2023-08-30T17:04:54-05:00 2021-12-31 420714325 RSM US LLP 30 South Wacker Dr Suite 3300 Chicago IL 606063392 990 2021-03-01 862358048 Insight Chicago Inc INSI 3125672000 2525 S Michigan Ave Chicago IL 60616 Atiq Nakrawala Chief Financial Officer 3125672000 2023-08-29 1 Atiq Nakrawala 999009999 Rebekuh Eley P01247672 3126343400 2023-08-29 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z X Insight Hospital & Medical Center Atif Bawahab 2525 S Michigan Ave Chicago IL 60616 45258860 0 X www.insightchicago.com X 2021 IL 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. 19 18 525 10 0 0 0 45062930 0 195930 45258860 0 0 16173307 0 50215 36995601 53168908 -7910048 61431186 38756075 22675111 X 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. 0 0 25382462 0 45062930 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. 25382462 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 36 0 1 525 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 18 1 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X Atiq Nakrawala 3125672000 2525 S Michigan Ave Chicago IL 60616 Atif Bawahab President and CEO 10.00 0.00 X X 0 0 0 Ali Madha Chairman of the Board 10.00 0.00 X X 0 0 0 Nadir Ijaz Vice-Chairman of the Board 10.00 0.00 X X 0 0 0 Atiq Nakrawala Treasurer 10.00 0.00 X X 0 0 0 Baseer Tajuddin Secretary 10.00 0.00 X X 0 0 0 Kaleem Qazi Board Member 5.00 0.00 X 0 0 0 Alaa Abdeldaiem Board Member 5.00 0.00 X 0 0 0 Dr Henry Barlow Board Member 5.00 0.00 X 0 0 0 Clyde El Amin Board Member 5.00 0.00 X 0 0 0 Will Evans Board Member 5.00 0.00 X 0 0 0 Ladale George Board Member 5.00 0.00 X 0 0 0 Pastor Chris Harris Board Member 5.00 0.00 X 0 0 0 Muaz Jondy Board Member 5.00 0.00 X 0 0 0 Dr Harriet Lewis Board Member 5.00 0.00 X 0 0 0 Paul Luu Board Member 5.00 0.00 X 0 0 0 Habeeb Quadri Board Member 5.00 0.00 X 0 0 0 Amjad Quadri Board Member 5.00 0.00 X 0 0 0 Maryum Rasool Board Member 5.00 0.00 X 0 0 0 Dr Naveed Mallick Board Member 5.00 0.00 X 109598 0 216 Anita Goyal Physician 40.00 0.00 X 213635 0 550 Ahmad Elakil Physician 40.00 0.00 X 210772 0 2783 Dillon Bannis Physician 40.00 0.00 X 199565 0 493 Jawad Hussain Physician 40.00 0.00 X 180915 0 10536 Bradley Dickson Physician 40.00 0.00 X 164244 0 387 1078729 0 14965 12 0 1 0 Insight Management and Consulting Servic 4800 S Saginaw Street Flint MI 48507 Management Services 4750000 Trinity Health 2160 S 1st Ave Maywood IL 60153 Healthcare Services 2594318 Comprehensive Pharmacy Services PO Box 638316 Cincinnati OH 452638319 Pharmacy Services 1539042 United Security Services Inc 1550 S Indiana Ave Chicago IL 60605 Security Services 944298 Cerner Corporation 8779 Hillcrest Road Kansas City MO 64138 IT Services 720964 37 Patient Services 621990 43794701 43794701 Medicaid 621990 1268229 1268229 45062930 194939 0 194939 194939 194939 Cafeteria 900099 991 991 991 45258860 45062930 0 195930 X 109598 72753 36845 13299636 8828583 4471053 1946936 52199 1894737 817137 21908 795229 4750000 840487 3895361 14152 373152 373152 4793 4793 12696388 2766555 9896650 33183 36576 6472 29995 109 397688 383974 13714 930060 164569 762720 2771 3313951 330388 2983563 1047630 1047630 1861838 1861838 IL Hospital Assessment 7721308 7721308 Medical Supplies 1725639 1666132 59507 Bad Debt 1477022 1477022 Transaction Cost 481190 481190 178366 2482 175884 53168908 25382462 27736231 50215 23418256 4453824 1724852 837297 32044587 1047630 0 30996957 0 61431186 5672257 850000 0 32233818 0 38756075 X 0 22675111 0 22675111 0 61431186 X -7910048 30585159 X 0 1 X 1 0 X 26470001 26470001 5574586 1047630 4526956 30996957 Due to third-party payors 15973818 Medicaid advanced payments 15000000 Other liabilities 1260000 32233818 1 1 1 X 1 X 600.000000000000 1 0 1 1 2222348 0 2222348 0.04300 29938825 33057470 0 0.00000 32161173 33057470 2222348 0.04300 0 1268232 0 0.00000 1268232 0 0.00000 32161173 34325702 2222348 0.04300 1 1477022 3623453 4451946 -828493 X 1 1 1 1 Insight Chicago Inc 2525 S Michigan Ave Chicago IL 60616 www.insightchicago.com 0006427 X X X Insight Chicago Inc 1 1 1 0 0 1 X 200.000000000000 600.000000000000 X X X X X 1 1 X X X X 1 X https://insightchicago.com/financial-assistance/ X https://insightchicago.com/financial-assistance/ X https://insightchicago.com/financial-assistance/ X X X X X X 1 X X X 0 X X X X 1 X 0 0 Insight Chicago Inc. 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. 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 0 0 0 0 0 0 0 0 0 Anita Goyal Physician 213430 0 0 0 205 0 0 0 550 0 214185 0 0 0 Ahmad Elakil Physician 210622 0 0 0 150 0 0 0 2783 0 213555 0 0 0 Dillon Bannis Physician 199385 0 0 0 180 0 0 0 493 0 200058 0 0 0 Jawad Hussain Physician 180755 0 0 0 160 0 0 0 10536 0 191451 0 0 0 Bradley Dickson Physician 164120 0 0 0 124 0 0 0 387 0 164631 0 0 0 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.