Little Company of Mary Hospital Inc: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- Little Company of Mary Hospital Inc (EIN 36-2246719)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-02-24
- IRS object ID
- 201400559349300420
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-02-24T14:12:00-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362246719 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Little Company of Mary Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LITT | NameControl |
| Phone | 7082295111 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Randy Ruther | Name |
| Title | Assistant Treasurer and CFO | Title |
| Phone | 3176817440 | Phone |
| Date Signed | 2014-02-24 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Zack Fortsch | Name |
| PTIN | P00052725 | PTIN |
| Phone | 3126343400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Randy Ruther | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 318030954 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.lcmh.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1893 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2274 | TotalNbrEmployees |
| Total Nbr Volunteers | 626 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1209250 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3672233 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 174269144 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 186086105 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 13951194 | InvestmentIncomePriorYear |
| Investment Income Current Year | 24254973 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 185429 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4614053 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 189615017 | TotalRevenuePriorYear |
| Total Revenue Current Year | 218627364 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 135000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 130000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 98271163 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 100185421 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 81395970 | OtherExpensePriorYear |
| Other Expenses Current Year | 93132488 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 179802133 | TotalExpensesPriorYear |
| Total Expenses Current Year | 193447909 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 9812884 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 25179455 | RevenuesLessExpensesCY |
| Total Assets BOY | 784109483 | TotalAssetsBOY |
| Total Assets EOY | 841825887 | TotalAssetsEOY |
| Total Liabilities BOY | 353379641 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 339221182 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 430729842 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 502604705 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 146860146 | Expense |
| Grants | 130000 | Grants |
| Revenue | 189952171 | Revenue |
| Description | Little Company of Mary Hospital operates 291 staff beds in its hospital facilities. During fiscal year ended June 30, 2013, the Hospital admitted 12,428 patients and also had 4,219 observation cases. These admissions drove the 54,328 inpatient days the hospital had during the period. Futhermore, the Hospital provided its outpatients with 48,752 of equivalent patient days' worth of care. Included in the 48,752 equivalent days are 46,503 emergency room vistits, 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, surgery, and vascular surgery. Little Company of Mary Hospital strives to offer excellent quality care. Numerous accreditations were awarded during the fiscal year to the Hospital, including 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, and a Bariatric Surgery Center of Excellence awarded by the American Society of Bariatric Surgery. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | 0 | Revenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 146860146 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 229 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2274 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Walter Furtner | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7082295100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 W 95th Street | AddressLine1 |
| City | Evergreen Park | City |
| State | IL | State |
| ZIP Code | 60805 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Sister Kathleen McIntyre | ||||||||
| Chairperson | 1.00 | X | X | 0 | 0 | 0 | ||
| Thomas Fahey | ||||||||
| Vice Chairperson | 1.00 | X | X | 0 | 0 | 0 | ||
| Dennis Reilly | ||||||||
| President & CEO | 40.00 | X | X | 797549 | 0 | 44841 | ||
| Dennis Kelly | ||||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 | ||
| Sister Jean Stickney | ||||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | ||
| Randy Ruther | ||||||||
| Assistant Treasurer & CFO | 40.00 | X | X | 476015 | 0 | 41475 | ||
| Violet Clark | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Brian Farrell MD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Patrick Folliard CPA | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| John P Hanlon MD | ||||||||
| Director | 1.00 | X | 24500 | 0 | 0 | |||
| Joseph Pedota | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Daniel Rowan DO | ||||||||
| Director | 1.00 | X | 36855 | 0 | 0 | |||
| Robert Sheehy | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Janice Stewart | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Jayanthi Ramadurai MD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Jay B Sterns | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Sister Sharon Ann Walsh | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Michael Thomas DO | ||||||||
| President of Medical Staff | 1.00 | X | 36667 | 0 | 0 | |||
| Kent Armbruster MD | ||||||||
| Vice President Medical Affairs | 40.00 | 260990 | 0 | 10908 | X | |||
| Mary Freyer | ||||||||
| COO | 40.00 | 312257 | 0 | 33990 | X | |||
| Ann Haskins | ||||||||
| VP of Physician Business Development | 40.00 | 285265 | 0 | 29419 | X | |||
| Kevin Rehder | ||||||||
| VP Clinical Services | 40.00 | 205975 | 0 | 24001 | X | |||
| Jane Sullivan RN | ||||||||
| CNO | 40.00 | 207394 | 0 | 18051 | X | |||
| Colleen Rohan | ||||||||
| Director of Human Resources | 40.00 | 162469 | 0 | 31249 | X | |||
| Gina Knox | ||||||||
| General Counsel | 40.00 | 129269 | 0 | 6785 | X | |||
| Vincent Cesaro | ||||||||
| Director Physical Therapy | 40.00 | 125647 | 0 | 6206 | X | |||
| Emuata Ufok Bassey MD | ||||||||
| OB Hospitalist | 40.00 | 229163 | 0 | 6777 | X | |||
| Marilyn Daley | ||||||||
| Executive Director Ambulatory Services | 40.00 | 132189 | 0 | 9510 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3422204 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 263212 | TotalOtherCompensation |
| Number Individuals GT100 K | 32 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| University of Chicago Peds | |||||
| 5721 South Maryland Avenue K160 | Chicago | IL | 60637 | Pediatrics Hospitalists | 2177829 |
| Signature Healthcare Solutions | |||||
| 107 Forest Edge Drive | Palos Park | IL | 60464 | Hospitalist Services | 1319603 |
| Mayo Medical Laboratories | |||||
| PO Box 9146 | Minneapolis | MN | 55480 | Medical Laboratory Services | 912877 |
| Anderson Rasor and Partners | |||||
| 100 South Wacker Drive Suite 1000 | Chicago | IL | 60606 | Legal Services | 735002 |
| Evergreeen Emergency Services | |||||
| PO Box 428080 | Evergreen Park | IL | 60805 | Emergency Room Staffing | 582122 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 19 | NumberOfContractorsGT100K |
| Related Organizations | 3160000 | RelatedOrganizations |
| All Other Contributions | 512233 | AllOtherContributions |
| Total Contributions | 3672233 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Services | 621400 | 183925145 | 183925145 |
| Other Program Services | 621400 | 1321796 | 1321796 |
| Related Support Services | 900099 | 839164 | 839164 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 186086105 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19653271 | TotalRevenueColumn |
| Exclusion | $19,653,271 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 300980 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 22257 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 278723 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 278723 | TotalRevenueColumn |
| Related Or Exempt Function Income | 278723 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 103922924 | Securities |
| Other | 60111 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 99260892 | Securities |
| Other | 120441 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4662032 | Securities |
| Other | -60330 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4601702 | TotalRevenueColumn |
| Exclusion | $4,601,702 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Meaningful Use | 900099 | 3587343 | 3587343 | |
| Food Service Revenue | 900099 | 719869 | $719,869 | |
| Vending | 900099 | 14635 | $14,635 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13483 | TotalRevenueColumn |
| Exclusion | $13,483 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4335330 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 218627364 | TotalRevenueColumn |
| Related Or Exempt Function Income | 189952171 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $25,002,960 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130000 | Total |
| Program Services | 130000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2889448 | Total |
| Program Services | 2889448 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 118093 | Total |
| Program Services | 118093 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80076242 | Total |
| Program Services | 56053369 | ProgramServices |
| Management And General | 24022873 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2470147 | Total |
| Program Services | 1729103 | ProgramServices |
| Management And General | 741044 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7670122 | Total |
| Program Services | 5369085 | ProgramServices |
| Management And General | 2301037 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6961369 | Total |
| Program Services | 4872958 | ProgramServices |
| Management And General | 2088411 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10350 | Total |
| Program Services | 8280 | ProgramServices |
| Management And General | 2070 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102441 | Total |
| Program Services | 10244 | ProgramServices |
| Management And General | 92197 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80000 | Total |
| Management And General | 80000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13650203 | Total |
| Program Services | 10920162 | ProgramServices |
| Management And General | 2730041 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 745748 | Total |
| Program Services | 596598 | ProgramServices |
| Management And General | 149150 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33205639 | Total |
| Program Services | 26564511 | ProgramServices |
| Management And General | 6641128 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1468218 | Total |
| Program Services | 1174574 | ProgramServices |
| Management And General | 293644 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3390005 | Total |
| Program Services | 2542504 | ProgramServices |
| Management And General | 847501 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123452 | Total |
| Program Services | 61726 | ProgramServices |
| Management And General | 61726 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 185184 | Total |
| Program Services | 129629 | ProgramServices |
| Management And General | 55555 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4009702 | Total |
| Program Services | 3608732 | ProgramServices |
| Management And General | 400970 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15502117 | Total |
| Program Services | 10851482 | ProgramServices |
| Management And General | 4650635 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3792998 | Total |
| Program Services | 2655099 | ProgramServices |
| Management And General | 1137899 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| IL Medicaid Assessment | 8252148 | 8252148 | |
| Provision for Bad Debt | 6280475 | 6280475 | |
| Linens | 1406746 | 1266071 | 140675 |
| Demolition Expense | 461764 | 461764 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 465298 | Total |
| Program Services | 314091 | ProgramServices |
| Management And General | 151207 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193447909 | Total |
| Program Services | 146860146 | ProgramServices |
| Management And General | 46587763 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6839744 | BOY |
| EOY | 7658133 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22808571 | BOY |
| EOY | 23916883 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66571 | BOY |
| EOY | 24987 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1371204 | BOY |
| EOY | 1248190 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3930785 | BOY |
| EOY | 7006611 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 390762851 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 187328178 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 175914101 | BOY |
| EOY | 203434673 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 558313970 | BOY |
| EOY | 583481818 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12007798 | BOY |
| EOY | 13977070 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2856739 | BOY |
| EOY | 1077522 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 784109483 | BOY |
| EOY | 841825887 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37471353 | BOY |
| EOY | 37165110 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192012240 | BOY |
| EOY | 188334923 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123896048 | BOY |
| EOY | 113721149 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 353379641 | BOY |
| EOY | 339221182 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 430057513 | BOY |
| EOY | 500087852 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 672329 | BOY |
| EOY | 2516853 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 430729842 | BOY |
| EOY | 502604705 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 784109483 | BOY |
| EOY | 841825887 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 25179455 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 33495787 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 13199621 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1650000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 71273 | InvestmentEarningsOrLosses |
| Other Expenditures | 71273 | OtherExpenditures |
| End Of Year Balance | 1650000 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1650000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 132935 | InvestmentEarningsOrLosses |
| Other Expenditures | 132935 | OtherExpenditures |
| End Of Year Balance | 1650000 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1650000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 111578 | InvestmentEarningsOrLosses |
| Other Expenditures | 111578 | OtherExpenditures |
| End Of Year Balance | 1650000 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1650000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 46183 | InvestmentEarningsOrLosses |
| Other Expenditures | 46183 | OtherExpenditures |
| End Of Year Balance | 1650000 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8954323 | OtherCostOrOtherBasis |
| Book Value | 8954323 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 281395738 | OtherCostOrOtherBasis |
| Depreciation | 121607488 | Depreciation |
| Book Value | 159788250 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 91566669 | OtherCostOrOtherBasis |
| Depreciation | 65720690 | Depreciation |
| Book Value | 25845979 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8846121 | OtherCostOrOtherBasis |
| Book Value | 8846121 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 203434673 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Self-insurance Reserve | $89,583,630 |
| Settlements Due to Third Party | $24,137,519 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 113721149 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | 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). |
| Description of Uncertain Tax Positions Under FIN 48: | 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 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 urelated 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, 2013, 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 2009 and prior. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 600.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7144950 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7144950 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03820 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 21213477 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11581915 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9631562 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05150 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28358427 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11581915 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16776512 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08970 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1692827 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1692827 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00900 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1692827 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1692827 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00900 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30051254 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11581915 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18469339 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09870 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $6,280,475 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 64793361 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 70585132 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5791771 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Little Company of Mary Hospital Inc | BusinessNameLine1 |
Address Address
| 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 | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
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) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 600.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 600.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Homecare and Hospice Building | ||||
| 9800 S Southwest Highway | Oak Lawn | IL | 60453 | Home Care and Hospice |
| Halsted Building | ||||
| 736 W 95TH Street | Chicago | IL | 60628 | Healthcare |
| Heritage Building | ||||
| 2800 W 87th Street | Chicago | IL | 60652 | Healthcare |
| Carestation East | ||||
| 5660 West 9th Street | Oak Lawn | IL | 60453 | Other Outpatient Center |
| Carestation West | ||||
| 6700 West 95th Street | Oak Lawn | IL | 60453 | Other Outpatient Center |
Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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, L7 Col(f): Bad debt expense of $6,280,475 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 4: Patient receivables, where a third-party payor 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 payors. Patient accounts receivable are stated at net realizable value. The hospital evaluates the collectibility of its accounts receivable based on the length of time the receivable is outstanding, major payor 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 payor 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.Information is not available to reasonably estimate the portion of bad debt expense attributable to patients eligible for financial assistance. | ||
| 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 V, Section B, Line 3: As part of the Community Health Needs Assessment, 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 Regional Hospital Medical Center. 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: Metropolitan Chicago Healthcare Council; 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 GlenOaks 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 5c: The Community Health Needs Assessment is available to the public using the following URL: http://rhmc.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. | Little Company of Mary Hospital Inc. | |
| 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:- 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 priveleges to all qualified physicians in its community.The Hospital uses any surplus funds to fund operations, chairty 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. | ||
| IL | Reports Filed With States | Part VI, Line 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Student Nursing Tuition | TypeOfGrant |
| Number Of Recipients | 12 | NumberOfRecipients |
| Amount Of Cash Grant | 130000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: The Hospital monitors use of grants in scholarships by following its policy. The Director of Human Resources 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dennis Reilly | ||||||||||||||
| President & CEO | 538937 | 0 | 255000 | 0 | 3612 | 0 | 28602 | 0 | 16239 | 0 | 842390 | 0 | 0 | 0 |
| Randy Ruther | ||||||||||||||
| Assistant Treasurer & CFO | 371638 | 0 | 102500 | 0 | 1877 | 0 | 25167 | 0 | 16308 | 0 | 517490 | 0 | 0 | 0 |
| Kent Armbruster MD | ||||||||||||||
| Vice President Medical Affairs | 243066 | 0 | 15000 | 0 | 2924 | 0 | 0 | 0 | 10908 | 0 | 271898 | 0 | 0 | 0 |
| Mary Freyer | ||||||||||||||
| COO | 265223 | 0 | 45000 | 0 | 2034 | 0 | 28502 | 0 | 5488 | 0 | 346247 | 0 | 0 | 0 |
| Ann Haskins | ||||||||||||||
| VP of Physician Business Development | 257883 | 0 | 25000 | 0 | 2382 | 0 | 24196 | 0 | 5223 | 0 | 314684 | 0 | 0 | 0 |
| Kevin Rehder | ||||||||||||||
| VP Clinical Services | 175452 | 0 | 30000 | 0 | 523 | 0 | 7762 | 0 | 16239 | 0 | 229976 | 0 | 0 | 0 |
| Jane Sullivan RN | ||||||||||||||
| CNO | 182648 | 0 | 22210 | 0 | 2536 | 0 | 7212 | 0 | 10839 | 0 | 225445 | 0 | 0 | 0 |
| Colleen Rohan | ||||||||||||||
| Director of Human Resources | 139462 | 0 | 21768 | 0 | 1239 | 0 | 15010 | 0 | 16239 | 0 | 193718 | 0 | 0 | 0 |
| Emuata Ufok Bassey MD | ||||||||||||||
| OB Hospitalist | 204975 | 0 | 24000 | 0 | 188 | 0 | 0 | 0 | 6777 | 0 | 235940 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 7 | ReturnReference |
| Explanation | The Board of Directors exercises discretion over executive bonus payments. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Illinois Finance Authority | ||||||||
| A | 861091967 | 45200FFV6 | 2008-04-29 | 134340000 | See Part VI | 0 | 0 | 0 |
| Illinois Finance Authority | ||||||||
| B | 861091967 | 45200F6D6 | 2010-10-20 | 72000000 | See Part VI | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 17585000 | 134483633 | 704492 | 25000 | 13730097 | 120024044 | 2008 | 1 | 0 | 1 | 1 |
| B | 71229134 | 618241 | 70610893 | 2010 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Schedule K, Part 1, Column F | Identifier |
| Return Reference | Description of Purpose | ReturnReference |
| 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). | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Mary Coners | |||
| Family Member of Dennis Reilly | 71546 | Employment | 0 |
| Elizabeth Freyer | |||
| Family Member of Mary Freyer | 46547 | Employment | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 member retains 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 or deliberations with respect to such contract or transaction. Such person may not be counted in determining the existence of a quorum at any meeting where the contract of 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 15 | 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 -3,906,380. Pension-Related Changes 18,083,710. Net Assets Released from Restriction -977,709. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Little Co of Mary Health Systems | |||||||||||
| 2800 West 95th Street | Evergreen Park | IL | 60805 | 363823627 | Health Services | IL | 501(c)(3) | Line 1 | American Province | 0 | |
| Little Co 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 | 0 | |
| Little Co 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 Hospital | 0 | |
| American Province of the Little Company of Mary Sisters | |||||||||||
| 2800 West 95th Street | Evergreen Park | IL | 60805 | 237294648 | Religious | IL | 501(c)(3) | Line 1 | 0 | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Durable Medical Equipment Center | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 West 9th Street | AddressLine1 |
| City | Evergreen Park | City |
| State | IL | State |
| ZIP Code | 60805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363511877 | EIN |
| Primary Activity | Durable Goods | PrimaryActivity |
| Legal Domicile State | IL | LegalDomicileState |
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 | PredominantIncomeType |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| Little Company of Mary Health Providers | |||||||||
| 2800 West 95th Street | Evergreen Park | IL | 60805 | 363425870 | Managed Care | IL | Little Company of Mary Hospital | C | 0 |
| Little Company of Mary Captive Insurance | |||||||||
| 76 St Paul Street Suite 500 | Burlington | VA | 05401 | 030304812 | Captive Insurance | VA | Little Company of Mary Hospital | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Little Company of Mary Foundation | ||
| C | 1160000 | FMV |
| Little Company of Mary Foundation | ||
| Q | 1199263 | FMV |
| Durable Medical Equipment Center | ||
| Q | 851257 | FMV |
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