Little Company of Mary Affiliated: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- Little Company of Mary Affiliated (EIN 36-3383867)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-15
- IRS object ID
- 201931359349309603
- Schema version
- 2017v2.3
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-15T14:44:30-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S Wacker Drive Ste 800 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363383867 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Little Company of Mary Affiliated | BusinessNameLine1Txt |
| Business Name Line2 | Services | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LITT | BusinessNameControlTxt |
| Phone | 7082295111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 West 95th Street | AddressLine1Txt |
| City | Evergreen Park | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60805 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Timothy Kelleher | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Phone | 7082295111 | PhoneNum |
| Signature | 2019-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Zack Fortsch | PreparerPersonNm |
| PTIN | P00052725 | PTIN |
| Phone | 3126343400 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 66.98.98.10 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-15 | IPDt |
| IP Tm | 11:54:09 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F6217F2D6ED5C2D75B43E0AF4E216B671259B073 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 8C7237D2AFEDFB09D88626A2D3FB2BC60A40D8C2 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Timothy Kelleher | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 West 95th Street | AddressLine1Txt |
| City | Evergreen Park | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60805 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,624,089 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.lcmh.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | Provide medical care to patients. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 283 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $144,817 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$110,653 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,980,064 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,711,453 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,024,233 | PYInvestmentIncomeAmt |
| CY Investment Income | $678,465 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,397,909 | PYOtherRevenueAmt |
| CY Other Revenue | $2,226,097 | CYOtherRevenueAmt |
| PY Total Revenue | $20,402,206 | PYTotalRevenueAmt |
| CY Total Revenue | $17,616,015 | 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 | $20,663,494 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,387,949 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,667,660 | PYOtherExpensesAmt |
| CY Other Expenses | $11,436,448 | CYOtherExpensesAmt |
| PY Total Expenses | $34,331,154 | PYTotalExpensesAmt |
| CY Total Expenses | $33,824,397 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$13,928,948 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$16,208,382 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $39,986,402 | TotalAssetsBOYAmt |
| Total Assets EOY | $37,096,755 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,602,284 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,185,783 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,384,118 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $18,910,972 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | In Solidarity with the Sisters of the Little Company of Mary, we are entrusted to serve the community through our ministry of Catholic Health Care. We are the empowered laity - the greater Company of Mary. Rooted in a deep heritage of prayerful support of the sick and dying, we strive to enhance the sacredness of life and human dignity. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $21,966,551 | ExpenseAmt |
| Revenue | $14,382,184 | RevenueAmt |
| Desc | Little Company of Mary Affiliated Services provides ambulatory healthcare services for the community at a variety of locations. It accomplishes this program by employing over 35 employed physicians, nurse practitioners, and a midwife. Each individual physician office provides clinical excellence above and beyond traditional medicine in a peaceful, clean, and caring environment. The office utilizes the best information and state-of-the-art technology to deliver and manage care and improve the health of the community. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,321,177 | ExpenseAmt |
| Revenue | $2,224,676 | RevenueAmt |
| Desc | Operated and maintained healthcare buildings for physicians and immediate care centers. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $961,907 | ExpenseAmt |
| Revenue | $184,452 | RevenueAmt |
| Desc | Little Company of Mary Affiliated Services maintains additional services for patients and employees in order to further promote quality health care and a healthy work environment. For example, Little Company of Mary Affiliated Services purchased and maintains an Electronic Medical Record (EMR) system. The EMR system provides physicians with the most up-to-date information concerning their patients, which increases the safety and quality of the healthcare services provided to the community. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $25,249,635 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | 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 | 0 | OperateHospitalInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 283 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Walter Furtner | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7082295100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 West 95th Street | AddressLine1Txt |
| City | Evergreen Park | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60805 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 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 |
|---|---|---|---|---|---|---|---|---|
| Thomas Fahey | ||||||||
| Chairperson | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Dennis Reilly | ||||||||
| Secretary | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $942,799 | $25,946 | |
| Randy Ruther | ||||||||
| Treasurer | 1.00 | 41.00 | Yes (X) | Yes (X) | $0 | $527,816 | $23,629 | |
| James Miller MD | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Kent Armbruster MD | ||||||||
| Director | 1.00 | 40.00 | Yes (X) | $0 | $190,819 | $21,583 | ||
| Violet Clark | ||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Irv Fold | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Stephen M Hallenbeck | ||||||||
| Director (Until 1/1/18) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Ann Haskins | ||||||||
| Director (Until 2/1/18) | 1.00 | 40.00 | Yes (X) | $0 | $310,110 | $14,236 | ||
| Ken Herlin | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Kevin Rehder | ||||||||
| Director | 1.00 | 40.00 | Yes (X) | $0 | $232,030 | $32,060 | ||
| Daniel Rowan DO | ||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Marie Ruff | ||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Sujal Desai DO | ||||||||
| Physician | 40.00 | 0.00 | $612,255 | $0 | $34,760 | Yes (X) | ||
| Robert Bonaminio DO | ||||||||
| Physician | 40.00 | 0.00 | $598,320 | $0 | $34,703 | Yes (X) | ||
| Bassel Atassi | ||||||||
| Physician | 40.00 | 0.00 | $462,577 | $0 | $31,639 | Yes (X) | ||
| Khalid Yousuf | ||||||||
| Physician | 40.00 | 0.00 | $344,800 | $0 | $21,494 | Yes (X) | ||
| Jessica Bender | ||||||||
| Physician | 40.00 | 0.00 | $348,459 | $0 | $5,662 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,366,411 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,203,574 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $245,712 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 40 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UIC Department of Surgery | |||||
| 840 S Wood St Suite 619 CSB MC | Chicago | IL | 60612 | Physician Services | $600,000 |
| Southwest Town Mechanical | |||||
| 780 AEC Drive | Wood Dale | IL | 60191 | Facility Maintenance Services | $338,188 |
| GDI Services Inc | |||||
| 4952 W 128th Place | Alsip | IL | 60803 | Facility Maintenance Services | $295,907 |
| Loyola University Medical Center | |||||
| 2160 S First Avenue | Maywood | IL | 60153 | Physician Services | $114,364 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Patient Revenue | 621110 | $13,644,429 | $13,644,429 | |
| Other Operating Rev. | 561000 | $1,067,024 | $922,207 | $144,817 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,711,453 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $361,541 | TotalRevenueColumnAmt |
| Exclusion | $361,541 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,224,676 | 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 | $2,224,676 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,224,676 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,224,676 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,324,998 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,008,074 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $316,924 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $316,924 | TotalRevenueColumnAmt |
| Exclusion | $316,924 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Real Estate Tax Refund | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,115 | TotalRevenueColumnAmt |
| Exclusion | $1,115 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $306 | TotalRevenueColumnAmt |
| Exclusion | $306 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,421 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,616,015 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,791,312 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $144,817 | UnrelatedBusinessRevenueAmt |
| Exclusion | $679,886 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,013,472 | TotalAmt |
| Program Services | $14,033,598 | ProgramServicesAmt |
| Management And General | $4,979,874 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,401 | TotalAmt |
| Program Services | $165,317 | ProgramServicesAmt |
| Management And General | $58,084 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,044,800 | TotalAmt |
| Program Services | $1,509,267 | ProgramServicesAmt |
| Management And General | $535,533 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,106,276 | TotalAmt |
| Program Services | $816,542 | ProgramServicesAmt |
| Management And General | $289,734 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,028 | TotalAmt |
| Management And General | $4,028 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,120 | TotalAmt |
| Management And General | $94,120 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,795,206 | TotalAmt |
| Program Services | $881,476 | ProgramServicesAmt |
| Management And General | $913,730 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $411,696 | TotalAmt |
| Management And General | $411,696 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $754,265 | TotalAmt |
| Program Services | $490,272 | ProgramServicesAmt |
| Management And General | $263,993 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,986 | TotalAmt |
| Program Services | $199,189 | ProgramServicesAmt |
| Management And General | $49,797 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,974,429 | TotalAmt |
| Program Services | $1,678,265 | ProgramServicesAmt |
| Management And General | $296,164 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,801 | TotalAmt |
| Management And General | $2,801 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,124 | TotalAmt |
| Program Services | $45,039 | ProgramServicesAmt |
| Management And General | $17,085 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,369,334 | TotalAmt |
| Program Services | $1,095,467 | ProgramServicesAmt |
| Management And General | $273,867 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,649,682 | TotalAmt |
| Program Services | $2,624,210 | ProgramServicesAmt |
| Management And General | $25,472 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $1,378,885 | $1,378,885 | |
| LCM Management Service | $295,216 | $295,216 | |
| Bad Debt Expense | $239,536 | $239,536 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,140 | TotalAmt |
| Program Services | $92,572 | ProgramServicesAmt |
| Management And General | $63,568 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,824,397 | TotalAmt |
| Program Services | $25,249,635 | ProgramServicesAmt |
| Management And General | $8,574,762 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,604 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,910,768 | BOYAmt |
| EOY | $4,559,795 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,444,090 | BOYAmt |
| EOY | $1,634,463 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $277,175 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,403 | BOYAmt |
| EOY | $65,043 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $45,192,131 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,133,965 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,242,455 | BOYAmt |
| EOY | $24,058,166 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,139,686 | BOYAmt |
| EOY | $6,500,509 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,986,402 | BOYAmt |
| EOY | $37,096,755 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,911,146 | BOYAmt |
| EOY | $4,358,203 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,691,138 | BOYAmt |
| EOY | $13,827,580 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,602,284 | BOYAmt |
| EOY | $18,185,783 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,384,118 | BOYAmt |
| EOY | $18,910,972 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,384,118 | BOYAmt |
| EOY | $18,910,972 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,986,402 | BOYAmt |
| EOY | $37,096,755 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$16,208,382 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $298,525 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$104,334 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $13,541,045 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,116,595 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,592,550 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,402,638 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,124,512 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,791,312 | CurrentTaxYearAmt |
| Total | $88,027,607 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,116,595 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,592,550 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,402,638 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,124,512 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,791,312 | CurrentTaxYearAmt |
| Total | $88,027,607 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $88,027,607 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $179,615 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $191,676 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $521,967 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $701,631 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $361,541 | CurrentTaxYearAmt |
| Total | $1,956,430 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $179,615 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $191,676 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $521,967 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $701,631 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $361,541 | CurrentTaxYearAmt |
| Total | $1,956,430 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,323 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $179,892 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $90,022 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,421 | CurrentTaxYearAmt |
| Total | $294,691 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,296,243 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,807,549 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,104,497 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,916,165 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,154,274 | CurrentTaxYearAmt |
| Total | $90,278,728 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97510 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97510 | PublicSupportPY509Pct |
| Investment Income CY | 0.02170 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02120 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | Miscellaneous - 2013 Amount: $ 33. 2014 Amount: $ 23,323. 2017 Amount: $ 306. Real Estate Tax Refund - 2015 Amount: $ 179,892. 2016 Amount: $ 90,022. 2017 Amount: $ 1,115. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,538,004 | OtherCostOrOtherBasisAmt |
| Book Value | $2,538,004 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,679,031 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,442,676 | DepreciationAmt |
| Book Value | $20,236,355 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,975,096 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,691,289 | DepreciationAmt |
| Book Value | $1,283,807 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $24,058,166 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Self-Insurance Fund | $5,793,339 |
| Goodwill | $16,149 |
| Pension Investment | $691,021 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,500,509 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Self-Insurance Reserve | $11,742,480 |
| Due to Hospital | $2,052,746 |
| Other Liabilities | $32,354 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,827,580 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $17,914,540 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $298,525 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $298,525 | RevenueNotReportedAmt |
| Revenue Subtotal | $17,616,015 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $17,616,015 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $33,824,397 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $33,824,397 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $33,824,397 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Corporation has received a determination letter from the Internal Revenue Service (IRS) stating that it is exempt from the payment of income taxes under Section 501(c)(3) of the Internal Revenue Code. The Corporation adopted the FASB-issued guidance for accounting for uncertainty in income taxes on July 1, 2007. The Corporation files a Form 990 (Return of Organization Exempt from Income Tax) annually. When the return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions include the tax-exempt status of the entity and various positions relative to potential sources of unrelated business income (UBI). UBI is reported on Form 990-T, as appropriate. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more-likely-than-not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above would be reflected as a liability for unrecognized tax benefits in the balance sheet, along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Upon the adoption of the FASB-issued guidance at July 1, 2007, and since that date through June 30, 2018, there were no unrecognized tax benefits identified and recorded as a liability. Forms 990 and 990-T filed by the Corporation are subject to examination by the IRS up to three years from the extended due date of each return. Forms 990 and 990-T filed by the Corporation are no longer subject to examination for the years 2014 and prior. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dennis Reilly | ||||||||||||||
| Secretary | $0 | $637,255 | $0 | $300,000 | $0 | $5,544 | $0 | $5,400 | $0 | $20,546 | $0 | $968,745 | $0 | $0 |
| Randy Ruther | ||||||||||||||
| Treasurer | $0 | $433,873 | $0 | $90,000 | $0 | $3,943 | $0 | $5,400 | $0 | $18,229 | $0 | $551,445 | $0 | $0 |
| Kent Armbruster MD | ||||||||||||||
| Director | $0 | $185,178 | $0 | $2,500 | $0 | $3,141 | $0 | $3,436 | $0 | $18,147 | $0 | $212,402 | $0 | $0 |
| Ann Haskins | ||||||||||||||
| Director (Until 2/1/18) | $0 | $286,566 | $0 | $18,000 | $0 | $5,544 | $0 | $5,400 | $0 | $8,836 | $0 | $324,346 | $0 | $0 |
| Kevin Rehder | ||||||||||||||
| Director | $0 | $205,437 | $0 | $25,000 | $0 | $1,593 | $0 | $4,244 | $0 | $27,816 | $0 | $264,090 | $0 | $0 |
| Sujal Desai DO | ||||||||||||||
| Physician | $517,941 | $0 | $93,776 | $0 | $538 | $0 | $5,300 | $0 | $29,460 | $0 | $647,015 | $0 | $0 | $0 |
| Robert Bonaminio DO | ||||||||||||||
| Physician | $424,633 | $0 | $172,845 | $0 | $842 | $0 | $5,400 | $0 | $29,303 | $0 | $633,023 | $0 | $0 | $0 |
| Bassel Atassi | ||||||||||||||
| Physician | $398,975 | $0 | $63,225 | $0 | $377 | $0 | $2,030 | $0 | $29,609 | $0 | $494,216 | $0 | $0 | $0 |
| Khalid Yousuf | ||||||||||||||
| Physician | $343,451 | $0 | $1,065 | $0 | $284 | $0 | $4,363 | $0 | $17,131 | $0 | $366,294 | $0 | $0 | $0 |
| Jessica Bender | ||||||||||||||
| Physician | $242,988 | $0 | $105,281 | $0 | $190 | $0 | $4,530 | $0 | $1,132 | $0 | $354,121 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | The Board Executive Committee of Little Company of Mary Hospital, Inc. annually reviews external benchmark compensation drafts and determines compensation adjustments based on market data and internal performance results for the Secretary and Treasurer positions. The Hospital uses an outside consultant and outside surveys to determine appropriateness of executive pay. The process of determining executive compensation is documented and retained by the CEO of the Hospital. For other top management positions, the compensation committee is comprised of the CEO, CFO, and COO of the Hospital. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole member of the organization is Little Company of Mary Health Systems of Evergreen Park, an Illinois not-for-profit corporation. |
| Form 990, Part VI, Section A, line 7a | Little Company of Mary Health Systems of Evergreen Park has the power to appoint members of the governing body. |
| Form 990, Part VI, Section A, line 7b | The sole corporate member retains reserved powers to approve, among other things, Affiliated Services' annual budget, election of Directors, and the incurrence of debt or transfer of property in excess of certain limits. |
| Form 990, Part VI, Section B, line 11b | Form 990 is reviewed by the Accounting Manager and Treasurer prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | Each director, principal officer, key employee and member of a committee with Board delegated powers shall annually sign a Conflict of Interest Statement which affirms that such person has received, read, understood, and agreed to comply with the directive. All conflict of interest statements are reviewed annually by the CEO and the Corporate Compliance Officer and the results are presented to the Corporate Compliance Committee. The results and any recommendations are reported at the next Board of Directors' meeting. If a conflict is deemed to exist, such person shall not vote on, nor use his or her personal influence on, nor participate (other than to present factual information or to respond to questions) in the discussions or deliberations with respect to such contract or transaction. Such person may not be counted in determining the existence of a quorum at any meeting where the contract or transaction is under discussion or is being voted upon. The minutes of the meeting shall reflect the disclosures made, the vote thereon and, where applicable, the abstention from voting and participation, and whether a quorum was present. |
| Form 990, Part VI, Section B, line 15 | The Board Executive Committee of Little Company of Mary Hospital, Inc. annually reviews external benchmark compensation drafts and determines compensation adjustments based on market data and internal performance results for the Secretary and Treasurer positions. The Hospital uses an outside consultant and outside surveys to determine appropriateness of executive pay. The process of determining executive compensation is documented and retained by the CEO of the Hospital. For other top management positions, the compensation committee is comprised of the Hospital's CEO, CFO, and COO. |
| Form 990, Part VI, Section C, line 19 | The conflict of interest policy is available by request. |
| Form 990, Part XI, line 9: | Net Assets Transferred from Other Organizations 13,869,741. Change in Pension Obligation -328,696. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Little Company of Mary Hospital Inc | |||||||||||
| 2800 West 95th Street | Evergreen Park | IL | 60805 | 362246719 | Hospital | IL | 501(c)(3) | Line 3 | American Province | 0 | |
| Little Company of Mary Health Systems | |||||||||||
| 2800 West 95th Street | Evergreen Park | IL | 60805 | 363823627 | Health Services | IL | 501(c)(3) | Line 1 | American Province | 0 | |
| Little Company of Mary Foundation | |||||||||||
| 2800 West 95th Street | Evergreen Park | IL | 60805 | 363993337 | Support Organization | IL | 501(c)(3) | Line 12a, I | Little Company of Mary Hospital | 0 | |
| American Province of The Little Company of Mary Sisters | |||||||||||
| 2800 West 95th Street | Evergreen Park | IL | 60805 | 237294648 | Religious | IL | 501(c)(3) | Line 1 | 0 | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Southwest Health Systems Inc | |||||||||
| 2800 West 95th Street | Evergreen Park | IL | 60805 | 363425870 | Managed Care | IL | N/A | C | 0 |
| Mary Cap Insurance Inc | |||||||||
| 76 St Paul Street Suite 500 | Burlington | VT | 50401 | 030304812 | Captive Insurance | VT | N/A | C | 0 |
| 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |