2020-07-15T12:20:00-05:00 2019-06-30 KPMG LLP 191 WEST NATIONWIDE BLVD STE 500 COLUMBUS OH 432152568 990 2018-07-01 362170866 THE INGALLS MEMORIAL HOSPITAL % RICHARD SILVERIA INGA 7083332300 ONE INGALLS DRIVE HARVEY IL 60426 RICHARD SILVERIA EVP AND CFO 7083332300 2020-06-05 true MOLLIE P LONGHOUSE P00294881 6142492300 2020-06-10 199.206.0.5 36104320201975000090 2020-07-15 P 7F0E0DFD6A7B7A6A7B19F8422F7C83906E1907E4 A793AF6D82FB434B9372ED6055E47D2EEA90915C 2018 2021-01-29 14:40:06Z RICHARD SILVERIA ONE INGALLS DRIVE HARVEY IL 60426 302233967 false X WWW.INGALLS.ORG X 1922 IL INGALLS MEMORIAL HOSPITAL IS A NOT-FOR PROFIT ACCUTE CARE HOSPITAL ORGANIZED FOR THE PURPOSE OF PROVIDING PATIENT CARE, EDUCATION, AND RESEARCH. 21 13 2564 221 2849946 -418980 882936 1027959 284840492 289475951 19510070 7315093 6142900 2591190 311376398 300410193 52152 16750 0 0 119580594 117132680 0 0 0 205098420 186899962 324731166 304049392 -13354768 -3639199 470216480 437512615 204830332 177041285 265386148 260471330 X 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. false false 158199760 16750 124453909 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. 17362234 109420626 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. 21512822 28237780 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. 60338803 29827695 LAB OPERATIONS AND ADMINISTRATIVE FUNCTIONS (HR, BENEFITS, AND MEDICAID PUBLIC ASSESSMENT) 60338803 29827695 257413619 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false true true true false false false false false false false false false false false false false false false true true true false false true 458 0 true 2564 true true true false false false false false false false false false false false X 21 13 false false false false true true true true true false false true true true true true true true true false IL X RICHARD SILVERIA 7083332300 ONE INGALLS DRIVE HARVEY IL 60426 NEAL KITCHELL SECRETARY/TREASURER 1.0 2.0 X X 0 0 0 DENNIS IRVIN VICE CHAIRMAN 1.0 0.0 X X 0 0 0 DAVID ORTH CHAIRMAN 1.0 2.0 X X 17550 0 0 SAMUEL CUTRARA JR BOARD MEMBER 1.0 1.0 X 0 0 0 HEATHER DAVIS BOARD MEMBER 1.0 0.0 X 0 0 0 ROSEMARY DOMBROWSKI BOARD MEMBER 1.0 0.0 X 0 0 0 EUGENE FEINGOLD BOARD MEMBER 1.0 3.0 X 0 0 0 JOHN FLYNN MD BOARD MEMBER 1.0 40.0 X 0 801574 53595 CARL JOHNSON II MD BOARD MEMBER 1.0 2.0 X 0 0 0 HENRY JOHNSON BOARD MEMBER 1.0 1.0 X 0 0 0 TIMOTHY JOHNSON BOARD MEMBER 1.0 1.0 X 0 0 0 DOROTHY JONES MD BOARD MEMBER 1.0 0.0 X 0 22329 0 MICHAEL KAMRADT BOARD MEMBER 1.0 1.0 X 0 0 0 JASON R KEELER BOARD MEMBER 1.0 40.0 X 0 987632 123841 RICHARD KING BOARD MEMBER 1.0 1.0 X 0 0 0 MARK KOZLOFF BOARD MEMBER 1.0 42.0 X 11880 707943 43655 CRESSA PERISH MD BOARD MEMBER 1.0 0.0 X 0 39979 0 KEVIN PURCELL BOARD MEMBER 1.0 1.0 X 0 0 0 CORRIN STEINHAUER RN BOARD MEMBER 1.0 40.0 X 0 301938 76799 NATHANIEL SUTTON BOARD MEMBER 1.0 1.0 X 0 0 0 JONATHAN GOBLE INTERIM PRESIDENT 40.0 3.0 X X 276274 0 15600 MICHAEL LAWRENCE CHIEF FINANCIAL OFFICER 40.0 4.0 X 440314 0 43047 ANN MCCOLGAN ASST TREASURER/VP TREASURY 1.0 42.0 X 0 370024 79538 TOMASZ SAMEK ASSISTANT SECRETARY 40.0 1.0 X 131510 0 28075 PAUL DONOHUE VP PHILANTHROPY AND COMMUNITY 40.0 1.0 X 217482 0 42939 SCOTT STRAUSSER VP BUS DEV (THRU 10/3/2018) 40.0 1.0 X 970705 0 31694 HEIDI RUHE ASSOC VP BUSINESS DEVELOPMENT 40.0 0.0 X 214118 0 47074 MARY JO CRANDALL VP LEAN TRANSFORMATION 40.0 0.0 X 209143 0 10457 JENNIFER HALSEY DIRECTOR OF PHARMACY 40.0 0.0 X 167348 0 36901 JAMES SWANSON DIRECTOR TECH SVCS/IT SEC OFFI 40.0 0.0 X 164122 0 35159 PAUL ZIELSKE DIRECTOR PATIENT CARE SERVICES 40.0 0.0 X 159991 0 47669 KURT JOHNSON PRESIDENT AND CEO TIL 6/30/18 40.0 0.0 X 2777148 0 16931 MICHAEL HICKS COO TIL 5/4/2018 40.0 0.0 X 811180 0 13923 LINDA CONWAY ASST SECRETARY/GENERAL COUNSEL 40.0 0.0 X 165708 0 8441 GARY GASBARRA INTERIM CFO TIL 6/30/17 0.0 42.0 X 0 669385 86892 MICHAEL DEVORE CIO TIL 2/2/18 40.0 0.0 X 101918 0 11759 6836391 3900804 853989 96 true true false ARAMARK CORPORATION 25271 NETWORK PLACE CHICAGO IL 60673 CONTRACT FOOD, PLANT 9175273 CERNER HEALTH SERVICES C/O US BANK PO BOX 959167 ST LOUIS MO 63195 IT SUPPORT 6478257 SYNERGY BEHAVIORAL HEALTHCARE 1566 W ALGONQUIN ROAD 3149 HOFFMAN ESTATES IL 60192 BEHAVIORAL HEALTH 5008215 REED CONSTRUCTION 600 W JACKSON BLVD STE 500 CHICAGO IL 606615625 CONSTRUCTION COMPANY 6643404 EPMG OF ILLINOIS 350 N WALL STREET KANKAKEE IL 60901 Emergency Medicine 2974767 111 1027959 1027959 NET PATIENT REVENUE 900099 282586131 282586131 PATIENT TRANSPORTATION 900099 2369152 2369152 RENTAL INCOME 900099 1395891 1395891 LAB SERVICES 900099 2849946 2849946 CLIENT SERVICE REVENUE 621500 274831 274831 289475951 2478205 2478205 0 0 1881381 1823774 57607 0 57607 57607 4783252 53636 4783252 53636 4836888 4836888 0 0 0 0 0 0 0 0 0 EXPENSE REIMBURSEMENT & MGMT FEES 900099 899423 899423 MEDICAL INTENSIVE UNIT 900099 153081 153081 PARKING INCOME 900099 69524 69524 1411555 1411555 2533583 300410193 289090064 2849946 7442224 X 0 16750 16750 0 0 2244575 2244575 0 96450541 90833355 5617186 2153636 2074875 78761 9141507 8564568 576939 7142421 6589336 553085 3097990 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RESTRICTED false false false false false false true 60600 false true 33584 94184 false PART II-B, LINE 1G 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. 6464807 6464807 157343005 16040264 141302741 65165207 23896358 41268849 3237114 867650 2369464 191405861 DUE FROM AFFILIATES 48849268 RESTRICTED INVESTMENTS - FDN 4062249 INSURANCE CLAIMS RECEIVABLE 410395 OTHER LONG-TERM ASSETS 253965 53575877 0 LEASE OBLIGATIONS 2000174 SWAP PAYABLE 9468840 OTHER PAYABLES 5224639 16693653 X 300142052 1126297 -578144 548153 299593899 799544 16750 816294 300410193 305056872 1823774 1823774 303233098 799544 16750 816294 304049392 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 true true X true X true X 600. true true true false true true 6297014 6297014 0.02070 85203365 59634788 25568577 0.08410 91500379 59634788 31865591 0.10480 174186 174186 0.00060 1669396 695395 974001 0.00320 74792 74792 0.00020 1918374 695395 1222979 0.00400 93418753 60330183 33088570 0.10880 3532 3532 3532 3532 true 4568698 109940097 123800157 -13860060 X true true NONE 1 1 INGALLS MEMORIAL HOSPITAL ONE INGALLS DRIVE HARVEY IL 60426 WWW.INGALLS.ORG 00001099 X X X INGALLS MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 18 true false true true X SEE PART V, SECTION C X X true 18 true SEE PART V, SECTION C false true X 200. 600. X X X X X true true X X X true X (SEE STATEMENT) X (SEE STATEMENT) X (SEE STATEMENT) X X X X X X true X false X X X true X false false 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. 7 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 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 true SCHOLARSHIPS 16 16750 CASH N/A PART III, LINE 1 SCHOLARSHIPS ARE PAID DIRECTLY TO THE EDUCATIONAL INSTITUTIONS IN ORDER TO ENSURE THE FUNDS ARE USED FOR THEIR INTENDED PURPOSE. X X true true X X X X true true false false false false false false false JOHN FLYNN MD BOARD MEMBER 0 579674 0 137500 0 84400 0 22000 0 31595 0 855169 0 0 JASON R KEELER BOARD MEMBER 0 594325 0 365322 0 27985 0 113258 0 10583 0 1111473 0 0 MARK KOZLOFF BOARD MEMBER 11880 467592 0 215000 0 25351 0 6875 0 36780 11880 751598 0 0 CORRIN STEINHAUER RN BOARD MEMBER 0 262894 0 28977 0 10067 0 34920 0 41879 0 378737 0 0 JONATHAN GOBLE INTERIM PRESIDENT 247271 0 0 0 29003 0 5289 0 10311 0 291874 0 0 0 MICHAEL LAWRENCE CHIEF FINANCIAL OFFICER 360245 0 73000 0 7069 0 9250 0 33797 0 483361 0 0 0 ANN MCCOLGAN ASST TREASURER/VP TREASURY 0 255061 0 76142 0 38821 0 43555 0 35983 0 449562 0 22301 TOMASZ SAMEK ASSISTANT SECRETARY 131443 0 0 0 67 0 2069 0 26006 0 159585 0 0 0 MICHAEL DEVORE CIO TIL 2/2/18 73404 0 0 0 28514 0 285 0 11474 0 113677 0 0 0 PAUL DONOHUE VP PHILANTHROPY AND COMMUNITY 205776 0 11706 0 0 0 9250 0 33689 0 260421 0 0 0 SCOTT STRAUSSER VP BUS DEV (THRU 10/3/2018) 194983 0 18591 0 757131 0 8010 0 23684 0 1002399 0 0 0 HEIDI RUHE ASSOC VP BUSINESS DEVELOPMENT 126185 0 7306 0 80627 0 6222 0 40852 0 261192 0 0 0 MARY JO CRANDALL VP LEAN TRANSFORMATION 200841 0 7535 0 767 0 10457 0 0 0 219600 0 0 0 JENNIFER HALSEY DIRECTOR OF PHARMACY 163974 0 3225 0 149 0 8467 0 28434 0 204249 0 0 0 JAMES SWANSON DIRECTOR TECH SVCS/IT SEC OFFI 160678 0 3145 0 299 0 8556 0 26603 0 199281 0 0 0 PAUL ZIELSKE DIRECTOR PATIENT CARE SERVICES 159991 0 0 0 0 0 6690 0 40979 0 207660 0 0 0 KURT JOHNSON PRESIDENT AND CEO TIL 6/30/18 321079 0 0 0 2456069 0 6361 0 10570 0 2794079 0 0 0 MICHAEL HICKS COO TIL 5/4/2018 133261 0 0 0 677919 0 4712 0 9211 0 825103 0 0 0 LINDA CONWAY ASST SECRETARY/GENERAL COUNSEL 135894 0 4431 0 25383 0 8082 0 359 0 174149 0 0 0 GARY GASBARRA INTERIM CFO TIL 6/30/17 0 386875 0 196004 0 86506 0 65291 0 21601 0 756277 0 43434 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. A ILLINOIS FINANCE AUTHORITY SERIES 2013 861091967 45203HPE6 2013-02-06 64815040 REF. 1994 ISSUANCE & CAP PROJ. false false false B ILLINOIS FINANCE AUTHORITY SERIES 2017 861091967 2017-12-29 48180000 REFUNDING 2004 BONDS false false false A 1715000 0 64815040 0 0 0 1183106 0 0 30160000 33471935 0 2015 true false true true B 2880000 0 41180000 0 0 0 349422 0 0 0 40830578 0 2017 true false true true A false false true true false 0.02060 0.02060 false false false true B false true true true false 0.00300 0.00300 false false false true A false false false true false false 0 false 0 false true B false true false false true false 0 false 0 false true A true B true 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. 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 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) 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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) 101 PENANG ROAD 238466 SINGAPORE SN EDUCATION SN UNIV CHICAGO false UNIV OF CHI BOOTH SCH OF BUS (UK) WOOLGATE EXCHANGE 25 BASINGHAL LONDON UK EDUCATION UK UNIV CHICAGO false 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) 6 RUE THOMAS MANN 75013 PARIS FR EDUCATION FR UNIV CHICAGO false 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) GB10-12 CLAIRMONT APTS RST HSE BANGALORE IN FUNDRAISING IN UNIV CHICAGO false CHICAGO HOME FOR THE INCURABLES 5801 S Ellis Avenue Chicago IL 60637 362169138 IL 501(c)(3) Line 12A, I Univ Chicago false 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 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 980485714 LIAB INSURANCE CJ NA C CORP false INGALLS HEALTH COUNCIL ONE INGALLS DRIVE HARVEY IL 60426 273226539 PURCHASING GROUP IL NA C CORP false INGALLS PROVIDER GROUP ONE INGALLS DRIVE HARVEY IL 60426 363485578 INSURANCE SERVICE IL IMH C CORP 14782897 1101790 1.00000 true MEDCENTRIX INC ONE INGALLS DRIVE HARVEY IL 60426 363374228 BILLING & MGMT IL NA C CORP false 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 CH NA false UCHICAGO CENTER IN INDIA PRIVATE LIMITED CONSULTING IN NA false UCM CARE NETWORK MEDICAL GROUP INC 5841 S MARYLAND AVENUE CHICAGO IL 60637 474221241 HEALTH SERVICES IL NA C CORP false PHOENIX OVERLAY FUND LTD 401 N MICHIGAN AVE C/O INVST CHICAGO IL 60611 INVESTING CJ NA false true false true false false false false false false false false true true true true true true true true INGALLS HOME CARE a(iv) 84000 FMV INGALLS PROVIDER GROUP Q 2203164 FMV