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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-15T15:03:21-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 West Wacker Drive | AddressLine1Txt |
| Address Line2 | Suite 2600 | AddressLine2Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606061224 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362170866 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Ingalls Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INGA | BusinessNameControlTxt |
| Phone | 7083332300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Ingalls Drive | AddressLine1Txt |
| City | Harvey | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60426 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREW STEFO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2016-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | John V Woodhull | PreparerPersonNm |
| PTIN | P01305268 | PTIN |
| Phone | 3128997000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kurt E Johnson | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Ingalls Drive | AddressLine1Txt |
| City | Harvey | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60426 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $305,074,597 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.Ingalls.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1922 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | The 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 Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 2693 | TotalEmployeeCnt |
| Total Volunteers | 182 | TotalVolunteersCnt |
| Total Gross UBI | $1,014,876 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$80,849 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,093,026 | PYContributionsGrantsAmt |
| CY Contributions Grants | $997,367 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $288,059,903 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $282,051,535 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,552,602 | PYInvestmentIncomeAmt |
| CY Investment Income | $19,283,201 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,437,156 | PYOtherRevenueAmt |
| CY Other Revenue | $2,036,175 | CYOtherRevenueAmt |
| PY Total Revenue | $298,142,687 | PYTotalRevenueAmt |
| CY Total Revenue | $304,368,278 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $140,448 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $126,600 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $118,484,643 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $114,252,979 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $163,227,631 | PYOtherExpensesAmt |
| CY Other Expenses | $163,455,298 | CYOtherExpensesAmt |
| PY Total Expenses | $281,852,722 | PYTotalExpensesAmt |
| CY Total Expenses | $277,834,877 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $16,289,965 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $26,533,401 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $526,405,432 | TotalAssetsBOYAmt |
| Total Assets EOY | $534,093,025 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $211,419,746 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $211,611,577 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $314,985,686 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $322,481,448 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. (Cont. in Schedule O) | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $244,288,361 | ExpenseAmt |
| Grant | $126,600 | GrantAmt |
| Revenue | $282,094,122 | RevenueAmt |
| Desc | PATIENT 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $208,000 | ExpenseAmt |
| Revenue | $208,000 | RevenueAmt |
| Desc | WITH 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $41,730 | ExpenseAmt |
| Revenue | $41,730 | RevenueAmt |
| Desc | RESEARCH: 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,162 | ExpenseAmt |
| Revenue | $17,162 | RevenueAmt |
| Desc | 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $17,162 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $17,162 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $244,555,253 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 351 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2693 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Andrew Stefo | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7083332300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE INGALLS DRIVE | AddressLine1Txt |
| City | Harvey | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60426 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| EUGENE M FEINGOLD | ||||||||
| CHAIRMAN OF THE BOARD | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD M KING | ||||||||
| BOARD MEMBER, SECRETARY/TREASURER | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DENNIS J IRVIN | ||||||||
| BOARD MEMBER, VICE CHAIRMAN | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHAEL HICKS | ||||||||
| CHIEF OPERATING OFFICER/BOARD MEMBER | 40.00 | 0 | Yes (X) | Yes (X) | $506,501 | $0 | $37,666 | |
| KURT E JOHNSON | ||||||||
| PRESIDENT/CEO AND BOARD MEMBER | 40.00 | 4.00 | Yes (X) | Yes (X) | $1,204,434 | $0 | $44,479 | |
| KATHLEEN MIKOS RN MSN | ||||||||
| CHIEF NURSING OFFICER AND BOARD MEMBER | 40.00 | 0 | Yes (X) | Yes (X) | $380,568 | $0 | $35,166 | |
| SAMUEL J CUTRARA JR CPA | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT L HARRIS | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HENRY K JOHNSON | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL P KAMRADT | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NEAL E KITCHELL | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID H ORTH MD | ||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN PURCEL | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TIMOTHY D JOHNSON | ||||||||
| BOARD MEMBERR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NATHANIEL K SUTTON | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HEATHER DAVIS | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LYNDELL S BECKHAM | ||||||||
| Board Member | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK KOZLOFF MD | ||||||||
| BOARD MEMBER | 1.00 | 42.00 | Yes (X) | $0 | $563,284 | $22,172 | ||
| RICHARD ANDERSON | ||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | ||
| CARL JOHNSON II MD | ||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | ||
| CRESSA PERISH MD | ||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | ||
| STEVEN ANDERSON | ||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | ||
| BEHNAM ZAKHIREH MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL J DEVORE | ||||||||
| CHIEF INFORMATION OFFICER | 40.00 | 0 | Yes (X) | $245,814 | $0 | $28,592 | ||
| DIANE JACOBY | ||||||||
| ASSISTANT SECRETARY, VICE PRESIDENT, GENERAL COUNSEL | 40.00 | 2.00 | Yes (X) | $484,213 | $0 | $46,381 | ||
| JOSEPH M MOSER | ||||||||
| VP Development - Foundation | 1.00 | 40.00 | Yes (X) | $310,241 | $0 | $27,400 | ||
| ALETHA ROSS | ||||||||
| VICE PRESIDENT OF HUMAN RESOURCES | 40.00 | 0 | Yes (X) | $272,089 | $0 | $27,491 | ||
| ANDREW K STEFO | ||||||||
| VP - FINANCE/CFO | 40.00 | 1.00 | Yes (X) | $543,210 | $0 | $36,466 | ||
| SCOTT C STRAUSSER | ||||||||
| VP - BUSINESS DEVELOPMENT | 40.00 | 0 | Yes (X) | $429,038 | $0 | $12,880 | ||
| TAMARA PROFIRIO | ||||||||
| VICE PRESIDENT/COO MEDCENTRIX INC | 40.00 | 0 | Yes (X) | $258,670 | $0 | $49,419 | ||
| LAWRENCE KLONOWSKI | ||||||||
| MANAGER MEDICAL PHYSICS | 40.00 | 0 | $197,292 | $0 | $37,398 | Yes (X) | ||
| HEIDI RUHE | ||||||||
| IMH DIR BUSINESS DEVELOPMENT | 40.00 | 0 | $143,653 | $0 | $39,631 | Yes (X) | ||
| LINDA B CONWAY | ||||||||
| IMH ASSOCIATE GENERAL COUNSEL | 40.00 | 0 | $178,037 | $0 | $8,670 | Yes (X) | ||
| MARY JO CRANDALL | ||||||||
| IMH LEAN FACILITATOR | 40.00 | 0 | $172,432 | $0 | $5,552 | Yes (X) | ||
| LYNN S PHILIPSON | ||||||||
| IMH DIRECTOR OF MANAGED CARE | 40.00 | 0 | $156,682 | $0 | $9,772 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,482,873 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $563,284 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $469,135 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 108 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ARAMARK CORPORATION | |||||
| 25271 NETWORK PLACE | CHICAGO | IL | 60673 | CONTRACT FOOD, PLANT, HOUSEKEEPING, AND TRANSPORTATION SERVICES | $21,933,475 |
| SYNERGY BEHAVIORAL HEALTHCARE | |||||
| 1566 W ALGONQUIN ROAD 3149 | HOFFMAN ESTATES | IL | 60192 | IN PT AND OUT PT PSYCHIATRIC SERVICES | $4,881,100 |
| KURTZ AMBULANCE SERVICES INC | |||||
| PO BOX 129 | NEW LENOX | IL | 60451 | AMBULANCE SERVICES | $1,993,851 |
| RADIOLOGY IMAGING CONSULT | |||||
| POB 110 71 W 156TH ST | HARVEY | IL | 60426 | RADIOLOGISTS | $1,246,082 |
| SULLIVAN URGENT AID CENTER | |||||
| ONE TRANSAMERICA PLAZA DR SUITE 360 | OAK BROOK TERRACE | IL | 60181 | EMERGENCY ROOM PHYSICIANS | $1,051,827 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 70 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $952,854 | RelatedOrganizationsAmt |
| Government Grants | $44,513 | GovernmentGrantsAmt |
| Total Contributions | $997,367 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Service | 900099 | $272,221,155 | $272,221,155 | |
| Rental Income | 900099 | $880,360 | $880,360 | |
| Client Service Revenue | 900099 | $687,676 | $687,676 | |
| Lab Services | 621500 | $1,032,953 | $18,077 | $1,014,876 |
| Medic Training | 900099 | $210,186 | $210,186 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,019,205 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,019,205 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $282,051,535 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,365,211 | TotalRevenueColumnAmt |
| Exclusion | $1,365,211 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,113,451 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $706,319 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $407,132 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $407,132 | TotalRevenueColumnAmt |
| Exclusion | $407,132 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,917,990 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,917,990 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,917,990 | TotalRevenueColumnAmt |
| Exclusion | $17,917,990 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| EXPENSE REIMBURSEMENT & MGMT FEES | 900099 | $884,148 | $884,148 | |
| PARKING INCOME | 900099 | $110,119 | $110,119 | |
| CHILD CARE CENTER | 900099 | $194,569 | $194,569 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $440,207 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $440,207 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,629,043 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $304,368,278 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $282,361,014 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,014,876 | UnrelatedBusinessRevenueAmt |
| Exclusion | $19,995,021 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,750 | TotalAmt |
| Program Services | $29,750 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,850 | TotalAmt |
| Program Services | $96,850 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,079,587 | TotalAmt |
| Program Services | $4,079,587 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,259,002 | TotalAmt |
| Program Services | $83,313,712 | ProgramServicesAmt |
| Management And General | $8,945,290 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,528,725 | TotalAmt |
| Program Services | $2,295,837 | ProgramServicesAmt |
| Management And General | $232,888 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,133,870 | TotalAmt |
| Program Services | $7,384,764 | ProgramServicesAmt |
| Management And General | $749,106 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,251,795 | TotalAmt |
| Program Services | $6,583,925 | ProgramServicesAmt |
| Management And General | $667,870 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,215,210 | TotalAmt |
| Management And General | $7,215,210 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,152 | TotalAmt |
| Program Services | $1,564 | ProgramServicesAmt |
| Management And General | $149,588 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,265 | TotalAmt |
| Management And General | $158,265 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $512,568 | TotalAmt |
| Management And General | $512,568 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,057,981 | TotalAmt |
| Program Services | $41,570,165 | ProgramServicesAmt |
| Management And General | $10,487,816 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,556,297 | TotalAmt |
| Program Services | $1,396,018 | ProgramServicesAmt |
| Management And General | $160,279 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,997,597 | TotalAmt |
| Program Services | $9,997,597 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $632,084 | TotalAmt |
| Program Services | $408,283 | ProgramServicesAmt |
| Management And General | $223,801 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,047 | TotalAmt |
| Program Services | $307,678 | ProgramServicesAmt |
| Management And General | $61,369 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,770,762 | TotalAmt |
| Program Services | $3,928,722 | ProgramServicesAmt |
| Management And General | $842,040 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,963,516 | TotalAmt |
| Program Services | $14,046,297 | ProgramServicesAmt |
| Management And General | $1,917,219 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,790,302 | TotalAmt |
| Program Services | $1,641,197 | ProgramServicesAmt |
| Management And General | $149,105 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,945 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $174,945 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,834,877 | TotalAmt |
| Program Services | $244,555,253 | ProgramServicesAmt |
| Management And General | $33,279,624 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,693,103 | BOYAmt |
| EOY | $16,690,300 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,690,951 | BOYAmt |
| EOY | $41,385,841 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,304,088 | BOYAmt |
| EOY | $5,721,103 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,368,564 | BOYAmt |
| EOY | $3,803,988 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $515,409,098 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $323,391,036 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,590,112 | BOYAmt |
| EOY | $192,018,062 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,333,523 | BOYAmt |
| EOY | $260,815,096 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,485,894 | BOYAmt |
| EOY | $3,063,752 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $702,916 | BOYAmt |
| EOY | $663,952 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,236,281 | BOYAmt |
| EOY | $9,930,931 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $526,405,432 | BOYAmt |
| EOY | $534,093,025 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,486,644 | BOYAmt |
| EOY | $84,100,222 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $499,053 | BOYAmt |
| EOY | -$1,383,657 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,032,211 | BOYAmt |
| EOY | $109,949,339 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,401,838 | BOYAmt |
| EOY | $18,945,673 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,419,746 | BOYAmt |
| EOY | $211,611,577 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,631,518 | BOYAmt |
| EOY | $318,061,321 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,354,168 | BOYAmt |
| EOY | $4,420,127 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $314,985,686 | BOYAmt |
| EOY | $322,481,448 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $526,405,432 | BOYAmt |
| EOY | $534,093,025 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $26,533,401 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$16,683,120 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,354,519 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $43,706 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $43,706 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | Used 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $416,863 | OtherCostOrOtherBasisAmt |
| Book Value | $416,863 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $275,366,130 | OtherCostOrOtherBasisAmt |
| Depreciation | $147,802,402 | DepreciationAmt |
| Book Value | $127,563,728 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,211,665 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,263,476 | DepreciationAmt |
| Book Value | $1,948,189 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $204,642,100 | OtherCostOrOtherBasisAmt |
| Depreciation | $165,325,158 | DepreciationAmt |
| Book Value | $39,316,942 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,772,340 | OtherCostOrOtherBasisAmt |
| Book Value | $22,772,340 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $192,018,062 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $632,113 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Long Term Payables | $6,808,325 |
| Tender Premium Payable (Swap Valuation Payable) | $11,505,235 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $18,945,673 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | The 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,186,314 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,186,314 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0295 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,607,411 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,404,669 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,202,742 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0871 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $342,354 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $210,669 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $131,685 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $82,136,079 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,615,338 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,520,741 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1171 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $320,627 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $320,627 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0012 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $589,930 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $312,310 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $277,620 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $686,966 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $686,966 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0025 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,597,523 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $312,310 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,285,213 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0046 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $83,733,602 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,927,648 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,805,954 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1217 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $15,400,215 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $9,132,328 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $100,599,493 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $117,179,573 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$16,580,080 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INGALLS MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.INGALLS.ORG | WebsiteAddressTxt |
| State License | 0001099 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INGALLS MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | Yes (true) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | ingalls.healthforecast.net | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | ingalls.healthforecast.net | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 2.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0.0 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.ingalls.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.ingalls.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.ingalls.org | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 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 , 1 | Facility , 1 - Other Organizations. See Line 5 Above |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Ingalls Family Care Center | ||||
| 1600 Torrence Avenue | Calumet City | IL | 60409 | Urgent Aid, Primary Care, and Specialist Services |
| Ingalls Care Center | ||||
| 4742 Cal Sag Road | Crestwood | IL | 60445 | Quick Care Center and Occumpational Health |
| Ingalls Family Care Center | ||||
| 6701 West 159th Street | Tinley Park | IL | 60477 | Urgent Aid, Primary care, and specialist services |
| Ingalls Family Care Center | ||||
| 19550 Governors Highway | Flossmoor | IL | 60422 | Urgent aid and specialist services |
| 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 | Healthcare and Rehabilitation Center |
| Ingalls Care Center | ||||
| 16246 Prince Drive | South Holland | IL | 60473 | Industrial, medical rehabilitation and Physician Offices |
| Ingalls Family Care Center | ||||
| 4647 West Lincoln Highway | Matteson | IL | 60443 | Laboratory, Imaging, and Diagnostic services |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | Ingalls 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 amount | The 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 Methodology | Based 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 footnote | Patient 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 costs | The 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 assistance | 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 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 assessment | In 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 assistance | 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 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 information | The 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 health | The 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 system | The 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Harvey Community Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15320 Center Avenue | AddressLine1Txt |
| City | Harvey | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60426 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $5,000 | CashGrantAmt |
| Purpose Of Grant | Donation | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 229 | RecipientCnt |
| Cash Grant | $96,850 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | N/A | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule I, Part I, Line 2 Description Of Procedure 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 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Illinois Finance Authority | ||||||||
| A | 861091967 | 45200BHK7 | 2007-11-16 | $48,000,000 | Refunding of 11/10/2004 Bond issuance | false | false | false |
| Illinois Finance Authority | ||||||||
| B | 861091967 | 45203HPE6 | 2013-02-06 | $64,815,292 | REFUNDING OF 7/19/1994 BOND ISSUANCE; CAPITAL PROJECTS | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $48,000,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $48,000,000 | $0 | 2007 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $64,815,292 | $0 | $0 | $0 | $1,183,106 | $0 | $0 | $30,160,252 | $33,471,934 | $0 | 2015 | Yes (true) | false | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | false |
| B | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | false |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Merrill Lynch | ||||||||||||
| A | false | false | false | false | Yes (true) | Yes (true) | 29.5 | false | false | false | false | false |
| (no name) | ||||||||||||
| B | false | Yes (true) | false | false | false | false | false | false | false | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part IV, Line 7 Written procedures to monitor requirements of section 148 | The 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 remediated | The 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 corrected | The 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 issue | Bond proceeds $64,815,040 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 OFFICERS | AN 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 committee | 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 Classes of members or stockholders | Pursuant 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 body | Please see the narrative for Part VI, Section A, Line |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | Please see the narrative for Part VI, Section A, Line |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | 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. 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 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 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 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 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 employees | 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 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 public | Financial 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 System | Expenses 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 Securities | The 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 Revenue | Release 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 Revenue | Gift 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 Fees | Other 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 balances | MEDICAL 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| INGALLS DEVELOPMENT FOUNDATION | ||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363189150 | SUPPORT | IL | 501(c)(3 | 7 | IHS | false |
| INGALLS HOME CARE | ||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363367939 | HEALTHCARE | IL | 501(c)(3 | 9 | IMH | Yes (true) |
| INGALLS HEALTH SYSTEM | ||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363181170 | MANAGEMENT | IL | 501(c)(3 | Type II | NA | false |
| INGALLS HEALTH VENTURES | ||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363239703 | AMBULATORY | IL | 501(c)(3 | 3 | IHS | false |
| PRIMARY HEALTHCARE ASSOCIATES SC | ||||||||||
| 71 W 156TH STREET | HARVEY | IL | 60426 | 364132865 | HEALTHCARE | IL | 501(c)(3 | 9 | IHS | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INGALLS SAME DAY SURGERY CENTER LTD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6701 W 159TH STREET | AddressLine1Txt |
| City | TINLEY PARK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60477 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363368549 | EIN |
| Primary Activities | SURGERY CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INGALLS PROVIDER GROUP | |||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363485578 | INSURANCE SERVICE | IL | IMH | C Corporation | $0 | $5,399,100 | 1 | Yes (true) | |
| MEDCENTRIX INC | |||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363374228 | BILLING & MGMT | IL | NA | C Corporation | false | ||||
| INGALLS CASUALTY INSURANCE LTD | |||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 980485714 | LIAB INSURANCE | NA | C Corporation | false | CJ | ||||
| INGALLS HEALTH COUNCIL | |||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 273226539 | PURCHASING GROUP | IL | NA | C Corporation | false | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |