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Nonprofiteer
← SILVER CROSS HEALTH SYSTEM INC

Form 990 for tax year 2022

Filed by SILVER CROSS HEALTH SYSTEM INC.

Totals

Total revenue
$11,143,641
Total expenses
$9,779,402
Contributions and grants received
$0
Grants paid
$71,500
Program service revenue
$10,223,569
Investment income
$920,072
Other revenue
$0
Total assets, end of year
$124,523,243
Total liabilities, end of year
$103,022,537
Net assets or fund balances, end of year
$21,500,706
Program services expenses (Part IX)
$9,366,248
Management and general expenses
$175,806
Fundraising expenses
$237,348
Program service expenses (Part III)
$9,366,248

Program services were 95.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: MANAGEMENT/CONSULTING SERVICES

    total $10,223,569 · related or exempt $10,223,569

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $920,072 · excluded $920,072

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $71,500 · program services $71,500

  • 5 · Compensation of officers, directors and key employees

    total $6,084,248 · program services $6,084,248

  • 7 · Other salaries and wages

    total $357,707 · program services $357,707

  • 8 · Pension plan contributions

    total $838,827 · program services $838,827

  • 9 · Other employee benefits

    total $584,226 · program services $584,226

  • 10 · Payroll taxes

    total $175,047 · program services $175,047

  • 11b · Fees: legal

    total $32,031 · management and general $32,031

  • 11c · Fees: accounting

    total $46,930 · management and general $46,930

  • 11f · Fees: investment management

    total $5,032 · management and general $5,032

  • 11g · Fees: other

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 17 · Travel

    total $91,813 · management and general $91,813

  • 23 · Insurance

    total $259,037 · program services $259,037

  • 24a · Other expenses: MANAGEMENT SERVICES

    total $548,493 · program services $548,493

  • 24b · Other expenses: FUNDRAISING EXPENSE

    total $237,348 · fundraising $237,348

  • 24c · Other expenses: DUES AND SUBSCRIPTIONS

    total $54,804 · program services $54,804

  • 24d · Other expenses: CONSULTING

    total $381,094 · program services $381,094

  • 24e · All other expenses

    total $11,265 · program services $11,265 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $2,103,362 · end of year $2,246,447

  • 4 · Accounts receivable

    beginning of year $345,984 · end of year $157,728

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $173,282 · end of year $256,815

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $29,970,141 · end of year $31,684,206

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $22,649,736 · end of year $22,649,736

  • 15 · Other assets

    beginning of year $48,113,327 · end of year $67,528,311

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,095,827 · end of year $3,593,495

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $80,015,618 · end of year $99,429,042

  • 27 · Net assets without donor restrictions

    beginning of year $19,244,387 · end of year $21,500,706

Mission and programs · 2022

Mission

To establish, conduct and operate hospitals and community medical centers and to operate other facilities for the care of persons suffering from illnesses or disabilities or otherwise requiring inpatient or outpatient hospital care, community medical care or care in the home.

  • MANAGEMENT SERVICES PROVIDED TO AFFILIATED CHARITABLE ORGANIZATIONS.

    Expenses $9,366,248 · Grants $71,500 · Revenue $10,223,569

As filed on the 2022 return.

Listed in Part VII

  • Dr David Mikolajczak

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Jean Kenol

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Michael Scudder

    FIRST VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Ruth Colby

    PRESIDENT/CEO

    Total calculated
    $1,603,310
    From this org
    $1,536,825
    From related orgs
    $0
    Other
    $66,485
    Hours/week
    40 + 4 related

    Schedule J breakdown matched by us

    Base
    $816,165
    Bonus
    $509,440
    Other
    $211,220
    Deferred
    $18,300
    Nontaxable benefits
    $48,185
    Filer's total
    $1,603,310
  • Susan Prock

    SECOND VICE CHAIR & SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Vincent Pryor

    ASST. TREASURER/CFO

    Total calculated
    $2,090,997
    From this org
    $2,031,024
    From related orgs
    $0
    Other
    $59,973
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $578,294
    Bonus
    $326,974
    Other
    $1,125,756
    Deferred
    $18,300
    Nontaxable benefits
    $41,673
    Filer's total
    $2,090,997
  • Denise Winfrey

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Douglas Hutchison Jr

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Dr David Livingston

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Dr Judith Mitchell

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Jennifer Howard

    DIRECTOR (Beg 6/23)

    Total calculated
    $0
    Hours/week
    1
  • John Phelan

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mark Danielson MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mark Stofan

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Sid Bala

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Terry D'Arcy

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Vincent Cornelius

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Chris Udovich MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $561,476
    From this org
    $510,413
    From related orgs
    $0
    Other
    $51,063
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $311,162
    Bonus
    $155,016
    Other
    $44,235
    Deferred
    $18,300
    Nontaxable benefits
    $32,763
    Filer's total
    $561,477
  • Geoff Tryon

    VP OPERATIONS

    Total calculated
    $383,962
    From this org
    $356,413
    From related orgs
    $0
    Other
    $27,549
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $140,615
    Bonus
    $169,832
    Other
    $45,966
    Deferred
    $18,300
    Nontaxable benefits
    $9,249
    Filer's total
    $383,962
  • Mark Jepson

    VP HUMAN RESOURCES

    Total calculated
    $466,468
    From this org
    $414,328
    From related orgs
    $0
    Other
    $52,140
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $271,925
    Bonus
    $110,263
    Other
    $32,140
    Deferred
    $18,300
    Nontaxable benefits
    $33,840
    Filer's total
    $466,467
  • Matthew Renn

    VP FINANCE

    Total calculated
    $162,033
    From this org
    $145,565
    From related orgs
    $0
    Other
    $16,468
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $145,565
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $16,468
    Filer's total
    $162,033
  • Michael Mutterer

    VP OF PATIENT CARE & CNO

    Total calculated
    $563,653
    From this org
    $510,160
    From related orgs
    $0
    Other
    $53,493
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $356,379
    Bonus
    $153,781
    Other
    $0
    Deferred
    $18,300
    Nontaxable benefits
    $35,193
    Filer's total
    $563,653
  • Scott Paddock

    SVP of External Affairs

    Total calculated
    $485,739
    From this org
    $460,722
    From related orgs
    $0
    Other
    $25,017
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $312,753
    Bonus
    $147,969
    Other
    $0
    Deferred
    $18,300
    Nontaxable benefits
    $6,717
    Filer's total
    $485,739
  • Teresa Andrea

    VP CHIEF INFORMATION OFFICER

    Total calculated
    $485,234
    From this org
    $432,542
    From related orgs
    $0
    Other
    $52,692
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $284,573
    Bonus
    $147,969
    Other
    $0
    Deferred
    $18,300
    Nontaxable benefits
    $34,392
    Filer's total
    $485,234
  • Tracy Simons

    Executive Director, Foundation

    Total calculated
    $269,153
    From this org
    $223,417
    From related orgs
    $0
    Other
    $45,736
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $171,031
    Bonus
    $51,786
    Other
    $600
    Deferred
    $38,021
    Nontaxable benefits
    $7,714
    Filer's total
    $269,153
  • Mary Bakken

    COO (TERM 7/9/2021)

    Total calculated
    $135,206
    From this org
    $135,206
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $135,206
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $135,206

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Independent compensation consultant
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4a Severance or change-of-control payment
MARY BAKKAN RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $135,206.72
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
The Supplemental Executive Retirement Program (SERP) is a non-qualified compensation program designed to provide additional, market-competitive retirement benefits to certain management employees. The SERP was designed to provide retirement benefits that take into account an employee's total compensation without regard to the annual limit on compensation that applies under qualified retirement plans. The Board has reviewed and approved the SERP benefits, concluding that it is a market-competitive benefit and that the total retirement benefits and total compensation are reasonable when compared to the benefits and compensation provided by similarly situated organizations to employees in comparable positions. For the reporting year the following reported persons participated in the SERP and received the following employer-funded amounts: Vincent Pryor - $1,125,756.24, Ruth Colby - $195,075, Mark Jepson - $32,140, Geoff Tryon - $45,466, Mary Bakken - $123,985, Chris Udovich - $44,235.
Schedule J, Part I, Line 7 Non-fixed payments
Bonuses are based on achieved pre-established goals and are Board approved before payout.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • UCMCSCH ONCOLOGY JV LLC

    N/A · CANCER DIAGNOSIS AND TREATMENT · IL

    Directly controlled by NA

  • PRIME MEDICAL IMAGING

    Related · OUTPATIENT RADIOLOGICAL SERVICES · IL · 51% owned · general or managing partner

    Directly controlled by SILVER CROSS HEALTH SYSTEM

  • ESSENTIAL HEALTH PARTNERS LLC

    N/A · HEALTHCARE PROVIDER NETWORK · IL

    Directly controlled by NA

  • SILVER CROSS MSO LLC

    Related · MANAGED CARE · IL · 80% owned · share of income $135,697 · share of assets $52,287,036

    Directly controlled by SILVER CROSS HOSPITAL AND MEDICAL CENTER

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • HEALTH SERVICE SYSTEMS INC

    C Corporation · HEALTHCARE SERVICES · IL · 100% owned · share of income $19,432,790 · share of assets $17,126,076 · controlled entity

    Directly controlled by SILVER CROSS HEALTH SYSTEM

Provenance

Return type
form_990
Tax year
2022
Filed
14 August 2024
IRS schema version
2022v5.0
Source object
202412279349302831

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