2022-05-13T15:33:12-05:00 2021-06-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2020-07-01 362200248 LORETTO HOSPITAL LORE 7738545267 645 S CENTRAL AVENUE CHICAGO IL 60644 GEORGE MILLER CEO/DIRECTOR 7738545267 2022-05-13 true GEORGE MILLER 999009999 THOMAS DINGUS P00951009 5092420874 2022-05-13 2020 2022-09-23 18:48:47Z TESA ANEWISHKI 645 S CENTRAL AVENUE CHICAGO IL 60644 88416844 false X WWW.LORETTOHOSPITAL.ORG X 1939 IL LORETTO HOSPITAL IS A COMMUNITY BASED ORGANIZATION FOCUSED TO PROVIDE QUALITY PATIENT CENTERED CARE AND PROMOTE WELLNESS AND EDUCATION. 6 5 756 15 0 5731067 20511485 54503063 67885447 20771 -206120 10315099 226032 70570000 88416844 0 0 40301668 38478099 0 180041 35644819 48838358 75946487 87316457 -5376487 1100387 40069690 32559170 28497254 23486347 11572436 9072823 X LORETTO HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY BASED ORGANIZATION WHICH PARTNERS WITH ITS PHYSICIANS, EMPLOYEES, AND COMMUNITY IT SERVES TO PROVIDE QUALITY PATIENT CENTERED CARE AND PROMOTES WELLNESS AND EDUCATION. false false 61151432 67885447 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 30,000 PATIENT VISITS EACH YEAR INCLUDING 13,826 EMERGENCY ROOM VISITS AND 11,323 OUTPATIENT VISITS AND AVERAGING APPROXIMATELY 5,000 INPATIENT ADMISSIONS DURING 2021. 61151432 true true false true false false false false false false true false true false true true false true false true true false false false false false true true false false true false false false false false true false false false false false false false true false false false true 68 0 true 756 true false true CJ false false false false false false false false false false X 6 5 false false false false false false false true true false false true true true true true true true true false IL X JOHN R MORALES 7738545267 645 S CENTRAL AVENUE CHICAGO IL 60644 EDWARD HOGAN CHAIR 1.00 X X 0 0 0 KIMBERLY LIGHTFORD VICE CHAIR 1.00 X X 0 0 0 MICHELLE COLLINS SECRETARY/TR 1.00 X X 0 0 0 JAMES MONTGOMERY DIRECTOR 1.00 X 0 0 0 JOHN HARRELL DIRECTOR 1.00 X 0 0 0 GEORGE MILLER CEO/DIRECTOR 40.00 X X 559454 0 4500 ANOSH AHMED COO/CFO 40.00 X 556141 0 1979 LOIS CLARKE CCO 40.00 X 324723 0 2875 DEATRA HOWARD CNO 40.00 X 258633 0 3751 TANESHA DANIELS CHIEF EXPERI 40.00 X 206996 0 600 CARRIE WILSON PHYSICIAN 40.00 X 199560 0 0 DAHIR SHEIKHALI CIO 40.00 X 186579 0 2825 2292086 16530 7 false true false ONE HEALTH BILLING CO 401 N WABASH AVE UNIT 31A CHICAGO IL 60611 MEDICAL BILLING 3601517 SKS HEALTHCARE MANAGEMENT GROUP 155 N MICHIGAN AVENUE STE 634 CHICAGO IL 60608 MANAGEMENT 2703018 METROPOLITAN BEHAVIORAL ASSOCIATES 155 N MICHIGAN AVE S 634 CHICAGO IL 60601 BEHAVORIAL HEAL 980000 PAN OPTIC IMAGING LLC 155 N MICHIGAN AVE S 634 CHICAGO IL 60601 MEDICAL IMAGING 715116 CIMPAR SC 101 MADISON STREET OAK PARK IL 60302 BEHAVIORAL HEAL 650000 30 19842330 669155 20511485 NET PATIENT SERVICE REVENUE 622000 67885447 67885447 67885447 -206120 -206120 21380 21380 21380 21380 MISCELLANEOUS 900099 180635 180635 CAFETERIA 900099 22556 22556 MEDICAL RECORDS 900099 1461 1461 204652 88416844 67885447 19912 X 1171984 607179 564805 31416953 23282117 8001359 133477 213540 156535 56130 875 2769395 2028536 729525 11334 2906227 2232402 661969 11856 306964 306964 398004 398004 200000 200000 28146567 16806374 11317694 22499 117385 5341 112044 442048 187339 254709 112041 112041 723831 563268 160563 44081 40944 3137 190288 68144 122144 91756 91756 2485733 1863195 622538 2543495 2034795 508700 MEDICAL SUPPLIES & DRUGS 4990339 4990339 PROVIDER ASSESSMENT 4276306 4276306 REPAIRS & MAINTENANCE 1009584 771958 237626 2759936 1236660 1523276 87316457 61151432 25984984 180041 1392749 -433864 1218990 12788 11890729 10637396 1243072 1092784 105617 111122 55019955 37745335 19370574 17274620 256305 256266 4591654 2893938 714120 40069690 32559170 27488964 18827519 1008290 4658828 28497254 23486347 X 11436222 8936609 136214 136214 11572436 9072823 40069690 32559170 1100387 -3600000 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 208118 208118 false SCHEDULE C, PART II-B, LINE 1 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. 429028 429028 42702337 27400572 15301765 52143 42677 9466 11836447 10302086 1534361 17274620 WESTSIDE INSURANCE 2893938 C 2893938 MEDICARE ACCELERATED PAYMENTS 3635338 ASSET RETIREMENT OBLIGATION 1023490 4658828 X SCHEDULE D, PAGE 3, PART X THE HOSPITAL AND THE FOUNDATION ARE 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. CENTRAL AMERICA & THE CARIBBEAN PROGRAM INVESTMENTS 2893938 2893938 2893938 true false true false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA & THE CARIBBEAN 0 2,893,938 true true true X true X 6.000000000000 true true true false true false 2940601 2940601 0.03370 49848832 38926948 10921884 0.12510 52789433 38926948 13862485 0.15880 81381 81381 0.00090 81381 81381 0.00090 52870814 38926948 13943866 0.15970 true 450471 61129 7655791 11929740 -4273949 X true true 1 1 LORETTO HOSPITAL 645 S CENTRAL AVENUE CHICAGO IL 60644 WWW.LORETTOHOSPITAL.ORG HF109508 ID0001289 X X X LORETTO HOSPITAL 1 false false true X X X X X X X X X X 19 true true true true X WWW.LORETTOHOSPITAL.ORG X true 19 true WWW.LORETTOHOSPITAL.ORG false true X 100.000000000000 600.000000000000 X X X X true true X X X true X WWW.LORETTOHOSPITAL.ORG X WWW.LORETTOHOSPITAL.ORG X WWW.LORETTOHOSPITAL.ORG X X X X X X true X false X X X true X false false FACILITY 1, LORETTO HOSPITAL - PART V, LINE 3E IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS BEGIN ON PAGE 7 AND 13 OF THE 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. COMMUNITY INPUT SURVEYES AVAILABLE ONLINE AND ON PAPER DISSEMINATED IN ENGLISH, SPANISH, CHINESE, AND POLISH WERE DISTRIBUTED WITH INTENTION OF GAINING INSIGHT FROM PRIORITY POPULATIONS THAT ARE TYPICALLY UNDERRESPRESENTED SUCH AS COMMUNITIES OF COLOR, IMMIGRANTS, LGBTQ, INDIVIDUALS WITH DISABILITIES, AND LOW-INCOME COMMUNITIES. 5,934 SURVEYS WERE COLLECTED. COMMUNITY PARTNERS ALSO HELD A TOTAL OF 52 COMMUNITY INPUT SESSIONS OVER A 6 MONTH PERIOD THAT INCLUDED FOCUS GROUPS AND LEARNING MAP SESSIONS. FACILITY 1, LORETTO HOSPITAL - PART V, LINE 6A THE CHNA WAS CONDUCTED IN COLLABORATION WITH 34 OTHER HOSPITALS IN THE CHICAGO AREA IN ORDER TO ALIGN RESOURCES AND STRENGTHS TO BETTER SERVE OUR COMMUNITY. FACILITY 1, LORETTO HOSPITAL - PART V, LINE 6B THE 2019 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 MENTAL HEALTH AND SUBSTANCE USE DISORDERS ACCESS TO QUALITY HEALTH CARE AND COMMUNITY RESOURCES CHRONIC CONDITIONS: RISK FACTORS, PREVENTION AND MANAGEMENT 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. 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 1 ON PAGE 26 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS ALSO INCLUDED IN FOOTNOTE 1. 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/FINAL_2019_CHNA-REPORT_ALLIANCE- FOR-HEALTH-EQUITY.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. 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. 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 X false false false false false false false false false GEORGE MILLER CEO/DIRECTOR 559454 4500 563954 ANOSH AHMED COO/CFO 556141 1979 558120 LOIS CLARKE CCO 324723 2875 327598 DEATRA HOWARD CNO 258633 3751 262384 TANESHA DANIELS CHIEF EXPERIENCE OFF 206996 600 207596 CARRIE WILSON PHYSICIAN 199560 199560 DAHIR SHEIKHALI CIO 186579 2825 189404 LLC >35% CONTROLLED 105600 RENTAL OF PROPERTY false SCHEDULE L, PART V LLC IS MORE THAN 35% OWNED BY ANOSH AHMED, CFO/COO. 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 3,675,751 FOR CHARITY CARE, 8,420,602 FOR MEDICARE, 42,779,097 FOR MEDICAID, AND 10,396,526 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 VP OF FINANCE WHO REVIEWS 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 VP OF FINANCE SIGNS THE FORM 8879-EO 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 16,806,374 11,317,694 22,499 WESTSIDE INSURANCE COMPANY 189 CHURCH STREET CAYMAN ISLANDS CAYMAN ISLANDS CAYMAN ISLANDS CJ KY1-1000 INSURANCE CJ LORETTO true LORETTO HOSPITAL FOUNDATION 645 S CENTRAL AVENUE CHICAGO IL 60644 364344125 FUNDRAISIN IL 501C3 7 LORETTO true false false true false false false false false false false false false true true true false false false true WESTSIDE INSURANCE COMPANY M 1514934 GAAP LORETTO HOSPITAL FOUNDATION O 156512 GAAP WESTSIDE INSURANCE COMPANY S 1000000 GAAP