LORETTO HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- LORETTO HOSPITAL (EIN 36-2200248)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-17
- IRS object ID
- 202121379349308352
- Schema version
- 2019v5.2
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-17T15:49:42-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 132781641 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MITCHELL & TITUS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 80 PINE STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | 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 | DORAN HAMMETT | PersonNm |
| Person Title | VICE PRESIDENT OF FINANCE | PersonTitleTxt |
| Phone | 7738545267 | PhoneNum |
| Signature | 2021-05-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | FREDERICK E DAVIS JR | PreparerPersonNm |
| PTIN | P00446023 | PTIN |
| Phone | 2127094500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DORAN HAMMETT | 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 | $70,570,000 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | 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 | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 714 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $179,394 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,731,067 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $64,933,638 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $54,503,063 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,970 | PYInvestmentIncomeAmt |
| CY Investment Income | $20,771 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,602,358 | PYOtherRevenueAmt |
| CY Other Revenue | $10,315,099 | CYOtherRevenueAmt |
| PY Total Revenue | $68,722,360 | PYTotalRevenueAmt |
| CY Total Revenue | $70,570,000 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $41,997,141 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $40,301,668 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $39,005,888 | PYOtherExpensesAmt |
| CY Other Expenses | $35,644,819 | CYOtherExpensesAmt |
| PY Total Expenses | $81,003,029 | PYTotalExpensesAmt |
| CY Total Expenses | $75,946,487 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$12,280,669 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,376,487 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $34,384,134 | TotalAssetsBOYAmt |
| Total Assets EOY | $40,069,690 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,428,051 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,497,254 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,956,083 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,572,436 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $59,918,558 | ExpenseAmt |
| Revenue | $48,229,067 | RevenueAmt |
| Desc | LORETTO IS A 187 BED NOT-FOR-PROFIT FACILITY STAFFED AND COMMUNITY FOCUSED HEALTHCARE PROVIDER WITH AN INTERDISCIPLINARY TEAM OF SOME OF THE FINEST DOCTORS, SPECIALIST AND NURSING IN CHICAGO WHICH SERVES OVER 33,000 PATIENTS EACH YEAR IN 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 ARE: AMBULATORY CARE CLINIC, EMERGENCY MEDICINE, MEDICAL/SURGERY & CRITICAL CARE, DIAGNOSTIC IMAGING, PHYSICAL THERAPY AND REHABILITION AND OTHER CLINICAL PROGRAMS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,331,771 | ExpenseAmt |
| Revenue | $4,916,423 | RevenueAmt |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,305,068 | ExpenseAmt |
| Revenue | $1,190,958 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $66,555,397 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | Yes (1) | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 85 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 714 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEORGE MILLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7738544605 | 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 (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| EDWARD HOGAN | ||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHELLE COLLINS | ||||||||
| SECRETARY/TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KIMBERLY LIGHTFORD | ||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GEORGE MILLER | ||||||||
| BOARD MEMBER/PRESIDENT/CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $407,329 | $0 | $21,705 | |
| JAMES MONTGOMERY | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARK TOMERA MD | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ANOSH AHMED MD | ||||||||
| CHIEF OPERATING OFFICER/CHIEF FINANCIAL OFFICER | 40.00 | 0.00 | Yes (X) | $463,161 | $0 | $10,583 | ||
| TESA ANEWISHKI | ||||||||
| VP FOUNDATION | 40.00 | 0.00 | Yes (X) | $112,908 | $0 | $0 | ||
| KENNETH MCGEE | ||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $225,805 | $0 | $4,579 | ||
| ERIN BORDERS | ||||||||
| VP BUSINESS DEVELOPMENT | 40.00 | 0.00 | Yes (X) | $114,806 | $0 | $0 | ||
| TANESHA DANIELS | ||||||||
| VP ANCILLARY SERVICES | 40.00 | 0.00 | Yes (X) | $152,209 | $0 | $627 | ||
| DEATRA HOWARD | ||||||||
| CHIEF NURSING OFFICER | 40.00 | 0.00 | Yes (X) | $210,275 | $0 | $19,659 | ||
| NIKHILA JUVVADI MD | ||||||||
| VP OPERATIONS | 40.00 | 0.00 | Yes (X) | $331,273 | $0 | $5,670 | ||
| MELINDA MALECKI JD | ||||||||
| GENERAL COUNSEL/RISK MANAGEMENT | 40.00 | 0.00 | Yes (X) | $134,821 | $0 | $7,626 | ||
| DAHIR SHEIKHALI | ||||||||
| VP INFORMATION TECHNOLOGY | 40.00 | 0.00 | Yes (X) | $159,739 | $0 | $16,505 | ||
| JOSEPH DIPIAZZA | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $348,211 | $0 | $4,722 | Yes (X) | ||
| LOIS CLARKE | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $312,712 | $0 | $18,455 | Yes (X) | ||
| CARRIE WILSON | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $311,011 | $0 | $4,579 | Yes (X) | ||
| PARDEEP BHANOT | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $224,260 | $0 | $16,505 | Yes (X) | ||
| SHITAL SHAH | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $231,837 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,740,357 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $131,215 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 53 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ONE HEALTH BILLING CO | |||||
| 401 N WABASH AVE UNIT 31A | CHICAGO | IL | 60611 | BILLING SERVICES | $2,118,889 |
| METROPOLITAN BEHAVIORAL ASSOCIATES INC | |||||
| 155 N MICHIGAN AVENUE STE 634 | CHICAGO | IL | 60601 | COUNSELING SERVICES | $980,000 |
| SKS HEALTHCARE MANAGEMENT GROUP | |||||
| 155 N MICHIGAN AVENUE STE 634 | CHICAGO | IL | 60601 | LABRATORY SERVICES | $887,188 |
| CIMPAR SC | |||||
| 101 MADISON ST | OAK PARK | IL | 60302 | HOSPITALIST | $453,333 |
| JAY ANESTHESIA AND PAIN MANAGEMENT LLC | |||||
| 687 S BRYAN ST | ELMHURST | IL | 60126 | ANESTHESIA SERVICES | $440,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,731,067 | GovernmentGrantsAmt |
| Total Contributions | $5,731,067 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUE | Desc |
| Business | 622000 | BusinessCd |
| Total Revenue Column | $54,503,063 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $54,503,063 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $54,503,063 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,771 | TotalRevenueColumnAmt |
| Exclusion | $20,771 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,080 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,080 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,080 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,080 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS PHYSICIAN | 900099 | $7,117,464 | $7,117,464 |
| MISCELLANEOUS EXPENSE | 900099 | $2,591,287 | $2,591,287 |
| MEDICARE SETTLEMENT | 900099 | $431,407 | $431,407 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $166,861 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,087 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $101,774 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,307,019 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,570,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $64,716,388 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $122,545 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,312,326 | TotalAmt |
| Program Services | $1,849,165 | ProgramServicesAmt |
| Management And General | $463,161 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,957,338 | TotalAmt |
| Program Services | $29,822,417 | ProgramServicesAmt |
| Management And General | $3,134,921 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,578 | TotalAmt |
| Program Services | $447,578 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,267,384 | TotalAmt |
| Program Services | $1,999,946 | ProgramServicesAmt |
| Management And General | $267,438 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,317,042 | TotalAmt |
| Program Services | $1,811,389 | ProgramServicesAmt |
| Management And General | $505,653 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,000 | TotalAmt |
| Management And General | $120,000 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,539 | TotalAmt |
| Management And General | $146,539 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,151 | TotalAmt |
| Management And General | $71,151 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,206,955 | TotalAmt |
| Program Services | $6,611,892 | ProgramServicesAmt |
| Management And General | $595,063 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,546 | TotalAmt |
| Program Services | $27,773 | ProgramServicesAmt |
| Management And General | $27,773 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,306,534 | TotalAmt |
| Program Services | $1,088,415 | ProgramServicesAmt |
| Management And General | $218,119 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,742,872 | TotalAmt |
| Program Services | $1,394,298 | ProgramServicesAmt |
| Management And General | $348,574 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,180,127 | TotalAmt |
| Program Services | $1,062,114 | ProgramServicesAmt |
| Management And General | $118,013 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,199 | TotalAmt |
| Program Services | $31,199 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,198 | TotalAmt |
| Program Services | $283,198 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,788,303 | TotalAmt |
| Program Services | $2,788,303 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,547,218 | TotalAmt |
| Program Services | $509,444 | ProgramServicesAmt |
| Management And General | $2,037,774 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $6,182,831 | $4,845,920 | $1,336,911 |
| PROVIDER ASSESSMENT | $3,764,568 | $3,764,568 | |
| PHYSICIAN FEES | $3,337,715 | $3,337,715 | |
| PHARMACEUTICALS | $1,348,334 | $1,348,334 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,531,729 | TotalAmt |
| Program Services | $3,531,729 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,946,487 | TotalAmt |
| Program Services | $66,555,397 | ProgramServicesAmt |
| Management And General | $9,391,090 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $481,082 | BOYAmt |
| EOY | $1,392,749 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,477 | BOYAmt |
| EOY | $1,218,990 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,394,920 | BOYAmt |
| EOY | $11,890,729 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $350,334 | BOYAmt |
| EOY | $1,243,072 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,150 | BOYAmt |
| EOY | $105,617 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $54,630,176 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $35,259,602 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,371,316 | BOYAmt |
| EOY | $19,370,574 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,041 | BOYAmt |
| EOY | $256,305 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,098,814 | BOYAmt |
| EOY | $4,591,654 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,384,134 | BOYAmt |
| EOY | $40,069,690 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,404,561 | BOYAmt |
| EOY | $27,488,964 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,023,490 | BOYAmt |
| EOY | $1,008,290 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,428,051 | BOYAmt |
| EOY | $28,497,254 | 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 | $15,819,869 | BOYAmt |
| EOY | $11,436,222 | 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 | $15,956,083 | BOYAmt |
| EOY | $11,572,436 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,384,134 | BOYAmt |
| EOY | $40,069,690 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$5,376,487 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $992,840 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $71,151 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $71,151 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL HIRES AN OUTSIDE CONSULTING GROUP TO LOBBY ON THEIR BEHALF FOR A VARIETY OF PROGRAMS FOCUSED ON ADVOCACY AND REPRESENTATION | 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 | $42,431,613 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,481,011 | DepreciationAmt |
| Book Value | $16,950,602 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,143 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,418 | DepreciationAmt |
| Book Value | $11,725 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,717,392 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,738,173 | DepreciationAmt |
| Book Value | $1,979,219 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,370,574 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| WESTSIDE INSURANCE | $4,101,059 | C |
| INTEREST IN AFFILIATED NOT-FOR-PROFIT ENTITY | $490,595 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $4,591,654 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ASSET RETIREMENT OBLIGATION | Desc |
| Amt | $1,008,290 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,008,290 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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 TO SECTION 501(A) OF THE CODE. WESTSIDE DOES NOT CONSIDER ITSELF TO BE ENGAGED IN A UNITED STATES TRADE OR BUSINESS AND THEREFORE, IS NOT CONSIDERED SUBJECT TO UNITED STATES INCOME TAXES. IF WESTSIDE SHOULD BE CONSIDERED TO BE ENGAGED IN A UNITED STATES 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, AT THE PRESENT TIME, NO SUCH TAXES ARE LEVIED IN THE CAYMAN ISLANDS. ACCORDINGLY, NO PROVISIONS FOR TAXES ARE MADE IN THESE FINANCIALS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY LORETTO HOSPITAL. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. LORETTO HOSPITAL DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. DUE TO ITS TAX-EXEMPT STATUS, LORETTO HOSPITAL IS NOT GENERALLY SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. LORETTO HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS. INTEREST AND/ OR PENALTIES RELATED TO INCOME TAX MATTERS ARE RECOGNIZED IN INCOME TAX EXPENSE. NO AMOUNTS WERE ACCRUED FOR INTEREST AND PENALTIES AT JUNE 30, 2020 OR 2019. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO JUNE 30, 2017 | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | INVESTMENTS, BOOK VALUE | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $3,814,345 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $3,814,345 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $3,814,345 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3: | CENTRAL AMERICA AND THE CARIBBEAN: OTHER |
| PART III ACCOUNTING METHOD: |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,076,882 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,076,882 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09320 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,163,904 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,989,683 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,174,221 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13630 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,240,786 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,989,683 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,251,103 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.22950 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $169,148 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $65,087 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $104,061 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $169,148 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $65,087 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $104,061 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,409,934 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,054,770 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,355,164 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.23090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,326,625 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $179,989 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,102,194 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,041,925 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,939,731 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 AVE | 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 ID#0001289 | 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 | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTPS://WWW.LORETTOHOSPIT AL.ORG/DOCUMENTS/2015-CHNA-REPORT-LORETTO-HOSPITA | OtherWebsiteURLTxt |
| Implementation Strategy Adopt | 0 | ImplementationStrategyAdoptInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | 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 |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| 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 (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | 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 (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LORETTO HOSPITAL | PART V, SECTION B, LINE 5: FACILITY NAME:LORETTO HOSPITALDESCRIPTION:QUALITATIVE INPUT WAS OBTAINED THROUGH TELEPHONE SURVEYS AND KEY INFORMANT INTERVIEWS. THE SAMPLE DESIGN FOR THE TELEPHONE SURVEY WAS CONFIGURED TO OBTAIN A REPRESENTATIVE SAMPLE OF PARTICIPANTS TO MATCH THE GEOGRAPHIC DISTRIBUTION AND DEMOGRAPHIC CHARACTERISTICS OF THE POPULATION RESIDING IN THE PRIMARY AND SECONDARY SERVICE AREA OF THE HOSPITAL.TO SOLICIT INPUT FROM KEY STAKEHOLDERS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY METROPOLITAN CHICAGO HEALTHCARE COUNCIL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY.TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. 37 INDIVIDUALS PARTICIPATED IN KEY INFORMANT SURVEY INCLUDING COMMUNITY AND BUSINESS LEADERS, PHYSICIANS, PUBLIC HEALTH EXPERTS, SOCIAL SERVICE REPRESENTATIVES AND OTHER HEALTH PROVIDERS. |
| LORETTO HOSPITAL | PART V, SECTION B, LINE 6A: FACILITY NAME:LORETTO HOSPITALDESCRIPTION:THE 2015 CHNA WAS FACILITATED BY THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC) ON BEHALF OF PARTICIPATING MEMBER HOSPITALS AND HEALTH SYSTEMS. THESE HOSPITALS AND HEALTH SYSTEMS INCLUDE: ALEXIAN BROTHERS HEALTH SYSTEM/AMITA HEALTH (ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL, ALEXIAN BROTHERS MEDICAL CENTERS, ST. ALEXIUS MEDICAL CENTER); AMITA HEALTH (ADVENTIST BOLINGBROOK HOSPITAL, ADVENTIST GLENOAKS HOSPITAL, ADVENTIST HINSDALE HOSPITAL, ADVENTIST LAGRANGE MEMORIAL HOSPITAL); EDWARD-ELMHURST HEALTHCARE (EDWARD HOSPITAL & HEALTH SERVICES, ELMHURST MEMORIAL HOSPITAL); FRANCISCAN ALLIANCE (FRANCISCAN ST. JAMES HEALTH); INGALLS HEALTH SYSTEM (INGALLS MEMORIAL HOSPITAL); LITTLE COMPANY OF MARY HOSPITAL AND HEALTH CARE CENTERS; LORETTO HOSPITAL; NORTHWEST COMMUNITY HEALTH CARE (NORTHWEST COMMUNITY HOSPITAL, NORTHWESTERN MEMORIAL HOSPITAL); NORTHWESTERN MEDICINE (CENTRAL DUPAGE HOSPITAL, NORTHWESTERN LAKE FOREST HOSPITAL); PALOS COMMUNITY HOSPITAL; RUSH SYSTEM FOR HEALTH BRUSH OAK PARK HOSPITAL, RUSH UNIVERSITY MEDICAL CENTER); SAINT ANTHONY HOSPITAL; ST. BERNARD HOSPITAL AND HEALTH CARE CENTER; SWEDISH COVENANT HOSPITAL; THOREK MEMORIAL HOSPITAL; AND THE UNIVERSITY OF CHICAGO MEDICINE. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THE LORETTO FOUNDATION |
| PART I, LINE 7: | THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO THE INFORMATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE IRS PROVIDED AN INSTRUCTIONAL WORKSHEET THAT WAS USED TO CALCULATE A COST TO CHARGE RATIO USING THE INFORMATION FROM THE ORGANIZATION'S GENERAL LEDGER AND COST REPORT. THE RATIO WAS USED IN CONJUNCTION WITH THE IRS WORKSHEET TO CALCULATE THE COST OF CHARITY CARE PROVIDED AND TO CALCULATE UNREIMBURSED MEDICAID AMOUNTS. |
| 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 ACTUALLY 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. |
| 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. |
| PART III, LINE 4: | THE NOTE RELATED TO BAD DEBT AND ACCOUNTS RECEIVABLE IS LOCATED ON PAGE 4 |
| PART III, LINE 8: | THE SOURCE USED IN CALCULATING MEDICARE ALLOWABLE COST OF CARE COMES FROM THE ANNUAL MEDICARE COST REPORT. |
| PART III, LINE 9B: | WHILE MEETING THE CRITERIA FOF 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. |
| 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. |
| 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. |
| 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. |
| 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. LORETTO IS DEDICATED TO PROMOTING THE HEALTH AND WELLBEING 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. |
| LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GEORGE MILLER | ||||||||||||||
| BOARD MEMBER/PRESIDENT/CEO | $407,329 | $0 | $0 | $0 | $0 | $0 | $5,200 | $0 | $16,505 | $0 | $429,034 | $0 | $0 | $0 |
| ANOSH AHMED MD | ||||||||||||||
| CHIEF OPERATING OFFICER/CHIEF FINANC | $463,161 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,583 | $0 | $473,744 | $0 | $0 | $0 |
| KENNETH MCGEE | ||||||||||||||
| CFO | $225,805 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,579 | $0 | $230,384 | $0 | $0 | $0 |
| TANESHA DANIELS | ||||||||||||||
| VP ANCILLARY SERVICES | $152,209 | $0 | $0 | $0 | $0 | $0 | $627 | $0 | $0 | $0 | $152,836 | $0 | $0 | $0 |
| DEATRA HOWARD | ||||||||||||||
| CHIEF NURSING OFFICER | $210,275 | $0 | $0 | $0 | $0 | $0 | $3,154 | $0 | $16,505 | $0 | $229,934 | $0 | $0 | $0 |
| NIKHILA JUVVADI MD | ||||||||||||||
| VP OPERATIONS | $331,273 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,670 | $0 | $336,943 | $0 | $0 | $0 |
| DAHIR SHEIKHALI | ||||||||||||||
| VP INFORMATION TECHNOLOGY | $159,739 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,505 | $0 | $176,244 | $0 | $0 | $0 |
| JOSEPH DIPIAZZA | ||||||||||||||
| PHYSICIAN | $348,211 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,722 | $0 | $352,933 | $0 | $0 | $0 |
| LOIS CLARKE | ||||||||||||||
| PHYSICIAN | $312,712 | $0 | $0 | $0 | $0 | $0 | $1,950 | $0 | $16,505 | $0 | $331,167 | $0 | $0 | $0 |
| CARRIE WILSON | ||||||||||||||
| PHYSICIAN | $311,011 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,579 | $0 | $315,590 | $0 | $0 | $0 |
| PARDEEP BHANOT | ||||||||||||||
| PHYSICIAN | $224,260 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,505 | $0 | $240,765 | $0 | $0 | $0 |
| SHITAL SHAH | ||||||||||||||
| PHYSICIAN | $231,837 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $231,837 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE RETURN IS PREPARED AND REVIEWED BY A THIRD PARTY ACCOUNTING FIRM, AND IS REVIEWED BY MANAGEMENT BEFORE FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THERE IS A CONFLICT OF INTEREST SURVEY ISSUED TO ALL BOARD MEMBERS ON AN ANNUAL BASIS. WHERE A POSSIBLE 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 MEMBERS OF THE BOARD OF TRUSTEES AFFECTED THEREBY SHALL CALL ATTENTION THERETO, AND SHALL REFRAIN FROM AND BE INELIGIBLE TO CAST A VOTE RELATIVE TO SUCH MATTER. |
| FORM 990, PART VI, SECTION B, 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, PART VI, SECTION C, LINE 18 | COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | NET INCOME FROM WHOLLY OWNED SUBSIDIARY 786,714. NET LOSS FROM AFFILIATED NOT-FOR-PROFIT ENTITY 206,126. NET ASSET FROM LAST YEAR ADJUSTMENT |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | 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 | CJ | KY1-1000 | 1ST LAYER INSURANCE | CJ | LORETTO HOSPITAL | Yes (1) | ||||||||
| LORETTO HOSPITAL FOUNDATION | |||||||||||||||
| FUNDRAISING | LORETTO HOSPITAL | Yes (1) | 645 SOUTH CENTRAL AVENUE | CHICAGO | IL | 60644 | 364344125 | IL | 501(C)(3) | LINE 7 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |