FURP.ORG / PUBLIC DATA EXPLORER

INGALLS MEMORIAL HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
INGALLS MEMORIAL HOSPITAL (EIN 36-2170866)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-15
IRS object ID
202021979349304112
Schema version
2018v3.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-15T12:20:00-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1191 WEST NATIONWIDE BLVD STE 500AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP432152568ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362170866EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE INGALLS MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% RICHARD SILVERIAInCareOfNm
Business Name ControlINGABusinessNameControlTxt
Phone7083332300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE INGALLS DRIVEAddressLine1Txt
CityHARVEYCityNm
State AbbreviationILStateAbbreviationCd
ZIP60426ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD SILVERIAPersonNm
Person TitleEVP AND CFOPersonTitleTxt
Phone7083332300PhoneNum
Signature2020-06-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMOLLIE P LONGHOUSEPreparerPersonNm
PTINP00294881PTIN
Phone6142492300PhoneNum
Preparation2020-06-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address199.206.0.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id36104320201975000090FederalOriginalSubmissionId
Federal Original Submission Id2020-07-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id7F0E0DFD6A7B7A6A7B19F8422F7C83906E1907E4AtSubmissionCreationDeviceId
At Submission Filing Device IdA793AF6D82FB434B9372ED6055E47D2EEA90915CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICHARD SILVERIAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE INGALLS DRIVEAddressLine1Txt
CityHARVEYCityNm
State AbbreviationILStateAbbreviationCd
ZIP60426ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$302,233,967GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.INGALLS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1922FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionINGALLS MEMORIAL HOSPITAL IS A NOT-FOR PROFIT ACCUTE CARE HOSPITAL ORGANIZED FOR THE PURPOSE OF PROVIDING PATIENT CARE, EDUCATION, AND RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee2564TotalEmployeeCnt
Total Volunteers221TotalVolunteersCnt
Total Gross UBI$2,849,946TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$418,980NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$882,936PYContributionsGrantsAmt
CY Contributions Grants$1,027,959CYContributionsGrantsAmt
PY Program Service Revenue$284,840,492PYProgramServiceRevenueAmt
CY Program Service Revenue$289,475,951CYProgramServiceRevenueAmt
PY Investment Income$19,510,070PYInvestmentIncomeAmt
CY Investment Income$7,315,093CYInvestmentIncomeAmt
PY Other Revenue$6,142,900PYOtherRevenueAmt
CY Other Revenue$2,591,190CYOtherRevenueAmt
PY Total Revenue$311,376,398PYTotalRevenueAmt
CY Total Revenue$300,410,193CYTotalRevenueAmt
PY Grants And Similar Paid$52,152PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$16,750CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$119,580,594PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$117,132,680CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$205,098,420PYOtherExpensesAmt
CY Other Expenses$186,899,962CYOtherExpensesAmt
PY Total Expenses$324,731,166PYTotalExpensesAmt
CY Total Expenses$304,049,392CYTotalExpensesAmt
PY Revenues Less Expenses-$13,354,768PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,639,199CYRevenuesLessExpensesAmt
Total Assets BOY$470,216,480TotalAssetsBOYAmt
Total Assets EOY$437,512,615TotalAssetsEOYAmt
Total Liabilities BOY$204,830,332TotalLiabilitiesBOYAmt
Total Liabilities EOY$177,041,285TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$265,386,148NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$260,471,330NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionINGALLS MEMORIAL HOSPITAL IS A NONPROFIT ACUTE CARE HOSPITAL ORGANIZED FOR THE PURPOSE OF PROVIDING PATIENT CARE, EDUCATION, RESEARCH, AND ASSISTANCE TO UCM COMMUNITY HEALTH AND HOSPITAL DIVISION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$158,199,760ExpenseAmt
Grant$16,750GrantAmt
Revenue$124,453,909RevenueAmt
DescIngalls Memorial Hospital (IMH) includes a 500+ certified bed hospital and a network of comprehensive outpatient centers that feature full array of high-tech diagnostic and treatment services. IMH makes sure that our resources are directed to areas that result in the greatest benefit to our patients and the community.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$17,362,234ExpenseAmt
Revenue$109,420,626RevenueAmt
DescIMH performs an array of surgical services including elective, non-elective, complex and highly specialized procedures. Surgeons on staff at IMH specialize in every area of surgery, including, but not limited to cardiothoracic surgery, orthopedic surgery, neurosurgery, spine surgery, general surgery, and vascular surgery. In FY2019, IMH performed 2,110 inpatient surgeries and 2,650 ambulatory surgeries.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$21,512,822ExpenseAmt
Revenue$28,237,780RevenueAmt
DescThe pharmacy provides services to both our inpatients and infusion center patients. Included in the services provided are antibiotic dosing, dosing based on kidney function, blood glucose management, and anticoagulant dosing and monitoring. The inpatient pharmacy is open 24/7. We process approximately 49,000 medication orders and make 8,000 interventions per month.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtRevenueRevenueAmtDescDesc
$60,338,803$29,827,695LAB OPERATIONS AND ADMINISTRATIVE FUNCTIONS
(HR, BENEFITS, AND MEDICAID PUBLIC ASSESSMENT)
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$60,338,803TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$29,827,695TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$257,413,619TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document458IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2564EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRICHARD SILVERIAPersonNm
Phone7083332300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE INGALLS DRIVEAddressLine1Txt
CityHARVEYCityNm
State AbbreviationILStateAbbreviationCd
ZIP60426ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
NEAL KITCHELL
SECRETARY/TREASURER1.02.0Yes (X)Yes (X)$0$0$0
DENNIS IRVIN
VICE CHAIRMAN1.00.0Yes (X)Yes (X)$0$0$0
DAVID ORTH
CHAIRMAN1.02.0Yes (X)Yes (X)$17,550$0$0
SAMUEL CUTRARA JR
BOARD MEMBER1.01.0Yes (X)$0$0$0
HEATHER DAVIS
BOARD MEMBER1.00.0Yes (X)$0$0$0
ROSEMARY DOMBROWSKI
BOARD MEMBER1.00.0Yes (X)$0$0$0
EUGENE FEINGOLD
BOARD MEMBER1.03.0Yes (X)$0$0$0
JOHN FLYNN MD
BOARD MEMBER1.040.0Yes (X)$0$801,574$53,595
CARL JOHNSON II MD
BOARD MEMBER1.02.0Yes (X)$0$0$0
HENRY JOHNSON
BOARD MEMBER1.01.0Yes (X)$0$0$0
TIMOTHY JOHNSON
BOARD MEMBER1.01.0Yes (X)$0$0$0
DOROTHY JONES MD
BOARD MEMBER1.00.0Yes (X)$0$22,329$0
MICHAEL KAMRADT
BOARD MEMBER1.01.0Yes (X)$0$0$0
JASON R KEELER
BOARD MEMBER1.040.0Yes (X)$0$987,632$123,841
RICHARD KING
BOARD MEMBER1.01.0Yes (X)$0$0$0
MARK KOZLOFF
BOARD MEMBER1.042.0Yes (X)$11,880$707,943$43,655
CRESSA PERISH MD
BOARD MEMBER1.00.0Yes (X)$0$39,979$0
KEVIN PURCELL
BOARD MEMBER1.01.0Yes (X)$0$0$0
CORRIN STEINHAUER RN
BOARD MEMBER1.040.0Yes (X)$0$301,938$76,799
NATHANIEL SUTTON
BOARD MEMBER1.01.0Yes (X)$0$0$0
JONATHAN GOBLE
INTERIM PRESIDENT40.03.0Yes (X)Yes (X)$276,274$0$15,600
MICHAEL LAWRENCE
CHIEF FINANCIAL OFFICER40.04.0Yes (X)$440,314$0$43,047
ANN MCCOLGAN
ASST TREASURER/VP TREASURY1.042.0Yes (X)$0$370,024$79,538
TOMASZ SAMEK
ASSISTANT SECRETARY40.01.0Yes (X)$131,510$0$28,075
PAUL DONOHUE
VP PHILANTHROPY AND COMMUNITY40.01.0$217,482$0$42,939Yes (X)
SCOTT STRAUSSER
VP BUS DEV (THRU 10/3/2018)40.01.0$970,705$0$31,694Yes (X)
HEIDI RUHE
ASSOC VP BUSINESS DEVELOPMENT40.00.0$214,118$0$47,074Yes (X)
MARY JO CRANDALL
VP LEAN TRANSFORMATION40.00.0$209,143$0$10,457Yes (X)
JENNIFER HALSEY
DIRECTOR OF PHARMACY40.00.0$167,348$0$36,901Yes (X)
JAMES SWANSON
DIRECTOR TECH SVCS/IT SEC OFFI40.00.0$164,122$0$35,159Yes (X)
PAUL ZIELSKE
DIRECTOR PATIENT CARE SERVICES40.00.0$159,991$0$47,669Yes (X)
KURT JOHNSON
PRESIDENT AND CEO TIL 6/30/1840.00.0$2,777,148$0$16,931Yes (X)
MICHAEL HICKS
COO TIL 5/4/201840.00.0$811,180$0$13,923Yes (X)
LINDA CONWAY
ASST SECRETARY/GENERAL COUNSEL40.00.0$165,708$0$8,441Yes (X)
GARY GASBARRA
INTERIM CFO TIL 6/30/170.042.0$0$669,385$86,892Yes (X)
MICHAEL DEVORE
CIO TIL 2/2/1840.00.0$101,918$0$11,759Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,836,391TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,900,804TotReportableCompRltdOrgAmt
Total Other Compensation$853,989TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K96IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ARAMARK CORPORATION
25271 NETWORK PLACECHICAGOIL60673CONTRACT FOOD, PLANT$9,175,273
CERNER HEALTH SERVICES
C/O US BANK PO BOX 959167ST LOUISMO63195IT SUPPORT$6,478,257
SYNERGY BEHAVIORAL HEALTHCARE
1566 W ALGONQUIN ROAD 3149HOFFMAN ESTATESIL60192BEHAVIORAL HEALTH$5,008,215
REED CONSTRUCTION
600 W JACKSON BLVD STE 500CHICAGOIL606615625CONSTRUCTION COMPANY$6,643,404
EPMG OF ILLINOIS
350 N WALL STREETKANKAKEEIL60901Emergency Medicine$2,974,767
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K111CntrctRcvdGreaterThan100KCnt
Related Organizations$1,027,959RelatedOrganizationsAmt
Total Contributions$1,027,959TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE900099$282,586,131$282,586,131
PATIENT TRANSPORTATION900099$2,369,152$2,369,152
RENTAL INCOME900099$1,395,891$1,395,891
LAB SERVICES900099$2,849,946$2,849,946
CLIENT SERVICE REVENUE621500$274,831$274,831
FieldValueIRS element (for citing)
Total Program Service Revenue$289,475,951TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,478,205TotalRevenueColumnAmt
Exclusion$2,478,205ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,881,381RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,823,774RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$57,607RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,607TotalRevenueColumnAmt
Exclusion$57,607ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,783,252SecuritiesAmt
Other$53,636OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,783,252SecuritiesAmt
Other$53,636OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,836,888TotalRevenueColumnAmt
Exclusion$4,836,888ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
EXPENSE REIMBURSEMENT & MGMT FEES900099$899,423$899,423
MEDICAL INTENSIVE UNIT900099$153,081$153,081
PARKING INCOME900099$69,524$69,524

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,411,555TotalRevenueColumnAmt
Related Or Exempt Func Income$1,411,555RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,533,583OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$300,410,193TotalRevenueColumnAmt
Related Or Exempt Func Income$289,090,064RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,849,946UnrelatedBusinessRevenueAmt
Exclusion$7,442,224ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$16,750TotalAmt
Program Services$16,750ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,244,575TotalAmt
Management And General$2,244,575ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$96,450,541TotalAmt
Program Services$90,833,355ProgramServicesAmt
Management And General$5,617,186ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,153,636TotalAmt
Program Services$2,074,875ProgramServicesAmt
Management And General$78,761ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,141,507TotalAmt
Program Services$8,564,568ProgramServicesAmt
Management And General$576,939ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,142,421TotalAmt
Program Services$6,589,336ProgramServicesAmt
Management And General$553,085ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,097,990TotalAmt
Management And General$3,097,990ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$107,884TotalAmt
Management And General$107,884ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$294,393TotalAmt
Management And General$294,393ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$33,584TotalAmt
Management And General$33,584ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$799,544TotalAmt
Management And General$799,544ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$48,209,152TotalAmt
Program Services$35,067,885ProgramServicesAmt
Management And General$13,141,267ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,154,036TotalAmt
Management And General$1,154,036ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,838,050TotalAmt
Program Services$1,486,652ProgramServicesAmt
Management And General$1,351,398ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,814,933TotalAmt
Management And General$15,814,933ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,715,914TotalAmt
Program Services$5,293,828ProgramServicesAmt
Management And General$422,086ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$262,024TotalAmt
Program Services$189,559ProgramServicesAmt
Management And General$72,465ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,755,664TotalAmt
Program Services$4,755,664ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,051,436TotalAmt
Program Services$13,754,050ProgramServicesAmt
Management And General$297,386ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,514,877TotalAmt
Program Services$13,514,877ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$52,723,591$52,723,591
PUBLIC ASSESSMENT$17,121,881$17,121,881
REPAIRS & MAINTENANCCE$3,896,536$3,578,905$317,631
LAUNDRY SERVICES$1,114,861$1,114,861

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,393,612TotalAmt
Program Services$732,982ProgramServicesAmt
Management And General$660,630ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$304,049,392TotalAmt
Program Services$257,413,619ProgramServicesAmt
Management And General$46,635,773ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,265BOYAmt
EOY$8,177EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$502,976BOYAmt
EOY$315,525EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$41,813,279BOYAmt
EOY$41,057,590EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,997,840BOYAmt
EOY$6,321,365EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,133,545BOYAmt
EOY$3,942,333EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$232,210,133LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$40,804,272LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$185,778,063BOYAmt
EOY$191,405,861EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$189,034,698BOYAmt
EOY$140,885,887EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$251,804BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$44,695,010BOYAmt
EOY$53,575,877EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$470,216,480BOYAmt
EOY$437,512,615EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$81,790,056BOYAmt
EOY$52,710,369EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,187,744BOYAmt
EOY$6,061,340EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$104,689,455BOYAmt
EOY$101,575,923EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,163,077BOYAmt
EOY$16,693,653EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$204,830,332BOYAmt
EOY$177,041,285EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$260,925,127BOYAmt
EOY$256,409,081EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,461,021BOYAmt
EOY$4,062,249EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$265,386,148BOYAmt
EOY$260,471,330EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$470,216,480BOYAmt
EOY$437,512,615EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,639,199ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,126,297NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,401,916OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$60,600DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$33,584OtherActivitiesAmt
Total Lobbying Expenditures$94,184TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1GFormAndLineReferenceDesc
ExplanationINGALLS MEMORIAL HOSPITAL (IMH) EMPLOYS THE SERVICES OF CONTRACTUAL, REGISTERED LOBBYISTS AND SOME PORTION OF FULL-TIME IMH PERSONNEL (THE VICE PRESIDENT, GOVERNMENTAL AFFAIRS) FOR THE PURPOSE OF EDUCATING LOCAL, STATE AND FEDERAL ELECTED OFFICIALS AND APPOINTED POLICY MAKERS ABOUT THE DELIVERY OF HEALTH CARE SERVICES IN AN ACADEMIC MEDICAL RESEARCH ENVIRONMENT. ADVOCACY EFFORTS CONDUCTED BY CONTRACTUAL LOBBYISTS AND IMH STAFF ARE RELATED TO SECURING SUFFICIENT RESOURCES TO FURTHER THE HOSPITAL'S TAX-EXEMPT PURPOSES, INCLUDING ITS PROGRAMMATIC, CLINICAL, RESEARCH, FUTURE CONSTRUCTION, AND RENOVATION OBJECTIVES, WHILE CONTINUING ITS VERY HIGH LEVELS OF CHARITY CARE AND COMMUNITY BENEFIT. SPECIFICALLY THE TOPICS THAT ARE THE SUBJECT OF LOBBYING ACTIVITIES DURING FY2019 WERE MEDICARE/MEDICAID, 340B, GRADUATE MEDICAL EDUCATION (BOTH DGME AND IME), NIH BUDGET, DRUG PRICING, NATIONAL SCIENCE FOUNDATION MATTERS, AND NURSE STAFFING LEGISLATION. PART II-B, LINE 1I THE HOSPITAL PAYS DUES TO THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE USED TO SUPPORT LOBBYING BY THE ASSOCIATION FOCUSED ON ADVOCACY AND REPRESENTATION.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,464,807OtherCostOrOtherBasisAmt
Book Value$6,464,807BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$157,343,005OtherCostOrOtherBasisAmt
Depreciation$16,040,264DepreciationAmt
Book Value$141,302,741BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$65,165,207OtherCostOrOtherBasisAmt
Depreciation$23,896,358DepreciationAmt
Book Value$41,268,849BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,237,114OtherCostOrOtherBasisAmt
Depreciation$867,650DepreciationAmt
Book Value$2,369,464BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$191,405,861TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$48,849,268
RESTRICTED INVESTMENTS - FDN$4,062,249
INSURANCE CLAIMS RECEIVABLE$410,395
OTHER LONG-TERM ASSETS$253,965
FieldValueIRS element (for citing)
Total Book Value Other Assets$53,575,877TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
LEASE OBLIGATIONS$2,000,174
SWAP PAYABLE$9,468,840
OTHER PAYABLES$5,224,639
FieldValueIRS element (for citing)
Total Liability$16,693,653TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$300,142,052TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,126,297NetUnrealizedGainsInvstAmt
Other Revenue-$578,144OtherRevenueAmt
Revenue Not Reported$548,153RevenueNotReportedAmt
Revenue Subtotal$299,593,899RevenueSubtotalAmt
Investment Expenses Not Incld$799,544InvestmentExpensesNotIncldAmt
Other Revenues Not Included$16,750OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$816,294RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$300,410,193TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$305,056,872TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,823,774OtherExpensesIncludedAmt
Expenses Not Reported$1,823,774ExpensesNotReportedAmt
Expenses Subtotal$303,233,098ExpensesSubtotalAmt
Investment Expenses Not Incld2$799,544InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$16,750OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$816,294ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$304,049,392TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2THE SYSTEM APPLIES ASC TOP 740, INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S CONSOLIDATED FINANCIAL STATEMENTS. ASC TOPIC 740 PRESCRIBES A MORE LIKELY THAN NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. UNDER ASC TOPIC 740, TAX POSITIONS ARE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. AS OF JUNE 30, 2019 AND 2018, THE SYSTEM DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS. THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE.
SCHEDULE D, PART XI, LINE 2DCHANGE IN FAIR VALUE OF DERIVATIVE INSTRUMENTS ($2,003,145) CHANGE IN INTEREST OF FOUNDATION ($398,773) NET RENTAL $1,823,774 TOTAL ($578,144) SCHEDULE D, PART XI, LINE 4B SCHOLARSHIPS NETTED AGAINST INVESTMENT INCOME $16,750
SCHEDULE D, PART XII, LINE 2DRENTAL EXPENSE $1,823,774
SCHEDULE D, PART XII, LINE 4BSCHOLARSHIP NETTED AGAINST INVESTMENT INCOME $16,750

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,297,014TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,297,014NetCommunityBenefitExpnsAmt
Total Expense0.02070TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,203,365TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$59,634,788DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,568,577NetCommunityBenefitExpnsAmt
Total Expense0.08410TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$91,500,379TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$59,634,788DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,865,591NetCommunityBenefitExpnsAmt
Total Expense0.10480TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$174,186TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$174,186NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,669,396TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$695,395DirectOffsettingRevenueAmt
Net Community Benefit Expns$974,001NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$74,792TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$74,792NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,918,374TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$695,395DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,222,979NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$93,418,753TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,330,183DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,088,570NetCommunityBenefitExpnsAmt
Total Expense0.10880TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,532TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,532NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,532TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,532NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,568,698BadDebtExpenseAmt
Reimbursed By Medicare$109,940,097ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$123,800,157CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$13,860,060MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1NONEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INGALLS MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE INGALLS DRIVEAddressLine1Txt
CityHARVEYCityNm
State AbbreviationILStateAbbreviationCd
ZIP60426ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.INGALLS.ORGWebsiteAddressTxt
State License00001099StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1INGALLS MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URL(SEE STATEMENT)FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL(SEE STATEMENT)FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URL(SEE STATEMENT)FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 4THE HOSPITAL IS REPORTING THE TAX YEAR BEGINNING FOR WHICH IT LAST CONDUCTED ITS CHNA. THE CHNA WAS FINALIZED DURING THE TAX YEAR ENDED JUNE 30, 2019. PART V, SECTION B, LINE 5 THE CHNA PROCESS INVOLVED ENGAGEMENT WITH MULTIPLE STAKEHOLDERS TO PRIORITIZE HEALTH AREAS TO ASSESS AS WELL TO COLLECT, CURATE AND INTERPRET THE DATA. INGALLS COLLABORATED WITH 35 HOSPITALS AND TWO HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS IN COOK COUNTY ILLINOIS, THROUGH A MEMBERSHIP COLLABORATION CALLED THE ALLIANCE FOR HEALTH EQUITY, WHICH WAS LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE. INGALLS ALSO ENGAGED INTERNAL AND EXTERNAL STAKEHOLDERS THROUGHOUT THE CHNA PROCESS. INTERNAL STAKEHOLDERS INCLUDED THE MEMBERS OF THE COMMUNITY BENEFIT STEERING COMMITTEE AND THE MEMBERS OF THE COMMUNITY MANAGEMENT TEAM. ADDITIONALLY, APPROXIMATELY 20 STAKEHOLDERS REPRESENTING BROAD INTERESTS OF THE COMMUNITY ATTENDED A MEETING IN APRIL 2019 TO REVIEW DATA AND TO DISCUSS PERTINENT ISSUES FOR IMH TO ADDRESS THROUGH THE IMPLEMENTATION PLAN. PRIMARY DATA FOR THE CHNA WAS COLLECTED THE FOLLOWING WAY: 1) 240 COMMUNITY INPUT SURVEYS AVAILABLE IN ENGLISH, SPANISH, CHINESE AND POLISH 2) ONE COMMUNITY INPUT FOCUS GROUP WITH PRIORITY POPULATIONS TEENS AND YOUNG ADULTS 3) HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS 4) TWO STAKEHOLDER ASSESSMENTS LED BY THE CHICAGO DEPARTMENT OF PUBLIC HEALTH FORCES OF CHANGE ASSESSMENT AND 5) HEALTH EQUITY CAPACITY ASSESSMENT.
PART V, SECTION B, LINE 6BINGALLS JOINED THE ALLIANCE FOR HEALTH EQUITY TO CONDUCT THE CHNA AND PARTICIPATED IN ITS COLLABORATIVE EFFORTS FOR COOK COUNTY. THE ALLIANCE FOR HEALTH EQUITY IS A COLLABORATIVE OF 37 HOSPITALS WORKING WITH HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE HEALTH EQUITY, WELLNESS, AND QUALITY OF LIFE ACROSS CHICAGO AND COOK COUNTY. USING THE DATA GATHERED FROM THIS EFFORT, INGALLS CREATED A CHNA FOCUSED ON ITS SERVICE AREA AND ALSO COMPLEMENTED IT WITH ADDITIONAL DATA AND INFORMATION. THE FACILITIES OTHER THAN HOSPITALS THAT PARTICIPATED IN THE ALLIANCE FOR HEALTH EQUITY ARE CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY, DEPARTMENT OF PUBLIC HEALTH, EVANSTON HEALTH AND HUMAN SERVICES, AND THE VILLAGE OF SKOKIE HEALTH DEPARTMENT. THE PARTICIPATING HOSPITALS WERE: ADVOCATE AURORA CHILDREN'S HOSPITAL ADVOCATE AURORA CHRIST MEDICAL CENTER ADVOCATE AURORA ILLINOIS MASONIC MEDICAL CENTER ADVOCATE AURORA LUTHERAN GENERAL HOSPITAL ADVOCATE AURORA SOUTH SUBURBAN HOSPITAL ADVOCATE AURORA TRINITY HOSPITAL AMITA ADVENTIST MEDICAL CENTER LA GRANGE AMITA ALEXIAN BROTHERS MEDICAL CENTER, ELK GROVE VILLAGE AMITA HOLY FAMILY MEDICAL CENTER AMITA RESURRECTION MEDICAL CENTER AMITA ST. ALEXIUS MEDICAL CENTER AND ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL AMITA SAINT FRANCIS HOSPITAL AMITA SAINT JOSEPH HOSPITAL AMITA SAINTS MARY AND ELIZABETH MEDICAL CENTER ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO COOK COUNTY HEALTH- PROVIDENT HOSPITAL COOK COUNTY HEALTH- STROGER HOSPITAL JACKSON PARK HOSPITAL THE LORETTO HOSPITAL LOYOLA MEDICINE- GOTTLIEB MEMORIAL HOSPITAL LOYOLA MEDICINE- LOYOLA UNIVERSITY MEDICAL CENTER LOYOLA MEDICINE- MACNEAL HOSPITAL MERCY HOSPITAL & MEDICAL CENTER NORTHWESTERN MEMORIAL HOSPITAL NORWEGIAN AMERICAN HOSPITAL PALOS COMMUNITY HOSPITAL ROSELAND COMMUNITY HOSPITAL RUSH OAK PARK HOSPITAL RUSH UNIVERSITY MEDICAL CENTER SINAI HEALTH SYSTEM- HOLY CROSS HOSPITAL SINAI HEALTH SYSTEM- MOUNT SINAI HOSPITAL SINAI HEALTH SYSTEM- SCHWAB REHABILITATION HOSPITAL SOUTH SHORE HOSPITAL SWEDISH COVENANT HOSPITAL UNIVERSITY OF CHICAGO MEDICINE UNIVERSITY OF CHICAGO MEDICINE-INGALLS MEMORIAL HOSPITAL UNIVERSITY OF ILLINOIS HOSPITAL AND HEALTH SCIENCES SYSTEM PART V, SECTION B, LINE 7A https://www.uchicagomedicine.org/about-us/community/benefit/health-needs-i ngalls-memorial/chna PART V, SECTION B, LINE 7D The results of the report have been discussed at community meetings, with reference to the full report's availability on the hospital's website. The CHNA has also been made widely available to various Chicagoland community news outlets, including the Chicago Sun-Times and WVON-1690 AM.
PART V, SECTION B, LINE 9THE HOSPITAL IS REPORTING THE TAX YEAR BEGINNING FOR WHICH IT LAST ADOPTED AN IMPLEMENTATION STRATEGY RELATING TO THE TAX YEAR ENDED JUNE 30, 2019. PART V, SECTION B, LINE 10 https://www.uchicagomedicine.org/about-us/community/benefit/health-needs-i ngalls-memorial/chna PART V, SECTION B, LINE 11 INGALLS MOST RECENTLY CONDUCTED CHNA WAS IN 2018. THIS CHNA FOR YEARS 2020-2022 WAS ADOPTED BY UNIVERSITY OF CHICAGO MEDICAL CENTER'S BOARD OF DIRECTOR'S GOVERNMENT AND COMMUNITY RELATIONS COMMITTEE, WHO RECEIVED THE 2019 CHNA REPORT, 2016-2019 EVALUATION REPORT, AND 2019-2021 STRATEGIC IMPLEMENTATION PLAN FOR REVIEW AND FORMALLY APPROVED ALL THREE DOCUMENTS ON MAY 23, 2019. THE HEALTH PRIORITIES IDENTIFIED IN THE MOST RECENT CHNA WERE: 1. PREVENT AND MANAGE CHRONIC DISEASE -- ASTHMA, DIABETES AND HEART DISEASE. 2. INCREASE ACCESS TO MATERNAL SERVICES -- PRENATAL CARE. 3. PROMOTE CANCER AWARENESS -- BREAST CANCER AND PROSTATE CANCER. BEGINNING IN 2020, INGALLS WILL ADDRESS THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA THROUGH EXECUTION OF THE IMPLEMENTATION STRATEGY. IN ADDITION, INGALLS WAS FULLY ENGAGED IN THE ALLIANCE FOR HEALTH EQUITY, A MEMBERSHIP COLLABORATION OF 35 HOSPITALS AND TWO HEALTH DEPARTMENTS AND REGIONAL COMMUNITY-BASED ORGANIZATIONS TO IMPROVE HEALTH EQUITY, WELLNESS, AND QUALITY OF LIFE ACROSS CHICAGO AND COOK COUNTY. MANY OF INGALLS ACTIONS TO ADDRESS THESE NEEDS ARE INCLUDED IN PROGRAMS THAT ARE NOT LIMITED TO THESE NEEDS. BEGINNING IN 2020, THE SELECTED PRIORITY AREAS (SIGNIFICANT NEEDS) WILL BE ADDRESSED THROUGH THE FOLLOWING APPROACHES: CARE DELIVERY INITIATIVES. A MYRIAD OF INITIATIVES THAT PROVIDE DIRECT HEALTH, MEDICAL, OR WELLNESS SERVICES TO COMMUNITY MEMBERS. THESE SERVICES ARE EXECUTED IN MULTIPLE WAYS THAT INCLUDE LEVERAGING INGALLS RESOURCES AND PARTNERING WITH COMMUNITY HEALTH CENTERS AND COMMUNITY-BASED CLINICAL SERVICES. COMMUNITY BENEFIT GRANTS. GRANT MAKING PROVIDED TO COMMUNITY-BASED ORGANIZATIONS THAT IMPLEMENT PROGRAMS TO ADDRESS THE INGALLS PRIORITY AREAS WITHIN THE INGALLS SERVICE AREA. COMMUNITY-BASED EDUCATION & OUTREACH. PROGRAMS THAT PROMOTE LEARNING AND EDUCATIONAL FORUMS, PRIMARILY AROUND THE INGALLS HEALTH PRIORITY AREAS, AMONGST COMMUNITY MEMBERS FROM THE SOUTH SUBURBS. THESE ACTIVITIES ARE INTENDED TO BETTER INFORM AND EDUCATE THE COMMUNITY REGARDING HEALTH AND PROMOTE HEALTH SELF-MANAGEMENT PRACTICES. IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, INGALLS DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH FIT WITHIN THE CURRENT RESOURCES AVAILABLE. WHILE FOOD INSECURITY WAS NOT SELECTED AS A HEALTH PRIORITY AREA FOR 2020-2022, IT AFFECTS THE HEALTH STATUS OF THE WHOLE COMMUNITY. CONSEQUENTLY, IT IS ADDRESSED IN RELATION TO EACH OF THE PRIORITY HEALTH AREAS WITH A FOCUS ON THE CHRONIC DISEASE DOMAIN. INGALLS DOES NOT DIRECTLY ADDRESS MENTAL HEALTH & SUBSTANCE ABUSE OR STI/HIV; HOWEVER, IT DOES NOT IGNORE THESE ISSUES EITHER. INGALLS LEVERAGES ITS INTERNAL RESOURCES TO CONTINUE TO ADDRESS THESE AS WELL AS OTHER ISSUES. ALSO, INGALLS WORKS WITH COMMUNITY PARTNERS, INCLUDING THE LOCAL PUBLIC HEALTH DEPARTMENT, ORGANIZATIONS AND FEDERAL QUALIFIED HEALTH CENTERS TO ADDRESS ISSUES IN ITS SHARED COMMUNITY. FOR TAX YEAR ENDED JUNE 20, 2019, THAT INCLUDES THE TIME PERIOD REPORTED IN THIS FORM 990, INGALLS ADDRESSED THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN ITS 2016 CHNA AND IN WHICH THE IMPLEMENTATION STRATEGY WAS ADOPTED FOR YEARS 2016-2019. - CANCER CARE - NUTRITION - PHYSICAL ACTIVITY & WEIGHT - INFANT HEALTH AND FAMILY PLANNING PLEASE SEE A REPORT OF ALL INGALLS COMMUNITY ACTIVITIES IN PART VI, LINE 5. RATIONALE FOR UNADDRESSED NEEDS: Throughout the CHNA process, a wide range of priority health issues emerged. Given that multiple stakeholders prioritized top health needs for Ingalls to focus on, Ingalls determined that it could only effectively focus on top health needs which fit within the current resources available. WHILE FOOD INSECURITY WAS NOT SELECTED AS A HEALTH PRIORITY AREA FOR 2020-2022, IT AFFECTS THE HEALTH STATUS OF THE WHOLE COMMUNITY. CONSEQUENTLY, IT WILL BE ADDRESSED IN RELATIONSHIP TO EACH OF THE PRIORITY HEALTH AREAS WITH A FOCUS ON THE CHRONIC DISEASE DOMAIN. INGALLS WILL NOT DIRECTLY ADDRESS MENTAL HEALTH & SUBSTANCE ABUSE OR STI/HIV; IT WILL NOT IGNORE THESE ISSUES EITHER. INGALLS WILL LEVERAGE ITS INTERNAL RESOURCES TO CONTINUE TO ADDRESS THESE AS WELL AS OTHER ISSUES. ALSO, INGALLS WILL DILIGENTLY WORK WITH COMMUNITY PARTNERS, INCLUDING THE LOCAL PUBLIC HEALTH DEPARTMENT, ORGANIZATIONS AND FEDERAL QUALIFIED HEALTH CENTERS TO ADDRESS ISSUES IN ITS SHARED COMMUNITY.
PART V, SECTION B, LINE 13BA PATIENT IS NOT REQUIRED TO PAY MORE THAN 20% OF HIS/HER FAMILY INCOME FOR ALL EMERGENCY AND OTHER MEDICALLY NECESSARY CARE PROVIDED BY IMH IN A 12-MONTH PERIOD. THE MEDICAL INDIGENCY DISCOUNT APPLIES TO ANY PATIENT WHOSE PATIENT BALANCE DUE FOR EMERGENCY AND OTHER MEDICALLY NECESSARY SERVICES EXCEEDS 25% OF HIS/HER ADJUSTED GROSS INCOME IN THE YEAR THAT THE PATIENT RECEIVED CARE.
PART V, SECTION B, LINE 16Ahttps://www.uchicagomedicine.org/patients-visitors/patient-information/bil ling/financial-assistance-at-ingalls PART V, SECTION B, LINE 16B https://www.uchicagomedicine.org/patients-visitors/patient-information/bil ling/financial-assistance-at-ingalls PART V, SECTION B, LINE 16C https://www.uchicagomedicine.org/patients-visitors/patient-information/bil ling/financial-assistance-at-ingalls
PART V, SECTION B, LINE 20Patients receive four statements, each statement cycle comprisED of 30 days, prior to the initiation of any collection activities. Each statement clearly states that financial assistance is offered to those who qualify. Furthermore, all statements includes a section entitled "Financial Assistance" which provides information on how to obtain the Plain Language Summary.
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
INGALLS FAMILY CARE CENTER
1600 TORRENCE AVENUECALUMET CITYIL60409URGENT AID, PRIMARY CARE, AND SPECIALIST SERVICES
INGALLS FAMILY CARE CENTER
19550 GOVERNORS HIGHWAYFLOSSMOORIL60422URGENT AID AND SPECIALIST SERVICES
INGALLS FAMILY CARE CENTER
6701 WEST 159TH STREETTINLEY PARKIL60477URGENT AID, PRIMARY CARE, AND SPECIALIST SERVICES
INGALLS CARE CENTER
4742 CAL SAG ROADCRESTWOODIL60445QUICK CARE CENTER AND OCCUPATIONAL HEALTH
INGALLS CARE CENTER
16246 PRINCE DRIVERSOUTH HOLLANDIL60473INDUSTRIAL, MEDICAL REHABILITATION AND PHYSICIAN OFFICES
INGALLS WELLNESS CENTER
2920 WELLNESS CENTERHOMEWOODIL60430COMPLEMENTARY MEDICINE AND COMMUNITY HEALTH PROGRAMS
THE VILLA AT SOUTH HOLLAND
16300 WAUSAU AVENUESOUTH HOLLANDIL60473HEALTH CARE AND REHABILITATION CENTER

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Sch H, Part I, Line 3cAUTOMATIC UNINSURED SELF-PAY DISCOUNT A DISCOUNT OF 80% OF GROSS CHARGES, PROVIDED TO ALL UNINSURED PATIENTS WITHOUT REQUIRING EVIDENCE OF INABILITY TO PAY. THIS DISCOUNT IS DESIGNED TO ENSURE THAT PATIENTS ARE CHARGED AT A RATE GENERALLY COMPARABLE TO THAT APPLIED TO INSURED PATIENTS. 1. THERE IS NO APPLICATION PROCESS FOR THE PATIENT TO RECEIVE THE UNINSURED DISCOUNT. THE DISCOUNT IS APPLIED BASED ON THE ACCOUNT'S SELF-PAY/UNINSURED STATUS. 2. PATIENTS RECEIVING PRE-NEGOTIATED DISCOUNTS FOR HOSPITAL SERVICES WILL NOT BE ELIGIBLE FOR THIS UNINSURED DISCOUNT. 3. IF A PATIENT IS SUBSEQUENTLY APPROVED FOR FINANCIAL ASSISTANCE, THE AUTOMATIC DISCOUNT WILL BE REVERSED SO THAT THE FULL AMOUNT CAN BE RECOGNIZED AS A CHARITY ALLOWANCE. 4. IF A PATIENT SUBSEQUENTLY PROVIDES EVIDENCE OF INSURANCE COVERAGE, THE AUTOMATIC DISCOUNT WILL BE REVERSED AND THE INSURANCE COVERAGE PROVIDED WILL BE BILLED ACCORDINGLY. 5. PATIENTS WHO ARE OTHERWISE INSURED AND CHOOSE NOT TO USE THEIR INSURANCE COVERAGE ARE INELIGIBLE FOR THIS AUTOMATIC DISCOUNT. PART I, LINE 7 INGALLS UTILIZES A COST TO CHARGE METHODOLOGY. CHARGES ASSOCIATED WITH THE RELATED CATEGORIES ARE THEN USED TO DETERMINE COSTS RELATED TO SUCH REVENUE. PART III, LINE 1 Ingalls follows GAAP principles and under the new reporting standard ASC 606, Bad Debt is now implicit price concessions. The reporting of bad debt also conforms to the updated healthcare financial management association no. 15. PART III, LINE 2 THE AMOUNT REPORTED AS BAD DEBT EXPENSE IS DETERMINED BY APPLYING THE RATIO OF COST TO CHARGES (RCC) TO THE TOTAL CHARGES WRITTEN OFF TO BAD DEBT AS REPORTED IN THE AUDITED FINANCIAL STATEMENTS. THE RCC WAS DETERMINED UTILIZING WORKSHEET 2 FROM FORM 990, SCHEDULE H INSTRUCTIONS. THE BASIS FOR THIS COSTING METHODOLOGY IS THE HOSPITAL'S OPERATING EXPENSES (EXCLUDING BAD DEBT) ADJUSTED BY OTHER OPERATING REVENUE AND COMMUNITY BENEFIT EXPENSE DIVIDED BY GROSS PATIENT CHARGES. PART III, LINE 3 INGALLS RUNS PRESUMPTIVE ELIGIBILITY FOR FINANCIAL ASSISTANCE WHEN SUFFICIENT INFORMATION CANNOT BE OBTAINED. AS A RESULT, INGALLS DOES NOT BELIEVE THERE IS ANY BAD DEBT FOR INDIVIDUALS THAT WOULD OTHERWISE QUALIFY FOR ASSISTANCE. PART III, LINE 4 FOOTNOTE TO FINANCIAL STATEMENTS: AS A RESULT OF ADOPTING ASU NO. 2014-09 AS DESCRIBED, THE SYSTEM CONTINUES TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JULY 1, 2018. THE SYSTEM PROVIDED FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE SYSTEM ESTIMATED THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION, TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND A NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS THE ESTIMATED PROCESS USED BY THE SYSTEM. THE SYSTEM RECORDED A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THERE WERE NO REVISIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN 2019. PART III, LINE 8 THE HOSPITAL BELIEVES THE FULL AMOUNT OF THE SHORTFALL FROM MEDICARE SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE IT SERVES ALL PATIENTS REGARDLESS OF INSURANCE OR ABILITY TO PAY, AND IT CANNOT NEGOTIATE CONTRACTUAL RATES WITH THE MEDICARE PROGRAM. THE HOSPITAL MUST ACCEPT WHAT THE MEDICARE PROGRAM PAYS. THE METHODOLOGY USED IN DETERMINING MEDICARE USED IN THE COMMUNITY BENEFITS REPORT IS MEDICARE CHARGES MULTIPLIED BY THE MEDICARE COST REPORT, COST TO CHARGE RATIO. PART III, LINE 9B INGALLS MEMORIAL HOSPITAL HAS A FIDUCIARY DUTY TO SEEK REIMBURSEMENT FOR SERVICES IT HAS PROVIDED FROM INDIVIDUALS WHO ARE ABLE TO PAY, FROM THIRD PARTY INSURERS WHO COVER THE COST OF CARE, AND FROM OTHER PROGRAMS OF ASSISTANCE FOR WHICH THE PATIENT IS ELIGIBLE. TO DETERMINE WHETHER A PATIENT IS ABLE TO PAY FOR THE SERVICES PROVIDED AS WELL AS TO ASSIST THE PATIENT IN FINDING ALTERNATIVE COVERAGE OPTIONS IF THEY ARE UNINSURED OR UNDERINSURED, THE HOSPITAL FOLLOWS THE FOLLOWING CRITERIA RELATED TO BILLING AND COLLECTING FROM PATIENTS. COLLECTING INFORMATION ON PATIENT HEALTH COVERAGE AND FINANCIAL RESOURCES PATIENT OBLIGATIONS: PRIOR TO THE DELIVERY OF ANY HEALTH CARE SERVICES (EXCEPT FOR CASES THAT ARE AN EMERGENCY OR URGENT CARE SERVICE LEVEL), THE PATIENT IS EXPECTED TO PROVIDE TIMELY AND ACCURATE INFORMATION ON THEIR INSURANCE STATUS, DEMOGRAPHIC INFORMATION, CHANGES TO THEIR FAMILY INCOME OR INSURANCE STATUS, AND INFORMATION ON ANY DEDUCTIBLES OR CO-PAYMENTS THAT ARE OWED BASED ON THEIR EXISTING INSURANCE OR FINANCIAL PROGRAM'S PAYMENT OBLIGATIONS. THE DETAILED INFORMATION WILL INCLUDE: A. FULL NAME, ADDRESS, TELEPHONE NUMBER, DATE OF BIRTH, SOCIAL SECURITY NUMBER (IF AVAILABLE), CURRENT HEALTH INSURANCE COVERAGE OPTIONS, CITIZENSHIP AND RESIDENCY INFORMATION, AND THE PATIENT'S APPLICABLE FINANCIAL RESOURCES THAT MAY BE USED TO PAY THEIR BILL; B. FULL NAME OF THE PATIENT'S GUARANTOR, THEIR ADDRESS, TELEPHONE NUMBER, DATE OF BIRTH, SOCIAL SECURITY NUMBER (IF AVAILABLE), CURRENT HEALTH INSURANCE COVERAGE OPTIONS, AND THEIR APPLICABLE FINANCIAL RESOURCES THAT MAY BE USED TO PAY FOR THE PATIENT'S BILL; AND C. OTHER RESOURCES THAT MAY BE USED TO PAY THEIR BILL, INCLUDING OTHER INSURANCE PROGRAMS, MOTOR VEHICLE OR HOMEOWNERS INSURANCE POLICIES IF THE TREATMENT WAS DUE TO AN ACCIDENT, WORKER'S COMPENSATION PROGRAMS, AND STUDENT INSURANCE POLICIES, AMONG OTHERS. IT IS ULTIMATELY THE PATIENT'S OBLIGATION TO KEEP TRACK OF AND TIMELY PAY THEIR UNPAID HOSPITAL BILL, INCLUDING ANY EXISTING CO-PAYMENTS, CO-INSURANCE, AND DEDUCTIBLES. THE PATIENT IS FURTHER REQUIRED TO INFORM EITHER THEIR CURRENT HEALTH INSURER (IF THEY HAVE ONE) OR THE AGENCY THAT DETERMINED THE PATIENT'S ELIGIBILITY STATUS IN A PUBLIC HEALTH INSURANCE PROGRAM OF ANY CHANGES IN FAMILY INCOME OR INSURANCE STATUS. THE HOSPITAL MAY ALSO ASSIST THE PATIENT WITH UPDATING THEIR ELIGIBILITY IN A PUBLIC PROGRAM WHEN THERE ARE ANY CHANGES IN FAMILY INCOME OR INSURANCE STATUS, BUT ONLY IF THE HOSPITALS MADE AWARE BY THE PATIENT OF FACTS THAT MAY INDICATE A CHANGE IN THE PATIENT'S ELIGIBILITY STATUS. PATIENTS ARE REQUIRED TO NOTIFY THE STATE PUBLIC PROGRAM (OFFICE OF MEDICAID), INFORMATION RELATED TO ANY LAWSUIT OR INSURANCE CLAIM THAT WILL COVER THE COST OF THE SERVICES PROVIDED BY THE HOSPITAL. HOSPITAL OBLIGATIONS: INGALLS MEMORIAL HOSPITAL WILL MAKE ALL REASONABLE AND DILIGENT EFFORTS TO COLLECT THE PATIENT INSURANCE STATUS AND OTHER INFORMATION TO VERIFY COVERAGE FOR THE HEALTH CARE SERVICES TO BE PROVIDED BY INGALLS MEMORIAL HOSPITAL. THESE EFFORTS MAY OCCUR WHEN THE PATIENT IS SCHEDULING THEIR SERVICES, DURING PREREGISTRATION, WHILE THE PATIENT IS ADMITTED IN THE HOSPITAL, UPON DISCHARGE, OR DURING THE COLLECTION PROCESS WHICH MAY OCCUR FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. THIS INFORMATION WILL BE OBTAINED PRIOR TO THE DELIVERY OF ANY NONEMERGENT AND NON-URGENT HEALTH CARE SERVICES (I.E., ELECTIVE PROCEDURES AND SCHEDULED PROCEDURES). INGALLS MEMORIAL HOSPITAL WILL DELAY ANY ATTEMPT TO OBTAIN THIS INFORMATION DURING THE DELIVERY OF ANY EMERGENCY MEDICAL TREATMENT AND LABOR ACT (EMTALA) LEVEL EMERGENCY LEVEL OR URGENT CARE SERVICES, IF THE PROCESS TO OBTAIN THIS INFORMATION WILL DELAY OR INTERFERE WITH EITHER THE MEDICAL SCREENING EXAMINATION OR THE SERVICES UNDERTAKEN TO STABILIZE AN EMERGENCY MEDICAL CONDITION. THE HOSPITAL'S REASONABLE AND DILIGENT EFFORTS WILL INCLUDE, BUT IS NOT LIMITED TO, REQUESTING INFORMATION ABOUT THE PATIENT'S INSURANCE STATUS, CHECKING ANY AVAILABLE PUBLIC OR PRIVATE INSURANCE DATABASES, AND FOLLOWING THE BILLINGS RULES OF A KNOWN THIRD PARTY PAYER.IF THE PATIENT OR GUARANTOR/GUARDIAN IS UNABLE TO PROVIDE THE INFORMATION NEEDED, AND THE PATIENT CONSENTS, THE HOSPITAL WILL MAKE REASONABLE EFFORTS TO CONTACT RELATIVES, FRIENDS, GUARANTOR/GUARDIAN, AND THE THIRD PARTY FOR ADDITIONAL INFORMATION. INGALLS MEMORIAL HOSPITAL WILL ALSO MAKE REASONABLE AND DILIGENT EFFORTS TO INVESTIGATE WHETHER A THIRD PARTY RESOURCE MAY BE RESPONSIBLE FOR THE SERVICES PROVIDED BY THE HOSPITAL, INCLUDING BUT NOT LIMITED TO: (1) A MOTOR VEHICLE OR HOMEOWNER'S LIABILITY POLICY, (2) GENERAL ACCIDENT OR PERSONAL INJURY PROTECTION POLICIES, (3) WORKER'S COMPENSATION PROGRAMS, (4) STUDENT INSURANCE POLICIES, AMONG OTHERS. IN ACCORDANCE WITH APPLICABLE STATE REGULATIONS OR THE INSURANCE CONTRACT, FOR ANY CLAIM WHERE INGALLS MEMORIAL HOSPITAL'S REASONABLE AND DILIGENT EFFORTS RESULTED IN A PAYMENT FROM A PRIVATE INSURER OR PUBLIC PROGRAM, INGALLS MEMORIAL HOSPITAL WILL REPORT THE RECOVERY AND OFF SET IT AGAINST THE CLAIM PAID
Sch H, Part VI, LINE 3THE HOSPITAL INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THE ELIGIBILITY FOR ASSISTANCE BY POSTING SIGNS THROUGHOUT THE PATIENT REGISTRATION AREAS REGARDING PATIENT PAYMENT OPTIONS. IN ADDITION, PATIENTS ARE INFORMED VIA THE HOSPITAL'S WEBSITE, INDIVIDUAL PATIENT STATEMENTS, AND FINANCIAL COUNSELORS. BELOW ARE SOME ADDITIONAL DETAILS REGARDING HOW THE HOSPITAL INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. SIGNAGE: SIGNS OR SIMILAR WRITTEN NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAM WILL BE VISIBLE AT ALL HOSPITAL POINTS OF SERVICE TO CREATE AWARENESS OF THE FINANCIAL ASSISTANCE PROGRAM. AT A MINIMUM, SIGNAGE WILL BE POSTED IN THE EMERGENCY DEPARTMENT AND ADMISSION REGISTRATION AREA. ALL PUBLIC INFORMATION AND/OR FORMS REGARDING THE PROVISION OF FINANCIAL ASSISTANCE PROGRAM WILL USE LANGUAGES THAT ARE APPROPRIATE FOR THE SERVICE AREA IN ACCORDANCE WITH THE STATE'S LANGUAGE ASSISTANCE SERVICES ACT. HOSPITAL BILL/INVOICE: PATIENT BILLS OR STATEMENTS INCLUDE A PROMINENT STATEMENT THAT PATIENTS WHO MEET CERTAIN INCOME REQUIREMENTS MAY QUALIFY FOR FINANCIAL ASSISTANCE AND INFORMATION REGARDING HOW A PATIENT MAY APPLY FOR CONSIDERATION UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE FOLLOWING ARE MADE PUBLICLY AVAILABLE VIA THE HOSPITAL'S WEBSITE, https://www.uchicagomedicine.org/patients-visitors/patient-information/bil ling/financial-assistance-at-ingalls 1. PATIENT BROCHURES 2. FINANCIAL ASSISTANCE POLICY 3. APPLICATION FORMS USED TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE. 4. PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE POLICY
Sch H, Part VI, Line 4INGALLS SERVICE AREA CONSISTS OF A LARGE, MEDICALLY UNDER RESOURCED, LOWER INCOME POPULATION IN SOUTH SUBURBAN COOK COUNTY. BASED ON THE RESULTS OF THE 2018-2019 CHNA, THE POPULATION OF INGALLS SERVICE AREA IS APPROXIMATELY 61 PERCENT AFRICAN AMERICAN, 20 PERCENT WHITE AND 17 PERCENT HISPANIC/LATINO. FORTY PERCENT OF SUBURBAN COOK COUNTY'S AFRICAN AMERICAN POPULATIONS LIVE WITHIN THE INGALLS SERVICE AREA. THE INGALLS SERVICE AREA IS RELATIVELY LOW-INCOME COMPARED TO THE REST OF SUBURBAN COOK COUNTY. ABOUT 22% OF RESIDENTS IN THE INGALLS SERVICE AREA LIVE BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL) COMPARED TO 18% IN SOUTH SUBURBAN COOK COUNTY OVERALL, 11% IN SUBURBAN COOK COUNTY, 14% IN ILLINOIS, AND 15% IN THE US. INGALLS IS LOCATED IN HARVEY, ILLINOIS THE CITY WITH THE HIGHEST POVERTY RATES. INGALLS SERVICE AREA IS THORNTON TOWNSHIP, WHICH CONSISTS OF 13 ZIP CODES, 20 CITIES/MUNICIPALITIES. IT IS HOME TO MORE THAN 260,000 RESIDENTS, MANY OF WHOM ARE UNDERSERVED BY INGALLS. SOME OF THE COMMUNITIES IN INGALL SERVICE AREA HAS SOME OF THE HIGHEST CHRONIC DISEASE AND MORTALITY RATES IN SUBURBAN COOK COUNTY.
Sch H, Part VI, Line 5INGALLS IS A COMMUNITY HOSPITAL THAT WORKS WITH ITS COMMUNITY AND PARTNERS TO IMPROVE HEALTH, PREVENT DISEASES AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH IN ITS SERVICE AREA. BELOW ARE SOME OF THE ACTIVITIES THAT TARGET UNDERSERVED POPULATIONS. HEALTHY BABY NETWORK WAS ESTABLISHED TO ADDRESS THE NUMBER OF WOMEN GIVING BIRTH THAT HAVE RECEIVED NO PRENATAL CARE. THE LACK OF PRENATAL CARE RESULTS IN PREMATURE BIRTHS, BABIES WITH LOW BIRTH WEIGHTS, INCREASED MORBIDITY AND MORTALITY AND NUMEROUS OTHER COMPLICATIONS THAT HAVE BEEN EASILY TREATED. IN 2019, 132 INDIVIDUALS ENROLLED IN THE PROGRAM, 97 DELIVERIES, 88 FULL-TERM DELIVERIES AND 88 DELIVERIES THAT WERE NORMAL BIRTH WEIGHTS. KIDFEST IS AN ANNUAL EVENT ESTABLISHED TO DECREASE THE NUMBER OF CHILDREN WHO WERE UNABLE TO START SCHOOL ON TIME BECAUSE THEY WERE UNABLE TO MEET THE NECESSARY HEALTH RELATED REQUIREMENTS. INGALLS PARTNERS WITH FAMILY CHRISTIAN CENTER, A NEIGHBORING FEDERALLY QUALIFIED HEALTH CENTER, TO PROVIDE THE MEDICAL SERVICES FOR THIS EVENT. IN ADDITION TO UNDERWRITING MEDICAL COSTS (INCLUDING VACCINATIONS), INGALLS ALSO PROVIDES A COMMUNITY RESOURCES TENT WITH SCHOOL SUPPLIES. MORE THAN 300 KIDS RECEIVED SERVICES IN 2019. THROUGH THE INGALLS COMMUNITY IMPACT GRANT PROGRAM, COMMUNITY ORGANIZATIONS APPLY FOR FUNDING TO PROVIDE PROGRAMS AND SERVICES THAT HELP TO IMPROVE THE HEALTH OUTCOMES OF RESIDENTS IN INGALLS CHNA SERVICE AREA, WITH A FOCUS ON ONE OF THE PRIORITY HEALTH AREAS. Last grant cycle, three grants were awarded to community organizations whose programs addressed the prevention and management of chronic diseases: heart disease, diabetes and asthma. ADDITIONALLY, INGALLS OFFERED THE MILER'S CLUB. THIS PROGRAM CONSISTS OF PARTNERSHIPS BETWEEN INGALLS AND COMMUNITY ORGANIZATIONS TO HOST WALKING PROGRAMS AND MONTHLY HEALTH INFORMATION LECTURES. THIS PROGRAM FEATURES FREE MONTHLY BLOOD PRESSURE SCREENINGS AND QUARTERLY HEALTH EDUCATION PROGRAMS. INGALLS HOSTED THE SOUTHLAND HEALTH FAIR. THIS EVENT OFFERED APPROXIMATELY 25 FREE OR SUBSIDIZED HEALTH SCREENINGS, SUCH AS TOTAL CHOLESTEROL, CANCER SCREENINGS FOR SKIN, COLON AND ORAL, VISION EXAMS AND HEARING SCREENINGS. INGALLS ROOFTOP GARDEN PROGRAM CONSISTS OF 10 RAISED GARDEN BEDS LOCATED ON THE ROOFTOP OF THE HOSPITAL'S PARKING GARAGE. DIETETIC INTERNS AT INGALLS ARE RESPONSIBLE FOR GARDEN OPERATIONS, WHICH INCLUDES PROVIDING EDUCATIONAL SESSIONS TO SCHOOLS AND AFTER SCHOOL PROGRAMS. IN 2019, APPROXIMATELY 153 LBS. OF PRODUCE WERE HARVESTED AND DISTRIBUTED, AT NO COST TO THEM, TO THREE LOCAL EMERGENCY FEEDING PROGRAMS IN THE INGALLS SERVICE AREA. COMMUNITY BOARD: THE INGALLS BOARD OF DIRECTORS MEMBERSHIP IS COMPRISED OF LOCAL BUSINESS AND COMMUNITY MEMBERS THAT LIVE IN THE CHICAGO AND THE SOUTH SUBURBAN REGION. IN ADDITION TO THE PRESIDENT, ONE EMPLOYED PHYSICIAN SERVES AS AN ELECTED BOARD MEMBER. ALL MEMBERS ARE IN COMPLIANCE WITH THE BOARD CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO COMPLETE AN ANNUAL CERTIFICATION AND DISCLOSURE FORM. QUALIFIED PHYSICIANS: INGALLS RESPONDS TO REQUESTS FOR APPLICATIONS TO JOIN THE MEDICAL STAFF MADE BY QUALIFIED PHYSICIANS IN THE COMMUNITY. THE INGALLS PROFESSIONAL AFFAIRS COMMITTEE REVIEWS INQUIRIES AND PROVIDES APPLICATIONS TO PHYSICIANS WHO MEET THE MINIMUM QUALIFICATIONS FOR MEDICAL STAFF MEMBERSHIP IF THERE IS A NEED FOR A PARTICULAR SERVICE AND/OR A PATIENT NEED EXISTS WITHIN THE COMMUNITY. STAFF EDUCATION: THE INGALLS MEDICAL STAFF SUPPORTS IMPROVEMENTS IN PATIENT CARE AND ONGOING EDUCATION TO THE MEDICAL AND PROFESSIONAL STAFF THROUGH FUNDING OF MEDICAL EDUCATION ACTIVITIES. INGALLS IS ACCREDITED BY THE ILLINOIS STATE MEDICAL SOCIETY TO AWARD CME CATEGORY 1 CREDIT. THE CME COMMITTEE IS RESPONSIBLE FOR OVERSIGHT OF MONTHLY CME ACTIVITIES WHICH ARE SPONSORED BY THE HOSPITAL. BOTH MEDICAL AND PROFESSIONAL (NURSING, QUALITY MANAGEMENT, ETC.) STAFF ARE INVITED AND ENCOURAGED TO ATTEND THE PROGRAMS. TO PROMOTE COMMUNITY HEALTH ACTIVITIES AND PROGRAMS, INGALLS DISTRIBUTES INFORMATION VIA: -EXTERNAL NEWSLETTERS -COMMUNITY PARTNERS -MESSAGE BOARDS -SOCIAL MEDIA PLATFORMS
Sch H, Part VI, Line 6THE INGALLS MEMORIAL HOSPITAL IS PART OF THE INGALLS HEALTH SYSTEM THAT IS NOW KNOWN AS UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. THE INGALLS HEALTH SYSTEM WAS INCORPORATED TO SUPPORT AND ENCOURAGE HEALTH AND HUMAN SERVICES THROUGH THE FOLLOWING AFFILIATES: *THE INGALLS MEMORIAL HOSPITAL *INGALLS HEALTH VENTURES *MEDCENTRIX, INC. *INGALLS DEVELOPMENT FOUNDATION *INGALLS HEALTH COUNCIL *INGALLS HOME CARE *INGALLS PROVIDER GROUP *INGALLS CASUALTY INSURANCE *INGALLS SAME DAY SURGERY, LTD. *INGALLS CARE NETWORK *PRIMARY HEALTHCARE ASSOCIATES, SC
Sch H, Part VI, Line 7IL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient16RecipientCnt
Cash Grant$16,750CashGrantAmt
Valuation Method UsedCASHValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 1FormAndLineReferenceDesc
ExplanationSCHOLARSHIPS ARE PAID DIRECTLY TO THE EDUCATIONAL INSTITUTIONS IN ORDER TO ENSURE THE FUNDS ARE USED FOR THEIR INTENDED PURPOSE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN FLYNN MD
BOARD MEMBER$0$579,674$0$137,500$0$84,400$0$22,000$0$31,595$0$855,169$0$0
JASON R KEELER
BOARD MEMBER$0$594,325$0$365,322$0$27,985$0$113,258$0$10,583$0$1,111,473$0$0
MARK KOZLOFF
BOARD MEMBER$11,880$467,592$0$215,000$0$25,351$0$6,875$0$36,780$11,880$751,598$0$0
CORRIN STEINHAUER RN
BOARD MEMBER$0$262,894$0$28,977$0$10,067$0$34,920$0$41,879$0$378,737$0$0
JONATHAN GOBLE
INTERIM PRESIDENT$247,271$0$0$0$29,003$0$5,289$0$10,311$0$291,874$0$0$0
MICHAEL LAWRENCE
CHIEF FINANCIAL OFFICER$360,245$0$73,000$0$7,069$0$9,250$0$33,797$0$483,361$0$0$0
ANN MCCOLGAN
ASST TREASURER/VP TREASURY$0$255,061$0$76,142$0$38,821$0$43,555$0$35,983$0$449,562$0$22,301
TOMASZ SAMEK
ASSISTANT SECRETARY$131,443$0$0$0$67$0$2,069$0$26,006$0$159,585$0$0$0
MICHAEL DEVORE
CIO TIL 2/2/18$73,404$0$0$0$28,514$0$285$0$11,474$0$113,677$0$0$0
PAUL DONOHUE
VP PHILANTHROPY AND COMMUNITY$205,776$0$11,706$0$0$0$9,250$0$33,689$0$260,421$0$0$0
SCOTT STRAUSSER
VP BUS DEV (THRU 10/3/2018)$194,983$0$18,591$0$757,131$0$8,010$0$23,684$0$1,002,399$0$0$0
HEIDI RUHE
ASSOC VP BUSINESS DEVELOPMENT$126,185$0$7,306$0$80,627$0$6,222$0$40,852$0$261,192$0$0$0
MARY JO CRANDALL
VP LEAN TRANSFORMATION$200,841$0$7,535$0$767$0$10,457$0$0$0$219,600$0$0$0
JENNIFER HALSEY
DIRECTOR OF PHARMACY$163,974$0$3,225$0$149$0$8,467$0$28,434$0$204,249$0$0$0
JAMES SWANSON
DIRECTOR TECH SVCS/IT SEC OFFI$160,678$0$3,145$0$299$0$8,556$0$26,603$0$199,281$0$0$0
PAUL ZIELSKE
DIRECTOR PATIENT CARE SERVICES$159,991$0$0$0$0$0$6,690$0$40,979$0$207,660$0$0$0
KURT JOHNSON
PRESIDENT AND CEO TIL 6/30/18$321,079$0$0$0$2,456,069$0$6,361$0$10,570$0$2,794,079$0$0$0
MICHAEL HICKS
COO TIL 5/4/2018$133,261$0$0$0$677,919$0$4,712$0$9,211$0$825,103$0$0$0
LINDA CONWAY
ASST SECRETARY/GENERAL COUNSEL$135,894$0$4,431$0$25,383$0$8,082$0$359$0$174,149$0$0$0
GARY GASBARRA
INTERIM CFO TIL 6/30/17$0$386,875$0$196,004$0$86,506$0$65,291$0$21,601$0$756,277$0$43,434

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ADURING 2018, THE ORGANIZATION PROVIDED A VERY LIMITED NUMBER OF AD HOC TAX-RELATED PAYMENTS. JONATHAN GOBLE RECEIVED A TAX-RELATED PAYMENT IN CONNECTION WITH THE REIMBURSEMENT OF MOVING EXPENSES. KURT JOHNSON WAS REIMBURSED FOR SOCIAL CLUB DUES. ALL TAX-RELATED PAYMENTS ARE INCLUDED IN TAXABLE COMPENSATION, AND ARE CONFIRMED AS BEING REASONABLE WHEN CONSIDERED WITH ALL OTHER FORMS OF COMPENSATION.
SCHEDULE J, PART I, LINE 4ASOME OF THE INDIVIDUALS LISTED ON THE FORM 990 HAVE A SEVERANCE PROVISION IN CONJUNCTION WITH THEIR EMPLOYMENT WITH THE HOSPITAL. DURING CALENDAR YEAR 2018, THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: SCOTT STRAUSSER - $516,088 HEIDI RUHE - $59,949 MICHAEL HICKS - $615,246 DURING CALENDAR YEAR 2018, IN CONNECTION WITH HIS RETIREMENT FROM INGALLS MEMORIAL HOSPITAL, KURT JOHNSON RECEIVED COMPENSATION IN THE AMOUNT OF $1,650,000, WHICH IS INCLUDED IN PART II, COLUMN B(III).
SCHEDULE J, PART I, LINE 4BCERTAIN INDIVIDUALS LISTED IN SCHEDULE J, PART II PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO WHICH UCMC MAKES ANNUAL CONTRIBUTIONS. THESE CONTRIBUTIONS ARE AT RISK AND DO NOT BECOME VESTED AND PAYABLE UNLESS AND UNTIL THE INDIVIDUAL SATISFIES A SUBSTANTIAL FUTURE SERVICE REQUIREMENT. THE FOLLOWING INDIVIDUALS HAD CONTRIBUTIONS MADE TO THE PLAN IN JANUARY 2019 FOR CALENDAR YEAR 2018: JASON KEELER - $93,382 CORRIN STEINHAUER - $14,295 ANN MCCOLGAN - $23,757 GARY GASBARRA - $44,666 THE FOLLOWING INDIVIDUALS MADE CONTRIBUTIONS TO THE PLAN IN JANUARY 2018 FOR CALENDAR YEAR 2017 (INCLUDED IN THE 2018 W-2S): ANN MCCOLGAN - $22,301 GARY GASBARRA - $43,434
SCHEDULE J, PART IITAXABLE INCOME REPORTED IN COLUMN (B) MAY INCLUDE PAYMENTS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN MOST CASES, THESE PAYMENTS WERE EARNED OVER MANY YEARS OF EMPLOYMENT AND THE AMOUNTS HAD PREVIOUSLY BEEN SUBJECT TO VESTING RULES. SERP PAYMENT AMOUNTS EARNED IN PRIOR YEARS WERE PREVIOUSLY REPORTED ON THE FORM 990 AS DEFERRED COMPENSATION AND ARE REPORTED IN THIS 2018 FORM 990 ON SCHEDULE J, PART II, COLUMN (F). AN INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD ANNUALLY REVIEWS THESE BENEFITS IN COMPARISON TO MARKET DATA AND HAS CONCLUDED THAT THESE BENEFITS AND ALL OTHER FORMS OF COMPENSATION PROVIDED TO THESE INDIVIDUALS ARE REASONABLE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY SERIES 2013
A86109196745203HPE62013-02-06$64,815,040REF. 1994 ISSUANCE & CAP PROJ.falsefalsefalse
ILLINOIS FINANCE AUTHORITY SERIES 2017
B8610919672017-12-29$48,180,000REFUNDING 2004 BONDSfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$1,715,000$0$64,815,040$0$0$0$1,183,106$0$0$30,160,000$33,471,935$02015Yes (true)falseYes (true)Yes (true)
B$2,880,000$0$41,180,000$0$0$0$349,422$0$0$0$40,830,578$02017Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0.020600.02060falsefalsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)false0.003000.00300falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalseYes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
REBATE COMPUTATIONPART IV, LINE 2C, COLUMN A THE REBATE CALCULATION WAS COMPLETED 02/06/2018.
PART V - BOND POLICYWRITTEN TAX-EXEMPT BOND PROCEDURES WERE ADOPTED ON FEBRUARY 12, 2018.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 1ATHE BOARD OF DIRECTORS SHALL APPOINT ANNUALLY FROM ITS MEMBERSHIP AN EXECUTIVE COMMITTEE OF NOT LESS THAN FIVE (5) NOR MORE THAN NINE (9) MEMBERS, OF WHICH THREE (3) MEMBERS SHALL BE THE CHAIRMAN, THE VICE CHAIRMAN, AND THE SECRETARY/TREASURER OF THE HOSPITAL. THE EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE ALL OF THE POWERS OF THE BOARD OF DIRECTORS NOT PROHIBITED BY STATUTE OR SECTION 1 OF THE HOSPITAL'S BYLAWS BETWEEN MEETINGS THEREOF.
FORM 990, PART VI, LINE 6PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE SOLE VOTING MEMBER OF THE ORGANIZATION IS UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC., A RELATED TAX EXEMPT ORGANIZATION. AS THE ORGANIZATION'S SOLE CORPORATE MEMBER, IT HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE.
FORM 990, PART VI, LINE 7ADIRECTORS, OTHER THAN THE DIRECTORS EX OFFICIO, SHALL BE ELECTED ANNUALLY BY UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC., OR AT SUCH OTHER TIMES AS MAY BE DETERMINED BY THE SOLE MEMBER OF THE CORPORATION.
FORM 990, PART VI, LINE 7BUCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. SHALL RETAIN THE RIGHT TO REMOVE ANY DIRECTOR, OTHER THAN DIRECTORS EX OFFICIO, WITH OR WITHOUT CAUSE, AT ANY TIME. UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. MUST APPROVE ANY MODIFICATION OR AMENDMENT TO ANY MISSION STATEMENT, STATEMENT OF GOALS OR VALUES, THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; THE SALE, LEASE, EXCHANGE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; AND THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION.
FORM 990, PART VI, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH INFORMATION PROVIDED BY MANAGEMENT. THE FULL FORM 990, INCLUDING SUPPLEMENTAL SCHEDULES, WAS PRESENTED BY THE CHIEF FINANCIAL OFFICER TO THE FINANCE COMMITTEE AT A COMMITTEE MEETING. THE FULL BOARD HAS GRANTED TO THE FINANCE COMMITTEE AUTHORITY TO APPROVE THE FORM 990. THE FULL BOARD WILL RECEIVE A REPORT FROM THE FINANCE COMMITTEE DESCRIBING THE FINANCE COMMITTEE'S REVIEW PERFORMED. PRIOR TO FILING WITH THE IRS, THE FORM 990 WILL BE AVAILABLE AT THE ORGANIZATION'S BOARD MEETING FOR EACH MEMBER'S REVIEW.
FORM 990, PART VI, LINE 12CPURSUANT TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, ALL OFFICERS, DIRECTORS, BOARD MEMBERS, AND KEY EMPLOYEES MUST AVOID SITUATIONS IN WHICH THEIR PERSONAL INTERESTS MAY CONFLICT, OR APPEAR TO CONFLICT, WITH THE INTEREST OF INGALLS, AND INGALLS REVIEWS ITS OWN RELATIONSHIPS WITH OTHER CARE PROVIDERS, EDUCATIONAL INSTITUTIONS, AND PAYERS TO DETERMINE IF POTENTIAL CONFLICTS EXISTS. BOARD MEMBERS AND EMPLOYEES SHALL HAVE THE CONTINUING AFFIRMATIVE DUTY TO REPORT TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) OF INGALLS ANY PERSONAL OWNERSHIP OF INTEREST OR OTHER RELATIONSHIP THAT MIGHT AFFECT THEIR ABILITY TO EXERCISE IMPARTIAL, ETHICAL BUSINESS JUDGMENTS IN THE AREA OF THEIR RESPONSIBILITIES. PER THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, BOARD MEMBERS AND EMPLOYEES AT MANAGEMENT LEVEL WILL BE REQUIRED TO COMPLETE A CERTIFICATION AND DISCLOSURE FORM, ON A SCHEDULE DETERMINED BY THE CORPORATE COMPLIANCE OFFICER. COMPLETION OF THIS FORM IS A REQUIREMENT FOR ALL BOARD MEMBERS AND MANAGERIAL EMPLOYEES, AND MAY BE REQUIRED OF NON-MANAGEMENT EMPLOYEES AS DETERMINED BY THE PRESIDENT AND CEO AND CORPORATE COMPLIANCE OFFICER. EMPLOYEES ALSO HAVE A DUTY TO REPORT CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST OF WHICH THEY MAY BE AWARE OF INVOLVING OTHER EMPLOYEES. EACH SITUATION REPORTED SHALL BE REVIEWED BY THE PRESIDENT AND CEO, AND INGALL'S CORPORATE COMPLIANCE OFFICER, AND A DETERMINATION SHALL BE MADE AS TO WHETHER A CONFLICT OF INTEREST EXISTS OR MAY ARISE FROM SUCH SITUATION. THE DECISION OF THE PRESIDENT AND CEO AND CORPORATE COMPLIANCE OFFICER REGARDING WHETHER A CONFLICT EXISTS SHALL BE FINAL. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S RESOLUTION OF SUCH CONFLICT. THE ORGANIZATION FURTHER PROMOTES KNOWLEDGE AND UNDERSTANDING OF THE CONFLICT OF INTEREST POLICY IN THE EMPLOYEE HANDBOOK. EACH EMPLOYEE IS REQUIRED TO SIGN AN ACKNOWLEDGEMENT OF THE HANDBOOK UPON EMPLOYMENT.
FORM 990, PART VI, LINE 15AINGALLS MEMORIAL HOSPITAL IS RESPONSIBLE FOR DETERMINING AND ADMINISTERING COMPENSATION FOR ALL OFFICERS OF EACH RESPECTIVE ENTITY WITHIN THE UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. CORPORATE STRUCTURE. BELOW IS THE PROCESS USED TO ESTABLISH COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL. IN SETTING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THE EXECUTIVE COMMITTEE RELIES ON RECENT COMPARABILITY STUDIES THAT PROVIDE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. IN ADDITION, THE ORGANIZATION RECEIVED AN INDEPENDENT COMPENSATION REVIEW BY SULLIVAN COTTER IN FY2019. THE COMMITTEE ADEQUATELY DOCUMENTS ITS COMPENSATION DETERMINATIONS, DELIBERATIONS, AND APPROVAL OF THE TOP MANAGEMENT OFFICIAL'S COMPENSATION IN THE MEETING MINUTES. THE PROCESS FOR REVIEWING AND DETERMINING COMPENSATION FOR THE CEO WAS LAST UNDERTAKEN IN FY2019.
FORM 990, PART XI, LINE 15BAN OUTSIDE COMPENSATION CONSULTANT IS USED TO RENDER A REASONABLE OPINION AS TO WHAT PERCENTAGE OF INCREASE AN OFFICER OR KEY EMPLOYEE SHOULD RECEIVE BY PERFORMING A MARKET COMPARISON FOR ALL OFFICERS AND KEY EMPLOYEES. THE PROCESS TO DETERMINE AN INCREASE IN COMPENSATION OF SALARY INCREASES ARE APPROVED ANNUALLY BY THE PRESIDENT AND EXECUTIVE COMMITTEE ONCE RECEIVED BY THE OUTSIDE CONSULTANT. DIRECTORS AND MANAGERS RECEIVE AN INCREASE IN COMPENSATION BASED ON WHETHER OR NOT PERFORMANCE GOALS HAVE BEEN REACHED BEFORE A FISCAL YEAR STARTS. PERFORMANCE GOALS ARE PUT TOGETHER BY THE DIRECTOR OR MANAGER AND SUBMITTED TO THE VICE PRESIDENT FOR APPROVAL. APPROVED GOALS ARE THEN REVIEWED BY ALL OTHER EXECUTIVES. ONCE APPROVED BY ALL, THESE ARE THE GOALS FOR THE YEAR AFTER THE YEAR IS OVER. THE PERFORMANCE GOALS ARE REVIEWED BY THE VICE PRESIDENT AND DIRECTOR OR MANAGER. MARKET ADJUSTMENTS ARE SET BY THE IMMEDIATE VICE PRESIDENT AND SENT TO ALL EXECUTIVES FOR THEIR APPROVAL.
FORM 990, PART XI, LINE 9CHANGE IN FAIR VALUE OF NONHEDGED DERIVATIVE INSTRUMENTS ($2,003,145) CHANGE IN NET INTEREST OF FOUNDATION ($398,771) TOTAL ($2,401,916) FORM 990, PART XI, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990 PART IX LINE 11GDESCRIPTION:Patient Care Expenses TOTAL FEES:12732101
FORM 990 PART IX LINE 11GDESCRIPTION:Laboratory Services TOTAL FEES:1039669
FORM 990 PART IX LINE 11GDESCRIPTION:Food Services TOTAL FEES:2705487
FORM 990 PART IX LINE 11GDESCRIPTION:Environmental/Hospitality Svcs TOTAL FEES:6588547
FORM 990 PART IX LINE 11GDESCRIPTION:Contract accounting salaries TOTAL FEES:2316940
FORM 990 PART IX LINE 11GDESCRIPTION:Patient Financial Services TOTAL FEES:5071507
FORM 990 PART IX LINE 11GDESCRIPTION:Family Care Centers TOTAL FEES:2329183
FORM 990 PART IX LINE 11GDESCRIPTION:Other TOTAL FEES:15425718

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACdAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ARCH DEVELOPMENT CORPORATION
5555 S WOODLAWN AVENUECHICAGOIL60637363485244TECH TRANSFERIL501(C)(3)LINE 12A, IUNIV CHICAGOfalse
ASIAN HEALTH COALITION
180 W WASHINGTON ST SUITE 1000CHICAGOIL60602311607193HLTH ACCESSIL501(C)(3)LINE 10UNIV CHICAGOfalse
CHAPIN HALL CENTER FOR CHILDREN
1313 E 60TH STREETCHICAGOIL60637362167012POL RES CTRIL501(C)(3)LINE 7falseN/A
CHICAGO TUMOR INSTITUTE
5801 S ELLIS AVENUECHICAGOIL60637237136019SUPP RESEARCHIL501(C)(3)LINE 12a, IUNIV CHICAGOfalse
COURT THEATRE FUND
5535 S ELLIS AVENUECHICAGOIL60637363203660SUPP THE ARTSIL501(C)(3)LINE 12a, IUNIV CHICAGOfalse
FERMI RESEARCH ALLIANCE LLC
PO BOX 500BATAVIAIL60510571239010MANAGE LABIL501(C)(3)LINE 7NAfalse
HYMEN MILGROM SUPPORTING ORGANIZATION
33 N LASALLE ST STE 2131CHICAGOIL60602466789522SUPP EDU RESIL501(C)(3)12D, IIIfalseN/A
INGALLS DEVELOPMENT FOUNDATION
ONE INGALLS DRIVEHARVEYIL60426363189150SUPPORTIL501(C)(3)7UCHHDfalse
INGALLS HEALTH VENTURES
ONE INGALLS DRIVEHARVEYIL60426363239703AMBULATORYIL501(C)(3)LINE 12A, IUCHHDfalse
INGALLS HOME CARE
ONE INGALLS DRIVEHARVEYIL60426363367939HEALTHCAREIL501(C)(3)10IMHYes (true)
LAKE PARK ASSOCIATES
5801 S ELLIS AVENUECHICAGOIL60637366111317PROP HOLDGIL501(C)(2)UNIV CHICAGOfalse
NATIONAL OPINION RESEARCH CENTER (NORC)
55 E MONROE AVENUECHICAGOIL60603362167808SO SCI SRVYSIL501(C)(3)LINE 7NAfalse
PRIMARY HEALTHCARE ASSOCIATES SC
71 W 156TH STREETHARVEYIL60426364132865HEALTHCAREIL501(C)(3)10UCHHDfalse
THE JOHN CRERAR FOUNDATION
5730 S ELLIS AVENUECHICAGOIL60637363155157SUPP LIBRARYIL501(C)(3)LINE 12DUNIV CHICAGOfalse
THE MARINE BIOLOGICAL LABORATORY
7 MBL STREETWOODS HOLEMA02543RES & EDUMA501(C)(3)LINE 7UNIV CHICAGOfalse
THE QUADRANGLE CLUB
5801 S ELLIS AVENUECHICAGOIL60637361655190SOCIAL CLUBIL501(C)(7)UNIV CHICAGOfalse
THE UNIV OF CHICAGO FDN IN HONG KONG LTD
FUNDRAISINGUNIV CHICAGOfalseRM100 FAR E CTR C/O WM FAN COHONG KONGHKHK
THE UNIVERSITY OF CHICAGO CLOISTERS CLUB
1212 E 59TH STREETCHICAGOIL60637SOCIAL CLUBILUNIV CHICAGOfalse
UCHICAGO RESEARCH BANGLADESH LTD
RESEARCHUCH RS INTLfalseHSE 388 ROAD 24 NEW DOHDHAKABGBG
UCHICAGO RESEARCH INTERNATIONAL LIMITED
5801 S ELLIS AVENUECHICAGOIL60637262741573RESEARCHIL501(C)(3)LINE 12a, IUNIV CHICAGOfalse
UCM COMMUNITY HEALTH & HOSPITAL DIVISION
ONE INGALLS DRIVEHARVEYIL60426363181170MANAGEMENTIL501(C)(3)LINE 12A, IUCMCfalse
UCMC TITLE HOLDING CORPORATION
8201 SOUTH CASS AVENUEDARIENIL60561812126789TITLE HOLDIL501(C)(3)LINE 12A, IUCMCfalse
UCMC TITLE HOLDING CORPORATION II NFP
5841 S MARYLAND AVE MC 1086CHICAGOIL60637821736040TITLE HOLDIL501(C)(3)LINE 12A, IUCMCfalse
UNIV OF CHI BOOTH SCH OF BUS (SINGAPORE)
EDUCATIONUNIV CHICAGOfalse101 PENANG ROAD 238466SINGAPORESNSN
UNIV OF CHI BOOTH SCH OF BUS (UK)
EDUCATIONUNIV CHICAGOfalseWOOLGATE EXCHANGE 25 BASINGHALLONDONUKUK
UNIV OF CHICAGO CANCER RESEARCH FD
5801 S ELLIS AVENUECHICAGOIL60637366056201SUPP RESEARCHIL501(C)(3)LINE 12a, IUNIV CHICAGOfalse
UNIV OF CHICAGO CENTER IN PARIS (FRANCE)
EDUCATIONUNIV CHICAGOfalse6 RUE THOMAS MANN 75013PARISFRFR
UNIV OF CHICAGO CHARTER SCHOOL CORP
5801 S ELLIS AVENUECHICAGOIL60637364225812EDUCATIONIL501(C)(3)LINE 2UNIV CHICAGOfalse
UNIV OF CHICAGO PROPERTY HOLDING CO
5801 S ELLIS AVENUECHICAGOIL60637366108743PROP HLDGIL501(C)(2)UNIV CHICAGOfalse
UNIV OF CHICAGO RETIREE MEDICAL TRUST
5801 S ELLIS AVENUECHICAGOIL60637363999692MEDICAL TRUSTIL501(C)(3)LINE 12a, IUNIV CHICAGOfalse
UNIV OF CHICAGO SELF INSURANCE TRUST
5801 S ELLIS AVENUECHICAGOIL60637363020034MALPRAC TRIL501(C)(3)LINE 12a, IUNIV CHICAGOfalse
UNIVERSITY OF CHICAGO
5801 S ELLIS AVENUECHICAGOIL60637362177139EDUCATIONIL501(C)(3)LINE 2NAfalse
UNIVERSITY OF CHICAGO MEDICAL CENTER
5841 S MARYLAND AVE MC 1086CHICAGOIL60637363488183HOSPITALIL501(C)(3)3UNIV CHICAGOfalse
UNIVERSITY OF CHICAGO TRUST (INDIA)
FUNDRAISINGUNIV CHICAGOfalseGB10-12 CLAIRMONT APTS RST HSEBANGALOREININ
CHICAGO HOME FOR THE INCURABLES
5801 S Ellis AvenueChicagoIL60637362169138IL501(c)(3)Line 12A, IUniv Chicagofalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
INGALLS SAME DAY SURGERY CTR
6701 W 159TH STREETTINLEY PARKIL60477363368549SURGERY CENTERILNAfalsefalse
UCMC-Solis On-Campus Mammography LLC
15601 Dallas Parkway STE 500AddisonTX75001352641914Mammography SvcsDENAfalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndEINEINLegal Domicile Foreign CountryLegalDomicileForeignCountryCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
CHARITABLE LEAD TRUST (1)
5801 S ELLIS AVENUECHICAGOIL60637CHAR LEAD TRUSTILNATRUSTfalse
CHARITABLE REMAINDER TRUSTS (80)
5801 S ELLIS AVENUECHICAGOIL60637CHAR RMDR TRUSTILNATRUSTfalse
INGALLS CASUALTY INSURANCE LTD
ONE INGALLS DRIVEHARVEYIL60426LIAB INSURANCENAC CORPfalse980485714CJ
INGALLS HEALTH COUNCIL
ONE INGALLS DRIVEHARVEYIL60426PURCHASING GROUPILNAC CORPfalse273226539
INGALLS PROVIDER GROUP
ONE INGALLS DRIVEHARVEYIL60426INSURANCE SERVICEILIMHC CORPYes (true)363485578$14,782,897$1,101,7901.00000
MEDCENTRIX INC
ONE INGALLS DRIVEHARVEYIL60426BILLING & MGMTILNAC CORPfalse363374228
POOLED INCOME FUND (1)
5801 S ELLIS AVENUECHICAGOIL60637POOLED INCO FUNDILNATRUSTfalse
SC Curriculum Inc
70 West Madison StChicagoIL60602SCNC CurriculumILNAC Corpfalse
UCHICAGO (BEIJING) CONSULTING CO LTD
CONSULTINGNAfalseCH
UCHICAGO CENTER IN INDIA PRIVATE LIMITED
CONSULTINGNAfalseIN
UCM CARE NETWORK MEDICAL GROUP INC
5841 S MARYLAND AVENUECHICAGOIL60637HEALTH SERVICESILNAC CORPfalse474221241
PHOENIX OVERLAY FUND LTD
401 N MICHIGAN AVE C/O INVSTCHICAGOIL60611INVESTINGNAfalseCJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
INGALLS HOME CARE
a(iv)$84,000FMV
INGALLS PROVIDER GROUP
Q$2,203,164FMV