and General Expenses: 3584989, Fundraising Expenses: ; Purchased Services - Total Expense: XXX-XX-XXXX, Program Service Expense: 82896772, Management and General Expenses: 70380052, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Transfers with Affiliates - -15747242;
Form 990, Part XII, Line 2c Change of oversight process or selection process	PRESENCE CHICAGO HOSPITALS NETWORK is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.
Form 990, Page 1, Box C d/b/a NAMES	PRESENCE CHICAGO HOSPITALS NETWORK ALSO OPERATES UNDER THE FOLLOWING ASSUMED NAMES: -Cana Health -New Beginnings Prenatal Program -Programma Prenatal Nueva Vida -Presence Resurrection Retirement Community -Presence Answering Service -Presence Infusion Care-Evanston -Presence Infusion Care-Park Ridge -Harborview Recovery Center -Keys to Recovery -SFH Prof Bldg Pharmacy -Presence Nazareth Family Center Pharmacy -The Apothecary-Chicago -Presence Saint Elizabeth Hospital -Presence Saint Mary of Nazareth Hospital -Presence Saint Joseph Hospital-Chicago -Presence Saint Francis Hospital -Presence Resurrection Medical Center -Presence Holy Family Medical Center -Presence Saints Mary and Elizabeth Medical Center -PSMEMC Center for Cancer and Specialty Care Pharmacy -PSMEMC Infusion -AMITA Health Holy Family Medical Center Des Plaines -AMITA Health Resurrection Medical Center Chicago -AMITA Health Saint Francis Hospital Evanston -AMITA Health Saint Joseph Hospital Chicago -AMITA Health Saints Mary and Elizabeth Medical Center Chicago -RMC Cardiology -AMITA Health Behavioral Medicine Institute Children's Center Chicago] -Ascension Living Resurrection Village -AMITA Health Home Infusion Pharmacy -AMITA Health Outpatient Pharmacy - Saint Joseph Hospital Chicago
Form 990, Page 1 Box J - Website	Presence Chicago Hospitals Network does not have its own direct website; however, Presence Chicago Hospitals Network operates the following hospitals which have their own websites as follows: Presence Saint Joseph Hospital Chicago - https://www.amitahealth.org/location/amita-health-saint-joseph-hospital-chicago Presence Resurrection Medical Center - https://www.amitahealth.org/location/amita-health-resurrection-medical-center-chicago Presence Saint Francis Hospital - https://www.amitahealth.org/location/amita-health-saint-francis-hospital-evanston Presence Saint Mary of Nazareth Hospital - https://www.amitahealth.org/location/amita-health-saints-mary-and-elizabeth-medical-center-chicago-saint-mary-campus Presence Saint Elizabeth Hospital - https://www.amitahealth.org/location/amita-health-saints-mary-and-elizabeth-medical-center-chicago-saint-mary-campus Presence Holy Family Medical Center - https://www.amitahealth.org/location/amita-health-holy-family-medical-center-des-plaines
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) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Presence Chicago Hospitals Network

Employer identification number

36-2235165

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(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	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 2601 NAVISTAR DRIVE LISLE,IL60532 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 INC 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 HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 38-1359180	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(28)ASCENSION ALLEGAN PROFESSIONAL HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 20-5800012	SUPPORTING ORGANIZATION	MI	501(c)(3)	Type I	ASCENSION MICHIGAN	Yes
(29)ASCENSION ARIZONA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 86-0455920	HOSPITAL	AZ	501(c)(3)	3	ASCENSION HEALTH	Yes
(30)ASCENSION BORGESS ALLEGAN FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 38-2802463	FUNDRAISING	MI	501(c)(3)	Type I	ASCENSION MICHIGAN	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 I	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)	7	ST JOHN PROVIDENCE	Yes
(41)ASCENSION FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 86-2197504	FOUNDATION	MO	501(c)(3)	Type II	ASCENSION HEALTH ALLIANCE	Yes
(42)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
(43)ASCENSION GENESYS HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 38-2377821	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(44)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
(45)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
(46)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
(47)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
(48)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
(49)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
(50)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
(51)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
(52)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
(53)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
(54)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
(55)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
(56)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
(57)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
(58)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
(59)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
(60)ASCENSION MICHIGAN C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 38-2631907	SUPPORTING ORGANIZATION	MI	501(c)(3)	Type I	ASCENSION HEALTH	Yes
(61)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
(62)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
(63)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
(64)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
(65)ASCENSION PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 74-1109636	HEALTHCARE SERVICES	TX	501(c)(3)	3	ASCENSION TEXAS	Yes
(66)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
(67)ASCENSION PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 38-1358212	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(68)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
(69)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
(70)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
(71)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
(72)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
(73)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
(74)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
(75)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
(76)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
(77)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
(78)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
(79)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
(80)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
(81)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
(82)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
(83)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
(84)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
(85)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
(86)ASCENSION STANDISH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 38-1671120	HOSPITAL	MI	501(c)(3)	3	ASCENSION MICHIGAN	Yes
(87)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
(88)ASCENSION TEXAS HEART & VASCULAR INSTITUTE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 27-3220767	DELIVERY OF HEALTH CARE SERVICES	TX	501(c)(3)	Type II	SETON CLINICAL ENTERPRISE CORPORATION	Yes
(89)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
(90)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
(91)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
(92)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
(93)ASCENSION VIA CHRISTI HOSPITAL 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
(94)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
(95)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
(96)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
(97)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
(98)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
(99)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
(100)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
(101)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
(102)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 WEST HOSPITAL	Yes
(103)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
(104)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
(105)BORGESS HEALTH ALLIANCE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 38-2335286	HEALTH SYSTEM PARENT	MI	501(c)(3)	Type II	ASCENSION MICHIGAN	Yes
(106)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
(107)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
(108)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
(109)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
(110)CARONDELET REGIONAL MEDICAL PC 427 GUY PARK AVENUE AMSTERDAM,NY120101054 81-4769136	MEDICAL GROUP	NY	501(c)(3)	3	ST MARY'S HEALTHCARE	Yes
(111)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
(112)CATALPA HEALTH INC N4642 COUNTY N APPLETON,WI54914 45-4681563	BEHAVIORAL HEALTH SERVICES	WI	501(c)(3)	3	AFFINITY HEALTH SYSTEM	Yes
(113)CENTER FOR GERONTOLOGY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 38-2514708	ADULT DAY CARE	MI	501(c)(3)	10	Ascension Health Senior Care	Yes
(114)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
(115)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
(116)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
(117)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
(118)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
(119)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
(120)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
(121)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
(122)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
(123)FIELD NEUROSCIENCES INSTITUTE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 38-2790703	SUPPORTING ORGANIZATION	MI	501(c)(3)	Type II	ASCENSION ST MARY'S HOSPITAL	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)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
(130)JANE PHILLIPS MEMORIAL MEDICAL CENTER INC 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
(131)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
(132)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
(133)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
(134)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
(135)MEDICAL SERVICES ENHANCEMENT INC 425 GUY PARK AVENUE AMSTERDAM,NY12010 14-1776546	MEDICAL OFFICE BUILDING	NY	501(c)(25)		ST MARY'S HEALTHCARE	Yes
(136)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
(137)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
(138)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
(139)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
(140)OUR LADY OF LOURDES HOSPITAL AT PASCO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 91-0349750	HEALTHCARE	WA	501(c)(3)	Type I	ASCENSION HEALTH	Yes
(141)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
(142)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
(143)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
(144)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
(145)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
(146)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
(147)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
(148)PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 36-4195126	HEALTH CARE	IL	501(c)(3)	3	Presence Care Transformation Corporation	Yes
(149)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
(150)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
(151)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
(152)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
(153)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
(154)PRIMARY PHYSICIAN NETWORK LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 20-8775914	HEALTH CARE	IN	501(c)(3)	Type I	ST MARY'S HEALTH INC	Yes
(155)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
(156)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
(157)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
(158)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
(159)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
(160)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
(161)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
(162)PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 53-0196636	HOSPITAL	DC	501(c)(3)	3	ASCENSION HEALTH	Yes
(163)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
(164)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
(165)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
(166)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
(167)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
(168)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
(169)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
(170)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
(171)SAINT THOMAS HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 58-1716804	SYSTEM PARENT	TN	501(c)(3)	Type I	ASCENSION HEALTH	Yes
(172)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
(173)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
(174)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
(175)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
(176)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
(177)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
(178)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
(179)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
(180)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
(181)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
(182)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
(183)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
(184)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
(185)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
(186)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
(187)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
(188)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
(189)SETON HEALTHCARE 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
(190)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
(191)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
(192)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
(193)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
(194)SETON MEDICAL MANAGEMENT INC 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
(195)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
(196)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
(197)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
(198)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
(199)SJRMC INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 82-0204264	HOSPITAL	ID	501(c)(3)	3	ASCENSION HEALTH	Yes
(200)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
(201)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
(202)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
(203)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
(204)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
(205)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
(206)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
(207)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
(208)ST JOHN HEALTH SYSTEM FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 73-1133139	FUNDRAISING	OK	501(c)(3)	Type I	ST JOHN HEALTH SYSTEM INC	Yes
(209)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
(210)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
(211)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
(212)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
(213)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
(214)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
(215)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
(216)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
(217)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
(218)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
(219)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
(220)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
(221)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
(222)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
(223)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
(224)ST MARY'S HEALTHCARE 427 GUY PARK AVENUE AMSTERDAM,NY120101054 14-1347719	HOSPITAL	NY	501(c)(3)	3	ASCENSION HEALTH	Yes
(225)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
(226)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
(227)ST MARY'S OHIO VALLEY HEARTCARE LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 27-3474697	HEALTHCARE	IN	501(c)(3)	Type I	ST MARY'S MEDICAL GROUP LLC	Yes
(228)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
(229)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
(230)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
(231)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
(232)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
(233)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
(234)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
(235)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
(236)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
(237)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
(238)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
(239)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
(240)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
(241)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
(242)ST VINCENT JENNINGS HOSPITAL FOUNDATION INC 301 HENRY STREET NORTH VERNON,IN47265 84-1703732	INACTIVE	IN	501(c)(3)	1	ST VINCENT JENNINGS HOSPITAL INC	Yes
(243)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
(244)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
(245)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
(246)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
(247)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
(248)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
(249)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
(250)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
(251)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
(252)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
(253)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
(254)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
(255)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
(256)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
(257)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
(258)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
(259)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
(260)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
(261)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
(262)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
(263)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
(264)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
(265)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
(266)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
(267)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
(268)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
(269)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
(270)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
(271)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
(272)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
(273)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
(274)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
(275)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
(276)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
(277)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
(278)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
(279)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
(280)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
(281)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
(282)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
(283)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
(284)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
(285)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
(286)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
(287)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) 2020

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) AHA HEALTHBRIDGE PARTNERS LLC 9450 MANCHESTER ROAD SUITE 207 ST LOUIS,MO63119 85-2872693	SPECIALTY HOSPITAL	DE	NA	N/A
(2) Alexian Rehabilitation Services LLC 935 Beisner Elk Grove Village,IL60007 30-0221481	Rehabilitation hospital	IL	NA	N/A
(3) ALLEGAN GENERAL HOSPITAL PAIN ADMINISTRATION SERVICES LLC 555 LINN STREET ALLEGAN,MI49010 47-3706652	PAIN MANAGEMENT	MI	NA	N/A
(4) ALVERNO CLINICAL LABORATORIES LLC 2434 INTERSTATE PLAZA DRIVE HAMMOND,IN46324 20-3240648	MEDICAL SERVICE	IN	NA	N/A
(5) AMBULATORY SURGERY CENTER LP 818 N Emporia Ste 108 WICHITA,KS67214 48-1114690	SURGERY CENTER	KS	NA	N/A
(6) ASCENSION ALABAMA-REGENT ASC JV LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 87-1004647	AMBULATORY SURGERY CENTER	DE	NA	N/A
(7) ASCENSION ALPHA FUND LLC 4600 EDMUNDSON ROAD ST LOUIS,MO63134 90-0786464	INVESTMENTS	MO	NA	N/A
(8) ASCENSION ATHO CARRY LP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 84-4224833	INVESTMENTS	DE	NA	N/A
(9) ASCENSION BALTIMORE-REGENT ASC JV LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 87-1076612	AMBULATORY SURGERY CENTER	DE	NA	N/A
(10) ASCENSION BINGHAMTON-REGENT ASC JV LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 87-1050728	AMBULATORY SURGERY CENTER	DE	NA	N/A
(11) ASCENSION FLORIDA AND GULF COAST-REGENT ASC JV LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 87-1668217	AMBULATORY SURGERY CENTER	DE	NA	N/A
(12) ASCENSION HEALTH AT HOME LLC 1A BURTON HILLS BOULEVARD NASHVILLE,TN37215 47-1704527	INVESTMENTS	DE	NA	N/A
(13) ASCENSION INDIANA-REGENT ASC JV LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 87-1028503	AMBULATORY SURGERY CENTER	DE	NA	N/A
(14) ASCENSION KANSAS-REGENT ASC JV LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 87-0954491	AMBULATORY SURGERY CENTER	DE	NA	N/A
(15) ASCENSION MEDICAL GROUP ST JOHN LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 87-2590335	MEDICAL GROUP	OK	NA	N/A
(16) ASCENSION MICHIGAN-REGENT ASC JV LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 87-0879317	AMBULATORY SURGERY CENTER	DE	NA	N/A
(17) ASCENSION OKLAHOMA-REGENT ASC JV LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 87-0934689	AMBULATORY SURGERY CENTER	DE	NA	N/A
(18) ASCENSION TEXAS-REGENT ASC JV LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 87-0898005	AMBULATORY SURGERY CENTER	DE	NA	N/A
(19) ASCENSION TOWERBROOK HEALTHCARE OPPORTUNITIES LP 65 EAST 55TH STREET 19TH FLOOR NEW YORK,NY10022 98-1500387	INVESTMENTS	NY	NA	N/A
(20) ASCENSION VIA CHRISTI IMAGING MANHATTAN LLC 1823 College Avenue MANHATTAN,KS66502 48-1251984	RADIOLOGY SERVICES	KS	NA	N/A
(21) ASCENSION WISCONSIN EMERUS JV LLC 8040 EXCELSIOR DRIVE SUITE 400 MADISON,WI53717 38-4118568	ACUTE CARE HOSPITALS	WI	NA	N/A
(22) ASCENSION WISCONSIN-REGENT ASC JV LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 87-0980162	AMBULATORY SURGERY CENTER	DE	NA	N/A
(23) AUSTIN CENTER FOR OUTPATIENT SURGERY LP 6818 AUSTIN CENTER BLVD SUITE 100 AUSTIN,TX787313199 58-2028767	ACUTE CARE HOSPITAL	TX	NA	N/A
(24) BAPTIST WOMENS HEALTH CENTER LLC 1900 CHURCH STREET SUITE 300 NASHVILLE,TN37203 62-1772195	OWNS AND OPERATES SPECIALTY HOSPITAL	TN	NA	N/A
(25) BELMONTHARLEM SURGERY CENTER LLC 3101 NORTH HARLEM CHICAGO,IL60634 41-2237162	MEDICAL SERVICE	IL	NA	N/A
(26) Bonaventure Medical Foundation LLC 2601 Navistar Drive Lisle,IL60532 36-3978153	Manages managed care contracts	DE	NA	N/A
(27) Borgess Health Partners LLC 28000 DeQuindre Warren,MI48092 38-2648846	MANAGED CARE	MI	NA	N/A
(28) CARMEL AMBULATORY SURGERY CENTER LLC 13421 OLD MERIDIAN STREET STE 150 CARMEL,IN46032 32-0014795	AMBULATORY SURGERY CENTER	IN	NA	N/A
(29) CB-AH PARALLEL FUND II LP 200 CLARENDON STREET 17TH FLOOR BOSTON,MA02116 04-3585156	INVESTMENTS	MA	NA	N/A
(30) CEDAR PARK JV PARTNERS LLC 569 Brookwood Village Suite 901 Birmingham,AL35209 85-3868373	Holding Company for Ambulatory Surgery Center Investment	TX	NA	N/A
(31) CENTRAL TEXAS LAUNDRY LLC 4255 PROFIT STREET SAN ANTONIO,TX78219 36-4778018	LAUNDRY SERVICES	TX	NA	N/A
(32) CHV II LP 4600 EDMUNDSON ROAD ST LOUIS,MO63134 26-0534243	INVESTMENTS	MO	NA	N/A
(33) CHV III LP 4600 EDMUNDSON ROAD ST LOUIS,MO63134 45-4486925	INVESTMENTS	MO	NA	N/A
(34) CHV IV LP 4600 EDMUNDSON ROAD ST LOUIS,MO63134 81-3953953	INVESTMENTS	DE	NA	N/A
(35) COLLABORATIVE HEALTH VENTURES V LP 4600 EDMUNDSON ROAD ST LOUIS,MO63134 84-4668723	INVESTMENTS	MO	NA	N/A
(36) CUMBERLAND BEHAVIORAL HEALTH LLC 6100 Tower Circle Suite 1000 Franklin,TN37067 32-0530876	behavioral clinic operations	TN	NA	N/A
(37) ENDOSCOPY CENTER LLC 13421 OLD MERIDIAN STREET STE 150 CARMEL,IN46032 32-0029881	ENDOSCOPY CENTER	IN	NA	N/A
(38) HAYS JV PARTNERS LLC 569 Brookwood Village Suite 901 Birmingham,AL35209 85-2037257	Holding Company for Ambulatory Surgery Center Investment	TX	NA	N/A
(39) Hospital Consolidated Laboratories LLC 39595 W 10 Mile Rd Novi,MI48375 38-3318428	LAB SERVICES	MI	NA	N/A
(40) KANSAS SURGERY AND RECOVERY CENTER LLC 2770 North Webb Road WICHITA,KS67226 48-1148580	SURGERY CENTER	KS	NA	N/A
(41) KENOSHA DIGESTIVE HEALTH CENTER 1033 N MAYFAIR ROAD SUITE 101 WAUWATOSA,WI53226 84-2167873	DIGESTIVE HEALTH	WI	NA	N/A
(42) Kokomo Center for Outpatient Surgery LLC 4 Westbrook Corporate Center Westcher,IL60154 87-2032935	SURGERY CENTER	IN	NA	N/A
(43) Lourdes Health Support LLC 333 Butternut Drive Suite 100 Dewitt,NY13214 16-1611707	Medical Equipment Provider	NY	NA	N/A
(44) MIDDLE TENNESSEE IMAGING LLC 400 N HIGHLAND AVENUE MURFREESBORO,TN37219 01-0570490	DIAGNOSTIC IMAGING CENTER	TN	NA	N/A
(45) MURFREESBORO DIAGNOSTIC IMAGING LLC 400 N HIGHLAND AVENUE MURFREESBORO,TN37219 20-0291952	DIAGNOSTIC IMAGING CENTER	TN	NA	N/A
(46) MY HEALTH ASCENSION MANAGEMENT LLC 28000 DEQUINDRE ROAD WARREN,MI48092 85-1304904	URGENT CARE CENTER	MI	NA	N/A
(47) NAAB ROAD SURGERY CENTER LLC 8260 NAAB ROAD STE 100 INDIANAPOLIS,IN46260 35-1991390	AMBULATORY SURGERY CENTER	IN	NA	N/A
(48) NORTHWEST HILLS JV PARTNERS LLC 569 Brookwood Village Suite 901 Birmingham,AL35209 85-2065271	Holding Company for Acute Care Hospital	TX	NA	N/A
(49) Oklahoma Cancer Specialists Real Estate Company LLC 12697 E 51st St South TULSA,OK74146 61-1774455	REAL ESTATE HOLDING	OK	NA	N/A
(50) Open MRI of Michigan 411 W 13 MILE ROAD MADISON HEIGHTS,MI48071 38-3544539	MRI Center	MI	NA	N/A
(51) 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
(52) PCAC GI JV LLC 2601 Navistar Drive Lisle,IL60532 85-0878312	AMBULATORY SURGERY CENTER	IL	PRESENCE CHICAGO HOSPITALS NETWORK	Related	-12,646	806,245		No			No	51 %
(53) PET LLC 5149 NORTH 9TH AVENUE SUITE 124 PENSACOLA,FL32504 59-3788701	MEDICAL SERVICES	FL	NA	N/A
(54) PFC Associates LLC 920 Varnum Street NE Washington,DC20017 52-2018150	MEDICAL SERVICES	DC	NA	N/A
(55) PREMIER RADIOLOGY WISCONSIN LLC 500 W BROWN DEER ROAD SUITE 202 BAYSIDE,WI53217 83-3180104	RADIOLOGY	WI	NA	N/A
(56) Presence Lakeshore Gastroenterology LLC 150 N River Road Suite 210 Des Plaines,IL60016 81-1750563	Medical Service	IL	PRESENCE CHICAGO HOSPITALS NETWORK	Related	294,084	616,165		No			No	51 %
(57) PROFESSIONAL CLINICAL LABORATORIES LLC 2434 INTERSTATE PLAZA DR HAMMOND,IN46324 30-0711211	MEDICAL SERVICES	IN	NA	N/A
(58) PROVIDENCE VENTURES LLC 26750 PROVIDENCE PKWY SUITE 100 NOVI,MI48374 16-1704029	INVESTMENT	MI	NA	N/A
(59) RACINE DIGESTIVE HEALTH CENTER LLC 1033 N MAYFAIR ROAD SUITE 101 WAUWATOSA,WI53226 84-4211105	DIGESTIVE HEALTH	WI	NA	N/A
(60) RADS OF AMERICA LLC PO BOX 249 GOODLETTSVILLE,TN370700249 20-0597581	AMBULATORY SURGERY CENTER	TN	NA	N/A
(61) REGIONAL MEDICAL LABORATORY OF SOUTHEAST KANSAS LLC PO BOX 470194 TULSA,OK741470194 52-2328939	LAB SERVICES	KS	NA	N/A
(62) SAINT THOMAS HOME RECOVERY CARE LLC 49 MUSIC SQUARE WEST SUITE 401 NASHVILLE,TN37203 84-2100096	MEDICAL AND REHABILITATION SERVICES	TN	NA	N/A
(63) SAINT THOMAS REHABILITATION HOSPITAL LLC 680 S 4TH STREET LOUISVILLE,KY40202 81-4303298	REHABILITATION HOSPITAL	KY	NA	N/A
(64) 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
(65) ST VINCENT'S OUTPATIENT SURGERY SERVICES LLC 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 20-0708162	OUTPATIENT SURGERY	AL	NA	N/A
(66) ST VINCENT'S SLEEP DISORDER CENTER 810 ST VINCENTS DRIVE BIRMINGHAM,AL35205 63-1282288	SLEEP DISORDER CENTER	AL	NA	N/A
(67) ST VINCENT HEART CENTER OF INDIANA LLC 10580 N MERIDIAN STREET INDIANAPOLIS,IN46290 36-4492612	HEART HOSPITAL	IN	NA	N/A
(68) STHS SLEEP CENTER LLC 102 WOODMONT BOULEVARD SUITE 800 NASHVILLE,TN37205 20-3664894	OPERATES A SLEEP CENTER	TN	NA	N/A
(69) STONEGATE JV PARTNERS LLC 569 Brookwood Village Suite 901 Birmingham,AL35209 85-2023852	Holding Company for Ambulatory Surgery Center Investment	TX	NA	N/A
(70) TOWNE CENTRE SURGERY CENTER LLC 4599 TOWNE CENTRE SAGINAW,MI48604 20-4943843	OUTPATIENT SERVICES	MI	NA	N/A
(71) VIA CHRISTI MERCY CLINIC LLC 1 Mt Carmel Place Pittsburg,KS66762 81-2927645	MEDICAL SERVICES	KS	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) ADVANTAGE HEALTHCO INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 48-1239522	MEDICAL LABORATORY	KS	NA	C Corporation				Yes
(4) AH INCUBATIONS ACCELERATOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 45-5078523	MEDICAL SERVICE	MO	NA	C Corporation				Yes
(5) ALEXIAN BROTHERS CORPUS CHRISTI HOUSING PROJECT LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 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 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 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 INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 27-4176480	SUPPORTING ORGANIZATION	MO	NA	C Corporation				Yes
(15) ASCENSION MEDICAL GROUP VIA CHRISTI PA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 48-0993446	PROFESSIONAL ASSOCIATION	KS	NA	C Corporation				Yes
(16) ASCENSION VENTURES CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 63-1217059	MISC HEALTHCARE SERVICES	AL	NA	C Corporation				Yes
(17) ASV ST JOHN'S COUNTY INC 1 SHIRCLIFF WAY JACKSONVILLE,FL32204 85-4309119	ACUTE CARE HOSPITAL	FL	NA	C Corporation				Yes
(18) BAPTIST HEALTH CARE VENTURES INC 2000 CHURCH STREET NASHVILLE,TN37236 62-0469214	HOLDING COMPANY	TN	NA	C Corporation				Yes
(19) BAYLEY CONDOMINIUM ASSOCIATION 2121 HIGHLAND AVENUE SOUTH BIRMINGHAM,AL35205 63-1209915	CONDOMINIUM ASSOCIATION	AL	NA	C Corporation				Yes
(20) BEECHER BALLENGER SERVICES INC AND SUBSIDIARIES ONE GENESYS PARKWAY GRAND BLANC,MI484398065 38-2497922	HOLDING COMPANY	MI	NA	C Corporation				Yes
(21) CARONDELET MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 86-0836126	MEDICAL GROUP	AZ	NA	C Corporation				Yes
(22) CARONDELET SPECIALIST GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 26-1558773	PHYSICIAN PRACTICE	AZ	NA	C Corporation				Yes
(23) CHV V CP BLOCKER CORP 4600 EDMUNDSON ROAD ST LOUIS,MO63134 86-3673080	INVESTMENT	DE	NA	C Corporation				Yes
(24) CLINICAL HOLDINGS CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 45-3802297	HOLDING COMPANY	MO	NA	C Corporation				Yes
(25) CONSOLIDATED PHARMACY SERVICES INC AND SUBSIDIARIES 4205 BELFORT ROAD SUITE 4030 JACKSONVILLE,FL32216 59-3398033	RETAIL PHARMACY & PATIENT TRANSPORT	FL	NA	C Corporation				Yes
(26) Corbett Corporation C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 16-1268267	Property Management	NY	NA	C Corporation				Yes
(27) CRITTENTON DEVELOPMENT CORPORATION AND SUBSIDIARIES 2251 N SQUIRREL RD STE 310 AUBURN HILLS,MI48326 38-2594115	REAL ESTATE	MI	NA	C Corporation				Yes
(28) DELL CHILDREN'S HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 27-1311909	HEALTH SERVICES	TX	NA	C Corporation				Yes
(29) FAMILY MEDICINE CENTER CONDOMINIUM ASSOCIATION INC 1 SHIRCLIFF WAY JACKSONVILLE,FL32204 26-1983355	CONDOMINIUM ASSOCIATION	FL	NA	C Corporation				Yes
(30) FRANKLIN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION INC 400 WEST RIVER WOODS PARKWAY GLENDALE,WI53212 34-1983857	CONDO ASSOCIATION	WI	NA	C Corporation				Yes
(31) GULF COAST DIVERSIFIED INC 5154 NORTH 9TH AVENUE PENSACOLA,FL32507 59-2432798	INVESTMENT	FL	NA	C Corporation				Yes
(32) INDIAN CREEK CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 48-0956627	MANAGEMENT	MO	NA	C Corporation				Yes
(33) INTEGRATED HEALTHCARE SYSTEMS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 48-0941549	CLINIC SERVICES	KS	NA	C Corporation				Yes
(34) MADISON MEDICAL AFFILIATES INC 4425 N PORT WASHINGTON RD GLENDALE,WI53212 39-1855720	HEALTHCARE	WI	NA	C Corporation				Yes
(35) MID-STATE PROPERTIES INC 2000 CHURCH STREET NASHVILLE,TN37236 62-1232018	INACTIVE	TN	NA	C Corporation				Yes
(36) MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC 6801 AIRPORT BLVD MOBILE,AL36608 46-1130426	HEALTHCARE SERVICES	MS	NA	C Corporation				Yes
(37) PRESENCE SERVICE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 36-4314354	MEDICAL	IL	NA	C Corporation				Yes
(38) PRESENCE VENTURES INC and SUBSIDIARY 100 NORTH RIVER ROAD DES PLAINES,IL60016 37-1168085	MEDICAL	IL	NA	C Corporation				Yes
(39) PROVIDENCE PARK INC PO BOX 850429 MOBILE,AL36685 63-0886846	REAL ESTATE	AL	NA	C Corporation				Yes
(40) RESOURCE PHARMACIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 52-1410076	RETAIL PHARMACY	DC	NA	C Corporation				Yes
(41) SETON INSURANCE COMPANY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 47-5395483	HEALTH SERVICES	TX	NA	C Corporation				Yes
(42) SETON HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 45-3047469	HEALTH SERVICES	TX	NA	C Corporation				Yes
(43) SETON HEALTH PLAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 74-2725348	HMO	TX	NA	C Corporation				Yes
(44) SETON MSO INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 74-2870455	HEALTH SERVICES	TX	NA	C Corporation				Yes
(45) SETON PHYSICIAN HOSPITAL NETWORK AND SUBSIDIARIES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 74-2643825	HEALTH SERVICES	TX	NA	C Corporation				Yes
(46) SOVA INC 102 WOODMONT BOULEVARD SUITE 700 NASHVILLE,TN37205 26-1319638	HEALTH SERVICES	TN	NA	C Corporation				Yes
(47) ST AGNES HEALTH VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 52-1733632	HOLDING COMPANY	MD	NA	C Corporation				Yes
(48) ST JOSEPH HEALTH ENTERPRISES 200 HEMLOCK ROAD TAWAS CITY,MI48764 38-2686747	OTHER MEDICAL	MI	NA	C Corporation				Yes
(49) St Mary's Health 800 S Washington Avenue Saginaw,MI48601 38-3477017	Dormant	MI	NA	C Corporation				Yes
(50) ST MARY'S MEDICAL GROUP INC 3700 WASHINGTON AVE EVANSVILLE,IN47750 35-2076827	INVESTMENT	IN	NA	C Corporation				Yes
(51) SUNFLOWER ASSURANCE LTD PO BOX 1085 GRAND CAYMAN,BahamasKY11102 CJ	INSURANCE	CJ	NA	C Corporation				Yes
(52) TEXTILE SYSTEMS INC 817 WALBRIDGE KALAMAZOO,MI49007 38-2705047	LAUNDRY SERVICES	MI	NA	C Corporation				Yes
(53) THE PROSPECT MEDICAL COMMONS CONDOMINIUM ASSOCIATION INC 4425 N PORT WASHINGTON RD GLENDALE,WI53212 20-8042108	CONDO ASSOCIATION	WI	NA	C Corporation				Yes
(54) Thelen Corporation C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 36-3266316	Owns/ leases property; joint venture partner	IL	NA	C Corporation				Yes
(55) TRAVEL SERVICES CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 26-3764978	TRAVEL SERVICES	MO	NA	C Corporation				Yes
(56) UTICA SERVICES INC AND SUBSIDIARIES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 73-1057650	MEDICAL SERVICES	OK	NA	C Corporation				Yes
(57) VCH IOWA PC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 27-3983977	PROFESSIONAL ASSOCIATION	IA	NA	C Corporation				Yes
(58) VCH IOWA PC TRUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 27-6937322	BENEFICIARY TRUST	IA	NA	Trust				Yes
(59) VIA CHRISTI CLINIC SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 27-3984287	CLINIC SERVICES	KS	NA	C Corporation				Yes
(60) VIA CHRISTI HEALTH ALLIANCE IN ACCOUNTABLE CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 46-2872857	ACO	KS	NA	C Corporation				Yes
(61) VINCENTIAN VENTURES OF NORTH ALABAMA INC AND SUBSIDIARIES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS,MO631455998 63-0965456	MISC HEALTHCARE SERVICES	AL	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) 2020

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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

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	57,215	FAIR MARKET VALUE
(2) Alexian Brothers Health System	C	3,123,249	FAIR MARKET VALUE
(3) Alexian Brothers Health System	M	160,441,188	FAIR MARKET VALUE
(4) Alexian Brothers Health System	P	2,094,894	FAIR MARKET VALUE
(5) Alexian Brothers Health System	Q	31,939,047	FAIR MARKET VALUE
(6) Alexian Brothers Medical Care Group NFP	M	227,500	FAIR MARKET VALUE
(7) Alexian Brothers Medical Center	P	357,190	FAIR MARKET VALUE
(8) Alexian Brothers Medical Center	Q	301,277	FAIR MARKET VALUE
(9) Alexian Brothers Medical Center	R	6,683,733	FAIR MARKET VALUE
(10) Alexian Brothers Specialty Group	M	129,833	FAIR MARKET VALUE
(11) Alexian Brothers Specialty Group	S	935,180	FAIR MARKET VALUE
(12) AMITA Health Clinically Integrated Network LLC	P	486,766	FAIR MARKET VALUE
(13) AMITA Health Clinically Integrated Network LLC	Q	1,157,461	FAIR MARKET VALUE
(14) ASCENSION HEALTH SENIOR CARE	C	87,516	FAIR MARKET VALUE
(15) Ascension Health-IS Inc	P	263,366	FAIR MARKET VALUE
(16) Ascension Seton	P	82,903	FAIR MARKET VALUE
(17) Ascension St John Hospital	S	10,469,526	FAIR MARKET VALUE
(18) Ascension Via Christi Hospitals Wichita Inc	P	137,886	FAIR MARKET VALUE
(19) Medicare Value Partners	Q	452,125	FAIR MARKET VALUE
(20) Presence Ambulatory Services	J	352,002	FAIR MARKET VALUE
(21) Presence Ambulatory Services	M	489,415	FAIR MARKET VALUE
(22) Presence Behavioral Health	J	90,497	FAIR MARKET VALUE
(23) Presence Behavioral Health	M	4,157,227	FAIR MARKET VALUE
(24) Presence Care Transformation Corporation	O	54,364,395	FAIR MARKET VALUE
(25) Presence Care Transformation Corporation	P	21,007,982	FAIR MARKET VALUE
(26) Presence Care Transformation Corporation	R	22,692,471	FAIR MARKET VALUE
(27) Presence Central and Suburban Hospitals Network	P	6,353,383	FAIR MARKET VALUE
(28) Presence Central and Suburban Hospitals Network	Q	6,180,785	FAIR MARKET VALUE
(29) Presence Healthcare Services	J	90,437	FAIR MARKET VALUE
(30) Presence Healthcare Services	P	7,740,334	FAIR MARKET VALUE
(31) Presence Healthcare Services	Q	596,452	FAIR MARKET VALUE
(32) PRESENCE LIFE CONNECTIONS	R	122,909	FAIR MARKET VALUE
(33) Presence Senior Services- Chicagoland	S	1,291,152	FAIR MARKET VALUE
(34) RAINBOW HOSPICE AND PALLIATIVE CARE	P	2,251,135	FAIR MARKET VALUE
(35) RAINBOW HOSPICE AND PALLIATIVE CARE	Q	92,311	FAIR MARKET VALUE
(36) Saint Thomas Health	P	100,562	FAIR MARKET VALUE
(37) Saint Thomas West Hospital	P	94,500	FAIR MARKET VALUE
(38) St Alexius Medical Center	Q	64,062	FAIR MARKET VALUE
(39) St Vincent Hospital and Health Care Center Inc	P	83,446	FAIR MARKET VALUE

Schedule R (Form 990) 2020

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)	(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
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2020

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation
Schedule R, Part V, Line 2	Part V, Line 2 includes the net current year amount resulting from continuous activity within the centralized cash management system.

Schedule R (Form 990) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

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
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	6
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	5
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	449
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,834,505
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	161,047

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	35,170,386	78,346,845
9	Program service revenue (Part VIII, line 2g) .........	999,015,885	1,048,761,716
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	204,466	268,204
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	10,136,421	11,065,397
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,044,527,158	1,138,442,162
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,747,981	1,359,748
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)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,126,719,208	1,135,101,438
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,128,467,189	1,136,461,186
19	Revenue less expenses. Subtract line 18 from line 12.......	-83,940,031	1,980,976
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	849,615,173	903,857,425
21	Total liabilities (Part X, line 26).............	468,831,603	536,840,121
22	Net assets or fund balances. Subtract line 21 from line 20.....	380,783,570	367,017,304

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 801,021,223 including grants of $ 1,359,748 ) (Revenue $ 1,027,536,890 )
	PRESENCE CHICAGO HOSPITALS NETWORK OPERATES 5 ACUTE CARE HOSPITALS AND 1 LONG TERM ACUTE CARE HOSPITAL. AMITA HEALTH RESURRECTION MEDICAL CENTER IS A 320-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2020 - JUNE 30, 2021, AMITA HEALTH RESURRECTION MEDICAL CENTER TREATED 11,173 ADULTS AND CHILDREN FOR A TOTAL OF 67,180 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 154,622 OUTPATIENT VISITS, WHICH INCLUDED 3,426 OUTPATIENT SURGERIES AND 32,455 EMERGENCY ROOM VISITS. AMITA HEALTH HOLY FAMILY MEDICAL CENTER IS A 172-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2020 - JUNE 30, 2021, AMITA HEALTH HOLY FAMILY MEDICAL CENTER TREATED 1,439 ADULTS AND CHILDREN FOR A TOTAL OF 35,354 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 14,893 OUTPATIENT VISITS, WHICH INCLUDED 661 OUTPATIENT SURGERIES. AMITA HEALTH ST FRANCIS HOSPITAL IS A 191-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2020 - JUNE 30, 2021, AMITA HEALTH ST FRANCIS HOSPITAL TREATED 5,793 ADULTS AND CHILDREN FOR A TOTAL OF 28,776 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 106,614 OUTPATIENT VISITS, WHICH INCLUDED 2,191 OUTPATIENT SURGERIES AND 27,235 EMERGENCY ROOM VISITS. AMITA HEALTH SAINT JOSEPH HOSPITAL - CHICAGO IS A 329-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2020 - JUNE 30, 2021, AMITA HEALTH SAINT JOSEPH HOSPITAL - CHICAGO TREATED 8,873 ADULTS AND CHILDREN FOR A TOTAL OF 50,580 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 94,196 OUTPATIENT VISITS, WHICH INCLUDED 4,837 OUTPATIENT SURGERIES AND 15,011 EMERGENCY ROOM VISITS. AMITA HEALTH ST MARY & ELIZABETH MEDICAL CENTER IS A 473-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2020 - JUNE 30, 2021, AMITA HEALTH ST MARY & ELIZABETH MEDICAL CENTER TREATED 12,555 ADULTS AND CHILDREN FOR A TOTAL OF 81,661 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 186,643 OUTPATIENT VISITS, WHICH INCLUDED 4,381 OUTPATIENT SURGERIES AND 41,548 EMERGENCY ROOM VISITS. PRESENCE CHICAGO HOSPITALS NETWORK OPERATES OUTPATIENT PHARMACIES. THESE PHARMACIES ARE PRIMARILY FOR THE CONVENIENCE OF PATIENTS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. 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 FY21.

4b	(Code: ) (Expenses $ 15,248,908 including grants of $ ) (Revenue $ 21,839,896 )
	PRESENCE CHICAGO HOSPITALS NETWORK OPERATES 3 INDEPENDENT LIVING RETIREMENT COMMUNITIES - PRESENCE RESURRECTION RETIREMENT COMMUNITY IN CHICAGO, PRESENCE CASA SAN CARLO RETIREMENT COMMUNITY IN NORTHLAKE, AND PRESENCE BETHLEHEM WOODS RETIREMENT COMMUNITY IN LA GRANGE PARK .

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses816,270,131

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	4,356,401	262,437

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	3,210,765
e	Government grants (contributions)		1e	75,049,504

f	All other contributions, gifts, grants, and similar amounts not included above		1f	86,576

g	Noncash contributions included in lines 1a - 1f:$		1g	469,615

h Total. Add lines 1a-1f.......		78,346,845

		Business Code
2a	Net Patient Service Revenue	621990	1,001,021,230	1,001,021,230
b	Pharmacy Revenue	446110	22,413,496	22,118,032	295,464
c	Net Resident Revenue	623000	21,839,896	21,839,896
d	Services to Affiliates	561000	1,283,031	1,283,031
e	Rental Income from Affiliates	531120	733,435	733,435
f	All other program service revenue.		1,470,628	1,470,628	0	0
g	Total. Add lines 2a–2f .....		1,048,761,716

3 Investment income (including dividends, interest, and othersimilar amounts) ......			211,311			211,311
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		2,716,657	6a
b	Less: rental expenses		382,492	6b
c	Rental income or (loss)	0	2,334,165	6c
d	Net rental income or (loss).......			2,334,165		76,738	2,257,427
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	56,893		7a
b	Less: cost or other basis and sales expenses	0		7b
c	Gain or (loss)	56,893	0	7c
d	Net gain or (loss).........			56,893			56,893
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..
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..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	Cafeteria/Vending Revenue		722514	3,101,932			3,101,932
b	Child Care Services		624410	1,762,951		1,322,340	440,611
c	Parking Revenue		812930	881,741		139,963	741,778
d	All other revenue ....			2,984,608	615,070	0	2,369,538
e	Total. Add lines 11a–11d ......			8,731,232
12	Total revenue. See instructions.....			1,138,442,162	1,049,081,322	1,834,505	9,179,490

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,359,748	1,359,748
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, 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 ......
b	Legal .........	169,598		169,598
c	Accounting ...........	289		289
d	Lobbying ...........	2,657		2,657
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	63,864,817	61,729,832	2,134,985	0
12	Advertising and promotion ....	776,499	624,365	152,134
13	Office expenses .......	2,187,649	1,214,404	973,245
14	Information technology ......	197,781	186,533	11,248
15	Royalties ..
16	Occupancy ...........	26,826,167	25,163,482	1,662,685
17	Travel ............	312,947	271,841	41,106
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	455,474	409,417	46,057
20	Interest ...........	19,664,770	1,462,605	18,202,165
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	33,991,090	31,884,324	2,106,766
23	Insurance ...	32,726,788	593	32,726,195
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	389,464,472	365,325,483	24,138,989
b	Professional Fee to Affiliate	160,848,356	468,464	160,379,892
c	Medical Supplies	157,019,250	156,606,541	412,709
d	UBI Tax Expense	75,871		75,871
e	All other expenses	246,516,963	169,562,499	76,954,464	0
25	Total functional expenses. Add lines 1 through 24e	1,136,461,186	816,270,131	320,191,055	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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			39,567	1	39,797
2	Savings and temporary cash investments .........			44,445	2	31,955
3	Pledges and grants receivable, net ......			11,343	3	87,221
4	Accounts receivable, net .............			147,350,451	4	147,658,741
5	Loans and other receivables from 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 ............			22,438,716	8	20,905,515
9	Prepaid expenses and deferred charges ......			391,578	9	334,041
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	707,193,204
b	Less: accumulated depreciation	10b	115,537,098	599,262,299	10c	591,656,106
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 ..			2,908,906	13	3,162,479
14	Intangible assets ...............			604,614	14	569,243
15	Other assets. See Part IV, line 11 ...........			76,563,254	15	139,412,327
16	Total assets. Add lines 1 through 15 (must equal line 33)...			849,615,173	16	903,857,425

17	Accounts payable and accrued expenses .....	61,062,110	17	72,576,512
18	Grants payable ...		18
19	Deferred revenue .........	934,627	19	1,130,695
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 ..	13,633,678	23	2,402,868
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	393,201,188	25	460,730,046
26	Total liabilities. Add lines 17 through 25..	468,831,603	26	536,840,121

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	380,783,570	27	367,017,304
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here 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 ...........	380,783,570	32	367,017,304
33	Total liabilities and net assets/fund balances ........	849,615,173	33	903,857,425