INGALLS MEMORIAL HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: INGALLS MEMORIAL HOSPITAL (EIN 36-2170866)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-07-02
IRS object ID: 201511839349300831
Schema version: 2013v4.0
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	2015-07-02T15:01:11-05:00	ReturnTs
Tax Period End	2014-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE HORWATH LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	225 WEST WACKER DRIVE	AddressLine1
Address Line2	SUITE 2600	AddressLine2
City	CHICAGO	City
State	IL	State
ZIP Code	606061224	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	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	BusinessNameLine1

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	AddressLine1
City	Harvey	City
State	IL	State
ZIP Code	60426	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ANDREW STEFO	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2015-06-30	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	2013	TaxYr
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

Field	Value	IRS element (for citing)
Business Name Line1	KURT E JOHNSON	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Ingalls Drive	AddressLine1
City	Harvey	City
State	IL	State
ZIP Code	60426	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$298,832,779	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	17	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	2528	TotalEmployeeCnt
Total Volunteers	227	TotalVolunteersCnt
Total Gross UBI	$1,293,870	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,170,993	PYContributionsGrantsAmt
CY Contributions Grants	$1,093,026	CYContributionsGrantsAmt
PY Program Service Revenue	$288,962,537	PYProgramServiceRevenueAmt
CY Program Service Revenue	$288,059,903	CYProgramServiceRevenueAmt
PY Investment Income	$7,763,738	PYInvestmentIncomeAmt
CY Investment Income	$6,552,602	CYInvestmentIncomeAmt
PY Other Revenue	$2,000,885	PYOtherRevenueAmt
CY Other Revenue	$2,437,156	CYOtherRevenueAmt
PY Total Revenue	$299,898,153	PYTotalRevenueAmt
CY Total Revenue	$298,142,687	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$140,448	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$122,486,619	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$118,484,643	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$159,409,256	PYOtherExpensesAmt
CY Other Expenses	$163,227,631	CYOtherExpensesAmt
PY Total Expenses	$281,895,875	PYTotalExpensesAmt
CY Total Expenses	$281,852,722	CYTotalExpensesAmt
PY Revenues Less Expenses	$18,002,278	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$16,289,965	CYRevenuesLessExpensesAmt
Total Assets BOY	$505,309,486	TotalAssetsBOYAmt
Total Assets EOY	$526,405,432	TotalAssetsEOYAmt
Total Liabilities BOY	$210,470,089	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$211,419,746	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$294,839,397	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$314,985,686	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	$248,658,318	ExpenseAmt
Grant	$140,448	GrantAmt
Revenue	$287,688,068	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	$14,575	ExpenseAmt
Revenue	$14,575	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

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$13,497	ExpenseAmt
Revenue	$13,497	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

Field	Value	IRS element (for citing)
Total Program Service Expenses	$248,686,390	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
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	367	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2528	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	17	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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	false	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	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	7083332300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE INGALLS DRIVE	AddressLine1
City	Harvey	City
State	IL	State
ZIP Code	60426	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DENNIS J IRVIN
BOARD MEMBER, VICE CHAIRMAN	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
EUGENE M FEINGOLD
CHAIRMAN OF THE BOARD	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
KURT E JOHNSON
PRESIDENT & CEO	40.00	4.00	Yes (X)	Yes (X)	$1,550,800	$0	$38,717
RICHARD M KING
BOARD MEMBER, SECRETARY/TREASURER	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID H ORTH MD
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
HEATHER DAVIS
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
KEVIN PURCEL
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	$420,744	$13,415
MICHAEL P KAMRADT
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
NATHANIEL K STUTTON
BOARD MEMBER	1.00	0	Yes (X)		$0	$0	$0
NEAL E KITCHELL
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
ROBERT VELO
Board member (partial year)	1.00	2.00	Yes (X)		$0	$0	$0
SAMUEL J CUTRARA JR CPA
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
STEVEN ANDERSON
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
ANDREW K STEFO
VP - FINANCE/CFO	40.00	3.00		Yes (X)	$696,941	$0	$39,029
DIANE JACOBY
ASSISTANT SECRETARY, VICE PRESIDENT, GENERAL COUNSEL	40.00	3.00		Yes (X)	$610,869	$0	$41,217
ALETHA ROSS
VICE PRESIDENT OF HUMAN RESOURCES	40.00	0			$356,882	$0	$37,479	Yes (X)
JOSEPH M MOSER
VP Development - Foundation	1.00	40.00			$430,923	$0	$22,100	Yes (X)
KATHLEEN MIKOS RN MSN
CHIEF NURSING OFFICER	40.00	0			$488,504	$0	$30,518	Yes (X)
MICHAEL HICKS
CHIEF OPERATING OFFICER	40.00	0			$607,655	$0	$33,311	Yes (X)
SCOTT C STRAUSSER
VP - BUSINESS DEVELOPMENT	40.00	0			$531,719	$0	$35,710	Yes (X)
JAMES SWANSON
IMH DIR TECH SVS/IT SEC OFFICER	40.00	0			$186,071	$0	$29,648		Yes (X)
LAWRENCE KLONOWSKI
MANAGER MEDICAL PHYSICS	40.00	0			$194,151	$0	$34,930		Yes (X)
LINDA B CONWAY
IMH ASSOCIATE GENERAL COUNSEL	40.00	0			$185,396	$0	$9,253		Yes (X)
MARY JO CRANDALL
IMH LEAN FACILITATOR	40.00	0			$193,646	$0	$6,043		Yes (X)
MICHAEL J DEVORE
CHIEF INFORMATION OFFICER	40.00	0			$272,766	$0	$26,029		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,306,324	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$420,744	TotReportableCompRltdOrgAmt
Total Other Compensation	$397,399	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	90	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
ARAMARK CORPORATION
25271 NETWORK PLACE	CHICAGO	IL	60673	CONTRACT FOOD, PLANT, HOUSEKEEPING, AND TRANSPORTATION SERVICES	$21,035,776
SYNERGY BEHAVIORAL HEALTHCARE
1566 W ALGONQUIN ROAD 3149	HOFFMAN ESTATES	IL	60192	IN PT AND OUT PT PSYCHIATRIC SERVICES	$5,354,748
KURTZ AMBULANCE SERVICES INC
PO BOX 129	NEW LENOX	IL	60451	AMBULANCE SERVICES	$2,322,993
RADIOLOGY IMAGING CONSULT
POB 110 71 W 156TH ST	HARVEY	IL	60426	RADIOLOGISTS	$1,191,911
SULLIVAN URGENT AID CENTER
ONE TRANSAMERICA PLAZA DR SUITE 360	OAK BROOK TERRACE	IL	60181	EMERGENCY ROOM PHYSICIANS	$1,068,026

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	68	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$1,064,954	RelatedOrganizationsAmt
Government Grants	$28,072	GovernmentGrantsAmt
Total Contributions	$1,093,026	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE	900099	$277,885,130	$277,885,130
RENTAL INCOME	900099	$696,904	$696,904
CLIENT SERVICE REVENUE	900099	$787,419	$787,419
LAB SERVICES	621500	$1,314,900	$21,030	$1,293,870
MEDIC TRAINING	900099	$235,431	$235,431

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,140,119	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,140,119	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$288,059,903	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,147,658	TotalRevenueColumnAmt
Exclusion	$1,147,658	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,112,946	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$690,092	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$422,854	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$422,854	TotalRevenueColumnAmt
Exclusion	$422,854	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,404,944	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,404,944	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,404,944	TotalRevenueColumnAmt
Exclusion	$5,404,944	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
EXPENSE REIMBURSEMENT & MGMT FEES	900099	$841,844	$841,844
PARKING INCOME	900099	$118,690		$118,690
CHILD CARE CENTER	900099	$484,381		$484,381

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$569,387	TotalRevenueColumnAmt
Related Or Exempt Func Income	$108,263	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$461,124	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,014,302	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$298,142,687	TotalRevenueColumnAmt
Related Or Exempt Func Income	$287,716,140	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,293,870	UnrelatedBusinessRevenueAmt
Exclusion	$8,039,651	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	$33,050	TotalAmt
Program Services	$33,050	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$107,398	TotalAmt
Program Services	$107,398	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,851,169	TotalAmt
Program Services	$5,851,169	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$92,957,987	TotalAmt
Program Services	$83,944,926	ProgramServicesAmt
Management And General	$9,013,061	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,848,904	TotalAmt
Program Services	$2,586,528	ProgramServicesAmt
Management And General	$262,376	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,338,018	TotalAmt
Program Services	$8,468,122	ProgramServicesAmt
Management And General	$869,896	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,488,565	TotalAmt
Program Services	$6,798,889	ProgramServicesAmt
Management And General	$689,676	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$6,539,424	TotalAmt
Management And General	$6,539,424	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$151,279	TotalAmt
Program Services	$1,565	ProgramServicesAmt
Management And General	$149,714	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$97,708	TotalAmt
Management And General	$97,708	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$554,186	TotalAmt
Management And General	$554,186	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$53,244,203	TotalAmt
Program Services	$42,960,446	ProgramServicesAmt
Management And General	$10,283,757	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,600,193	TotalAmt
Program Services	$1,431,990	ProgramServicesAmt
Management And General	$168,203	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,428,121	TotalAmt
Program Services	$9,428,121	ProgramServicesAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$623,967	TotalAmt
Program Services	$158,699	ProgramServicesAmt
Management And General	$465,268	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$493,758	TotalAmt
Program Services	$411,650	ProgramServicesAmt
Management And General	$82,108	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,850,322	TotalAmt
Program Services	$3,994,240	ProgramServicesAmt
Management And General	$856,082	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,310,681	TotalAmt
Program Services	$13,471,868	ProgramServicesAmt
Management And General	$1,838,813	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,556,086	TotalAmt
Program Services	$5,093,350	ProgramServicesAmt
Management And General	$462,736	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$49,429,956	$49,060,681	$369,275
LAUNDRY	$1,037,750	$1,037,750
PUBLIC AID ASSESSMENT	$13,845,948	$13,845,948
GIFT SHOP	$290,305		$290,305

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$173,744	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$173,744	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$281,852,722	TotalAmt
Program Services	$248,686,390	ProgramServicesAmt
Management And General	$33,166,332	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$22,686,922	BOYAmt
EOY	$5,693,103	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$39,347,558	BOYAmt
EOY	$45,690,951	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,159,392	BOYAmt
EOY	$5,304,088	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,102,134	BOYAmt
EOY	$3,368,564	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$492,262,754	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$307,672,642	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$175,000,520	BOYAmt
EOY	$184,590,112	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$245,574,250	BOYAmt
EOY	$270,333,523	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,647,850	BOYAmt
EOY	$3,485,894	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$741,880	BOYAmt
EOY	$702,916	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,048,980	BOYAmt
EOY	$7,236,281	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$505,309,486	BOYAmt
EOY	$526,405,432	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$51,811,205	BOYAmt
EOY	$53,486,644	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$297,170	BOYAmt
EOY	$499,053	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$142,315,083	BOYAmt
EOY	$140,032,211	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,046,631	BOYAmt
EOY	$17,401,838	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$210,470,089	BOYAmt
EOY	$211,419,746	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$290,403,537	BOYAmt
EOY	$310,631,518	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,435,860	BOYAmt
EOY	$4,354,168	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$294,839,397	BOYAmt
EOY	$314,985,686	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$505,309,486	BOYAmt
EOY	$526,405,432	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$16,289,965	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$12,630,079	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$8,773,755	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
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$54,758	OtherActivitiesAmt
Total Lobbying Expenditures	$54,758	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, Description of the activities reported on Lines 1a through 1i	FormAndLineReferenceDesc
Explanation	A PORTION OF THE DUES PAID TO THE ILLINOIS HOSPITAL ASSOCIATION, METROPOLITAN CHICAGO HEALTHCARE COUNCIL, AND METROPOLITAN CHICAGO HEALTHCARE COUNCIL ARE USED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$386,444	OtherCostOrOtherBasisAmt
Book Value	$386,444	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$267,797,437	OtherCostOrOtherBasisAmt
Depreciation	$141,732,082	DepreciationAmt
Book Value	$126,065,355	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,211,665	OtherCostOrOtherBasisAmt
Depreciation	$9,764,468	DepreciationAmt
Book Value	$2,447,197	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$187,594,486	OtherCostOrOtherBasisAmt
Depreciation	$156,176,092	DepreciationAmt
Book Value	$31,418,394	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,272,722	OtherCostOrOtherBasisAmt
Book Value	$24,272,722	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$184,590,112	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$448,492	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
OTHER LONG TERM PAYABLES	$7,585,259
TENDER PREMIUM PAYABLE (SWAP VALUATION PAYABLE)	$9,368,087

Field	Value	IRS element (for citing)
Total Liability	$17,401,838	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 LLINOIS NOT-FOR-PROFIT CORPORATION THAT IS TAXABLE FOR FEDERAL INCOME TAX PURPOSES. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE SYSTEM DETERMINES WHETHER IT IS MORE LIKE THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS IN 2014 AND 2013. TAX RETURNS FOR THE YEARS ENDED 2011 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.	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	$8,259,183	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,259,183	NetCommunityBenefitExpnsAmt
Total Expense	0.02930	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,290,154	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,268,846	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,021,308	NetCommunityBenefitExpnsAmt
Total Expense	0.08170	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$597,242	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300,247	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$296,995	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	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	$74,146,579	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,569,093	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,577,486	NetCommunityBenefitExpnsAmt
Total Expense	0.11210	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$324,123	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$324,123	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$319,032	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$235,431	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,601	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$690,787	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$690,787	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,333,942	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$235,431	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,098,511	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$75,480,521	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,804,524	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,675,997	NetCommunityBenefitExpnsAmt
Total Expense	0.11600	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	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	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$22,329,236	BadDebtExpenseAmt
Bad Debt Expense Attributable	$13,230,072	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$107,341,229	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$117,267,473	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,926,244	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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE INGALLS DRIVE	AddressLine1
City	HARVEY	City
State	IL	State
ZIP Code	60426	ZIPCode

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	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	ingalls.healthforecast.net	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (true)	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	false	FPGUsedDetermEligDscntCareInd
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
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 Sec B, Line 3, Community Served by Needs Assessment	(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 PARTNERNING ORGANIZATIONS AS WELL AS OTHER CITIZENS CHOSEN FOR THEIR RELEVANT EXPERIENCE AND INTERESTS.;
Schedule H, Part V Sec B, Line 11, Eligibility for Discounted Care	(1) - INGALLS MEMORIAL HOSPITAL: A DISCOUNT OF 65% OF GROSS CHARGES, PROVIDED TO ALL UNINSURED PATIENTS WITHOUT REQUIRING EVIDENCE OF INABILITY TO PAY. THIS DISCOUNT IS DESIGNED TO ENSURE THAT PATIENTS ARE CHARGED AT A RATE GENERALLY COMPARABLE TO THAT APPLIED TO INSURED PATIENTS. 1. THERE IS NO APPLICATION PROCESS FOR THE PATIENT TO RECEIVE THE UNINSURED DISCOUNT. THE DISCOUNT IS APPLIED BASED ON THE ACCOUNT'S SELF-PAY/UNINSURED STATUS. 2. PATIENTS RECEIVING PRE-NEGOTIATED DISCOUNTS FOR HOSPITAL SERVICES WILL NOT BE ELIGIBLE FOR THIS UNINSURED DISCOUNT. 3. IF A PATIENT IS SUBSEQUENTLY APPROVED FOR FINANCIAL ASSISTANCE, THE AUTOMATIC DISCOUNT WILL BE REVERSED SO THAT THE FULL AMOUNT CAN BE RECOGNIZED AS A CHARITY ALLOWANCE. ;
Schedule H, Part V Sec B, Line 14g, Other ways hospital publicized Financial Assistance Policy	(1) - INGALLS MEMORIAL HOSPITAL: PATIENT AWARENESS OF POLICY AND AVAILABILITY OF ASSISTANCE: 1. 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. 2. 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. 3. PATIENT HANDBOOK/BROCHURES: HANDBOOKS OR BROCHURES WILL BE AVAILABLE AT POINTS OF SERVICE AREAS. 4. VIA INTERNET: A SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM WILL BE AVAILABLE PURSUANT TO THIS POLICY AND WILL BE AVAILABLE AT WWW.INGALLS.ORG. 5. POLICY AVAILABILITY: UPON REQUEST, A COPY OF THE FINANCIAL ASSISTANCE PROGRAM POLICY WILL BE MADE AVAILABLE. 6. 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. ;

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
INGALLS FAMILY CARE CENTER
1600 Torrence Avenue	CALUMET CITY	IL	60409	URGENT AID, PRIMARY CARE, AND SPECIALIST SERVICES
HORTON OCCUPATIONAL MEDICINE
16246 Prince Drive	SOUTH HOLLAND	IL	60473	PHYSICIAN OFFICES
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 AND MEDICAL REHABILITATION
INGALLS FAMILY CARE CENTER
4647 West Lincoln Highway	MATTESON	IL	60443	LABORATORY, IMAGING, AND DIAGNOSTIC SERVICES

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c, Eligibility criteria for free or discounted care	INGALLS MEMORIAL HOSPITAL DOES NOT FOLLOW THE FPG GUIDLINES TO DETERMINE ANY SELF PAY DISCOUNTED CARE. A DISCOUNT OF 65% OF GROSS CHARGES IS PROVIDED TO ALL UNINSURED PATIENTS WITHOUT REQUIRING EVIDENCE OF INABILITY TO PAY. THIS DISCOUNT IS DESIGNED TO ENSURE THAT PATIENTS ARE CHARGED AT A RATE GENERALLY COMPARABLE TO THAT APPLIED TO INSURED PATIENTS. 1. THERE IS NO APPLICATION PROCESS FOR THE PATIENT TO RECEIVE THE UNINSURED DISCOUNT. THE DISCOUNT IS APPLIED BASED ON THE ACCOUNT'S SELF-PAY/UNINSURED STATUS. 2. PATIENTS RECEIVING PRE-NEGOTIATED DISCOUNTS FOR HOSPITAL SERVICES WILL NOT BE ELIGIBLE FOR THIS UNINSURED DISCOUNT. 3. IF A PATIENT IS SUBSEQUENTLY APPROVED FOR FINANCIAL ASSISTANCE, THE AUTOMATIC DISCOUNT WILL BE REVERSED SO THAT THE FULL AMOUNT CAN BE RECOGNIZED AS A CHARITY ALLOWANCE.
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 I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation	0
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 FINANCIAL STATEMENTS. BAD DEBT EXPENSE IS DEFINED AS PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, WHO SHOULD HAVE THE ABILITY TO PAY THEIR RESPONSIBILITIES BUT HAVE NOT. DISCOUNTS ARE NOT APPLIED TO BALANCES WRITTEN OFF AS UNCOLLECTIBLE. PAYMENTS ON PATIENT ACCOUNTS THAT HAVE BEEN WRITTEN OFF ARE CONSIDERED RECOVERIES. THEY OFFSET THE CURRENT BAD DEBT AMOUNT.
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 III, LINE 9B, COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	(CONTINUED) HOSPITAL BILLING PRACTICES: INGALLS MEMORIAL HOSPITAL MAKES THE SAME REASONABLE EFFORT AND FOLLOWS THE SAME REASONABLE PROCESS FOR COLLECTING ON BILLS OWED BY AN UNINSURED PATIENT AS IT DOES FOR ALL OTHER PATIENTS. INGALLS MEMORIAL HOSPITAL WILL FIRST SHOW THAT IT HAS A CURRENT UNPAID BALANCE THAT IS RELATED TO SERVICES PROVIDED TO THE PATIENT AND NOT COVERED BY A PRIVATE INSURER OR A FINANCIAL ASSISTANCE PROGRAM. INGALLS MEMORIAL HOSPITAL FOLLOWS REASONABLE COLLECTION/BILLING PROCEDURES, WHICH INCLUDE: A. AN INITIAL BILL SENT TO THE PATIENT OR THE PARTY RESPONSIBLE FOR THE PATIENT'S PERSONAL FINANCIAL OBLIGATIONS, THE INITIAL BILL WILL INCLUDE INFORMATION ABOUT THE AVAILABILITY OF A FINANCIAL ASSISTANCE PROGRAM THAT MIGHT BE ABLE TO COVER THE COST OF THE HOSPITAL'S BILL; B. SUBSEQUENT BILLINGS, TELEPHONE CALLS, COLLECTION LETTERS, PERSONAL CONTACT NOTICES, COMPUTER NOTIFICATIONS, OR ANY OTHER NOTIFICATION METHOD THAT CONSTITUTES A GENUINE EFFORT TO CONTACT THE PARTY RESPONSIBLE FOR THE OBLIGATION AND INFORMS THE PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE; C. DOCUMENTATION OF CONTINUOUS BILLING OR COLLECTION ACTION UNDERTAKEN ON A REGULAR, FREQUENT BASIS IS MAINTAINED. THE FEDERAL MEDICARE PROGRAM DEEMS 120 DAYS AS APPROPRIATE PERIOD OF TIME REPRESENTING FOR CONTINUOUS BILLING OR COLLECTION ACTIONS. D. IF POSSIBLE, DOCUMENTATION OF ALTERNATIVE EFFORTS TO LOCATE THE PARTY RESPONSIBLE FOR THE OBLIGATION OR THE CORRECT ADDRESS ON BILLINGS RETURNED BY THE POSTAL SERVICE SUCH AS "INCORRECT ADDRESS" OR "UNDELIVERABLE;" E. SENDING A FINAL NOTICE. STANDARD COLLECTION ACTIONS: 1) INGALLS MEMORIAL HOSPITAL WILL NOT UNDERTAKE ANY "EXTRAORDINARY COLLECTION ACTIVITIES" UNTIL SUCH TIME AS THE HOSPITAL HAS MADE A REASONABLE EFFORT AND FOLLOWED A REASONABLE REVIEW OF THE PATIENT'S FINANCIAL STATUS, WHICH WILL DETERMINE THAT A PATIENT IS ENTITLED TO FINANCIAL ASSISTANCE OR EXEMPTION FROM ANY COLLECTION OR BILLING ACTIVITIES UNDER THIS CREDIT AND COLLECTION POLICY. THE HOSPITAL WILL KEEP ANY AND ALL DOCUMENTATION THAT WAS USED IN THIS DETERMINATION PURSUANT TO THE HOSPITAL'S APPLICABLE RECORD RETENTION POLICY. EXTRAORDINARY COLLECTION ACTIVITIES MAY INCLUDE LAWSUITS, LIENS, OR AS OTHERWISE DESCRIBED BELOW IN COMPLIANCE WITH STATE REQUIREMENTS. 2) THE HOSPITAL WILL NOT UNDERTAKE COLLECTION ACTION AGAINST AN INDIVIDUAL THAT HAS BEEN APPROVED FOR FINANCIAL ASSISTANCE OR PRESUMPTIVE ELIGIBILITY FOR FINANCIAL ASSISTANCE. 3) INGALLS MEMORIAL HOSPITAL WILL NOT GARNISH GUARANTOR'S WAGES OR EXECUTE A LIEN ON GUARANTOR'S PERSONAL RESIDENCE OR MOTOR VEHICLE. 4) THE HOSPITAL AND ITS AGENTS SHALL NOT CONTINUE COLLECTION OR BILLING ON A PATIENT WHO IS A MEMBER OF A BANKRUPTCY PROCEEDING. 5) INGALLS MEMORIAL HOSPITAL MAINTAINS COMPLIANCE WITH APPLICABLE BILLING REQUIREMENTS, INCLUDING. A. OUTSIDE COLLECTION AGENCIES: INGALLS MEMORIAL HOSPITAL CONTRACTS WITH AN OUTSIDE COLLECTION AGENCY TO ASSIST IN THE COLLECTION OF CERTAIN ACCOUNTS, INCLUDING PATIENT RESPONSIBLE AMOUNTS NOT RESOLVED AFTER ISSUANCE OF HOSPITAL BILLS OR FINAL NOTICES. B. INGALLS MEMORIAL HOSPITAL HAS A SPECIFIC AUTHORIZATION OR CONTRACT WITH THE OUTSIDE COLLECTION AGENCY AND REQUIRES SUCH AGENCIES TO ABIDE BY THE HOSPITAL'S CREDIT AND COLLECTION POLICIES FOR THOSE DEBTS THAT THE AGENCY IS PURSUING. ALL OUTSIDE COLLECTION AGENCIES HIRED BY INGALLS MEMORIAL HOSPITAL WILL PROVIDE THE PATIENT WITH AN OPPORTUNITY TO FILE A GRIEVANCE AND WILL FORWARD TO THE HOSPITAL THE RESULTS OF SUCH PATIENT GRIEVANCES. INGALLS MEMORIAL HOSPITAL REQUIRES THAT ANY OUTSIDE COLLECTION AGENCY THAT IT USES IS LICENSED AND IS COMPLIANT WITH ILLINOIS AND FDCPA COLLECTION LAWS. DEPOSITS AND INSTALLMENT PLANS: INGALLS MEMORIAL HOSPITAL WILL PROVIDE THE PATIENT WITH INFORMATION ON DEPOSITS AND PAYMENT PLANS BASED ON THE PATIENT'S DOCUMENTED FINANCIAL SITUATION. ANY OTHER PLAN WILL BE BASED ON THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM, AND WILL NOT APPLY TO PATIENTS WHO HAVE THE ABILITY TO PAY. EMERGENCY SERVICES: A HOSPITAL MAY NOT REQUIRE PRE-ADMISSION AND/OR PRE-TREATMENT DEPOSITS FROM INDIVIDUALS THAT REQUIRE EMERGENCY LEVEL SERVICES OR THAT ARE DETERMINED TO BE LOW INCOME PATIENTS. PATIENT PAYMENTS/DEPOSITS: A HOSPITAL MAY REQUEST A PAYMENT/DEPOSIT PRIOR TO OR AT TIME OF SERVICE. PAYMENT PLANS: THE HOSPITAL ALSO OFFERS PAYMENT PLANS EXTENDED TO TWELVE MONTHS.
SCHEDULE H, PART V, SECTION B, LINE 5A, CHNA MADE AVAILABLE ON HOSPITAL FACILITY'S WEBSITE	THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: HTTP://INGALLS.HEALTHFORECAST.NET. HEALTHFORECAST.NET IS AN INTERACTIVE, DYNAMIC TOOL DESIGNED TO SHARE CHNA DATA WITH COMMUNITY PARTNERS AND THE PUBLIC AT LARGE. THIS SITE: - INFORMS READERS THAT THE CHNA REPORT IS AVAILABLE AND PROVIDES INSTRUCTIONS FOR DOWNLOADING IT; - OFFERS THE CHNA REPORT DOCUMENT IN A FORMAT THAT, WHEN ACCESSED, DOWNLOADED, VIEWED, AND PRINTED IN HARD COPY, EXACTLY REPRODUCES THE IMAGE OF THE REPORT; - GRANTS ACCESS TO DOWNLOAD, VIEW, AND PRINT THE DOCUMENT WITHOUT SPECIAL COMPUTER HARDWARE OR SOFTWARE REQUIRED FOR THAT FORMAT (OTHER THAN SOFTWARE THAT IS READILY AVAILABLE TO MEMBERS OF THE PUBLIC WITHOUT PAYMENT OF ANY FEE) AND WITHOUT PAYMENT OF A FEE TO THE HOSPITAL ORGANIZATION OR FACILITY OR TO ANOTHER ENTITY MAINTAINING THE WEBSITE. LINKS TO THIS DEDICATED HEALTHFORECAST.NET SITE ARE ALSO MADE AVAILABLE AT IMH'S HOSPITAL WEBSITE AT: HTTP://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 $24,619, AND THE MEDIAN INCOME FOR A FAMILY WAS $35,398. ABOUT 29.9% OF FAMILIES AND 35.4% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 49.5% OF THOSE UNDER AGE 18 AND 18.1% OF THOSE AGE 65 OR OVER. THE INFORMATION ABOVE WAS OBTAINED FROM THE UNITED STATES CENSUS BUREAU. HTTP//FACTFINDER.CENSUS.GOV. 2013 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 H, Part VI, Line 7, State filing of community benefit report	IL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd
Total501c3 Org	0	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	254	RecipientCnt
Cash Grant	$107,398	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Valuation Method Used	N/A	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	SCHOLARSHIPS ARE PAID DIRECTLY TO THE EDUCATIONAL INSTITUTIONS IN ORDER TO ENSURE THE FUNDS ARE USED FOR THEIR INTENDED PURPOSE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (14 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
KURT E JOHNSON
PRESIDENT & CEO	$1,111,264	$0	$398,250	$0	$41,286	$0	$10,588	$0	$28,129	$0	$1,589,517	$0	$0	$0
MARK KOZLOFF MD
BOARD MEMBER	$0	$397,491	$0	$0	$0	$23,253	$0	$1,844	$0	$11,571	$0	$434,159	$0	$0
DIANE JACOBY
ASSISTANT SECRETARY, VICE PRESIDENT, GENERAL COUNSEL	$432,338	$0	$156,000	$0	$22,531	$0	$10,588	$0	$30,629	$0	$652,086	$0	$0	$0
ANDREW K STEFO
VP - FINANCE/CFO	$481,594	$0	$190,125	$0	$25,222	$0	$10,588	$0	$28,441	$0	$735,970	$0	$0	$0
MICHAEL HICKS
CHIEF OPERATING OFFICER	$412,900	$0	$175,500	$0	$19,255	$0	$10,588	$0	$22,723	$0	$640,966	$0	$0	$0
KATHLEEN MIKOS RN MSN
CHIEF NURSING OFFICER	$336,532	$0	$126,750	$0	$25,222	$0	$10,295	$0	$20,223	$0	$519,022	$0	$0	$0
JOSEPH M MOSER
VP DEVELOPMENT - FOUNDATION	$293,516	$0	$118,332	$0	$19,075	$0	$10,288	$0	$11,811	$0	$453,023	$0	$0	$0
ALETHA ROSS
VICE PRESIDENT OF HUMAN RESOURCES	$249,847	$0	$104,813	$0	$2,222	$0	$9,948	$0	$27,531	$0	$394,361	$0	$0	$0
SCOTT C STRAUSSER
VP - BUSINESS DEVELOPMENT	$382,340	$0	$129,188	$0	$20,191	$0	$10,588	$0	$25,123	$0	$567,429	$0	$0	$0
MICHAEL J DEVORE
CHIEF INFORMATION OFFICER	$221,220	$0	$45,178	$0	$6,369	$0	$10,287	$0	$15,742	$0	$298,795	$0	$0	$0
LAWRENCE KLONOWSKI
MANAGER MEDICAL PHYSICS	$186,915	$0	$0	$0	$7,236	$0	$8,420	$0	$26,511	$0	$229,081	$0	$0	$0
JAMES SWANSON
IMH DIR TECH SVS/IT SEC OFFICER	$142,794	$0	$42,296	$0	$982	$0	$1,862	$0	$27,787	$0	$215,720	$0	$0	$0
LINDA B CONWAY
IMH ASSOCIATE GENERAL COUNSEL	$183,602	$0	$0	$0	$1,794	$0	$7,645	$0	$1,608	$0	$194,649	$0	$0	$0
MARY JO CRANDALL
IMH LEAN FACILITATOR	$158,911	$0	$34,000	$0	$736	$0	$6,043	$0	$0	$0	$199,690	$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	$64,815,040	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	$24,651,907	$33,471,934	$5,508,345		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
A	false	false	false	false	0.00000	0.00000	0.00000	false	false
B	false	false	false	false	0.00000	0.00000	0.00000	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	Yes (true)	Yes (true)	Yes (true)	29.5	false	false	false	false	false
(no name)
B	false	Yes (true)	false	false	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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART II, LINE 3, PROCEEDS OF ISSUE	BOND PROCEEDS $64,815,040 INTEREST EARNED ON PROCEEDS $252 TOTAL PROCEEDS OF ISSUE (LINE 3) $64,815,292
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, 2015.
Sch K, Part IV, Line 2c, ISSUER NAME: Illinois Finance Authority: No Rebate Due.	THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 1/17/2013.
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, 2015.
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, 2015.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Sec A, 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, Sec A, 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, Sec A, Line 7a, Members or stockholders electing members of governing body	PLEASE SEE THE NARRATIVE FOR PART VI, SECTION A, LINE
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders	PLEASE SEE THE NARRATIVE FOR PART VI, SECTION A, LINE
Form 990, Part VI, Sec B, 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 EXECUTIVE COMMITTEE AT A COMMITTEE MEETING. THE FULL BOARD HAS GRANTED TO THE EXECUTIVE COMMITTEE AUTHORITY TO APPROVE THE FORM 990. THE FULL BOARD WILL RECEIVE A REPORT FROM THE EXECUTIVE COMMITTEE, DESCRIBING THE EXECUTIVE 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, Sec B, 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, Sec B, 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 TOWERS WATSON IN THE FALL OF 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 FALL OF 2014.
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, Sec C, 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 IX, Line 11g, Other Expenses	OTHER CONTRACT SERVICE - TOTAL EXPENSE: 20683430, PROGRAM SERVICE EXPENSE: 17529845, MANAGEMENT AND GENERAL EXPENSES: 3153585, FUNDRAISING EXPENSES: ; ARAMARK-SUPPPORT SERVICES - TOTAL EXPENSE: 21035776, PROGRAM SERVICE EXPENSE: 17670052, MANAGEMENT AND GENERAL EXPENSES: 3365724, FUNDRAISING EXPENSES: ; OUTSOURCING OF BEHAVORIAL HEALTH SERVICES - TOTAL EXPENSE: 6486804, PROGRAM SERVICE EXPENSE: 5448915, MANAGEMENT AND GENERAL EXPENSES: 1037889, FUNDRAISING EXPENSES: ; PATIENT FINANCIAL COLLECTION SERVICES - TOTAL EXPENSE: 2726559, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 2726559, FUNDRAISING EXPENSES: ; CONTRACTUAL AMBULANCE SERVICES - TOTAL EXPENSE: 2311634, PROGRAM SERVICE EXPENSE: 2311634, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ;
Form 990 , Part XI, Line 9, Other changes in net assets or fund balances	INTEREST RATE SWAP VALUATION - -1337432; CONTRIBUTIONS FOR SPECIFIC PURPOSES - -81692; TRANSFERS FROM AFFILIATES - -6292602; RELATED ORGANIZATIONS - -1064954; MEDICAL STAFF OFFICE REVENUE - -114860; MEDICAL STAFF EXPENSES - 173744; GIFT SHOP REVENUE - -346264; GIFT SHOP EXPENSES - 290305;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	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)	11 - 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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6701 W 159TH STREET	AddressLine1
City	TINLEY PARK	City
State	IL	State
ZIP Code	60477	ZIPCode

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	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	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	$4,421,100	1	Yes (true)
MEDCENTRIX INC
ONE INGALLS DRIVE	HARVEY	IL	60426	363374228	BILLING & MGMT	IL	NA	C CORPORATION
INGALLS CASUALTY INSURANCE LTD
ONE INGALLS DRIVE	HARVEY	IL	60426	980485714	LIAB INSURANCE		NA	C CORPORATION					CJ
INGALLS HEALTH COUNCIL
ONE INGALLS DRIVE	HARVEY	IL	60426	273226539	PURCHASING GROUP	IL	NA	C CORPORATION

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