INGALLS MEMORIAL HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: INGALLS MEMORIAL HOSPITAL (EIN 36-2170866)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-13
IRS object ID: 202221339349304657
Schema version: 2020v4.0
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-13T11:32:07-05:00	ReturnTs
Tax Period End	2021-06-30	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	2020-07-01	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	IVAN SAMSTEIN	PersonNm
Person Title	EVP AND CHIEF FINANCIAL OFFICER	PersonTitleTxt
Signature	2022-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	IVAN	PersonFirstNm
Person Last	SAMSTEIN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	TARA D'AGOSTINO	PreparerPersonNm
PTIN	P01245482	PTIN
Phone	3126651000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RANDY NEISWONGER	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	$341,073,852	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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2417	TotalEmployeeCnt
Total Volunteers	100	TotalVolunteersCnt
Total Gross UBI	$722,257	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$25,631,857	PYContributionsGrantsAmt
CY Contributions Grants	$26,728,626	CYContributionsGrantsAmt
PY Program Service Revenue	$273,805,486	PYProgramServiceRevenueAmt
CY Program Service Revenue	$303,821,660	CYProgramServiceRevenueAmt
PY Investment Income	$3,966,530	PYInvestmentIncomeAmt
CY Investment Income	$7,329,267	CYInvestmentIncomeAmt
PY Other Revenue	$3,450,167	PYOtherRevenueAmt
CY Other Revenue	$2,951,802	CYOtherRevenueAmt
PY Total Revenue	$306,854,040	PYTotalRevenueAmt
CY Total Revenue	$340,831,355	CYTotalRevenueAmt
PY Grants And Similar Paid	$105,800	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$69,750	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$134,324,136	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$143,998,787	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$333,877	CYTotalFundraisingExpenseAmt
PY Other Expenses	$191,428,454	PYOtherExpensesAmt
CY Other Expenses	$197,781,277	CYOtherExpensesAmt
PY Total Expenses	$325,858,390	PYTotalExpensesAmt
CY Total Expenses	$341,849,814	CYTotalExpensesAmt
PY Revenues Less Expenses	-$19,004,350	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,018,459	CYRevenuesLessExpensesAmt
Total Assets BOY	$493,177,087	TotalAssetsBOYAmt
Total Assets EOY	$491,188,340	TotalAssetsEOYAmt
Total Liabilities BOY	$255,214,295	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$249,831,648	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$237,962,792	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$241,356,692	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	$175,449,868	ExpenseAmt
Grant	$69,750	GrantAmt
Revenue	$147,325,614	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	$26,654,164	ExpenseAmt
Revenue	$29,039,161	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 52,000 MEDICATION ORDERS AND MAKE 5,000 INTERVENTIONS PER MONTH.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$14,044,411	ExpenseAmt
Revenue	$92,971,285	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 FY2021 INGALLS PERFORMED 1,456 INPATIENT SURGERIES AND 2,594 AMBULATORY SURGERIES.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$90,511,585	ExpenseAmt
Revenue	$37,002,003	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	$90,511,585	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$37,002,003	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$306,660,028	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	false	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	Yes (true)	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	352	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2417	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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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 (30 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
BRIAN SINOTTE
PRESIDENT CHHD (THRU 5/31/21)	40.0	4.0	Yes (X)	Yes (X)	$717,566	$0	$23,680
DAVID H ORTH MD
CHAIRMAN	1.0	3.0	Yes (X)	Yes (X)	$4,500	$0	$0
DENNIS IRVIN
VICE CHAIRMAN	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
RANDY NEISWONGER
INTERIM PRESIDENT CHHD (EFF. 6/1/2021)	40.0	4.0	Yes (X)	Yes (X)	$531,478	$0	$67,412
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	40.0	0.0	Yes (X)		$0	$400,920	$79,038
CRESSA PERISH MD
BOARD MEMBER (THRU JAN 2021)	1.0	40.0	Yes (X)		$0	$213,078	$13,984
DOROTHY JONES MD
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
ENGIN YILMAZ MD
BOARD MEMBER (EFF. JAN 2021)	1.0	40.0	Yes (X)		$0	$442,968	$13,459
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	1.0	41.0	Yes (X)		$0	$718,238	$56,032
KEVIN M PURCELL
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
MARK KOZLOFF MD
BOARD MEMBER	1.0	41.0	Yes (X)		$0	$707,905	$41,311
MILDRED WILLIAMS-REID
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
NATHANIEL SUTTON
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
RICHARD KING
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
ANN MCCOLGAN
ASSISTANT TREASURER	1.0	44.0		Yes (X)	$0	$414,278	$76,073
IVAN SAMSTEIN
CHIEF FINANCIAL OFFICER (EFF. 6/30/21)	1.0	48.0		Yes (X)	$0	$650,787	$84,972
RICHARD W SILVERIA
CHIEF FINANCIAL OFFICER (THRU 4/22/21)	1.0	47.0		Yes (X)	$0	$1,352,330	$53,844
TOMASZ SAMEK
ASSISTANT SECRETARY	40.0	1.0		Yes (X)	$114,835	$48,711	$7,575
DOUGLAS SAEGESSER
VP OF FINANCE	40.0	2.0			$345,534	$0	$34,672	Yes (X)
PAUL DONOHUE
VP PHILANTHROPY AND COMMUNITY	40.0	0			$244,851	$0	$56,649	Yes (X)
KRISTINE SHIELDS
OCCUPATIONAL MEDICINE	40.0	0			$196,583	$0	$2,077		Yes (X)
LISA LIGUE
DIRECTOR, REVENUE CYCLE	40.0	0			$188,721	$0	$4,760		Yes (X)
MARY JO CRANDALL
VP LEAN TRANSFORMATION	40.0	0			$233,968	$0	$3,104		Yes (X)
NEGIN KIYAVASH
DIRECTOR OF PHARMACY	40.0	0			$197,279	$0	$10,904		Yes (X)
SUSAN BJORK
DIRECTOR, INGALLS IT APPLICATIONS	40.0	0			$189,626	$0	$11,982		Yes (X)
GARY GASBARRA
INTERIM CFO (TIL 6/30/17)	0.0	43.0			$0	$696,941	$85,748			Yes (X)
MICHAEL A LAWRENCE
CHIEF FINANCIAL OFFICER (THRU 8/29/19)	0.0	0.0			$148,644	$0	$3,176			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,113,584	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,646,156	TotReportableCompRltdOrgAmt
Total Other Compensation	$730,452	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	107	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt
CROTHALL HEALTHCARE
25271 NETWORK PLACE	CHICAGO	IL	60673	HEALTHCARE SUPPORT SERVICES	$5,694,794
SYNERGY BEHAVIORAL HEALTHCARE
1566 W ALGONQUIN ROAD 3149	HOFFMAN ESTATES	IL	60192	BEHAVIORAL HEALTH	$5,271,511
BULLEY & ANDREWS
1755 W ARMITAGE AVE	CHICAGO	IL	606221163	CONSTRUCTION SERVICES	$4,677,426
TRIMEDX HOLDINGS LLC
5451 LAKEVIEW PARKWAY SOUTH DR	INDIANAPOLIS	IN	462684115	CLINICAL ASSET SERVICES	$4,587,221
MORRISON MANAGEMENT SPECIALIST
400 NORTHRIDGE ROAD	ATLANTA	GA	30350	FOOD SERVICES	$4,526,049	SUITE 600

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	93	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,238,221	RelatedOrganizationsAmt
Government Grants	$24,509,421	GovernmentGrantsAmt
All Other Contributions	$980,984	AllOtherContributionsAmt
Noncash Contributions	$34,413	NoncashContributionsAmt
Total Contributions	$26,728,626	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$300,829,910	$300,829,910
RENTAL INCOME	900099	$1,555,751	$1,555,751
LAB SERVICES	621500	$722,257		$722,257
FOOD SERVICE	900099	$566,308	$566,308
CLIENT SERVICE REVENUE	621500	$134,954	$134,954

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,480	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,480	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$303,821,660	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,023,831	TotalRevenueColumnAmt
Exclusion	$1,023,831	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$677,896	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$242,497	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$435,399	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$435,399	TotalRevenueColumnAmt
Exclusion	$435,399	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,305,436	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$6,305,436	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,305,436	TotalRevenueColumnAmt
Exclusion	$6,305,436	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B PROGRAM	900099	$646,296	$646,296
EXPENSE REIMBURSEMENT	900099	$459,348	$459,348
BANK REBATES	900099	$343,729	$343,729

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,067,030	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,067,030	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,516,403	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$340,831,355	TotalRevenueColumnAmt
Related Or Exempt Func Income	$305,615,806	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$722,257	UnrelatedBusinessRevenueAmt
Exclusion	$7,764,666	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$69,750	TotalAmt
Program Services	$69,750	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,735,573	TotalAmt
Program Services	$879,468	ProgramServicesAmt
Management And General	$1,540,928	ManagementAndGeneralAmt
Fundraising	$315,176	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$120,799,063	TotalAmt
Program Services	$110,264,956	ProgramServicesAmt
Management And General	$10,534,107	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$726,095	TotalAmt
Program Services	$699,695	ProgramServicesAmt
Management And General	$26,400	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,680,849	TotalAmt
Program Services	$11,544,578	ProgramServicesAmt
Management And General	$1,136,271	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,057,207	TotalAmt
Program Services	$6,364,828	ProgramServicesAmt
Management And General	$673,678	ManagementAndGeneralAmt
Fundraising	$18,701	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,104,742	TotalAmt
Management And General	$4,104,742	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$625,402	TotalAmt
Program Services	$2,200	ProgramServicesAmt
Management And General	$623,202	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$405,965	TotalAmt
Management And General	$405,965	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	$683,085	TotalAmt
Management And General	$683,085	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$53,302,489	TotalAmt
Program Services	$48,145,454	ProgramServicesAmt
Management And General	$5,157,035	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,713,236	TotalAmt
Management And General	$1,713,236	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,932,205	TotalAmt
Program Services	$2,450,119	ProgramServicesAmt
Management And General	$1,482,086	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$12,709,776	TotalAmt
Program Services	$8,819,212	ProgramServicesAmt
Management And General	$3,890,564	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,976,785	TotalAmt
Program Services	$5,416,431	ProgramServicesAmt
Management And General	$560,354	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$46,180	TotalAmt
Program Services	$35,030	ProgramServicesAmt
Management And General	$11,150	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,294,167	TotalAmt
Program Services	$4,294,167	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,739,598	TotalAmt
Program Services	$15,739,598	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,938,698	TotalAmt
Program Services	$7,487,500	ProgramServicesAmt
Management And General	$1,451,198	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$57,990,074	$57,990,074
PUBLIC ASSESSMENT	$19,445,130	$19,445,130
REPAIRS & MAINTENANCE	$5,595,380	$5,191,703	$403,677
LAUNDRY SERVICES	$1,139,364	$1,139,364

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,107,442	TotalAmt
Program Services	$680,771	ProgramServicesAmt
Management And General	$426,671	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$341,849,814	TotalAmt
Program Services	$306,660,028	ProgramServicesAmt
Management And General	$34,855,908	ManagementAndGeneralAmt
Fundraising	$333,877	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,177	BOYAmt
EOY	$5,220	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$104,752	BOYAmt
EOY	$18,384	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,396,683	BOYAmt
EOY	$41,878,302	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	$6,508,086	BOYAmt
EOY	$6,682,363	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,208,422	BOYAmt
EOY	$2,484,699	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$254,158,200	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$71,324,326	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$188,710,245	BOYAmt
EOY	$182,833,874	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$137,134,498	BOYAmt
EOY	$148,668,551	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	$123,106,224	BOYAmt
EOY	$108,616,947	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$493,177,087	BOYAmt
EOY	$491,188,340	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$128,707,603	BOYAmt
EOY	$126,726,867	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$6,456,196	BOYAmt
EOY	$5,908,645	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$36,016,143	BOYAmt
EOY	$34,057,540	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	$64,638,729	BOYAmt
EOY	$63,087,786	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,395,624	BOYAmt
EOY	$20,050,810	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$255,214,295	BOYAmt
EOY	$249,831,648	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	$234,256,842	BOYAmt
EOY	$238,197,644	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,705,950	BOYAmt
EOY	$3,159,048	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$237,962,792	BOYAmt
EOY	$241,356,692	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$493,177,087	BOYAmt
EOY	$491,188,340	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,018,459	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$33,578,310	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$29,165,951	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	false	FederalGrantAuditRequiredInd

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	$170,442,800	OtherCostOrOtherBasisAmt
Depreciation	$28,772,060	DepreciationAmt
Book Value	$141,670,740	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$73,586,104	OtherCostOrOtherBasisAmt
Depreciation	$41,045,508	DepreciationAmt
Book Value	$32,540,596	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,664,489	OtherCostOrOtherBasisAmt
Depreciation	$1,506,758	DepreciationAmt
Book Value	$2,157,731	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$182,833,874	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$105,450,407
RESTRICTED INVESTMENTS - FDN	$3,159,048
INSURANCE CLAIMS RECEIVABLE	$0
OTHER LONG TERM ASSETS	$7,492

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$108,616,947	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
LEASE OBLIGATIONS	$1,740,809
SWAP PAYABLE	$8,798,715
OTHER PAYABLES	$4,907,117
DEFERRED SOCIAL SECURITY PAYABLE	$4,604,169

Field	Value	IRS element (for citing)
Total Liability	$20,050,810	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, 2021 AND 2020, 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	$7,165,790	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,165,790	NetCommunityBenefitExpnsAmt
Total Expense	0.0210	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$108,698,800	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$78,682,533	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,016,267	NetCommunityBenefitExpnsAmt
Total Expense	0.0878	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	$115,864,590	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$78,682,533	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,182,057	NetCommunityBenefitExpnsAmt
Total Expense	0.1088	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$196,950	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$196,950	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,607,434	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$442,875	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,164,559	NetCommunityBenefitExpnsAmt
Total Expense	0.0034	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	$91,136	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$91,136	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,895,520	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$442,875	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,452,645	NetCommunityBenefitExpnsAmt
Total Expense	0.0042	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$117,760,110	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,125,408	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,634,702	NetCommunityBenefitExpnsAmt
Total Expense	0.1130	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)
Total Community Benefit Expns	$3,837	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,837	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	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	$3,837	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,837	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,078,598	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$121,377,270	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$130,599,234	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,221,964	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	18	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://issuu.com/communitybenefit-ucm/docs/ucm-ingalls-2019-chna?fr=xKAE9_zU1NQ	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	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://issuu.com/communitybenefit-ucm/docs/ucm-ingalls-2020-2022-strategic-implementation-pla	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 INVOLVED ENGAGEMENT WITH MULTIPLE STAKEHOLDERS TO PRIORITIZE HEALTH AREAS TO ASSESS AS WELL AS TO COLLECT, CURATE AND INTERPRET DATA. INGALLS COLLABORATED WITH 35 HOSPITALS AND TWO HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS IN COOK COUNTY, ILLINOIS THROUGH A MEMBERSHIP COLLABORATION CALLED THE ALLIANCE FOR HEALTH EQUITY, WHICH WAS LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE. INGALLS ALSO ENGAGED INTERNAL AND EXTERNAL STAKEHOLDERS THROUGHOUT THE CHNA PROCESS. INTERNAL STAKEHOLDERS INCLUDED THE MEMBERS OF THE COMMUNITY BENEFIT STEERING COMMITTEE AND THE MEMBERS OF THE COMMUNITY MANAGEMENT TEAM. ADDITIONALLY, APPROXIMATELY 20 STAKEHOLDERS REPRESENTING BROAD INTERESTS OF THE COMMUNITY ATTENDED A MEETING IN APRIL 2019 TO REVIEW DATA AND TO DISCUSS PERTINENT ISSUES FOR IMH TO ADDRESS THROUGH THE IMPLEMENTATION PLAN. PRIMARY DATA COLLECTION METHODS FOR THE CHNA WERE: 1) 240 COMMUNITY INPUT SURVEYS AVAILABLE IN ENGLISH, SPANISH, CHINESE, AND POLISH 2) ONE COMMUNITY INPUT FOCUS GROUP WITH PRIORITY POPULATIONS TEENS AND YOUNG ADULTS 3) HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS 4) TWO STAKEHOLDER ASSESSMENTS LED BY THE CHICAGO DEPARTMENT OF PUBLIC HEALTH FORCES OF CHANGE ASSESSMENT AND 5) HEALTH EQUITY CAPACITY ASSESSMENT.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - THE INGALLS MEMORIAL HOSPITAL. IMH JOINED THE ALLIANCE FOR HEALTH EQUITY TO CONDUCT THE CHNA AND PARTICIPATED IN ITS COLLABORATIVE EFFORTS FOR COOK COUNTY. THE ALLIANCE FOR HEALTH EQUITY IS A COLLABORATIVE OF 37 HOSPITALS WORKING WITH HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE HEALTH EQUITY, WELLNESS, AND QUALITY OF LIFE ACROSS CHICAGO AND COOK COUNTY. USING THE DATA GATHERED FROM THIS EFFORT, INGALLS CREATED A CHNA FOCUSED ON ITS SERVICE AREA AND ALSO COMPLEMENTED IT WITH ADDITIONAL DATA AND INFORMATION. THE FACILITIES OTHER THAN HOSPITALS THAT PARTICIPATED IN THE ALLIANCE FOR HEALTH EQUITY ARE CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, EVANSTON HEALTH AND HUMAN SERVICES, AND THE VILLAGE OF SKOKIE HEALTH DEPARTMENT. THE PARTICIPATING HOSPITALS WERE: ADVOCATE AURORA CHILDREN'S HOSPITAL ADVOCATE AURORA CHRIST MEDICAL CENTER ADVOCATE AURORA ILLINOIS MASONIC MEDICAL CENTER ADVOCATE AURORA LUTHERAN GENERAL HOSPITAL ADVOCATE AURORA SOUTH SUBURBAN HOSPITAL ADVOCATE AURORA TRINITY HOSPITAL AMITA ADVENTIST MEDICAL CENTER LA GRANGE AMITA ALEXIAN BROTHERS MEDICAL CENTER, ELK GROVE VILLAGE AMITA HOLY FAMILY MEDICAL CENTER AMITA RESURRECTION MEDICAL CENTER AMITA ST. ALEXIUS MEDICAL CENTER AND ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL AMITA SAINT FRANCIS HOSPITAL AMITA SAINT JOSEPH HOSPITAL AMITA SAINTS MARY AND ELIZABETH MEDICAL CENTER ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO COOK COUNTY HEALTH- PROVIDENT HOSPITAL COOK COUNTY HEALTH- STROGER HOSPITAL JACKSON PARK HOSPITAL THE LORETTO HOSPITAL LOYOLA MEDICINE- GOTTLIEB MEMORIAL HOSPITAL LOYOLA MEDICINE- LOYOLA UNIVERSITY MEDICAL CENTER LOYOLA MEDICINE- MACNEAL HOSPITAL MERCY HOSPITAL & MEDICAL CENTER NORTHWESTERN MEMORIAL HOSPITAL NORWEGIAN AMERICAN HOSPITAL PALOS COMMUNITY HOSPITAL ROSELAND COMMUNITY HOSPITAL RUSH OAK PARK RUSH UNIVERSITY MEDICAL CENTER SINAI HEALTH SYSTEM- HOLY CROSS HOSPITAL SINAI HEALTH SYSTEM- MOUNT SINAI HOSPITAL SINAI HEALTH SYSTEM- SCHWAB REHABILITATION HOSPITAL SOUTH SHORE HOSPITAL SWEDISH COVENANT HOSPITAL UNIVERSITY OF CHICAGO MEDICINE UNIVERSITY OF CHICAGO MEDICINE-INGALLS MEMORIAL HOSPITAL UNIVERSITY OF ILLINOIS HOSPITAL AND HEALTH SCIENCES SYSTEM
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - INGALLS MEMORIAL HOSPITAL. The results of the report have been discussed at community meetings, with reference to the full report's availability on the hospital's website. The CHNA has also been made widely available to various Chicagoland community news outlets, including the Chicago Sun-Times and WVON-1690 AM.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - THE INGALLS MEMORIAL HOSPITAL. THE MOST RECENT CHNA WAS CONDUCTED IN 2018. THE CHNA FOR YEARS 2020-2022 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 2019 CHNA REPORT, 2016-2019 EVALUATION REPORT, AND 2020-2022 STRATEGIC IMPLEMENTATION PLAN AND FORMALLY APPROVED ALL THREE DOCUMENTS ON MAY 23, 2019. THE HEALTH PRIORITIES IDENTIFIED IN THE MOST RECENT CHNA WERE: 1. PREVENT AND MANAGE CHRONIC DISEASE -- ASTHMA, DIABETES AND HEART DISEASE. 2. INCREASE ACCESS TO MATERNAL SERVICES -- PRENATAL CARE. 3. PROMOTE CANCER AWARENESS -- BREAST CANCER AND PROSTATE CANCER. BEGINNING IN 2020, INGALLS BEGAN TO ADDRESS THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA THROUGH EXECUTION OF THE IMPLEMENTATION STRATEGY. IN THE PREVIOUS CHNA, INGALLS WAS FULLY ENGAGED IN THE ALLIANCE FOR HEALTH EQUITY, A MEMBERSHIP COLLABORATION OF 30 NON PROFITS AND PUBLIC HOSPITALS AND 7 HEALTH DEPARTMENTS TO IMPROVE HEALTH EQUITY, WELLNESS, AND QUALITY OF LIFE ACROSS CHICAGO AND COOK COUNTY. MANY OF INGALLS ACTIONS TO ADDRESS THESE NEEDS ARE INCLUDED IN PROGRAMS THAT ARE NOT LIMITED TO THESE NEEDS. IN 2020, THE SELECTED PRIORITY AREAS (SIGNIFICANT NEEDS) WERE ADDRESSED 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 BENEFIT 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. 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 FOOD INSECURITY WAS NOT SELECTED AS A HEALTH PRIORITY AREA FOR 2020-2022, IT AFFECTS THE HEALTH STATUS OF THE WHOLE COMMUNITY. CONSEQUENTLY, IT IS ADDRESSED IN RELATION TO EACH OF THE PRIORITY HEALTH AREAS WITH A FOCUS ON THE CHRONIC DISEASE DOMAIN. INGALLS DID NOT DIRECTLY ADDRESS MENTAL HEALTH & SUBSTANCE ABUSE OR STI/HIV; HOWEVER, IT DOES NOT IGNORE THESE ISSUES EITHER. INGALLS HAS LEVERAGED ITS INTERNAL AND EXTERNAL RESOURCES TO CONTINUE TO ADDRESS THESE AS WELL AS OTHER ISSUES. ALSO, INGALLS CONTINUES TO WORK WITH COMMUNITY PARTNERS, INCLUDING THE LOCAL PUBLIC HEALTH DEPARTMENTS, COMMUNITY ORGANIZATIONS AND FEDERAL QUALIFIED HEALTH CENTERS. PLEASE SEE A REPORT OF ALL INGALLS COMMUNITY ACTIVITIES IN PART VI, LINE 5. RATIONALE FOR UNADDRESSED NEEDS: THROUGHOUT THE CHNA PROCESS, A WIDE RANGE OF PRIORITY HEALTH ISSUES EMERGED. ALTHOUGH MULTIPLE STAKEHOLDERS PRIORITIZED TOP HEALTH NEEDS FOR INGALLS TO FOCUS ON, INGALLS DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON TOP HEALTH NEEDS WHICH FIT WITHIN THE CURRENT RESOURCES AVAILABLE. WHILE FOOD INSECURITY WAS NOT SELECTED AS A HEALTH PRIORITY AREA FOR 2020-2022, IT AFFECTS THE HEALTH STATUS OF THE ENTIRE COMMUNITY. CONSEQUENTLY, IT IS ADDRESSED IN RELATIONSHIP TO EACH OF THE PRIORITY HEALTH AREAS WITH A FOCUS ON THE CHRONIC DISEASE DOMAIN (DIABETES, ASTHMA AND HEART DISEAE). INGALLS DID NOT DIRECTLY ADDRESS MENTAL HEALTH & SUBSTANCE ABUSE OR STI/HIV; IT DID NOT IGNORE THESE ISSUES EITHER. INGALLS LEVERAGED ITS INTERNAL RESOURCES TO CONTINUE TO ADDRESS THESE AS WELL AS OTHER ISSUES. ALSO, INGALLS WILL DILIGENTLY WORK WITH COMMUNITY PARTNERS, INCLUDING THE LOCAL PUBLIC HEALTH DEPARTMENT, COMMUNITY ORGANIZATIONS AND FEDERAL QUALIFIED HEALTH CENTERS TO ADDRESS ISSUES IN ITS SHARED COMMUNITY.
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, 2019.
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, THE EVALUATION REPORT AND COMMUNITY IMPACT GRANT PROGRAM. BUILDING ON INGALLS' PAST CHNA, THE DATA PRIORITY SETTING TEAM, WHICH INCLUDED THE MANAGER OF COMMUNITY BENEFITS AND COMMUNITY AFFAIRS 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 STEERING 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 2018-2019 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 INGALLS' 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 2018-2019 CHNA, THE POPULATION OF INGALLS SERVICE AREA IS APPROXIMATELY 61 PERCENT AFRICAN AMERICAN, 20 PERCENT WHITE AND 17 PERCENT HISPANIC/LATINO. FORTY PERCENT OF SUBURBAN COOK COUNTY'S AFRICAN AMERICAN POPULATIONS LIVE WITHIN THE INGALLS SERVICE AREA. THE INGALLS SERVICE AREA IS RELATIVELY LOW-INCOME COMPARED TO THE REST OF SUBURBAN COOK COUNTY. ABOUT 22% OF RESIDENTS IN THE INGALLS SERVICE AREA LIVE BELOW 200% OF THE FEDERAL POVERTY LINE (FPL) COMPARED TO 18% IN SOUTH SUBURBAN COOK COUNTY OVERALL, 11% IN SUBURBAN COOK COUNTY, 14% IN ILLINOIS, AND 15% IN THE US. INGALLS IS LOCATED IN HARVEY, ILLINOIS, THE CITY WITH THE HIGHEST POVERTY RATES. INGALLS SERVICE AREA IS THORNTON TOWNSHIP, WHICH CONSISTS OF 13 ZIP CODES, 20 CITIES/MUNICIPALITIES. IT IS HOME TO MORE THAN 260,000 RESIDENTS, MANY OF WHOM ARE UNDERSERVED BY INGALLS. SOME OF THE COMMUNITIES IN THE INGALLS SERVICE AREA HAVE SOME OF THE HIGHEST CHRONIC DISEASE AND MORTALITY RATES IN 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. CHRONIC DISEASES: DIABETES, HEART DISEASE AND ASTHMA DURING THE COVID-19 PANDEMIC, INGALLS SHIFTED FROM HOSTING IN-PERSON EVENTS TO OFFERING VIRTUAL EVENTS. IN 2021, INGALLS OFFERED SEVENTEEN SESSIONS ON NUTRITION, FITNESS, DIABETES, HEART HEALTH, CANCER AND MENTAL HEALTH. MORE THAN 200 PEOPLE PARTICIPATED IN THESE VIRTUAL EVENTS. ACCESS TO MATERNAL HEALTH THE HEALTHY BABY NETWORK 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 LOWER BIRTH WEIGHTS, INCREASED MORBIDITY AND MORTALITY, AND NUMEROUS OTHER COMPLICATIONS THAT HAVE BEEN EASILY TREATED. IN 2021, 115 INDIVIDUALS ENROLLED IN THE PROGRAM, RESULTING IN 73 FULL-TERM DELIVERIES AND 69 DELIVERIES THAT WERE NORMAL BIRTH WEIGHTS. THE PROGRAM ALSO HOSTED A DRIVE-THRU BABY SHOWER, WHICH PROVIDED 100 BABY BAGS FULL OF BABY NECESSITIES. BREAST AND PROSTATE CANCER THROUGH THE INGALLS COMMUNITY IMPACT GRANT PROGRAM, COMMUNITY ORGANIZATIONS APPLY FOR FUNDING TO PROVIDE PROGRAMS AND SERVICES THAT HELP TO IMPROVE THE HEALTH OUTCOMES OF RESIDENTS IN THE INGALLS CHNA SERVICE AREA, WITH A FOCUS ON ONE OF THE PRIORITY HEALTH AREAS. INGALLS APPROVED A $30,000 GRANT TO THE CANCER SUPPORT CENTER THAT ADDRESSED CANCER. THROUGH THE CANCER SUPPORT CENTER'S "KICK IT" CANCER PROGRAM, THE CENTER USED A MULTI-FACETED PLAN TO ADDRESS THE HIGHER CANCER RATES AND MORTALITY RATES IN TARGETED COMMUNITIES. THE ORGANIZATION SHIFTED FROM IN-PERSON PROGRAMMING TO A VIRTUAL FORMAT OFFERING PANEL DISCUSSIONS ON THE IMPORTANCE OF BOTH BREAST AND PROSTATE CANCER AWARENESS, PREVENTION AND SCREENINGS. THE PROGRAM HAS OFFERED SIX OUTREACH EVENTS, 30 SCREENING PLEDGE CARDS, 18 FOLLOW UPS, FIVE IN-PERSON EVENTS AND THREE VIRTUAL EVENTS. INGALLS APPROVED A $25,000 COMMUNITY IMPACT GRANT TO FAMILY CHRISTIAN HEALTH CENTER TO INCREASE THE USE OF MAMMOGRAPHY UTILIZATION IN THE SOUTHLAND. COVID-19: THE ORGANIZATION'S CONTINUING CHALLENGE HAS BEEN BALANCING SUDDEN SURGES OF COVID-19. THE COVID-19 PANDEMIC HAS PLAGUED THE WORLD. INGALLS QUICKLY ADJUSTED OPERATIONS AND IMPLEMENTED NEW STANDARDS TO ENSURE SAFETY WHILE CONTINUING TO PROVIDE EXCEPTIONAL LIFE SAVING CARE. IN 2021, INGALLS SHIFTED ITS DAY OF SERVICE AND REFLECTION INITIATIVE (DOSAR) TO PROVIDE EMERGENCY RELIEF FUNDS TO LOCAL ORGANIZATIONS. SEVEN COMMUNITY ORGANIZATIONS RECEIVED A TOTAL OF $8,500 OF "GRANT" FUNDS TO DEAL WITH THE GAPS IN PROGRAMS CAUSED BY COVID-19. INGALLS HOSTED VACCINATION DRIVES AT SENIOR AND LOW-INCOME HOUSING UNITS IN HARVEY, ILLINOIS. MORE THAN 3,500 DOSES OF COVID-19 VACCINES WERE ADMINISTERED TO HARVEY RESIDENTS. ADDITIONALLY, INGALLS VACCINATED FIRST RESPONDERS, CARE GIVERS, AND COMMUNITY MEMBERS. INGALLS OPENED THREE ONSITE FOOD PANTRIES FOR ITS ONCOLOGY PATIENTS. MORE THAN 1,000 INDIVIDUALS HAVE RECEIVED EMERGENCY FOOD, WHICH INCLUDES PATIENTS AND THEIR FAMILIES. THE PROGRAM DOES NOT REQUIRE INDIVIDUALS TO SIGN FOR EMERGENCY FOOD IF THEY ARE UNCOMFORTABLE. THE INGALLS DEVELOPMENT FOUNDATION PROVIDED $786,000 IN FUNDING FOR A COMMUNITY-BASED CANCER RESEARCH TRIAL THAT SCREENED 300 PATIENTS, INCREASING THE NUMBER OF MINORITIES IN CLINICAL TRIALS, $12,000 IN COMMUNITY SCHOLARSHIPS TO 12 STUDENTS, $10,000 IN FUNDING TO HELP PREVENT THE SPREAD OF COVID-19 AND TO OFFER EDUCATION TO MINORITY AND FEMALE-LED SMALL BUSINESS FOUNDERS, AND $2,000 IN FUNDING TO KIDFEST, A VACCINATION AND SCHOOL SUPPLY DRIVE. COVID-19 HAS AGGRAVATED DISPARITIES IN BOTH HEALTH AND THE SOCIAL DETERMINANTS OF HEALTH. OVER THE PAST TWO YEARS INGALLS HAS STAYED FOCUSED ON PROVIDING EXCEPTIONAL HEALTHCARE WHILE DEALING WITH THE IMPACT AND STRAIN THAT COVID-19 HAS CAUSED ON THE HEALTHCARE SYSTEM AND THE COMMUNITY. COMMUNITY ADVISORY COUNCIL (CAC): THE 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 CHICAGO AND THE SOUTH SUBURBAN REGION. IN ADDITION TO THE IMH 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: 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 THE 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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	107	RecipientCnt
Cash Grant	$69,750	CashGrantAmt
Valuation Method Used	CASH	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	SCHOLARSHIPS ARE PAID DIRECTLY TO THE EDUCATIONAL INSTITUTIONS IN ORDER TO ENSURE THE FUNDS ARE USED FOR THEIR INTENDED PURPOSE.	ExplanationTxt

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 (20 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
PRESIDENT CHHD (THRU 5/31/21)	$475,740	$0	$213,500	$0	$28,326	$0	$6,346	$0	$17,334	$0	$741,246	$0	$0	$0
RANDY NEISWONGER
INTERIM PRESIDENT CHHD (EFF. 6/1/2021)	$350,828	$0	$142,100	$0	$38,550	$0	$28,419	$0	$38,992	$0	$598,890	$0	$0	$0
MARK KOZLOFF MD
BOARD MEMBER	$0	$459,572	$0	$248,333	$0	$0	$0	$11,538	$0	$29,773	$0	$749,216	$0	$0
ENGIN YILMAZ MD
BOARD MEMBER (EFF. JAN 2021)	$0	$297,883	$0	$133,085	$0	$12,000	$0	$12,874	$0	$585	$0	$456,428	$0	$0
JOHN A FLYNN MD
BOARD MEMBER	$0	$614,527	$0	$75,000	$0	$28,711	$0	$22,800	$0	$33,232	$0	$774,270	$0	$0
CORRIN STEINHAUER
BOARD MEMBER/VP PATIENT CARE & CNO, INGALLS	$0	$307,094	$0	$76,908	$0	$16,918	$0	$33,816	$0	$45,221	$0	$479,957	$0	$0
CRESSA PERISH MD
BOARD MEMBER (THRU JAN 2021)	$0	$213,078	$0	$0	$0	$0	$0	$5,000	$0	$8,984	$0	$227,062	$0	$0
GARY GASBARRA
INTERIM CFO (TIL 6/30/17)	$0	$383,493	$0	$215,236	$0	$98,212	$0	$62,143	$0	$23,605	$0	$782,689	$0	$44,984
MICHAEL A LAWRENCE
CHIEF FINANCIAL OFFICER (THRU 8/29/19)	$0	$0	$0	$0	$148,644	$0	$0	$0	$3,176	$0	$151,820	$0	$0	$0
IVAN SAMSTEIN
CHIEF FINANCIAL OFFICER (EFF. 6/30/21)	$0	$602,821	$0	$26,138	$0	$21,828	$0	$22,800	$0	$62,172	$0	$735,759	$0	$0
RICHARD W SILVERIA
CHIEF FINANCIAL OFFICER (THRU 4/22/21)	$0	$792,131	$0	$481,745	$0	$78,454	$0	$21,375	$0	$32,469	$0	$1,406,173	$0	$0
TOMASZ SAMEK
ASSISTANT SECRETARY	$97,546	$47,711	$15,828	$1,000	$1,461	$0	$1,436	$0	$4,978	$1,160	$121,249	$49,872	$0	$0
ANN MCCOLGAN
ASSISTANT TREASURER	$0	$283,563	$0	$64,405	$0	$66,310	$0	$37,478	$0	$38,595	$0	$490,350	$0	$24,713
DOUGLAS SAEGESSER
VP OF FINANCE	$249,018	$0	$57,750	$0	$38,766	$0	$15,427	$0	$19,245	$0	$380,206	$0	$0	$0
PAUL DONOHUE
VP PHILANTHROPY AND COMMUNITY	$202,861	$0	$41,990	$0	$0	$0	$15,923	$0	$40,726	$0	$301,500	$0	$0	$0
SUSAN BJORK
DIRECTOR, INGALLS IT APPLICATIONS	$82,948	$0	$18,051	$0	$88,628	$0	$2,490	$0	$9,492	$0	$201,608	$0	$0	$0
MARY JO CRANDALL
VP LEAN TRANSFORMATION	$204,912	$0	$29,056	$0	$0	$0	$3,074	$0	$30	$0	$237,073	$0	$0	$0
NEGIN KIYAVASH
DIRECTOR OF PHARMACY	$170,731	$0	$19,394	$0	$7,154	$0	$2,790	$0	$8,114	$0	$208,183	$0	$0	$0
LISA LIGUE
DIRECTOR, REVENUE CYCLE	$179,971	$0	$8,750	$0	$0	$0	$2,730	$0	$2,030	$0	$193,481	$0	$0	$0
KRISTINE SHIELDS
OCCUPATIONAL MEDICINE	$184,614	$0	$11,969	$0	$0	$0	$2,077	$0	$0	$0	$198,660	$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 2020, THE ORGANIZATION PROVIDED A VERY LIMITED NUMBER OF AD HOC TAX-RELATED PAYMENTS. BRIAN SINOTTE, RANDY NEISWONGER, AND DOUGLAS SAEGESSER RECEIVED TAX RELATED PAYMENTS IN CONNECTION WITH THE REIMBURSEMENT OF MOVING EXPENSES. 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	SOME OF THE INDIVIDUALS LISTED ON THE FORM 990 HAVE A SEVERANCE PROVISION IN CONJUNCTION WITH THEIR EMPLOYMENT WITH THE HOSPITAL. DURING CALENDAR YEAR 2020, THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: MICHAEL LAWRENCE - $148,644 SUSAN BJORK - $67,883
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 JUNE 2021 FOR CALENDAR YEAR 2020: ANN MCCOLGAN CORRIN STEINHAUER DOUGLAS SAEGESSER GARY GASBARRA PAUL DONOHUE RANDY NEISWONGER 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 2020 W-2'S): ANN MCCOLGAN - $24,713 GARY GASBARRA - $44,984
Schedule J, Part I, Line 7 Non-fixed payments	IN FY2021 ALL EMPLOYEES OF IMH WERE PAID A HOLIDAY BONUS.
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 2020 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: SUSAN BJORK AND MICHAEL LAWRENCE.

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	$6,855,000	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
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 M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$34,413	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Selling cost	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Drugs and medical supplies - the organization is reporting the number of contributions.	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 $ 90,511,585 including grants of $)(Revenue $ 37,002,003) 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	PATIENT TRANSPORTATION - Total Revenue: 12480, Related or Exempt Function Revenue: 12480, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	MISC REVENUE - Total Revenue: 840705, Related or Exempt Function Revenue: 840705, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; PROGRAM REVENUE - Total Revenue: 110412, Related or Exempt Function Revenue: 110412, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MOBILE NTENSIVE CARE FEE - Total Revenue: 79762, Related or Exempt Function Revenue: 79762, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MED RECORD & TRANSC FEES - Total Revenue: 27667, Related or Exempt Function Revenue: 27667, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; PAS/PAGER RENTAL - Total Revenue: 5725, Related or Exempt Function Revenue: 5725, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; RETINAL VASC- OTHER - Total Revenue: 2276, Related or Exempt Function Revenue: 2276, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; DISCOUNT EARNINGS - Total Revenue: 483, Related or Exempt Function Revenue: 483, 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: 28383391, Program Service Expense: 27663993, Management and General Expenses: 719398, Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 3617516, Program Service Expense: 3456000, Management and General Expenses: 161516, Fundraising Expenses: ; FOOD SERVICES - Total Expense: 5273028, Program Service Expense: 3954771, Management and General Expenses: 1318257, Fundraising Expenses: ; ENVIRONMENTAL/HOSPITALITY SVCS - Total Expense: 5729539, Program Service Expense: 5233306, Management and General Expenses: 496233, Fundraising Expenses: ; PATIENT TRANSPORTATION - Total Expense: 1647559, Program Service Expense: 1647559, Management and General Expenses: , Fundraising Expenses: ; PATIENT FINANCIAL SERVICES - Total Expense: 2114731, Program Service Expense: 2114731, Management and General Expenses: , Fundraising Expenses: ; FAMILY CARE CENTERS - Total Expense: 2550920, Program Service Expense: 2370934, Management and General Expenses: 179986, Fundraising Expenses: ; OTHER - Total Expense: 3985805, Program Service Expense: 1704160, Management and General Expenses: 2281645, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	FAIR VALUE OF DERIVATIVE INSTRUMENTS - 2637280; CHANGE IN INTEREST OF FOUNDATION - -546903; TRANSFERS TO AFFILIATES - -31256328;
Form 990, Part XII, Line 3a Single Audit Act and OMB Circular A-133	In general organizations are required to file the single audit within 9 months of the close of the fiscal year in which grant funds were received. However, the single audit requirement was given an extension of an additional 6 months for recipients of CARES Act funding to file the single audit. The organization is subject to a single audit requirement for its fiscal year ending June 30, 2021. The organization began the process to undergo the required audit during its fiscal year ending June 30, 2022 and will file a single audit in conjunction with the University of Chicago by 9/30/2022.

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 Road	BANGALORE	Karnataka	IN	560001

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (15 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	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	NA	C Corporation	false	363485578
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

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	$1,228,610	FMV
INGALLS PROVIDER GROUP
Q	$2,043,728	FMV