2016-08-25T10:00:04-05:00 2014-06-30 CROWE HORWATH LLP 225 WEST WACKER DRIVE SUITE 2600 CHICAGO IL 606061224 990 2013-07-01 362200248 LORETTO HOSPITAL LORE 7738545567 645 S CENTRAL AVENUE CHICAGO IL 60644 KENNETH MCGHEE CHIEF FINANCIAL OFFICER 2016-08-24 true Nicole Bencik P00756195 3128997000 2013 2016-12-15 16:53:06Z SONIA MEHTA MD 645 S CENTRAL AVENUE CHICAGO IL 60644 64910670 false X WWW.LORETTOHOSPITAL.ORG X 1939 IL LORETTO HOSPITAL IS A COMMUNITY BASED ORGANIZATION FOCUSED TO PROVIDE QUALITY PATIENT CENTERED CARE AND PROMOTE WELLNESS AND EDUCATION. 6 4 703 5 0 0 19460160 0 32249434 58090446 2096692 1457386 1800759 5362838 55607045 64910670 0 0 0 0 33275749 32809002 0 0 0 28723263 28263432 61999012 61072434 -6391967 3838236 48476569 43791186 20791139 11111184 27685430 32680002 LORETTO HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY BASED ORGANIZATION, WHICH PARTNERS WITH ITS PHYSICIANS, EMPLOYEES, AND COMMUNITY IT SERVES TO PROVIDE QUALITY PATIENT CENTERED CARE AND PROMOTES WELLNESS AND EDUCATION. false false 54423783 63287204 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, ADDICTIONS AND COMPULSIVE BEHAVIOR, DIAGNOSTIC IMAGING, PHYSICAL THERAPY AND REHABILITATION, MENTAL HEALTH, CRISIS INTERVENTION, AND OTHER CLINICAL PROGRAMS. 54423783 true false false false false false false false false true false true false true false true true false false false false false false false false true true false false true false false false false false true true true false false false false false true false false false false false 74 0 true 703 true false true CJ false false false false false false false false false false X 6 4 false true false false false false false true true false false false true true true true true true false false IL X Kenneth McGhee 7736264300 645 S Central Ave Chicago IL 60644 EDWARD HOGAN BOARD MEMBER/CHAIRMAN 1.00 X X 0 0 0 KIMBERLY LIGHTFORD VICE CHAIRMAN 1.00 X X 0 0 0 MICHELE COLLINS SECRETARY/TREASURER 1.00 X X 0 0 0 DR SONIA MEHTA BOARD MEMBER;CEO/CMO/PHYSICIAN 40.00 X 612008 0 17500 JAMES MONTGOMERY SR BOARD MEMBER 1.00 X 0 0 0 MYOSORE GHAGAVAN MD PRESIDENT OF MEDICAL STAFF 1.00 X 0 0 0 JAMES RENNEKER CNO 40.00 X 45810 0 407 JOHN VALLES CHIEF FINANCIAL OFFICER 40.00 X 297417 0 23000 SURESH KRISHNAN CIO 40.00 X 172606 0 24550 AKHIL CHAPAGAIN HOSPITALIST 40.00 X 134680 0 6254 DEENANADAYL GADDAM PHYSICIAN 40.00 X 261352 0 25117 GOKULKRIS BALASUBRAMANIAN HOSPITALIST 40.00 X 142107 0 0 SUSAN FRENCH-KRANZER VP OF NURSING SERVICES 40.00 X 194881 0 8988 TILAK JOSHI PHYSICIAN 40.00 X 230006 0 16100 2090867 0 121916 23 true true false RENAISSANCE HOSPITAL MANAGEMENT 1011 LAKE ST SUITE 307 OAK PARK IL 60301 PHYSCIAN CONTRACTORS 1554294 HORIZON EMERGENCY PHYSCIAN GROUP 2000 SPRING ROAD STE 200 OAK BROOK IL 60523 PHYSCIAN CONTRACTORS 1020804 CRAWFORD AVENUE ANESTHESIA 19627 S LAGRANGE RD MOKENA IL 60448 ANESHTIC SERVICE MEDICINAL 500000 HOGAN MARREN LTD 321 N CLARK ST CHICAGO IL 60654 LAW SERVICES 422949 CHICAGO IMAGING 1421 LAKE ROAD LAKE FOREST IL 60045 X RAY SERVICES 225000 7 0 PATIENT REVENUE 622000 65595832 65595832 CONTRACTUAL ALLOWANCE 622000 -7505386 -7505386 0 0 0 0 0 0 0 58090446 1457386 1457386 0 0 6049 6049 0 6049 6049 0 0 0 0 0 0 PHYSICIAN BILLING PART B 561000 229936 229936 MEDICAL STUDENT PRECEPTORSHIP 611430 220005 220005 CAFETERIA 624200 66080 66080 4840768 4840768 0 0 5356789 64910670 63381155 0 1529515 0 0 0 0 1127833 45810 1082023 0 27290732 25765807 1524925 267915 267915 0 2032756 2011156 21600 2089766 1942314 147452 3888721 2625612 1263109 497523 97175 400348 112830 112830 209167 209167 0 0 0 0 0 0 37702 37702 2346808 2312991 33817 216769 216769 0 1330298 1319656 10642 53175 44340 8835 0 0 127933 21073 106860 0 2343565 2342814 751 2502028 774112 1727916 PHYSICIAN FEES 2313327 2227307 86020 PHARMACEUTICALS 1005315 1005315 PROVISIONS FOR UNCOLLECTIBLE ACCOUNTS 2022539 2022539 PROVIDER ASSESSMENT 6639312 6639312 2616420 2591234 25186 0 61072434 54423783 6648651 0 0 213670 82171 3531781 4499225 0 0 0 351225 322312 368979 427318 70389384 43715156 26508127 26674228 0 17502787 10842740 943192 48476569 43791186 9814597 8514397 0 10976542 2596787 20791139 11111184 X 27216690 32468277 468740 211725 27685430 32680002 48476569 43791186 X 3838236 1156336 X false true X true false X 0 429028 429028 0 37496826 24070445 13426381 0 197414 195428 1986 0 22386930 17514693 4872237 0 9879186 1934590 7944596 26674228 LH FOUNDATION 404145 C MERRILL LYNCH AND BOARD DESIGNATED 2348758 C WESTSIDE INSURANCE 7082570 C INSURANCE RECOVERY 0 C BOARD DESIGNATED FUND 752519 C ARIEL MUTUAL FUND 47292 C URBAN PARTNERSHIP BANK CD 207456 C 10842740 0 ASSET RETIREMENT OBLIGATION 2596787 2596787 62888131 0 0 62888131 0 0 62888131 59049895 0 0 59049895 0 0 59049895 true true X true X true X true true true false true true 3906000 0 3906000 0.06400 29877954 31539268 -1661314 0.00000 0 0 0 0.00000 0 0 33783954 31539268 2244686 0.06400 0 0 0 0.00000 402109 220005 182104 0.00300 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 402109 220005 182104 0.00300 0 0 34186063 31759273 2426790 0.06700 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 0 0 0 0.00000 true 2022539 658684 23238642 14711248 8527394 X true true 1 1 LORETTO HOSPITAL 645 S CENTRAL AVE CHICAGO IL 60644 WWW.LORETTOHOSPITAL.ORG HF109508 ID#0001289 X X X LORETTO HOSPITAL 1 false true true 100 true 300 true X X X X X X true true X X X X true false X X X X true X false false 0 Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance 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 WORKSHEET NUMBER 2 WAS USED TO CALCULATE A COST TO CHARGE RATIO USING INFORMATION FROM THE ORGANIZATION'S GENERAL LEDGER AND COST REPORT. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF CHARITY CARE PROVIDED AND WORKSHEET NUMBER 3 TO CALCULATE UNREIMBURSED MEDICAID AMOUNTS. Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation 0 Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount 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. Schedule H, Part III, Line 3, Bad Debt Expense Methodology THE METHODOLOGY USED IN DETERMING BAD DEBT IS BASED ON A HISTORICAL PERCENTAGE COST OF PAYMENTS RECEIVED AGAINST WHAT IS BILLED CREATING A PERCENTAGE VARIANCE ON NET RECEIVABLES. Schedule H, Part III, Line 4, Bad debt expense - financial statement footnote THE NOTE RELATED TO BAD DEBT AND ACCOUNTS RECEIVABLE IS LOCATED ON PAGES 9,11,13. Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs THE SOURCE USED IN CALCULATING MEDICARE ALLOWABLE COST OF CARE COMES FROM THE ANNUAL MEDICARE COST REPORT. Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance 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. SCHEDULE H, PART V, SECTION B, LINE 1, CHNA POLICY LORETTO HOSPITAL DID NOT CONDUCT A FORMAL CHNA, BUT INCORPORATED AN ANALYSIS OF ITS RESOURCES AND ITS STATUS AS A SAFETY-NET PROVIDER, AND THE ONLY COMMUNITY BASED ACUTE CARE PROVIDER IN CHICAGO'S AUSTIN AREA, INTO A THOROUGH STRATEGIC PLANNING REPORT THAT FOLLOWED A SIGNIFICANT FINANCIAL CRISIS, AND MANAGEMENT TURNAROUND FOR THE ORGANIZATION. Schedule H, Part VI, Line 2, Needs assessment. 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 SOCIO-ECONOMIC 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. Schedule H, Part VI, Line 3, Patient education of eligibility for assistance. EVERY PATIENT IS PROVIDED A BROCHURE AND DOCUMENT UPON DOCTOR VISIT AND ADMITTING. IN ADDITION, THE POLICY IS POSTED IN THE WAITING ROOMS, ADMITTING, AND AVAILABLE UPON REQUEST. Schedule H, Part VI, Line 4, Community information. LORETTO HOSPITAL IS AN ILLINOIS SAFETY-NET HOSPITAL. ILLINOIS' 36 SAFETY-NET HOSPITALS CARE FOR THE STATE'S MOST VULNERABLE CITIZENS; ARE A MAJOR SOURCE OF MEDICAL CARE FOR LOW-INCOME, UNINSURED AND VULNERABLE POPULATIONS IN THE STATE OF ILLINOIS; AND TREAT A DISPROPORTIONATE SHARE OF MEDICAID PATIENTS. LORETTO SERVES THE AUSTIN COMMUNITY OF CHICAGO, SPECIFICALLY IN COOK COUNTY. LORETTO HOSPITAL GEOGRAPHICALLY SERVES PATIENTS IN THE SOUTH AND WEST SIDE OF CHICAGO. WE SERVE MANY PATIENTS THAT ARE INDIGENT, UNDER-SERVED, UNDER-INSURED, UNINSURED, AND/OR NEGLECTED. WHILE A MAJORITY OF PATIENTS ARE CAUCASIAN, LATINO, MIDDLE EASTERN, AND AFRICAN AMERICAN, MANY CULTURES ARE ALSO REPRESENTED THROUGHOUT THE SOUTH AND WEST SIDE OF CHICAGO, AND LORETTO TAKES THE STANCE OF PROVIDING HEALTH CARE REGARDLESS OF RACE, RELIGION, AND ABILITY TO PAY. Schedule H, Part VI, Line 5, Promotion of community health 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 WELL BEING OF ALL THE PEOPLE IN THE COMMUNITIES WE SERVE. OUR MISSION IS GUIDED BY THE VALUES: COMPASSION, COLLABORATION, QUALITY, STEWARDSHIP, INTEGRITY, ACCOUNTABILITY AND RESPECT. LORETTO ALSO HAS EXTENDED ITS SERVICES BEYOND HOSPITAL WALLS AND INTO THE NEIGHBORHOOD WHERE PEOPLE LIVE AND WORK. Schedule H, Part VI, Line 7, State filing of community benefit report IL X false X false false false false false false false false false JOHN VALLES CHIEF FINANCIAL OFFICER 290750 0 0 0 6667 0 23000 0 0 0 320417 0 0 0 TILAK JOSHI PHYSICIAN 230006 0 0 0 0 0 16100 0 0 0 246106 0 0 0 DR SONIA MEHTA BOARD MEMBER;CEO/CMO/PHYSICIAN 599692 0 0 0 12316 0 17500 0 0 0 629508 0 0 0 DEENANADAYL GADDAM PHYSICIAN 261352 0 0 0 0 0 18294 0 6823 0 286469 0 0 0 SURESH KRISHNAN CIO 172606 0 0 0 0 0 18558 0 5992 0 197156 0 0 0 SUSAN FRENCH-KRANZER VP OF NURSING SERVICES 194881 0 0 0 0 0 0 0 8988 0 203869 0 0 0 Schedule J, Part I, Line 1a, Health or social club dues or initiation fees HEALTHCARE INSURANCE IS PROVIDED BY LORETTO HOSPITAL. APPROVED BY BOARD COMMITTEE. EDWARD HOGAN BOARD CHAIR 559022 LEGAL FEES false Form 990, Part VI, Sec A, Line 3, Delegation of management duties RENAISSANCE HOSPITAL MANAGEMENT Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body A DRAFT OF THE 990 IS INITIALLY PRESENTED TO THE BOARD OF TRUSTEES FOR REVIEW BY ITS FINANCE SUB-COMMITTEE. THE FINAL VERSION IS THEN PRESENTED TO THE BOARD FOR APPROVAL PRIOR TO FILING. Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy 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, Sec B, Line 15a, Process to establish compensation of top management official THE CEO AND EXECUTIVE MANAGEMENT COMPENSATION IS PRESENTED AND REVIEWED BY THE MANAGEMENT COMPANY ALONG WITH THE BOARD COMMITEE. 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 XI, Line 9, Other changes in net assets or fund balances NET INCOME FROM WHOLLY-OWNED SUBIDIARY - 1338384; NET LOSS FROM AFFILIATED NOT FOR PROFIT - -64594; RELEASED FROM RESTRICITON - -117454; WESTSIDE INSURANCE COMPANY 1ST LAYER INSURANCE CJ N/A LORETTO HOSPITAL true LORETTO HOSPITAL FOUNDATION 645 SOUTH CENTRAL AVENUE CHICAGO IL 60644 FUNDRAISING IL 501(C)(3) 7 LORETTO HOSPITAL true false false false false false true false false false false false false false false false false false false false