2016-04-18T15:34:59-05:00 2015-06-30 990 2014-07-01 362170873 MARYVILLE ACADEMY MARY 8472941944 1150 NORTH RIVER ROAD DES PLAINES IL 60016 NORMAN BRYANT JOYCE CHIEF FINANCIAL OFFICER 8472941944 2016-04-18 2014 2016-08-17 19:52:53Z SISTER CATHERINE RYAN 1150 NORTH RIVER ROAD DES PLAINES IL 60016 65976572 false X WWW.MARYVILLEACADEMY.ORG X 1883 IL FORM - 990 ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES MARYVILLE ACADEMY IS ONE OF ILLINOIS' OLDEST CHILDCARE AGENCIES, BRINGING HOPE AND HEALING TO CHILDREN AND FAMILIES AT THEIR TIME OF GREATEST NEED FOR OVER 130 YEARS. TODAY OUR FULL RANGE OF RESIDENTIAL, HEALTHCARE, FAMILY SUPPORT, EDUCATIONAL, AND COMMUNITY DEVELOPMENT PROGRAMS HELP CHILDREN AND FAMILIES FIND HEALING, INNER STRENGTH AND HOPE FOR THE FUTURE. AT MARYVILLE ACADEMY, WE ARE DEDICATED TO PROVIDING CHILDREN AND FAMILIES THE TOOLS THEY NEED TO REACH THEIR FULLEST POTENTIAL. BECAUSE WE BELIEVE IN CHILDREN, OUR PROGRAMS FOCUS ON HEALTHY HOMES AND THE TOOLS OUR CHILDREN NEED TO TRANSITION INTO ADULTHOOD. 20 20 634 529 0 1743357 1978310 29487829 19079754 5196044 5104166 850398 1099540 37277628 27261770 380014 349524 0 31250554 21721170 0 669707 13223707 10973792 44854275 33044486 -7576647 -5782716 80948440 84846151 22408098 19910386 58540342 64935765 X FORM - 990 ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES MARYVILLE ACADEMY IS ONE OF ILLINOIS' OLDEST CHILDCARE AGENCIES, BRINGING HOPE AND HEALING TO CHILDREN AND FAMILIES AT THEIR TIME OF GREATEST NEED FOR OVER 130 YEARS. TODAY OUR FULL RANGE OF RESIDENTIAL, HEALTHCARE, FAMILY SUPPORT, EDUCATIONAL, AND COMMUNITY DEVELOPMENT PROGRAMS HELP CHILDREN AND FAMILIES FIND HEALING, INNER STRENGTH AND HOPE FOR THE FUTURE. AT MARYVILLE ACADEMY, WE ARE DEDICATED TO PROVIDING CHILDREN AND FAMILIES THE TOOLS THEY NEED TO REACH THEIR FULLEST POTENTIAL. BECAUSE WE BELIEVE IN CHILDREN, OUR PROGRAMS FOCUS ON HEALTHY HOMES AND THE TOOLS OUR CHILDREN NEED TO TRANSITION INTO ADULTHOOD. false false 3357953 1010 1340755 MEDICAL - THE MARYVILLE BEHAVIORAL HEALTH HOSPITAL FOR CHILDREN IS AN INPATIENT PSYCHIATRIC HOSPITAL PROGRAM DESIGNED FOR CHILDREN, ADOLESCENTS AND YOUNG ADULTS AGES 3-21, WHO ARE IN IMMEDIATE NEED OF PSYCHIATRIC STABILIZATION AND WHO ARE AT RISK OF HARMING THEMSELVES OR OTHERS. THIS PROGRAM WAS DISCONTINUED AND THE HOSPITAL FACILITY WAS SOLD. 13805411 238438 10770658 RESIDENTIAL - THERAPEUTIC TREATMENT FACILITIES FOR YOUTH WITH SEVERE MENTAL HEALTH, SUBSTANCE ABUSE, OR INTELLECTUAL DISABILITIES MARKED BY EMOTIONAL, BEHAVIORAL AND ACADEMIC PROBLEMS OR WHO HAVE BEEN VICTIMS OF ACUTE TRAUMA. THERE ARE UP TO 80 YOUTHS IN PLACEMENT AT ANY ONE TIME. 3255788 12 2783035 EDUCATIONAL - THE MARYVILLE JEN SCHOOL (GRADES 7 TO 12) SERVES UP TO 50 CHILDREN IN THE MARYVILLE RESIDENTIAL PROGRAMS AND STUDENTS FROM THE COMMUNITY WITH COMPLEX EMOTIONAL, BEHAVIORAL AND LEARNING DISABILITIES. THE SCHOOL STAFF USES HANDS-ON, ALTERNATIVES AND EXPERIENTAL TEACHING METHODS IN CONJUCTION WITH TRADITIONAL INSTRUCTION METHODS TO MAXIMIZE THE STUDENTS' POTENTIAL FOR SUCCESS. THE TEACHING STAFF COORDINATES WITH OUR THERAPEUTIC STAFF TO ENSURE THAT OUR STUDENTS MAKE ADVACEMENTS. 7876646 109054 6602442 SHELTER CARE PROGRAM: THE MADDEN SHELTER PROGRAM CARES FOR PARENTING, PREGNANT, AND OLDER ADOLESCENT YOUNG GIRLS AGES 14-20 WHO ARE AWAITING PERMANENT PLACEMENTS. SPECIALIZED PROGRAMS: THE MARYVILLE CRISIS NURSERY IS FOR FAMILIES WITH CHILDREN 0-6 YEARS OF AGE WHO ARE EXPERIENCING SOME TYPE OF CRISIS AND NEED EMERGENCY CHILD CARE FOR UP TO 72 HOURS. OUR SECOND SPECIALIZED PROGRAM, MARYVILLE CHILDREN'S HEALTHCARE CENTER, PROVIDES CARE FOR MEDICALLY FRAGILE CHILDREN WHO HAVE COMPLETED THE ACUTE PHASE OF THEIR CARE BUT NEED A HOSPITAL-TO-HOME TRANSITIONAL PROGRAM WHILE FAMILY MEMBERS LEARN TO CARE FOR THEM. THE PROGRAM ALSO OFFERS RESPITE CARE TO MEDICALLY FRAGILE CHILDREN FOR UP TO 14 DAYS. MARYVILLE ACADEMY'S COMMUNITY OUTREACH PROGRAMS INCLUDE A GOLF PROGRAM WHICH TEACHES LIFE LESSONS BY PROVIDING BASIC GOLF-SKILLS AND GOLF-RELATED VOCATIONAL TRAINING TO CHILDREN AND ADOLESCENTS THROUGH AGE TWENTY. MARYVILLE ALSO RUNS A CATHOLIC YOUTH ORGANIZATION (CYO) WHICH OFFERS ATHLETIC PROGRAMS FOR JUNIOR HIGH AND HIGH SCHOOL AGE YOUTHS LIVING IN THE CHICAGO METROPOLITAN AREA, FOCUSING ON ECONOMICALLY DISADVANTAGED COMMUNITIES WITHIN THAT AREA. 7876646 109054 6602442 28295798 true true false false false false false false true false true true false false true false true true false false true false false false true false true true false true true false false false false false false false false true false false false false true false false false true 62 0 true 634 true false false false false false true true false false false false false false X 20 20 true false false false false false true true true false false true true true true true true true true false IL X NORMAN JOYCE CO MARYVILLE ACADEMY 8472941944 1150 N RIVER ROAD DES PLAINES IL 60016 SR CATHERINE RYAN EXECUTIVE DI 68.00 X X 0 0 6477 JOHN POELKING COO 55.00 X X 142700 0 33389 CHERYL HEYDEN ASSOCIATE EX 40.00 X X 127554 0 19530 MSGR MICHAEL BOLAND DIRECTOR 1.00 X 0 69781 776 BISHOP GEORGE RASSAS DIRECTOR 1.00 X 0 47009 3885 RICHARD A DEVINE CHAIRPERSON 1.00 X X 0 0 0 DIANE C GERAGHTY VICE CHAIRPE 1.00 X X 0 0 0 RICK VELASQUEZ SECRETARY 1.00 X X 0 0 0 ANDREW R LOTTS CPA TREASURER 1.00 X X 0 0 0 GEORGE W ROURKE DIRECTOR 1.00 X 0 0 0 SEAN MADDEN DIRECTOR 1.00 X 0 0 0 MICHAEL P GOLDEN DIRECTOR 1.00 X 0 0 0 MICHAEL ROUKE DIRECTOR 1.00 X 0 0 0 SR DONNA MARIE WOLOWICKI CR DIRECTOR 1.00 X 0 0 0 DAVID A BONOMA DIRECTOR 1.00 X 0 0 0 AGNES PISZCZEK DIRECTOR 1.00 X 0 0 0 MELANIE M PETTWAY DIRECTOR 1.00 X 0 0 0 ELIZABETH GALLAGHER COOLIDGE DIRECTOR 1.00 X 0 0 0 LOUIS J GLUNZ PHD DIRECTOR 1.00 X 0 0 0 PATRICK G SHEA DIRECTOR 1.00 X 0 0 0 LAROMA WHITE DIRECTOR 1.00 X 0 0 0 BRIAN T MCCORMACK DIRECTOR 1.00 X 0 0 0 MICHAEL J MUNRO DIRECTOR 1.00 X 0 0 0 NORMAN BRYANT JOYCE CFO 55.00 X 134250 0 12072 SHIRAZ MAHMUD BUTT MEDICAL DIRE 50.00 X 317907 0 21014 MARTA BANEGAS SHIKARI PSYCHIATRIST 45.00 X 223669 0 0 MARK J FRIEDMAN PSYCHIATRIST 50.00 X 193117 0 39976 GIGI ACEVEDO CHIEF NURSE 45.00 X 191847 0 6664 JOSEPH NOVAK HOSPITAL CEO 50.00 X 250212 0 24140 1581256 116790 167923 19 false true false MCDERMOTT WILL & EMERY LLP LEGAL 351929 SCHUYLER ROCHE & CRISHAM LEGAL 251971 SHIFT WISE AUTOMATED SCHED 201938 DELOITTE & TOUCHE LLP ACCOUNTING 156512 FRANK M PAWLAK LEGAL 116264 5 123270 313721 1541319 143729 1978310 GOVERNMENT FEES 900099 18786538 18786538 INSURANCE & OTHER PROGRAM REV 900099 293216 293216 19079754 1973355 1973355 499249 499249 499249 499249 41636811 38506000 3130811 3130811 3130811 359676 123270 208802 150874 150874 OTHER INCOME 900099 332704 332704 OTHER INCOME/INSURANCE PROCEE 900099 94672 94672 THRIFT SHOP 900099 22041 22041 449417 27261770 19434499 5848961 349524 349524 428181 25845 402336 16654163 13676337 2710700 267126 672626 544250 118940 9436 2760341 2326875 393467 39999 1205859 967948 218203 19708 121800 9059 53275 59466 481423 210005 271418 166560 166560 245152 245152 753076 627321 119166 6589 14456 10004 2225 2227 360647 119542 108521 132584 2285423 1286214 976360 22849 351433 259942 87704 3787 90112 35847 53517 748 230553 230553 1236299 651264 584812 223 463159 417538 41722 3899 OTHER EXPENSES 2896011 5305838 -2507079 97252 DIETARY SUPPLIES 557716 532664 21238 3814 HFS ASSESSMENT 403056 403056 MEDICINE & DRUGS 224009 222180 1829 92907 83992 8915 33044486 28295798 4078981 669707 61756 61083 1918267 1605192 63330 32778 2509574 1977930 147600 156007 142372 34033548 27699012 6700803 6334536 42532664 47711939 21302048 24760908 5556391 2219413 80948440 84846151 6272268 4767321 123528 796253 16012302 14346812 22408098 19910386 X 57852649 64098204 687693 837561 58540342 64935765 80948440 84846151 -5782716 -3455365 15633504 X false true X true true true X 1443636 1977975 2103037 1743357 1978310 9246315 32688935 37056724 32744353 29950746 19434499 151875257 445851 353958 312617 325341 454348 1892115 34578422 39388657 35160007 32019444 21867157 163013687 163013687 2240555 2050565 2006777 1863421 2472604 10633922 2240555 2050565 2006777 1863421 2472604 10633922 36818977 41439222 37166784 33882865 24339761 173647609 0.93880 0.06000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 1176203 1176203 27379149 23604546 3774603 5347736 4001590 1346146 130460 92876 37584 6334536 CORPORATE BONDS 12361080 F US GOVERNMENT AGENCIES 11790279 F ASSET-BACKED SECURITIES 609549 F 24760908 ACCRUED POST RETIREMENT BENEFITS 13329530 ASSET RETIREMENT OBLIGATION 747240 OTHER LONG TERM LIABILITY 176598 OTHER LIABILITY 61083 SECURITY DEPOSIT 28084 UNCLAIMED PROPERTIES 4277 14346812 21025770 21025770 6236000 6236000 27261770 27617410 27617410 5427076 5427076 33044486 SCHEDULE D, PAGE 4, PART XI, LINE 4B INTEREST & DIVIDENDS 1,973,355 NET REAL INVESTMENT GAINS 3,129,511 GAIN ON SALE OF ASSETS 1,300 SPECIAL EVENT EXPENSES -208,802 INCOME FROM DISCONTINUED OPERATIONS (HOSPITAL) 1,340,755 OTHER -119 SCHEDULE D, PAGE 4, PART XII, LINE 4B EXPENSES FROM DISCONTINUED OPERATIONS (HOSPITAL) 3,357,953 SPECIAL EVENTS EXPENSE -208,802 OTHER -119 POST RETIREMENT CHANGES OTHER THAN NET PERIODIC BENEFIT CO 936,777 PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COST 1,341,267 SCHEDULE D, PAGE 4, PART XIII PART IV, LINE 1B-EXPLANATION FOR CUSTODIAL ASSETS MARYVILLE PROVIDES CERTAIN POST-RETIREMENT BENEFITS FOR QUALIFIED RETIRED EMPLOYEES. THE RETIRED EMPLOYEES DO NOT CONTRIBUTE TO THE COST OF THESE BENEFITS. THE OBLIGATIONS FOR THESE BENEFITS ARE FUNDED ON AN ANNUAL BASIS. THE ASSETS ARE SEGREGATED AND HELD IN SEPARATE LEGAL TRUSTS WHICH WERE AUDITED BY DELOITTE AS OF 6/30/2015. false false false false false false false GUARDIAN MEDALL 298584 61800 236784 89269 7500 22844 IPGA GOLF OUTIN 129083 50400 78683 49784 15562 3 55279 11070 44209 6706 17137 482946 123270 359676 145759 7500 55543 208802 150874 true true true X 1.700000000000 true X 2.100000000000 true true true false false 3357953 1340755 2017198 0.06100 3357953 1340755 2017198 0.06100 3357953 1340755 2017198 0.06100 true -13107 -13107 true true 1 1 MARYVILLE ACADEMY MARYVILLE BEHAVIORAL HEALTH HOSPITA 555 WILSON LANE DES PLAINES IL 60016 X X MARYVILLE ACADEMY 1 false false false false true X 210.000000000000 210.000000000000 X X true true X X X true X X true X true false X false false PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION MARYVILLE BEHAVIORAL HEALTH HOSPITAL USES THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGE OF THE SCHEDULE H INSTRUCTIONS. TOTAL EXPENSES WERE TAKEN FROM THE FISCAL 2015 AUDITED FINANCIAL STATEMENTS AND ADJUSTED FOR BAD DEBT RECOVERIES AND PROVIDER ASSESSMENTS. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY BAD DEBT EXPENSE IS RECORDED AT THE AMOUNT THAT THE PAYOR IS EXPECTED TO PAY, NET OF ANY DISCOUNTS. MARYVILLE BEHAVIORAL HEALTH HOSPITAL'S BAD DEBT EXPENSE RECOVERY WAS 13,107 THIS YEAR. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. PATIENTS ARE SENT UP TO THREE LETTERS AND IF NO RESPONSE IS RECEIVED, ADDITIONAL ATTEMPTS ARE MADE BY TELEPHONE. OUR STATEMENTS INCLUDE A NOTE THAT FINANCIAL ASSISTANCE IS AVAILABLE AND THIS INFORMATION IS ALSO COMMUNICATED TO THE PATIENT WHEN COLLECTION CALLS ARE MADE BY THE HOSPITAL BILLER. IF THE HOSPITAL IS UNSUCCESSFUL IN COLLECTING PAYMENT, THE ACCOUNT IS WRITTEN OFF AGAINST THE BAD DEBT ALLOWANCE. THE HOSPITAL DOES NOT USE A COLLECTION AGENCY OR PURSUE LEGAL ACTION AGAINST THE PATIENT. ALSO, THE HOSPITAL DOES NOT PURSUE COLLECTION EFFORTS FOR PATIENTS THAT ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. ADDITIONAL INFORMATION PART V, QUESTION 1 - NEEDS ASSESSMENT: MARYVILLE ACADEMY HAS NOT CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING THIS REPORTING PERIOD, AND DID NOT CONDUCT ONE DURING THE THREE IMMEDIATELY PRECEDING TAX YEARS. THIS DISCLOSURE WAS ALSO REPORTED LAST YEAR ON MARYVILLE ACADEMY'S IRS FORM 990 FOR FY 2014 (JULY 1, 2013 TO JUNE 30, 2014), WHICH WAS FILED ON MAY 14, 2015. UNDER SECTION 501(R) OF THE INTERNAL REVENUE CODE, MARYVILLE BEHAVIORAL HEALTH HOSPITAL'S ("HOSPITAL") DEADLINE FOR CONDUCTING ITS FIRST CHNA AND ADOPTING ITS FIRST IMPLEMENTATION STRATEGY WOULD HAVE BEEN JUNE 30, 2013. MARYVILLE ACADEMY DID OPERATE THIS SMALL, NOT-FOR-PROFIT BEHAVIORAL HEALTH HOSPITAL FOR CHILDREN AND ADOLESCENTS KNOWN AS MARYVILLE BEHAVIORAL HEALTH HOSPITAL ("HOSPITAL") DURING THIS REPORTING PERIOD, THE ASSETS OF WHICH IT SOLD ON NOVEMBER 3, 2014. MARYVILLE ACADEMY DOES NOT CURRENTLY OWN OR OPERATE A HOSPITAL. MARYVILLE'S DISCLOSURES & INVOLVEMENT IN COMMUNITY NEEDS ASSESSMENTS: 1.) AFFECTED RESIDENTS IN MARYVILLE HOSPITAL'S SERVICE AREA WERE NOT GREATLY IMPACTED, DUE TO MARYVILLE'S ACTIVE PARTICIPATION IN THE PRESENCE HEALTH - HOLY FAMILY MEDICAL CENTER CHNA, IN LARGELY THE SAME GEOGRAPHIC AREA. ALTHOUGH MARYVILLE ACADEMY DID NOT CONDUCT ITS OWN CHNA, IT HAS ACTIVELY PARTICIPATED IN A CHNA CONDUCTED BY PRESENCE HEALTH - HOLY FAMILY MEDICAL CENTER IN DES PLAINES, ILLINOIS. THE COMMUNITY AREAS COVERED BY THE PRESENCE HEALTH - HOLY FAMILY CHNA (THE CITY OF DES PLAINES, ILLINOIS AND UNINCORPORATED MAINE TOWNSHIP) SIGNIFICANTLY OVERLAP WITH THE SERVICE AREA SERVED BY MARYVILLE'S FORMER HOSPITAL. MARYVILLE'S HOSPITAL SERVED PATIENTS IN THE SAME ZIP CODES AND COMMUNITIES THAT HOLY FAMILY MEDICAL CENTER SERVES, ALTHOUGH MARYVILLE'S HOSPITAL ALSO PROVIDED TREATMENT FOR DCFS WARDS AND YOUTH FROM OTHER AREAS OF ILLINOIS. THREE MARYVILLE EMPLOYEES SERVED ON THE STEERING COMMITTEE AND CONTRIBUTED HUNDREDS OF HOURS TO THE PRESENCE HEALTH - HOLY FAMILY MEDICAL CENTER CHNA ("PRESENCE HEALTH CHNA"). CONSEQUENTLY, THE MENTAL HEALTH NEEDS AND OTHER HEALTH NEEDS OF THE SERVICE AREA SERVED BY THE HOSPITAL WERE IDENTIFIED THROUGH THE PRESENCE HEALTH CHNA. AS WILL BE EXPLAINED MORE FULLY BELOW, MARYVILLE WAS UNABLE TO DO ITS OWN CHNA BECAUSE OF ITS HOSPITAL'S SIGNIFICANT FINANCIAL LOSSES, THE LIMITED SIZE OF ITS STAFF, AND DUE TO THE FACT THAT MARYVILLE WAS IN THE PROCESS OF DECIDING WHETHER TO CLOSE AND/OR SELL THE ASSETS OF THE HOSPITAL. 2.) MARYVILLE TOOK REASONABLE AND APPROPRIATE CORRECTIVE MEASURES ONCE IT LEARNED OF THE NEED TO PERFORM A COMMUNITY NEEDS ASSESSMENT. MARYVILLE ADMINISTRATION FIRST LEARNED OF THE CHNA REQUIREMENT ON OCTOBER 2, 2013 AS IT WAS PERFORMING ITS DUE DILIGENCE FOR EITHER CLOSING OR SELLING THE HOSPITAL ASSETS. MARYVILLE WAS ADVISED BY ITS OUTSIDE LEGAL COUNSEL OF THE CHNA DEADLINE AND THE FACT THAT THIS REQUIREMENT APPLIED TO ALL HOSPITALS REGARDLESS OF SIZE AND WHETHER IT WAS A NOT FOR PROFIT ORGANIZATION. DURING THIS SAME TIME PERIOD, THE MARYVILLE BOARD WAS ALREADY DISCUSSING THE FUTURE OF THE HOSPITAL BECAUSE OF ITS LARGE FINANCIAL LOSSES. HISTORICALLY, THE HOSPITAL HAD STRUGGLED FINANCIALLY AND HAD ONLY MADE A PROFIT IN ONE YEAR SINCE IT WAS PURCHASED IN 1999. DURING FY 2013, THE HOSPITAL SUFFERED A 4.1 MILLION LOSS AND, AT THAT TIME, A 5.0 MILLION LOSS WAS BEING PROJECTED FOR FY 2014. THE ACTUAL LOSSES FOR FY2014 AND FY2015 WERE 6.5 MILLION AND 2.0 MILLION, RESPECTIVELY. ON MARCH 31, 2014, THE MARYVILLE ACADEMY BOARD OF DIRECTORS APPROVED THE FILING OF AN APPLICATION WITH THE ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD (IHFSRB), REQUESTING A PERMIT TO DISCONTINUE THE HOSPITAL'S OPERATIONS. AFTER PERMISSION WAS OBTAINED FROM THE IHFSRB, MARYVILLE HAD PLANNED TO CLOSE THE HOSPITAL BY JULY 15, 2014. IN PREPARATION FOR CLOSING THE HOSPITAL, IN MARCH OF 2014, 2 OF THE 4 PATIENT UNITS UNITS OF THE HOSPITAL WERE CLOSED. AT THE SAME TIME, THE AVERAGE PATIENT DAILY CENSUS WAS DECREASED, AVERAGING 6 TO 10 PATIENTS. (DURING IMMEDIATELY PRECEDING YEARS, THE AVERAGE DAILY CENSUS WAS 30 TO 40 PATIENTS.) IN JUNE 2014, 57 HOSPITAL EMPLOYEES WERE LAID OFF, AND 2 MORE EMPLOYEES WERE LAID OFF AT THE END OF JUNE. ON JUNE 15, 2014, 10 HOSPITAL EMPLOYEES TRANSFERRED TO OTHER MARYVILLE PROGRAMS. OVERALL, THE HOSPITAL'S STAFF WAS REDUCED FROM 154 TO 85, APPROXIMATELY A 45% REDUCTION. THE MANAGEMENT TEAM OF THE HOSPITAL WAS SIGNIFICANTLY REDUCED, WITH SUPERVISORS PERFORMING MULTIPLE ADMINISTRATIVE ROLES DURING THIS PLANNED CLOSING TIME PERIOD. AT THIS JUNCTURE, THE MARYVILLE ADMINISTRATION DECIDED IT WOULD BE A FUTILE ACT TO CONDUCT A CHNA KNOWING THAT IT WAS PLANNING TO CLOSE THE HOSPITAL. ON MAY 16, 2014, WHILE MARYVILLE'S APPLICATION TO CLOSE THE HOSPITAL WAS PENDING, US HEALTHVEST MADE AN OFFER TO PURCHASE THE ASSETS OF THE HOSPITAL, WHICH WAS ACCEPTED BY MARYVILLE. AN ASSET PURCHASE AGREEMENT WAS SIGNED BY THE PARTIES ON JULY 10, 2014. AFTER THIS AGREEMENT WAS SIGNED, MARYVILLE WITHDREW ITS APPLICATION TO CLOSE AND FILED AS A CO-APPLICANT WITH US HEALTHVEST TO TRANSFER THE ASSETS OF THE HOSPITAL TO THE PURCHASER. ON AUGUST 27, 2014, THE IHFSRB VOTED TO APPROVE THE TRANSFER OF THE HOSPITAL'S ASSETS TO THE PURCHASER. MARYVILLE ACADEMY COMPLETED THE SALE OF THE ASSETS OF THE HOSPITAL TO US HEALTHVEST'S ILLINOIS' CORPORATION, 2014 HEALTH LLC, DOING BUSINESS AS CHICAGO BEHAVIORAL HOSPITAL, ON NOVEMBER 3, 2014. MARYVILLE'S FAILURE TO CONDUCT A CHNA WAS DISCLOSED TO US HEALTHVEST IN THE DISCLOSURE SCHEDULES THAT WERE PART OF THE ASSET PURCHASE AGREEMENT AND ITS RELATED AMENDMENTS. 3.) MARYVILLE DISCLOSED THIS MISTAKE PROMPTLY AFTER DISCOVERY. THE FACT THAT MARYVILLE ACADEMY DID NOT CONDUCT A CHNA WAS DISCLOSED ON ITS FY 2013 AND FY2014 IRS 990 - SCHEDULE H TAX FILINGS. 4.) IMPLEMENTING SAFEGUARDS CONCERNING THIS NEW CHNA REQUIREMENT WOULD NOT HAVE BEEN HELPFUL OR NECESSARY, AS MARYVILLE HAS SOLD ITS HOSPITAL'S ASSETS. MARYVILLE ACADEMY MAINTAINS THAT IT WOULD NOT HAVE BEEN HELPFUL OR NECESSARY TO IMPLEMENT NEW SAFEGUARDS CONCERNING THIS NEW CHNA REQUIREMENT, AS IT HAS NOW SOLD THE HOSPITAL'S ASSETS AND WILL NOT OPERATE A HOSPITAL IN THE FUTURE. GIVEN THE FACT THAT MARYVILLE HAD BEEN IN THE PROCESS OF CONTEMPLATING EITHER THE CLOSURE OR SALE OF THE HOSPITAL DURING THE LATTER PART OF FY 2013 AND IN FY 2014, IT WAS REASONABLE NOT TO IMPLEMENT ANY NEW SAFEGUARDS RELATING TO CONDUCTING A CHNA. COMMUNITY INFORMATION: THE HOSPITAL SERVES THE GREATER CHICAGO METROPOLITAN AREA, INCLUDING BUT NOT LIMITED TO: WILL COUNTY, MCHENRY COUNTY, DUPAGE COUNTY, COOK COUNTY, LAKE COUNTY, AND WINNEBAGO COUNTY. APPROXIMATELY 90% OF THE PATIENTS SERVED HAVE MEDICAID. HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE: AS STATED ABOVE, 90% OF THE HOSPITAL'S PATIENTS USE MEDICAID AS THEIR PAYOR. OUR MEDICAID RATES ARE ESTABLISHED ANNUALLY BY THE ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES (HFS) AND THE SURPLUS GENERATED BY THE HOSPITAL, WHICH THERE WAS NONE, SAVE ONE YEAR, IS USED TO FUND OTHER SOCIAL SERVICES PROGRAMS OPERATED BY MARYVILLE ACADEMY. SOME OF THESE OTHER PROGRAMS ARE RESIDENTIAL PROGRAMS FOR: CHILDREN WITH INTELLECTUAL DISABILITIES/MENTAL ILLNESS; MENTAL ILLNESS/SUBSTANCE ABUSE; SOCIAL BEHAVIORAL DISORDERS; AND PREGNANT/PARENTING TEENS WITH MENTAL ILLNESS. OTHER PROGRAMS INCLUDE A CRISIS NURSERY (FREE TO THE PUBLIC) FOR FAMILIES NEEDING TEMPORARY SHELTER FOR CHILDREN UNDER SEVEN YEARS OF AGE DURING EMERGENCIES; A HOSPITAL-TO-HOME TRANSITIONAL PROGRAM FOR MEDICALLY- FRAGILE CHILDREN (ALL OF WHOM USE MEDICAID AS THEIR PAYOR); AND A SHELTER FOR TEENAGE GIRLS, MANY OF WHOM ARE PREGNANT OR PARENTING TEENS. ANOTHER COMMUNITY PROGRAM INCLUDES THE CATHOLIC YOUTH ORGANIZATION (CYO). THIS PROGRAM, SUBSIDIZED BY MARYVILLE ACADEMY, ALLOWS YOUTH NOT ON THEIR SCHOOL'S SPORTS TEAMS TO PARTICIPATE IN ORGANIZED GAMES. THE PROGRAM OPERATES IN SEVERAL ECONOMICALLY DISADVANTAGED COMMUNITIES WITHIN THE CHICAGO AREA. false OTHER ASSISTANCE TO YOUTH 84530 FMV BEAUTY/HYGIENE CLOTHING 245 71438 FMV CLOTHING YOUTH ENTERTAINMENT 245 42898 FMV TICKETS GIFTS 245 31837 FMV GIFTS HIGH SCHOOL SCHOLARSHIPS 12 44000 COLLEGE SCHOLARSHIPS 6 12587 YOUTH DUES AND FEES 245 2660 YOUTH ALLOWANCES 245 59574 SCHEDULE I, PAGE 4, PART IV PART I, LINE 2 - PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 HIGH SCHOOL AND COLLEGE STUDENTS ARE REQUIRED TO SUBMIT OFFICIAL STATEMENTS FROM THEIR RESPECTIVE SCHOOL FOR PAYMENT. STUDENTS ARE ALSO REQUIRED TO PRODUCE GRADES FOR EACH SCHOOL YEAR AS PROOF THAT THEY ARE IN ATTENDANCE. HIGH SCHOOL STUDENTS MUST HAVE A 2.0 GPA AT THE END OF EACH YEAR, COLLEGE STUDENTS AT THE END OF EACH SEMESTER. X X X X false false false false false false false false false JOHN POELKING COO 142700 9915 23474 176089 SHIRAZ MAHMUD BUTT MEDICAL DIRECTOR 317907 21014 338921 MARTA BANEGAS SHIKARI PSYCHIATRIST 223669 223669 MARK J FRIEDMAN PSYCHIATRIST 193117 13515 26461 233093 GIGI ACEVEDO CHIEF NURSE OFFICER 191847 6664 198511 JOSEPH NOVAK HOSPITAL CEO 250212 24140 274352 X 2700 COST/SELLING PRICE X 25323 COST/SELLING PRICE X 19 4345 COST/SELLING PRICE X 20 5750 COST/SELLING PRICE X GOLF/SPORTS EQ 27 15002 COST/SELLING PRICE X MISC 26 7899 COST/SELLING PRICE X TOYS 27 26697 COST/SELLING PRICE X PLAYGROUND 28 56013 COST/SELLING PRICE false true false FORM 990 - ORGANIZATION'S MISSION FORM - 990 ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES MARYVILLE ACADEMY IS ONE OF ILLINOIS' OLDEST CHILDCARE AGENCIES, BRINGING HOPE AND HEALING TO CHILDREN AND FAMILIES AT THEIR TIME OF GREATEST NEED FOR OVER 130 YEARS. TODAY OUR FULL RANGE OF RESIDENTIAL, HEALTHCARE, FAMILY SUPPORT, EDUCATIONAL, AND COMMUNITY DEVELOPMENT PROGRAMS HELP CHILDREN AND FAMILIES FIND HEALING, INNER STRENGTH AND HOPE FOR THE FUTURE. AT MARYVILLE ACADEMY, WE ARE DEDICATED TO PROVIDING CHILDREN AND FAMILIES THE TOOLS THEY NEED TO REACH THEIR FULLEST POTENTIAL. BECAUSE WE BELIEVE IN CHILDREN, OUR PROGRAMS FOCUS ON HEALTHY HOMES AND THE TOOLS OUR CHILDREN NEED TO TRANSITION INTO ADULTHOOD. FORM 990, PAGE 2, PART III, LINE 4D SHELTER CARE PROGRAM: THE MADDEN SHELTER PROGRAM CARES FOR PARENTING, PREGNANT, AND OLDER ADOLESCENT YOUNG GIRLS AGES 14-20 WHO ARE AWAITING PERMANENT PLACEMENTS. SPECIALIZED PROGRAMS: THE MARYVILLE CRISIS NURSERY IS FOR FAMILIES WITH CHILDREN 0-6 YEARS OF AGE WHO ARE EXPERIENCING SOME TYPE OF CRISIS AND NEED EMERGENCY CHILD CARE FOR UP TO 72 HOURS. OUR SECOND SPECIALIZED PROGRAM, MARYVILLE CHILDREN'S HEALTHCARE CENTER, PROVIDES CARE FOR MEDICALLY FRAGILE CHILDREN WHO HAVE COMPLETED THE ACUTE PHASE OF THEIR CARE BUT NEED A HOSPITAL-TO-HOME TRANSITIONAL PROGRAM WHILE FAMILY MEMBERS LEARN TO CARE FOR THEM. THE PROGRAM ALSO OFFERS RESPITE CARE TO MEDICALLY FRAGILE CHILDREN FOR UP TO 14 DAYS. MARYVILLE ACADEMY'S COMMUNITY OUTREACH PROGRAMS INCLUDE A GOLF PROGRAM WHICH TEACHES LIFE LESSONS BY PROVIDING BASIC GOLF-SKILLS AND GOLF-RELATED VOCATIONAL TRAINING TO CHILDREN AND ADOLESCENTS THROUGH AGE TWENTY. MARYVILLE ALSO RUNS A CATHOLIC YOUTH ORGANIZATION (CYO) WHICH OFFERS ATHLETIC PROGRAMS FOR JUNIOR HIGH AND HIGH SCHOOL AGE YOUTHS LIVING IN THE CHICAGO METROPOLITAN AREA, FOCUSING ON ECONOMICALLY DISADVANTAGED COMMUNITIES WITHIN THAT AREA. FORM 990, PAGE 6, PART VI, LINE 2 MICHAEL GOLDEN GEORGE W ROURKE DIRECTOR DIRECTOR SON-IN-LAW MICHAEL ROURKE GEORGE W ROURKE DIRECTOR DIRECTOR SON FORM 990, PAGE 6, PART VI, LINE 7B CERTAIN BY-LAWS AND APPOINTMENT OF BOARD MEMBERS AND THE EXECUTIVE DIRECTOR MUST BE APPROVED BY THE CATHOLIC BISHOP OF CHICAGO. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 WILL BE PRESENTED TO THE FINANCE COMMITTEE FOR INTERNAL REVIEW BEFORE THE FORM 990 IS PRESENTED TO THE ENTIRE BOARD FOR REVIEW PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C ANNUALLY, EACH MEMBER OF THE BOARD SIGNS A CONFLICT OF INTEREST STATEMENT AND THESE DOCUMENTS ARE HELD AT THE OFFICE OF OUR CORPORATE ATTORNEY. ALSO, IF THE ORGANIZATION INTENDS TO ENTER INTO ANY BUSINESS RELATIONSHIP WITH A BOARD MEMBER, THE PROPOSED BUSINESS RELATIONSHIP IS PRESENTED TO THE BOARD OF DIRECTORS AND THE POTENTIAL CONFLICT OF INTEREST IS FULLY DISCLOSED. IF THERE IS AN EMPLOYEE CONFLICT OF INTEREST, IT IS BROUGHT TO THE ATTENTION OF THE COMPLIANCE OFFICER AS NOTED IN THE MARYVILLE ACADEMY POLICY AND PROCEDURE MANUAL. FORM 990, PAGE 6, PART VI, LINE 15A IN PRIOR FISCAL YEARS, A SALARY SURVEY FOR A NUMBER OF EXECUTIVE POSITIONS THAT ACCOUNTED FOR COMPARABILITY DATA WAS UNDERTAKEN BY AN INDEPENDENT CONSULTANT ENGAGED BY MARYVILLE ACADEMY. THE RESULTS OF THE SURVEY WERE FORWARDED TO THE HUMAN RESOURCES COMMITTEE, FOR REVIEW IN DETERMINING THE COMPENSATION FOR EACH POSITION. THE SALARY RECOMMENDATIONS OF THE COMMITTEE WERE UTILIZED IN CONNECTION WITH THE ESTABLISHMENT OF THE ANNUAL BUDGET OF MARYVILLE ACADEMY FOR THE NEXT FISCAL YEAR. THE ANNUAL BUDGET, INCLUSIVE OF THE SALARY RESULTS, WAS PRESENTED TO THE MARYVILLE BOARD OF DIRECTORS FOR REVIEW AND RATIFICATION, SUBJECT TO ANY REVISIONS IT DEEMED APPROPRIATE. FORM 990, PAGE 6, PART VI, LINE 15B IN PRIOR FISCAL YEARS, A SALARY SURVEY FOR A NUMBER OF EXECUTIVE POSITIONS THAT ACCOUNTED FOR COMPARABILITY DATA WAS UNDERTAKEN BY AN INDEPENDENT CONSULTANT ENGAGED BY MARYVILLE ACADEMY. THE RESULTS OF THE SURVEY WERE FORWARDED TO THE HUMAN RESOURCES COMMITTEE, FOR REVIEW IN DETERMINING THE COMPENSATION FOR EACH POSITION. THE SALARY RECOMMENDATIONS OF THE COMMITTEE WERE UTILIZED IN CONNECTION WITH THE ESTABLISHMENT OF THE ANNUAL BUDGET OF MARYVILLE ACADEMY FOR THE NEXT FISCAL YEAR. THE ANNUAL BUDGET, INCLUSIVE OF THE SALARY RESULTS, WAS PRESENTED TO THE MARYVILLE BOARD OF DIRECTORS FOR REVIEW AND RATIFICATION, SUBJECT TO ANY REVISIONS IT DEEMED APPROPRIATE. FORM 990, PAGE 6, PART VI, LINE 19 MARYVILLE'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. ARCHDIOCESE OF CHICAGO 835 N RUSH ST CHICAGO IL 60611 N/A false false false false false false false false false false false false false false false false false false false false