2015-07-02T15:01:11-05:00 2014-09-30 CROWE HORWATH LLP 225 WEST WACKER DRIVE SUITE 2600 CHICAGO IL 606061224 990 2013-10-01 362170866 THE INGALLS MEMORIAL HOSPITAL INGA 7083332300 One Ingalls Drive Harvey IL 60426 ANDREW STEFO CFO 2015-06-30 true John V Woodhull P01305268 3128997000 2013 2016-03-07 17:11:31Z KURT E JOHNSON One Ingalls Drive Harvey IL 60426 298832779 false X WWW.INGALLS.ORG X 1922 IL 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. 17 15 2528 227 1293870 0 1170993 1093026 288962537 288059903 7763738 6552602 2000885 2437156 299898153 298142687 0 140448 0 0 122486619 118484643 0 0 0 159409256 163227631 281895875 281852722 18002278 16289965 505309486 526405432 210470089 211419746 294839397 314985686 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) false false 248658318 140448 287688068 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. 14575 14575 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. 13497 13497 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. 248686390 true true false true false false false false false true false false false true true false true false false false false false false false false true true true true true true false false false false false false false false false false false false false false false true true true false false true 367 0 true 2528 true true true false false false false false false false false false X 17 15 false false false false true true true true true false false true true true true true true false true false IL X Andrew Stefo 7083332300 ONE INGALLS DRIVE Harvey IL 60426 DENNIS J IRVIN BOARD MEMBER, VICE CHAIRMAN 1.00 2.00 X X 0 0 0 EUGENE M FEINGOLD CHAIRMAN OF THE BOARD 1.00 3.00 X X 0 0 0 KURT E JOHNSON PRESIDENT & CEO 40.00 4.00 X X 1550800 0 38717 RICHARD M KING BOARD MEMBER, SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 DAVID H ORTH MD BOARD MEMBER 1.00 2.00 X 0 0 0 HEATHER DAVIS BOARD MEMBER 1.00 1.00 X 0 0 0 HENRY K JOHNSON BOARD MEMBER 1.00 1.00 X 0 0 0 KEVIN PURCEL BOARD MEMBER 1.00 1.00 X 0 0 0 LYNDELL S BECKHAM BOARD MEMBER 1.00 1.00 X 0 0 0 MARK KOZLOFF MD BOARD MEMBER 1.00 42.00 X 0 420744 13415 MICHAEL P KAMRADT BOARD MEMBER 1.00 1.00 X 0 0 0 NATHANIEL K STUTTON BOARD MEMBER 1.00 0 X 0 0 0 NEAL E KITCHELL BOARD MEMBER 1.00 1.00 X 0 0 0 ROBERT L HARRIS BOARD MEMBER 1.00 1.00 X 0 0 0 ROBERT VELO Board member (partial year) 1.00 2.00 X 0 0 0 SAMUEL J CUTRARA JR CPA BOARD MEMBER 1.00 1.00 X 0 0 0 STEVEN ANDERSON BOARD MEMBER 1.00 1.00 X 0 0 0 TIMOTHY D JOHNSON BOARD MEMBERR 1.00 1.00 X 0 0 0 ANDREW K STEFO VP - FINANCE/CFO 40.00 3.00 X 696941 0 39029 DIANE JACOBY ASSISTANT SECRETARY, VICE PRESIDENT, GENERAL COUNSEL 40.00 3.00 X 610869 0 41217 ALETHA ROSS VICE PRESIDENT OF HUMAN RESOURCES 40.00 0 X 356882 0 37479 JOSEPH M MOSER VP Development - Foundation 1.00 40.00 X 430923 0 22100 KATHLEEN MIKOS RN MSN CHIEF NURSING OFFICER 40.00 0 X 488504 0 30518 MICHAEL HICKS CHIEF OPERATING OFFICER 40.00 0 X 607655 0 33311 SCOTT C STRAUSSER VP - BUSINESS DEVELOPMENT 40.00 0 X 531719 0 35710 JAMES SWANSON IMH DIR TECH SVS/IT SEC OFFICER 40.00 0 X 186071 0 29648 LAWRENCE KLONOWSKI MANAGER MEDICAL PHYSICS 40.00 0 X 194151 0 34930 LINDA B CONWAY IMH ASSOCIATE GENERAL COUNSEL 40.00 0 X 185396 0 9253 MARY JO CRANDALL IMH LEAN FACILITATOR 40.00 0 X 193646 0 6043 MICHAEL J DEVORE CHIEF INFORMATION OFFICER 40.00 0 X 272766 0 26029 6306324 420744 397399 90 false true false ARAMARK CORPORATION 25271 NETWORK PLACE CHICAGO IL 60673 CONTRACT FOOD, PLANT, HOUSEKEEPING, AND TRANSPORTATION SERVICES 21035776 SYNERGY BEHAVIORAL HEALTHCARE 1566 W ALGONQUIN ROAD 3149 HOFFMAN ESTATES IL 60192 IN PT AND OUT PT PSYCHIATRIC SERVICES 5354748 KURTZ AMBULANCE SERVICES INC PO BOX 129 NEW LENOX IL 60451 AMBULANCE SERVICES 2322993 RADIOLOGY IMAGING CONSULT POB 110 71 W 156TH ST HARVEY IL 60426 RADIOLOGISTS 1191911 SULLIVAN URGENT AID CENTER ONE TRANSAMERICA PLAZA DR SUITE 360 OAK BROOK TERRACE IL 60181 EMERGENCY ROOM PHYSICIANS 1068026 68 X 1064954 28072 1093026 NET PATIENT SERVICE 900099 277885130 277885130 RENTAL INCOME 900099 696904 696904 CLIENT SERVICE REVENUE 900099 787419 787419 LAB SERVICES 621500 1314900 21030 1293870 MEDIC TRAINING 900099 235431 235431 7140119 7140119 0 0 288059903 1147658 1147658 0 0 1112946 690092 422854 0 422854 422854 5404944 5404944 0 5404944 5404944 0 0 0 EXPENSE REIMBURSEMENT & MGMT FEES 900099 841844 841844 PARKING INCOME 900099 118690 118690 CHILD CARE CENTER 900099 484381 484381 569387 108263 0 461124 2014302 298142687 287716140 1293870 8039651 X 33050 33050 107398 107398 0 0 5851169 5851169 0 92957987 83944926 9013061 2848904 2586528 262376 9338018 8468122 869896 7488565 6798889 689676 6539424 6539424 151279 1565 149714 97708 97708 0 0 554186 554186 53244203 42960446 10283757 0 0 1600193 1431990 168203 9428121 9428121 0 623967 158699 465268 493758 411650 82108 0 0 4850322 3994240 856082 0 15310681 13471868 1838813 5556086 5093350 462736 MEDICAL SUPPLIES 49429956 49060681 369275 LAUNDRY 1037750 1037750 PUBLIC AID ASSESSMENT 13845948 13845948 GIFT SHOP 290305 290305 173744 0 173744 0 281852722 248686390 33166332 0 0 22686922 5693103 39347558 45690951 0 0 0 0 5159392 5304088 4102134 3368564 492262754 307672642 175000520 184590112 245574250 270333523 0 0 3647850 3485894 741880 702916 9048980 7236281 505309486 526405432 51811205 53486644 297170 499053 142315083 140032211 0 0 16046631 17401838 210470089 211419746 X 290403537 310631518 4435860 4354168 294839397 314985686 505309486 526405432 X 16289965 12630079 0 0 0 -8773755 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 54758 54758 false Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i 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. 386444 386444 267797437 141732082 126065355 12211665 9764468 2447197 187594486 156176092 31418394 24272722 24272722 184590112 448492 OTHER LONG TERM PAYABLES 7585259 TENDER PREMIUM PAYABLE (SWAP VALUATION PAYABLE) 9368087 17401838 X Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote 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. true true X true X false true true false true true 8259183 0 8259183 0.02930 65290154 42268846 23021308 0.08170 597242 300247 296995 0.00110 0 0 74146579 42569093 31577486 0.11210 324123 324123 0.00110 319032 235431 83601 0.00030 0 0.00000 0 0.00000 690787 690787 0.00250 0 0 1333942 235431 1098511 0.00390 0 0 75480521 42804524 32675997 0.11600 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 0 0 0 0.00000 true 22329236 13230072 107341229 117267473 -9926244 X true true 1 1 INGALLS MEMORIAL HOSPITAL ONE INGALLS DRIVE HARVEY IL 60426 WWW.INGALLS.ORG 0001099 X X X INGALLS MEMORIAL HOSPITAL 1 true X X X X X X X X X 12 true false true X ingalls.healthforecast.net X X X X X X X X X true false true true 200 false true X X X X true true X X true false X X X X true X false false 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. ; 9 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 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 true 0 0 SCHOLARSHIPS 254 107398 0 N/A N/A Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds SCHOLARSHIPS ARE PAID DIRECTLY TO THE EDUCATIONAL INSTITUTIONS IN ORDER TO ENSURE THE FUNDS ARE USED FOR THEIR INTENDED PURPOSE. X X X X false false false false false false false false false KURT E JOHNSON PRESIDENT & CEO 1111264 0 398250 0 41286 0 10588 0 28129 0 1589517 0 0 0 MARK KOZLOFF MD BOARD MEMBER 0 397491 0 0 0 23253 0 1844 0 11571 0 434159 0 0 DIANE JACOBY ASSISTANT SECRETARY, VICE PRESIDENT, GENERAL COUNSEL 432338 0 156000 0 22531 0 10588 0 30629 0 652086 0 0 0 ANDREW K STEFO VP - FINANCE/CFO 481594 0 190125 0 25222 0 10588 0 28441 0 735970 0 0 0 MICHAEL HICKS CHIEF OPERATING OFFICER 412900 0 175500 0 19255 0 10588 0 22723 0 640966 0 0 0 KATHLEEN MIKOS RN MSN CHIEF NURSING OFFICER 336532 0 126750 0 25222 0 10295 0 20223 0 519022 0 0 0 JOSEPH M MOSER VP DEVELOPMENT - FOUNDATION 293516 0 118332 0 19075 0 10288 0 11811 0 453023 0 0 0 ALETHA ROSS VICE PRESIDENT OF HUMAN RESOURCES 249847 0 104813 0 2222 0 9948 0 27531 0 394361 0 0 0 SCOTT C STRAUSSER VP - BUSINESS DEVELOPMENT 382340 0 129188 0 20191 0 10588 0 25123 0 567429 0 0 0 MICHAEL J DEVORE CHIEF INFORMATION OFFICER 221220 0 45178 0 6369 0 10287 0 15742 0 298795 0 0 0 LAWRENCE KLONOWSKI MANAGER MEDICAL PHYSICS 186915 0 0 0 7236 0 8420 0 26511 0 229081 0 0 0 JAMES SWANSON IMH DIR TECH SVS/IT SEC OFFICER 142794 0 42296 0 982 0 1862 0 27787 0 215720 0 0 0 LINDA B CONWAY IMH ASSOCIATE GENERAL COUNSEL 183602 0 0 0 1794 0 7645 0 1608 0 194649 0 0 0 MARY JO CRANDALL IMH LEAN FACILITATOR 158911 0 34000 0 736 0 6043 0 0 0 199690 0 0 0 A ILLINOIS FINANCE AUTHORITY 861091967 45200BHK7 2007-11-16 48000000 REFUNDING OF 11/10/2004 BOND ISSUANCE false false false B ILLINOIS FINANCE AUTHORITY 861091967 45203HPE6 2013-02-06 64815040 REFUNDING OF 7/19/1994 BOND ISSUANCE; CAPITAL PROJECTS false false false A 0 0 48000000 0 0 0 0 0 0 0 48000000 0 2007 true false true true B 0 0 64815292 0 0 0 1183106 0 0 24651907 33471934 5508345 true false false true 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 A false false false true true true MERRILL LYNCH 29.5 false false false false false B false true false false false false false false false false false A false B false 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. 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; 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 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 INGALLS SAME DAY SURGERY CENTER LTD 6701 W 159TH STREET TINLEY PARK IL 60477 363368549 SURGERY CENTER IL NA N/A INGALLS PROVIDER GROUP ONE INGALLS DRIVE HARVEY IL 60426 363485578 INSURANCE SERVICE IL IMH C CORPORATION 0 4421100 1 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 CJ NA C CORPORATION INGALLS HEALTH COUNCIL ONE INGALLS DRIVE HARVEY IL 60426 273226539 PURCHASING GROUP IL NA C CORPORATION true false true false false false false false false false false true true true true true true true true