FURP.ORG / PUBLIC DATA EXPLORER

Little Company of Mary Affiliated: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
Little Company of Mary Affiliated (EIN 36-3383867)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-11
IRS object ID
201821319349304207
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-11T14:50:14-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S WACKER DRIVE STE 800AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363383867EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Little Company of Mary AffiliatedBusinessNameLine1Txt
Business Name Line2ServicesBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLITTBusinessNameControlTxt
Phone7082295111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12800 West 95th StreetAddressLine1Txt
CityEvergreen ParkCityNm
State AbbreviationILStateAbbreviationCd
ZIP60805ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRandy RutherPersonNm
Person TitleTreasurerPersonTitleTxt
Phone7082295111PhoneNum
Signature2018-05-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonZACK FORTSCHPreparerPersonNm
PTINP00052725PTIN
Phone3126343400PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRandy RutherPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12800 West 95th StreetAddressLine1Txt
CityEvergreen ParkCityNm
State AbbreviationILStateAbbreviationCd
ZIP60805ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$20,402,206GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.lcmh.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionProvide medical care to patients.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee250TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$163,439TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$104,719NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$17,251,188PYProgramServiceRevenueAmt
CY Program Service Revenue$16,980,064CYProgramServiceRevenueAmt
PY Investment Income$544,545PYInvestmentIncomeAmt
CY Investment Income$1,024,233CYInvestmentIncomeAmt
PY Other Revenue$2,516,091PYOtherRevenueAmt
CY Other Revenue$2,397,909CYOtherRevenueAmt
PY Total Revenue$20,311,824PYTotalRevenueAmt
CY Total Revenue$20,402,206CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,916,715PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,663,494CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,438,290PYOtherExpensesAmt
CY Other Expenses$13,667,660CYOtherExpensesAmt
PY Total Expenses$30,355,005PYTotalExpensesAmt
CY Total Expenses$34,331,154CYTotalExpensesAmt
PY Revenues Less Expenses-$10,043,181PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$13,928,948CYRevenuesLessExpensesAmt
Total Assets BOY$32,827,651TotalAssetsBOYAmt
Total Assets EOY$39,986,402TotalAssetsEOYAmt
Total Liabilities BOY$13,795,614TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,602,284TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,032,037NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,384,118NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIn 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$21,125,514ExpenseAmt
Revenue$14,398,963RevenueAmt
DescLittle 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

FieldValueIRS element (for citing)
Expense$1,931,826ExpenseAmt
Revenue$2,307,887RevenueAmt
DescOperated and maintained healthcare buildings for physicians and immediate care centers.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$974,468ExpenseAmt
Revenue$2,417,662RevenueAmt
DescLittle 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
FieldValueIRS element (for citing)
Total Program Service Expenses$24,031,808TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee250EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Walter FurtnerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7082295100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12800 West 95th StreetAddressLine1Txt
CityEvergreen ParkCityNm
State AbbreviationILStateAbbreviationCd
ZIP60805ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Thomas Fahey
Chairperson1.001.00Yes (X)Yes (X)$0$0$0
Dennis Reilly
Secretary1.0040.00Yes (X)Yes (X)$0$930,657$25,329
Randy Ruther
Treasurer1.0041.00Yes (X)Yes (X)$0$516,251$31,832
James Miller MD
Director1.000.00Yes (X)$0$0$0
Kent Armbruster MD
Director1.0040.00Yes (X)$0$281,524$26,029
Violet Clark
Director1.001.00Yes (X)$0$0$0
Irv Fold
Director1.000.00Yes (X)$0$0$0
Stephen M Hallenbeck
Director1.000.00Yes (X)$0$0$0
Ann Haskins
Director1.0040.00Yes (X)$0$306,365$14,241
Ken Herlin
Director1.000.00Yes (X)$0$0$0
Kevin Rehder
Director1.0040.00Yes (X)$0$226,395$31,624
Daniel Rowan DO
Director1.001.00Yes (X)$0$0$0
Marie Ruff
Director1.000.00Yes (X)$0$0$0
Tom Agler
Director (as of 1/1/2017)1.000.00Yes (X)$0$0$0
Sujal Desai DO
Physician40.000.00$543,919$0$33,253Yes (X)
Robert Bonaminio DO
Physician40.000.00$502,109$0$34,021Yes (X)
Bassel Atassi
Physician40.000.00$501,805$0$30,875Yes (X)
Khalid Yousuf
Physician40.000.00$484,266$0$34,078Yes (X)
Juniad Makda
Physician40.000.00$468,041$0$35,880Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,500,140TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,261,192TotReportableCompRltdOrgAmt
Total Other Compensation$297,162TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K37IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UIC Department of Surgery
840 S Wood St Suite 619 CSB MCChicagoIL60612Physician Services$600,000
GDI Services Inc
4952 W 128th PlaceAlsipIL60803Facility Maintenance Services$304,979
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Revenue621110$12,559,471$12,559,471
Other Operating Revenue561000$4,420,593$4,257,154$163,439
FieldValueIRS element (for citing)
Total Program Service Revenue$16,980,064TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$701,631TotalRevenueColumnAmt
Exclusion$701,631ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,307,887RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,307,887RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,307,887TotalRevenueColumnAmt
Related Or Exempt Func Income$2,307,887RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$275,198SecuritiesAmt
Other$47,404OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$275,198SecuritiesAmt
Other$47,404OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$322,602TotalRevenueColumnAmt
Exclusion$322,602ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescReal Estate Tax RefundDesc
Business900099BusinessCd
Total Revenue Column$90,022TotalRevenueColumnAmt
Exclusion$90,022ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$90,022OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,402,206TotalRevenueColumnAmt
Related Or Exempt Func Income$19,124,512RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$163,439UnrelatedBusinessRevenueAmt
Exclusion$1,114,255ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,543,185TotalAmt
Program Services$12,280,230ProgramServicesAmt
Management And General$5,262,955ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$241,705TotalAmt
Program Services$169,193ProgramServicesAmt
Management And General$72,512ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,907,643TotalAmt
Program Services$1,335,350ProgramServicesAmt
Management And General$572,293ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$970,961TotalAmt
Program Services$679,673ProgramServicesAmt
Management And General$291,288ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,482TotalAmt
Program Services$1,737ProgramServicesAmt
Management And General$745ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,200TotalAmt
Program Services$5,740ProgramServicesAmt
Management And General$2,460ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,552,860TotalAmt
Program Services$1,087,002ProgramServicesAmt
Management And General$465,858ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$283,545TotalAmt
Program Services$198,482ProgramServicesAmt
Management And General$85,063ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,778,089TotalAmt
Program Services$1,244,662ProgramServicesAmt
Management And General$533,427ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$245,110TotalAmt
Program Services$171,577ProgramServicesAmt
Management And General$73,533ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,538,178TotalAmt
Program Services$1,076,725ProgramServicesAmt
Management And General$461,453ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$58,735TotalAmt
Program Services$41,115ProgramServicesAmt
Management And General$17,620ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,221,573TotalAmt
Program Services$855,101ProgramServicesAmt
Management And General$366,472ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,215,956TotalAmt
Program Services$2,251,169ProgramServicesAmt
Management And General$964,787ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescLCM Management ServiceDesc
Total$3,529,696TotalAmt
Program Services$2,470,787ProgramServicesAmt
Management And General$1,058,909ManagementAndGeneralAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$233,236TotalAmt
Program Services$163,265ProgramServicesAmt
Management And General$69,971ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$34,331,154TotalAmt
Program Services$24,031,808ProgramServicesAmt
Management And General$10,299,346ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,224,428BOYAmt
EOY$3,910,768EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,506,175BOYAmt
EOY$1,444,090EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$208,325BOYAmt
EOY$249,403EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$41,008,963LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,766,508LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,750,299BOYAmt
EOY$21,242,455EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,138,424BOYAmt
EOY$13,139,686EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$32,827,651BOYAmt
EOY$39,986,402EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,992,140BOYAmt
EOY$2,911,146EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,803,474BOYAmt
EOY$15,691,138EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,795,614BOYAmt
EOY$18,602,284EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,032,037BOYAmt
EOY$21,384,118EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,032,037BOYAmt
EOY$21,384,118EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,827,651BOYAmt
EOY$39,986,402EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$13,928,948ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$103,580NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$16,177,449OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,401,899CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,116,595CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,592,550CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,402,638CurrentTaxYearMinus1YearAmt
Current Tax Year$19,124,512CurrentTaxYearAmt
Total$84,638,194TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,401,899CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,116,595CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,592,550CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,402,638CurrentTaxYearMinus1YearAmt
Current Tax Year$19,124,512CurrentTaxYearAmt
Total$84,638,194TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$84,638,194PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$248,922CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$179,615CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$191,676CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$521,967CurrentTaxYearMinus1YearAmt
Current Tax Year$701,631CurrentTaxYearAmt
Total$1,843,811TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$248,922CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$179,615CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$191,676CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$521,967CurrentTaxYearMinus1YearAmt
Current Tax Year$701,631CurrentTaxYearAmt
Total$1,843,811TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,255CurrentTaxYearMinus4YearsAmt
Total$17,255TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,304CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,323CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$179,892CurrentTaxYearMinus1YearAmt
Current Tax Year$90,022CurrentTaxYearAmt
Total$304,574TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,679,380CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,296,243CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,807,549CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,104,497CurrentTaxYearMinus1YearAmt
Current Tax Year$19,916,165CurrentTaxYearAmt
Total$86,803,834TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97510PublicSupportCY509Pct
Public Support PY5090.98290PublicSupportPY509Pct
Investment Income CY0.02120InvestmentIncomeCYPct
Investment Income PY0.01420InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationMiscellaneous - 2012 Amount: $ 11,304. 2013 Amount: $ 33. 2014 Amount: $ 23,323. 2016 Amount: $ 0. Real Estate Tax Refund - 2015 Amount: $ 179,892. 2016 Amount: $ 90,022.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,537,154OtherCostOrOtherBasisAmt
Book Value$2,537,154BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,900,888OtherCostOrOtherBasisAmt
Depreciation$19,766,508DepreciationAmt
Book Value$12,134,380BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,570,921OtherCostOrOtherBasisAmt
Book Value$6,570,921BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$21,242,455TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Self-Insurance Fund$12,142,107
Goodwill$30,703
Pension Investment$966,876
FieldValueIRS element (for citing)
Total Book Value Other Assets$13,139,686TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Self-Insurance Reserve$11,650,412
Due to Hospital$4,004,765
Other Liabilities$35,961
FieldValueIRS element (for citing)
Total Liability$15,691,138TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dennis Reilly
Secretary$0$625,113$0$300,000$0$5,544$0$5,300$0$20,029$0$955,986$0$0
Randy Ruther
Treasurer$0$423,523$0$90,000$0$2,728$0$5,300$0$26,532$0$548,083$0$0
Kent Armbruster MD
Director$0$259,771$0$10,000$0$11,753$0$5,300$0$20,729$0$307,553$0$0
Ann Haskins
Director$0$282,314$0$20,000$0$4,051$0$5,300$0$8,941$0$320,606$0$0
Kevin Rehder
Director$0$200,408$0$25,000$0$987$0$4,140$0$27,484$0$258,019$0$0
Sujal Desai DO
Physician$460,392$0$83,060$0$467$0$5,300$0$27,953$0$577,172$0$0$0
Robert Bonaminio DO
Physician$422,413$0$78,854$0$842$0$5,300$0$28,721$0$536,130$0$0$0
Bassel Atassi
Physician$368,167$0$133,287$0$351$0$1,875$0$29,000$0$532,680$0$0$0
Khalid Yousuf
Physician$473,832$0$10,000$0$434$0$5,300$0$28,778$0$518,344$0$0$0
Juniad Makda
Physician$457,607$0$10,000$0$434$0$5,300$0$30,580$0$503,921$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationThe 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The 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 7aLittle 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 7bThe 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 11bForm 990 is reviewed by the Accounting Manager and Treasurer prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cEach 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 15The 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 19The conflict of interest policy is available by request.
Form 990, Part XI, line 9:Net Assets Transferred from Other Organizations 15,695,063. Change in Pension Obligation 482,386.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Little Company of Mary Hospital Inc
2800 West 95th StreetEvergreen ParkIL60805362246719HospitalIL501(c)(3)Line 3American Province0
Little Company of Mary Health Systems
2800 West 95th StreetEvergreen ParkIL60805363823627Health ServicesIL501(c)(3)Line 1American Province0
Little Company of Mary Foundation
2800 West 95th StreetEvergreen ParkIL60805363993337Support OrganizationIL501(c)(3)Line 12a, ILittle Company of Mary Hospital0
American Province of The Little Company of Mary Sisters
2800 West 95th StreetEvergreen ParkIL60805237294648ReligiousIL501(c)(3)Line 10N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Southwest Health Systems Inc
2800 West 95th StreetEvergreen ParkIL60805363425870Managed CareILN/AC0
Mary Cap Insurance Inc
76 St Paul Street Suite 500BurlingtonVT50401030304812Captive InsuranceVTN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd