FURP.ORG / PUBLIC DATA EXPLORER

INGALLS MEMORIAL HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
INGALLS MEMORIAL HOSPITAL (EIN 36-2170866)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-15
IRS object ID
201632289349305238
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-15T15:03:21-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker DriveAddressLine1Txt
Address Line2Suite 2600AddressLine2Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362170866EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Ingalls Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINGABusinessNameControlTxt
Phone7083332300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Ingalls DriveAddressLine1Txt
CityHarveyCityNm
State AbbreviationILStateAbbreviationCd
ZIP60426ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW STEFOPersonNm
Person TitleCFOPersonTitleTxt
Signature2016-08-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJohn V WoodhullPreparerPersonNm
PTINP01305268PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Kurt E JohnsonBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Ingalls DriveAddressLine1Txt
CityHarveyCityNm
State AbbreviationILStateAbbreviationCd
ZIP60426ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$305,074,597GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.Ingalls.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1922FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionThe Ingalls Memorial Hospital strives to improve the health of the communities it serves by investing in the latest medical technologies, the structural needs of our facilities, and our employees. During the year Charity care services were provided, as reported on the organization's audited financial statements.ActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee2693TotalEmployeeCnt
Total Volunteers182TotalVolunteersCnt
Total Gross UBI$1,014,876TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$80,849NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,093,026PYContributionsGrantsAmt
CY Contributions Grants$997,367CYContributionsGrantsAmt
PY Program Service Revenue$288,059,903PYProgramServiceRevenueAmt
CY Program Service Revenue$282,051,535CYProgramServiceRevenueAmt
PY Investment Income$6,552,602PYInvestmentIncomeAmt
CY Investment Income$19,283,201CYInvestmentIncomeAmt
PY Other Revenue$2,437,156PYOtherRevenueAmt
CY Other Revenue$2,036,175CYOtherRevenueAmt
PY Total Revenue$298,142,687PYTotalRevenueAmt
CY Total Revenue$304,368,278CYTotalRevenueAmt
PY Grants And Similar Paid$140,448PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$126,600CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$118,484,643PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$114,252,979CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$163,227,631PYOtherExpensesAmt
CY Other Expenses$163,455,298CYOtherExpensesAmt
PY Total Expenses$281,852,722PYTotalExpensesAmt
CY Total Expenses$277,834,877CYTotalExpensesAmt
PY Revenues Less Expenses$16,289,965PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$26,533,401CYRevenuesLessExpensesAmt
Total Assets BOY$526,405,432TotalAssetsBOYAmt
Total Assets EOY$534,093,025TotalAssetsEOYAmt
Total Liabilities BOY$211,419,746TotalLiabilitiesBOYAmt
Total Liabilities EOY$211,611,577TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$314,985,686NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$322,481,448NetAssetsOrFundBalancesEOYAmt
MissionIngalls Memorial Hospital strives to improve the health of the communities it serves by investing in the latest medical technologies, the structural needs of our facilities, and our employees. (Cont. in Schedule O)MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$244,288,361ExpenseAmt
Grant$126,600GrantAmt
Revenue$282,094,122RevenueAmt
DescPATIENT CARE: THE INGALLS MEMORIAL HOSPITAL (IMH) INCLUDES A 500+ CERTIFIED BED HOSPITAL AND A NETWORK OF COMPREHENSIVE OUTPATIENT CENTERS THAT FEATURE A FULL ARRAY OF HIGH-TECH DIAGNOSTIC AND TREATMENT SERVICES. AS THE AREA'S ONLY INDEPENDENT NOT-FOR-PROFIT HEALTHCARE SYSTEM, IMH HAS THE ABILITY TO ENSURE THAT OUR RESOURCES ARE DIRECTED TO AREAS THAT RESULT IN THE GREATEST BENEFIT TO OUR PATIENTS AND THE COMMUNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$208,000ExpenseAmt
Revenue$208,000RevenueAmt
DescWITH THE CLOSING OF TINLEY PARK MENTAL HEALTH SERVICES, THE IDHS GRANT FOR INPATIENT PSYCH SERVICES PROVIDES UNINSURED INDIVIDUALS IN NEED OF MENTAL HEALTH INPATIENT CARE WHEN SERVICES ARE INSUFFICIENT OR UNAVAILABLE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$41,730ExpenseAmt
Revenue$41,730RevenueAmt
DescRESEARCH: THE INGALLS MEMORIAL HOSPITAL CONDUCTS RETINAL VASCULAR RESEARCH, A STUDY OF PATIENTS 50-85 YEARS OLD WITH LARGE BILATERAL DRUSEN AND ADVANCED AGE-RELATED MACULAR DEGENERATION. USE OF HIGH-DOSE ANTI-OXIDANTS AND ZINCS REDUCE PROGRESSION TO ADVANCED AGE-RELATED MACULAR DEGENERATION.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$17,162ExpenseAmt
Revenue$17,162RevenueAmt
DescTHE HOSPITAL RECEIVED THE NATIONAL BIOTERRORISM GRANT, WHICH IS TO BE USED TO BUILD AND PRIORITIZE REGIONAL CAPABILITIES THAT SUPPORT THE DEVELOPMENT OF MEDICAL SURGE AND CONTINUITY OF OPERATIONS WITHIN AND ACROSS HEALTHCARE REGIONS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$17,162TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$17,162TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$244,555,253TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document351IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2693EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Andrew StefoBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7083332300PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
EUGENE M FEINGOLD
CHAIRMAN OF THE BOARD1.003.00Yes (X)Yes (X)$0$0$0
RICHARD M KING
BOARD MEMBER, SECRETARY/TREASURER1.002.00Yes (X)Yes (X)$0$0$0
DENNIS J IRVIN
BOARD MEMBER, VICE CHAIRMAN1.002.00Yes (X)Yes (X)$0$0$0
MICHAEL HICKS
CHIEF OPERATING OFFICER/BOARD MEMBER40.000Yes (X)Yes (X)$506,501$0$37,666
KURT E JOHNSON
PRESIDENT/CEO AND BOARD MEMBER40.004.00Yes (X)Yes (X)$1,204,434$0$44,479
KATHLEEN MIKOS RN MSN
CHIEF NURSING OFFICER AND BOARD MEMBER40.000Yes (X)Yes (X)$380,568$0$35,166
SAMUEL J CUTRARA JR CPA
BOARD MEMBER1.001.00Yes (X)$0$0$0
ROBERT L HARRIS
BOARD MEMBER1.001.00Yes (X)$0$0$0
HENRY K JOHNSON
BOARD MEMBER1.001.00Yes (X)$0$0$0
MICHAEL P KAMRADT
BOARD MEMBER1.001.00Yes (X)$0$0$0
NEAL E KITCHELL
BOARD MEMBER1.001.00Yes (X)$0$0$0
DAVID H ORTH MD
BOARD MEMBER1.002.00Yes (X)$0$0$0
KEVIN PURCEL
BOARD MEMBER1.001.00Yes (X)$0$0$0
TIMOTHY D JOHNSON
BOARD MEMBERR1.001.00Yes (X)$0$0$0
NATHANIEL K SUTTON
BOARD MEMBER1.001.00Yes (X)$0$0$0
HEATHER DAVIS
BOARD MEMBER1.001.00Yes (X)$0$0$0
LYNDELL S BECKHAM
Board Member1.001.00Yes (X)$0$0$0
MARK KOZLOFF MD
BOARD MEMBER1.0042.00Yes (X)$0$563,284$22,172
RICHARD ANDERSON
BOARD MEMBER1.000Yes (X)$0$0$0
CARL JOHNSON II MD
BOARD MEMBER1.000Yes (X)$0$0$0
CRESSA PERISH MD
BOARD MEMBER1.000Yes (X)$0$0$0
STEVEN ANDERSON
BOARD MEMBER1.000Yes (X)$0$0$0
BEHNAM ZAKHIREH MD
BOARD MEMBER1.00Yes (X)$0$0$0
MICHAEL J DEVORE
CHIEF INFORMATION OFFICER40.000Yes (X)$245,814$0$28,592
DIANE JACOBY
ASSISTANT SECRETARY, VICE PRESIDENT, GENERAL COUNSEL40.002.00Yes (X)$484,213$0$46,381
JOSEPH M MOSER
VP Development - Foundation1.0040.00Yes (X)$310,241$0$27,400
ALETHA ROSS
VICE PRESIDENT OF HUMAN RESOURCES40.000Yes (X)$272,089$0$27,491
ANDREW K STEFO
VP - FINANCE/CFO40.001.00Yes (X)$543,210$0$36,466
SCOTT C STRAUSSER
VP - BUSINESS DEVELOPMENT40.000Yes (X)$429,038$0$12,880
TAMARA PROFIRIO
VICE PRESIDENT/COO MEDCENTRIX INC40.000Yes (X)$258,670$0$49,419
LAWRENCE KLONOWSKI
MANAGER MEDICAL PHYSICS40.000$197,292$0$37,398Yes (X)
HEIDI RUHE
IMH DIR BUSINESS DEVELOPMENT40.000$143,653$0$39,631Yes (X)
LINDA B CONWAY
IMH ASSOCIATE GENERAL COUNSEL40.000$178,037$0$8,670Yes (X)
MARY JO CRANDALL
IMH LEAN FACILITATOR40.000$172,432$0$5,552Yes (X)
LYNN S PHILIPSON
IMH DIRECTOR OF MANAGED CARE40.000$156,682$0$9,772Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,482,873TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$563,284TotReportableCompRltdOrgAmt
Total Other Compensation$469,135TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K108IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ARAMARK CORPORATION
25271 NETWORK PLACECHICAGOIL60673CONTRACT FOOD, PLANT, HOUSEKEEPING, AND TRANSPORTATION SERVICES$21,933,475
SYNERGY BEHAVIORAL HEALTHCARE
1566 W ALGONQUIN ROAD 3149HOFFMAN ESTATESIL60192IN PT AND OUT PT PSYCHIATRIC SERVICES$4,881,100
KURTZ AMBULANCE SERVICES INC
PO BOX 129NEW LENOXIL60451AMBULANCE SERVICES$1,993,851
RADIOLOGY IMAGING CONSULT
POB 110 71 W 156TH STHARVEYIL60426RADIOLOGISTS$1,246,082
SULLIVAN URGENT AID CENTER
ONE TRANSAMERICA PLAZA DR SUITE 360OAK BROOK TERRACEIL60181EMERGENCY ROOM PHYSICIANS$1,051,827
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K70CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$952,854RelatedOrganizationsAmt
Government Grants$44,513GovernmentGrantsAmt
Total Contributions$997,367TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service900099$272,221,155$272,221,155
Rental Income900099$880,360$880,360
Client Service Revenue900099$687,676$687,676
Lab Services621500$1,032,953$18,077$1,014,876
Medic Training900099$210,186$210,186

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,019,205TotalRevenueColumnAmt
Related Or Exempt Func Income$7,019,205RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$282,051,535TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,365,211TotalRevenueColumnAmt
Exclusion$1,365,211ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,113,451RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$706,319RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$407,132RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$407,132TotalRevenueColumnAmt
Exclusion$407,132ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$17,917,990SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$17,917,990SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,917,990TotalRevenueColumnAmt
Exclusion$17,917,990ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
EXPENSE REIMBURSEMENT & MGMT FEES900099$884,148$884,148
PARKING INCOME900099$110,119$110,119
CHILD CARE CENTER900099$194,569$194,569

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$440,207TotalRevenueColumnAmt
Related Or Exempt Func Income$440,207RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,629,043OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$304,368,278TotalRevenueColumnAmt
Related Or Exempt Func Income$282,361,014RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,014,876UnrelatedBusinessRevenueAmt
Exclusion$19,995,021ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$29,750TotalAmt
Program Services$29,750ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$96,850TotalAmt
Program Services$96,850ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,079,587TotalAmt
Program Services$4,079,587ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$92,259,002TotalAmt
Program Services$83,313,712ProgramServicesAmt
Management And General$8,945,290ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,528,725TotalAmt
Program Services$2,295,837ProgramServicesAmt
Management And General$232,888ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,133,870TotalAmt
Program Services$7,384,764ProgramServicesAmt
Management And General$749,106ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,251,795TotalAmt
Program Services$6,583,925ProgramServicesAmt
Management And General$667,870ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$7,215,210TotalAmt
Management And General$7,215,210ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$151,152TotalAmt
Program Services$1,564ProgramServicesAmt
Management And General$149,588ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$158,265TotalAmt
Management And General$158,265ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$512,568TotalAmt
Management And General$512,568ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$52,057,981TotalAmt
Program Services$41,570,165ProgramServicesAmt
Management And General$10,487,816ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,556,297TotalAmt
Program Services$1,396,018ProgramServicesAmt
Management And General$160,279ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,997,597TotalAmt
Program Services$9,997,597ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$632,084TotalAmt
Program Services$408,283ProgramServicesAmt
Management And General$223,801ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$369,047TotalAmt
Program Services$307,678ProgramServicesAmt
Management And General$61,369ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,770,762TotalAmt
Program Services$3,928,722ProgramServicesAmt
Management And General$842,040ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,963,516TotalAmt
Program Services$14,046,297ProgramServicesAmt
Management And General$1,917,219ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,790,302TotalAmt
Program Services$1,641,197ProgramServicesAmt
Management And General$149,105ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$52,696,487$52,300,594$395,893
Laundry$1,010,196$1,010,196
PUBLIC AID ASSESSMENT$14,162,517$14,162,517
Gift Shop$236,372$236,372

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$174,945TotalAmt
Program Services$0ProgramServicesAmt
Management And General$174,945ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$277,834,877TotalAmt
Program Services$244,555,253ProgramServicesAmt
Management And General$33,279,624ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,693,103BOYAmt
EOY$16,690,300EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$45,690,951BOYAmt
EOY$41,385,841EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,304,088BOYAmt
EOY$5,721,103EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,368,564BOYAmt
EOY$3,803,988EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$515,409,098LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$323,391,036LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$184,590,112BOYAmt
EOY$192,018,062EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$270,333,523BOYAmt
EOY$260,815,096EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$3,485,894BOYAmt
EOY$3,063,752EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$702,916BOYAmt
EOY$663,952EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,236,281BOYAmt
EOY$9,930,931EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$526,405,432BOYAmt
EOY$534,093,025EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$53,486,644BOYAmt
EOY$84,100,222EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$499,053BOYAmt
EOY-$1,383,657EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$140,032,211BOYAmt
EOY$109,949,339EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,401,838BOYAmt
EOY$18,945,673EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$211,419,746BOYAmt
EOY$211,611,577EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$310,631,518BOYAmt
EOY$318,061,321EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,354,168BOYAmt
EOY$4,420,127EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$314,985,686BOYAmt
EOY$322,481,448EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$526,405,432BOYAmt
EOY$534,093,025EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$26,533,401ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$16,683,120NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,354,519OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$43,706OtherActivitiesAmt
Total Lobbying Expenditures$43,706TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationUsed for the specific lobbying of unallowable expenses by medicare. These funds also support a variety of programs focused on advocacy and representation.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$416,863OtherCostOrOtherBasisAmt
Book Value$416,863BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$275,366,130OtherCostOrOtherBasisAmt
Depreciation$147,802,402DepreciationAmt
Book Value$127,563,728BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,211,665OtherCostOrOtherBasisAmt
Depreciation$10,263,476DepreciationAmt
Book Value$1,948,189BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$204,642,100OtherCostOrOtherBasisAmt
Depreciation$165,325,158DepreciationAmt
Book Value$39,316,942BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,772,340OtherCostOrOtherBasisAmt
Book Value$22,772,340BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$192,018,062TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$632,113FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Other Long Term Payables$6,808,325
Tender Premium Payable (Swap Valuation Payable)$11,505,235
FieldValueIRS element (for citing)
Total Liability$18,945,673TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationThe Corporation, IMH, IHV, IDF, and IHC are nonprofit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the "Code") and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. These entities are also exempt from state income taxes on related income. IPG is an Illinois not-for-profit corporation that is taxable for federal income tax purposes.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,186,314TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,186,314NetCommunityBenefitExpnsAmt
Total Expense0.0295TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,607,411TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,404,669DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,202,742NetCommunityBenefitExpnsAmt
Total Expense0.0871TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$342,354TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$210,669DirectOffsettingRevenueAmt
Net Community Benefit Expns$131,685NetCommunityBenefitExpnsAmt
Total Expense0.0005TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$82,136,079TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,615,338DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,520,741NetCommunityBenefitExpnsAmt
Total Expense0.1171TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$320,627TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$320,627NetCommunityBenefitExpnsAmt
Total Expense0.0012TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$589,930TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$312,310DirectOffsettingRevenueAmt
Net Community Benefit Expns$277,620NetCommunityBenefitExpnsAmt
Total Expense0.0010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$686,966TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$686,966NetCommunityBenefitExpnsAmt
Total Expense0.0025TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,597,523TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$312,310DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,285,213NetCommunityBenefitExpnsAmt
Total Expense0.0046TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$83,733,602TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,927,648DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,805,954NetCommunityBenefitExpnsAmt
Total Expense0.1217TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$15,400,215BadDebtExpenseAmt
Bad Debt Expense Attributable$9,132,328BadDebtExpenseAttributableAmt
Reimbursed By Medicare$100,599,493ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$117,179,573CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$16,580,080MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INGALLS MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Website AddressWWW.INGALLS.ORGWebsiteAddressTxt
State License0001099StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1INGALLS MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYYes (true)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLingalls.healthforecast.netOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLingalls.healthforecast.netStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care2.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.0FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.ingalls.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.ingalls.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.ingalls.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - INGALLS MEMORIAL HOSPITAL. The Community Health Needs Assessment was sponsored by Ingalls Memorial Hospital in cooperation with the Metropolitan Chicago HealthCare Council. The project also received input from a Community Health Needs Committee, created for this purpose, which was comprised of representatives of the partnering organizations as well as other citizens chosen for their relevant experience and interests.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Other Organizations. See Line 5 Above
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Ingalls Memorial Hospital. The significant needs in the Community were identified as preventing the two leading causes of death within the service area of Ingalls Memorial Hospital. The causes are cardiovascular diseases (including heart attack and stroke) and cancer. In order to educate about these causes of death we provide learning opportunities and patient screening for the community. Programs are offered through the year to educate the public about their risk for heart attacks and strokes. We hold community talks at local events (churches, festivals and those hosted by Ingalls). We also offer an online screening tool which provides participants an opportunity to learn more about their risk for cardiovascular disease and also provides them with information/tools to improve their health status. We specifically teach about stroke warning signs by holding education opportunities for church and women's groups. To address the high mortality rates for cancer in the area we will offer education and cancer screenings. Mammography and colorectal cancer screenings will be addressed with campaigns to educate about the importance of regularly scheduled screenings.
FieldValueIRS element (for citing)
Facility8FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Ingalls Family Care Center
1600 Torrence AvenueCalumet CityIL60409Urgent Aid, Primary Care, and Specialist Services
Ingalls Care Center
4742 Cal Sag RoadCrestwoodIL60445Quick Care Center and Occumpational Health
Ingalls Family Care Center
6701 West 159th StreetTinley ParkIL60477Urgent Aid, Primary care, and specialist services
Ingalls Family Care Center
19550 Governors HighwayFlossmoorIL60422Urgent aid and specialist services
Ingalls Wellness Center
2920 Wellness CenterHomewoodIL60430Complementary medicine and community health programs
The Villa at South Holland
16300 Wausau AvenueSouth HollandIL60473Healthcare and Rehabilitation Center
Ingalls Care Center
16246 Prince DriveSouth HollandIL60473Industrial, medical rehabilitation and Physician Offices
Ingalls Family Care Center
4647 West Lincoln HighwayMattesonIL60443Laboratory, Imaging, and Diagnostic services

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceIngalls utilizes a cost to charge methodolgy., Charges associated with the related categories are then used to determine cost related to such revenue.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountThe amount of bad debt reported on line 2 is estimated using the same methodology used to report bad debt in the hospital's audited financials.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyBased on poverty levels of the surrounding community, it is estimated that approximately 59.3% of the bad debt expense is attributable to patients who would have been eligible under the hospital's financial assistance policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnotePatient accounts receivable are uncollateralized patient obligations that are stated at the amount management expects to collect from outstanding balances. These obligations are primarily from local residents, most of whom are insured under third-party payor agreements. The System bills third-party payors on the patients' behalf, or if a patient is uninsured, the patient is billed directly. Once claims are settled with the primary payor, any secondary insurance is billed, and patients are billed for copay and deductible amounts that are the patients' responsibility. Payments on accounts receivable are applied to the specific claim identified on the remittance advice or statements. The System does not have a policy to charge interest on past due accounts. Patient accounts receivable are recorded in the accompanying consolidated balance sheets net of contractual adjustments and an allowance for uncollectible accounts, which reflects management's best estimate of the amounts that will not be collected. Management provides for contractual adjustments under terms of third-party reimbursement agreements through a reduction of gross revenue and a credit to patient accounts receivable. In evaluating the collectibility of patient accounts receivable, the System analyzes historical loss experience on revenue from self-pay patients. Using the loss experience rate, the System estimates the appropriate allowance for uncollectible accounts and provision for bad debts. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged against the allowance for uncollectible accounts.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsThe hospital believes the full amount of the shortfall from Medicare should be treated as community benefit because it serve 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
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceIngalls 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 pre-registration, 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 non-emergent 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 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 by the private insurer or public program. The hospital further maintains all information in accordance with applicable federal and state privacy, security and ID theft laws.
Schedule H, Part V, Section B, Line 16a FAP website- INGALLS MEMORIAL HOSPITAL: Line 16a URL: www.ingalls.org;
Schedule H, Part V, Section B, Line 16b FAP Application website- INGALLS MEMORIAL HOSPITAL: Line 16b URL: www.ingalls.org;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- INGALLS MEMORIAL HOSPITAL: Line 16c URL: www.ingalls.org;
Schedule H, Part VI, Line 2 Needs assessmentIn addition to the Community Health Needs Assessment that was conducted, the hospital has a community relations department whose sole purpose is to assess and address the healthcare needs of the community. The hospital partners with community groups to identify needs, strengthen existing community programs, and plan newly needed services. Specific attention is paid to the needs of low income and vulnerable populations.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceThe 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 also informed via the hospital's website, individual patient statements and financial counselors. Below are 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 the 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 shall include a prominent statement that patients who meets 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. Patient Handbook /Brochures: Handbooks or brochures will be available at points of service areas. Via internet: A summary of the Financial Assistance Program will be available pursuant to this policy and will be available at www.ingalls.org. Upon Request: Upon request, a copy of the Financial Assistance Program Policy will be made available. Application Forms: Forms used to determine a patient's eligibility for Financial Assistance will be made available at point of service to all patients or family members. Forms are also available at www.ingalls.org.
Schedule H, Part VI, Line 4 Community informationThe hospital's immediate services area faces a number of different challenges such as: *The highest rate in the metro area for persons below poverty level, *The greatest numbers of persons on Medicaid, *The highest rates of uninsured individuals, and *The highest rates of unemployed individuals. The median income for a household in the hospital's service area was $26,133, and the median income for a family was $36,580. About 29.9% of families and 34.7% of the population were below the poverty line, including 47.8% of those under age 18 and 16.1% of those age 65 or over. The information above was obtained from the United States Census Bureau. http//factfinder.census.gov. 2014 Data
Schedule H, Part VI, Line 5 Promotion of community healthThe hospital's service area has historically seen the highest Pregnancy Outcome Risk Index in the state. As such, Ingalls has partnered with local service agencies to offer the Healthy Baby Network which provides medical care and social service programs for mothers at risk. Ingalls contracted with a local group of OB/GYNs to provide around the clock care in our emergency room for women who present with no prenatal care and are at higher risk. The area's local children also have among the region's lowest immunization rates. Accordingly, Ingalls has, for many years, offered free community programs to provide needed vaccinations. Ingalls Board of Directors consists of business and community members that live locally. Besides the President and CEO we have one employed physician that serves as a director. No members are contractors or family members of a contractor. All requests for applications are reviewed and acted upon by our Professional Affairs Committee. If this committee feels that there is a need for a particular service and/or a patient need exists, the applicant is felt to meet minimum qualifications, an application is offered. The medical staff supports improvements in patient care and ongoing education to the medical and professional staff through funding of numerous medical education activities. We are accredited by the Illinois State Medical Society to award CME category 1 credit. The CME Committee is responsible for oversight of the monthly CME activities which are sponsored by the hospital and both medical and professional (nursing, quality, etc.) staff are invited and encouraged to attend the programs. The medical staff also supports the hospital and community by contributing to various events including the annual benefit.
Schedule H, Part VI, Line 6 Affiliated health care systemThe Ingalls Memorial Hospital is part of the Ingalls Health System. 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 Home Care *Ingalls Provider Group *Ingalls Casualty Insurance *Ingalls Same Day Surgery, Ltd. *Ingalls Care Network

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Harvey Community CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line115320 Center AvenueAddressLine1Txt
CityHarveyCityNm
State AbbreviationILStateAbbreviationCd
ZIP60426ZIPCd
FieldValueIRS element (for citing)
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$5,000CashGrantAmt
Purpose Of GrantDonationPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient229RecipientCnt
Cash Grant$96,850CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant FundsScholarships are paid directly to the educational institutions in order to ensure the funds are used for their intended purpose.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.Scholarships are paid directly to the educational institutions in order to ensure the funds are used for their intended purpose.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL HICKS
CHIEF OPERATING OFFICER/BOARD MEMBER$486,310$0$0$0$20,191$0$10,800$0$26,866$0$544,167$0$0$0
KURT E JOHNSON
PRESIDENT/CEO AND BOARD MEMBER$1,199,403$0$0$0$5,031$0$10,800$0$33,679$0$1,248,913$0$0$0
KATHLEEN MIKOS RN MSN
CHIEF NURSING OFFICER AND BOARD MEMBER$372,846$0$0$0$7,722$0$10,800$0$24,366$0$415,733$0$0$0
MARK KOZLOFF MD
BOARD MEMBER$0$538,113$0$0$0$25,171$0$2,600$0$19,572$0$585,456$0$0
MICHAEL J DEVORE
CHIEF INFORMATION OFFICER$234,974$0$0$0$10,839$0$9,699$0$18,893$0$274,406$0$0$0
DIANE JACOBY
ASSISTANT SECRETARY, VICE PRESIDENT, GENERAL COUNSEL$479,182$0$0$0$5,031$0$10,800$0$35,581$0$530,594$0$0$0
JOSEPH M MOSER
VP Development - Foundation$307,796$0$0$0$2,445$0$10,002$0$17,398$0$337,641$0$0$0
ALETHA ROSS
VICE PRESIDENT OF HUMAN RESOURCES$269,771$0$0$0$2,318$0$9,196$0$18,295$0$299,580$0$0$0
ANDREW K STEFO
VP - FINANCE/CFO$517,988$0$0$0$25,222$0$10,800$0$25,666$0$579,675$0$0$0
SCOTT C STRAUSSER
VP - BUSINESS DEVELOPMENT$408,847$0$0$0$20,191$0$10,800$0$2,080$0$441,918$0$0$0
TAMARA PROFIRIO
VICE PRESIDENT/COO MEDCENTRIX INC$240,466$0$0$0$18,204$0$8,838$0$40,581$0$308,089$0$0$0
LAWRENCE KLONOWSKI
MANAGER MEDICAL PHYSICS$189,325$0$0$0$7,968$0$8,650$0$28,748$0$234,690$0$0$0
HEIDI RUHE
IMH DIR BUSINESS DEVELOPMENT$142,684$0$0$0$969$0$6,193$0$33,438$0$183,283$0$0$0
LINDA B CONWAY
IMH ASSOCIATE GENERAL COUNSEL$176,219$0$0$0$1,817$0$7,452$0$1,218$0$186,707$0$0$0
MARY JO CRANDALL
IMH LEAN FACILITATOR$171,625$0$0$0$807$0$5,552$0$0$0$177,984$0$0$0
LYNN S PHILIPSON
IMH DIRECTOR OF MANAGED CARE$152,592$0$0$0$4,090$0$6,634$0$3,138$0$166,454$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Illinois Finance Authority
A86109196745200BHK72007-11-16$48,000,000Refunding of 11/10/2004 Bond issuancefalsefalsefalse
Illinois Finance Authority
B86109196745203HPE62013-02-06$64,815,292REFUNDING OF 7/19/1994 BOND ISSUANCE; CAPITAL PROJECTSfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$48,000,000$0$0$0$0$0$0$0$48,000,000$02007Yes (true)falseYes (true)Yes (true)
B$0$0$64,815,292$0$0$0$1,183,106$0$0$30,160,252$33,471,934$02015Yes (true)falsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.00.00.0falsefalsefalse
Bfalsefalsefalsefalse0.00.00.0falsefalsefalse

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Merrill Lynch
AfalsefalsefalsefalseYes (true)Yes (true)29.5falsefalsefalsefalsefalse
(no name)
BfalseYes (true)falsefalsefalsefalsefalsefalsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part IV, Line 7 Written procedures to monitor requirements of section 148The organization is in the process of adopting written procedures to monitor the organization's ability to remain in compliance with the arbitrage requirements under Section 148 of the Internal Revenue Code. The organization strives to stay abreast of federal regulations and considers the repercussions of all significant activities which could foreseeably have an impact on the organization's tax exempt bonds and the associated federal tax regulations. The policy/procedure has been drafted and will be approved and implemented before the organization's next fiscal year ending Speptember 30, 2016.
Schedule K, Part III, Line 9 Written procedures to ensure all nonqualified bonds are remediatedThe organization is in the process of adopting written procedures to ensure all nonqualified bonds (if any) of the issue are remediated in accordance with the associated regulations. The organization strives to stay abreast of federal regulations and considers the repercussions of all significant activities which could foreseeably have an impact on the organization's tax exempt bonds and the associated federal tax regulations. The policy/procedure has been drafted and will be approved and implemented before the organization's next fiscal year ending Speptember 30, 2016.
Schedule K, Part V Written procedures to ensure violations are identified and correctedThe organization is in the process of adopting written procedures which dictate how management timely identifies and corrects violations of federal tax requirements using the voluntary closing agreement program (VCAP) provided by the IRS when self-remediation is not available to the organization. The organization strives to stay abreast of federal regulations and considers the repercussions of all significant activities which could foreseeably have an impact on the organization's tax exempt bonds and the associated federal tax regulations. In the event a violation is identified the organization's policy is to correct the violation as soon as possible, while working with the federal authorities as necessary to ensure that sufficient controls are present which will guard against future violations. The policy/procedure has been drafted and will be approved and implemented before the organization's next fiscal year ending Speptember 30, 2016.
Schedule K, Part II, Line 3 Proceeds of issueBond proceeds $64,815,040

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services(Expenses $ 17,162 including grants of $)(Revenue $ 17,162) THE HOSPITAL RECEIVED THE NATIONAL BIOTERRORISM GRANT, WHICH IS TO BE USED TO BUILD AND PRIORITIZE REGIONAL CAPABILITIES THAT SUPPORT THE DEVELOPMENT OF MEDICAL SURGE AND CONTINUITY OF OPERATIONS WITHIN AND ACROSS HEALTHCARE REGIONS.
Form 990, Part VI, Line 15b PROCESS USED TO DETERMINE COMPENSATION FOR OTHER OFFICERSAN OUTSIDE COMPENSATION CONSULTANT IS USED TO RENDER A REASONABLE OPINION AS TO WHAT PERCENTAGE OF INCREASE A VICE PRESIDENT SHOULD RECEIVE BY PERFORMING A MARKET COMPARISON FOR ALL VICE PRESIDENTS. THE PROCESS TO DETERMINE AN INCREASE IN COMPENSATION FOR VICE PRESIDENTS WAS PERFORMED IN THE PRIOR YEAR FOR THE CURRENT YEAR'S COMPENSATION. 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 VP AND DIRECTOR OR MANAGER. MARKET ADJUSTMENTS ARE SET BY THE IMMEDIATE VP AND SENT TO ALL EXECUTIVES FOR THEIR APPROVAL.
Form 990, Part VI, Line 1a Delegate broad authority to a committeeThe 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 Classes of members or stockholdersPursuant to the organization's governing documents, the sole voting member of the organization is Ingalls health system (ihs), a related tax-exempt organization. As the organization's sole corporate member, ihs has the right to participate in the organization's governance. IHS has the right to elect, appoint, or remove any board of director of the organization without cause at any time. In addition, the sole corporate member has the exclusive right to approve or ratify significant decisions of the organization's governing body. Significant decisions of the organization's governing body include, but are not limited to, the right to approve long-term capital and operational budgets, to approve a plan of dissolution or merger with another organization, and to approve the development, construction or implementation of any new healthcare facility, program, or service.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyPlease see the narrative for Part VI, Section A, Line
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersPlease see the narrative for Part VI, Section A, Line
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe 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. The form 990 will be available at the organization's board meeting for each member's review.
Form 990, Part VI, Line 12c Conflict of interest policyAll 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 exist. Employees shall have the continuing affirmative duty to report to the President and Chief Executive Officer (CEO) of Ingalls any personal ownership interest or other relationship that might affect their ability to exercise impartial, ethical business judgments in the area of their responsibilities. Per the entity's conflict of interest policy, 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 job requirement for all managerial employees, and may be required of non-management employees as determined by the President and Chief Executive Officer and the Corporate Compliance Officer. Employees also have a duty to report conflicts or potential conflicts of interest of which they may be aware involving other employees. Each situation reported shall be reviewed by the President and CEO, and Ingalls Corporate Compliance Officer, and a determination shall be made as to whether a conflict of interest exists or may arise from such a situation. The decision of the President and CEO and Corporate Compliance Officer regarding whether a conflict exists shall be final. The employee handbook mentions the entity's conflict of interest policy. Each employee is required to sign an acknowledgment of the handbook upon employment.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialIN 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 WILLIS TOWERS WATSON IN NOVEMBER 2014. 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 THE NOVEMBER 2014.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesIN 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 WILLIS TOWERS WATSON IN NOVEMBER 2014. 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 TOP MANAGEMENT OFFICIAL WAS LAST UNDERTAKEN IN THE NOVEMBER 2014.
Form 990, Part VI, Line 19 Required documents available to the publicFinancial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time.
Form 990, Part VII, Section B, Line 1 Expenses for Ingalls Health SystemExpenses of Ingalls Health System (IHS) and related entities (see Schedule R) are paid by IHS. IHS is responsible for issuing the 1099's to independent contractors, and subsequently allocates a percentage of the expense and receives reimbursement from the related entities.
Form 990, Part VIII, Line 7a Gross Amount of Sales of SecuritiesThe organization's investments are held in a pooled investment account managed by Northern Trust. Realized gains and losses are pooled and allocated to the participants. The Ingalls Memorial Hospital receives monthly information on the funds from Northern Trust and determines the total gain or loss amounts. However detail is not provided.
Form 990, Part VIII, Line 2f Other Program Service RevenueRelease of AARA Funds - Total Revenue: 2199996, Related or Exempt Function Revenue: 2199996, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Program Service Revenue - Total Revenue: 2749747, Related or Exempt Function Revenue: 2749747, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; SNF THERAPY - Total Revenue: 2069462, Related or Exempt Function Revenue: 2069462, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueGift Shop - Total Revenue: 310044, Related or Exempt Function Revenue: 310044, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Staff - Total Revenue: 130163, Related or Exempt Function Revenue: 130163, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesOther Contract Service - Total Expense: 19835159, Program Service Expense: 16810909, Management and General Expenses: 3024250, Fundraising Expenses: ; ARAMARK-Suppport Services - Total Expense: 20765000, Program Service Expense: 17442600, Management and General Expenses: 3322400, Fundraising Expenses: ; Outsourcing of Behavorial Health Services - Total Expense: 5967154, Program Service Expense: 5012409, Management and General Expenses: 954745, Fundraising Expenses: ; Patient Financial Collection Services - Total Expense: 3186421, Program Service Expense: , Management and General Expenses: 3186421, Fundraising Expenses: ; Contractual Ambulance Services - Total Expense: 2304247, Program Service Expense: 2304247, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesMEDICAL STAFF EXPENSES - 174945; GIFT SHOP EXPENSES - 236372; INTEREST RATE SWAP VALUATION - -1545903; CONTRIBUTIONS FOR A SPECIFIC PURPOSE - 65958; TRANSFERS FROM AFFILIATES - 98250; RELATED ORGANIZATIONS - -952854; MEDICAL STAFF OFFICE REVENUE - -130163; GIFT SHOP REVENUE - -310044; UNRESTRICTED CONTRIBUTIONS - 8920;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
INGALLS DEVELOPMENT FOUNDATION
ONE INGALLS DRIVEHARVEYIL60426363189150SUPPORTIL501(c)(37IHSfalse
INGALLS HOME CARE
ONE INGALLS DRIVEHARVEYIL60426363367939HEALTHCAREIL501(c)(39IMHYes (true)
INGALLS HEALTH SYSTEM
ONE INGALLS DRIVEHARVEYIL60426363181170MANAGEMENTIL501(c)(3Type IINAfalse
INGALLS HEALTH VENTURES
ONE INGALLS DRIVEHARVEYIL60426363239703AMBULATORYIL501(c)(33IHSfalse
PRIMARY HEALTHCARE ASSOCIATES SC
71 W 156TH STREETHARVEYIL60426364132865HEALTHCAREIL501(c)(39IHSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1INGALLS SAME DAY SURGERY CENTER LTDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16701 W 159TH STREETAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd
FieldValueIRS element (for citing)
EIN363368549EIN
Primary ActivitiesSURGERY CENTERPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
INGALLS PROVIDER GROUP
ONE INGALLS DRIVEHARVEYIL60426363485578INSURANCE SERVICEILIMHC Corporation$0$5,399,1001Yes (true)
MEDCENTRIX INC
ONE INGALLS DRIVEHARVEYIL60426363374228BILLING & MGMTILNAC Corporationfalse
INGALLS CASUALTY INSURANCE LTD
ONE INGALLS DRIVEHARVEYIL60426980485714LIAB INSURANCENAC CorporationfalseCJ
INGALLS HEALTH COUNCIL
ONE INGALLS DRIVEHARVEYIL60426273226539PURCHASING GROUPILNAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd