LORETTO HOSPITAL: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- LORETTO HOSPITAL (EIN 36-2200248)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202321359349309107
- Schema version
- 2021v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T13:50:30-04:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362200248 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LORETTO HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LORE | BusinessNameControlTxt |
| Phone | 7738545267 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 645 S CENTRAL AVENUE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60644 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TESA ANEWISHKI | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7738545267 | PhoneNum |
| Signature | 2023-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TESA | PersonFirstNm |
| Person Last | ANEWISHKI | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2023-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TESA ANEWISHKI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 645 S CENTRAL AVENUE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60644 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $74,344,213 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LORETTOHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1939 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | LORETTO HOSPITAL IS A COMMUNITY BASED ORGANIZATION FOCUSED TO PROVIDE QUALITY PATIENT CENTERED CARE AND PROMOTE WELLNESS AND EDUCATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 787 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $20,511,485 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,194,475 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $67,885,447 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $65,405,681 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$206,120 | PYInvestmentIncomeAmt |
| CY Investment Income | -$446,628 | CYInvestmentIncomeAmt |
| PY Other Revenue | $226,032 | PYOtherRevenueAmt |
| CY Other Revenue | $190,685 | CYOtherRevenueAmt |
| PY Total Revenue | $88,416,844 | PYTotalRevenueAmt |
| CY Total Revenue | $74,344,213 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $38,478,099 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $39,214,375 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $194,344 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $48,838,358 | PYOtherExpensesAmt |
| CY Other Expenses | $34,850,811 | CYOtherExpensesAmt |
| PY Total Expenses | $87,316,457 | PYTotalExpensesAmt |
| CY Total Expenses | $74,065,186 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,100,387 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $279,027 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $32,559,170 | TotalAssetsBOYAmt |
| Total Assets EOY | $31,938,163 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,486,347 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,586,313 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,072,823 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,351,850 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | LORETTO HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY BASED ORGANIZATION WHICH PARTNERS WITH ITS PHYSICIANS, EMPLOYEES, AND THE COMMUNITIES IT SERVES TO PROVIDE QUALITY PATIENT CENTERED CARE AND PROMOTES WELLNESS AND EDUCATION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $57,594,726 | ExpenseAmt |
| Revenue | $65,405,681 | RevenueAmt |
| Desc | LORETTO HOSPITAL IS A 187-BED NOT-FOR-PROFIT FACILITY STAFFED AND COMMUNITY FOCUSED HEALTHCARE PROVIDER WITH AN INTERDISCIPLINARY TEAM OF SOME OF THE FINEST DOCTORS, SPECIALISTS AND NURSING IN CHICAGO WHICH SERVES THE CHICAGO'S AUSTIN AND SURROUNDING COMMUNITIES. WITH OUR MEDICAL AND ANCILLARY SERVICES UNDER ONE ROOF, WE MAKE QUALITY HEALTH CARE MORE CONVENIENT AND ACCESSIBLE. OUR MEDICAL SERVICES INCLUDE AMBULATORY CARE CLINIC, EMERGENCY MEDICINE, MEDICAL/SURGERY & CRITICAL CARE, DIAGNOSTIC IMAGING, PHYSICAL THERAPY AND REHABILITATION AND OTHER CLINICAL PROGRAMS. THE HOSPITAL RECEIVES OVER 33,000 PATIENT VISITS EACH YEAR INCLUDING 13,272 EMERGENCY ROOM VISITS AND 11,758 OUTPATIENT VISITS AND AVERAGING APPROXIMATELY 5,000 INPATIENT ADMISSIONS DURING 2022. | Desc |
| Total Program Service Expenses | $57,594,726 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | Yes (true) | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 787 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN MORALES | PersonNm |
| Phone | 7738545267 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 645 S CENTRAL AVENUE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60644 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| EDWARD HOGAN | ||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KIMBERLY LIGHTFORD | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE COLLINS | ||||||||
| SECRETARY/TR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES MONTGOMERY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN HARRELL | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LOIS CLARKE | ||||||||
| DIRECTOR/CCO | 40.00 | Yes (X) | $316,177 | $0 | $19,961 | |||
| GEORGE MILLER | ||||||||
| CEO THRU APR | 40.00 | Yes (X) | $500,000 | $0 | $53,926 | |||
| TESA ANEWISHKI | ||||||||
| CEO | 40.00 | Yes (X) | $123,238 | $0 | $16,765 | |||
| JOHN MORALES | ||||||||
| INTERIM CFO | 40.00 | Yes (X) | $0 | $0 | $0 | |||
| NIKHILA JUVVADI | ||||||||
| PHYSICIAN | 40.00 | $263,023 | $0 | $7,985 | Yes (X) | |||
| DEATRA HOWARD | ||||||||
| CNO | 40.00 | $247,105 | $0 | $17,525 | Yes (X) | |||
| JESSIE ORPIANO | ||||||||
| PHYSICIAN | 40.00 | $220,841 | $0 | $7,985 | Yes (X) | |||
| SHITAL SHAH | ||||||||
| PHYSICIAN | 40.00 | $220,669 | $0 | $0 | Yes (X) | |||
| DORAN HAMMETT | ||||||||
| CIO | 40.00 | $210,000 | $0 | $0 | Yes (X) | |||
| ANOSH AHMED | ||||||||
| PHYSICIAN | 40.00 | $350,000 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,451,053 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $124,147 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 76 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EMS DR LIDIPO | |||||
| 2530 CRAWFORD AVE SUITE 307 | EVANSTON | IL | 60201 | ER PHYSICIAN | $2,245,000 |
| AVANT HEALTHCARE PROFESSIONAL | |||||
| PO BOX 744554 | ATLANTA | GA | 30374 | MEDICAL | $1,199,714 |
| METROPOLITAN BEHAVIORAL ASSOCIATES | |||||
| 155 N MICHIGAN AVE S 634 | CHICAGO | IL | 60601 | BEHAVORIAL HEAL | $980,000 |
| CIMPAR SC | |||||
| 101 MADISON STREET | OAK PARK | IL | 60302 | BEHAVIORAL HEAL | $929,165 |
| SINAI MEDICAL GROUP | |||||
| 2720 W 15TH PLACE ROOM 542 | CHICAGO | IL | 60608 | MEDICAL | $395,330 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $38,323 | RelatedOrganizationsAmt |
| Government Grants | $9,106,152 | GovernmentGrantsAmt |
| All Other Contributions | $50,000 | AllOtherContributionsAmt |
| Total Contributions | $9,194,475 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 622000 | BusinessCd |
| Total Revenue Column | $65,405,681 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,405,681 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $65,405,681 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$446,628 | TotalRevenueColumnAmt |
| Exclusion | -$446,628 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $95,009 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $95,009 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $95,009 | TotalRevenueColumnAmt |
| Exclusion | $95,009 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|
| MISCELLANEOUS | $79,738 | $79,738 |
| CAFETERIA | $13,672 | $13,672 |
| MEDICAL RECORDS | $2,266 | $2,266 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $95,676 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,344,213 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,405,681 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$255,943 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $790,316 | TotalAmt |
| Program Services | $165,366 | ProgramServicesAmt |
| Management And General | $624,950 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,725,825 | TotalAmt |
| Program Services | $24,506,771 | ProgramServicesAmt |
| Management And General | $7,058,626 | ManagementAndGeneralAmt |
| Fundraising | $160,428 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,253 | TotalAmt |
| Program Services | $366,881 | ProgramServicesAmt |
| Management And General | $111,987 | ManagementAndGeneralAmt |
| Fundraising | $2,385 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,458,158 | TotalAmt |
| Program Services | $2,636,492 | ProgramServicesAmt |
| Management And General | $804,522 | ManagementAndGeneralAmt |
| Fundraising | $17,144 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,758,823 | TotalAmt |
| Program Services | $2,149,529 | ProgramServicesAmt |
| Management And General | $594,931 | ManagementAndGeneralAmt |
| Fundraising | $14,363 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,720,716 | TotalAmt |
| Management And General | $1,720,716 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,462 | TotalAmt |
| Management And General | $473,462 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,000 | TotalAmt |
| Management And General | $120,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,520,675 | TotalAmt |
| Program Services | $13,629,072 | ProgramServicesAmt |
| Management And General | $1,891,603 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,749 | TotalAmt |
| Program Services | $8,500 | ProgramServicesAmt |
| Management And General | $71,249 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $658,143 | TotalAmt |
| Program Services | $381,101 | ProgramServicesAmt |
| Management And General | $277,018 | ManagementAndGeneralAmt |
| Fundraising | $24 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,454 | TotalAmt |
| Management And General | $121,454 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $907,039 | TotalAmt |
| Program Services | $692,528 | ProgramServicesAmt |
| Management And General | $214,511 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,075 | TotalAmt |
| Program Services | $65,720 | ProgramServicesAmt |
| Management And General | $15,355 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,393 | TotalAmt |
| Program Services | $49,384 | ProgramServicesAmt |
| Management And General | $137,009 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,167 | TotalAmt |
| Management And General | $32,167 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,400,000 | TotalAmt |
| Program Services | $1,724,282 | ProgramServicesAmt |
| Management And General | $675,718 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,553,812 | TotalAmt |
| Program Services | $2,078,557 | ProgramServicesAmt |
| Management And General | $475,255 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROVIDER ASSESSMENT | $3,938,248 | $3,938,248 | |
| MEDICAL SUPPLIES & DRUGS | $3,356,660 | $3,356,660 | |
| REPAIRS & MAINTENANCE | $950,313 | $773,740 | $176,573 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,750,905 | TotalAmt |
| Program Services | $1,071,895 | ProgramServicesAmt |
| Management And General | $679,010 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,065,186 | TotalAmt |
| Program Services | $57,594,726 | ProgramServicesAmt |
| Management And General | $16,276,116 | ManagementAndGeneralAmt |
| Fundraising | $194,344 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$433,864 | BOYAmt |
| EOY | $1,054,219 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,788 | BOYAmt |
| EOY | $12,704 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,637,396 | BOYAmt |
| EOY | $11,891,739 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,092,784 | BOYAmt |
| EOY | $727,807 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,122 | BOYAmt |
| EOY | $275,684 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $55,062,492 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $40,145,334 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,274,620 | BOYAmt |
| EOY | $14,917,158 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,266 | BOYAmt |
| EOY | $256,300 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,893,938 | BOYAmt |
| EOY | $1,958,140 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $714,120 | BOYAmt |
| EOY | $844,412 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,559,170 | BOYAmt |
| EOY | $31,938,163 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,827,519 | BOYAmt |
| EOY | $19,945,183 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,658,828 | BOYAmt |
| EOY | $2,641,130 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,486,347 | BOYAmt |
| EOY | $22,586,313 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,936,609 | BOYAmt |
| EOY | $9,215,636 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,214 | BOYAmt |
| EOY | $136,214 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,072,823 | BOYAmt |
| EOY | $9,351,850 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,559,170 | BOYAmt |
| EOY | $31,938,163 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $279,027 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $128,524 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $128,524 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | LORETTO HOSPITAL HIRES AN OUTSIDE CONSULTING GROUP TO LOBBY ON THEIR BEHALF FOR A VARIETY OF PROGRAMS FOCUSED ON ADVOCACY AND REPRESENTATION. THE HOSPITAL ALSO PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $429,028 | OtherCostOrOtherBasisAmt |
| Book Value | $429,028 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,710,687 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,532,953 | DepreciationAmt |
| Book Value | $13,177,734 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,143 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,936 | DepreciationAmt |
| Book Value | $7,207 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,870,634 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,567,445 | DepreciationAmt |
| Book Value | $1,303,189 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,917,158 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | WESTSIDE INSURANCE | Desc |
| Book Value | $1,958,140 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $1,958,140 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| MEDICARE ACCELERATED PAYMENTS | $1,617,640 |
| ASSET RETIREMENT OBLIGATION | $1,023,490 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,641,130 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT OF SECTION 501(A) OF THE CODE. WESTSIDE DOES NOT CONSIDER ITSELF TO BE ENGAGED IN A U.S. TRADE OR BUSINESS AND, THEREFORE, IS NOT CONSIDERED SUBJECT TO U.S. INCOME TAXES. IF WESTSIDE SHOULD BE CONSIDERED TO BE ENGAGED IN A U.S. TRADE OR BUSINESS, IT COULD BE SUBJECT TO FEDERAL INCOME TAX, FEDERAL ALTERNATIVE MINIMUM TAX, AND BRANCH PROFITS TAX. UNDER THE CAYMAN ISLANDS TAX CONCESSIONS LAW, THE GOVERNOR IN CABINET ISSUED AN UNDERTAKING TO WESTSIDE ON NOVEMBER 11, 2014, EXEMPTING IT FROM ALL LOCAL INCOME, PROFIT, OR CAPITAL GAINS TAXES. THE UNDERTAKING HAS BEEN ISSUED FOR A PERIOD OF 20 YEARS AND, CURRENTLY, NO SUCH TAXES ARE LEVIED IN THE CAYMAN ISLANDS. ACCORDINGLY, NO PROVISIONS FOR TAXES ARE MADE IN THESE CONSOLIDATED FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA & THE CARIBBEAN | RegionTxt |
| Type Of Activities Conducted | PROGRAM INVESTMENTS | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $1,958,140 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $1,958,140 | SubtotalSpentAmt |
| Total Spent | $1,958,140 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE F, PAGE 1, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | CENTRAL AMERICA & THE CARIBBEAN 0 1,958,140 | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 6.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | false | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,429,923 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,429,923 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01930 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,858,119 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,703,187 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,154,932 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02910 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,288,042 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,703,187 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,584,855 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04840 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,013 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,013 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $360,934 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $360,934 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $367,947 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $367,947 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,655,989 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,703,187 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,952,802 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05340 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,387,226 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $188,247 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,727,392 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,072,314 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,344,922 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LORETTO HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 645 S CENTRAL AVENUE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60644 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LORETTOHOSPITAL.ORG | WebsiteAddressTxt |
| State License | HF109508 ID0001289 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LORETTO HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.LORETTOHOSPITAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.LORETTOHOSPITAL.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.LORETTOHOSPITAL.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.LORETTOHOSPITAL.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.LORETTOHOSPITAL.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, LORETTO HOSPITAL - PART V, LINE 3E | IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS BEGIN ON PAGE 31 OF THE LATEST CHNA LOCATED ON THE HOSPITAL'S WEBSITE. |
| FACILITY 1, LORETTO HOSPITAL - PART V, LINE 5 | LORETTO HOSPITAL TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY GATHERING INPUT FROM COMMUNITY RESIDENTS WHO ARE UNDERREPRESENTED IN TRADITIONAL ASSESSMENT AND IMPLEMENTATION PLANNING PROCESSES; PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS FOR COLLECTION OF COMMUNITY INPUT THROUGH SURVEYS AND FOCUS GROUPS; ENGAGING COMMUNITY-BASED ORGANIZATION AND COMMUNITY RESIDENTS AS MEMBERS OF IMPLEMENTATION COMMITTEES AND WORKGROUPS; UTILIZING THE EXPERTISE OF THE MEMBERS OF IMPLEMENTATION COMMITTEES AND WORKGROUPS IN ASSESSMENT DESIGN, DATA INTERPRETATION, AND IDENTIFICATION OF EFFECTIVE IMPLEMENTATION STRATEGIES AND EVALUATION METRICS; WORKING WITH HOSPITAL AND HEALTH DEPARTMENT COMMUNITY ADVISORY GROUPS TO GATHER INPUT; AND PARTNERING WITH LOCAL COALITIONS TO SUPPORT AND ALIGN WITH EXISTING COMMUNITY-DRIVEN EFFORTS. PRIMARY DATA FOR THE CHNA WAS COLLECTED THROUGH COMMUNITY INPUT SURVEYS, COMMUNITY RESIDENT FOCUS GROUPS, AND SOCIAL SERVICE PROVIDER FOCUS GROUPS. COMMUNITY INPUT IS THE MOST IMPORTANT DATA INPUT INTO THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE ALLIANCE WORKED CLOSELY WITH LORETTO HOSPITAL AND OTHER HEALTH SYSTEMS CONDUCTING SEVENTEEN FOCUS GROUPS IN LORETTO HOSPITALS SERVICE AREA AND COLLECTING 828 SURVEYS. |
| FACILITY 1, LORETTO HOSPITAL - PART V, LINE 6A | THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE ALLIANCE FOR HEALTH EQUITY, A COLLABORATIVE OF OVER 30 HOSPITALS PARTNERING WITH HEALTH DEPARTMENTS AND COMMUNITY PARTNERS. |
| FACILITY 1, LORETTO HOSPITAL - PART V, LINE 6B | THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WAS FACILITATED BY THE ALLIANCE FOR HEALTH EQUITY ON BEHALF OF PARTICIPATING HOSPITALS COLLABORATING WITH THE CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, EVANSTON HEALTH AND HUMAN SERVICES DEPARTMENT, AND VILLAGE OF SKOKIE, HEALTH DEPARTMENT TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT TO IMPROVE THE UNDERSTANDING OF THE HEALTH STATUS ACCROSS CHICAGO AND COOK COUNTY. |
| FACILITY 1, LORETTO HOSPITAL - PART V, LINE 11 | THE KEY HEALTH CONCERNS IDENTIFIED INCLUDE THE FOLLOWING: SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH ACCESS TO CARE AND COMMUNITY RESOURCES PRIORITY HEALTH CONDITIONS SUCH AS CHRONIC CONDITIONS; COVID-19; INJURY, INCLUDING VIOLENCE-RELATED INJURY; MATERNAL AND CHILD HEALTH, INCLUDING MATERNAL AND INFANT MORTALITY; MENTAL HEALTH; AND SUBSTANCE USE DISORDERS. LORETTO HOSPITAL WAS NOT ABLE TO ADDRESS ALL HEALTH NEEDS DENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA DUE TO NOT CURRENTLY HAVING THE STAFF OR FINANCIAL RESOURCES TO DEVOTE TO THE NEED. ALSO, THERE ARE OTHER RESOURCES AVAILABLE IN THE COMMUNITY THAT ARE A BETTER FIT TO ADDRESS THOSE HEALTHCARE CONCERNS. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES (IRS WORKSHEET 2) FOR FIGURES REPORTED IN THE TABLE RELATED TO CHARITY CARE AND UNREIMBURSED MEDICAID (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, TOTAL COMMUNITY BENEFIT, AND TOTAL COMMUNITY BUILDING EXPENSES). ACTUAL COSTS WERE USED FOR THE REMAINDER OF THE COMMUNITY BENEFITS REPORTED. |
| SCHEDULE H, PART III, LINE 2 | DATA ABOUT THE MAJOR PAYOR SOURCES IS ANALYZED TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES AND PROVISION FOR BAD DEBT. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, CONTRACTUALLY DUE AMOUNTS ARE ANALYZED AND COMPARED TO ACTUAL CASH OVERTIME TO ENHANCE THE QUALITY OF THE ESTIMATE OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND THE PROVISION OF BAD DEBT. AN ESTIMATE OF THE DIFFERENCE BETWEEN CONTRACTED RATES AND AMOUNTS COLLECTED, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS CHARGED TO THE PROVISION FOR PATIENT BAD DEBTS AND CREDITED TO THE ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS. |
| SCHEDULE H, PART III, LINE 3 | THE METHODOLOGY USED IN DETERMINING BAD DEBT IS BASED ON A HISTORICAL PERCENTAGE COST OF PAYMENTS RECEIVED AGAINST WHAT IS BILLED CREATING A PERCENTAGE VARIANCE ON NET RECEIVABLES. |
| SCHEDULE H, PART III, LINE 4 | THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 3 ON PAGE 15 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 13 BEGINNING ON PAGE 22 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, LINE 8 | THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. |
| SCHEDULE H, PART III, LINE 9B | WHILE MEETING THE CRITERIA FOR FINANCIAL ASSISTANCE, LORETTO CANNOT SEND STATEMENT OR PURSUE FOR COLLECTIONS. HOWEVER, IF THE PATIENT DOESN'T QUALIFY OR HAS FINANCIAL ASSISTANCE WITH A REMAINING BALANCE, LORETTO CAN SEND BILLING STATEMENTS AND PURSUE COLLECTIONS. |
| SCHEDULE H, PART VI, LINE 2 | A COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES INFORMATION SO THAT COMMUNITIES MAY IDENTIFY ISSUES OF GREATEST CONCERN AND DECIDE TO COMMIT RESOURCES TO THOSE AREAS, THEREBY MAKING THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. THIS COMMUNITY HEALTH NEEDS ASSESSMENT WILL SERVE AS A TOOL TOWARD REACHING THREE BASIC GOALS: TO IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE. A HEALTHY COMMUNITY IS NOT ONLY ONE WHERE ITS RESIDENTS SUFFER LITTLE FROM PHYSICAL AND MENTAL ILLNESS, BUT ALSO ONE WHERE ITS RESIDENTS ENJOY A HIGH QUALITY OF LIFE. TO REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS. BY GATHERING DEMOGRAPHIC INFORMATION ALONG WITH HEALTH STATUS AND BEHAVIOR DATA, IT WILL BE POSSIBLE TO IDENTIFY POPULATION SEGMENTS THAT ARE MOST AT-RISK FOR VARIOUS DISEASES AND INJURIES. INTERVENTION PLANS AIMED AT TARGETING THESE INDIVIDUALS MAY THEN BE DEVELOPED TO COMBAT SOME OF THE SOCIOECONOMIC FACTORS WHICH HAVE HISTORICALLY HAD A NEGATIVE IMPACT ON RESIDENTS' HEALTH. TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. MORE ACCESSIBLE PREVENTIVE SERVICES WILL PROVE BENEFICIAL IN ACCOMPLISHING THE FIRST GOAL (IMPROVING HEALTH STATUS, INCREASING LIFE SPANS, AND ELEVATING THE QUALITY OF LIFE), AS WELL AS LOWERING THE COSTS ASSOCIATED WITH CARING FOR LATE- STAGE DISEASES RESULTING FROM A LACK OF PREVENTIVE CARE.IN THE ABSENCE OF A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT DURING THE TAX YEAR; THE HOSPITAL USED VARIOUS SOURCES TO ENGAGE THE NEEDS OF THE COMMUNITY. WE HOSTED SEVERAL EVENTS SUCH AS BREAST SCREENING AND TREATMENT; AMERICAN HEART ASSOCIATION; AND MEN'S HEALTH FAIR. IN ADDITION, THE HOSPITAL DID MONTHLY ANALYSIS OF THE PATIENTS SEEN IN THE HOSPITAL. THE CHNA CAN BE FOUND ON THE HOSPITAL WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.LORETTOHOSPITAL.ORG/DOCUMENTS/LORETTO-HOSPITAL-2022- CHNA_COMBINED-PDF-COMPRESSED-MIN.PDF |
| SCHEDULE H, PART VI, LINE 3 | EVERY PATIENT IS PROVIDED A BROCHURE AND DOCUMENT UPON DOCTOR VISIT, UPON ADMITTING, AND DISCHARGE. IN ADDITION, THE POLICY IS POSTED IN THE WAITING ROOMS, ADMITTING, ONLINE AND AVAILABLE UPON REQUEST. THE FINANCIAL ASSISTANCE RELATED POLICIES CAN BE FOUND ON THE HOSPITAL WEBSITE AT THE FOLLOWING URL: HTTPS://WWW.LORETTOHOSPITAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ |
| SCHEDULE H, PART VI, LINE 4 | LORETTO HOSPITAL IS AN ILLINOIS SAFETY-NET HOSPITAL. ILLINOIS' 36 SAFETY- NET HOSPITALS CARE FOR THE STATE'S MOST VULNERABLE CITIZENS; ARE A MAJOR SOURCE OF MEDICAL CARE FOR LOW-INCOME, UNINSURED AND VULNERABLE POPULATIONS IN THE STATE OF ILLINOIS; AND TREAT A DISPROPORTIONATE SHARE OF MEDICAID PATIENTS. LORETTO SERVES THE AUSTIN COMMUNITY OF CHICAGO, SPECIFICALLY IN COOK COUNTY. LORETTO HOSPITAL GEOGRAPHICALLY SERVES PATIENTS IN THE SOUTH AND WEST SIDE OF CHICAGO. WE SERVE MANY PATIENTS THAT ARE INDIGENT, UNDER- SERVED, UNDER-INSURED, UNINSURED, AND/OR NEGLECTED. WHILE A MAJORITY OF PATIENTS ARE CAUCASIAN, LATINO, MIDDLE EASTERN, AND AFRICAN AMERICAN, MANY CULTURES ARE ALSO REPRESENTED THROUGHOUT THE SOUTH AND WEST SIDE OF CHICAGO, AND LORETTO TAKES THE STANCE OF PROVIDING HEALTH CARE REGARDLESS OF RACE, RELIGION, AND ABILITY TO PAY. LORETTO HOSPITAL IS LOCATED AND ROOTED IN THE AUSTIN COMMUNITY OF CHICAGO AND SURROUNDING NEIGHBORHOODS. THE TOTAL POPULATION OF THE SERVICE AREA IS 408,155. FORTY-EIGHT PERCENT (48%) OF THE POPULATION IDENTIFIES AS HISPANIC/LATINX, 40% BLACK/AFRICAN AMERICAN, 9% WHITE, 1% ASIAN, 1% IDENTIFIES AS TWO OR MORE RACES, AND LESS THAN 1% AS NATIVE AMERICAN. THERE IS SUBSTANTIAL VARIATION IN MEDIAN HOUSEHOLD INCOME ACROSS COMMUNITIES WITHIN LORETTO HOSPITALS SERVICE AREA RANGING FROM 26,000 IN EAST GARFIELD PARK TO 62,000 IN BELMONT CRAGIN. THE MEDIAN INCOME IN AUSTIN IS 43,000. |
| SCHEDULE H, PART VI, LINE 5 | A MAJORITY OF LORETTO HOSPITAL'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. LORETTO HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. ANY SURPLUS FUNDS ARE REINVESTED INTO THE FACILITY, EQUIPMENT, AND EMPLOYEE EDUCATION. LORETTO IS DEDICATED TO PROMOTING THE HEALTH AND WELL BEING OF ALL THE PEOPLE IN THE COMMUNITIES WE SERVE. OUR MISSION IS GUIDED BY THE VALUES: COMPASSION, COLLABORATION, QUALITY, STEWARDSHIP, INTEGRITY, ACCOUNTABILITY AND RESPECT. LORETTO ALSO HAS EXTENDED ITS SERVICES BEYOND HOSPITAL WALLS AND INTO THE NEIGHBORHOOD WHERE PEOPLE LIVE AND WORK. |
| SCHEDULE H, PART VI, LINE 7 | ILLINOIS |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|
| LOIS CLARKE | ||||
| DIRECTOR/CCO | $316,177 | $19,961 | $336,138 | |
| GEORGE MILLER | ||||
| CEO THRU APR 2022 | $450,000 | $53,926 | $553,926 | $50,000 |
| NIKHILA JUVVADI | ||||
| PHYSICIAN | $263,023 | $7,985 | $271,008 | |
| DEATRA HOWARD | ||||
| CNO | $247,105 | $17,525 | $264,630 | |
| JESSIE ORPIANO | ||||
| PHYSICIAN | $220,841 | $7,985 | $228,826 | |
| SHITAL SHAH | ||||
| PHYSICIAN | $220,669 | $220,669 | ||
| DORAN HAMMETT | ||||
| CIO | $210,000 | $210,000 | ||
| ANOSH AHMED | ||||
| PHYSICIAN | $350,000 | $350,000 | ||
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | >35% CONTROLLED | RelationshipDescriptionTxt |
| Transaction | $102,300 | TransactionAmt |
| Transaction | RENTAL OF PROPERTY | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | LLC IS MORE THAN 35% OWNED BY ANOSH AHMED, FORMER CFO/COO. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III | THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 2,072,352 FOR CHARITY CARE, 9,412,087 FOR MEDICARE, 41,326,475 FOR MEDICAID, AND 11,783,101 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. |
| FORM 990, PART V, LINE 4B | CAYMAN ISLANDS |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | A CONFLICT OF INTEREST SURVEY IS ISSUED TO ALL BOARD MEMBERS ANNUALLY. IF A POTENTIAL CONFLICT EXISTS RELATIVE TO ANY MATTER PRESENTED OF THE BOARD OF TRUSTEES, INCLUDING THOSE THAT POSE A THREAT TO PATIENT SAFETY OR ANY COMMITTEE THEREOF FOR CONSIDERATION, THE MEMBER(S) OF THE BOARD AFFECTED SHALL REFRAIN FROM, AND BE INELIGIBLE TO, CAST A VOTE RELATIVE TO SUCH MATTER. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE CEO AND EXECUTIVE MANAGEMENT COMPENSATION IS PRESENTED AND REVIEWED BY THE BOARD COMMITTEE ON AN ANNUAL BASIS. RECOMMENDATIONS AND FINDINGS ARE PRESENTED FOR REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES PRIOR TO PRESENTATION TO THE BOARD FOR FINAL APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE FORM 990, PART VI, LINE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | LORETTO HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | 13,629,072 1,891,603 0 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1ForeignAddress/AddressLine1Txt | Address Line2ForeignAddress/AddressLine2Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WESTSIDE INSURANCE COMPANY | |||||||||||||||||
| 189 CHURCH STREET | CAYMAN ISLANDS | CAYMAN ISLANDS | CAYMAN ISLANDS | CJ | KY1-1000 | INSURANCE | CJ | LORETTO | Yes (true) | ||||||||
| LORETTO HOSPITAL FOUNDATION | |||||||||||||||||
| FUNDRAISIN | LORETTO | Yes (true) | 645 S CENTRAL AVENUE | CHICAGO | IL | 60644 | 364344125 | IL | 501C3 | 7 | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WESTSIDE INSURANCE COMPANY | ||
| M | $1,418,333 | GAAP |
| WESTSIDE INSURANCE COMPANY | ||
| S | $700,000 | GAAP |