Little Company of Mary Hospital Inc: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- Little Company of Mary Hospital Inc (EIN 36-2246719)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-05
- IRS object ID
- 201501259349301140
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-05T12:54:43-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | 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 | MCGLADREY LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S WACKER DRIVE STE 800 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362246719 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Little Company of Mary Hospital Inc | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | Evergreen Park | City |
| State | IL | State |
| ZIP Code | 60805 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Randy Ruther | PersonNm |
| Person Title | Assistant Treasurer and CFO | PersonTitleTxt |
| Phone | 3176817440 | PhoneNum |
| Signature | 2015-05-05 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Randy Ruther | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 West 95th Street | AddressLine1 |
| City | Evergreen Park | City |
| State | IL | State |
| ZIP Code | 60805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $432,532,297 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.lcmh.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1893 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 2284 | TotalEmployeeCnt |
| Total Volunteers | 702 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,672,233 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,256,250 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $186,086,105 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $198,452,448 | CYProgramServiceRevenueAmt |
| PY Investment Income | $24,254,973 | PYInvestmentIncomeAmt |
| CY Investment Income | $57,663,942 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,614,053 | PYOtherRevenueAmt |
| CY Other Revenue | $1,781,339 | CYOtherRevenueAmt |
| PY Total Revenue | $218,627,364 | PYTotalRevenueAmt |
| CY Total Revenue | $260,153,979 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $130,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $35,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $100,185,421 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $102,270,419 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $93,132,488 | PYOtherExpensesAmt |
| CY Other Expenses | $101,403,490 | CYOtherExpensesAmt |
| PY Total Expenses | $193,447,909 | PYTotalExpensesAmt |
| CY Total Expenses | $203,708,909 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $25,179,455 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $56,445,070 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $841,825,887 | TotalAssetsBOYAmt |
| Total Assets EOY | $931,780,083 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $339,221,182 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $335,281,753 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $502,604,705 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $596,498,330 | 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 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 | $157,974,097 | ExpenseAmt |
| Grant | $35,000 | GrantAmt |
| Revenue | $199,499,280 | RevenueAmt |
| Desc | Little Company of Mary Hospital operates 288 staffed beds in its hospital facilities. During fiscal year ended June 30, 2014, the Hospital admitted 12,882 patients and also had 4,092 observation cases. These admissions drove the 56,580 inpatient days the hospital had during the fiscal year. Furthermore, the Hospital provided its outpatients with 50,027 of equivalent patient days worth of care. Included in that 50,027 are emergency room visits of 46,816 along with various other outpatient visits. Some of the major service lines the Hospital offers are in the fields of cardiology, dermatology, endocrinology, GI medicine, hematology, infectious disease, medical trauma, neurology, oncology, pulmonary medicine, renal care, rheumatology, gynecology and obstetrics, behavioral health, cardiac surgery, cancer surgery, dental surgery, general surgery, GI surgery, neuro surgery, orthopedic surgery, trauma surgery, urology surgery, and vascular surgery. Little Company of Mary Hospital strives to offer excellent quality care. This can be seen in the many accreditations that it currently holds. Some of the accreditations are: -American College of Radiology Commission on Radiation Quality and Safety;-Baby Friendly Status from Baby Friendly USA;-Stroke Center Accredited by the Joint Commission on Accreditation of Healthcare Organizations;-Breast Health Center Accredited by the American College of Surgeons; -Bariatric Surgery Center of Excellence awarded by the American Society of Bariatric Surgery;-Gold Seal of Approval by the Joint Commission;-2014 Women's Choice award winner by America's Best Breast Centers;-Seal of Approval by the National Accreditation Program for Breast Centers;-Breast Imaging Center of Excellence by American College of Radiology;-American Diabetes Association recognizes the Hospital's diabetes center as meeting the national standards for diabetes self-management education;-Cancer Center has been recognized by the Commission on Cancer of the American College of Surgeons as offering the very best in cancer care;-Sleep Disorder Center accredited by American Academy of Sleep Medicine. | Desc |
| Total Program Service Expenses | $157,974,097 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 310 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2284 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7082295100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 West 95th Street | AddressLine1 |
| City | Evergreen Park | City |
| State | IL | State |
| ZIP Code | 60805 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Sister Kathleen McIntyre | |||||||||
| Chairperson | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Thomas Fahey | |||||||||
| Vice Chairperson | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Dennis Reilly | |||||||||
| President & CEO | 40.00 | 1.00 | Yes (X) | Yes (X) | $859,670 | $0 | $21,291 | ||
| Dennis Kelly | |||||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Sister Jean Stickney | |||||||||
| Secretary | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Randy Ruther | |||||||||
| Assistant Treasurer & CFO | 40.00 | 2.00 | Yes (X) | Yes (X) | $493,388 | $0 | $21,291 | ||
| Violet Clark | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Brian Farrell MD | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Patrick Folliard CPA | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John P Hanlon MD | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $30,000 | $0 | $0 | |||
| Joseph Pedota | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Daniel Rowan DO | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $37,869 | $0 | $0 | |||
| Robert Sheehy | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Janice Stewart | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jayanthi Ramadurai MD | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jay B Sterns | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sister Sharon Ann Walsh | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Schwartz MD | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $32,200 | $0 | $0 | |||
| Kent Armbruster MD | |||||||||
| Vice President of Medical Affairs | 40.00 | 1.00 | $271,266 | $0 | $15,907 | Yes (X) | |||
| Mary Freyer | |||||||||
| COO | 40.00 | 0.00 | $324,025 | $0 | $10,503 | Yes (X) | |||
| Ann Haskins | |||||||||
| VP of Physician Business Development | 40.00 | 1.00 | $298,888 | $0 | $10,303 | Yes (X) | |||
| Kevin Rehder | |||||||||
| VP Clinical Svcs. & Facilities Dvlp. | 40.00 | 0.00 | $214,038 | $0 | $21,291 | Yes (X) | |||
| Jane Sullivan RN | |||||||||
| CNO | 40.00 | 0.00 | $218,410 | $0 | $15,076 | Yes (X) | |||
| Colleen Rohan | |||||||||
| Director of Human Resources | 40.00 | 0.00 | $167,928 | $0 | $21,291 | Yes (X) | |||
| Gina Knox | |||||||||
| General Counsel | 40.00 | 0.00 | $160,134 | $0 | $16,434 | Yes (X) | |||
| Emuata U Bassey MD | |||||||||
| OB Hospitalist | 40.00 | 0.00 | $224,793 | $0 | $10,609 | Yes (X) | |||
| Richard J Lopez MD | |||||||||
| Physician | 40.00 | 0.00 | $152,824 | $0 | $11,231 | Yes (X) | |||
| Marilyn Daley | |||||||||
| Exec. Director Ambulatory Service | 40.00 | 0.00 | $159,754 | $0 | $18,967 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,645,187 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $194,194 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 47 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| University of Chicago Peds | |||||
| 5721 South Maryland Avenue K160 | Chicago | IL | 60637 | Pediatrics Hospitalists | $1,736,103 |
| Signature Healthcare Solutions | |||||
| 107 Forest Edge Drive | Palos Park | IL | 60464 | Hospitalist Services | $1,518,327 |
| Mayo Medical Laboratories | |||||
| PO Box 9146 | Minneapolis | MN | 55480 | Medical Laboratory Services | $921,666 |
| M & O Environmental | |||||
| PO Box 759 | Homewood | IL | 60430 | Asbestos Removal Service | $913,100 |
| Anderson Rasor & Partners LLP | |||||
| 100 South Wacker Drive Ste 1000 | Chicago | IL | 60606 | Legal Services | $772,645 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,949,000 | RelatedOrganizationsAmt |
| Government Grants | $40,665 | GovernmentGrantsAmt |
| All Other Contributions | $266,585 | AllOtherContributionsAmt |
| Total Contributions | $2,256,250 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Services | 621400 | $196,369,276 | $196,369,276 |
| Other Program Services | 621400 | $1,099,628 | $1,099,628 |
| Related Support Services | 900099 | $983,544 | $983,544 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $198,452,448 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,019,801 | TotalRevenueColumnAmt |
| Exclusion | $19,019,801 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $297,311 | 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 | $297,311 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $297,311 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $297,311 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $211,018,609 | SecuritiesAmt |
| Other | $3,850 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $172,280,931 | SecuritiesAmt |
| Other | $97,387 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $38,737,678 | SecuritiesAmt |
| Other | -$93,537 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,644,141 | TotalRevenueColumnAmt |
| Exclusion | $38,644,141 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Meaningful Use | 900099 | $749,521 | $749,521 | |
| Food Service Revenue | 900099 | $696,449 | $696,449 | |
| Vending | 900099 | $14,119 | $14,119 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,939 | TotalRevenueColumnAmt |
| Exclusion | $23,939 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,484,028 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $260,153,979 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $199,499,280 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $58,398,449 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,000 | TotalAmt |
| Program Services | $35,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,829,000 | TotalAmt |
| Program Services | $2,829,000 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,260 | TotalAmt |
| Program Services | $138,260 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,641,873 | TotalAmt |
| Program Services | $57,849,311 | ProgramServicesAmt |
| Management And General | $24,792,562 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,372,896 | TotalAmt |
| Program Services | $961,027 | ProgramServicesAmt |
| Management And General | $411,869 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,778,308 | TotalAmt |
| Program Services | $6,144,816 | ProgramServicesAmt |
| Management And General | $2,633,492 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,510,082 | TotalAmt |
| Program Services | $4,557,057 | ProgramServicesAmt |
| Management And General | $1,953,025 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,886 | TotalAmt |
| Program Services | $83,597 | ProgramServicesAmt |
| Management And General | $9,289 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,373 | TotalAmt |
| Program Services | $74,136 | ProgramServicesAmt |
| Management And General | $8,237 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,198,306 | TotalAmt |
| Program Services | $9,758,645 | ProgramServicesAmt |
| Management And General | $2,439,661 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $765,176 | TotalAmt |
| Program Services | $612,141 | ProgramServicesAmt |
| Management And General | $153,035 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,023,574 | TotalAmt |
| Program Services | $28,818,857 | ProgramServicesAmt |
| Management And General | $7,204,717 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,609,220 | TotalAmt |
| Program Services | $1,287,376 | ProgramServicesAmt |
| Management And General | $321,844 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,343,511 | TotalAmt |
| Program Services | $2,507,633 | ProgramServicesAmt |
| Management And General | $835,878 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,672 | TotalAmt |
| Program Services | $64,836 | ProgramServicesAmt |
| Management And General | $64,836 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,994 | TotalAmt |
| Program Services | $82,596 | ProgramServicesAmt |
| Management And General | $35,398 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,837,966 | TotalAmt |
| Program Services | $3,454,169 | ProgramServicesAmt |
| Management And General | $383,797 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,833,236 | TotalAmt |
| Program Services | $8,983,265 | ProgramServicesAmt |
| Management And General | $3,849,971 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $895,082 | TotalAmt |
| Program Services | $626,557 | ProgramServicesAmt |
| Management And General | $268,525 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| IL Medicaid Assessment | $12,771,046 | $12,771,046 | |
| Provision for Bad Debts | $10,220,817 | $10,220,817 | |
| Demolition Expense | $3,946,047 | $3,946,047 | |
| Linens | $1,369,072 | $1,232,165 | $136,907 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,167,512 | TotalAmt |
| Program Services | $935,743 | ProgramServicesAmt |
| Management And General | $231,769 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,708,909 | TotalAmt |
| Program Services | $157,974,097 | ProgramServicesAmt |
| Management And General | $45,734,812 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,658,133 | BOYAmt |
| EOY | $9,294,781 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,916,883 | BOYAmt |
| EOY | $27,476,872 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,987 | BOYAmt |
| EOY | $4,237 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,248,190 | BOYAmt |
| EOY | $1,140,735 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,006,611 | BOYAmt |
| EOY | $4,610,428 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $359,271,628 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $152,890,668 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,434,673 | BOYAmt |
| EOY | $206,380,960 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $583,481,818 | BOYAmt |
| EOY | $667,993,737 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,977,070 | BOYAmt |
| EOY | $14,541,925 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,077,522 | BOYAmt |
| EOY | $336,408 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $841,825,887 | BOYAmt |
| EOY | $931,780,083 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,165,110 | BOYAmt |
| EOY | $39,440,717 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,334,923 | BOYAmt |
| EOY | $184,782,254 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,721,149 | BOYAmt |
| EOY | $111,058,782 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,221,182 | BOYAmt |
| EOY | $335,281,753 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,087,852 | BOYAmt |
| EOY | $594,241,485 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,516,853 | BOYAmt |
| EOY | $2,256,845 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $502,604,705 | BOYAmt |
| EOY | $596,498,330 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $841,825,887 | BOYAmt |
| EOY | $931,780,083 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $56,445,070 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $30,063,027 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $7,385,528 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,650,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $68,188 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $68,188 | OtherExpendituresAmt |
| End Year Balance | $1,650,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,650,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $71,273 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $71,273 | OtherExpendituresAmt |
| End Year Balance | $1,650,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,650,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $132,935 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $132,935 | OtherExpendituresAmt |
| End Year Balance | $1,650,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,650,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $111,578 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $111,578 | OtherExpendituresAmt |
| End Year Balance | $1,650,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,650,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $46,183 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $46,183 | OtherExpendituresAmt |
| End Year Balance | $1,650,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,954,323 | OtherCostOrOtherBasisAmt |
| Book Value | $8,954,323 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $246,125,465 | OtherCostOrOtherBasisAmt |
| Depreciation | $83,701,086 | DepreciationAmt |
| Book Value | $162,424,379 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $93,617,747 | OtherCostOrOtherBasisAmt |
| Depreciation | $69,189,582 | DepreciationAmt |
| Book Value | $24,428,165 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,574,093 | OtherCostOrOtherBasisAmt |
| Book Value | $10,574,093 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $206,380,960 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Self-Insurance Reserve | $88,031,236 |
| Settlements Due to Third Party | $23,027,546 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $111,058,782 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The endowment funds are intended to be used for nursing scholarship opportunities for future employed nurses ($650,000) and for the Values, Vision, and Innovation Project ($1,000,000). |
| Part X, Line 2: | The Hospital has received a determination letter from the Internal Revenue Service stating that it is exempt from the payment of income taxes under Section 501(c)(3) of the Internal Revenue Code. The Hospital adopted the FASB-issued guidance for accounting for uncertainty in income taxes on July 1, 2007. The Hospital files a Form 990 (Return of Organization Exempt from Income Tax) annually. When these returns are 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 common to health systems include such matters as the following: the tax-exempt status of each entity, the continued tax-exempt status of bonds issued by the obligated group, the nature, characterization and taxability of joint venture income 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 consolidated 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% 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 accompanying consolidated balance sheets 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, 2014, there were no unrecognized tax benefits identified and recorded as a liability. Forms 990 and 990-T filed by the Hospital are subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Forms 990 and 990-T filed by the Hospital are no longer subject to examination for the years 2010 and prior. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,572,897 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,572,897 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02880 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,526,925 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,513,778 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,013,147 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04140 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,099,822 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,513,778 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,586,044 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07020 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,908,023 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,908,023 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00990 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,908,023 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,908,023 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00990 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,007,845 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,513,778 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,494,067 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,220,817 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $65,888,551 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $71,535,743 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,647,192 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Little Company of Mary Hospital Inc | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 West 95th Street | AddressLine1 |
| City | Evergreen Park | City |
| State | IL | State |
| ZIP Code | 60805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Little Company of Mary Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.lcmh.org | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | lcmh.healthforecast.net | OtherWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 600.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Little Company of Mary Hospital, Inc. | Part V, Section B, Line 3: As part of the Community Health NeedsAssessment, there were five Key Informant Focus Groups held in the region. These key informant focus groups allowed for input from persons with special knowledge of or expertise in public health, as well as others who represent the broad interests of the community served by the Hospital. Participants included 61 key informants in the region, including physicians, other health professionals, social service providers, business leaders and other community leaders.Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Participants included a representative of public health, as well as several individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions. Specific names/titles of those participating are available upon request. |
| Little Company of Mary Hospital, Inc. | Part V, Section B, Line 4: Edward Hospital; Swedish Covenant Hospital; Northwest Community Hospital; Ingalls Memorial Hospital; Little Company of Mary Hospital & Health Care Centers; St. Anthony Hospital; St. Bernard Hospital and Health Care Centers; Central DuPage Hospital; University of Illinois Medical Center at Chicago; Elmhurst Memorial Healthcare; Franciscan St. James Health - Chicago Heights; Thorek Memorial Hospital; Palos Community Hospital; Rush University Medical Center; Northwestern Memorial Hospital; Lake Forest Hospital; Adventist Hinsdale Hospital; University of Chicago Medical Center; Mercy Hospital and Medical Center; Adventist Glen Oaks Hospital; Jackson Park Hospital and Medical Center; Adventist LaGrange Memorial Hospital; La Rabida Children's Hospital; Norwegian American Hospital; Rush Oak Park; Vanguard Health Chicago (including: West Suburban Medical Center; Westlake Hospital; Weiss Hospital and MacNeal Hospital); Resurrection Health Care (including: Holy Family Medical Center; Our Lady of the Resurrection Medical Center; Resurrection Medical Center; Saint Francis Hospital; Saint Joseph Hospital and Saints Mary & Elizabeth Medical Center); Alexian Brothers Hospital Network (including: Alexian Brothers Behavioral Health Hospital; Alexian Brothers Medical Center; Alexian Brothers Rehabilitation Hospital and St. Alexius Medical Center). |
| Little Company of Mary Hospital, Inc. | Part V, Section B, Line 5d: The Community Health Needs Assessment is available to the public using the following URL: http://lcmh.healthforecast.net. HealthForecast.net is an interactive, dynamic tool designed to share CHNA data with community partners and the public at large.This site:- Informs readers that the CHNA Report is available and provides instructions for downloading it;- Offers the CHNA Report document in a format that, when accessed, downloaded, viewed, and printed in hard copy, exactly reproduces the image of the report;- Grants access to download, view, and print the document without special computer hardware or software required for that format (other than software that is readily available to members of the public without payment of any fee) and without payment of a fee to the hospital organization or facility or to another entity maintaining the website.Links to this dedicated healthForecast.net site are also made available at LCMH's website at: http://www.lcmh.org. LCMH will provide any individual requesting a copy of the written report with the direct website address, or URL, where the document can be accessed. LCMH will also maintain at its facilities a hardcopy of the CHNA report that may be viewed by any who request it. |
| Little Company of Mary Hospital, Inc. | Part V, Section B, Line 7: In acknowledging the wide range of priority health issues that emerged from the CHNA process, the Hospital determined that it could only effectively focus on those which it deemed most under-addressed, and most within its ability to influence. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| Homecare and Hospice Building | ||||
| 9800 S Southwest Highway | Oak Lawn | IL | 60453 | Home Care and Hospice |
| Halsted Building | ||||
| 736 West 95th Street | Chicago | IL | 60628 | Healthcare |
| Heritage Building | ||||
| 2800 West 87th Street | Chicago | IL | 60652 | Healthcare |
| Carestation East | ||||
| 5660 West 95th Street | Oak Lawn | IL | 60453 | Other Outpatient Center |
| Carestation West | ||||
| 6700 West 95th Street | Oak Lawn | IL | 60453 | Other Outpatient Center |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | The Hospital uses Federal Poverty Guidelines to determine eligibility for free or discounted care. |
| Part I, Line 6a: | The Hospital's community benefit report is prepared in a separate report presented by the organization. |
| Part I, Line 7: | The Hospital used the cost to charge ratio from the Medicare cost report (Worksheet C, Part 1). |
| Part I, Ln 7 Col(f): | Bad debt expense of $10,220,817 was included on Form 990, Part IX, Line 25, Column (A) but subtracted for purposes of calculating the community benefit percentage on Schedule H, Part I, Line 7, Column (f). |
| Part III, Line 3: | Information is not available to reasonably estimate the portion of bad debt expense attributable to patients eligible for financial assistance. |
| Part III, Line 4: | Patient receivables, where a third-party payer is responsible for paying the amount, are carried at a net amount determined by the original charge for the service provided, less an estimate made for contractual allowances or discounts provided to third-party payers. Patient accounts receivable are stated at net realizable value. The Hospital evaluates the collectability of its accounts receivable based on the length of time the receivable is outstanding, major payer sources of revenue, historical collection experience, and trends in health care insurance programs to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. For receivables associated with services provided to patients who have third-party payer coverage, the Hospital analyzes contractually due amounts and provides an allowance for uncollectible accounts and a provision for bad debts. For receivables for self-pay patients, the Hospital records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. These allowances are recorded on an estimated basis and are adjusted as needed in future periods. Accounts receivable are charged to the allowance for doubtful accounts when the accounts are deemed uncollectible. |
| Part III, Line 8: | The Hospital used the cost to charge ratio from the Medicare cost report (Worksheet C, Part 1). |
| Part III, Line 9b: | For patients who are classified as uninsured, the financial counselor will complete a financial evaluation worksheet to determine if the patient qualifies for a government assistance program. If not, the counselor will ascertain whether the patient is eligible under the Hospital's charity care policy. Also, for insured patients there will be no collection agency referral if the patient has requested a reasonable payment plan or requested financial assistance and is eligible under the Hospital's charity policy. |
| Part VI, Line 2: | Needs Assessment:The Hospital gathers information on the community's health needs from many sources including the following: 1) Internal records - These records provide a reliable source of timely information about what services are used by our community. Information is compiled and analyzed on many levels, including by major diagnostic category and diagnostic related group, to track changes in the community's utilization of health services. 2) Patient surveys - Results are reviewed and program, screening, and health lectures are added and modified based on this feedback from the community. 3) External data - The Hospital engages outside studies of services used by the community. 4) Physician input - Physicians are periodically surveyed to assess the healthcare services needed by their patients. In addition to surveys, physician input is gathered through the Medical Executive Committee and departmental meetings. Physicians also serve on the Hospital's Board of Directors, Strategic Planning Committee, Mission Committee and Performance Improvement Council. |
| Part VI, Line 3: | Patient Education of Eligibility for Assistance: At registration, patient's employment status or lack of basic insurance coverage will prompt the staff to offer a charity application. Notice of this charity assistance policy is posted in locations visible to the public including the emergency department, admission areas and the business office. Notices are available in general patient brochures, on the Hospital's website and on patient billing statements explaining how to apply for charity consideration. |
| Part VI, Line 4: | Community Information:The Hospital is located in Evergreen Park, Illinois and is just 20 minutes from downtown Chicago. The Hospital's primary service area includes many Chicago neighborhoods as well as the suburban communities of Oak Lawn and Hometown. Data was compiled by analysis of inpatient and outpatient discharges by ZIP code.Within the primary service area, approximately:41.7% is African American34.8% is White21.1% is Hispanic or Latino2.4% is Asian or Native American53.9% is Female17.3% is over 6523.5% is under 1834% speaks a language other than English at home59.8% own a homeMedian household income is $54,59816% is below the poverty rateThree other hospitals are located within the primary service area. |
| Part VI, Line 5: | Promotion of Community Health:The hospital currently has well over 60 separate programs to provide ongoing care to its target population, including:- Heart Failure Clinic offers education and extra time and medical attention- Wellness events- Health screenings- Physician-led community programs- Senior billing assistance- Mobile medical home visits by our staff physicians and nurses- Diabetes center and diabetes education and awareness community-led forums- Weight management programs for the community, hypnosis, and multiple physician presentations on nutrition- Smoking cessation classes and participation in the Great American Smokeout- Weekly healthy heart screenings throughout the year- Wakeup call screening (for strokes)- Monthly blood pressure screenings - Sponsorships/partnering or support services to local elementary and high schools, church parishes and local community service organizations.The Hospital furthers relationships with local townships, villages and schools by holding quarterly meetings with health service coordinators and by participating in collaborative health and wellness initiatives in its community through the Healthier Evergreen Committee by holding multiple meetings throughout the year.The majority of the Hospital's governing body is comprised of persons residing in and around the primary service area who are not employees or independent contractors (nor family members thereof) of the Hospital.The Hospital extends medical staff privileges to all qualified physicians in its community.The Hospital uses any surplus funds to fund operations, charity care, capital, and programs for the community. |
| Part VI, Line 6: | The Hospital communicates with the community to provide ongoing care to its target population by providing physician-led community programs, health fairs, and health events. LCM Affiliated Services promotes the health of the community by providing ambulatory services and employing physicians in a variety of specialties. The employed physicians see and treat patients from the community and are part of the health programs offered by the Hospital.LCM Foundation promotes the health of the community by supporting the Hospital. The Foundation collects donations which are used to fund the programs of the Hospital. |
| Part VI, Line 7, Reports Filed With States | IL |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Student Nursing Tuition | GrantTypeTxt |
| Recipient | 7 | RecipientCnt |
| Cash Grant | $35,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The hospital monitors use of grants in scholarships by following its policy. The Director of Human Resoures makes sure that each scholarship recipient adheres to the policy and the agreement that each recipient signed. Tuition payments are either made directly to the school or tuition receipts must be submitted to the Hospital. At the end of each semester, grade reports must be provided to the Hospital. Any deviation results in the recipient having to repay the grant to the hospital. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dennis Reilly | ||||||||||||||
| President & CEO | $554,126 | $0 | $300,000 | $0 | $5,544 | $0 | $5,100 | $0 | $16,191 | $0 | $880,961 | $0 | $0 | $0 |
| Randy Ruther | ||||||||||||||
| Assistant Treasurer & CFO | $380,874 | $0 | $110,000 | $0 | $2,514 | $0 | $5,100 | $0 | $16,191 | $0 | $514,679 | $0 | $0 | $0 |
| Kent Armbruster MD | ||||||||||||||
| Vice President of Medical Affairs | $250,360 | $0 | $15,000 | $0 | $5,906 | $0 | $5,100 | $0 | $10,807 | $0 | $287,173 | $0 | $0 | $0 |
| Mary Freyer | ||||||||||||||
| COO | $271,827 | $0 | $50,000 | $0 | $2,198 | $0 | $5,100 | $0 | $5,403 | $0 | $334,528 | $0 | $0 | $0 |
| Ann Haskins | ||||||||||||||
| VP of Physician Business Development | $264,435 | $0 | $32,000 | $0 | $2,453 | $0 | $5,100 | $0 | $5,203 | $0 | $309,191 | $0 | $0 | $0 |
| Kevin Rehder | ||||||||||||||
| VP Clinical Svcs. & Facilities Dvlp. | $179,465 | $0 | $34,000 | $0 | $573 | $0 | $5,100 | $0 | $16,191 | $0 | $235,329 | $0 | $0 | $0 |
| Jane Sullivan RN | ||||||||||||||
| CNO | $187,186 | $0 | $28,600 | $0 | $2,624 | $0 | $5,100 | $0 | $9,976 | $0 | $233,486 | $0 | $0 | $0 |
| Colleen Rohan | ||||||||||||||
| Director of Human Resources | $144,233 | $0 | $22,421 | $0 | $1,274 | $0 | $5,100 | $0 | $16,191 | $0 | $189,219 | $0 | $0 | $0 |
| Gina Knox | ||||||||||||||
| General Counsel | $156,515 | $0 | $3,025 | $0 | $594 | $0 | $3,228 | $0 | $13,206 | $0 | $176,568 | $0 | $0 | $0 |
| Emuata U Bassey MD | ||||||||||||||
| OB Hospitalist | $201,610 | $0 | $23,000 | $0 | $183 | $0 | $4,070 | $0 | $6,539 | $0 | $235,402 | $0 | $0 | $0 |
| Richard J Lopez MD | ||||||||||||||
| Physician | $152,651 | $0 | $0 | $0 | $173 | $0 | $3,100 | $0 | $8,131 | $0 | $164,055 | $0 | $0 | $0 |
| Marilyn Daley | ||||||||||||||
| Exec. Director Ambulatory Service | $148,434 | $0 | $10,000 | $0 | $1,320 | $0 | $2,566 | $0 | $16,401 | $0 | $178,721 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7 | FormAndLineReferenceDesc |
| Explanation | The Board of Directors exercises discretion over executive bonus payments. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Illinois Finance Authority | ||||||||
| A | 861091967 | 45200FFV6 | 2008-04-29 | $134,340,000 | See Part VI | 0 | 0 | 0 |
| Illinois Finance Authority | ||||||||
| B | 861091967 | 45200F6D6 | 2010-10-20 | $72,000,000 | See Part VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $21,640,000 | $134,483,633 | $704,492 | $25,000 | $13,730,097 | $120,024,044 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $71,229,134 | $618,241 | $70,610,893 | 2010 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule K, Part 1, Column F | FormAndLineReferenceDesc |
| Explanation | Bond A: The 4/29/2008 bonds were used to (I) refinance a bank loan; (II) pay expenses incurred with the issuance of the bonds and credit enhancements. On March 13, 2008 the Hospital entered into a revolving credit agreement with JP Morgan Chase Bank and applied proceeds of the term loan advanced thereunder to currently refund the series 1997B bonds, issued 11/20/1997, on March 13, 2008 and the series 2007 bonds, issued 8/16/2007 on April 1, 2008. Proceeds of $120,024,044 from the bonds were used to refund the bank loan. Bond B: The proceeds of the series 2010 bonds, were used to (I) construct and equip a new, approximately 295,000 square foot pavilion (II) modernize 40,000 square feet in the corporation's two oldest buildings that provide patient care (built in 1956 and 1984, and (III) following completion of the demolition of the tower building, build-out a structural link between the North Pavilion and the West Pavilion, and construct and landscape the east entry of the West Pavilion. The project also includes the construction of the area's first comprehensive women's health center (The Women's Center for Life and Health). | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Mary Coners | |||
| Family Member of Dennis Reilly | $69,825 | Employment | 0 |
| Elizabeth Freyer | |||
| Family Member of Mary Freyer | $52,504 | Employment | 0 |
| Timothy Ruther | |||
| Family Member of Randy Ruther | $15,931 | Employment | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | American Province of The Little Company of Mary Sisters, Inc. is the sole corporate member and is an Illinois not-for-profit corporation whose purpose is to represent the interest of the congregation of Little Company of Mary Sisters. |
| Form 990, Part VI, Section A, line 7a | American Province of The Little Company of Mary has the power to appoint members of the governing body. |
| Form 990, Part VI, Section A, line 7b | The sole corporate members retain reserved powers to approve, among other things, the Hospital's 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 11 | Form 990 is reviewed by the accounting manager and CFO prior to filing. |
| 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 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 of 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 disclosure 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 15a | The Board Executive Committee annually reviews external benchmark compensation drafts and determines compensation adjustments based on market data and internal performance results for the CEO, CFO, and COO positions. The organization 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. For other top management positions, the compensation committee is comprised of the 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 Asset Transfer -5,283,658. Pension-Related Changes 13,385,444. Net Assets Released From Restriction -716,258. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Little Company of Mary Health Systems | |||||||||||
| 2800 West 95th Street | Evergreen Park | IL | 60805 | 363823627 | Health Services | IL | 501(c)(3) | Line 1 | American Pronvince | 0 | |
| Little Company of Mary Affiliated Services | |||||||||||
| 2800 West 95th Street | Evergreen Park | IL | 60805 | 363383867 | Health Services | IL | 501(c)(3) | Line 7 | Little Company of Mary Health Systems | 0 | |
| Little Company of Mary Foundation | |||||||||||
| 2800 West 95th Street | Evergreen Park | IL | 60805 | 363993337 | Support Organization | IL | 501(c)(3) | Line 11a, I | Little Company of Mary Hopsital | 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 Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Durable Medical Equipment Center | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 West 95th Street | AddressLine1 |
| City | Evergreen Park | City |
| State | IL | State |
| ZIP Code | 60805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363511877 | EIN |
| Primary Activities | Durable Goods | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Little Company of Mary | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Excluded | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Southwest Health Systems Inc Little Co of Mary Health Providers | |||||||||||
| 2800 West 95th Street | Evergreen Park | IL | 60805 | 363425830 | Managed Care | IL | Little Company of Mary Hospital | C | $2,290,597 | 1.00000 | Yes (1) |
| Mary Cap Insurance Inc | |||||||||||
| 76 St Paul Street Ste 500 | Burlington | VT | 05401 | 030304812 | Captive Insurance | VT | Little Company of Mary Hospital | C | $3,186,038 | 1.00000 | Yes (1) |
| 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 | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Little Company of Mary Foundation | ||
| C | $1,899,000 | FMV |
| Little Company of Mary Foundation | ||
| Q | $1,239,041 | FMV |
| Durable Medical Equipment Center | ||
| Q | $740,471 | FMV |
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