INSIGHT CHICAGO INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- INSIGHT CHICAGO INC (EIN 86-2358048)
- Tax period
- 2021-03-01 to 2021-12-31
- Filed
- 2023-08-30
- IRS object ID
- 202312429349301551
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-30T17:04:54-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 South Wacker Dr Suite 3300 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606063392 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-03-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 862358048 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Insight Chicago Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INSI | BusinessNameControlTxt |
| Phone | 3125672000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 S Michigan Ave | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60616 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Atiq Nakrawala | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 3125672000 | PhoneNum |
| Signature | 2023-08-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Atiq | PersonFirstNm |
| Person Last | Nakrawala | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rebekuh Eley | PreparerPersonNm |
| PTIN | P01247672 | PTIN |
| Phone | 3126343400 | PhoneNum |
| Preparation | 2023-08-29 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | Yes (X) | InitialReturnInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Insight Hospital & Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Atif Bawahab | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 S Michigan Ave | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60616 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $45,258,860 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.insightchicago.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2021 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | Insight Hospital and Medical Center Chicago is dedicated to transformation and impact. We will deliver world class, compassionate, expert care to every patient who comes through our doors. As stewards of holistic health, Insight is committed to seeing our community flourish through increased access to holistic care and improved health. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 525 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $45,062,930 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $195,930 | CYOtherRevenueAmt |
| CY Total Revenue | $45,258,860 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $16,173,307 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $50,215 | CYTotalFundraisingExpenseAmt |
| CY Other Expenses | $36,995,601 | CYOtherExpensesAmt |
| CY Total Expenses | $53,168,908 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | -$7,910,048 | CYRevenuesLessExpensesAmt |
| Total Assets EOY | $61,431,186 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $38,756,075 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances EOY | $22,675,111 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Insight Hospital and Medical Center Chicago is dedicated to transformation and impact. We will deliver world class, compassionate, expert care to every patient who comes through our doors. As stewards of holistic health, Insight is committed to seeing our community flourish through increased access to holistic care and improved health. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $25,382,462 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $45,062,930 | RevenueAmt |
| Desc | Insight Chicago Inc. is a licensed 412-bed acute care facility with its primary market in the south and southwest side of Chicago and adjacent suburbs.Insight is committed to rebuilding a storied hospital and looks forward to providing the highest quality of care to our patients. Insight is committed to operating a full-service community hospital; creating a comprehensive plan to increase services and meet community needs; restoring the hospital as a teaching facility and restoring a comprehensive emergency department. | Desc |
| Total Program Service Expenses | $25,382,462 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 525 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | 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 | Atiq Nakrawala | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3125672000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 S Michigan Ave | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60616 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Atif Bawahab | ||||||||
| President and CEO | 10.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Ali Madha | ||||||||
| Chairman of the Board | 10.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Nadir Ijaz | ||||||||
| Vice-Chairman of the Board | 10.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Atiq Nakrawala | ||||||||
| Treasurer | 10.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Baseer Tajuddin | ||||||||
| Secretary | 10.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Kaleem Qazi | ||||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Alaa Abdeldaiem | ||||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Dr Henry Barlow | ||||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Clyde El Amin | ||||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Will Evans | ||||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Ladale George | ||||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Pastor Chris Harris | ||||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Muaz Jondy | ||||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Dr Harriet Lewis | ||||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Paul Luu | ||||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Habeeb Quadri | ||||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Amjad Quadri | ||||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Maryum Rasool | ||||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Dr Naveed Mallick | ||||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $109,598 | $0 | $216 | ||
| Anita Goyal | ||||||||
| Physician | 40.00 | 0.00 | $213,635 | $0 | $550 | Yes (X) | ||
| Ahmad Elakil | ||||||||
| Physician | 40.00 | 0.00 | $210,772 | $0 | $2,783 | Yes (X) | ||
| Dillon Bannis | ||||||||
| Physician | 40.00 | 0.00 | $199,565 | $0 | $493 | Yes (X) | ||
| Jawad Hussain | ||||||||
| Physician | 40.00 | 0.00 | $180,915 | $0 | $10,536 | Yes (X) | ||
| Bradley Dickson | ||||||||
| Physician | 40.00 | 0.00 | $164,244 | $0 | $387 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,078,729 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $14,965 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Insight Management and Consulting Servic | |||||
| 4800 S Saginaw Street | Flint | MI | 48507 | Management Services | $4,750,000 |
| Trinity Health | |||||
| 2160 S 1st Ave | Maywood | IL | 60153 | Healthcare Services | $2,594,318 |
| Comprehensive Pharmacy Services | |||||
| PO Box 638316 | Cincinnati | OH | 452638319 | Pharmacy Services | $1,539,042 |
| United Security Services Inc | |||||
| 1550 S Indiana Ave | Chicago | IL | 60605 | Security Services | $944,298 |
| Cerner Corporation | |||||
| 8779 Hillcrest Road | Kansas City | MO | 64138 | IT Services | $720,964 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Services | 621990 | $43,794,701 | $43,794,701 |
| Medicaid | 621990 | $1,268,229 | $1,268,229 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $45,062,930 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $194,939 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $194,939 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $194,939 | TotalRevenueColumnAmt |
| Exclusion | $194,939 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Cafeteria | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $991 | TotalRevenueColumnAmt |
| Exclusion | $991 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $991 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,258,860 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $45,062,930 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $195,930 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,598 | TotalAmt |
| Program Services | $72,753 | ProgramServicesAmt |
| Management And General | $36,845 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,299,636 | TotalAmt |
| Program Services | $8,828,583 | ProgramServicesAmt |
| Management And General | $4,471,053 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,946,936 | TotalAmt |
| Program Services | $52,199 | ProgramServicesAmt |
| Management And General | $1,894,737 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $817,137 | TotalAmt |
| Program Services | $21,908 | ProgramServicesAmt |
| Management And General | $795,229 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,750,000 | TotalAmt |
| Program Services | $840,487 | ProgramServicesAmt |
| Management And General | $3,895,361 | ManagementAndGeneralAmt |
| Fundraising | $14,152 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,152 | TotalAmt |
| Management And General | $373,152 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,793 | TotalAmt |
| Management And General | $4,793 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,696,388 | TotalAmt |
| Program Services | $2,766,555 | ProgramServicesAmt |
| Management And General | $9,896,650 | ManagementAndGeneralAmt |
| Fundraising | $33,183 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,576 | TotalAmt |
| Program Services | $6,472 | ProgramServicesAmt |
| Management And General | $29,995 | ManagementAndGeneralAmt |
| Fundraising | $109 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $397,688 | TotalAmt |
| Program Services | $383,974 | ProgramServicesAmt |
| Management And General | $13,714 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $930,060 | TotalAmt |
| Program Services | $164,569 | ProgramServicesAmt |
| Management And General | $762,720 | ManagementAndGeneralAmt |
| Fundraising | $2,771 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,313,951 | TotalAmt |
| Program Services | $330,388 | ProgramServicesAmt |
| Management And General | $2,983,563 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,047,630 | TotalAmt |
| Program Services | $1,047,630 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,861,838 | TotalAmt |
| Management And General | $1,861,838 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| IL Hospital Assessment | $7,721,308 | $7,721,308 | |
| Medical Supplies | $1,725,639 | $1,666,132 | $59,507 |
| Bad Debt | $1,477,022 | $1,477,022 | |
| Transaction Cost | $481,190 | $481,190 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,366 | TotalAmt |
| Program Services | $2,482 | ProgramServicesAmt |
| Management And General | $175,884 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,168,908 | TotalAmt |
| Program Services | $25,382,462 | ProgramServicesAmt |
| Management And General | $27,736,231 | ManagementAndGeneralAmt |
| Fundraising | $50,215 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $23,418,256 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,453,824 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,724,852 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $837,297 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,044,587 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,047,630 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $30,996,957 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $61,431,186 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,672,257 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $850,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $32,233,818 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $38,756,075 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $22,675,111 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $22,675,111 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $61,431,186 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,910,048 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $30,585,159 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,470,001 | OtherCostOrOtherBasisAmt |
| Book Value | $26,470,001 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,574,586 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,047,630 | DepreciationAmt |
| Book Value | $4,526,956 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,996,957 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to third-party payors | $15,973,818 |
| Medicaid advanced payments | $15,000,000 |
| Other liabilities | $1,260,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $32,233,818 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,222,348 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,222,348 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04300 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,938,825 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,057,470 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,161,173 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,057,470 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,222,348 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04300 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,268,232 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Direct Offsetting Revenue | $1,268,232 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,161,173 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,325,702 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,222,348 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04300 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,477,022 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $3,623,453 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,451,946 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$828,493 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Insight Chicago Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 S Michigan Ave | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60616 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.insightchicago.com | WebsiteAddressTxt |
| State License | 0006427 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Insight Chicago Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | Yes (1) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (1) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | 0 | CHNAConductedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://insightchicago.com/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://insightchicago.com/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://insightchicago.com/financial-assistance/ | 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 (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Defer Deny Rqr Payment | Yes (X) | PermitDeferDenyRqrPaymentInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Insight Chicago Inc. | FormAndLineReferenceDesc |
| Explanation | Part V, Section B, Line 2: Insight was formed in 2021 and purchased the assets of Mercy Hospital and Medical Center and started operations June 1. | ExplanationTxt |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 1,477,022. |
| Part III, Line 2: | Methodology used for Bad Debts - Any discounts provided or payments made to any particular patient account are applied to that patient account prior to any bad debt write-off and are thus not included in bad debt expense. As a result of the payment and adjustment activity |
| Part III, Line 4: | Please refer to Pages 7-9 of the attached audit report for footnotes describing accounts receivable and patient service revenue. |
| Part III, Line 8: | Insight does not believe any Medicare shortfall should be treated as community benefit. Medicare costs were obtained from the filed Medicare cost report. The costs are based on Medicare allowable costs as reported on worksheet B, column 27, which exclude direct medical education costs. Inpatient Medicare costs are calculated based on a combination of allowable cost per day times Medicare days for routine services and cost to charge ratio times medicare charges for ancillary services. Outpaitent medicare costs are calculated based on cost to charge ratio times medicare charges by ancillary department |
| Part III, Line 9b: | The Hospital's collection policy contains provisions on the collection practices to be followed for patients who are known to qualify for financial assistance. Charity discounts are applied to the amounts that qualify for financial assistance. Collection practices for the remaining balances are clearly ourtlined in the organization's collection policy. The hospital has implemented billing and collection practices for patinet payment obligations that are fair, consistent and compliant with state and federal regulations |
| Part VI, Line 2: | We received and reviewed the 2019 CHNA performed by Mercy Hospital and Medical Center prior to acquistion of the facility. |
| Part VI, Line 3: | Our patient access team informs patients of their billing requirements and eligibility for assistance. In addition, we have signs directing assistance and provide applications for financial assistance at check out. The financial assistance policy and paperwork are published on our website, in multiple languages as well. |
| Part VI, Line 4: | We provide services to all who enter and are in need. Specifically, we are located on the South side of Chicago and predominantly serve that area as well as the Chinatown area of the City of Chicago. |
| Part VI, Line 5: | The Hospital has an open medical staff as well as a community board that tries to highlight issues of the community. In addition, the Hospital seeks to partner with local groups to understand and provide services to the community. |
| Part VI, Line 6: | Insight Chicago is not part of an affiliated health program |
| Part VI, Line 7, Reports Filed With States | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anita Goyal | ||||||||||||||
| Physician | $213,430 | $0 | $0 | $0 | $205 | $0 | $0 | $0 | $550 | $0 | $214,185 | $0 | $0 | $0 |
| Ahmad Elakil | ||||||||||||||
| Physician | $210,622 | $0 | $0 | $0 | $150 | $0 | $0 | $0 | $2,783 | $0 | $213,555 | $0 | $0 | $0 |
| Dillon Bannis | ||||||||||||||
| Physician | $199,385 | $0 | $0 | $0 | $180 | $0 | $0 | $0 | $493 | $0 | $200,058 | $0 | $0 | $0 |
| Jawad Hussain | ||||||||||||||
| Physician | $180,755 | $0 | $0 | $0 | $160 | $0 | $0 | $0 | $10,536 | $0 | $191,451 | $0 | $0 | $0 |
| Bradley Dickson | ||||||||||||||
| Physician | $164,120 | $0 | $0 | $0 | $124 | $0 | $0 | $0 | $387 | $0 | $164,631 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Dr. Naveed Mallick, Board Member, and Muaz Jondy, Board Member, have a family relationship. The following individuals have a business relationship in relation to Insight Management and Consulting Services, Inc. (IMCS), Atif Bawahab (Chief Strategy Officer of IMCS), Ali Madha (Chief Operating Officer of IMCS), Atiq Nakrawala (Chief Financial Officer of IMCS), Nadir Ijaz (employee of IMCS), Baseer Tajuddin (employee of IMCS), Kaleem Qazi (employee of IMCS), and Maryum Rasool (employee of IMCS). In addition, the sole owner of IMSC is Chairman Emeritus (non-voting board member) of Insight Chicago. |
| Form 990, Part VI, Section A, line 3 | Certain functions of key employees (for example: service line leadership, administrative leadership, legal, finance, RCM integrity, pharmacy services, laboratory Services, radiology services) are managed by a third party management company, Insight Management and Consulting Services, Inc. (IMCS) Insight Chicago paid IMCS $4,750,000 in management fees during the tax year. Certain Officers and Board of Directors of Insight Chicago are also officers and or employees of IMCS. |
| Form 990, Part VI, Section A, line 7a | The Firdaus Foundation shall appoint at least three (3) Directors (the "Firdaus Directors"). |
| Form 990, Part VI, Section A, line 7b | Firdaus Foundation has authority and reserved powers to make governance decisions. |
| Form 990, Part VI, Section B, line 11b | The Accounting and legal team met internally to review and respond to the questionnaire working with the independent accounting firm on completion of the 990. Once the 990 is finalized, the Accounting team will review key items with leadership. |
| Form 990, Part VI, Section B, line 12c | Before any vote in a meeting for the Board of Directors, Board Members and Officers are asked whether they have any conflicts on voting on certain matters - and are required to abstain from voting on such matters. Key employees are required to disclose any conflicting interests before starting and are monitored accordingly. Any prospective business that the entity might engage in discloses if it has any ties with anyone at Insight Chicago. If concerns are brought regarding potential conflicts of interests, they are investigated by legal or outside counsel. |
| Form 990, Part VI, Section B, line 15 | Compensation for executive contracts or independent contractors are presented to the Board of Directors for approval. Along with the individual, title, role - the proposed compensation, and whether it meets fair market value (and how fair market value was determined in each instance) is provided to the board. Examples of how fair market value is determined include independent analysis, competing offers the individual received, and if there is some third party that lists such compensation for the area. |
| Form 990, Part VI, Section C, line 19 | The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request for the same period of disclosure as set forth in IRC section 6104(d). |
| Form 990, Part IX, line 11g | Contract Labor: Program service expenses 8,039. Management and general expenses 715,203. Fundraising expenses 0. Total expenses 723,242. Physician Fees: Program service expenses 787,690. Management and general expenses 47,354. Fundraising expenses 0. Total expenses 835,044. Consulting Fees: Program service expenses 965,265. Management and general expenses 4,473,667. Fundraising expenses 16,252. Total expenses 5,455,184. Purchased Services: Program service expenses 641,244. Management and general expenses 2,971,943. Fundraising expenses 10,797. Total expenses 3,623,984. Cleaning Services: Program service expenses 4,785. Management and general expenses 22,176. Fundraising expenses 81. Total expenses 27,042. Security Services: Program service expenses 194,115. Management and general expenses 899,656. Fundraising expenses 3,268. Total expenses 1,097,039. Other Professional Fees: Program service expenses 165,417. Management and general expenses 766,651. Fundraising expenses 2,785. Total expenses 934,853. |
| Form 990, Part XI, line 9: | Inherent contribution of net assets 30,585,159. |