INGALLS MEMORIAL HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: INGALLS MEMORIAL HOSPITAL (EIN 36-2170866)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-10
IRS object ID: 202331309349302638
Schema version: 2021v4.2
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	2023-05-10T17:03:27+00:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 EAST RANDOLPH STREET SUITE 5500	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606016436	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362170866	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Ingalls Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	INGA	BusinessNameControlTxt
Phone	7083332300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Ingalls Drive	AddressLine1Txt
City	Harvey	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60426	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL ANTONIADES	PersonNm
Person Title	INTERIM PRESIDENT	PersonTitleTxt
Phone	7737021000	PhoneNum
Signature	2023-05-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	PHILLIP	PersonFirstNm
Person Last	KAUFMAN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ZELJKO POPOVIC	PreparerPersonNm
PTIN	P01795951	PTIN
Phone	3126651000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MICHAEL ANTONIADES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Ingalls Drive	AddressLine1Txt
City	Harvey	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60426	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$351,131,134	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	INGALLS MEMORIAL HOSPITAL IS A NONPROFIT ACUTE CARE HOSPITAL ORGANIZED FOR THE PURPOSE OF PROVIDING PATIENT CARE, EDUCATION, AND RESEARCH.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	2645	TotalEmployeeCnt
Total Volunteers	58	TotalVolunteersCnt
Total Gross UBI	$799,429	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$26,728,626	PYContributionsGrantsAmt
CY Contributions Grants	$11,362,917	CYContributionsGrantsAmt
PY Program Service Revenue	$303,821,660	PYProgramServiceRevenueAmt
CY Program Service Revenue	$328,667,723	CYProgramServiceRevenueAmt
PY Investment Income	$7,329,267	PYInvestmentIncomeAmt
CY Investment Income	$7,831,360	CYInvestmentIncomeAmt
PY Other Revenue	$2,951,802	PYOtherRevenueAmt
CY Other Revenue	$2,445,923	CYOtherRevenueAmt
PY Total Revenue	$340,831,355	PYTotalRevenueAmt
CY Total Revenue	$350,307,923	CYTotalRevenueAmt
PY Grants And Similar Paid	$69,750	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$166,500	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$143,998,787	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$161,832,244	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$304,182	CYTotalFundraisingExpenseAmt
PY Other Expenses	$197,781,277	PYOtherExpensesAmt
CY Other Expenses	$196,854,273	CYOtherExpensesAmt
PY Total Expenses	$341,849,814	PYTotalExpensesAmt
CY Total Expenses	$358,853,017	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,018,459	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$8,545,094	CYRevenuesLessExpensesAmt
Total Assets BOY	$491,188,340	TotalAssetsBOYAmt
Total Assets EOY	$479,733,184	TotalAssetsEOYAmt
Total Liabilities BOY	$249,831,648	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$257,529,322	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$241,356,692	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$222,203,862	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	INGALLS MEMORIAL HOSPITAL IS A NONPROFIT ACUTE CARE HOSPITAL ORGANIZED FOR THE PURPOSE OF PROVIDING PATIENT CARE, EDUCATION, RESEARCH, AND ASSISTANCE TO UCM COMMUNITY HEALTH & HOSPITAL DIVISION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$188,383,811	ExpenseAmt
Grant	$71,500	GrantAmt
Revenue	$219,043,451	RevenueAmt
Desc	INGALLS MEMORIAL (IMH) INCLUDES A 400+ CERTIFIED BED HOSPITAL AND A NETWORK OF COMPREHENSIVE OUTPATIENT CENTERS THAT FEATURE A FULL ARRAY OF HIGH-TECH DIAGNOSTIC AND TREATMENT SERVICES. IMH MAKES SURE 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	$28,589,279	ExpenseAmt
Revenue	$44,057,863	RevenueAmt
Desc	THE PHARMACY PROVIDES SERVICES TO BOTH OUR INPATIENTS AND INFUSION CENTER PATIENTS. INCLUDED IN THE SERVICES PROVIDED ARE ANTIBIOTIC DOSING, DOSING BASED ON KIDNEY FUNCTION, BLOOD GLUCOSE MANAGEMENT, AND ANTICOAGULANT DOSING AND MONITORING. THE INPATIENT PHARMACY IS OPEN 24/7. WE PROCESS APPROXIMATELY 59,000 MEDICATION ORDERS AND MAKE 3,500 INTERVENTIONS PER MONTH.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$14,300,560	ExpenseAmt
Revenue	$18,583,369	RevenueAmt
Desc	IMH PERFORMS AN ARRAY OF SURGICAL SERVICES INCLUDING ELECTIVE, NON-ELECTIVE, COMPLEX AND HIGHLY SPECIALIZED PROCEDURES. SURGEONS ON STAFF AT INGALLS SPECIALIZE IN EVERY AREA OF SURGERY, INCLUDING, BUT NOT LIMITED TO CARDIOTHORACIC SURGERY, ORTHOPEDIC SURGERY, NEUROSURGERY, SPINE SURGERY, GENERAL SURGERY, AND VASCULAR SURGERY. IN FY2022 INGALLS PERFORMED 1,277 INPATIENT SURGERIES AND 2,306 AMBULATORY SURGERIES.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$91,593,870	ExpenseAmt
Grant	$95,000	GrantAmt
Revenue	$49,526,422	RevenueAmt
Desc	OTHER PROGRAM SERVICES RELATED TO THE PROVISION OF HEALTHCARE INCLUDE LABORATORY SERVICES, PATIENT FINANCIAL SERVICES, COST OF FACILITIES, MALPRACTICE INSURANCE, AND OTHER SUPPORT SERVICES.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$91,593,870	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$95,000	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$49,526,422	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$322,867,520	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
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	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 With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
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	213	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2645	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
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JUSTIN KATS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7083332300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	150 HARVESTER DRIVE SUITE 300	AddressLine1Txt
City	BURR RIDGE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60527	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID H ORTH MD
CHAIRMAN (THRU 7/1/21)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
DENNIS IRVIN
VICE CHAIRMAN	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
KEVIN M PURCELL
CHAIRMAN	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
RANDY NEISWONGER
INTERIM PRESIDENT CHHD	40.0	7.0	Yes (X)	Yes (X)	$544,558	$0	$71,534
SAMUEL J CUTRARA JR
SECRETARY/TREASURER	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
CORRIN STEINHAUER
BOARD MEMBER/VP PATIENT CARE & CNO, INGALLS (THRU 4/22/22)	40.0	0.0	Yes (X)		$0	$421,206	$74,053
DOROTHY JONES MD
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
ENGIN YILMAZ MD
BOARD MEMBER	1.0	40.0	Yes (X)		$0	$460,274	$7,509
FRANCIS ALMEDA MD
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
HENRY JOHNSON
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
JOHN A FLYNN MD
BOARD MEMBER (THRU 9/23/21)	1.0	43.0	Yes (X)		$0	$793,961	$56,645
MARK KOZLOFF MD
BOARD MEMBER	1.0	41.0	Yes (X)		$0	$723,872	$33,365
MILDRED WILLIAMS-REID
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
NATHANIEL SUTTON
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
STEPHEN WEBER MD
BOARD MEMBER (EFF. 9/23/21)	1.0	41.0	Yes (X)		$0	$2,100,916	$168,562
ANN MCCOLGAN
ASSISTANT TREASURER	1.0	45.0		Yes (X)	$0	$488,668	$81,343
IVAN SAMSTEIN
CHIEF FINANCIAL OFFICER	1.0	48.0		Yes (X)	$0	$854,927	$125,085
TOMASZ SAMEK
ASSISTANT SECRETARY	40.0	2.0		Yes (X)	$0	$193,752	$27,563
DOUGLAS SAEGESSER
VP OF FINANCE (THRU 9/8/2021)	40.0	4.0			$447,895	$0	$35,479	Yes (X)
PAUL DONOHUE
VP PHILANTHROPY AND COMMUNITY	40.0	0			$263,367	$0	$66,202	Yes (X)
KRISTINE SHIELDS
OCCUPATIONAL MEDICINE	40.0	0			$239,119	$0	$2,948		Yes (X)
LISA LIGUE
DIRECTOR, REVENUE CYCLE	40.0	0			$225,911	$0	$2,859		Yes (X)
MARY JO CRANDALL
VP OPERATIONS	40.0	0			$258,048	$0	$3,230		Yes (X)
NEGIN KIYAVASH
DIRECTOR OF PHARMACY	40.0	0			$221,020	$0	$32,768		Yes (X)
POONAM DESAI
EXECUTIVE DIRECTOR, AMBULATORY	40.0	0			$236,760	$0	$46,332		Yes (X)
BRIAN SINOTTE
FORMER PRESIDENT CHHD (THRU 5/31/21)	0.0	0.0			$423,750	$0	$7,627			Yes (X)
GARY GASBARRA
INTERIM CFO TIL 6/30/17	0.0	42.0			$0	$610,418	$78,815			Yes (X)
RICHARD W SILVERIA
FORMER CHIEF FINANCIAL OFFICER (THRU 4/22/21)	0.0	0.0			$0	$1,906,873	$21,121			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,860,428	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,554,866	TotReportableCompRltdOrgAmt
Total Other Compensation	$943,040	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	133	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
VIZIENT INC
290 E JOHN CARPENTER FREEWAY	IRVING	TX	75062	CONTRACT LABOR	$18,966,561
CARDINAL HEALTH VALUELINK
PO BOX 70539	CHICAGO	IL	60673	SUPPLY CHAIN SERVICES	$7,152,027
CROTHALL HEALTHCARE
25271 NETWORK PLACE	CHICAGO	IL	60637	HEALTHCARE SUPPORT SERVICES	$6,366,566
CERNER HEALTH SERVICES
PO BOX 959156	SAINT LOUIS	MO	63195	IT SUPPORT	$5,640,516
SYNERGY BEHAVIORAL HEALTHCARE
1566 W ALGONQUIN ROAD	HOFFMAN ESTATES	IL	60192	BEHAVIORAL HEALTH	$5,622,139

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	102	CntrctRcvdGreaterThan100KCnt
Related Organizations	$8,076,881	RelatedOrganizationsAmt
Government Grants	$3,285,694	GovernmentGrantsAmt
All Other Contributions	$342	AllOtherContributionsAmt
Total Contributions	$11,362,917	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$324,687,170	$324,687,170
RENTAL INCOME	900099	$1,560,020	$1,560,020
LAB SERVICES	621500	$799,429		$799,429
BONUS FROM IPG	900099	$850,116	$850,116
FOOD SERVICE	900099	$627,247	$627,247

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$143,741	TotalRevenueColumnAmt
Related Or Exempt Func Income	$143,741	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$328,667,723	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,488,525	TotalRevenueColumnAmt
Exclusion	$1,488,525	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$725,752	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$823,211	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$97,459	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$97,459	TotalRevenueColumnAmt
Exclusion	-$97,459	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,342,835	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$6,342,835	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,342,835	TotalRevenueColumnAmt
Exclusion	$6,342,835	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B PROGRAM	900099	$746,564	$746,564
MANAGEMENT FEES	900099	$278,568	$278,568
BANK REBATES	900099	$599,516	$599,516

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$918,734	TotalRevenueColumnAmt
Related Or Exempt Func Income	$918,734	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,543,382	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$350,307,923	TotalRevenueColumnAmt
Related Or Exempt Func Income	$330,411,676	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$799,429	UnrelatedBusinessRevenueAmt
Exclusion	$7,733,901	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	$95,000	TotalAmt
Program Services	$95,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$71,500	TotalAmt
Program Services	$71,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,525,207	TotalAmt
Program Services	$309,566	ProgramServicesAmt
Management And General	$911,459	ManagementAndGeneralAmt
Fundraising	$304,182	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$140,171,223	TotalAmt
Program Services	$129,163,860	ProgramServicesAmt
Management And General	$11,007,363	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,577,506	TotalAmt
Program Services	$2,392,949	ProgramServicesAmt
Management And General	$184,557	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,287,440	TotalAmt
Program Services	$9,448,252	ProgramServicesAmt
Management And General	$839,188	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,270,868	TotalAmt
Program Services	$6,647,953	ProgramServicesAmt
Management And General	$622,915	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,814,980	TotalAmt
Management And General	$3,814,980	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$210,262	TotalAmt
Management And General	$210,262	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$31,559	TotalAmt
Management And General	$31,559	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$573,646	TotalAmt
Management And General	$573,646	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$49,817,937	TotalAmt
Program Services	$42,221,720	ProgramServicesAmt
Management And General	$7,596,217	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,606,202	TotalAmt
Management And General	$1,606,202	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,919,640	TotalAmt
Program Services	$1,906,871	ProgramServicesAmt
Management And General	$1,012,769	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$12,320,312	TotalAmt
Program Services	$8,774,322	ProgramServicesAmt
Management And General	$3,545,990	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,403,794	TotalAmt
Program Services	$5,084,143	ProgramServicesAmt
Management And General	$319,651	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$121,035	TotalAmt
Program Services	$71,206	ProgramServicesAmt
Management And General	$49,829	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,131,300	TotalAmt
Program Services	$4,131,300	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,889,370	TotalAmt
Program Services	$14,889,370	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$16,208,069	TotalAmt
Program Services	$13,525,790	ProgramServicesAmt
Management And General	$2,682,279	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$59,602,210	$59,467,083	$135,127
PUBLIC ASSESSMENT	$17,923,084	$17,923,084
REPAIRS & MAINTENANCE	$5,358,790	$4,986,439	$372,351
LAUNDRY SERVICES	$1,297,509	$1,289,986	$7,523

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$624,574	TotalAmt
Program Services	$467,126	ProgramServicesAmt
Management And General	$157,448	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$358,853,017	TotalAmt
Program Services	$322,867,520	ProgramServicesAmt
Management And General	$35,681,315	ManagementAndGeneralAmt
Fundraising	$304,182	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,220	BOYAmt
EOY	$5,220	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$18,384	BOYAmt
EOY	$23,814	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$41,878,302	BOYAmt
EOY	$41,394,560	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	$6,682,363	BOYAmt
EOY	$6,777,269	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,484,699	BOYAmt
EOY	$2,316,969	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$282,824,199	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$86,669,381	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$182,833,874	BOYAmt
EOY	$196,154,818	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$148,668,551	BOYAmt
EOY	$129,349,004	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$108,616,947	BOYAmt
EOY	$103,711,530	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$491,188,340	BOYAmt
EOY	$479,733,184	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$126,726,867	BOYAmt
EOY	$144,685,915	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$5,908,645	BOYAmt
EOY	$6,330,281	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,057,540	BOYAmt
EOY	$32,143,937	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$63,087,786	BOYAmt
EOY	$61,371,463	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,050,810	BOYAmt
EOY	$12,997,726	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$249,831,648	BOYAmt
EOY	$257,529,322	EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$238,197,644	BOYAmt
EOY	$218,994,374	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,159,048	BOYAmt
EOY	$3,209,488	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$241,356,692	BOYAmt
EOY	$222,203,862	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$491,188,340	BOYAmt
EOY	$479,733,184	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$8,545,094	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$21,292,427	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$10,684,691	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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$15,960	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$31,559	OtherActivitiesAmt
Total Lobbying Expenditures	$47,519	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1g DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	The Vice President of Government Affairs for University of Chicago Medicine has contact with legislators and government officials on behalf of Ingalls Memorial Hospital. Topics include Medicare and Medicaid funding and proposed staffing legislation.
Schedule C, Part II-B, Line 1i DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	THE HOSPITAL PAYS DUES TO THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE USED TO SUPPORT LOBBYING BY THE ASSOCIATION FOCUSED ON ADVOCACY AND REPRESENTATION.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,464,807	OtherCostOrOtherBasisAmt
Book Value	$6,464,807	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$172,355,268	OtherCostOrOtherBasisAmt
Depreciation	$35,880,216	DepreciationAmt
Book Value	$136,475,052	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$77,116,696	OtherCostOrOtherBasisAmt
Depreciation	$49,000,501	DepreciationAmt
Book Value	$28,116,195	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,887,428	OtherCostOrOtherBasisAmt
Depreciation	$1,788,664	DepreciationAmt
Book Value	$25,098,764	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$196,154,818	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$100,502,042
RESTRICTED INVESTMENTS - FDN	$3,209,488
OTHER LONG TERM ASSETS	$0

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$103,711,530	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
LEASE OBLIGATIONS	$1,367,089
SWAP PAYABLE	$4,569,864
OTHER PAYABLES	$4,754,137
DEFERRED SOCIAL SECURITY PAYABLE	$2,306,636

Field	Value	IRS element (for citing)
Total Liability	$12,997,726	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 SYSTEM APPLIES ASC TOPIC 740, INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S CONSOLIDATED FINANCIAL STATEMENTS. ASC TOPIC 740 PRESCRIBES A MORE LIKELY THAN NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. UNDER ASC TOPIC 740, TAX POSITIONS ARE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. AS OF JUNE 30, 2022 AND 2021, THE SYSTEM DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS. THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE.	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	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$6,902,992	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,902,992	NetCommunityBenefitExpnsAmt
Total Expense	0.0192	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$114,278,532	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$90,209,841	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,068,691	NetCommunityBenefitExpnsAmt
Total Expense	0.0671	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	$121,181,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$90,209,841	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,971,683	NetCommunityBenefitExpnsAmt
Total Expense	0.0863	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$419,740	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$419,740	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,722,155	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$483,095	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,239,060	NetCommunityBenefitExpnsAmt
Total Expense	0.0035	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,684	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,684	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,197,579	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$483,095	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,714,484	NetCommunityBenefitExpnsAmt
Total Expense	0.0048	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$123,379,103	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$90,692,936	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,686,167	NetCommunityBenefitExpnsAmt
Total Expense	0.0911	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,932,651	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$120,693,314	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$136,673,894	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,980,580	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	NONE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	INGALLS MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE INGALLS DRIVE	AddressLine1Txt
City	HARVEY	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60426	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.INGALLS.ORG	WebsiteAddressTxt
State License	0001099	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	INGALLS MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.uchicagomedicine.org/about-us/community/benefit/health-needs-ingalls-memorial/chna	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.uchicagomedicine.org/about-us/community/benefit/health-needs-ingalls-memorial/chna	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	600.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	(SEE STATEMENT)	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE STATEMENT	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE STATEMENT	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - THE INGALLS MEMORIAL HOSPITAL. The CHNA process engaged several internal and external stakeholders to collect, curate, and interpret data, and then use that data to prioritize the health needs of the community. IMH also gathered data from public health experts, through incorporating data from the Illinois Department of Public Health. Partners and stakeholder groups also provided insight and expertise around the indicators to be assessed, types of focus group questions to be asked, interpretation of results, and prioritization of areas of highest need. Leaders from the Urban Health Initiative (UHI) worked with Metopio to guide the strategic direction of the CHNA and engage the CHNA Steering Committee, other various internal committees, and workgroups to ensure broad engagement of diverse perspectives across Ingalls. Metopio is a software and services company grounded in the philosophy that communities are connected through places and people. Metopio's visualization tools use data to reveal valuable, interconnected factors that influence outcomes in different locations. The Ingalls Community Benefit Management Team guided the strategic direction of the CHNA while relying on the expertise of community stakeholders throughout the CHNA process. Ingalls' partners and stakeholders provided insight and expertise about the assessment of key indicators, the types of focus group questions, how to interpret results, and how to prioritize the areas of highest need. The Community Benefit Management Team is composed of key staff members with expertise in key areas related to Ingalls' community benefit activities. This group discusses and validates community benefit programs and activities, monitors CHNA policies, provides input on the CHNA strategic implementation plan and strategies, reviews and approves grant funding requests, provides feedback on community engagement activities, and provides input for the Annual Report. The Community Advisory Council (CAC) was established by Ingalls in 2020 and is a representative group of 14 volunteer members who live and/or work in the Ingalls Service Area. The CAC members serve as advisors to Ingalls on issues of interest to the community. The CAC is an essential partner in achieving Ingalls' goals related to broader community interests, community benefit, access to care, and effective community engagement. Specifically, the CAC played a key role in identifying community organizations for our focus groups, disseminating the survey, and ensuring diverse community voices were heard throughout the CHNA process. THE INCLUSION OF PATIENT VOICE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A CORNERSTONE OF THE PROCESS. PRIMARY DATA FOR THE CHNA WAS COLLECTED THROUGH THE FOLLOWING METHODS: 1) 419 COMMUNITY RESIDENT SURVEYS COMPLETED IN ENGLISH AND SPANISH, IN BOTH ELECTRONIC AND PAPER VERSIONS 2) 4 COMMUNITY RESIDENT FOCUS GROUPS WITH 12 OR FEWER RESIDENTS IN EACH GROUP. TOPICS INCLUDED MENTAL HEALTH, MATERNAL AND CHILD HEALTH, YOUTH HEALTH, AND ADULT HEALTH 3) 8 KEY INFORMANT INTERVIEWS WITH RESIDENTS FROM UNDERSERVED POPULATIONS DURING DEVELOPMENT OF THE STRATEGIC IMPLEMENTATION PLAN, INGALLS CONSULTED SUBJECT MATTER EXPERTS ON INGALLS' HEALTH PRIORITIES. THROUGHOUT OUR CHNA PROCESS, INGALLS WAS ABLE TO TAKE INTO ACCOUNT VARIOUS DIFFERING COMMUNITY VIEWPOINTS.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - THE INGALLS MEMORIAL HOSPITAL. IMH contracted with Metopio to complete the 2021-2022 Community Health Needs Assessment. Metopio is a software and services company grounded in the philosophy that communities are connected through places and people. Metopio's visualization tools use data to reveal valuable, interconnected factors that influence outcomes in different locations. Leaders from Ingalls and UHI worked with Metopio to guide the strategic direction of the CHNA and engage the CHNA Steering Committee, other various internal committees, and workgroups to ensure broad engagement of diverse perspectives across Ingalls Memorial.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - INGALLS MEMORIAL HOSPITAL. THE RESULTS OF THE REPORT WERE DISCUSSED AT COMMUNITY MEETINGS, WITH REFERENCE TO THE FULL REPORT'S ELECTRONIC AVAILABILITY ON THE HOSPITAL'S WEBSITE AND PAPER COPIES AVAILABLE IN THE INGALLS MEMORIAL MAIN LOBBY AND THE PROFESSIONAL OFFICE BUILDING FRONT DESKS. KEY EXTERNAL STAKEHOLDERS SUCH AS EXECUTIVE LEADERS AT COMMUNITY BASED ORGANIZATIONS, ELECTED OFFICIALS, AND INDIVIDUAL DONORS WERE SENT ELECTRONIC AND PAPER COPIES OF THE 4 PAGE, INFOGRAPHIC EXECUTIVE SUMMARY- WHICH IS ALSO AVAILABLE ON THE COMMUNITY BENEFIT WEBSITE. THE CHNA WAS MADE WIDELY AVAILABLE TO VARIOUS CHICAGOLAND COMMUNITY NEWS OUTLETS, INCLUDING THE HYDE PARK HERALD, SOUTHLAND JOURNAL, AND CRAIN'S CHICAGO BUSINESS, CHICAGO LEADER AND BLOCK CLUB CHICAGO. A LINK TO THE REPORT WAS ALSO SENT OUT TO A COMMUNITY HEALTH NEWSLETTER LISTSERV WITH OVER 11,000 PEOPLE SUBSCRIBED.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - THE INGALLS MEMORIAL HOSPITAL. THE MOST RECENT INGALLS CHNA WAS CONDUCTED IN 2021-2022. THE IMPLEMENTATION STRATEGY FOR THIS CHNA FOR YEARS 2023-2025 WAS ADOPTED BY THE UNIVERSITY OF CHICAGO MEDICAL CENTER'S BOARD OF DIRECTOR'S GOVERNMENT AND COMMUNITY RELATIONS COMMITTEE. THIS COMMITTEE RECEIVED AND REVIEWED THE 2021-2022 CHNA REPORT, FY 2020-2022 EVALUATION REPORT, AND 2023-2025 STRATEGIC IMPLEMENTATION PLAN AND FORMALLY APPROVED ALL THREE DOCUMENTS IN MAY 2022. THE HEALTH PRIORITIES IDENTIFIED IN THE MOST RECENT CHNA WERE: 1. PREVENT AND MANAGE CHRONIC DISEASES: HEART DISEASE, DIABETES, CANCER 2. PROVIDE ACCESS TO CARE AND SERVICES: MATERNAL HEALTH, MENTAL HEALTH 3. REDUCE INEQUITIES CAUSED BY SOCIAL DETERMINANTS OF HEALTH INGALLS WILL ADDRESS THE NEEDS IDENTIFIED IN ITS MOST RECENT CHNA THROUGH EXECUTION OF THE IMPLEMENTATION STRATEGY. INGALLS WILL ADDRESS THE IDENTIFIED NEEDS THROUGH THE FOLLOWING APPROACHES: 1) CARE DELIVERY INITIATIVES. THE CARE DELIVERY INITIATIVES INCLUDE A MYRIAD OF INITIATIVES THAT PROVIDE DIRECT HEALTH AND WELLNESS SERVICES TO COMMUNITY MEMBERS. THESE SERVICES ARE EXECUTED IN MULTIPLE WAYS THAT INCLUDE LEVERAGING INGALLS RESOURCES AND PARTNERING WITH COMMUNITY HEALTH CENTERS AND COMMUNITY-BASED CLINICAL SERVICES. 2) COMMUNITY IMPACT GRANTS. GRANT OPPORTUNITIES ARE PROVIDED TO COMMUNITY-BASED ORGANIZATIONS THAT IMPLEMENT PROGRAMS TO ADDRESS THE INGALLS PRIORITY AREAS WITHIN THE INGALLS SERVICE AREA. 3) COMMUNITY-BASED EDUCATION & OUTREACH. INGALLS OUTREACH AND ENGAGEMENT COMPONENTS ARE DIRECTLY ALIGNED WITH THE HOSPITALS' PRIORITY AREAS, PROMOTING EDUCATION AND AWARENESS TO COMMUNITY MEMBERS IN THE TARGETED SERVICE AREAS. THESE ACTIVITIES ARE INTENDED TO BETTER INFORM AND EDUCATE THE COMMUNITY REGARDING HEALTH PROMOTION AND DISEASE SELF-MANAGEMENT PRACTICES. RATIONALE FOR UNADDRESSED NEEDS: IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, INGALLS DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH FIT WITHIN THE CURRENT RESOURCES AVAILABLE. WHILE VIOLENCE WAS NOT SELECTED AS A HEALTH PRIORITY AREA FOR FY 2023-2025, IT AFFECTS THE HEALTH STATUS OF THE WHOLE COMMUNITY. CONSEQUENTLY, VIOLENCE WILL BE ADDRESSED IN RELATION TO EACH OF THE PRIORITY HEALTH AREAS BY FOCUSING ON THE SOCIAL INEQUITIES CAUSED BY THE SOCIAL DETERMINANTS OF HEALTH (SDOH) AND BY PROVIDING ACCESS TO MENTAL HEALTH SERVICES. THIS FRAMEWORK RETAINS FOUR OF THE HEALTH PRIORITIES FROM THE FY 2020-2022 STRATEGIC IMPLEMENTATION PLAN: HEART DISEASE, DIABETES, CANCER, AND MATERNAL HEALTH. IN THE FY 2020-2022 SIP, ASTHMA WAS SELECTED AS A PRIORITY HEALTH AREA. DURING THE LAST CYCLE, INGALLS INVESTED RESOURCES TO ADDRESS ASTHMA. AS A RESULT OF THESE EFFORTS (AND OTHER FACTORS), THERE WAS A DECLINE IN ASTHMA EMERGENCY DEPARTMENT (ED) VISITS. CONSEQUENTLY, ASTHMA IS NOT A PRIORITY HEALTH AREA FOR THE FY 2023-2025 SIP. THE HOSPITAL WILL CONTINUE TO INVEST RESOURCES TO SUSTAIN THIS POSITIVE OUTCOME BY SUPPORTING EXISTING PROGRAMS. ADDITIONALLY, INGALLS WILL CONTINUE TO WORK WITH PARTNERS, INCLUDING THE LOCAL PUBLIC HEALTH DEPARTMENTS, COMMUNITY ORGANIZATIONS AND FEDERAL QUALIFIED HEALTH CENTERS TO MEET THE HEALTH NEEDS OF OUR PATIENT SERVICE AREA. PLEASE SEE A REPORT OF INGALLS COMMUNITY ACTIVITIES IN PART VI, LINE 5.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - THE INGALLS MEMORIAL HOSPITAL. A PATIENT IS NOT REQUIRED TO PAY MORE THAN 20% OF HIS/HER FAMILY INCOME FOR ALL EMERGENCY AND OTHER MEDICALLY NECESSARY CARE PROVIDED BY IMH IN A 12-MONTH PERIOD. THE MEDICAL INDIGENCY DISCOUNT APPLIES TO ANY PATIENT WHOSE PATIENT BALANCE DUE FOR EMERGENCY AND OTHER MEDICALLY NECESSARY SERVICES EXCEEDS 20% OF HIS/HER ADJUSTED GROSS INCOME IN THE YEAR THAT THE PATIENT RECEIVED CARE.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
INGALLS FAMILY CARE CENTER
1600 TORRENCE AVENUE	CALUMET CITY	IL	60409	URGENT AID, PRIMARY CARE, AND SPECIALIST SERVICES
INGALLS FAMILY CARE CENTER
19550 GOVERNORS HIGHWAY	FLOSSMOOR	IL	60422	URGENT AID AND SPECIALIST SERVICES
INGALLS FAMILY CARE CENTER
6701 WEST 159TH STREET	TINLEY PARK	IL	60477	URGENT AID, PRIMARY CARE, AND SPECIALIST SERVICES
INGALLS CARE CENTER
4742 CAL SAG ROAD	CRESTWOOD	IL	60445	QUICK CARE CENTER AND OCCUPATIONAL HEALTH
INGALLS CARE CENTER
16246 PRINCE DRIVE	SOUTH HOLLAND	IL	60473	INDUSTRIAL, MEDICAL REHABILITATION AND PHYSICIAN OFFICES
INGALLS WELLNESS CENTER
2920 WELLNESS CENTER	HOMEWOOD	IL	60430	COMPLEMENTARY MEDICINE AND COMMUNITY HEALTH PROGRAMS

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I Line 3c	AUTOMATIC UNINSURED SELF-PAY DISCOUNT A DISCOUNT OF 80% 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. 4. IF A PATIENT SUBSEQUENTLY PROVIDES EVIDENCE OF INSURANCE COVERAGE, THE AUTOMATIC DISCOUNT WILL BE REVERSED AND THE INSURANCE COVERAGE PROVIDED WILL BE BILLED ACCORDINGLY. 5. PATIENT WHO ARE OTHERWISE INSURED AND CHOOSE NOT TO USE THEIR INSURANCE COVERAGE ARE INELIGIBLE FOR THIS AUTOMATIC DISCOUNT.
Schedule H, Part I Line 7	INGALLS UTILIZES A COST TO CHARGE METHODOLOGY. CHARGES ASSOCIATED WITH THE RELATED CATEGORIES ARE THEN USED TO DETERMINE COST RELATED TO SUCH REVENUE.
Schedule H, Part V, Section B, Line 4	THE HOSPITAL IS REPORTING THE TAX YEAR BEGINNING FOR WHICH IT LAST CONDUCTED ITS CHNA. THE CHNA WAS FINALIZED DURING THE TAX YEAR ENDED JUNE 30, 2022.
Schedule H, Part III Line 1	INGALLS FOLLOWS GAAP PRINCIPLES AND UNDER THE NEW REPORTING STANDARD ASC 606, BAD DEBT IS NOW IMPLICIT PRICE CONCESSIONS. THE REPORTING OF BAD DEBT ALSO CONFORMS TO THE UPDATED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION NO. 15.
Schedule H, Part I Line 5a	WHILE INGALLS PROJECTS AN ANTICIPATED AMOUNT OF DISCOUNTED CARE EACH FISCAL YEAR WHEN CREATING ITS ANNUAL BUDGET, NO SPECIFIC LINE ITEM OR LIMIT IS INCLUDED IN THE BUDGET. THE ABSENCE OF A LINE ITEM IN NO WAY LIMITS THE AMOUNT OF DISCOUNTED CARE INGALLS PROVIDES.
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE	https://www.uchicagomedicine.org/-/media/pdfs/adult-pdfs/patients-and-visitors/patients/ingalls-financial-assistance/patient-financial-assistance-discounts-and-collections-policy-signed.pdf
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	https://www.uchicagomedicine.org/-/media/pdfs/adult-pdfs/patients-and-visitors/patients/ingalls-financial-assistance/financial-assistance-application.pdf
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.uchicagomedicine.org/-/media/pdfs/adult-pdfs/patients-and-visitors/patients/ingalls-financial-assistance/ingalls-financial-assistance-plain-language-summary.pdf
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE AMOUNT REPORTED AS BAD DEBT EXPENSE IS DETERMINED BY APPLYING THE RATIO OF COST TO CHARGES (RCC) TO THE TOTAL CHARGES WRITTEN OFF TO BAD DEBT AS REPORTED IN THE AUDITED FINANCIAL STATEMENTS. THE RCC WAS DETERMINED UTILIZING WORKSHEET 2 FROM FORM 990, SCHEDULE H INSTRUCTIONS. THE BASIS FOR THIS COSTING METHODOLOGY IS THE HOSPITAL'S OPERATING EXPENSES (EXCLUDING BAD DEBT) ADJUSTED BY OTHER OPERATING REVENUE AND COMMUNITY BENEFIT EXPENSE DIVIDED BY GROSS PATIENT CHARGES.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	IMH RUNS PRESUMPTIVE ELIGIBILITY FOR FINANCIAL ASSISTANCE WHEN SUFFICIENT INFORMATION CANNOT BE OBTAINED. AS A RESULT, IMH DOES NOT BELIEVE THERE IS ANY BAD DEBT FOR INDIVIDUALS THAT WOULD OTHERWISE QUALIFY FOR ASSISTANCE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	FOOTNOTE TO FINANCIAL STATEMENTS: IN ACCORDANCE WITH ASC TOPIC 606, REVENUE FROM CONTRACTS WITH CUSTOMERS, THE SYSTEM DOES NOT ADJUST THE PROMISED AMOUNT OF CONSIDERATION FROM PATIENTS AND THIRD-PARTY PAYORS FOR THE EFFECTS OF A SIGNIFICANT FINANCING COMPONENT DUE TO THE EXPECTATION THAT THE PERIOD BETWEEN THE TIME THE SERVICE IS PROVIDED TO A PATIENT AND THE TIME THAT THE PATIENT OR A THIRD-PARTY PAYOR PAYS FOR SERVICE WILL BE ONE YEAR OR LESS. REVENUES ARE RECOGNIZED IN THE AMOUNTS TO WHICH IT EXPECTS TO BE ENTITLED, WHICH ARE THE TRANSACTION PRICES ALLOCATED TO THE DISTINCT SERVICES. THE SYSTEM HAS AGREEMENTS WITH GOVERNMENTAL AND OTHER THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE SYSTEM AT AMOUNTS DIFFERENT FROM ESTABLISHED CHARGES. PAYMENT ARRANGEMENTS FOR MAJOR THIRD-PARTY PAYORS MAY BE BASED ON PROSPECTIVELY DETERMINED RATES, REIMBURSED COST, DISCOUNTED CHARGES, PER DIEM PAYMENTS, OR OTHER METHODS. THE TRANSACTION PRICE IS DETERMINED BASED ON GROSS CHARGES FOR SERVICES PROVIDED, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYERS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE PROGRAM, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO UNINSURED PATIENTS. THE ESTIMATES OF EXPLICIT PRICE CONCESSIONS AND DISCOUNTS ARE BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. THE ESTIMATES OF IMPLICIT PRICE CONCESSIONS ARE BASED ON HISTORICAL COLLECTION EXPERIENCE WITH THESE CLASSES OF PATIENTS USING THE PORTFOLIO APPROACH.
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 SERVES 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 SHORTFALL REPORTED IN THE COMMUNITY BENEFITS REPORT IS MEDICARE NET PATIENT SERVICE REVENUE LESS 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 PREREGISTRATION, 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 NONEMERGENT 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 EMERGENCY MEDICAL TREATMENT AND LABOR ACT (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 ARE NOT LIMITED TO, REQUESTING INFORMATION ABOUT THE PATIENT'S INSURANCE STATUS, CHECKING ANY AVAILABLE PUBLIC OR PRIVATE INSURANCE DATABASES, AND FOLLOWING THE BILLINGS RULES OF A KNOWN THIRD PARTY PAYER. IF THE PATIENT OR GUARANTOR/GUARDIAN IS UNABLE TO PROVIDE THE INFORMATION NEEDED, AND THE PATIENT CONSENTS, THE HOSPITAL WILL MAKE REASONABLE EFFORTS TO CONTACT RELATIVES, FRIENDS, GUARANTOR/GUARDIAN, AND THE THIRD PARTY FOR ADDITIONAL INFORMATION. INGALLS MEMORIAL HOSPITAL WILL ALSO MAKE REASONABLE AND DILIGENT EFFORTS TO INVESTIGATE WHETHER A THIRD PARTY RESOURCE MAY BE RESPONSIBLE FOR THE SERVICES PROVIDED BY THE HOSPITAL, INCLUDING BUT NOT LIMITED TO: (1) A MOTOR VEHICLE OR HOMEOWNER'S LIABILITY POLICY, (2) GENERAL ACCIDENT OR PERSONAL INJURY PROTECTION POLICIES, (3) WORKER'S COMPENSATION PROGRAMS, (4) STUDENT INSURANCE POLICIES, AMONG OTHERS. IN ACCORDANCE WITH APPLICABLE STATE REGULATIONS OR THE INSURANCE CONTRACT, FOR ANY CLAIM WHERE INGALLS MEMORIAL HOSPITAL'S REASONABLE AND DILIGENT EFFORTS RESULTED IN A PAYMENT FROM A PRIVATE INSURER OR PUBLIC PROGRAM, INGALLS MEMORIAL HOSPITAL WILL REPORT THE RECOVERY AND OFF SET IT AGAINST THE CLAIM PAID BY THE PRIVATE INSURER OR PUBLIC PROGRAM.THE HOSPITAL FURTHER MAINTAINS ALL INFORMATION IN ACCORDANCE WITH APPLICABLE FEDERAL AND STATE PRIVACY, SECURITY AND ID THEFT LAWS.
Schedule H, Part V, Section B, Line 16a FAP website	- INGALLS MEMORIAL HOSPITAL: Line 16a URL: (SEE STATEMENT);
Schedule H, Part V, Section B, Line 16b FAP Application website	- INGALLS MEMORIAL HOSPITAL: Line 16b URL: SEE STATEMENT;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- INGALLS MEMORIAL HOSPITAL: Line 16c URL: SEE STATEMENT;
Schedule H, Part VI, Line 2 Needs assessment	INGALLS ASSESSES THE HEALTH CARE NEEDS OF THE SOUTH SUBURBAN SERVICE AREA THROUGH THE IMPLEMENTATION OF THE CHNA, STAKEHOLDER ENGAGEMENT, AND COMMUNITY IMPACT GRANT OPPORTUNITIES FOR COMMUNITY-BASED ORGANIZATIONS. INGALLS CONDUCTED ITS CHNA BETWEEN APRIL 2021 AND FEBRUARY 2022 USING A PROCESS THAT WAS ADAPTED FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. THIS PLANNING FRAMEWORK FOCUSES ON COMMUNITY ENGAGEMENT, PARTNERSHIP DEVELOPMENT, AND INCLUSION OF THOSE WHO HAVE HISTORICALLY BEEN EXCLUDED FROM THE DECISION-MAKING PROCESS. PRIMARY DATA FOR THE CHNA WAS COLLECTED THROUGH FOUR CHANNELS. > COMMUNITY RESIDENT SURVEYS > COMMUNITY RESIDENT FOCUS GROUPS > HEALTHCARE AND SOCIAL SERVICE PROVIDER FOCUS GROUP > KEY INFORMANT INTERVIEWS THE COMMUNITY RESIDENT SURVEY TOOL WAS DEVELOPED BY INGALLS & UCMC STAFF, INGALLS COMMUNITY ADVISORY COUNCIL AND BASED ON A DESIGN USED BY OTHER PUBLIC HEALTH AGENCIES. THE FINAL SURVEY TOOL INCLUDED 29 QUESTIONS AND ASKED RESPONDENTS TO IDENTIFY HEALTH NEEDS OF YOUTH (0-17 YEARS), ADULTS (18-64 YEARS), AND SENIORS (65+ YEARS). COMMUNITY RESIDENT SURVEYS WERE AVAILABLE ONLINE AND IN PERSON IN BOTH ENGLISH AND SPANISH. COMMUNITY PARTNERS DISTRIBUTED THE SURVEY THROUGH VARIOUS CHANNELS WITH A PARTICULAR EMPHASIS ON SURVEYING TYPICALLY UNDERREPRESENTED POPULATIONS, SUCH AS COMMUNITIES OF COLOR, IMMIGRANTS AND MEMBERS OF THE LGBTQ+ COMMUNITY. INGALLS HELD FOUR FOCUS GROUPS, EACH COVERING A SPECIFIC HEALTH AREA OR POPULATION: > ADULT HEALTH > MATERNAL AND CHILD HEALTH > YOUTH HEALTH > HEALTHCARE AND SOCIAL SERVICE PROVIDERS DUE TO THE COVID-19 PANDEMIC, INGALLS CONDUCTED MOST OF ITS FOCUS GROUPS VIRTUALLY. IN-PERSON AND VIRTUAL FOCUS GROUPS LASTED 90 MINUTES WITH UP TO 12 COMMUNITY MEMBERS IN EACH ONE. IN ADDITION TO THE FOUR GROUPS, THE COMMUNITY BENEFIT MANAGEMENT TEAM IDENTIFIED EIGHT KEY INFORMANTS FOR ONE-ON-ONE INTERVIEWS. KEY INFORMANTS WERE CHOSEN BASED ON THEIR AREA OF EXPERTISE TO FURTHER VALIDATE THEMES THAT EMERGED FROM THE SURVEYS AND FOCUS GROUPS. KEY INFORMANT INTERVIEWS WERE CONDUCTED VIRTUALLY AND EACH LASTED 30 MINUTES. SECONDARY POPULATION HEALTH AND DEMOGRAPHIC DATA WAS COLLECTED FROM A VARIETY OF SOURCES, INCLUDING ILLINOIS HOSPITAL ASSOCIATION (IHA) COMPDATA. INGALLS USED A COMMON SET OF HEALTH INDICATORS TO UNDERSTAND THE PREVALENCE OF MORBIDITY AND MORTALITY IN THE SERVICE AREA. ALL DATA WERE UPLOADED AND ANALYZED USING THE METOPIO DATA PLATFORM. BUILDING ON INGALLS' PAST CHNA, THE DATA PRIORITY SETTING TEAM, WHICH INCLUDED THE DIRECTOR, COMMUNITY RELATIONS & VOLUNTEER SERVICE AT INGALLS, AND STAFF FROM UNIVERSITY OF CHICAGO MEDICINE'S (UCM'S) COMMUNITY BENEFIT AND EVALUATION TEAM, WORKED WITH THE COMMUNITY BENEFIT MANAGEMENT TEAM AND THE COMMUNITY BENEFIT COMMITTEE AS WELL AS SEVERAL WORKGROUPS TO PRIORITIZE HEALTH ISSUES FOR INGALLS NEXT THREE YEARS OF COMMUNITY BENEFIT PROGRAMMING FROM 2020-2022. USING THE CHNA AS A FOUNDATIONAL TOOL, THE DATA PRIORITY SETTING TEAM REVIEWED AND COMPARED THE 2020-2021 INGALLS SERVICE AREA HEALTH OUTCOME DATA TO PREVIOUS HEALTH OUTCOME DATA. NEW DATA AND HEALTH ISSUES THAT WERE WORSE THAN PREVIOUS YEARS WERE SLATED FOR CONSIDERATION. FOR MORE INFORMATION ON INGALL'S SELECTED HEALTH PRIORITY AREAS PLEASE SEE PART V, SECTION B, LINE 11.
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 INFORMED VIA THE HOSPITAL'S WEBSITE, INDIVIDUAL PATIENT STATEMENTS, AND FINANCIAL COUNSELORS. BELOW ARE SOME 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 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 INCLUDE A PROMINENT STATEMENT THAT PATIENTS WHO MEET 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. THE FOLLOWING ARE MADE PUBLICLY AVAILABLE VIA THE HOSPITAL'S WEBSITE, https://www.uchicagomedicine.org/patients-visitors/patient-information/billing/financial-assistance-at-ingalls 1. PATIENT BROCHURES 2. FINANCIAL ASSISTANCE POLICY 3. APPLICATION FORMS USED TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE. 4. PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE POLICY
Schedule H, Part VI, Line 4 Community information	INGALLS SERVICE AREA CONSISTS OF A LARGE, MEDICALLY UNDER RESOURCED, LOWER INCOME POPULATION IN SOUTH SUBURBAN COOK COUNTY. BASED ON THE RESULTS OF THE 2021-2022 CHNA, THE INGALLS PATIENT SERVICE AREA (PSA) HAS UNDERGONE SIGNIFICANT POPULATION CHANGES OVER THE LAST DECADE. THE 2015-2019 ESTIMATES FROM THE AMERICAN COMMUNITY SURVEY REVEALED THAT THE INGALLS PSA'S POPULATION DECLINED BY 4.9%, WHILE THE TOTAL POPULATION OF COOK COUNTY INCREASED BY 1.6%, AND SOUTH SUBURBAN COOK COUNTY (SSCC) DECREASED BY 2.2%. THE INGALLS PSA IS COMPRISED OF THORNTON TOWNSHIP, WHICH CONSISTS OF 13 ZIP CODES, 20 CITIES/MUNICIPALITIES. THE INGALLS PSA COMPRISES OF 56,994 RESIDENTS, MANY OF WHOM ARE UNDERSERVED BY INGALLS. SOME OF THE COMMUNITIES IN INGALLS SERVICE AREA HAVE SOME OF THE HIGHEST CHRONIC DISEASE RATES IN SUBURBAN COOK COUNTY. THE POPULATION OF THE INGALLS PSA IS APPROXIMATELY 62.5 PERCENT BLACK, 19.8% Hispanic/Latinx, 14.4% non-Hispanic White, 0.6% Asian & Pacific Islander, 0.1% Native Americans in all three areas, and people identifying as two or more races account for 2.1% in both the Ingalls PSA . IN THE INGALLS PSA, 18.7% OF INDIVIDUALS LIVE BELOW THE FEDERAL POVERTY LEVEL - THIS IS 1.5 TIMES THE STATE LEVEL. THE UNEMPLOYMENT RATE IS 12.9% IN THE INGALLS PSA COMPARED TO 8.9% IN SOUTH SUBURBAN COOK COUNTY AND 5.9% IN ILLINOIS. 12.8% OF RESIDENTS IN INGALLS PSA ARE FOOD INSECURE. 9.1% OF THOSE IN THE INGALLS PSA DO NOT HAVE HEALTH INSURANCE COMPARED TO 6.8% IN SOUTH SUBURBAN COOK COUNTY AND 8.8% IN COOK COUNTY. 31.4% HAVE MEDICAID COVERAGE, WHICH IS 1.5 TIMES THE STATE LEVEL. IN THE INGALLS PSA PREVENTABLE CHRONIC DISEASE HOSPITALIZATION RATES ARE AMONG THE HIGHEST 1% IN ILLINOIS. THESE DISEASES AFFECT BLACK COMMUNITY MEMBERS AT AN UNEQUAL RATE. THE EMERGENCY DEPARTMENT VISIT RATE FOR HYPERTENSION IN THE INGALLS PSA IS AMONG THE HIGHEST IN THE STATE. ADDITIONALLY, THE EMERGENCY DEPARTMENT VISIT RATE FOR HEART FAILURE IS IN THE 90TH PERCENTILE. THE RATE OF DIABETES IS 15% HIGHER IN THE INGALLS PSA THAN IN SOUTH SUBURBAN COOK COUNTY. THE RATE OF OBESITY, WHICH IS A RISK FACTOR FOR TYPE 2 DIABETES, IS NEARLY 35.5% IN THE SERVICE AREA. ON AVERAGE, PEOPLE WHO LIVE IN INGALLS PSA HAVE A MORE ADVANCED STAGE OF CANCER WHEN THEY ARE DIAGNOSED THAN OTHER RESIDENTS IN SOUTH SUBURBAN COOK COUNTY, COOK COUNTY, AND ILLINOIS. IN ADDITION TO THE PREVENTABLE CHRONIC DISEASES, THE INGALLS PSA HAS ONE OF THE HIGHEST BEHAVIORAL HEALTH ED VISIT RATES IN THE STATE FOR ADULTS. INGALLS IS ONE OF THE FEW HOSPITALS LOCATED IN SOUTH SUBURBAN COOK COUNTY.
Schedule H, Part VI, Line 5 Promotion of community health	THE UNIVERSITY OF CHICAGO INGALLS MEMORIAL HOSPITAL (INGALLS) IS A COMMUNITY HOSPITAL THAT WORKS WITH ITS COMMUNITY AND PARTNERS TO IMPROVE HEALTH, PREVENT DISEASES AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH IN ITS SERVICE AREA. COMMUNITY IMPACT GRANTS INGALLS COMMUNITY IMPACT GRANTS PROGRAM PROVIDES NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATIONS FUNDING TO SUPPORT HEALTH PROGRAMMING OR A FUNDRAISING EVENT. PRIORITY CONSIDERATION IS GIVEN TO THOSE GRANTS THAT ARE IN LINE WITH INGALLS' STRATEGIC HEALTH PRIORITIES. FUNDING TO COMMUNITY ORGANIZATIONS HELPS THEM EXPAND THEIR CAPABILITIES TO SERVE MORE COMMUNITY MEMBERS. IN FY 2022, INGALLS AWARDED $50,000 IN COMMUNITY IMPACT GRANTS, WHICH WERE USED TO ADDRESS THE HEALTH PRIORITY AREAS. - $25,000 DONATED TO CANCER SUPPORT CENTER TO INCREASE CANCER AWARENESS AND EXPAND ACCESS TO CANCER CARE - $10,000 PROVIDED TO THORNTON TOWNSHIP HIGH SCHOOL TO INTRODUCE STUDENTS TO URBAN FARMING AND ACCESS TO QUALITY FOOD - $15,000 IN FUNDING GIVEN TO BARBARA W. SMITH FAMILY LIFE CENTER TO PROVIDE HEALTH AND WELLNESS PROGRAMMING CHRONIC DISEASES: DIABETES, HEART DISEASE AND CANCER IN 2022, INGALLS OFFERED: - 14 NUTRITION WELLNESS TALKS FOCUSED ON HEART HEALTH, CANCER, DIABETES, AND WEIGHT MANAGEMENT - 106 PEOPLE ATTENDED ACCESS TO MATERNAL HEALTH THE HEALTHY BABY NETWORK (HBN) WAS ESTABLISHED TO ADDRESS THE NUMBER OF WOMEN GIVING BIRTH WHO HAVE NOT RECEIVED PRENATAL CARE. THE LACK OF PRENATAL CARE RESULTS IN PREMATURE BIRTHS, BABIES WITH LOW BIRTH WEIGHTS, INCREASED MORBIDITY AND MORTALITY, AND NUMEROUS OTHER COMPLICATIONS THAT HAVE BEEN EASILY TREATED. IN 2022, 101 PEOPLE ENROLLED IN HBN, 84 OF HBN PARTICIPANTS DELIVERED BABIES, 73 DELIVERIES WERE FULL-TERM BABIES, 72 BABIES HAD A NORMAL BIRTH WEIGHT, AND 100 PEOPLE ATTENDED THE DRIVE THRU BABY SHOWER. INGALLS DEVELOPMENT FOUNDATION THE INGALLS DEVELOPMENT FOUNDATION'S PURPOSE IS TO CONNECT DONORS WITH PHILANTHROPIC INVESTMENT OPPORTUNITIES TO TRANSFORM COMMUNITY MEDICINE IN THE UCHICAGO MEDICINE INGALLS MEMORIAL HOSPITAL SERVICE AREA. IN 2022, THE FOUNDATION PROVIDED: - $2.4 MILLION TO FUND WOOD STREET COMMUNITY HEALTH CORRIDOR. THIS INCLUDED AN OVERALL PLAN TO PROMOTE ECONOMIC DEVELOPMENT IN HARVEY, ILLINOIS. - $18,750 IN COMMUNITY SCHOLARSHIPS FOR 20 HEALTH EDUCATION STUDENTS. -$8,750 IN SUPPORT OF THE INGALLS ROOFTOP GARDEN. FUNDING ALLOWED FOR THE HIRING OF A LOCAL GARDEN COORDINATOR WHO WORKED WITH COMMUNITY MEMBERS IN MAINTENANCE AND HARVESTING EFFORTS. OUTREACH AND SUPPORT - MENTAL HEALTH THE COVID-19 PANDEMIC UNLEASHED THE BRUTAL TRUTH - MENTAL HEALTH IS AS IMPORTANT AS PHYSICAL HEALTH. THE 2021-2022 DATA SHOWED THAT INGALLS MEMORIAL'S SERVICE AREA HAS ONE OF THE HIGHEST BEHAVIORAL HEALTH EMERGENCY ROOM VISIT RATES IN THE STATE FOR ADULTS. TO ADDRESS THE NEED, INGALLS OFFERED FOUR FREE WORKSHOPS ON MENTAL HEALTH, WELLNESS AND SELF-CARE. ADDRESSING FOOD INSECURITY UCHICAGO MEDICINE INGALLS MEMORIAL HOSPITAL OPENED THREE ONSITE FOOD PANTRIES FOR ITS ONCOLOGY PATIENTS. THE PROGRAM DOES NOT REQUIRE INDIVIDUALS TO SIGN FOR EMERGENCY FOOD IF THEY ARE UNCOMFORTABLE. IN 2022, THE NUTRITION STATIONS EXPANDED TO FLOSSMOOR AND TINLEY PARK. IN FY 2022, 300 POUNDS OF FOOD WERE DISTRIBUTED, SERVING 2,705 PATIENTS. COMMUNITY ADVISORY COUNCIL (CAC) THE INGALLS CAC IS COMPRISED OF 14 MEMBERS AND SEEKS COMMUNITY INPUT ON HEALTH ISSUES THAT ARE IMPORTANT TO ITS PRIMARY SERVICE AREA AND SURROUNDING COMMUNITIES. THE COUNCIL TALKS TO THE COMMUNITY TO HELP GUIDE FUTURE DECISIONS FOR RESOURCES OF UCHICAGO MEDICINE INGALLS MEMORIAL HOSPITAL IN HARVEY AND INGALLS AMBULATORY LOCATIONS. COMMUNITY BOARD THE INGALLS BOARD OF DIRECTORS MEMBERSHIP IS COMPRISED OF LOCAL BUSINESS AND COMMUNITY MEMBERS THAT LIVE IN THE CHICAGO AND THE SOUTH SUBURBAN REGION. IN ADDITION TO THE INGALLS PRESIDENT, ONE EMPLOYED PHYSICIAN SERVES AS AN ELECTED BOARD MEMBER. ALL MEMBERS ARE IN COMPLIANCE WITH THE BOARD CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO COMPLETE AN ANNUAL CERTIFICATION AND DISCLOSURE FORM. QUALIFIED PHYSICIANS INGALLS RESPONDS TO REQUESTS FOR APPLICATIONS TO JOIN THE MEDICAL STAFF MADE BY QUALIFIED PHYSICIANS IN THE COMMUNITY. THE INGALLS PROFESSIONAL AFFAIRS COMMITTEE REVIEWS INQUIRIES AND PROVIDES APPLICATIONS TO PHYSICIANS WHO MEET THE MINIMUM QUALIFICATIONS FOR MEDICAL STAFF MEMBERSHIP IF THERE IS A NEED FOR A PARTICULAR SERVICE AND/OR A PATIENT NEED EXISTS WITHIN THE COMMUNITY. STAFF EDUCATION IN FY 2022 INGALLS INVESTED $1.2 MILLION IN MEDICAL EDUCATION. THE INGALLS MEDICAL STAFF SUPPORTS IMPROVEMENTS IN PATIENT CARE AND ONGOING EDUCATION TO THE MEDICAL AND PROFESSIONAL STAFF THROUGH FUNDING OF MEDICAL EDUCATION ACTIVITIES. INGALLS IS ACCREDITED BY THE ILLINOIS STATE MEDICAL SOCIETY TO AWARD CME CATEGORY 1 CREDIT. THE CME COMMITTEE IS RESPONSIBLE FOR OVERSIGHT OF MONTHLY CME ACTIVITIES WHICH ARE SPONSORED BY THE HOSPITAL. BOTH MEDICAL AND PROFESSIONAL (NURSING, QUALITY MANAGEMENT, ETC.) STAFF ARE INVITED AND ENCOURAGED TO ATTEND THE PROGRAMS. TO PROMOTE COMMUNITY HEALTH ACTIVITIES AND PROGRAMS, INGALLS DISTRIBUTES INFORMATION VIA: - EXTERNAL NEWSLETTERS - COMMUNITY PARTNERS - MESSAGE BOARDS - SOCIAL MEDIA PLATFORMS
Schedule H, Part VI, Line 6 Affiliated health care system	THE INGALLS MEMORIAL HOSPITAL IS PART OF THE INGALLS HEALTH SYSTEM THAT IS NOW KNOWN AS UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. 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 HEALTH COUNCIL INGALLS HOME CARE INGALLS PROVIDER GROUP INGALLS CASUALTY INSURANCE INGALLS SAME DAY SURGERY, LTD. INGALLS CARE NETWORK PRIMARY HEALTHCARE ASSOCIATES, SC TRULEN INSURANCE SPC LIMITED
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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
FAMILY CHRISTIAN HEALTH CENTER
31 W 155TH STREET	CHICAGO	IL	60426	364346917	501(C)(3)	$25,000	COMMUNITY IMPACT GRANT
CANCER SUPPORT CENTER
2028 ELM RD	HOMEWOOD	IL	60430	363880404	501(C)(3)	$55,000	COMMUNITY IMPACT GRANT
BARBARA W SMITH FAMILY LIFE CENTER
1130 E 154TH ST	SOUTH HOLLAND	IL	60473	463014545	501(C)(3)	$15,000	COMMUNITY IMPACT GRANT

Field	Value	IRS element (for citing)
Total501c3 Org	3	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	96	RecipientCnt
Cash Grant	$71,500	CashGrantAmt
Valuation Method Used	CASH	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule I, Part I, Line 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	INGALLS DEVELOPMENT FOUNDATION'S BOARD OF DIRECTORS APPROVES THE GRANTS MADE TO OTHER ORGANIZATIONS. FUNDS ARE THEN TRANSFERRED TO INGALLS MEMORIAL HOSPITAL FOR DISBURSEMENT. ENTITIES RECEIVING GRANT FUNDS MUST PROVIDE A WRITTEN FINAL REPORT AND BUDGET NARRATIVE TO ENSURE THE FUNDS WERE EXPENDED TO ATTAIN GRANT OBJECTIVES.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	SCHOLARSHIPS ARE PAID DIRECTLY TO THE EDUCATIONAL INSTITUTIONS IN ORDER TO ENSURE THE FUNDS ARE USED FOR THEIR INTENDED PURPOSE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	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	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 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
BRIAN SINOTTE
FORMER PRESIDENT CHHD (THRU 5/31/21)	$266,509	$0	$148,065	$0	$9,176	$0	$0	$0	$7,627	$0	$431,376	$0	$0	$0
RANDY NEISWONGER
INTERIM PRESIDENT CHHD	$423,391	$0	$120,452	$0	$714	$0	$31,927	$0	$39,607	$0	$616,092	$0	$0	$0
JOHN A FLYNN MD
BOARD MEMBER (THRU 9/23/21)	$0	$633,075	$0	$118,392	$0	$42,494	$0	$23,200	$0	$33,445	$0	$850,606	$0	$0
MARK KOZLOFF MD
BOARD MEMBER	$0	$508,872	$0	$215,000	$0	$0	$0	$2,474	$0	$30,891	$0	$757,237	$0	$0
CORRIN STEINHAUER
BOARD MEMBER/VP PATIENT CARE & CNO, INGALLS (THRU 4/22/22)	$0	$308,019	$0	$54,910	$0	$58,277	$0	$32,280	$0	$41,773	$0	$495,259	$0	$0
STEPHEN WEBER MD
BOARD MEMBER (EFF. 9/23/21)	$0	$1,482,114	$0	$499,641	$0	$119,160	$0	$139,175	$0	$29,387	$0	$2,269,477	$0	$0
ENGIN YILMAZ MD
BOARD MEMBER	$0	$321,024	$0	$127,250	$0	$12,000	$0	$6,914	$0	$595	$0	$467,783	$0	$0
GARY GASBARRA
INTERIM CFO TIL 6/30/17	$0	$366,230	$0	$102,416	$0	$141,771	$0	$52,141	$0	$26,674	$0	$689,233	$0	$47,146
RICHARD W SILVERIA
FORMER CHIEF FINANCIAL OFFICER (THRU 4/22/21)	$0	$250,773	$0	$435,412	$0	$1,220,688	$0	$0	$0	$21,121	$0	$1,927,994	$0	$514,033
ANN MCCOLGAN
ASSISTANT TREASURER	$0	$279,136	$0	$76,499	$0	$133,033	$0	$40,057	$0	$41,286	$0	$570,011	$0	$26,910
TOMASZ SAMEK
ASSISTANT SECRETARY	$0	$168,449	$0	$20,815	$0	$4,489	$0	$7,870	$0	$19,692	$0	$221,315	$0	$0
IVAN SAMSTEIN
CHIEF FINANCIAL OFFICER	$0	$692,648	$0	$125,203	$0	$37,077	$0	$81,600	$0	$43,485	$0	$980,012	$0	$0
PAUL DONOHUE
VP PHILANTHROPY AND COMMUNITY	$227,276	$0	$36,091	$0	$0	$0	$17,524	$0	$48,678	$0	$329,569	$0	$0	$0
DOUGLAS SAEGESSER
VP OF FINANCE (THRU 9/8/2021)	$267,351	$0	$63,944	$0	$116,599	$0	$1,180	$0	$34,300	$0	$483,374	$0	$15,859	$0
MARY JO CRANDALL
VP OPERATIONS	$226,520	$0	$31,528	$0	$0	$0	$3,230	$0	$0	$0	$261,278	$0	$0	$0
POONAM DESAI
EXECUTIVE DIRECTOR, AMBULATORY	$210,289	$0	$26,471	$0	$0	$0	$2,894	$0	$43,438	$0	$283,092	$0	$0	$0
NEGIN KIYAVASH
DIRECTOR OF PHARMACY	$194,245	$0	$26,775	$0	$0	$0	$3,005	$0	$29,763	$0	$253,788	$0	$0	$0
LISA LIGUE
DIRECTOR, REVENUE CYCLE	$200,488	$0	$25,184	$0	$240	$0	$2,859	$0	$0	$0	$228,771	$0	$0	$0
KRISTINE SHIELDS
OCCUPATIONAL MEDICINE	$205,764	$0	$33,355	$0	$0	$0	$2,948	$0	$0	$0	$242,067	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	DURING 2021, THE ORGANIZATION PROVIDED A VERY LIMITED NUMBER OF AD HOC TAX-RELATED PAYMENTS. RANDY NEISWONGER RECEIVED TAX RELATED PAYMENTS IN CONNECTION WITH THE PAYMENT OF AN EXECUTIVE LIFE INSURANCE POLICY. ALL TAX-RELATED PAYMENTS ARE INCLUDED IN TAXABLE COMPENSATION, AND ARE CONFIRMED AS BEING REASONABLE WHEN CONSIDERED WITH ALL OTHER FORMS OF COMPENSATION.
Schedule J, Part I, Line 4a Severance or change-of-control payment	IN CALENDAR YEAR 2021, RICHARD SILVERIA AND DOUGLAS SAEGESSER RECEIVED SEVERANCE PAYMENTS FOLLOWING THEIR TERMINATION OF EMPLOYMENT ($1,080,964 TO RICHARD SILVERIA AND $116,599 TO DOUGLAS SAEGESSER). SOME OF THESE AMOUNTS WERE PREVIOUSLY REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION AS SET FORTH IN COLUMN (F) OF PART II.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	CERTAIN INDIVIDUALS LISTED IN SCHEDULE J, PART II PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO WHICH UCMC MAKES ANNUAL CONTRIBUTIONS. THESE CONTRIBUTIONS ARE AT RISK AND DO NOT BECOME VESTED AND PAYABLE UNLESS AND UNTIL THE INDIVIDUAL SATISFIES A SUBSTANTIAL FUTURE SERVICE REQUIREMENT. THE FOLLOWING INDIVIDUALS HAD CONTRIBUTIONS MADE TO THE PLAN IN JANUARY 2022 FOR CALENDAR YEAR 2021: ANN MCCOLGAN CORRIN STEINHAUER GARY GASBARRA IVAN SAMSTEIN PAUL DONOHUE RANDY NEISWONGER STEPHEN WEBER THE FOLLOWING INDIVIDUALS BECAME VESTED IN, AND WERE TAXED ON, AMOUNTS PREVIOUSLY CREDITED UNDER THE PLAN TO THE INDIVIDUAL FOR SERVICES PROVIDED TO THE ORGANIZATION IN PRIOR YEARS (INCLUDED IN THE 2021 W-2'S): ANN MCCOLGAN - $26,910 GARY GASBARRA - $47,146 STEPHEN WEBER - 119,160 RICHARD SILVERIA AND DOUGLAS SAEGESSER RECEIVED A DISTRIBUTION FROM A SUPPLEMENTAL RETIREMENT PLAN FOLLOWING THEIR TERMINATION OF EMPLOYMENT, IN ACCORDANCE WITH THE GOVERNING PLAN DOCUMENT ($514,033 TO RICHARD SILVERIA AND $15,859 TO DOUGLAS SAEGESSER). THESE DISTRIBUTIONS WERE REPORTED AS TAXABLE INCOME AND ARE INCLUDED IN THE COMPENSATION DISCLOSED IN SCHEDULE J IN THE REPORTED YEAR.
Schedule J, Part I, Line 7 Non-fixed payments	NINE PERSONS LISTED IN PART VII, SECTION A, LINE 1A RECEIVED NON-FIXED NON-RECURRING PAYMENTS DURING CALENDAR YEAR 2021. THESE NON-FIXED PAYMENTS ARE RELATED TO PERFORMANCE BONUSES.
Schedule J, Part II	TAXABLE INCOME REPORTED IN COLUMN (B) MAY INCLUDE PAYMENTS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN MOST CASES, THESE PAYMENTS WERE EARNED OVER MANY YEARS OF EMPLOYMENT AND THE AMOUNTS HAD PREVIOUSLY BEEN SUBJECT TO VESTING RULES. SERP PAYMENT AMOUNTS EARNED IN PRIOR YEARS WERE PREVIOUSLY REPORTED ON THE FORM 990 AS DEFERRED COMPENSATION AND ARE REPORTED IN THIS 2021 FORM 990 ON SCHEDULE J, PART II, COLUMN (F). AN INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD ANNUALLY REVIEWS THESE BENEFITS IN COMPARISON TO MARKET DATA AND HAS CONCLUDED THAT THESE BENEFITS AND ALL OTHER FORMS OF COMPENSATION PROVIDED TO THESE INDIVIDUALS ARE REASONABLE. The independent compensation committee of the board conducts its review and approval of all executive compensation, including these SERP amounts, in a manner that qualifies for the rebuttable presumption of reasonableness under federal tax law. This is a rigorous review process designed for tax-exempt organizations by the Internal Revenue Service, and it means that the board compensation committee does not have any conflicts of interest, and relies on market data compiled by an independent compensation consultant to support all executive pay as market competitive and reasonable. FOR THE INDIVIDUALS LISTED ON SCHEDULE J, PART II THAT ARE IDENTIFIED AS FORMER OFFICERS OR KEY EMPLOYEES, THE COMPENSATION LISTED IS EITHER THE FAIR MARKET VALUE COMPENSATION PAID TO THEM FOR SERVICES THEY PERFORMED AS ACTIVE EMPLOYEES OF IMH OR A RELATED ORGANIZATION (AND WAS NOT PAID TO THEM DUE TO THEIR FORMERLY HAVING BEEN LISTED AS OFFICERS OR KEY EMPLOYEES), OR COMPENSATION AS A COMBINATION OF SERVICES AND SEVERANCE: RICHARD SILVERIA AND DOUGLAS SAEGESSER.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	ILLINOIS FINANCE AUTHORITY 2017	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	861091967	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2017-12-29	BondIssuedDt
Issue Price	$41,180,000	IssuePriceAmt
Purpose	REFUNDING 2004 BONDS	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$8,790,000	RetiredAmt
Total Proceeds	$41,180,000	TotalProceedsAmt
Issuance Costs From Proceeds	$349,422	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$40,830,578	OtherSpentProceedsAmt
Substantial Completion	2017	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part V BOND POLICY	FormAndLineReferenceDesc
Explanation	WRITTEN TAX-EXEMPT BOND PROCEDURES WERE ADOPTED ON FEBRUARY 12, 2018.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 91,593,870 including grants of $ 95,000)(Revenue $ 49,526,422) OTHER PROGRAM SERVICES RELATED TO THE PROVISION OF HEALTHCARE INCLUDE LABORATORY SERVICES, PATIENT FINANCIAL SERVICES, COST OF FACILITIES, MALPRACTICE INSURANCE, AND OTHER SUPPORT SERVICES.
Form 990, Part VI, Line 1a PART VI, LINE 1A	THE BOARD OF DIRECTORS SHALL APPOINT ANNUALLY FROM ITS MEMBERSHIP AN EXECUTIVE COMMITTEE OF NOT LESS THAN FIVE (5) NOR MORE THAN NINE (9) MEMBERS, OF WHICH THREE (3) MEMBERS SHALL BE THE CHAIRMAN, THE VICE CHAIRMAN, AND THE SECRETARY/TREASURER OF THE HOSPITAL. THE EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE ALL OF THE POWERS OF THE BOARD OF DIRECTORS NOT PROHIBITED BY STATUTE OR SECTION 1 OF THE HOSPITAL'S BYLAWS BETWEEN MEETINGS THEREOF.
Form 990, Part VI, Line 6 Classes of members or stockholders	PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE SOLE VOTING MEMBER OF THE ORGANIZATION IS UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC., A RELATED TAX-EXEMPT ORGANIZATION. AS THE ORGANIZATION'S SOLE CORPORATE MEMBER, IT HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	DIRECTORS, OTHER THAN THE DIRECTORS EX OFFICIO, SHALL BE ELECTED ANNUALLY BY UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC., OR AT SUCH OTHER TIMES AS MAY BE DETERMINED BY THE SOLE MEMBER OF THE CORPORATION.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. SHALL RETAIN THE RIGHT TO REMOVE ANY DIRECTOR, OTHER THAN DIRECTORS EX OFFICIO, WITH OR WITHOUT CAUSE, AT ANY TIME. UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. MUST APPROVE ANY MODIFICATION OR AMENDMENT TO ANY MISSION STATEMENT, STATEMENT OF GOALS OR VALUES, THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; THE SALE, LEASE, EXCHANGE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; AND THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED INTERNALLY AND REVIEWED IN DETAIL BY AN INDEPENDENT ACCOUNTING FIRM WITH INFORMATION PROVIDED BY MANAGEMENT. THE FULL FORM 990, INCLUDING SUPPLEMENTAL SCHEDULES, WAS PRESENTED BY THE CHIEF FINANCIAL OFFICER TO THE FINANCE COMMITTEE AT A COMMITTEE MEETING. THE FULL BOARD HAS GRANTED TO THE FINANCE COMMITTEE AUTHORITY TO APPROVE THE FORM 990. THE FULL BOARD WILL RECEIVE A REPORT FROM THE FINANCE COMMITTEE DESCRIBING THE FINANCE COMMITTEE'S REVIEW PERFORMED. PRIOR TO FILING WITH THE IRS, THE FORM 990 WILL BE AVAILABLE AT THE ORGANIZATION'S BOARD MEETING FOR EACH MEMBER'S REVIEW.
Form 990, Part VI, Line 12c Conflict of interest policy	PURSUANT TO THE ORGANIZATION'S 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 EXISTS. BOARD MEMBERS AND EMPLOYEES SHALL HAVE THE CONTINUING AFFIRMATIVE DUTY TO REPORT TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) OF INGALLS ANY PERSONAL OWNERSHIP OF INTEREST OR OTHER RELATIONSHIP THAT MIGHT AFFECT THEIR ABILITY TO EXERCISE IMPARTIAL, ETHICAL BUSINESS JUDGMENTS IN THE AREA OF THEIR RESPONSIBILITIES. PER THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, BOARD MEMBERS AND 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 REQUIREMENT FOR ALL BOARD MEMBERS AND MANAGERIAL EMPLOYEES, AND MAY BE REQUIRED OF NON MANAGEMENT EMPLOYEES AS DETERMINED BY THE PRESIDENT AND CEO AND CORPORATE COMPLIANCE OFFICER. EMPLOYEES ALSO HAVE A DUTY TO REPORT CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST OF WHICH THEY MAY BE AWARE OF INVOLVING OTHER EMPLOYEES. EACH SITUATION REPORTED SHALL BE REVIEWED BY THE PRESIDENT AND CEO, AND INGALL'S CORPORATE COMPLIANCE OFFICER, AND A DETERMINATION SHALL BE MADE AS TO WHETHER A CONFLICT OF INTEREST EXISTS OF MAY ARISE FROM SUCH SITUATION. THE DECISION OF THE PRESIDENT AND CEO AND CORPORATE COMPLIANCE OFFICER REGARDING WHETHER A CONFLICT EXISTS SHALL BE FINAL. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S RESOLUTION OF SUCH CONFLICT. THE ORGANIZATION FURTHER PROMOTES KNOWLEDGE AND UNDERSTANDING OF THE CONFLICT OF INTEREST POLICY IN THE EMPLOYEE HANDBOOK. EACH EMPLOYEE IS REQUIRED TO SIGN AN ACKNOWLEDGEMENT OF THE HANDBOOK UPON EMPLOYMENT.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE UNIVERSITY OF CHICAGO MEDICAL CENTER (UCMC) IS RESPONSIBLE FOR DETERMINING AND ADMINISTERING COMPENSATION FOR ALL OFFICERS OF EACH RESPECTIVE ENTITY WITHIN THE UCMC CORPORATE STRUCTURE. ALL COMPENSATION AND BENEFIT APPROVALS ARE MADE (BY THE UCM CHHD COMPENSATION COMMITTEE, AS EXPLAINED BELOW) AS RECOMMENDATIONS TO THE UCMC COMPENSATION COMMITTEE AND ARE SUBJECT TO FURTHER REVIEW AND APPROVAL BY THE UCMC COMPENSATION COMMITTEE. BELOW IS THE PROCESS USED TO ESTABLISH COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL AND SENIOR EXECUTIVES. THE UCM COMMUNITY HEALTH AND HOSPITAL DIVISION, INC (UCM CHHD) COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES (THE COMMITTEE) IS RESPONSIBLE FOR THE OVERSIGHT OF THE INGALLS MEMORIAL HOSPITAL EXECUTIVE COMPENSATION DECISION-MAKING PROCESS. ITS REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS (UNDER INTERMEDIATE SANCTIONS REGULATIONS) WITH RESPECT TO THE TOTAL COMPENSATION AND BENEFITS PROVIDED. THE COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS, ALL OF WHOM ARE "DISINTERESTED" WITHIN THE MEANING OF THE INTERMEDIATE SANCTIONS REGULATIONS. IT REVIEWS AND APPROVES COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE ORGANIZATION'S PRESIDENT AND KEY EXECUTIVES BY FOLLOWING ITS WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND WRITTEN COMPENSATION REVIEW PROCESS, WHICH INCLUDES SEEKING COUNSEL FROM OUTSIDE PROFESSIONAL ADVISORS AND RELYING IN ADVANCE ON APPROPRIATE COMPARABILITY DATA (FOR FUNCTIONALLY SIMILAR POSITIONS AT SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS) PROVIDED BY AN INDEPENDENT THIRD-PARTY CONSULTANT. THE COMMITTEE REVIEWS AND APPROVES ALL NEW COMPENSATION RANGES, AS WELL AS CURRENT PACKAGES FOR NEWLY HIRED EXECUTIVES, AS NEEDED, BUT AT LEAST ANNUALLY. IT PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	AN INDEPENDENT COMPENSATION CONSULTANT REVIEWS THE REASONABLENESS OF PROPOSED TOTAL DIRECT COMPENSATION FOR EACH EXECUTIVE BY PERFORMING A MARKET COMPARISON FOR EACH EXECUTIVE. THE MARKET COMPARISON INVOLVES COLLECTING SURVEY DATA FOR FUNCTIONALLY SIMILAR POSITIONS AT SIMILAR HEALTHCARE ORGANIZATIONS. PERFORMANCE GOALS ARE NORMALLY ESTABLISHED BASED ON THE BUDGET/BUSINESS PLAN APPROVED BY THE BOARD FOR THE FISCAL YEAR. THE OUTSIDE CONSULTANT OPINES WHETHER OR NOT PERFORMANCE GOALS HAVE BEEN REACHED BEFORE A FISCAL YEAR END. PAYMENTS ARE PRESENTED TO THE COMPENSATION COMMITTEE FOR REVIEW AND APPROVAL. THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS.
Form 990, Part VI, Line 19 Required documents available to the public	IMH'S BYLAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 2f Other Program Service Revenue	CLIENT SERVICE REVENUE - Total Revenue: 143741, Related or Exempt Function Revenue: 143741, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	MISCELLANEOUS REVENUE - Total Revenue: 685432, Related or Exempt Function Revenue: 685432, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MOBILE INTENSIVE CARE FEE - Total Revenue: 101207, Related or Exempt Function Revenue: 101207, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; PROGRAM REVENUE - Total Revenue: 100530, Related or Exempt Function Revenue: 100530, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MED RECORD & TRANS FEES - Total Revenue: 17047, Related or Exempt Function Revenue: 17047, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; RETINAL FASC - OTHER - Total Revenue: 9069, Related or Exempt Function Revenue: 9069, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; PAS/PAGER RENTAL - Total Revenue: 4888, Related or Exempt Function Revenue: 4888, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; DISCOUNT EARNINGS - Total Revenue: 561, Related or Exempt Function Revenue: 561, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PATIENT CARE SERVICES - Total Expense: 26150725, Program Service Expense: 25418468, Management and General Expenses: 732257, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 355771, Program Service Expense: 178809, Management and General Expenses: 176962, Fundraising Expenses: ; FOOD SERVICES - Total Expense: 5868381, Program Service Expense: 4401286, Management and General Expenses: 1467095, Fundraising Expenses: ; ENVIRONMENTAL/HOSPITALITY SVCS - Total Expense: 6131905, Program Service Expense: 5600823, Management and General Expenses: 531082, Fundraising Expenses: ; PATIENT TRANSPORTATION - Total Expense: 1616267, Program Service Expense: 1616267, Management and General Expenses: , Fundraising Expenses: ; PATIENT FINANCIAL SERVICES - Total Expense: 1592383, Program Service Expense: , Management and General Expenses: 1592383, Fundraising Expenses: ; FAMILY CARE CENTERS - Total Expense: 2719654, Program Service Expense: 2533270, Management and General Expenses: 186384, Fundraising Expenses: ; OTHER - Total Expense: 5389687, Program Service Expense: 2472797, Management and General Expenses: 2916890, Fundraising Expenses: ; RENTAL EXPENSE RECLASS - Total Expense: -6836, Program Service Expense: , Management and General Expenses: -6836, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	FAIR VALUE OF DERIVATIVE INSTRUMENTS - 4228851; CHANGE IN INTEREST OF FOUNDATION - 50440; TRANSFERS FROM AFFILIATES - 6405400;
Form 990, Part XII, Line 3a Single Audit Act and OMB Circular A-133	The organization is subject to a single audit requirement for its fiscal year ending June 30, 2022. The organization began the process to undergo the required audit during its fiscal year ending June 30, 2023 and will file a single audit in conjunction with the University of Chicago by 3/31/2023.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (36 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd
ARCH DEVELOPMENT CORPORATION
5555 S WOODLAWN AVENUE	CHICAGO	IL	60637	363485244	TECH TRANSFER	IL	501(c)(3)	Type I	UNIV CHICAGO	false
ASIAN HEALTH COALITION
180 W WASHINGTON ST SUITE 1	CHICAGO	IL	60602	311607193	HLTH ACCESS	IL	501(c)(3)	10	UNIV CHICAGO	false
CHAPIN HALL CENTER FOR CHILDREN
1313 E 60TH STREET	CHICAGO	IL	60637	362167012	POL RES CTR	IL	501(c)(3)	7	NA	false
CHICAGO HOME FOR THE INCURABLES
5801 S ELLIS AVENUE	CHICAGO	IL	60637	362169138	SUPP RESEARCH	IL	501(c)(3)	Type I	UNIV CHICAGO	false
CHICAGO TUMOR INSTITUTE
5801 S ELLIS AVENUE	CHICAGO	IL	60637	237136019	SUPP RESEARCH	IL	501(c)(3)	Type I	UNIV CHICAGO	false
COURT THEATRE FUND
5535 S ELLIS AVENUE	CHICAGO	IL	60637	363203660	SUPP THE ARTS	IL	501(c)(3)	Type I	UNIV CHICAGO	false
FERMI RESEARCH ALLIANCE LLC
PO BOX 500	BATAVIA	IL	60510	571239010	MANAGE LAB	IL	501(c)(3)	7	NA	false
HYMEN MILGROM SUPPORTING ORGANIZATION
33 N LASALLE ST STE 2131	CHICAGO	IL	60602	466789522	SUPP EDU RES	VA	501(c)(3)	Type III-O	NA	false
INGALLS DEVELOPMENT FOUNDATION
ONE INGALLS DRIVE	HARVEY	IL	60426	363189150	SUPPORT	IL	501(c)(3)	7	UCHHD	false
INGALLS HEALTH VENTURES
ONE INGALLS DRIVE	HARVEY	IL	60426	363239703	AMBULATORY	IL	501(c)(3)	Type I	UCHHD	false
INGALLS HOME CARE
ONE INGALLS DRIVE	HARVEY	IL	60426	363367939	HEALTHCARE	IL	501(c)(3)	10	IMH	Yes (true)
LAKE PARK ASSOCIATES
5801 S ELLIS AVENUE	CHICAGO	IL	60637	366111317	PROP HOLDG	IL	501(c)(2)		UNIV CHICAGO	false
NATIONAL OPINION RESEARCH CENTER (NORC)
55 E MONROE AVENUE	CHICAGO	IL	60603	362167808	SO SCI SRVYS	IL	501(c)(3)	7	NA	false
PRIMARY HEALTHCARE ASSOCIATES SC
71 W 156TH STREET	HARVEY	IL	60426	364132865	HEALTHCARE	IL	501(c)(3)	10	UCHHD	false
THE JOHN CRERAR FOUNDATION
5730 S ELLIS AVENUE	CHICAGO	IL	60637	363155157	SUPP LIBRARY	IL	501(c)(3)	Type III-O	UNIV CHICAGO	false
THE MARINE BIOLOGICAL LABORATORY
7 MBL STREET	WOODS HOLE	MA	02543	042104690	RES & EDU	MA	501(c)(3)	7	UNIV CHICAGO	false
THE QUADRANGLE CLUB
5801 S ELLIS AVENUE	CHICAGO	IL	60637	361655190	SOCIAL CLUB	IL	501(c)(7)		UNIV CHICAGO	false
THE UNIV OF CHICAGO FDN IN THE HONG KONG LTD
					FUNDRAISING				UNIV CHICAGO	false	HK
THE UNIVERSITY OF CHICAGO CLOISTERS CLUB
1212 E 59TH STREET	CHICAGO	IL	60637		SOCIAL CLUB	IL			UNIV CHICAGO	false
UCHICAGO RESEARCH BANGLADESH LTD
					RESEARCH				UCH RS INTL	false	BG
UCHICAGO RESEARCH INTERNATIONAL LIMITED
5801 S ELLIS AVENUE	CHICAGO	IL	60637	262741573	RESEARCH	IL	501(c)(3)	Type I	UNIV CHICAGO	false
UCM CARE NETWORK MEDICAL GROUP INC
5841 S MARYLAND AVE MC 1086	CHICAGO	IL	60637	474221241	HEALTH SERVICE	IL	501(c)(3)	10	UCMC	false
UCM COMMUNITY HEALTH & HOSPITAL DIVISION
ONE INGALLS DRIVE	HARVEY	IL	60426	363181170	MANAGEMENT	IL	501(c)(3)	Type I	UCMC	false
UCMC TITLE HOLDING CORPORATION
5841 S MARYLAND AVE MC 1086	CHICAGO	IL	60637	812126789	TITLE HOLD	IL	501(c)(3)	Type I	UCMC	false
UCMC TITLE HOLDING CORPORATION II NFP
5841 S MARYLAND AVE MC 1086	CHICAGO	IL	60637	821736040	TITLE HOLD	IL	501(c)(3)	Type I	UCMC	false
UNIV OF CHI BOOTH SCH OF BUS (SINGAPORE)
					EDUCATION				UNIV CHICAGO	false	SN
UNIV OF CHI BOOTH SCH OF BUS (UK)
					EDUCATION				UNIV CHICAGO	false	UK
UNIV OF CHICAGO CANCER RESEARCH FD
5801 S ELLIS AVENUE	CHICAGO	IL	60637	366056201	SUPP RESEARCH	IL	501(c)(3)	Type I	UNIV CHICAGO	false
UNIV OF CHICAGO CENTER IN PARIS (FRANCE)
					EDUCATION				UNIV CHICAGO	false	FR
UNIV OF CHICAGO CHARTER SCHOOL CORP
5801 S ELLIS AVENUE	CHICAGO	IL	60637	364225812	EDUCATION	IL	501(c)(3)	2	UNIV CHICAGO	false
UNIV OF CHICAGO PROPERTY HOLDING CO
5801 S ELLIS AVENUE	CHICAGO	IL	60637	366108743	PROP HOLDG	IL	501(c)(2)		UNIV CHICAGO	false
UNIV OF CHICAGO RETIREE MEDICAL TRUST
5801 S ELLIS AVENUE	CHICAGO	IL	60637	363999692	MEDICAL TRUST	IL	501(c)(3)	Type I	UNIV CHICAGO	false
UNIV OF CHICAGO SELF INSURANCE TRUST
5801 S ELLIS AVENUE	CHICAGO	IL	60637	363020034	MALPRAC TR	IL	501(c)(3)	Type I	UNIV CHICAGO	false
UNIVERSITY OF CHICAGO
5801 S ELLIS AVENUE	CHICAGO	IL	60637	362177139	EDUCATION	IL	501(c)(3)	2	NA	false
UNIVERSITY OF CHICAGO MEDICAL CENTER
5841 S MARYLAND AVENUE	CHICAGO	IL	60637	363188183	HOSPITAL	IL	501(c)(3)	3	UNIV CHICAGO	false
UNIVERSITY OF CHICAGO TRUST (INDIA)
					FUNDRAISING				UNIV CHICAGO	false	IN	L-9 East Wing Raheja Towers MG R	BANGALORE	Karnataka	IN	560001

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Address Line2USAddress/AddressLine2Txt
INGALLS SAME DAY SURGERY CTR
6701 W 159TH ST	TINLEY PARK	IL	60477	363368549	SURGERY CENTER	IL	NA	N/A	false	false
UCMC-SOLIS ON-CAMPUS MAMMOGRAPHY LLC
15601 DALLAS PARKWAY	ADDISON	TX	75001	352641914	MAMMOGRAPHY	DE	NA	N/A	false	false	SUITE 500
UCMC-SOLIS OFF-CAMPUS MAMMOGRAPHY SERVICES LLC
15601 DALLAS PARKWAY	ADDISON	TX	75001	384108853	MAMMOGRAPHY	DE	NA	N/A	false	false	SUITE 300
PABHS-UCM MSO JV LLC
2845 N SHERIDAN RD	CHICAGO	IL	60657	874074642	RADIOLOGY ONCOLOGY	IL	NA	N/A	false	false	SUITE 6400
PABHS-UCM RADONC JV
2845 N SHERIDAN RD	CHICAGO	IL	60657	874057862	RADIOLOGY ONCOLOGY	IL	NA	N/A	false	false	SUITE 6400

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	EINEIN	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line2USAddress/AddressLine2Txt	Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt
CHARITABLE LEAD TRUST (0)
5801 S ELLIS AVENUE	CHICAGO	IL	60637	CHAR LEAD TRUST	IL	NA	Trust	false
CHARITABLE REMAINDER TRUSTS (75)
5801 S ELLIS AVENUE	CHICAGO	IL	60637	CHAR RMDR TRUST	IL	NA	Trust	false
INGALLS CASUALTY INSURANCE LTD
ONE INGALLS DRIVE	HARVEY	IL	60426	LIAB INSURANCE		NA	C Corporation	false	980485714	CJ
INGALLS HEALTH COUNCIL
ONE INGALLS DRIVE	HARVEY	IL	60426	PURCHASING GROUP	IL	NA	C Corporation	false	273226539
INGALLS PROVIDER GROUP
ONE INGALLS DRIVE	HARVEY	IL	60426	INSURANCE SERVICE	IL	IMH	C Corporation	Yes (true)	363485578		$14,841,124	$1,652,064	1
MEDCENTRIX INC
ONE INGALLS DRIVE	HARVEY	IL	60426	BILLING & MGMT	IL	NA	C Corporation	false	363374228
PHOENIX OVERLAY FUND LTD
401 N MICHIGAN AVE	CHICAGO	IL	60611	INVESTMENT		NA		false		CJ				C/O INVST OFFICE
POOLED INCOME FUND (1)
5801 S ELLIS AVENUE	CHICAGO	IL	60637	POOLED INCO FUND	IL	NA	C Corporation	false
SC CURRICULUM INC
70 WEST MADISON ST	CHICAGO	IL	60602	SCNC CURRICULUM	IL	NA	C Corporation	false
UCHICAGO (BEIJING) CONSULTING CO LTD
				CONSULTING		NA		false		CH
UCHICAGO CENTER IN INDIA PRIVATE LIMITED
				CONSULTING		NA	C Corporation	false		IN
TRULEN INSURANCE SPC LIMITED
				LIAB INSURANCE		UCHHD		false	981571288	CJ
EMPLOYED PHYSICIANS SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC LTD
				LIAB INSURANCE		UCHHD		false	981571310	CJ
HPL-GL SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC LTD
				LIAB INSURANCE		UCHHD		false	981571446	CJ
NON-EMPLOYED PHYSICIANS SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC L
				LIAB INSURANCE		UCHHD		false	981571387	CJ					TD
UCHICAGO MEDICINE NORTHWEST INDIANA INC
5841 S MARYLAND AVE	CHICAGO	IL	60637	HEALTHCARE	IN	UCMC	C Corporation	false	922355855

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
INGALLS HOME CARE - A(iv)
A	$84,000	FMV
INGALLS PROVIDER GROUP
P	$1,109,313	FMV
INGALLS PROVIDER GROUP
Q	$1,823,596	FMV