2016-11-03T12:00:24-05:00 2015-06-30 350921680 CROWE HORWATH LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2014-07-01 362200248 LORETTO HOSPITAL LORE 7738545567 645 S CENTRAL AVENUE CHICAGO IL 60644 KENNETH MCGHEE CHIEF FINANCIAL OFFICER 2016-11-01 true Nicole Bencik P00756195 3128997000 2014 2017-02-10 21:41:12Z SONIA MEHTA MD 645 S CENTRAL AVENUE CHICAGO IL 60644 65887882 false X WWW.LORETTOHOSPITAL.ORG X 1939 IL LORETTO HOSPITAL IS A COMMUNITY BASED ORGANIZATION FOCUSED TO PROVIDE QUALITY PATIENT CENTERED CARE AND PROMOTE WELLNESS AND EDUCATION. 6 4 705 6 0 0 0 1280000 58090446 60241380 1457386 2407 5362838 4364095 64910670 65887882 0 0 0 0 32809002 32530028 0 0 0 28263432 27619767 61072434 60149795 3838236 5738087 43791186 51273872 11111184 11533922 32680002 39739950 LORETTO HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY BASED ORGANIZATION, WHICH PARTNERS WITH ITS PHYSICIANS, EMPLOYEES, AND COMMUNITY IT SERVES TO PROVIDE QUALITY PATIENT CENTERED CARE AND PROMOTES WELLNESS AND EDUCATION. false false 50436374 64455071 LORETTO IS A 187 BED NOT-FOR-PROFIT FACILITY STAFFED AND COMMUNITY FOCUSED HEALTHCARE PROVIDER WITH AN INTERDISCIPLINARY TEAM OF SOME OF THE FINEST DOCTORS, SPECIALIST AND NURSING IN CHICAGO WHICH SERVES OVER 33,000 PATIENTS EACH YEAR IN THE CHICAGO'S AUSTIN AND SURROUNDING COMMUNITIES. WITH OUR MEDICAL AND ANCILLARY SERVICES UNDER ONE ROOF, WE MAKE QUALITY HEALTH CARE MORE CONVENIENT AND ACCESSIBLE. OUR MEDICAL SERVICES ARE: AMBULATORY CARE CLINIC, EMERGENCY MEDICINE, MEDICAL/SURGERY & CRITICAL CARE, ADDICTIONS AND COMPULSIVE BEHAVIOR, DIAGNOSTIC IMAGING, PHYSICAL THERAPY AND REHABILITATION, MENTAL HEALTH, CRISIS INTERVENTION, AND OTHER CLINICAL PROGRAMS. 50436374 true true false true false false false false false false true false true true true true true true false true true false false false false false true true false false true false false false false false true false true false false false false false true false false false true 65 0 true 705 true false true CJ false false false false false false false false X 6 4 false false false false false false false true true false false false true true true true true true false false IL X Kenneth McGhee 7736264300 645 S Central Ave Chicago IL 60644 X Dr SONIA MEHTA BOARD MEMBER;CEO/CMO/PHYSICIAN 40.00 X X 562000 0 47026 EDWARD HOGAN BOARD MEMBER/CHAIRMAN 1.00 X X 0 0 0 KIMBERLY LIGHTFORD Vice Chairman 1.00 X X 0 0 0 MICHELLE COLLINS Secretary/Treasurer 1.00 X X 0 0 0 JAMES MONTGOMERY Sr BOARD MEMBER 1.00 X 0 0 0 Myosore Ghagavan MD President of Medical Staff 1.00 X 0 0 0 JOHN VALLES CHIEF FINANCIAL OFFICER - Partial Yer until Dec. 2014 40.00 X 272417 0 24066 JAMES RENNEKER CNO 40.00 X 178197 0 25268 SURESH KRISHNAN CIO 40.00 X 186973 0 42639 Kenneth McGhee Chief Financial Officer -Partial Year as of Sep. 2014 40.00 X 68666 0 0 TILAK JOSHI PHYSICIAN 40.00 X 213900 0 16100 DOSHI RAMESH PHYSICIAN 40.00 X 169000 0 0 ANTHI KATSOULI HOSPITALIST 40.00 X 139166 0 2327 TRILOK SHAH PSYCHIATRIST 40.00 X 289668 0 3260 NILKANTH RANADE PHYSICIAN 40.00 X 206603 0 17498 2286590 0 178184 35 false true false HORIZON EMERGENCY PHYSICIAN GROUP 2000 SPRING ROAD STE 200 OAK BROOK IL 60523 PHYSICIAN CONTRACTORS 1003863 CRAWFORD AVENUE ANESTHESIA 19627 S LAGRANGE RD MOKENA IL 60448 ANESTHETIC SERVICE MEDICINAL 500000 GLOBAL IMAGING 5433 LAMBETH DR ROCKFORD IL 61107 MRI SPECIALIST 293148 FRESENIUS MEDICAL CARE 16343 COLLECTION CENTER DR CHICAGO IL 60693 MEDICAL SERVICES 287451 CHICAGO IMAGING 1421 LAKE ROAD LAKE FOREST IL 60045 X RAY SERVICES 225000 8 X 1280000 1280000 Patient Revenue 622000 125511066 125511066 Contractual Allowances 622000 -65269686 -65269686 0 0 0 0 60241380 2407 2407 63894 63894 0 63894 63894 0 0 Medical Student Preceptorship 611430 103873 103873 Cafeteria 624200 86510 86510 4109818 4109818 0 0 4300201 65887882 64455071 0 152811 2688745 672186 2016559 20365 20365 25708154 22167930 3540224 286705 286705 1661053 1639453 21600 2165006 1969925 195081 2850978 2004409 846569 294734 120669 174065 16811 7167 9644 209167 209167 60000 60000 0 0 0 0 49068 49068 690333 386129 304204 778640 778640 1041245 1020420 20825 20577 13759 6818 21612 21612 3516859 3516859 2464697 476807 1987890 PHYSICIAN FEES 2572752 2285001 287751 PHARMACEUTICALS 869646 869646 PROVISION FOR UNCOLLECTIBLES 1681529 1681529 PROVIDER ASSESSMENT 6574696 6574696 3906423 3893764 12659 0 60149795 50436374 9713421 0 82171 403112 1280000 4499225 8432894 0 0 0 322312 426276 427318 999896 46585123 22137214 26674228 24447909 0 752558 10842740 10123170 943192 4408057 43791186 51273872 8514397 7143038 0 2596787 4390884 11111184 11533922 X 32468277 39593505 211725 146445 32680002 39739950 43791186 51273872 X 5738087 39 1321822 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 209167 209167 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE HOSPITAL HIRES AN OUTSIDE CONSULTING GROUP TO LOBBY ON THEIR BEHALF FOR A VARIETY OF PROGRAMS FOCUSED ON ADVOCACY AND REPRESENTATION. 429028 429028 35816226 15268811 20547415 0 0 9953693 6754047 3199646 386176 114356 271820 24447909 LH FOUNDATION 313412 C MERRILL LYNCH AND BOARD DESIGNATED 2298129 C WESTSIDE INSURANCE 7155253 C Board Designated Fund 0 C Ariel Mutual Fund 47293 C Urban Partnership Bank CD 208982 C ABC BANK SAVINGS ACCOUNT 100101 C 10123170 Due FROM THIRD PARTY PAYORS 1637601 ESTIMATED INSURANCE RECOVERIES 2770456 4408057 ASSET RETIREMENT OBLIGATION 1028382 DUE TO THIRD PARTY PAYORS 592046 MALPRACTICE RESERVE 2770456 4390884 X 64206353 -1681529 -1681529 65887882 0 0 65887882 58468266 0 0 58468266 1681529 1681529 60149795 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote the Hospital and the Foundation are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Westside does not consider itself to be engaged in a United States trade or business and therefore, is not considered subject to United States income taxes. If Westside should be considered to be engaged in a United States trade or business, it could be subject to federal income tax, federal alternative minimum tax, and branch profits tax. Under the Cayman Islands Tax Concessions Law, the Governor in Cabinet issued an undertaking to Westside on September 13, 1994 exempting it from all local income, profit, or capital gains taxes. The undertaking has been issued for a period of 20 years and, at the present time, no such taxes are levied in the Cayman Islands. Accordingly, no provisions for taxes are made in these financials. The Hospital applies the provisions of ASC Topic 740 to evaluate uncertain tax positions. This guidance creates a single model to address uncertain income tax positions and clarifies the accounting for income taxes by prescribing a more-likely-than-not minimum recognition threshold that a tax position is required to meet before recognized in the financial statements. Under the requirement of ASC Topic 740, tax exempt organizations may be required to record an obligation as the result of a tax position they have historically taken on various tax exposure items. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. Due to its tax-exempt status, the Hospital is not generally subject to U.S. federal income tax or state income tax. The Hospital's Form 990 has not been subject to examination by the Internal Revenue Service or the state of Illinois for the last three years. The Hospital does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Hospital recognizes interest and/or penalties related to income tax matters in income tax expense. The Hospital did not have any amounts accrued for interest and penalties at June 30, 2015 and 2014. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Provisions for Bad Debts - -1681529 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Provisions For Bad Debts - 1681529 Central America and the Caribbean 0 0 Investments 7155000 0 0 0 0 0 0 7155000 0 7155000 true false true false false false true true X true X true X true true true false true true 1884606 2024268 -139662 0.0 30912064 15248579 15663485 0.2604 0 0 0 0.0 0 0 32796670 17272847 15523823 0.2604 0 0 0 0.0 181633 103873 77760 0.0013 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 181633 103873 77760 0.0013 0 0 32978303 17376720 15601583 0.2617 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 1681529 840300 15880245 10450021 5430224 X true true 1 1 LORETTO HOSPITAL WWW.LORETTOHOSPITAL.ORG HF109508 id#0001289 X X X LORETTO HOSPITAL 1 false false false false false true X 1.0 3.0 X X X X X true true X X X true X www.lorettohospital.org X www.lorettohospital.org X X X X true false X X X X true X false false 0 Schedule H, Part V, Section B, Line 1 CHNA POLICY LORETTO HOSPITAL DID NOT CONDUCT A FORMAL CHNA, BUT INCORPORATED AN ANALYSIS OF ITS RESOURCES AND ITS STATUS AS A SAFETY-NET PROVIDER, AND THE ONLY COMMUNITY BASED ACUTE CARE PROVIDER IN CHICAGO'S AUSTIN AREA, INTO A THOROUGH STRATEGIC PLANNING REPORT THAT FOLLOWED A SIGNIFICANT FINANCIAL CRISIS, AND MANAGEMENT TURNAROUND FOR THE ORGANIZATION. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The costing methodology used to calculate the amounts reported vary according to the information requested and the most accurate means of gathering the required information. The IRS provided worksheet number 2 was used to calculate a cost to charge ratio using information from the organization's general ledger and cost report. That ratio was then used in conjunction with IRS worksheet number 1 to calculate the cost of charity care provided and worksheet number 3 to calculate unreimbursed Medicaid amounts. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Data about the major payor sources is analyzed to establish an appropriate allowance for uncollectible receivables and provision for bad debt. For receivables associated with services provided to patients who have third-party coverage, contractually due amounts are analyzed and compared to actual cash overtime to enhance the quality of the estimate of the allowance for uncollectible accounts and the provision of bad debt. An estimate of the difference between contracted rates and amounts actually collected, after all reasonable collection efforts have been exhausted, is charged to the provision for patient bad debts and credited to the allowance for estimated uncollectible accounts. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE METHODOLOGY USED IN DETERMING BAD DEBT IS BASED ON A HISTORICAL PERCENTAGE COST OF PAYMENTS RECEIVED AGAINST WHAT IS BILLED CREATING A PERCENTAGE VARIANCE ON NET RECEIVABLES. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The Note related to Bad Debt and Accounts receivable is located on page 4 Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE SOURCE USED IN CALCULATING MEDICARE ALLOWABLE COST OF CARE COMES FROM THE ANNUAL MEDICARE COST REPORT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance WHILE MEETING THE CRITERIA FOF FINANCIAL ASSISTANCE, LORETTO CANNOT SEND STATEMENT OR PURSUE FOR COLLECTIONS. HOWEVER, IF THE PATIENT DOESN'T QUALIFY OR HAS FINANCIAL ASSISTANCE WITH A REMAINING BALANCE, LORETTO CAN SEND BILLING STATEMENTS AND PURSUE COLLECTIONS. Schedule H, Part V, Section B, Line 16b FAP Application website - LORETTO HOSPITAL: Line 16b URL: www.lorettohospital.org; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - LORETTO HOSPITAL: Line 16c URL: www.lorettohospital.org; Schedule H, Part VI, Line 2 Needs assessment A Community Health Needs Assessment provides information so that communities may identify issues of greatest concern and decide to commit resources to those areas, thereby making the greatest possible impact on community health status. This Community Health Needs Assessment will serve as a tool toward reaching three basic goals: To improve residents' health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socio-economic factors which have historically had a negative impact on residents' health. To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care. In the absence of a formal Community Health Needs Assessment during the tax year; the hospital used various sources to engage the needs of the community. We hosted several events such as Breast Screening and Treatment; American Heart Association; and Men's Health Fair. In addition, the hospital did monthly analysis of the patients seen in the hospital. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance EVERY PATIENT IS PROVIDED A BROCHURE AND DOCUMENT UPON DOCTOR VISIT, UPON ADMITTING, AND DISCHARGE. IN ADDITION, THE POLICY IS POSTED IN THE WAITING ROOMS, ADMITTING, ONLINE AND AVAILABLE UPON REQUEST. Schedule H, Part VI, Line 4 Community information LORETTO HOSPITAL IS AN ILLINOIS SAFETY-NET HOSPITAL. ILLINOIS' 36 SAFETY-NET HOSPITALS CARE FOR THE STATE'S MOST VULNERABLE CITIZENS; ARE A MAJOR SOURCE OF MEDICAL CARE FOR LOW-INCOME, UNINSURED AND VULNERABLE POPULATIONS IN THE STATE OF ILLINOIS; AND TREAT A DISPROPORTIONATE SHARE OF MEDICAID PATIENTS. LORETTO SERVES THE Austin Community of Chicago, specifically in Cook County. Loretto Hospital geographically serves patients in the south and west side of Chicago. We serve many patients that are indigent, under-served, under-insured, uninsured, and/or neglected. While a majority of patients are Caucasian, Latino, Middle Eastern, and African American, many cultures are also represented throughout the south and west side of Chicago, and Loretto takes the stance of providing health care regardless of race, religion, and ability to pay. Schedule H, Part VI, Line 5 Promotion of community health A MAJORITY OF LORETTO HOSPITAL'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. LORETTO HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. Loretto is dedicated to promoting the health and wellbeing of all the people in the communities we serve. Our mission is guided by the values: compassion, collaboration, quality, stewardship, integrity, accountability and respect. Loretto also has extended its services beyond hospital walls and into the neighborhood where people live and work. Schedule H, Part VI, Line 7 State filing of community benefit report IL X false false false false false false false false false Dr SONIA MEHTA BOARD MEMBER;CEO/CMO/PHYSICIAN 512000 0 50000 0 0 0 35000 0 12026 0 609026 0 0 0 JOHN VALLES CHIEF FINANCIAL OFFICER - Partial Yer until Dec. 2014 247417 0 25000 0 0 0 19000 0 5066 0 296483 0 0 0 JAMES RENNEKER CNO 178197 0 0 0 0 0 22832 0 2436 0 203465 0 0 0 SURESH KRISHNAN CIO 186973 0 0 0 0 0 32961 0 9678 0 229612 0 0 0 TILAK JOSHI PHYSICIAN 213900 0 0 0 0 0 16100 0 0 0 230000 0 0 0 DOSHI RAMESH PHYSICIAN 169000 0 0 0 0 0 0 0 0 0 169000 0 0 0 TRILOK SHAH PSYCHIATRIST 202168 0 87500 0 0 0 0 0 3260 0 292928 0 0 0 NILKANTH RANADE PHYSICIAN 206603 0 0 0 0 0 15171 0 2327 0 224101 0 0 0 EDWARD HOGAN BOARD CHAIR 212931 LEGAL FEES false Form 990, Part VI, Line 11b Review of form 990 by governing body A DRAFT OF THE 990 IS INITIALLY PRESENTED TO THE BOARD OF TRUSTEES FOR REVIEW BY ITS FINANCE SUB-COMMITTEE. THE FINAL VERSION IS THEN PRESENTED TO THE BOARD FOR APPROVAL PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy THERE IS A CONFLICT OF INTEREST SURVEY ISSUED TO ALL BOARD MEMBERS ON AN ANNUAL BASIS. WHERE A POSSIBLE CONFLICT EXISTS RELATIVE TO ANY MATTER PRESENTED OF THE BOARD OF TRUSTEES, INCLUDING THOSE THAT POSE A THREAT TO PATIENT SAFETY OR ANY COMMITTEE THEREOF FOR CONSIDERATION, THE MEMBERS OF THE BOARD OF TRUSTEES AFFECTED THEREBY SHALL CALL ATTENTION THERETO, AND SHALL REFRAIN FROM AND BE INELIGIBLE TO CAST A VOTE RELATIVE TO SUCH MATTER. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE CEO AND EXECUTIVE MANAGEMENT COMPENSATION IS PRESENTED AND REVIEWED BY THE BOARD COMMITTEE ON AN ANNUAL BASIS. RECOMMENDATIONS AND FINDINGS ARE PRESENTED FOR REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES PRIOR TO PRESENTATION TO THE BOARD FOR FINAL APPROVAL. Form 990, Part VI, Line 19 Required documents available to the public Copies of the governing documents, conflict of interest policy, and financial statements are available upon request. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Miscellaneous - Total Revenue: 4109818, Related or Exempt Function Revenue: 4109818, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Accretion Gain - 1567005; Investment Loss - -2006; Loss on investment - -177897; Released from Restriction - -83454; Contributions - 18174; WESTSIDE INSURANCE COMPANY 1ST LAYER INSURANCE CJ LORETTO HOSPITAL true LORETTO HOSPITAL FOUNDATION 645 SOUTH CENTRAL AVENUE CHICAGO IL 60644 364344125 FUNDRAISING IL 501(c)(3 7 LORETTO HOSPITAL true false false false false false false false false false false false false false false false false false false false