2014-05-01T15:00:27-05:00 2013-09-30 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2012-10-01 363181170 INGALLS HEALTH SYSTEM INGA 7083332300 One Ingalls Drive Harvey IL 60426 ANDREW STEFO 2014-04-18 true John V Woodhull P01305268 3128997000 2012 2015-11-30 17:44:51Z KURT E JOHNSON One Ingalls Drive Harvey IL 60426 21303126 false X WWW.INGALLS.ORG X 1981 IL INGALLS HEALTH SYSTEM (IHS) SUPPORTS THE HEALTH AND HUMAN SERVICES OF THE INGALLS MEMORIAL HOSPITAL (IMH), A RELATED TAX-EXEMPT ORGANIZATION, THROUGH THE PROVISION OF MANAGEMENT SERVICES. 16 15 0 10 -9383 -9383 2745201 2300000 15236169 18262228 972502 697963 -10338 -2159 18943534 21258032 4265189 5998968 0 0 0 0 0 0 0 17241549 20011766 21506738 26010734 -2563204 -4752702 27670494 24803467 24604288 27007192 3066206 -2203725 INGALLS HEALTH SYSTEM (IHS) SUPPORTS THE HEALTH AND HUMAN SERVICES OF THE INGALLS MEMORIAL HOSPITAL (IMH), A RELATED TAX-EXEMPT ORGANIZATION, THROUGH THE PROVISION OF MANAGEMENT SERVICES. false false 23396128 5998968 18752502 INGALLS HEALTH SYSTEM (IHS) INCREASES EFFICIENCY IN ADMINISTERING PROGRAMS BY SPONSORING PRODUCTIVITY AND COST SAVINGS INITIATIVES FOR RELATED AND AFFILIATED 501(C)(3) ORGANIZATIONS. IHS OPERATES TWO PROFESSIONAL OFFICE BUILDINGS TO PROVIDE ACCESS TO HEALTHCARE SERVICES FOR COMMUNITY MEMBERS. 23396128 true false false true false false false false false true true false true true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 56 0 true 0 true true true CJ false false false false false false false false X 16 15 false false false false false false false true true false false true true true true true true false false false IL X Andrew Stefo 7083332300 ONE INGALLS DRIVE Harvey IL 60426 X EUGENE M FEINGOLD 1.00 3.00 X X 0 0 0 KURT E JOHNSON 1.00 44.00 X X 0 1618535 38291 RICHARD M KING 1.00 2.00 X X 0 0 0 ROBERT G VELO 1.00 3.00 X X 0 0 0 DAVID H ORTH MD 1.00 2.00 X 0 0 0 DENNIS J IRVIN 1.00 1.00 X 0 0 0 HEATHER DAVIS 1.00 1.00 X 0 0 0 HENRY K JOHNSON 1.00 1.00 X 0 0 0 KEVIN PURCELL 1.00 1.00 X 0 0 0 LYNDELL S BECKHAM 1.00 1.00 X 0 0 0 MARK KOZLOFF MD 1.00 2.00 X 0 0 0 MICHAEL P KAMRADT 1.00 1.00 X 0 0 0 NATHANIEL K SUTTON 1.00 1.00 X 0 0 0 NEAL E KITCHELL 1.00 1.00 X 0 0 0 ROBERT L HARRIS 1.00 1.00 X 0 0 0 SAMUEL J CUTRARA JR CPA 1.00 1.00 X 0 0 0 ANDREW K STEFO 1.00 44.00 X 0 710780 49316 DIANE JACOBY 1.00 43.00 X 0 618790 38291 0 2948105 125898 0 false true false THE INGALLS MEMORIAL HOSPITAL ONE INGALLS DRIVE HARVEY IL 60426 MANAGEMENT SERVICE 8208123 TATUM PO BOX 847872 DALLAS TX 75284 CONTRACTING SERVICES 171700 KPMG LLP PO BOX 120970 DEPT 0970 DALLAS TX 60607 CONTRACTING SERVICES 110900 3 X 2300000 2300000 INTER-AFFILIATE INSURANCE 900099 8790472 8790472 INTER-AFFILIATE MANAGEMENT FEE 900099 8111012 8111012 RENTAL INCOME 900099 1843794 1843794 INCOME FROM INVESTMENTS IN MCX & ICI 900099 -483050 -483050 0 0 0 0 0 18262228 672236 672236 0 0 35711 45094 -9383 0 -9383 -9383 25727 25727 0 25727 25727 0 0 0 OTHER REVENUE 900099 7224 7224 0 0 0 0 0 0 0 7224 21258032 18269452 -9383 697963 5998968 5998968 0 0 0 0 0 0 0 0 0 708000 708000 132124 132124 110900 110900 50000 50000 0 2289 2289 271855 51652 220203 0 18829 18829 29161 10633 18528 0 0 623685 438693 184992 415593 415593 0 0 0 0 666191 666191 8696583 8665298 31285 SALARY REIMBURSEMENT 8208122 8178595 29527 DIETARY SUPPLY 28581 28581 BOOKS/SUBSCRIPTONS 18546 18546 DUES 13403 13403 17904 0 17904 0 26010734 23396128 2614606 0 0 168815 168815 3463708 3282109 138600 285510 0 0 54100 72127 20323974 14342213 6647951 5981761 5102778 5706723 0 0 12094542 9306422 27670494 24803467 3247985 3047680 0 21356303 23959512 24604288 27007192 X 3066206 -2203725 3066206 -2203725 27670494 24803467 -4752702 -517229 0 X false true X true false X X X false false false THE INGALLS MEMORIAL HOSPITAL 362170866 3 true true true 0 1 0 false false false false false false false false true 50000 50000 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 PAYMENTS TO BRUCE SIMON CONSULTING ARE USED FOR LOBBYING ACTIVITIES. 0 7634707 4039631 3595076 927270 856542 70728 11761997 9446040 2315957 0 5981761 4877836 828887 5706723 SELF INSURANCE FUND 9306422 9306422 0 SELF INSURANCE LIABILITY 20137961 WORKER'S COMPENSATION LIABILITY 2592722 DEFERRED COMPENSATION LIABILITY 1228829 23959512 X FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE SYSTEM HAS ADOPTED ASC SUBTOPIC 740-10, INCOME TAXES - OVERALL, WHICH ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, THE SYSTEM MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST, AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS, AND REQUIRES INCREASED DISCLOSURE. AS OF SEPTEMBER 30, 2013 AND 2012, THE SYSTEM DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. true INGALLS HEALTH VENTURES ONE INGALLS DRIVE HARVEY IL 60426 363239703 501(C)(3) 4507314 0 N/A N/A OPERATING SUPPORT MEDCENTRIX INC ONE INGALLS DRIVE HARVEY IL 60426 363374228 1491654 0 N/A N/A OPERATING SUPPORT 1 1 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 THE ORGANIZATION ONLY MAKES GRANTS TO ITS RELATED AFFILIATES. ALL ORGANIZATIONS WITHIN THE INGALLS HEALTH SYSTEM ARE CONTROLLED EITHER DIRECTLY BY THE INGALLS HEALTH SYSTEM OR THE INGALLS MEMORIAL HOSPITAL; AS SUCH, THE USE OF SUPPORT PROVIDED TO RELATED ORGANIZATIONS IS RESTRICTED FOR ITS INTENDED PURPOSE. X X X X false false false false false false false ANDREW K STEFO 0 463749 0 225000 0 22031 0 10375 0 38941 0 760096 0 0 DIANE JACOBY 0 414724 0 184375 0 19691 0 10375 0 27916 0 657081 0 0 KURT E JOHNSON 0 1084857 0 493594 0 40084 0 10375 0 27916 0 1656826 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 THE INGALLS MEMORIAL HOSPITAL (IMH), A RELATED TAX-EXEMPT ORGANIZATION, IS RESPONSIBLE FOR DETERMINING AND ADMINISTERING COMPENSATION FOR ALL OFFICERS AND KEY EMPLOYEES OF EACH RESPECTIVE ENTITY WITHIN THE INGALLS HEALTH SYSTEM CORPORATE STRUCTURE. BELOW IS THE PROCESS USED TO ESTABLISH COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL. TOP MANAGEMENT OFFICIAL: IN SETTING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THE EXECUTIVE COMMITTEE RELIES ON RECENT COMPARABILITY STUDIES THAT PROVIDE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE TOP MANAGEMENT OFFICIAL'S COMPENSATION ARRANGEMENT. THE COMMITTEE ADEQUATELY DOCUMENTS ITS COMPENSATION DETERMINATIONS AND DELIBERATIONS REGARDING COMPENSATION IN THE MEETING MINUTES. THE PROCESSING FOR DETERMINING AND REVIEWING COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS LAST UNDERTAKEN IN THE PRIOR YEAR. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b 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. Conflict of interest policy Form 990, Part VI, Section B, Line 12c 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. PROCESS USED TO ESTABLISH COMPENSATION FOR TOP MANAGEMENT OFFICIAL FORM 990, PART VI, LINE 15A THE ORGANIZATION DOES NOT COMPENSATE THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. THEREFORE, THIS QUESTION HAS BEEN MARKED NO IN ACCORDANCE WITH IRS INSTRUCTIONS. THE INGALLS MEMORIAL HOSPITAL (IMH), A RELATED TAX-EXEMPT ORGANIZATION, IS RESPONSIBLE FOR DETERMINING AND ADMINISTERING COMPENSATION FOR ALL OFFICERS AND KEY EMPLOYEES OF EACH RESPECTIVE ENTITY WITHIN THE INGALLS HEALTH SYSTEM CORPORATE STRUCTURE. BELOW IS THE PROCESS USED TO ESTABLISH COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL. TOP MANAGEMENT OFFICIAL: IN SETTING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THE EXECUTIVE COMMITTEE RELIES ON RECENT COMPARABILITY STUDIES THAT PROVIDE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE TOP MANAGEMENT OFFICIAL'S COMPENSATION ARRANGEMENT. THE COMMITTEE ADEQUATELY DOCUMENTS ITS COMPENSATION DETERMINATIONS AND DELIBERATIONS REGARDING COMPENSATION IN THE MEETING MINUTES. THE PROCESSING FOR DETERMINING AND REVIEWING COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS LAST UNDERTAKEN IN THE PRIOR YEAR. PROCESS USED TO ESTABLISH COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES FORM 990, PART VI, LINE 15B THE ORGANIZATION DOES NOT COMPENSATE THE ORGANIZATION'S OTHER OFFICERS OR KEY EMPLOYEES. THEREFORE, THIS QUESTION HAS BEEN MARKED NO IN ACCORDANCE WITH IRS INSTRUCTIONS. THE INGALLS MEMORIAL HOSPITAL (IMH), A RELATED TAX-EXEMPT ORGANIZATION, IS RESPONSIBLE FOR DETERMINING AND ADMINISTERING COMPENSATION FOR ALL OFFICERS AND KEY EMPLOYEES OF EACH RESPECTIVE ENTITY WITHIN THE INGALLS HEALTH SYSTEM CORPORATE STRUCTURE. BELOW IS THE PROCESS USED TO ESTABLISH COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES. OTHER OFFICERS AND KEY EMPLOYEES: 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. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 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. EXPENSES FOR INGALLS HEALTH SYSTEM FORM 990, PART VII, SECTION B, LINE 1 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. GROSS AMOUNT OF SALES OF SECURITIES FORM 990, PART VIII, LINE 7A 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. THE INGALLS MEMORIAL HOSPITAL ONE INGALLS DRIVE HARVEY IL 60426 HOSPITAL IL 501(C)(3) 3 IHS true INGALLS HOME CARE ONE INGALLS DRIVE HARVEY IL 60426 HEALTHCARE IL 501(C)(3) 9 IMH false INGALLS DEVELOPMENT FOUNDATION ONE INGALLS DRIVE HARVEY IL 60426 SUPPORT IL 501(C)(3) 7 IHS true INGALLS HEALTH VENTURES ONE INGALLS DRIVE HARVEY IL 60426 AMBULATORY IL 501(C)(3) 3 IHS true PRIMARY HEALTHCARE ASSOCIATES SC 71 W 156TH STREET HARVEY IL 60426 HEALTHCARE IL 501(C)(3) 9 IHS true 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 6327514 1 true MEDCENTRIX INC ONE INGALLS DRIVE HARVEY IL 60426 363374228 BILLING & MGMT IL IHS C CORPORATION 691963 5108924 1 true INGALLS CASUALTY INSURANCE LTD ONE INGALLS DRIVE HARVEY IL 60426 980485714 LIAB INSURANCE CJ IHS C CORPORATION 316642 11480935 1 true INGALLS HEALTH COUNCIL ONE INGALLS DRIVE HARVEY IL 60426 273226539 PURCHASING GROUP IL IHS C CORPORATION 0 0 1 true true true false false false false false false false false false false false true true true true true false INGALLS HEALTH VENTURES B 4507314 FMV MEDCENTRIX INC B 1491654 FMV MEDCENTRIX INC A 58536 FMV ALL RELATED INGALLS ENTITIES P 8208123 FMV