ROSELAND COMMUNITY HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ROSELAND COMMUNITY HOSPITAL (EIN 36-1703630)
- Tax period
- 2010-04-01 to 2011-03-31
- Filed
- 2013-06-04
- IRS object ID
- 201301559349300620
- Schema version
- 2010v3.4
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-06-04T13:38:21-05:00 | Timestamp |
| Tax Period End Date | 2011-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 361703630 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Roseland Community Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ROSE | NameControl |
| Phone | 7739953000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 West 111th Street | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60628 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Dian Powell | Name |
| Title | Chair | Title |
| Phone | 7739953000 | Phone |
| Date Signed | 2013-06-04 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Wayne Harder | Name |
| Phone | 3126343400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Dian Powell | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 West 111th Street | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60628 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 75213333 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.roselandhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1924 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | Short-term general acute care hospital, ER, and community clinic. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 653 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 577065 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 482861 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 74202841 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 74152475 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 18950 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3769 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1380494 | OtherRevenuePriorYear |
| Other Revenue Current Year | 574228 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 76179350 | TotalRevenuePriorYear |
| Total Revenue Current Year | 75213333 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 25739546 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 26920808 | 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 | 44527517 | OtherExpensePriorYear |
| Other Expenses Current Year | 53242217 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 70267063 | TotalExpensesPriorYear |
| Total Expenses Current Year | 80163025 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5912287 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4949692 | RevenuesLessExpensesCY |
| Total Assets BOY | 35425765 | TotalAssetsBOY |
| Total Assets EOY | 34463717 | TotalAssetsEOY |
| Total Liabilities BOY | 22944398 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 26932042 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12481367 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7531675 | NetAssetsOrFundBalancesEOY |
| Mission Description | Provides general health care services to residents within the Pullman, Riverdale, and Roseland neighborhoods, including inpatient, outpatient, emergency room physician and other services. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 63156311 | Expense |
| Revenue | 74152475 | Revenue |
| Description | Roseland Community Hospital has provided the community with quality medical and healthcare services for over 70 years. They provide the following clinics to accommodate the needs of the surrounding communities: urgent care - HIV, pediatric cardiology, pediatric asthma/allergy, stroke study, ear, nose and throat. | Description |
| Total Program Service Expense | 63156311 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 1 | 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 | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| 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 | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | 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 | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 55 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 653 | 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 | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | 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 | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Anwar Kinte | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7739953000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 West 111th Street | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60628 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 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 |
|---|---|---|---|---|---|---|---|---|
| Dian Powell | ||||||||
| Chair | 1.00 | X | X | 0 | 0 | 0 | ||
| Tunji Ladipo | ||||||||
| Vice Chair | 1.00 | X | X | 0 | 0 | 0 | ||
| Earmon Irons Jr | ||||||||
| Treasurer & CEO | 38.00 | X | X | 129197 | 0 | 0 | ||
| Shirley Pickett | ||||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | ||
| Salim Al Nurridin | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Larry Mitchell | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Alan Jackson | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Craig Washington | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Almeda Dunn | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Catherine Nichols | ||||||||
| President/Director | 38.00 | X | X | 122331 | 0 | 0 | ||
| Genivee Chapman | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Jai Dev Arya | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Carl Vanco | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Ronald Blackstone | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Terrold Butler | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Anthony Puorro | ||||||||
| President & CEO | 38.00 | X | 294173 | 0 | 27144 | |||
| Ron Krol | ||||||||
| CFO | 38.00 | X | 58413 | 0 | 3261 | |||
| Maribel Torres | ||||||||
| Chief Nursing Officer | 54.00 | 177799 | 0 | 9726 | X | |||
| Adele Vanjackson | ||||||||
| Pharmacist | 43.00 | 130863 | 0 | 7418 | X | |||
| Douglas Beck | ||||||||
| Senior VP of Operations | 38.00 | 130402 | 0 | 4698 | X | |||
| Monica Cottrell | ||||||||
| Registered Nurse | 40.00 | 120627 | 0 | 0 | X | |||
| Milagros Martinez | ||||||||
| Registered Nurse | 40.00 | 119482 | 0 | 1778 | X | |||
| Joseph Ayoola | ||||||||
| Registered Nurse | 43.00 | 123148 | 0 | 951 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1406435 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 54976 | TotalOtherCompensation |
| Number Individuals GT100 K | 17 | 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 |
|---|---|---|---|---|---|
| Emergency Medical Specialist | |||||
| 1012 Lake Shore Blvd | Evanston | IL | 60202 | ER Physician Services | 1451500 |
| Crawford Avenue Anesthesia | |||||
| 19627 La Grange Road | Mokena | IL | 60448 | Anesthesia | 1209998 |
| Tower Contracting | |||||
| 3062 W 167th Street | Markham | IL | 60428 | Construction | 739402 |
| Total Security Management | |||||
| 17W220 W 22nd Street Suite 350 | Oak Brook | IL | 60181 | Security | 572450 |
| John H Stroger Jr Hospital | |||||
| 1900 West Polk Suite 1337 | Chicago | IL | 60612 | Neonatal Services | 453572 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Government Grants | 479910 | GovernmentGrants |
| All Other Contributions | 2951 | AllOtherContributions |
| Total Contributions | 482861 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Medicare/Medicaid | 621110 | 42221097 | 42221097 |
| Net Patient Revenue | 621110 | 31931378 | 31931378 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 74152475 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3769 | TotalRevenueColumn |
| Exclusion | $3,769 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 98628 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 98628 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 98628 | TotalRevenueColumn |
| Exclusion | $98,628 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Miscellaneous Revenue | 900099 | 324838 | $324,838 |
| Cafeteria | 722210 | 107935 | $107,935 |
| Vending/Gift Shop | 453220 | 42827 | $42,827 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 475600 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 75213333 | TotalRevenueColumn |
| Related Or Exempt Function Income | 74152475 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $577,997 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 739861 | Total |
| Management And General | 739861 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22324420 | Total |
| Program Services | 18372639 | ProgramServices |
| Management And General | 3951781 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 202094 | Total |
| Program Services | 166320 | ProgramServices |
| Management And General | 35774 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1911121 | Total |
| Program Services | 142638 | ProgramServices |
| Management And General | 1768483 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1743312 | Total |
| Program Services | 1434718 | ProgramServices |
| Management And General | 308594 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 199752 | Total |
| Program Services | 159802 | ProgramServices |
| Management And General | 39950 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206420 | Total |
| Management And General | 206420 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30000 | Total |
| Management And General | 30000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6511228 | Total |
| Program Services | 3649240 | ProgramServices |
| Management And General | 2861988 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3806467 | Total |
| Program Services | 3102197 | ProgramServices |
| Management And General | 704270 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1020068 | Total |
| Program Services | 816054 | ProgramServices |
| Management And General | 204014 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 199875 | Total |
| Management And General | 199875 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59351 | Total |
| Program Services | 24753 | ProgramServices |
| Management And General | 34598 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 390418 | Total |
| Management And General | 390418 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1327682 | Total |
| Program Services | 1062146 | ProgramServices |
| Management And General | 265536 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 665221 | Total |
| Program Services | 532177 | ProgramServices |
| Management And General | 133044 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt | 26803847 | 26803847 | |
| Physician Fees | 3952638 | 3948739 | 3899 |
| Medicaid Assessment Tax | 3050323 | 3050323 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5018927 | Total |
| Program Services | 2941041 | ProgramServices |
| Management And General | 2077886 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80163025 | Total |
| Program Services | 63156311 | ProgramServices |
| Management And General | 17006714 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 789582 | BOY |
| EOY | 789582 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6858845 | BOY |
| EOY | 6377241 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6985597 | BOY |
| EOY | 2505756 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 495710 | BOY |
| EOY | 500439 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 840004 | BOY |
| EOY | 1133313 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 44870187 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 23741682 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16904289 | BOY |
| EOY | 21128505 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2551738 | BOY |
| EOY | 2028881 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35425765 | BOY |
| EOY | 34463717 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7653552 | BOY |
| EOY | 7817627 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 2521179 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4666664 | BOY |
| EOY | 4666664 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10624182 | BOY |
| EOY | 11926572 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22944398 | BOY |
| EOY | 26932042 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12409212 | BOY |
| EOY | 7459069 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72155 | BOY |
| EOY | 72606 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12481367 | BOY |
| EOY | 7531675 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35425765 | BOY |
| EOY | 34463717 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -4949692 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $30,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $8,590 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 38590 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Other Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1i: | ReturnReference |
| Explanation | Metropolitan Chicago Healthcare Council lobbying dues - $8,590 | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 923853 | OtherCostOrOtherBasis |
| Book Value | 923853 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26573412 | OtherCostOrOtherBasis |
| Depreciation | 17464551 | Depreciation |
| Book Value | 9108861 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 73398 | OtherCostOrOtherBasis |
| Book Value | 73398 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15286982 | OtherCostOrOtherBasis |
| Depreciation | 5842909 | Depreciation |
| Book Value | 9444073 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2012542 | OtherCostOrOtherBasis |
| Depreciation | 434222 | Depreciation |
| Book Value | 1578320 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 21128505 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due from Third-Party Payors | 368335 |
| Other Assets | 160546 |
| Self Insurance Fund | 1500000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2028881 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Self-Insurance Liabilities | $5,031,299 |
| Capital Lease Obligations | $479,435 |
| Due to Third-Vendors | $6,415,838 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11926572 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X: | ReturnReference |
| Explanation | Roseland Community Hospital Association and the Foundation are non-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (IRC) and are exempt from Federal income taxes on related income pursuant to Section 501(a) of the Code. On April 1, 2009, the Hospital adopted the accounting standard on accounting for uncertainty in income taxes, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this guidance, the Hospital may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Hospital, and various positions related to the potential sources of unrelated business taxable income. The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. The guidance on accounting for uncertainty in income taxes also addresses de-recognition, classification, interest and penalties on income taxes, and accounting in interim periods. Roseland Community Hospital Association and the Foundation file forms 990 in the U.S. federal jurisdiction and the State of Illinois. With few exceptions, Roseland Community Hospital Association is no longer subject to examination by the Internal Revenue Service for fiscal years before 2007. The Foundation filed first return for the fiscal year ended March 31, 2010. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| 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 | 0 | ExpensesExceededBudget |
| 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 | 4291208 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4291208 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05350 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20210646 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12446428 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7764218 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09690 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 33148534 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 71790758 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -38642224 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 57650388 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 84237186 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -26586798 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.15040 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 57650388 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 84237186 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -26586798 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.15040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $7,843,480 | BadDebtExpenseAmount |
| Amount Attributable To | 1777979 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 56674710 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 49397174 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 7277536 | 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 | 0 | 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 | Roseland Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 W 111th Street | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60628 | 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 | na | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 6a: Roseland files an annual community benefit report with the Illinois Attorney General's office. | ||
| Part I, Line 7: Cost to charge ratio was calculated using the IRS's Schedule H Worksheet 2. | ||
| Part I, L7 Col(f): Bad Debt Expense is $26,803,847. | ||
| Part II: Roseland Community Hospital participated in the following community organizations through Board membership or event sponsorship:-US Census Bureau Complete Count Committee-Metropolitan Family Services of Chicago-Nehemiah Restoration Coalition-Roseland Cease Fire -University of Illinois Extension Program-Dunne Elementary SchoolRoseland Community Hospital donated community meeting space for the following groups or organizations:-Chicago Police Department -Rush University Women's Walking Program -Healthcare Consortium of Illinois-Community of African American Mental Health Professionals-US Census Complete Count Committee-Chicago State University - The Group Monetary donations were made to the following social programs in 2011:-Metropolitan Family Services-Monarch Awards Foundation -Youth 1st Counseling & Elite Community CounselingRoseland Community Hospital hosted community fundraisers to benefit the following causes in 2011:-Haiti Relief - raised more than $10,000-Blistery Night - Coats, Hats, gloves donated to more than 80 families-Annual Gift Drive for Families in Roseland Christian Ministries Shelter | ||
| Part III, Line 4: The cost methodology used to calculate the amount reported as Bad Debt Expense, at cost, is the cost-to-charge ratio derived from the IRS's Schedule H, worksheet 2.Audited Financial Statements footnote regarding bad debt expense:The collection of receivables from third-party payors and patients is the Hospital's primary source of cash for operations and is critical to its operating performance. The primary collection risks relate to uninsured patient accounts and patient accounts for which the primary insurance payor has paid, but patient responsibility amounts (deductibles and co-payments) remain outstanding. 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 adjustments or discounts provided to third-party payors. Patient receivables due directly from the patients are carried at the original charge for the service provided less amounts covered by third-party payors and less an estimated allowance for doubtful receivables. Management estimates this allowance based on the aging of its accounts receivable and its historical collection experience for each payor type. Recoveries of receivables previously written off are recorded as a reduction of bad debt expense when received.The past-due status of receivables is determined on a case-by-case basis depending on the payor responsible. Interest is generally not charged on past-due accounts. Receivables or payables related to estimated settlements on various payor contracts, primarily Medicare and Blue Cross, are reported as amounts due from or to third-party payors. Significant changes in payor mix, business office operations, economic conditions or trends in federal and state governmental health care coverage could affect the Hospital's collection of accounts receivable, cash flows and results of operations. | ||
| Part VI, Line 2: The hospital performs a community health care needs assessment on an annual basis utilizing data from the Cook County Health Department, Illinois Department of Public Health, Partnership for a Better Roseland (community focus group), and the hospital patient database. In October 2010 the Board of Trustees of Roseland Community Hospital commissioned an outside consulting firm, The Sibery Group, to conduct a strategic fit analysis of 12 potential clinical service lines. The healthcare needs of the Roseland community were identified as a component of this analysis, and community need was one of six metrics used to evaluate the strategic fit of each service line. | ||
| Part VI, Line 3: Patient education of eligibility for assistance: The hospital contracts with DECO, an outsourced agency, to assists uninsured patients that receive services at Roseland Community Hospital. A daily census listing of all uninsured inpatients and any outpatients with charges of $1,500 or more is provided to DECO. The DECO representatives work closely with the Physicians, Social Workers, Nursing, Dialysis Center, Shelters and others in helping patients qualify. They have assisted approximately 20 patients per month to qualify for financial coverage. Roseland Community Hospital also offers those patients that are not eligible for Federal assistance the opportunity to qualify for charity care. The annually updated federal income/poverty guidelines are utilized as the criteria for the qualification of charity care. Under special circumstances, such as severe illnesses or severe financial burden, charity may be allowed outside of the formula-driven charity allowances. | ||
| Part VI, Line 4: For purposes of this plan, all statistical references to the "Community" refer to the population residing in the Community Areas (CA) defined by the city of Chicago as Roseland (49), Pullman (50), South Deering (51), West Pullman (53) and Riverdale (54).The five CA combined have a population of 125,091 and are overwhelmingly African American. However, Hispanics represent 30% of the population in the South Deering CA. South Deering is within 8 blocks of the Roseland community. The average median household income for the 5 CAs is $31,530 with Roseland being the highest at $38,237; and Riverdale lowest at $13,178 (2000 US Census). The average median household income for the City of Chicago is $38,625.Heart disease is the highest cause of death in each of the CAs. Roseland and West Pullman have significantly higher percentage of deaths from heart disease - 405.3% and 327.6% respectively. Cancer deaths are highest in Roseland, West Pullman and South Deering. According to findings from the Metropolitan Chicago Breast Cancer Task Force, African American women are twice as likely to die from breast cancer as their non-hispanic white counterparts even though White Women have a higher incidence of breast cancer.While in 1996, the mortality rates for African Americans and non-hispanic whites was equal; the disparity for African American women has steadily declined according to the MCBCTF study completed in Chicago 2007."Minority groups, particularly blacks in the United States, are assumed to be genetically predisposed to virtually all common chronic diseases. The correlation between the use of unsupported genetic inferences and the social standing of a group is glaring evidence of bias and demonstrates how race is used both to categorize and to rank order subpopulations."* Cooper et al., NEJM, 348:12, 1166-70, 2003 | ||
| Part VI, Line 6: Roseland Community Hospital hosted and funded the following community health workshops and events in 2011 - all were available to any community member at no charge:- "Who's Loving You" Caregivers Workshop"- "Fatherhood and Men's Health"- "Living with Diabetes"- "Breast Cancer Prevention and Awareness"- "How to Get a Job and Keep It"- "Aging Heart"- "Blood Donation Drive"Roseland Community Hospital also provided free health screenings to more than 600 community residents in 2011 at churches, schools, and other community organizations. | ||
| IL | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | 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 | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anthony Puorro | |||||||||||||
| 129865 | 0 | 0 | 0 | 164308 | 0 | 23883 | 0 | 3261 | 0 | 321317 | 0 | 0 | 0 |
| Maribel Torres | |||||||||||||
| 177799 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9726 | 0 | 187525 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4a | ReturnReference |
| Explanation | Anthony Puorro received a severance payment in the amount of $164,308. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Tunji Ladipo | |||
| Owner of Emergency Medical Specialist and Director of The Governing Body | 1380000 | ER Physician Services | 0 |
| Alan Jackson | |||
| Owner of Preventative Cardiovascular and Director of the Governing Body | 126000 | Physician Services | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | Financial staff gathered the information necessary to prepare the return. The tax advisors prepared and reviewed the tax return prior to the CFO's review and filing of the tax return. The final Form 990 will be provided to the Board of Directors after the filing date. | |
| Signed document submitted annually and kept on file. Any potential conflicts are examined and actions are taken to resolve or disclose such conflicts. | Form 990, Part VI, Section B, line 12c | |
| Roseland secured the services of an independent compensation consultant to perform a salary survey for key executives, including the CEO. The Compensation Committee recommends a salary that is subsequently reviewed by the Board of Directors before approval by Board. | Form 990, Part VI, Section B, line 15 | |
| The financial statements are available through the office of the Illinois Attorney General. Conflicts of interest and Roseland Communities Hospital's governing documents are not made available to the public. | Form 990, Part VI, Section C, line 19 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Roseland Community Hospital Foundation | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 W 111th Street | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606284294 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270428068 | EIN |
| Primary Activities | Supporting Organization | PrimaryActivities |
| Legal Domicile State | IL | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | Line 11b, II | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| 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 | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| 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 | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |