Little Company of Mary Hospital Inc: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- Little Company of Mary Hospital Inc (EIN 36-2246719)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-10
- IRS object ID
- 201311309349301766
- Schema version
- 2011v1.5
- 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 K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-10T10:46:35-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | 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) |
|---|---|---|
| In Care Of Name | % LCOM Hospital - Finance Dept | InCareOfName |
| Name Control | LITT | NameControl |
| Phone | 7082295111 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 W 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 | CHIEF FINANCIAL OFFICER | Title |
| Date Signed | 2013-05-09 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3176817440 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 W 95th Street | AddressLine1 |
| City | Evergreen Park | City |
| State | IL | State |
| ZIP Code | 60805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 245859862 | GrossReceipts |
| Group Return For Affiliates | false | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2248 | TotalNbrEmployees |
| Total Nbr Volunteers | 600 | TotalNbrVolunteers |
| Total Gross UBI | 1793 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 910757 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1209250 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 184869458 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 174269144 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 51441933 | InvestmentIncomePriorYear |
| Investment Income Current Year | 13951194 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2901145 | OtherRevenuePriorYear |
| Other Revenue Current Year | 185429 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 240123293 | TotalRevenuePriorYear |
| Total Revenue Current Year | 189615017 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 170000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 135000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 99981519 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 98271163 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 285130 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 93079205 | OtherExpensePriorYear |
| Other Expenses Current Year | 81395970 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 193230724 | TotalExpensesPriorYear |
| Total Expenses Current Year | 179802133 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 46892569 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 9812884 | RevenuesLessExpensesCY |
| Total Assets BOY | 790236572 | TotalAssetsBOY |
| Total Assets EOY | 784109483 | TotalAssetsEOY |
| Total Liabilities BOY | 355664717 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 353379641 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 434571855 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 430729842 | 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 | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 131023960 | Expense |
| Grants | 135000 | Grants |
| Revenue | 174269144 | Revenue |
| Description | Provide care and treatment to the sick, to provide spiritual, religious and other health care services and charitable purposes to the community it services. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Donated services in the amount of $755,047 were received. The donated services are not included in the $131,023,960 of program service expense. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 131023960 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 206 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2248 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LCOM Hospital - Finance Dept | NamePerson |
| 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 (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Sister Kathleen McIntyre LCM | ||||||||
| Chairperson | 1.0 | X | 0 | 0 | 0 | |||
| Thomas M Fahey | ||||||||
| Vice Chairperson | 1.0 | X | 0 | 0 | 0 | |||
| Dennis Reilly | ||||||||
| President & CEO | 40.0 | X | 760950 | 0 | 62969 | X | ||
| Dennis Kelly | ||||||||
| Treasurer | 1.0 | X | 0 | 0 | 0 | X | ||
| Sister Jean Stickney LCM | ||||||||
| Secretary | 1.0 | X | 0 | 0 | 0 | X | ||
| Violet M Clark | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Brian P Farrell MD | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Patrick Folliard | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| John P Hanlon MD | ||||||||
| Director | 1.0 | X | 1600 | 0 | 0 | |||
| Joseph Pedota | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Jayanthi Ramadurai MD | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Daniel Rowan DO | ||||||||
| Director | 1.0 | X | 81522 | 0 | 0 | |||
| Robert Sheehy | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Janice Stewart | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Jay B Sterns | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Sister Sharon Ann Walsh LCM | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Michael Thomas DO | ||||||||
| President Medical Staff | 1.0 | X | 20800 | 0 | 0 | |||
| Dave Kavanaugh | ||||||||
| Chairmen, LCMH Foundation | 1.0 | X | 0 | 0 | 0 | |||
| Dennis Day | ||||||||
| VP Support Svcs, until 1/4/12 | 40.0 | X | 213250 | 0 | 17646 | |||
| Randy Ruther | ||||||||
| Chief Financial Officer | 40.0 | 466269 | 0 | 38584 | X | |||
| Mary Freyer | ||||||||
| COO | 40.0 | 304365 | 0 | 25186 | X | |||
| Ann Haskins | ||||||||
| V.P. Phys & Ambulatory Network | 40.0 | 278061 | 0 | 23010 | X | |||
| Kent Armbruster MD | ||||||||
| V.P Medical Affairs | 40.0 | 257720 | 0 | 21326 | X | |||
| Jane Sullivan RN | ||||||||
| V.P. Patient Care Services/CNO | 40.0 | 201026 | 0 | 16635 | X | |||
| Kevin Rehder | ||||||||
| V.P. Clinical Svs & Facilities | 40.0 | 191325 | 0 | 15832 | X | |||
| Emuata Ufok Bassey MD | ||||||||
| OB Hospitalist | 40.0 | 232112 | 0 | 19207 | X | |||
| Colleen Rohan | ||||||||
| Director of Human Resources | 40.0 | 153227 | 0 | 12679 | X | |||
| Manuel Orlanzino | ||||||||
| Physicist | 40.0 | 142303 | 0 | 11776 | X | |||
| Vincent Cesaro | ||||||||
| Dir of Physical/Occup Therapy | 40.0 | 123111 | 0 | 10187 | X | |||
| Mary Ryan Gallik | ||||||||
| Director of Patient Care | 40.0 | 121342 | 0 | 10041 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3548983 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 285078 | TotalOtherCompensation |
| Number Individuals GT100 K | 42 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Signature Healthcare Solutions SC | |||||
| 107 Forest Edge Drive | PALOS PARK | IL | 60464 | Hospitalist Services | 1453429 |
| Mayo Medical Laboratories | |||||
| PO Box 9146 | MINNEAPOLIS | MN | 554809146 | Med Laboratory SVCS | 808824 |
| Anderson Rasor Partners LLP | |||||
| 100 S Wacker Drive Suite 1000 | CHICAGO | IL | 60601 | LEGAL SERVICES | 541675 |
| Evergreen Emergency Services | |||||
| PO Box 428080 | EVERGREEN PARK | IL | 60805 | EMERGNCY RM COVERAGE | 525600 |
| Daniel Duffy John Kravolec Assoc | |||||
| 60 W Randolph Street | CHICAGO | IL | 60601 | LEGAL SERVICES | 500000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 25 | NumberOfContractorsGT100K |
| Related Organizations | 824208 | RelatedOrganizations |
| All Other Contributions | 385042 | AllOtherContributions |
| Total Contributions | 1209250 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERV. | 900099 | 171215617 | 171215617 |
| OTHER PROG SERV. | 900099 | 1166153 | 1166153 |
| FOOD SERVICE REV. | 900099 | 659174 | 659174 |
| RELATED SUPPORT SERVICES | 900099 | 1228200 | 1228200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 174269144 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17874562 | TotalRevenueColumn |
| Unrelated Business Revenue | 1793 | UnrelatedBusinessRevenue |
| Exclusion | $17,872,769 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 344142 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 202364 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 141778 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 141778 | TotalRevenueColumn |
| Exclusion | $141,778 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 52062463 | Securities |
| Other | 56650 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 55769407 | Securities |
| Other | 273074 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -3706944 | Securities |
| Other | -216424 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -3923368 | TotalRevenueColumn |
| Exclusion | -$3,923,368 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MISCELLANEOUS | 900099 | 1968 | $1,968 |
| VENDING | 900099 | 14183 | $14,183 |
| All other revenue | 900099 | 27500 | $27,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 43651 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 189615017 | TotalRevenueColumn |
| Related Or Exempt Function Income | 174269144 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1793 | UnrelatedBusinessRevenue |
| Exclusion | $14,134,830 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135000 | Total |
| Program Services | 135000 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2922985 | Total |
| Program Services | 2922985 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94301 | Total |
| Program Services | 94301 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77009637 | Total |
| Program Services | 53906746 | ProgramServices |
| Management And General | 23102891 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4152207 | Total |
| Program Services | 2906545 | ProgramServices |
| Management And General | 1245662 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7763953 | Total |
| Program Services | 5434767 | ProgramServices |
| Management And General | 2329186 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6328080 | Total |
| Program Services | 4429656 | ProgramServices |
| Management And General | 1898424 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7690 | Total |
| Program Services | 6152 | ProgramServices |
| Management And General | 1538 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75844 | Total |
| Program Services | 68260 | ProgramServices |
| Management And General | 7584 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 144900 | Total |
| Program Services | 130410 | ProgramServices |
| Management And General | 14490 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12224945 | Total |
| Program Services | 9779956 | ProgramServices |
| Management And General | 2444989 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 430667 | Total |
| Program Services | 344534 | ProgramServices |
| Management And General | 86133 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32965616 | Total |
| Program Services | 26372493 | ProgramServices |
| Management And General | 6593123 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1248417 | Total |
| Program Services | 998734 | ProgramServices |
| Management And General | 249683 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2811587 | Total |
| Program Services | 2108690 | ProgramServices |
| Management And General | 702897 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127522 | Total |
| Program Services | 63761 | ProgramServices |
| Management And General | 63761 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150358 | Total |
| Program Services | 105251 | ProgramServices |
| Management And General | 45107 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2404738 | Total |
| Program Services | 2164264 | ProgramServices |
| Management And General | 240474 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12163251 | Total |
| Program Services | 8514276 | ProgramServices |
| Management And General | 3648975 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6629569 | Total |
| Program Services | 4640698 | ProgramServices |
| Management And General | 1988871 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| STATE MEDICARE FUND | -4021399 | -4021399 | ||
| PROVISION FOR BAD DEBTS | 12073666 | 8451566 | 3622100 | |
| LINENS | 1474441 | 1326997 | 147444 | |
| SPECIAL EVENTS | 285130 | 285130 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 199028 | Total |
| Program Services | 139317 | ProgramServices |
| Management And General | 59711 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179802133 | Total |
| Program Services | 131023960 | ProgramServices |
| Management And General | 48493043 | ManagementAndGeneral |
| Fundraising | 285130 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5798053 | BOY |
| EOY | 6839744 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22538502 | BOY |
| EOY | 22808571 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 231193 | BOY |
| EOY | 66571 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1131012 | BOY |
| EOY | 1371204 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12576480 | BOY |
| EOY | 3930785 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 364000474 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 188086373 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103302578 | BOY |
| EOY | 175914101 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 627873102 | BOY |
| EOY | 558313970 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11642318 | BOY |
| EOY | 12007798 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5143334 | BOY |
| EOY | 2856739 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 790236572 | BOY |
| EOY | 784109483 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31273022 | BOY |
| EOY | 37471353 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 195539557 | BOY |
| EOY | 192012240 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128852138 | BOY |
| EOY | 123896048 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 355664717 | BOY |
| EOY | 353379641 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 433699301 | BOY |
| EOY | 430057513 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 872554 | BOY |
| EOY | 672329 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 434571855 | BOY |
| EOY | 430729842 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 790236572 | BOY |
| EOY | 784109483 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 9812884 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -13654897 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 8954323 | InvestmentCostOrOtherBasis |
| Book Value | 8954323 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 145308349 | InvestmentCostOrOtherBasis |
| Depreciation | 109402950 | Depreciation |
| Book Value | 35905399 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 9343739 | InvestmentCostOrOtherBasis |
| Depreciation | 5115174 | Depreciation |
| Book Value | 4228565 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 92265739 | InvestmentCostOrOtherBasis |
| Depreciation | 73568249 | Depreciation |
| Book Value | 18697490 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 108128324 | InvestmentCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 108128324 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 175914101 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SELF-INSURANCE RESERVE | $91,112,020 |
| EST SETTLEMENTS DUE 3RD PARTY | $32,461,898 |
| PENSION LIABILITY | $322,130 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 123896048 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 600. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6274424 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6274424 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03740 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20975956 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12240392 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8735564 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05210 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27250380 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12240392 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15009988 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08950 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1685854 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1685854 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1685854 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1685854 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01010 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28936234 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12240392 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16695842 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09960 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $12,073,667 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 64259916 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 70897758 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -6637842 | 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 | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | 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 W 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 |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 600. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 600. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| HOME CARE & HOSPICE BUILDING | ||||
| 9800 S SOUTHWEST HIGHWAY | OAK LAWN | IL | 60453 | HOME CARE & HOSPICE |
| HALSTED BUILDING | ||||
| 736 W 95TH STREET | CHICAGO | IL | 60628 | HEALTHCARE |
| HERITAGE BUILDING | ||||
| 2800 W 87 STREET | CHICAGO | IL | 60652 | HEALTHCARE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 3c: | THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES, AS DESCRIBED ON SCHEDULE H, PART I, TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. | |
| Part I, Line 6a: | THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED IN A SEPARATE REPORT PREPARED BY THE ORGANIZATION. | |
| Part I, Line 7: | The organization used the same Medicare Cost to Charge Ratio as was used in fiscal year 06/30/12 on the Medicare Cost Report (Worksheet C, Part I). PART I, LINE 7G: THE ORGANIZATION DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. PART I, LINE 7, COLUMN F: The amount of bad debt expense included on form 990 Part IX line 25 column A, and subtracted in calculating community benefit percentage on column F of schedule H part I, is 12,073,667. | |
| Part III, Line 4: | The Hospital evaluates the collectability of its account receivable based on the length of time the receivable is outstanding, payor class, and the anticipated future uncollectible amounts based on historical experience. Accounts receivable are charged to the allowance for doubtful accounts when the accounts are deemed uncollectible. The Hospital's concentration of credit risk related to accounts receivable is limited due to the diversity of patients and payors. Methodology used to calculate bad debt at cost is the Medicare cost to charge ratio. | |
| Part III, Line 8: | The organization used the same Medicare Cost to Charge Ratio as was used in fiscal year 06/30/12 on the Medicare Cost Report (Worksheet C, Part I). | |
| 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, Sec B, Line 3: | THE ORGANIZATION HAS NO HEALTH CARE FACILITIES ASIDE FROM THAT WHICH IS LICENSED AS A HEALTH CARE FACILITY UNDER STATE LAW. | |
| Needs assessment: | The Hospital gathers information on the community's health needs from many sources including the following: 1) Internal Records - 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 utilizaztion 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) Physican Input - physicans are periodically surveyed to assess the health care 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. | |
| 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 on how to apply for charity consideration. | |
| Community information: | The Hospital is located in Evergreen Park, Illinois and is just twenty minutes from downtown Chicago. The Hospital's primary service areas include 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. | |
| Promotion of community health: | The Hospital currently has well over 60 separate programs ranging from wellness events, health screening, senior billing assistance, Mobile Medical bring home visits by our staff physicians and nurses, Diabetes Center and sponsorships/partnering or support services to local elementary/high schools, church parishes and local community service organizations. | |
| Affiliated health care system: | N/A | |
| STATE FILING OF COMMUNITY BENEFIT REPORT | IL, | 990 SCHEDULE H, PART VI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOOL TUITION | TypeOfGrant |
| Number Of Recipients | 19 | NumberOfRecipients |
| Amount Of Cash Grant | 135000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Schedule I | Identifier |
| Return Reference | Description of Organization's Procedures for Monitoring the Use of Grants | ReturnReference |
| Explanation | 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. ANY DEVIATION RESULTS IN THE RECIPIENT HAVING TO REPAY TO THE HOSPITAL THE GRANT GIVEN. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dennis Reilly | |||||||||||||
| 525950 | 0 | 235000 | 0 | 0 | 0 | 0 | 0 | 62969 | 0 | 823919 | 0 | 0 | 0 |
| Randy Ruther | |||||||||||||
| 363769 | 0 | 102500 | 0 | 0 | 0 | 0 | 0 | 38584 | 0 | 504853 | 0 | 0 | 0 |
| Mary Freyer | |||||||||||||
| 259365 | 0 | 45000 | 0 | 0 | 0 | 0 | 0 | 25186 | 0 | 329551 | 0 | 0 | 0 |
| Ann Haskins | |||||||||||||
| 225661 | 0 | 52400 | 0 | 0 | 0 | 0 | 23010 | 0 | 301071 | 0 | 0 | 0 | |
| Kent Armbruster MD | |||||||||||||
| 242720 | 0 | 15000 | 0 | 0 | 0 | 0 | 0 | 21326 | 0 | 279046 | 0 | 0 | 0 |
| Dennis Day | |||||||||||||
| 191978 | 0 | 21272 | 0 | 0 | 0 | 0 | 17646 | 0 | 230896 | 0 | 0 | 0 | |
| Jane Sullivan RN | |||||||||||||
| 180279 | 0 | 20747 | 0 | 0 | 0 | 0 | 0 | 16635 | 0 | 217661 | 0 | 0 | 0 |
| Kevin Rehder | |||||||||||||
| 161325 | 0 | 30000 | 0 | 0 | 0 | 0 | 0 | 15832 | 0 | 207157 | 0 | 0 | 0 |
| Emuata Ufok Bassey MD | |||||||||||||
| 208112 | 0 | 24000 | 0 | 0 | 0 | 0 | 0 | 19207 | 0 | 251319 | 0 | 0 | 0 |
| Colleen Rohan | |||||||||||||
| 135474 | 0 | 17753 | 0 | 0 | 0 | 0 | 0 | 12679 | 0 | 165906 | 0 | 0 | 0 |
| Manuel Orlanzino | |||||||||||||
| 138403 | 0 | 3900 | 0 | 0 | 0 | 0 | 0 | 11776 | 0 | 154079 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Compensation Information | Identifier |
| Return Reference | Schedule J, Part III, LINE 1A | ReturnReference |
| Explanation | TRAVEL WITH SPOUSE OR FAMILY: IF OTHER PERSONS ACCOMPANY AN EMPLOYEE OR BOARD MEMBER ON HOSPITAL BUSINESS, THE HOSPITAL WILL PAY THE COST FOR THE EMPLOYEE OR BOARD MEMBER ONLY UNLESS APPROVED IN ADVANCE BY THE CEO. ANY COST INCURRED AS A RESULT OF EXTENDING A TRIP FOR PERSONAL REASONS WILL BE THE RESPONSIBILITY OF THE EMPLOYEE OR BOARD MEMBER. ANY ADDITIONAL COST INCURRED BY A COMPANION THAT HAS BEEN PAID BY THE HOSPITAL WILL BE REPORTED ON IRS FORM 1099 AS TAXABLE INCOME OF THE COMPANION. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| Illinois Finance Authority | |||||||
| 861091967 | 45200ffv6 | 2008-04-29 | 134340000 | SEE PART VI | false | false | false |
| Illinois Finance Authority | |||||||
| 861091967 | 45200F6D6 | 2010-10-20 | 71159646 | SEE PART VI | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 134483633 | 0 | 0 | 0 | 704492 | 25000 | 0 | 13730097 | 120024044 | 0 | 2008 | true | false | true | true |
| 0 | 0 | 71229134 | 0 | 0 | 0 | 618241 | 0 | 0 | 70610893 | 0 | 0 | 2010 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs | Engage Bond Counsel ResearchEngageBondCounselResearch |
|---|---|---|---|---|---|---|---|---|---|
| false | true | true | false | false | 0.00000 | 0.00000 | 0.00000 | true | |
| false | false | false | false | 0 | true | false |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|
| 0 | ||||||
| false | true | false | false | 0 | false | true |
| 0 | ||||||
| false | false | false | false | 0 | false | false |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SEE SCHEDULE O | Identifier |
| Return Reference | 0 | ReturnReference |
Schedule K IRS990ScheduleK
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Mary Coners | |||
| FAMILY MEM DENNIS REILLY | 57186 | EMPLOYMENT | false |
| Elizebeth Freyer | |||
| FAMILY MEM MARY FREYER | 37115 | EMPLOYMENT | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Classes of Members or Stockholders | Identifier |
| Explanation | Form 990, Part VI, Question 6 THE AMERICAN PROVINCE OF THE LITTLE COMPANY MARY SISTERS IS AN ILLINOIS NOT-FOR-PROFIT CORPORATION WHOSE PURPOSE IS TO REPRESENT THE INTEREST OF THE CONGREGATION OF LITTLE COMPANY OF MARY SISTERS. THE AMERICAN PROVINCE CONSTITUTES THE CORPORATE MEMBER OF LITTLE COMPANY OF MARY HOSPITAL, AND 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. Description of Classes of Persons and the Nature of Their Rights Form 990, Part VI, Question 7a AMERICAN PROVINCE OF LITTLE COMPANY OF MARY SISTERS 9350 S. CALIFORNIA AVENUE EVERGREEN PARK, IL 60805 Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights Form 990, Part VI, Question 7b 1 EY ENGAGEMENT FOR AUDIT AND TAX SERVICES AUDITED FINANCIAL STATEMENTS 2 NEW APPOINTMENTS TO THE BOARD OF DIRECTORS 3 ANNUAL REAPPOINTMENT OF OFFICERS TO THE BOARD 4 OPERATING AND CAPITAL BUDGETS 5 RESOLUTIONS AUTHORIZING ISSUANCE OF BONDS REVISIONS TO LITTLE COMPANY OF MARY HOSPITAL BYLAWS 6 SALE OF PROPERTY Describe the Process used by Management &/or Governing Body to Review Form 990 Form 990, Part VI, Question 11 THE 990 FORM RETURN IS REVIEWED BY THE ACCOUNTING MANAGER AND CFO. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST DIRECTIVE 2) HAS READ AND UNDERSTANDS THE DIRECTIVE 3) HAS AGREED TO COMPLY WITH THE DIRECTIVE 4) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. 5) ONE HUNDRED PERCENT RESPONSE IS MANDATORY. 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 THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT TAKES APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION INCLUDING REMOVAL FROM OFFICE IF SO DETERMINED BY THE BOARD. Offices & Positions for Which Process was Used, & Year Process was Begun Form 990, Part VI, Questions 15a & 15b 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 ALSO USES AN OUTSIDE CONSULTANT TO DETERMINE APPROPRIATENESS OF EXECUTIVE PAY. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 THE CONFLICT OF INTEREST POLICY IS AVAILABLE BY REQUEST. FORMS 990 ARE IN THE PUBLIC DOMAIN AND COPIES ARE AVAILABLE BY REQUEST. Other Changes in net assets or fund balances Form 990, Part XI, Question 5 Unrealized gain on investment 6,404,119 Net asset transfer (9,932,473) Pension related charges other than periodic pension cost (5,578,733) Net assets released from restrictions (1,549,250) Other 51,440 Intercompany adjustments (3,050,000) ----------- Total (13,654,897) Description of Purpose Form 990, Schedule K, Part I, Column (f) BOND A: THE 4/29/2008 BONDS Were USED to (i) REFINANCE A BANK LOAN; (ii) REIMBURSE THE HOSPITAL FOR CAPITAL EXPENDITURES; AND (iii) 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 THE 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). TOTAL PROCEEDS OF ISSUE Form 990, Schedule K, Part II, Line 3 BOND A: THE TOTAL PROCEEDS OF ISSUE INCLUDE $143,633 OF INVESTMENT EARNINGS. BOND B: THE TOTAL PROCEEDS OF ISSUE INCLUDE $69,488 OF INVESTMENT EARNINGS. | Explanation |
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| LITTLE CO OF MARY HEALTH SYS-EVERGREEN | ||||||||||
| 2800 WEST 95TH STREET | EVERGREEN PARK | IL | 60805 | 363823627 | HEALTH SVCS | IL | 501(c)(3) | 1 | Am Province | false |
| LITTLE COMPANY OF MARY AFFILIATED SVCS | ||||||||||
| 2800 WEST 95TH STREET | EVERGREEN PARK | IL | 60805 | 363383867 | HEALTH SVCS | IL | 501(C)(3) | 7 | LCOM EVGR PK | false |
| LITTLE CO OF MARY HOSPITAL FOUNDATION | ||||||||||
| 2800 WEST 95TH STREET | EVERGREEN PARK | IL | 60805 | 363993337 | SUPPORT ORG | IL | 501(c)(3) | 11 TYPE 1 | LCOM HOSP | true |
| AM PROVINCE OF THE LITTLE CO OF MARY | ||||||||||
| 2800 WEST 95TH STREET | EVERGREEN PARK | IL | 60805 | 237294648 | RELIGIOUS | IL | 501(c)(3) | 1 | NA | false |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DURABLE MED EQUIP | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 WEST 9TH ST | AddressLine1 |
| City | EVERGREEN PARK | City |
| State | IL | State |
| ZIP Code | 60805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363511877 | EIN |
| Primary Activity | DURABLE GOOD | PrimaryActivity |
| Legal Domicile State | IL | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LITTLE CO MARY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Excluded | PredominantIncomeType |
| Share Of Total Income | 207703 | ShareOfTotalIncome |
| Share Of EOY Assets | 1159491 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $1,793 | CodeVAmount |
| General Or Managing Partner | true | GeneralOrManagingPartner |
| Percentage Ownership | 0.99500 | PercentageOwnership |
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 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Little Company of Mary Health Providers | |||||||||||
| 2800 WEST 95TH STREET | EVERGREEN PARK | IL | 60805 | 363425870 | MANAGED CARE | IL | LCOM HOSP | C CORP | 1718 | 2028507 | 1.00000 |
| Little Company of Mary Captive Insurance | |||||||||||
| 76 St Paul Street Suite 500 | Burlington | VA | 05401 | 030304812 | Captive Insurance | IL | LCOM HOSP | C Corp | -92471 | 3124365 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| LCMH Foundation | ||
| P | 1306224 | ARM'S LENGTH |
| LCMH Foundation | ||
| C | 824208 | ARM'S LENGTH |
| LITTLE COMPANY OF MARY AFFILIATED SERVICES | ||
| p | 3400000 | ARM'S LENGTH |
| LITTLE COMPANY OF MARY AFFILIATED SERVICES | ||
| j | 128652 | ARM'S LENGTH |
| LITTLE COMPANY OF MARY AFFILIATED SERVICES | ||
| i | 175248 | ARM'S LENGTH |
| LITTLE COMPANY OF MARY AFFILIATED SERVICES | ||
| o | 10756681 | ARM'S LENGTH |
Comments