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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-15T12:20:00-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 WEST NATIONWIDE BLVD STE 500 | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 432152568 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362170866 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE INGALLS MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % RICHARD SILVERIA | InCareOfNm |
| Business Name Control | INGA | BusinessNameControlTxt |
| Phone | 7083332300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE INGALLS DRIVE | AddressLine1Txt |
| City | HARVEY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60426 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD SILVERIA | PersonNm |
| Person Title | EVP AND CFO | PersonTitleTxt |
| Phone | 7083332300 | PhoneNum |
| Signature | 2020-06-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MOLLIE P LONGHOUSE | PreparerPersonNm |
| PTIN | P00294881 | PTIN |
| Phone | 6142492300 | PhoneNum |
| Preparation | 2020-06-10 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 199.206.0.5 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 36104320201975000090 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-07-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 7F0E0DFD6A7B7A6A7B19F8422F7C83906E1907E4 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A793AF6D82FB434B9372ED6055E47D2EEA90915C | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD SILVERIA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE INGALLS DRIVE | AddressLine1Txt |
| City | HARVEY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60426 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $302,233,967 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.INGALLS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1922 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | INGALLS 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 Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 2564 | TotalEmployeeCnt |
| Total Volunteers | 221 | TotalVolunteersCnt |
| Total Gross UBI | $2,849,946 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$418,980 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $882,936 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,027,959 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $284,840,492 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $289,475,951 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,510,070 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,315,093 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,142,900 | PYOtherRevenueAmt |
| CY Other Revenue | $2,591,190 | CYOtherRevenueAmt |
| PY Total Revenue | $311,376,398 | PYTotalRevenueAmt |
| CY Total Revenue | $300,410,193 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $52,152 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $16,750 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $119,580,594 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $117,132,680 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $205,098,420 | PYOtherExpensesAmt |
| CY Other Expenses | $186,899,962 | CYOtherExpensesAmt |
| PY Total Expenses | $324,731,166 | PYTotalExpensesAmt |
| CY Total Expenses | $304,049,392 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$13,354,768 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,639,199 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $470,216,480 | TotalAssetsBOYAmt |
| Total Assets EOY | $437,512,615 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $204,830,332 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $177,041,285 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $265,386,148 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $260,471,330 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | INGALLS 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $158,199,760 | ExpenseAmt |
| Grant | $16,750 | GrantAmt |
| Revenue | $124,453,909 | RevenueAmt |
| Desc | Ingalls 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,362,234 | ExpenseAmt |
| Revenue | $109,420,626 | RevenueAmt |
| Desc | IMH 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,512,822 | ExpenseAmt |
| Revenue | $28,237,780 | RevenueAmt |
| Desc | The 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)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $60,338,803 | $29,827,695 | LAB OPERATIONS AND ADMINISTRATIVE FUNCTIONS |
| (HR, BENEFITS, AND MEDICAID PUBLIC ASSESSMENT) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $60,338,803 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $29,827,695 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $257,413,619 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 458 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2564 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD SILVERIA | PersonNm |
| Phone | 7083332300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE INGALLS DRIVE | AddressLine1Txt |
| City | HARVEY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60426 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NEAL KITCHELL | ||||||||||
| SECRETARY/TREASURER | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DENNIS IRVIN | ||||||||||
| VICE CHAIRMAN | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DAVID ORTH | ||||||||||
| CHAIRMAN | 1.0 | 2.0 | Yes (X) | Yes (X) | $17,550 | $0 | $0 | |||
| SAMUEL CUTRARA JR | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| HEATHER DAVIS | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| ROSEMARY DOMBROWSKI | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| EUGENE FEINGOLD | ||||||||||
| BOARD MEMBER | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN FLYNN MD | ||||||||||
| BOARD MEMBER | 1.0 | 40.0 | Yes (X) | $0 | $801,574 | $53,595 | ||||
| CARL JOHNSON II MD | ||||||||||
| BOARD MEMBER | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| HENRY JOHNSON | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| TIMOTHY JOHNSON | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| DOROTHY JONES MD | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $22,329 | $0 | ||||
| MICHAEL KAMRADT | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| JASON R KEELER | ||||||||||
| BOARD MEMBER | 1.0 | 40.0 | Yes (X) | $0 | $987,632 | $123,841 | ||||
| RICHARD KING | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARK KOZLOFF | ||||||||||
| BOARD MEMBER | 1.0 | 42.0 | Yes (X) | $11,880 | $707,943 | $43,655 | ||||
| CRESSA PERISH MD | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $39,979 | $0 | ||||
| KEVIN PURCELL | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| CORRIN STEINHAUER RN | ||||||||||
| BOARD MEMBER | 1.0 | 40.0 | Yes (X) | $0 | $301,938 | $76,799 | ||||
| NATHANIEL SUTTON | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| JONATHAN GOBLE | ||||||||||
| INTERIM PRESIDENT | 40.0 | 3.0 | Yes (X) | Yes (X) | $276,274 | $0 | $15,600 | |||
| MICHAEL LAWRENCE | ||||||||||
| CHIEF FINANCIAL OFFICER | 40.0 | 4.0 | Yes (X) | $440,314 | $0 | $43,047 | ||||
| ANN MCCOLGAN | ||||||||||
| ASST TREASURER/VP TREASURY | 1.0 | 42.0 | Yes (X) | $0 | $370,024 | $79,538 | ||||
| TOMASZ SAMEK | ||||||||||
| ASSISTANT SECRETARY | 40.0 | 1.0 | Yes (X) | $131,510 | $0 | $28,075 | ||||
| PAUL DONOHUE | ||||||||||
| VP PHILANTHROPY AND COMMUNITY | 40.0 | 1.0 | $217,482 | $0 | $42,939 | Yes (X) | ||||
| SCOTT STRAUSSER | ||||||||||
| VP BUS DEV (THRU 10/3/2018) | 40.0 | 1.0 | $970,705 | $0 | $31,694 | Yes (X) | ||||
| HEIDI RUHE | ||||||||||
| ASSOC VP BUSINESS DEVELOPMENT | 40.0 | 0.0 | $214,118 | $0 | $47,074 | Yes (X) | ||||
| MARY JO CRANDALL | ||||||||||
| VP LEAN TRANSFORMATION | 40.0 | 0.0 | $209,143 | $0 | $10,457 | Yes (X) | ||||
| JENNIFER HALSEY | ||||||||||
| DIRECTOR OF PHARMACY | 40.0 | 0.0 | $167,348 | $0 | $36,901 | Yes (X) | ||||
| JAMES SWANSON | ||||||||||
| DIRECTOR TECH SVCS/IT SEC OFFI | 40.0 | 0.0 | $164,122 | $0 | $35,159 | Yes (X) | ||||
| PAUL ZIELSKE | ||||||||||
| DIRECTOR PATIENT CARE SERVICES | 40.0 | 0.0 | $159,991 | $0 | $47,669 | Yes (X) | ||||
| KURT JOHNSON | ||||||||||
| PRESIDENT AND CEO TIL 6/30/18 | 40.0 | 0.0 | $2,777,148 | $0 | $16,931 | Yes (X) | ||||
| MICHAEL HICKS | ||||||||||
| COO TIL 5/4/2018 | 40.0 | 0.0 | $811,180 | $0 | $13,923 | Yes (X) | ||||
| LINDA CONWAY | ||||||||||
| ASST SECRETARY/GENERAL COUNSEL | 40.0 | 0.0 | $165,708 | $0 | $8,441 | Yes (X) | ||||
| GARY GASBARRA | ||||||||||
| INTERIM CFO TIL 6/30/17 | 0.0 | 42.0 | $0 | $669,385 | $86,892 | Yes (X) | ||||
| MICHAEL DEVORE | ||||||||||
| CIO TIL 2/2/18 | 40.0 | 0.0 | $101,918 | $0 | $11,759 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,836,391 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,900,804 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $853,989 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 96 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ARAMARK CORPORATION | |||||
| 25271 NETWORK PLACE | CHICAGO | IL | 60673 | CONTRACT FOOD, PLANT | $9,175,273 |
| CERNER HEALTH SERVICES | |||||
| C/O US BANK PO BOX 959167 | ST LOUIS | MO | 63195 | IT SUPPORT | $6,478,257 |
| SYNERGY BEHAVIORAL HEALTHCARE | |||||
| 1566 W ALGONQUIN ROAD 3149 | HOFFMAN ESTATES | IL | 60192 | BEHAVIORAL HEALTH | $5,008,215 |
| REED CONSTRUCTION | |||||
| 600 W JACKSON BLVD STE 500 | CHICAGO | IL | 606615625 | CONSTRUCTION COMPANY | $6,643,404 |
| EPMG OF ILLINOIS | |||||
| 350 N WALL STREET | KANKAKEE | IL | 60901 | Emergency Medicine | $2,974,767 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 111 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,027,959 | RelatedOrganizationsAmt |
| Total Contributions | $1,027,959 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 900099 | $282,586,131 | $282,586,131 | |
| PATIENT TRANSPORTATION | 900099 | $2,369,152 | $2,369,152 | |
| RENTAL INCOME | 900099 | $1,395,891 | $1,395,891 | |
| LAB SERVICES | 900099 | $2,849,946 | $2,849,946 | |
| CLIENT SERVICE REVENUE | 621500 | $274,831 | $274,831 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $289,475,951 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,478,205 | TotalRevenueColumnAmt |
| Exclusion | $2,478,205 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,881,381 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,823,774 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $57,607 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,607 | TotalRevenueColumnAmt |
| Exclusion | $57,607 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,783,252 | SecuritiesAmt |
| Other | $53,636 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,783,252 | SecuritiesAmt |
| Other | $53,636 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,836,888 | TotalRevenueColumnAmt |
| Exclusion | $4,836,888 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| EXPENSE REIMBURSEMENT & MGMT FEES | 900099 | $899,423 | $899,423 | |
| MEDICAL INTENSIVE UNIT | 900099 | $153,081 | $153,081 | |
| PARKING INCOME | 900099 | $69,524 | $69,524 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,411,555 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,411,555 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,533,583 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $300,410,193 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $289,090,064 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,849,946 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,442,224 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,750 | TotalAmt |
| Program Services | $16,750 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,244,575 | TotalAmt |
| Management And General | $2,244,575 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,450,541 | TotalAmt |
| Program Services | $90,833,355 | ProgramServicesAmt |
| Management And General | $5,617,186 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,153,636 | TotalAmt |
| Program Services | $2,074,875 | ProgramServicesAmt |
| Management And General | $78,761 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,141,507 | TotalAmt |
| Program Services | $8,564,568 | ProgramServicesAmt |
| Management And General | $576,939 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,142,421 | TotalAmt |
| Program Services | $6,589,336 | ProgramServicesAmt |
| Management And General | $553,085 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,097,990 | TotalAmt |
| Management And General | $3,097,990 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,884 | TotalAmt |
| Management And General | $107,884 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,393 | TotalAmt |
| Management And General | $294,393 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,584 | TotalAmt |
| Management And General | $33,584 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $799,544 | TotalAmt |
| Management And General | $799,544 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,209,152 | TotalAmt |
| Program Services | $35,067,885 | ProgramServicesAmt |
| Management And General | $13,141,267 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,154,036 | TotalAmt |
| Management And General | $1,154,036 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,838,050 | TotalAmt |
| Program Services | $1,486,652 | ProgramServicesAmt |
| Management And General | $1,351,398 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,814,933 | TotalAmt |
| Management And General | $15,814,933 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,715,914 | TotalAmt |
| Program Services | $5,293,828 | ProgramServicesAmt |
| Management And General | $422,086 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,024 | TotalAmt |
| Program Services | $189,559 | ProgramServicesAmt |
| Management And General | $72,465 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,755,664 | TotalAmt |
| Program Services | $4,755,664 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,051,436 | TotalAmt |
| Program Services | $13,754,050 | ProgramServicesAmt |
| Management And General | $297,386 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,514,877 | TotalAmt |
| Program Services | $13,514,877 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,393,612 | TotalAmt |
| Program Services | $732,982 | ProgramServicesAmt |
| Management And General | $660,630 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,049,392 | TotalAmt |
| Program Services | $257,413,619 | ProgramServicesAmt |
| Management And General | $46,635,773 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,265 | BOYAmt |
| EOY | $8,177 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $502,976 | BOYAmt |
| EOY | $315,525 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,813,279 | BOYAmt |
| EOY | $41,057,590 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,997,840 | BOYAmt |
| EOY | $6,321,365 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,133,545 | BOYAmt |
| EOY | $3,942,333 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $232,210,133 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $40,804,272 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,778,063 | BOYAmt |
| EOY | $191,405,861 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,034,698 | BOYAmt |
| EOY | $140,885,887 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,804 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,695,010 | BOYAmt |
| EOY | $53,575,877 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $470,216,480 | BOYAmt |
| EOY | $437,512,615 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,790,056 | BOYAmt |
| EOY | $52,710,369 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,187,744 | BOYAmt |
| EOY | $6,061,340 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,689,455 | BOYAmt |
| EOY | $101,575,923 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,163,077 | BOYAmt |
| EOY | $16,693,653 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,830,332 | BOYAmt |
| EOY | $177,041,285 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $260,925,127 | BOYAmt |
| EOY | $256,409,081 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,461,021 | BOYAmt |
| EOY | $4,062,249 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,386,148 | BOYAmt |
| EOY | $260,471,330 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $470,216,480 | BOYAmt |
| EOY | $437,512,615 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,639,199 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,126,297 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,401,916 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $60,600 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $33,584 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $94,184 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1G | FormAndLineReferenceDesc |
| Explanation | INGALLS 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,464,807 | OtherCostOrOtherBasisAmt |
| Book Value | $6,464,807 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $157,343,005 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,040,264 | DepreciationAmt |
| Book Value | $141,302,741 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $65,165,207 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,896,358 | DepreciationAmt |
| Book Value | $41,268,849 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,237,114 | OtherCostOrOtherBasisAmt |
| Depreciation | $867,650 | DepreciationAmt |
| Book Value | $2,369,464 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $191,405,861 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $48,849,268 |
| RESTRICTED INVESTMENTS - FDN | $4,062,249 |
| INSURANCE CLAIMS RECEIVABLE | $410,395 |
| OTHER LONG-TERM ASSETS | $253,965 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $53,575,877 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE OBLIGATIONS | $2,000,174 |
| SWAP PAYABLE | $9,468,840 |
| OTHER PAYABLES | $5,224,639 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,693,653 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $300,142,052 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,126,297 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$578,144 | OtherRevenueAmt |
| Revenue Not Reported | $548,153 | RevenueNotReportedAmt |
| Revenue Subtotal | $299,593,899 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $799,544 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $16,750 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $816,294 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $300,410,193 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $305,056,872 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,823,774 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,823,774 | ExpensesNotReportedAmt |
| Expenses Subtotal | $303,233,098 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $799,544 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $16,750 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $816,294 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $304,049,392 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | THE 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 2D | CHANGE 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 2D | RENTAL EXPENSE $1,823,774 |
| SCHEDULE D, PART XII, LINE 4B | SCHOLARSHIP NETTED AGAINST INVESTMENT INCOME $16,750 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,297,014 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,297,014 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02070 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $85,203,365 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $59,634,788 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,568,577 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08410 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $91,500,379 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $59,634,788 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,865,591 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10480 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $174,186 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $174,186 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,669,396 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $695,395 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $974,001 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $74,792 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $74,792 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,918,374 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $695,395 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,222,979 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $93,418,753 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,330,183 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,088,570 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10880 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,532 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,532 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,532 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,532 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,568,698 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $109,940,097 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $123,800,157 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$13,860,060 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INGALLS MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE INGALLS DRIVE | AddressLine1Txt |
| City | HARVEY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60426 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.INGALLS.ORG | WebsiteAddressTxt |
| State License | 00001099 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INGALLS MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | (SEE STATEMENT) | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | (SEE STATEMENT) | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | (SEE STATEMENT) | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 4 | THE 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 6B | INGALLS 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 9 | THE 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 13B | A 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 16A | https://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 20 | Patients 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| INGALLS FAMILY CARE CENTER | ||||
| 1600 TORRENCE AVENUE | CALUMET CITY | IL | 60409 | URGENT AID, PRIMARY CARE, AND SPECIALIST SERVICES |
| INGALLS FAMILY CARE CENTER | ||||
| 19550 GOVERNORS HIGHWAY | FLOSSMOOR | IL | 60422 | URGENT AID AND SPECIALIST SERVICES |
| INGALLS FAMILY CARE CENTER | ||||
| 6701 WEST 159TH STREET | TINLEY PARK | IL | 60477 | URGENT AID, PRIMARY CARE, AND SPECIALIST SERVICES |
| INGALLS CARE CENTER | ||||
| 4742 CAL SAG ROAD | CRESTWOOD | IL | 60445 | QUICK CARE CENTER AND OCCUPATIONAL HEALTH |
| INGALLS CARE CENTER | ||||
| 16246 PRINCE DRIVER | SOUTH HOLLAND | IL | 60473 | INDUSTRIAL, MEDICAL REHABILITATION AND PHYSICIAN OFFICES |
| INGALLS WELLNESS CENTER | ||||
| 2920 WELLNESS CENTER | HOMEWOOD | IL | 60430 | COMPLEMENTARY MEDICINE AND COMMUNITY HEALTH PROGRAMS |
| THE VILLA AT SOUTH HOLLAND | ||||
| 16300 WAUSAU AVENUE | SOUTH HOLLAND | IL | 60473 | HEALTH CARE AND REHABILITATION CENTER |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Sch H, Part I, Line 3c | AUTOMATIC 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 3 | THE 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 4 | INGALLS 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 5 | INGALLS 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 6 | THE 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 7 | IL |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 16 | RecipientCnt |
| Cash Grant | $16,750 | CashGrantAmt |
| Valuation Method Used | CASH | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 1 | FormAndLineReferenceDesc |
| Explanation | SCHOLARSHIPS ARE PAID DIRECTLY TO THE EDUCATIONAL INSTITUTIONS IN ORDER TO ENSURE THE FUNDS ARE USED FOR THEIR INTENDED PURPOSE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A | DURING 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 4A | SOME 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 4B | CERTAIN 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 II | TAXABLE 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY SERIES 2013 | ||||||||
| A | 861091967 | 45203HPE6 | 2013-02-06 | $64,815,040 | REF. 1994 ISSUANCE & CAP PROJ. | false | false | false |
| ILLINOIS FINANCE AUTHORITY SERIES 2017 | ||||||||
| B | 861091967 | 2017-12-29 | $48,180,000 | REFUNDING 2004 BONDS | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate 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 | $0 | 2015 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $2,880,000 | $0 | $41,180,000 | $0 | $0 | $0 | $349,422 | $0 | $0 | $0 | $40,830,578 | $0 | 2017 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0.02060 | 0.02060 | false | false | false | Yes (true) |
| B | false | Yes (true) | Yes (true) | Yes (true) | false | 0.00300 | 0.00300 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | false | false | Yes (true) | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | Yes (true) | false | false | Yes (true) | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| REBATE COMPUTATION | PART IV, LINE 2C, COLUMN A THE REBATE CALCULATION WAS COMPLETED 02/06/2018. |
| PART V - BOND POLICY | WRITTEN TAX-EXEMPT BOND PROCEDURES WERE ADOPTED ON FEBRUARY 12, 2018. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, LINE 1A | THE 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 6 | PURSUANT 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 7A | DIRECTORS, 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 7B | UCM 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 11B | THE 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 12C | PURSUANT 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 15A | INGALLS 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 15B | AN 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 9 | CHANGE 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 11G | DESCRIPTION:Patient Care Expenses TOTAL FEES:12732101 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:Laboratory Services TOTAL FEES:1039669 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:Food Services TOTAL FEES:2705487 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:Environmental/Hospitality Svcs TOTAL FEES:6588547 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:Contract accounting salaries TOTAL FEES:2316940 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:Patient Financial Services TOTAL FEES:5071507 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:Family Care Centers TOTAL FEES:2329183 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:Other TOTAL FEES:15425718 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ARCH DEVELOPMENT CORPORATION | |||||||||||||||
| 5555 S WOODLAWN AVENUE | CHICAGO | IL | 60637 | 363485244 | TECH TRANSFER | IL | 501(C)(3) | LINE 12A, I | UNIV CHICAGO | false | |||||
| ASIAN HEALTH COALITION | |||||||||||||||
| 180 W WASHINGTON ST SUITE 1000 | CHICAGO | IL | 60602 | 311607193 | HLTH ACCESS | IL | 501(C)(3) | LINE 10 | UNIV CHICAGO | false | |||||
| CHAPIN HALL CENTER FOR CHILDREN | |||||||||||||||
| 1313 E 60TH STREET | CHICAGO | IL | 60637 | 362167012 | POL RES CTR | IL | 501(C)(3) | LINE 7 | false | N/A | |||||
| CHICAGO TUMOR INSTITUTE | |||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 237136019 | SUPP RESEARCH | IL | 501(C)(3) | LINE 12a, I | UNIV CHICAGO | false | |||||
| COURT THEATRE FUND | |||||||||||||||
| 5535 S ELLIS AVENUE | CHICAGO | IL | 60637 | 363203660 | SUPP THE ARTS | IL | 501(C)(3) | LINE 12a, I | UNIV CHICAGO | false | |||||
| FERMI RESEARCH ALLIANCE LLC | |||||||||||||||
| PO BOX 500 | BATAVIA | IL | 60510 | 571239010 | MANAGE LAB | IL | 501(C)(3) | LINE 7 | NA | false | |||||
| HYMEN MILGROM SUPPORTING ORGANIZATION | |||||||||||||||
| 33 N LASALLE ST STE 2131 | CHICAGO | IL | 60602 | 466789522 | SUPP EDU RES | IL | 501(C)(3) | 12D, III | false | N/A | |||||
| INGALLS DEVELOPMENT FOUNDATION | |||||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363189150 | SUPPORT | IL | 501(C)(3) | 7 | UCHHD | false | |||||
| INGALLS HEALTH VENTURES | |||||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363239703 | AMBULATORY | IL | 501(C)(3) | LINE 12A, I | UCHHD | false | |||||
| INGALLS HOME CARE | |||||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363367939 | HEALTHCARE | IL | 501(C)(3) | 10 | IMH | Yes (true) | |||||
| LAKE PARK ASSOCIATES | |||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 366111317 | PROP HOLDG | IL | 501(C)(2) | UNIV CHICAGO | false | ||||||
| NATIONAL OPINION RESEARCH CENTER (NORC) | |||||||||||||||
| 55 E MONROE AVENUE | CHICAGO | IL | 60603 | 362167808 | SO SCI SRVYS | IL | 501(C)(3) | LINE 7 | NA | false | |||||
| PRIMARY HEALTHCARE ASSOCIATES SC | |||||||||||||||
| 71 W 156TH STREET | HARVEY | IL | 60426 | 364132865 | HEALTHCARE | IL | 501(C)(3) | 10 | UCHHD | false | |||||
| THE JOHN CRERAR FOUNDATION | |||||||||||||||
| 5730 S ELLIS AVENUE | CHICAGO | IL | 60637 | 363155157 | SUPP LIBRARY | IL | 501(C)(3) | LINE 12D | UNIV CHICAGO | false | |||||
| THE MARINE BIOLOGICAL LABORATORY | |||||||||||||||
| 7 MBL STREET | WOODS HOLE | MA | 02543 | RES & EDU | MA | 501(C)(3) | LINE 7 | UNIV CHICAGO | false | ||||||
| THE QUADRANGLE CLUB | |||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 361655190 | SOCIAL CLUB | IL | 501(C)(7) | UNIV CHICAGO | false | ||||||
| THE UNIV OF CHICAGO FDN IN HONG KONG LTD | |||||||||||||||
| FUNDRAISING | UNIV CHICAGO | false | RM100 FAR E CTR C/O WM FAN CO | HONG KONG | HK | HK | |||||||||
| THE UNIVERSITY OF CHICAGO CLOISTERS CLUB | |||||||||||||||
| 1212 E 59TH STREET | CHICAGO | IL | 60637 | SOCIAL CLUB | IL | UNIV CHICAGO | false | ||||||||
| UCHICAGO RESEARCH BANGLADESH LTD | |||||||||||||||
| RESEARCH | UCH RS INTL | false | HSE 388 ROAD 24 NEW DOH | DHAKA | BG | BG | |||||||||
| UCHICAGO RESEARCH INTERNATIONAL LIMITED | |||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 262741573 | RESEARCH | IL | 501(C)(3) | LINE 12a, I | UNIV CHICAGO | false | |||||
| UCM COMMUNITY HEALTH & HOSPITAL DIVISION | |||||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363181170 | MANAGEMENT | IL | 501(C)(3) | LINE 12A, I | UCMC | false | |||||
| UCMC TITLE HOLDING CORPORATION | |||||||||||||||
| 8201 SOUTH CASS AVENUE | DARIEN | IL | 60561 | 812126789 | TITLE HOLD | IL | 501(C)(3) | LINE 12A, I | UCMC | false | |||||
| UCMC TITLE HOLDING CORPORATION II NFP | |||||||||||||||
| 5841 S MARYLAND AVE MC 1086 | CHICAGO | IL | 60637 | 821736040 | TITLE HOLD | IL | 501(C)(3) | LINE 12A, I | UCMC | false | |||||
| UNIV OF CHI BOOTH SCH OF BUS (SINGAPORE) | |||||||||||||||
| EDUCATION | UNIV CHICAGO | false | 101 PENANG ROAD 238466 | SINGAPORE | SN | SN | |||||||||
| UNIV OF CHI BOOTH SCH OF BUS (UK) | |||||||||||||||
| EDUCATION | UNIV CHICAGO | false | WOOLGATE EXCHANGE 25 BASINGHAL | LONDON | UK | UK | |||||||||
| UNIV OF CHICAGO CANCER RESEARCH FD | |||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 366056201 | SUPP RESEARCH | IL | 501(C)(3) | LINE 12a, I | UNIV CHICAGO | false | |||||
| UNIV OF CHICAGO CENTER IN PARIS (FRANCE) | |||||||||||||||
| EDUCATION | UNIV CHICAGO | false | 6 RUE THOMAS MANN 75013 | PARIS | FR | FR | |||||||||
| UNIV OF CHICAGO CHARTER SCHOOL CORP | |||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 364225812 | EDUCATION | IL | 501(C)(3) | LINE 2 | UNIV CHICAGO | false | |||||
| UNIV OF CHICAGO PROPERTY HOLDING CO | |||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 366108743 | PROP HLDG | IL | 501(C)(2) | UNIV CHICAGO | false | ||||||
| UNIV OF CHICAGO RETIREE MEDICAL TRUST | |||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 363999692 | MEDICAL TRUST | IL | 501(C)(3) | LINE 12a, I | UNIV CHICAGO | false | |||||
| UNIV OF CHICAGO SELF INSURANCE TRUST | |||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 363020034 | MALPRAC TR | IL | 501(C)(3) | LINE 12a, I | UNIV CHICAGO | false | |||||
| UNIVERSITY OF CHICAGO | |||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 362177139 | EDUCATION | IL | 501(C)(3) | LINE 2 | NA | false | |||||
| UNIVERSITY OF CHICAGO MEDICAL CENTER | |||||||||||||||
| 5841 S MARYLAND AVE MC 1086 | CHICAGO | IL | 60637 | 363488183 | HOSPITAL | IL | 501(C)(3) | 3 | UNIV CHICAGO | false | |||||
| UNIVERSITY OF CHICAGO TRUST (INDIA) | |||||||||||||||
| FUNDRAISING | UNIV CHICAGO | false | GB10-12 CLAIRMONT APTS RST HSE | BANGALORE | IN | IN | |||||||||
| CHICAGO HOME FOR THE INCURABLES | |||||||||||||||
| 5801 S Ellis Avenue | Chicago | IL | 60637 | 362169138 | IL | 501(c)(3) | Line 12A, I | Univ Chicago | false | ||||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| INGALLS SAME DAY SURGERY CTR | |||||||||
| 6701 W 159TH STREET | TINLEY PARK | IL | 60477 | 363368549 | SURGERY CENTER | IL | NA | false | false |
| UCMC-Solis On-Campus Mammography LLC | |||||||||
| 15601 Dallas Parkway STE 500 | Addison | TX | 75001 | 352641914 | Mammography Svcs | DE | NA | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | EINEIN | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARITABLE LEAD TRUST (1) | |||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | CHAR LEAD TRUST | IL | NA | TRUST | false | |||||
| CHARITABLE REMAINDER TRUSTS (80) | |||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | CHAR RMDR TRUST | IL | NA | TRUST | false | |||||
| INGALLS CASUALTY INSURANCE LTD | |||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | LIAB INSURANCE | NA | C CORP | false | 980485714 | CJ | ||||
| INGALLS HEALTH COUNCIL | |||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | PURCHASING GROUP | IL | NA | C CORP | false | 273226539 | ||||
| INGALLS PROVIDER GROUP | |||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | INSURANCE SERVICE | IL | IMH | C CORP | Yes (true) | 363485578 | $14,782,897 | $1,101,790 | 1.00000 | |
| MEDCENTRIX INC | |||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | BILLING & MGMT | IL | NA | C CORP | false | 363374228 | ||||
| POOLED INCOME FUND (1) | |||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | POOLED INCO FUND | IL | NA | TRUST | false | |||||
| SC Curriculum Inc | |||||||||||||
| 70 West Madison St | Chicago | IL | 60602 | SCNC Curriculum | IL | NA | C Corp | false | |||||
| UCHICAGO (BEIJING) CONSULTING CO LTD | |||||||||||||
| CONSULTING | NA | false | CH | ||||||||||
| UCHICAGO CENTER IN INDIA PRIVATE LIMITED | |||||||||||||
| CONSULTING | NA | false | IN | ||||||||||
| UCM CARE NETWORK MEDICAL GROUP INC | |||||||||||||
| 5841 S MARYLAND AVENUE | CHICAGO | IL | 60637 | HEALTH SERVICES | IL | NA | C CORP | false | 474221241 | ||||
| PHOENIX OVERLAY FUND LTD | |||||||||||||
| 401 N MICHIGAN AVE C/O INVST | CHICAGO | IL | 60611 | INVESTING | NA | false | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| INGALLS HOME CARE | ||
| a(iv) | $84,000 | FMV |
| INGALLS PROVIDER GROUP | ||
| Q | $2,203,164 | FMV |