2015-06-12T12:57:26-07:00 2013-03-31 LOPEZ & CO CPAS LTD 2702 W CHICAGO AVE CHICAGO IL 606228510 990 2012-04-01 361703630 ROSELAND COMMUNITY HOSPITAL ASSOCIATION ROSE 7739953000 45 WEST 111TH STREET CHICAGO IL 60628 TIMOTHY EGAN 7739953000 2014-08-29 true ENRIQUE LOPEZ 7736348335 2012 2016-03-07 17:11:31Z TIMOTHY EGAN 45 WEST 111TH ST CHICAGO IL 60628 53117978 false X N/A X 1924 IL To provide general healthcare services to residents within the Pullman, Riverdale, and Roseland neighborhoods, including inpatient, outpatient, and emergency room physician and other services. 14 10 653 13 0 713694 7192752 48826262 45529157 14405 2567 256027 393502 49810388 53117978 0 0 54467415 52912015 0 0 0 54467415 52912015 -4657027 205963 40383566 35361339 37508918 32280728 2874648 3080611 To provide general healthcare false false 41887718 45529157 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. 41887718 true false false true false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false true 55 0 true 653 true false false false false false false false false false false X 14 10 false false false false false false false true true false false true true true true true true true true false IL X X TIMOTHY EGAN 7739953000 45 WEST 111TH ST CHICAGO IL 60628 GENIVEE CHAPMAN 1.00 X X 0 0 0 TUNJI LADIPO 1.00 X X 0 0 0 WILLIAM TOWNS 1.00 X X 0 0 0 OLLIE KNIGHT 1.00 X X 0 0 0 SALIM AL NURRIDIN 1.00 X 0 0 0 LARRY MITCHELL 1.00 X 0 0 0 ALMEDA DUNN 1.00 X 0 0 0 CARL VANCOL 1.00 X 0 0 0 MICHAEL W STUTTLEY 1.00 X 0 0 0 MELINDA MALECKI 1.00 X 0 0 0 AUDRENA SPENCE 1.00 X 0 0 0 RAJESH IYENGAR 1.00 X 0 0 0 KIMBERLY J BROWN 1.00 X 0 0 0 JOHN BRADLEY 1.00 X 0 0 0 DIAN POWELL 40 X 256008 JOY WEST 40 X 225744 ANGELA MAHOME 40 X 203811 MARIBEL TORRES 40 X 185886 PAMELA SMITH 54 X 175300 ROBERT CHASE 40 X 147247 DOUGLAS BECK 40 X 143766 SHARON THURMAN 40 X 116841 REGINALD THREATT 40 X 115837 SHELIA MARTIN 40 X 114706 DARLENE BROWN 40 X 109566 2114884 14 false true false EMERGENCY MEDICAL SPECIALIST 1012 LAKE SHORE BLVD EVANSTON IL 60202 ER PHYSICIAN SERVICES 1407921 FITCH HEALTHCARE CONSULTING 903 COMMERCE DR 160 OAK BROOK IL 60523 OPERATIONAL CONSULTING 992631 MIDWEST MEDICAL SUPPLY PO BOX 955588 ST LOUIS MO 63195 EQUIPMENT AND SUPPLIES 980580 MEDICAL INFORMATION TECHNOLOGY MEDITECH CIRCLE WESTWOOD MA 02090 IT CONSULTING 905937 DMS PHARMACEUTICAL 810 BUSSE HIGHWAY PARK RIDGE IL 60068 PHARMACEUTICAL WHOLESALER 777914 5 6974959 217793 7192752 MEDICARE/MEDICAID 621110 NET PATIENT REVENUE 621110 45529157 45529157 2567 2567 98712 98712 98712 98712 CAFETERIA 722210 105895 105895 VENDING/GIFT SHOP 453220 23881 23881 MISCELLANEOUS REVENUE 900099 165014 165014 294790 53117978 45529157 396069 441894 0 441894 0 25198359 14615956 10582403 0 27271762 27271762 0 0 52912015 41887718 11024297 0 2701058 358025 5940011 2558081 4113199 3167036 487498 647590 1388401 347575 54834942 26598933 25544274 28236009 209125 47023 40383566 35361339 14634929 12606995 6196817 4180549 16677172 15493184 37508918 32280728 X -635374 -429411 3510022 3510022 2874648 3080611 40383566 35361339 205963 X X false false false X ROSELAND COMMUNITY HOSPITAL ASSOCIATION CHICAGO IL 0 0 0 0 0 0 923853 923853 32969778 26598933 6370845 142343 142343 19963891 19963891 835077 835077 28236009 DUE FROM THIRD-PARTY PAYORS 1788 OTHER ASSETS 45235 47023 SELF-INSURANCE LIABILITIES 2830326 CAPITAL LEASE OBLIGATIONS 2570693 DUE TO THIRD-VENDORS 5752583 NEW MARKET TAX LIABILITY 4339582 15493184 true true true X 300.00000 true X 600.00000 true true false true true 8513361 8513361 0.16090 24358084 15525443 8832641 0.16690 15325516 25157632 -9832116 48196961 40683075 7513886 0.32780 48196961 40683075 7513886 0.32780 true 18634613 4658653 46440958 15706007 30734951 X true false 1 1 ROSELAND COMMUNITY HOSPITAL ASSOCIATION

45 WEST 111TH STREET CHICAGO IL 60628

X X X ROSELAND COMMUNITY HOSPITAL ASSOCIATION 1 false true true 300 true 600 true X X X X X X true true X X true X false true X true false Pt V Sec B 15e INDIVIDUAL ASSESSMENTS MADE Pt V Sec B 1j ROSELAND HAS IMPLEMENTED A FINANCIAL ASSISTANCE POLICY (FAP) THAT MEETS THE Pt V Sec B 14g REQUIREMENTS OF ILLINOIS PUBLIC ACT 095-0965 "HOSPITAL UNINSURED PATIENT DISCOUNT ACT". THIS POLICY WAS ALSO EXTENDED TO ALL CLINICALLY NECESSARY PROCEDURES AND WAS NOT LIMITED TO EMERGENCY CARE ONLY. Pt III Line 2 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' SCHEDULE H, WORKSHEET 2 Pt III Line 3 THE COST METHODOLOGY USED TO CALCULATE THE AMOUNT REPORTED AS BAD DEBT EXPENSE ATTRIBUTBLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, AT COST, IS THE COST-TO-CHARGE RATIO DERIVED FROM THE IRS' SCHEDULE H, WORKSHEET 2 Pt III Line 4 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 COPAYMENTS) REMAIN OUTSTANDING false false false false false false false false false DIAN POWELL 256008 256008 JOY WEST 224473 1271 225744 ANGELA MAHOME 198250 5561 203811 MARIBEL TORRES 175178 10708 185886 PAMELA SMITH 175300 175300 Pt VI, Line 11b BOARD OF DIRECTORS REVIEWS 990 PRIOR FILING Pt VI, Line 12c SIGNED DOCUMENT SUBMITTED ANNUALLY AND KEPT ON FILE. ANY POTENTIAL CONFLICTS ARE EXAMINED AND ACTIONS ARE TAKEN TO RESOLVE OR DISCLOSE SUCH CONFLICTS. Pt VI, Line 15a ROSELAND SECURED THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT TO PERFORM A SALARY SURVEY FOR THE CEO. THE COMPENSATON COMMITTEE RECOMMENDS A SALARY THAT IS SUBSEQUENTLY REVIEWED BY THE BOARD OF DIRECTORS BEFORE APPROVAL BY BOARD. Pt VI, Line 15b ROSELAND SECURED THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT TO PERFORM A SALARY SURVEY FOR KEY EXECUTIVES. Pt XII, Line 3b ORGANIZATION IS CURRENTLY UNDERGOING ITS AUDIT false false false false false false false false false false false false true false false false false false ROSELAND COMMUNITY HOSPITAL FOUNDATION m MARKET VALUE