SCHEDULE R
(Form 990)

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

OMB No. 1545-0047
2017
Open to Public Inspection
Name of the organization
Presence Chicago Hospitals Network
 
Employer identification number

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


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











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


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


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

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)PRESENCE HEALTH NETWORK
200 SOUTH WACKER DRIVE

CHICAGO,IL60606
36-1649520
PARENT CORP IL 501(c)(3) 3 NA
 
 
No
(2)MEDICARE VALUE PARTNERS
100 NORTH RIVER ROAD

DES PLAINES,IL60016
36-3495969
HEALTH CARE IL 501(c)(3) 10 PHPS
 
Yes
 
(3)MOUNT LORETTO NURSING HOME INC
302 SWART HILL ROAD

AMSTERDAM,NY12010
14-1363014
HEALTH CARE NY 501(c)(3) 3 RM NEW YORK
 
Yes
 
(4)PRESENCE HEALTH PARTNERS SERVICES
2380 E DEMPSTER AVE STE 236

DES PLAINES,IL60016
36-2644178
HEALTH CARE IL 501(c)(3) Type II PHN
 
 
No
(5)PRESENCE CARE HOME
18927 HICKORY CREEK DR 300

MOKENA,IL60448
46-0483587
HEALTH CARE IL 501(c)(3) 10 PLC
 
Yes
 
(6)PRESENCE CARE TRANSFORMATION CORPORATION
1000 REMINGTON BLVD STE 100

BOLINGBROOK,IL60440
36-3366652
MGMT SUPPORT IL 501(c)(3) Type III-FI PHN
 
 
No
(7)PRESENCE HOME CARE
18927 HICKORY CREEK DR 300

MOKENA,IL60448
46-0483581
HEALTH CARE IL 501(c)(3) 10 PLC
 
Yes
 
(8)PRESENCE CENTRAL AND SUBURBAN HOSP
1000 REMINGTON BLVD STE 100

BOLINGBROOK,IL60440
36-4195126
HEALTH CARE IL 501(c)(3) 3 PCTC
 
Yes
 
(9)LAVERNA TERRACE HOUSING CORPORATION
18927 HICKORY CREEK DR 300

MOKENA,IL60448
36-3438977
SENIOR LIVING IL 501(c)(3) 10 PLC
 
Yes
 
(10)PRESENCE LIFE CONNECTIONS
18927 HICKORY CREEK DR 300

MOKENA,IL60448
37-1127787
HEALTH CARE IL 501(c)(3) 10 PCTC
 
Yes
 
(11)PRESENCE BEHAVIORAL HEALTH
1820 SOUTH 25TH AVENUE

BROADVIEW,IL60155
36-2709982
HEALTH CARE IL 501(c)(3) 3 PCTC
 
Yes
 
(12)PRESENCE AMBULATORY SERVICES
100 NORTH RIVER ROAD

DES PLAINES,IL60016
36-4286236
HEALTH CARE IL 501(c)(3) 10 PCTC
 
Yes
 
(13)PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES
200 SOUTH WACKER DRIVE

CHICAGO,IL60606
36-3330929
FUNDRAISING IL 501(c)(3) 7 PHN
 
 
No
(14)RESURRECTION NURSING HOME INC
90 NORTH MAIN STREET

CASTLETON,NY12033
14-1348691
HEALTH CARE NY 501(c)(3) 3 RM NEW YORK
 
Yes
 
(15)PRESENCE SENIOR SERVICES - CHICAGOLAND
100 NORTH RIVER ROAD

DES PLAINES,IL60016
23-7061646
HEALTH CARE IL 501(c)(3) 10 PCTC
 
Yes
 
(16)PRESENCE HEALTHCARE SERVICES
100 NORTH RIVER ROAD

DES PLAINES,IL60016
36-3330928
HEALTH CARE IL 501(c)(3) 10 PCTC
 
Yes
 
(17)ARTHUR MERKLE - CLARA KNIPPRATH NURSING
1190 E 2900 N ROAD

CLIFTON,IL60927
36-2841358
HEALTH CARE IL 501(c)(3) 10 PLC
 
Yes
 
(18)RAINBOW HOSPICE AND PALLATIVE CARE
1550 BISHOP COURT

MOUNT PROSPECT,IL60056
36-3296367
HEALTH CARE IL 501(c)(3) 10 PLC
 
Yes
 
(19)RESURRECTION UNIVERSITY
1431 N CLAREMONT

CHICAGO,IL60622
36-2182170
EDUCATION IL 501(c)(3) 2 PHN
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2017
Page 2
Schedule R (Form 990) 2017
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



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

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




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



(k)
Percentage
ownership


Yes No Yes No
(1) BEL HARLEM SURG CTR

3101 NORTH HARLEM
CHICAGO,IL60634
41-2237162
MEDICAL SERVICE IL NA
 
N/A                
(2) RH SLEEP CTR - NW

665 WEST NORTH AVE 500
LOMBARD,IL60148
26-1519627
MEDICAL SERVICE IL NA
 
N/A                
(3) RH SLEEP CTR - EVAN

665 WEST NORTH AVE 500
LOMBARD,IL60148
26-1519556
MEDICAL SERVICE IL NA
 
N/A                
(4) RH SLEEP CTR - LP

665 WEST NORTH AVE 500
LOMBARD,IL60148
26-1519667
MEDICAL SERVICE IL NA
 
N/A                
(5) ALVERNO CLINIC LAB

2434 INTERSTATE PLAZA DRIVE
HAMMOND,IN46324
20-3240648
MEDICAL SERVICE IN NA
 
N/A                
(6) PROF CLINIC LAB LLC

113 E 4TH ST
MICHIGAN CITY,IN46360
30-0711211
MEDICAL SERVICE IN NA
 
N/A                


Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) L GILBRAITH INSURANCE SPC LTD

68 W BAY ROAD PO BOX 1109
  GRAND CAYMAN  
CJ
INSURANCE CJ PHN
 
C Corporation         No
(2) PROVENA HEALTH ASSURANCE SPC

23 LIME TREE BAY AVE PO BOX 1051
  GRAND CAYMAN  
CJ
98-0420054
INSURANCE CJ PCTC
 
C Corporation       Yes  
(3) PRESENCE PROPERTIES INC

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

2380 E DEMPSTER ROAD
DES PLAINES,IL60016
36-4314354
MEDICAL IL PCTC
 
C Corporation       Yes  
(5) PRESENCE VENTURES INC

100 NORTH RIVER ROAD
DES PLAINES,IL60016
37-1168085
MEDICAL IL PCTC
 
C Corporation       Yes  
(6) RESURRECTION MEDICAL CENTER AUXILIARY

7435 WEST TALCOTT AVENUE
CHICAGO,IL60631
36-6109825
FUNDRAISING IL PCHN
 
C Corporation       Yes  
(7) RESURRECTION MINISTRIES OF NEW YORK

90 NORTH MAIN STREET
CASTLETON,NY12033
14-1720818
PARENT CORP NY PCHN
 
C Corporation       Yes  
Schedule R (Form 990) 2017
Page 3
Schedule R (Form 990) 2017
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) PRESENCE HEALTH FOUNDATION BOARD OF TRUSTEES

C 3,691,810 CASH
(2) PRESENCE CARE TRANSFORMATION CORPORATION

C 90,700 BOOK VALUE
(3) PRESENCE CARE TRANSFORMATION CORPORATION

M 125,814,381 COST ALLOCATION
(4) PRESENCE CARE TRANSFORMATION CORPORATION

P 986,492,175 COST
(5) PRESENCE CARE TRANSFORMATION CORPORATION

S 239,083 BOOK VALUE

Schedule R (Form 990) 2017
Page 4
Schedule R (Form 990) 2017
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

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




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


Yes No Yes No Yes No






























Schedule R (Form 990) 2017
Page 5
Schedule R (Form 990) 2017
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 REIMBURSEMENTS FOR SHARED SERVICES PRESENCE CARE TRANSFORMATION CORPORATION (FEIN 36-3366652) PAYS ALL OF THE COMPENSATION AND ACCOUNTS PAYABLE FOR ALL ENTITIES UNDER THE PRESENCE HEALTH SYSTEM AS THE DESIGNATED PAYMENT AGENT FOR SUCH ENTITIES, CASH IS DEPOSITED INTO AN ACCOUNT BY PRESENCE HEALTH ENTITIES AND SWEPT ON A MONTHLY BASIS TO REIMBURSE PRESENCE CARE TRANSFORMATION CORPORATION FOR THESE EXPENSES AT COST. THE AMOUNTS REPORTED ON PART V OF SCHEDULE R REFLECT THE TOTAL CASH TRANSFERS TO/FROM PRESENCE CARE TRANSFORMATION.
Schedule R (Form 990) 2017

Additional Data


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