2013-01-31T09:00:04-06:00 2011-09-30 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2010-10-01 362170866 THE INGALLS MEMORIAL HOSPITAL INGA 7083332300 One Ingalls Drive Harvey IL 60426 ANDREW STEFO 2012-08-13 true 3128997000 2010 2016-02-25 16:41:14Z KURT E JOHNSON One Ingalls Drive Harvey IL 60426 309589776 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 PROVIDED WERE AS REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. 17 16 3231 264 927176 0 1674253 1532151 279641333 290100144 5013549 13586044 2933459 3597127 289262594 308815466 0 0 0 0 133989607 130073795 0 0 0 143453047 157788514 277442654 287862309 11819940 20953157 396072009 404099667 182763240 185429927 213308769 218669740 X 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. (CONT. IN SCHEDULE O) false false 231117676 0 289324942 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. 23576426 CHARITY CARE: THE INGALLS MEMORIAL HOSPITAL (IMH) PROVIDES FREE AND DISCOUNTED SERVICES TO THE UNINSURED AND UNDERINSURED. CHARITY CARE SERVICES ARE MADE AVAILABLE TO PATIENTS WHO ARE DETERMINED TO BE MEDICALLY INDIGENT. ELIGIBILITY FOR CHARITY CARE IS DETERMINED BY INCOME. IMH USES THE FEDERAL POVERTY INCOME GUIDELINES THAT ARE PUBLISHED AND UPDATED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES IN DETERMINING WHO SHOULD RECEIVE CHARITY CARE AND WHO SHOULDN'T. DURING THE YEAR CHARITY CARE SERVICES PROVIDED WERE AS REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENT. 336792 0 1252857 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. 255030894 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 false false true true false false false false false false false false false false false false false false false true true true false false true 307 0 true 3231 true true true false false false false false false false false false X 17 16 false false false false true true true true true false false true true true true true true true false false IL X JORI BRINK 7083332300 ONE INGALLS DRIVE Harvey IL 60426 ANDREW STEFO 40 X 154551 0 7082 LINDA OHRINGER 40 X 169727 0 21381 LAWRENCE KLONOWSKI 40 X 179814 0 24511 KISHA N CULBREATH LEAR 40 X 214341 0 24849 CHRISTINE SALVATOR 40 X 182791 0 27927 LINDA S VOIGT 40 X 177544 0 26554 DOROTHY GRZADZINSKI 1 X 406115 0 25678 JOSEPH MOSER 1 X 346690 0 11802 MICHAEL HICKS 40 X 276989 0 26186 SCOTT C STRAUSSER 40 X 420310 0 35847 DIANE JACOBY 40 X 445483 0 26562 VINCENT E PRYOR 0 X X 96912 0 7734 KATHLEEN MIKOS RN MSN 40 X 377984 0 25509 ROBERT G VELO 1 X X 0 0 0 NATHANIEL K SUTTON 1 X 0 0 0 MICHAEL BUSH 1 X 0 0 0 KEVIN PURCELL 1 X 0 0 0 DAVID H ORTH MD 1 X 0 0 0 MARK KOZLOFF MD 1 X 0 0 0 NEAL E KITCHELL 1 X 0 0 0 RICHARD M KING 1 X X 0 0 0 MICHAEL P KAMRADT 1 X 0 0 0 KURT E JOHNSON 40 X X 1253338 0 25716 HENRY K JOHNSON 1 X 0 0 0 DENNIS J IRVIN 1 X 0 0 0 ROBERT L HARRIS 1 X 0 0 0 EUGENE M FEINGOLD 1 X X 0 0 0 SAMUEL J CUTRARA JR CPA 1 X 0 0 0 LYNDELL S BECKHAM 1 X 0 0 0 ROBERT TOPEL 1 X 0 0 0 4702589 0 317338 88 true true false AMERISOURCEBERGEN 1001 W TAYLOR ROAD ROMEOVILLE IL 60446 PHARMACEUTICAL VENDOR 7360944 OWENS AND MINOR BANK OF AMERICA 12199 COLLECTION DR CHICAGO IL 60693 MEDICAL SUPPLIES 6510472 SIEMENS MEDICAL SOLUTIONS C/O MELLON BANK DEPT CH 14195 PALATINE IL 600554195 INFORMATION SYSTEM OUTSOURCING 4816731 SYNERGY BEHAVIORAL HEALTHCARE 1566 W ALGONQUIN ROAD 149 HOFFMAN ESTATES IL 60192 IN PT AND OUT PT PSYCHIATRIC SERVICES 3973182 DEPUY ORTHOPAEDICS PO BOX 988 WARSAW IN 465810988 ORTHOPEDIC SUPPLIES 2648654 155 882611 78034 571506 1532151 NET PATIENT SERVICE REVENUE 285335255 285335255 RENTAL INCOME 1023781 1023781 CLIENT SERVICE REVENUE 970673 970673 LAB SERVICES 621500 927176 927176 MEDIC TRAINING 154828 154828 1688431 1688431 0 0 290100144 3969722 3969722 0 0 1042224 690775 351449 0 351449 351449 9699857 83535 9699857 -83535 9616322 9616322 0 0 0 EXPENSE REIMBURSEMENT AND MGMT FEE 824268 824268 PARKING AND CAFETERIA 1212283 1212283 CHILD CARE CENTER 628564 628564 580563 580563 0 0 3245678 308815466 290577799 927176 15778340 0 0 0 0 4433822 4433822 0 103116099 99463353 3652746 2875505 2659299 216206 11990948 11089361 901587 7657421 7081667 575754 0 120000 120000 195002 195002 0 0 536443 536443 37555124 25320817 12234307 405857 225713 180144 47248115 46790416 457699 4387054 4387054 0 3244731 2365306 879425 386630 363690 22940 0 5006 5006 3228772 2658894 569878 0 15894338 13985428 1908910 6614715 5834359 780356 BAD DEBT 22656167 22656167 PUBLIC AID ASSESSMENT 9954628 9954628 OTHER OPERATING EXPENSE 4796135 4581796 214339 GIFT SHOP 380392 380392 MEDICAL STAFF OFFICE 130981 130981 48424 0 48424 0 287862309 255030894 32831415 0 0 4790636 665157 3296269 33213907 40026323 5219159 4701560 6765563 4463490 428586996 264938764 160529651 163648232 174957851 181193649 0 0 293993 1499348 482414 431723 6522566 7470185 396072009 404099667 41962562 43300508 122154574 120004961 18646104 22124458 182763240 185429927 X 209864657 214682800 3444112 3986940 213308769 218669740 396072009 404099667 X 20953157 -15592186 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7066 7066 false Description of other lobbying activities Schedule C, Part II-B, Line 1i A PORTION OF THE DUES PAID TO THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL ARE USED FOR LOBBYING ACTIVITIES. 28109063 28109063 219394013 133289516 86104497 1352732 1352732 179731188 131649248 48081940 0 163648232 0 TENDER PREMIUM PAYABLE 14916857 OTHER LONG TERM PAYABLES 7207601 22124458 308815466 287862309 20953157 -11685402 -3906784 -15592186 5360971 293377612 -11685402 690775 -10994627 304372239 363657 4079570 4443227 308815466 288016641 690775 690775 287325866 363657 172786 536443 287862309 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE SYSTEM HAS ADOPTED ASC SUBTOPIC 740-10, INCOME TAXES, 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 FIFTY PERCENT 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, 2011 AND 2010, THE SYSTEM DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. Other changes in net assets Schedule D, Part XI, Line 8 INTEREST RATE SWAP VALUATION - -3111179; NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASE OF PROPERTY, PLANT AND EQUIPMENT - -7396; NET ASSETS RELEASED FROM RESTRICTION FOR OPERATION - -788209; Other revenues in audited financial statements not in form 990 Schedule D, Part XII, Line 2d NETTED RENTAL EXPENSES - 690775; Other revenues in form 990 not in audited financial statements Schedule D, Part XII, Line 4b INTEREST RATE SWAP VALUATION - 3111179; NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASE OF PROPERTY, PLANT, AND EQUIPMENT - 7396; NET ASSETS RELEASED FROM RESTRICTION FOR OPERATION - 788209; NON-OPERATING EXPENSES - 172786; Other expenses in audited financial statements not in form 990 Schedule D, Part XIII, Line 2d NETTED RENTAL EXPENSES - 690775; Other expenses in form 990 not in audited financial statements Schedule D, Part XIII, Line 4b NON-OPERATING EXPENSES - 172786; true true X true X false true true false true true 6389535 0 6389535 0.02410 49590765 33835182 15755583 0.05940 0 0 0 0.00000 0 0 55980300 33835182 22145118 0.08350 46587 0 46587 0.00020 782982 248320 534662 0.00200 0 0 0 0.00000 0 0 0 0.00000 134541 0 134541 0.00050 0 0 964110 248320 715790 0.00270 0 0 56944410 34083502 22860908 0.08620 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 19778825 11718954 104898662 103798276 1100386 X true true 1 1 INGALLS MEMORIAL HOSPITAL

ONE INGALLS DRIVE HARVEY IL 60426

X X X INGALLS MEMORIAL HOSPITAL 1 9 INGALLS FAMILY CARE CENTER

1600 TORRENCE AVENUE CALUMET CITY IL 60409

URGENT AID, PRIMARY CARE, AND SPECIALIST SERVICES INGALLS FAMILY CARE CENTER

4647 WEST LINCOLN HIGHWAY MATTESON IL 60443

LABORATORY, IMAGING, AND DIAGNOSTIC SERVICES INGALLS FAMILY CARE CENTER

6701 WEST 159TH STREET TINLEY PARK IL 60477

URGENT AID, PRIMARY CARE, AND SPECIALIST SERVICES INGALLS CENTER-OUTPATIENT REHABILITATION

1551 HUNTINGTON DRIVE CALUMET CITY IL 60409

INDUSTRIAL AND MEDICAL REHABILITATION INGALLS WELLNESS CENTER

2920 WELLNESS CENTER HOMEWOOD IL 60430

COMPLEMENTARY MEDICINE AND COMMUNITY HEALTH PROGRAMS INGALLS FAMILY CARE CENTER

19550 GOVERNORS HIGHWAY FLOSSMOOR IL 60422

URGENT AID AND SPECIALIST SERVICES THE CANCER SUPPORT CENTER

19250 EVERETT LANE MOKENA IL 60448

PREVENTION, SCREENING, AND EDUCATIONAL PROGRAMS HORTON OCCUPATIONAL MEDICINE

16246 PRINCE DRIVE SOUTH HOLLAND IL 60473

PHYSICIAN OFFICES SOUTHWEST INDUSTRIAL CARE

7600 WEST COLLEGE DRIVE SUITE 7A PALOS HEIGHTS IL 60463

PHYSICIAN OFFICES Eligibility criteria for free or discounted care Schedule H, Part I, Line 3c INGALLS MEMORIAL HOSPITAL DOES NOT FOLLOW THE FPG GUIDLINES TO DETERMINE ANY SELF PAY DISCOUNTED CARE, BUT DOES USE THE FPG GUIDLINES TO DETERMINE FREE CARE. INGALLS' ONLY DETERMINATION OF ELIGIBILITY OF CHARITY CARE IS MEASURED BY FAMILY INCOME AGAINST THE FEDERAL INCOME POVERTY GUIDELINES. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 22,656,167 Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 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. Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 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 Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b PATIENT ACCOUNTS QUALIFYING FOR CHARITY CARE, WITH A KNOWN BALANCE AT TIME OF APPROVAL RECEIVE A CHAIRTY CARE ADJUSTMENT CODE AT THAT TIME. PATIENTS WITHOUT A KNOWN BALANCE AT TIME OF APPROVAL, RECEIVE AN ADJUSTMENT CODE AFTER APPROVAL. Needs assessment. Schedule H, Part VI, Line 2 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. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 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 CARE AREAS REGARDING PATIENT PAYMENT OPTIONS. IN ADDITION, PATIENTS ARE ALSO INFORMED VIA THE HOSPITAL'S WEBSITE AS WELL AS VIA INDIVIDUAL PATIENT STATEMENTS AND FINANCIAL COUNSELORS. Community information. Schedule H, Part VI, Line 4 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 $31,013, AND THE MEDIAN INCOME FOR A FAMILY WAS $36,284. ABOUT 26.1% OF FAMILIES AND 31.5% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 45.9% OF THOSE UNDER AGE 18 AND 11% OF THOSE AGE 65 OR OVER. THE INFORMATION ABOVE WAS OBTAINED FROM THE UNITED STATES CENSUS BUREAU. HTTP//FACTFINDER.CENSUS.GOV. 2009 DATA Promotion of community health Schedule H, Part VI, Line 5 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 ROUND 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. Affiliated health care system Schedule H, Part VI, Line 6 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. State filing of community benefit report Schedule H, Part VI, Line 7 IL X X X X false false false false false false false false false ANDREW STEFO 149035 0 0 0 5516 0 0 0 7082 0 161633 0 0 0 LINDA OHRINGER 169051 0 0 0 676 0 2321 0 19060 0 191108 0 0 0 LAWRENCE KLONOWSKI 173273 0 0 0 6541 0 6841 0 17670 0 204325 0 0 0 KISHA N CULBREATH LEAR 214145 0 0 0 196 0 8832 0 16017 0 239190 0 0 0 CHRISTINE SALVATOR 181735 0 0 0 1056 0 7836 0 20091 0 210718 0 0 0 LINDA S VOIGT 175828 0 0 0 1716 0 8579 0 17975 0 204098 0 0 0 DOROTHY GRZADZINSKI 344152 0 0 0 61963 0 10009 0 15669 0 431793 0 0 0 JOSEPH MOSER 293935 0 0 0 52755 0 9712 0 2090 0 358492 0 0 0 MICHAEL HICKS 237014 0 0 0 39975 0 9381 0 16805 0 303175 0 0 0 SCOTT C STRAUSSER 344796 0 0 0 75514 0 10142 0 25705 0 456157 0 0 0 DIANE JACOBY 339810 0 0 0 105673 0 10009 0 16553 0 472045 0 0 0 VINCENT E PRYOR 94176 0 0 0 2736 0 3691 0 4043 0 104646 0 0 0 KATHLEEN MIKOS RN MSN 306505 0 0 0 71479 0 9836 0 15673 0 403493 0 0 0 KURT E JOHNSON 889199 0 0 0 364139 0 10163 0 15553 0 1279054 0 0 0 ILLINOIS FINANCE AUTHORITY 861091967 45200BHK7 2007-11-16 48000000 REFUNDING OF 2004 BONDS false false false 0 0 48000000 0 0 0 811990 0 0 48000000 0 0 2004 true false true true false false false false false 0.0000 0.0000 0.0000 true false true true MERRILL LYNCH 29.5 false false false ORGANIZATION'S MISSION (CONTINUED FROM PAGE 2) FORM 990, PART III, LINE 1 THE HOSPITAL PROVIDES CARE TO MEDICAID BENEFICIARIES AND OTHER PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. IN ADDITION, THE HOSPITAL IS INVOLVED IN NUMEROUS COMMUNITY BENEFIT ACTIVITIES. THESE ACTIVITIES ARE WIDE RANGING AND INCLUDE HEALTH EDUCATION, SUPPORT GROUPS, HEALTH SCREENINGS, HEALTH FAIRS, PASTORAL CARE, HOME-DELIVERED MEALS, TRANSPORTATION SERVICES, PROVISION OF SEMINARS AND SPEAKERS, HEALTH INFORMATION LINES, AND PUBLICATION OF HEALTH MAGAZINES. THESE ACTIVITIES ARE PROVIDED FREE OF CHARGE OR BELOW THE COST OF PROVIDING THEM. DURING THE YEAR ENDING SEPTEMBER 30, 2011, CHARITY CARE SERVICES PROVIDED WAS APPROXIMATELY $26,435,000, PER THE ORGANIZATION'S FINANCIAL STATEMENTS. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 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. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a PLEASE SEE THE NARRATIVE FOR PART VI, SECTION A, LINE 6 Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b PLEASE SEE THE NARRATIVE FOR PART VI, SECTION A, LINE 6 Review of form 990 by governing body Form 990, Part VI, Section B, Line 11a 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 of top management official Form 990, Part VI, Section B, Line 15a THE ORGANIZATION ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IN DETERMINING COMPENSATION OF THE ORGANIZATION'S 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. Public Disclosure 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. Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -11685402; INTEREST RATE SWAP VALUATION - -3111179; NET ASSETS RELEASED FROM RESTRICTION USED FOR PURCHASE OF PROPERTY, PLANT, AND EQUIPMENT - -7396; NET ASSETS RELEASED FROM RESTRICTION FOR OPERATION - -788209; 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 I NA false INGALLS HEALTH VENTURES ONE INGALLS DRIVE HARVEY IL 60426 363239703 AMBULATORY IL 501(C)(3) 3 IHS false IHS EMPLOYEE BENEFIT TRUST ONE INGALLS DRIVE HARVEY IL 60426 363581617 BENEFITS IL 501(C)(9) N/A NA 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 IHV N/A 0 0 false false INGALLS PROVIDER GROUP ONE INGALLS DRIVE HARVEY IL 60426 363485578 INSURANCE SERVICE IL NA C CORPORATION 5291805 1 MEDCENTRIX INC ONE INGALLS DRIVE HARVEY IL 60426 363374228 BILLING & MGMT IL IHS C CORPORATION 0 INGALLS CASUALTY INSURANCE LTD ONE INGALLS DRIVE HARVEY IL 60426 980485714 LIAB INSURANCE CJ IHS C CORPORATION 0 INGALLS HEALTH COUNCIL ONE INGALLS DRIVE HARVEY IL 60426 273226539 PURCHASING GROUP IL IHS C CORPORATION 0 true false true false false false false false false false false false true true true true true true INGALLS HOME CARE N 161144 FAIR MARKET VALUE INGALLS HOME CARE A 84000 FAIR MARKET VALUE