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INGALLS MEMORIAL HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
INGALLS MEMORIAL HOSPITAL (EIN 36-2170866)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201302269349303785
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-14T17:00:04-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362170866EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE INGALLS MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlINGANameControl
Phone7083332300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Ingalls DriveAddressLine1
CityHarveyCity
StateILState
ZIP Code60426ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANDREW STEFOName
TitleCFOTitle
Date Signed2013-08-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn WoodhullName
PTINP01305268PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1KURT E JOHNSONBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1One Ingalls DriveAddressLine1
CityHarveyCity
StateILState
ZIP Code60426ZIPCode
FieldValueIRS element (for citing)
Gross Receipts334348992GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.INGALLS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1922YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTHE INGALLS MEMORIAL HOSPITAL STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES BY INVESTING IN THE LATEST MEDICAL TECHNOLOGIES, THE STRUCTURAL NEEDS OF OUR FACILITIES, AND OUR EMPLOYEES. DURING THE YEAR CHARITY CARE SERVICES PROVIDED WERE AS REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees3230TotalNbrEmployees
Total Nbr Volunteers270TotalNbrVolunteers
Total Gross UBI469585TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1532151ContributionsGrantsPriorYear
Contributions Grants Current Year1126202ContributionsGrantsCurrentYear
Program Service Revenue Prior Year290100144ProgramServiceRevenuePriorYear
Program Service Revenue CY302199111ProgramServiceRevenueCY
Investment Income Prior Year13586044InvestmentIncomePriorYear
Investment Income Current Year28585473InvestmentIncomeCurrentYear
Other Revenue Prior Year3597127OtherRevenuePriorYear
Other Revenue Current Year1921309OtherRevenueCurrentYear
Total Revenue Prior Year308815466TotalRevenuePriorYear
Total Revenue Current Year333832095TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY149694GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year130073795SalariesEtcPriorYear
Salaries Etc Current Year124039341SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year157788514OtherExpensePriorYear
Other Expenses Current Year174480747OtherExpensesCurrentYear
Total Expenses Prior Year287862309TotalExpensesPriorYear
Total Expenses Current Year298669782TotalExpensesCurrentYear
Revenues Less Expenses Prior Year20953157RevenuesLessExpensesPriorYear
Revenues Less Expenses CY35162313RevenuesLessExpensesCY
Total Assets BOY404099667TotalAssetsBOY
Total Assets EOY448366287TotalAssetsEOY
Total Liabilities BOY185429927TotalLiabilitiesBOY
Total Liabilities EOY192632889TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY218669740NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY255733398NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE INGALLS MEMORIAL HOSPITAL STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES BY INVESTING IN THE LATEST MEDICAL TECHNOLOGIES, THE STRUCTURAL NEEDS OF OUR FACILITIES, AND OUR EMPLOYEES. (CONT. IN SCHEDULE O)MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense238884043Expense
Grants149694Grants
Revenue301747218Revenue
DescriptionPATIENT CARE: THE INGALLS MEMORIAL HOSPITAL (IMH) INCLUDES A 500+ CERTIFIED BED HOSPITAL AND A NETWORK OF COMPREHENSIVE OUTPATIENT CENTERS THAT FEATURE A FULL ARRAY OF HIGH-TECH DIAGNOSTIC AND TREATMENT SERVICES. AS THE AREA'S ONLY INDEPENDENT NOT-FOR-PROFIT HEALTHCARE SYSTEM, IMH HAS THE ABILITY TO ENSURE THAT OUR RESOURCES ARE DIRECTED TO AREAS THAT RESULT IN THE GREATEST BENEFIT TO OUR PATIENTS AND THE COMMUNITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense27449000Expense
DescriptionCHARITY CARE: THE INGALLS MEMORIAL HOSPITAL (IMH) PROVIDES FREE AND DISCOUNTED SERVICES TO THE UNINSURED AND UNDERINSURED. CHARITY CARE SERVICES ARE MADE AVAILABLE TO PATIENTS WHO ARE DETERMINED TO BE MEDICALLY INDIGENT. ELIGIBILITY FOR CHARITY CARE IS DETERMINED BY INCOME. IMH USES THE FEDERAL POVERTY INCOME GUIDELINES THAT ARE PUBLISHED AND UPDATED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES IN DETERMINING WHO SHOULD RECEIVE CHARITY CARE AND WHO SHOULDN'T. DURING THE YEAR CHARITY CARE SERVICES PROVIDED WERE AS REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense341743Expense
Revenue1191877Revenue
DescriptionRESEARCH: THE INGALLS MEMORIAL HOSPITAL CONDUCTS RETINAL VASCULAR RESEARCH, A STUDY OF PATIENTS 50-85 YEARS OLD WITH LARGE BILATERAL DRUSEN AND ADVANCED AGE-RELATED MACULAR DEGENERATION. USE OF HIGH-DOSE ANTI-OXIDANTS AND ZINCS REDUCE PROGRESSION TO ADVANCED AGE-RELATED MACULAR DEGENERATION.Description
FieldValueIRS element (for citing)
Total Program Service Expense266674786TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096285NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3230NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Andrew StefoBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7083332300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE INGALLS DRIVEAddressLine1
CityHarveyCity
StateILState
ZIP Code60426ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
EUGENE M FEINGOLD
CHAIRMAN OF THE BOARD1.00XX000
KURT E JOHNSON
PRESIDENT & CEO40.00XX1443678066256
RICHARD M KING
BOARD MEMBER, SECRETARY/TREASURER1.00XX000
ROBERT G VELO
BOARD MEMBER, VICE CHAIRMAN1.00XX000
DAVID H ORTH MD
BOARD MEMBER1.00X000
DENNIS J IRVIN
BOARD MEMBER1.00X000
HENRY K JOHNSON
BOARD MEMBER1.00X000
KEVIN PURCELL
BOARD MEMBER1.00X000
LYNDELL S BECKHAM
BOARD MEMBER1.00X000
MARK KOZLOFF MD
BOARD MEMBER1.00X000
MICHAEL BUSH
BOARD MEMBER1.00X000
MICHAEL P KAMRADT
BOARD MEMBER1.00X000
NATHANIEL K SUTTON
BOARD MEMBER1.00X000
NEAL E KITCHELL
BOARD MEMBER1.00X000
ROBERT L HARRIS
BOARD MEMBER1.00X000
ROBERT TOPEL
BOARD MEMBER1.00X000
SAMUEL J CUTRARA JR CPA
BOARD MEMBER1.00X000
ANDREW STEFO
VP - FINANCE/CFO40.00X634660059151
DIANE JACOBY
ASSISTANT SECRETARY, VICE PRESIDENT, GENERAL COUNSEL40.00X555708068209
DOROTHY GRZADZINSKI
PRESIDENT OF MEDCENTRIX1.00439910041711X
JOSEPH MOSER
VP - DEVELOPMENT FOUNDATION1.00396177042861X
KATHLEEN MIKOS RN MSN
CHIEF NURSING OFFICER40.00456960066098X
MICHAEL HICKS
VP - AMBULATORY SERVICES40.00339903060518X
SCOTT C STRAUSSER
VP - BUSINESS DEVELOPMENT40.00493325049474X
ALETHA ROSS
VICE PRESIDENT OF HUMAN RESOURCES40.00316873025049X
CHRISTINE SALVATOR
RN ANESTHETIST40.00193580017765X
KISHA N CULBREATH LEAR
RN ANESTHETIST40.00186222025828X
LAWRENCE KLONOWSKI
MANAGER MEDICAL PHYSICS40.00187199022086X
MICHAEL J DEVORE
CHIEF INFORMATION OFFICER40.0025300603512X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5897201TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation548518TotalOtherCompensation
Number Individuals GT100 K76NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ARAMARK CORPORATION
25271 NETWORK PLACECHICAGOIL60673CONTRACT FOOD, PLANT, AND HOUSEKEEPING SERVICES18646829
AMERISOURCEBERGEN
1001 W TAYLOR ROADROMEOVILLEIL60446PHARMACEUTICAL VENDOR11870164
SIEMENS MEDICAL SOLUTIONS
C/O MELLON BANK DEPT CH 14195PALATINEIL600554195INFORMATION SYSTEM OUTSOURCING6768466
OWENS AND MINOR
BANK OF AMERICA 12199 COLLECTION DRCHICAGOIL60693MEDICAL SUPPLIES6270932
SYNERGY BEHAVIORAL HEALTHCARE
1566 W ALGONQUIN ROAD 149HOFFMAN ESTATESIL60192IN PT AND OUT PT PSYCHIATRIC SERVICES4443568
FieldValueIRS element (for citing)
Number Of Contractors GT100 K215NumberOfContractorsGT100K
Related Organizations973990RelatedOrganizations
Government Grants76448GovernmentGrants
All Other Contributions75764AllOtherContributions
Total Contributions1126202TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE900099293311456293311456
RENTAL INCOME90009918571171857117
CLIENT SERVICE REVENUE90009911640281164028
LAB SERVICES6215001099698630113469585
MEDIC TRAINING900099276899276899

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column4489913TotalRevenueColumn
Related Or Exempt Function Income4489913RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue302199111TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1871310TotalRevenueColumn
Exclusion$1,871,310ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1084704Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real516897Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real567807Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column567807TotalRevenueColumn
Exclusion$567,807ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities26714163Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities26714163Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column26714163TotalRevenueColumn
Exclusion$26,714,163ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
EXPENSE REIMBURSEMENT AND MGMT FEE900099736203736203
PARKING INCOME9000995971359713
CHILD CARE CENTER900099557586$557,586

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1353502TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column333832095TotalRevenueColumn
Related Or Exempt Function Income302525442RelatedOrExemptFunctionIncome
Unrelated Business Revenue469585UnrelatedBusinessRevenue
Exclusion$29,710,866ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total149694Total
Program Services149694ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5214599Total
Program Services5214599ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total98789814Total
Program Services89211307ProgramServices
Management And General9578507ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2959547Total
Program Services2686981ProgramServices
Management And General272566ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9403147Total
Program Services8537144ProgramServices
Management And General866003ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7672234Total
Program Services6965643ProgramServices
Management And General706591ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total7097899Total
Management And General7097899ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total117509Total
Program Services1216ProgramServices
Management And General116293ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total310548Total
Management And General310548ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total874314Total
Management And General874314ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total51898448Total
Program Services43985535ProgramServices
Management And General7912913ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3258699Total
Program Services2923095ProgramServices
Management And General335604ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total351050Total
Program Services226754ProgramServices
Management And General124296ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total476910Total
Program Services397604ProgramServices
Management And General79306ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total3244164Total
Program Services2671569ProgramServices
Management And General572595ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15699223Total
Program Services13813746ProgramServices
Management And General1885477ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6401411Total
Program Services5868272ProgramServices
Management And General533139ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES4199538041661054334326
BAD DEBT2666621126666211
PUBLIC AID ASSESSMENT99546279954627
LAUNDRY13035011303501

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4830853Total
Program Services4436234ProgramServices
Management And General394619ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total298669782Total
Program Services266674786ProgramServices
Management And General31994996ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY665157BOY
EOY3357061EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY40026323BOY
EOY46929600EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4701560BOY
EOY5261618EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4463490BOY
EOY3666360EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis450156672LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec276627355LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY163648232BOY
EOY173529317EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY181193649BOY
EOY205232259EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1499348BOY
EOY3793189EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY431723BOY
EOY388432EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7470185BOY
EOY6208451EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY404099667BOY
EOY448366287EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY43300508BOY
EOY55919833EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY120004961BOY
EOY115230349EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22124458BOY
EOY21482707EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY185429927BOY
EOY192632889EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY214682800BOY
EOY251575523EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3986940BOY
EOY4157875EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY218669740BOY
EOY255733398EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY404099667BOY
EOY448366287EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses35162313ReconcilationRevenueExpenses
Reconcilation Other Changes1901345ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$7,066OtherActivitiesAmount
Total Lobbying Expenditures IIB7066TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationA PORTION OF THE DUES PAID TO THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL ARE USED FOR LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis304242OtherCostOrOtherBasis
Book Value304242BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis226427805OtherCostOrOtherBasis
Depreciation129791442Depreciation
Book Value96636363BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis12079118OtherCostOrOtherBasis
Depreciation8766451Depreciation
Book Value3312667BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis180321865OtherCostOrOtherBasis
Depreciation138069462Depreciation
Book Value42252403BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis31023642OtherCostOrOtherBasis
Book Value31023642BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings173529317TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
TENDER PREMIUM PAYABLE$14,214,341
OTHER LONG TERM PAYABLES$7,268,366
FieldValueIRS element (for citing)
Total Of Amounts21482707TotalOfAmounts
Total Revenue333832095TotalRevenue
Total Expenses298669782TotalExpenses
Excess Or Deficit For Year35162313ExcessOrDeficitForYear
Net Unrealized GL On Investments2849303NetUnrealizedGLOnInvestments
Other-$947,957OtherAmount
Total Adjustments1901346TotalAdjustments
Excess Or Deficit Per FS37063659ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt334859127TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2849303NetUnrealizedGainsInvestments
Other Revenues0OtherRevenues
Revenue Not Rptd F9902849303RevenueNotRptdF990
Revenue Subtotal332009824RevenueSubtotal
Investment Expenses Not Included874314InvestmentExpensesNotIncluded
Other Revenues Not Included947957OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1822271RevenueNotRptdOnFinStmt
Total Revenue Per Form990333832095TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt297795468TotExpensesEtcAuditedFinclStmt
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal297795468ExpensesSubtotal
Investment Expenses Not Included2874314InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt874314ExpensesNotRptdOnFinStmt
Total Expenses Per Form990298669782TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2THE SYSTEM HAS ADOPTED ASC SUBTOPIC 740-10, INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, THE SYSTEM MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN FIFTY PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST, AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS, AND REQUIRES INCREASED DISCLOSURE. AS OF SEPTEMBER 30, 2011 AND 2010, THE SYSTEM DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS.
Other changes in net assetsSchedule D, Part XI, Line 8INTEREST RATE SWAP VALUATION - -229392; NET ASSETS RELEASED FROM RESTRICTION FOR OPERATION - -718565;
Other revenues in form 990 not in audited financial statementsSchedule D, Part XII, Line 4bINTEREST RATE SWAP VALUATION - 229392; NET ASSETS RELEASED FROM RESTRICTION FOR OPERATION - 718565;

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6404583TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense6404583NetCommunityBenefitExpense
Percent Of Total Expense0.02360PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense53907064TotalCommunityBenefitExpense
Direct Offsetting Revenue42025594DirectOffsettingRevenue
Net Community Benefit Expense11881470NetCommunityBenefitExpense
Percent Of Total Expense0.04370PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense60311647TotalCommunityBenefitExpense
Direct Offsetting Revenue42025594DirectOffsettingRevenue
Net Community Benefit Expense18286053NetCommunityBenefitExpense
Percent Of Total Expense0.06730PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense54398TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense54398NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense420966TotalCommunityBenefitExpense
Direct Offsetting Revenue276899DirectOffsettingRevenue
Net Community Benefit Expense144067NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense455252TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense455252NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense930616TotalCommunityBenefitExpense
Direct Offsetting Revenue276899DirectOffsettingRevenue
Net Community Benefit Expense653717NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense61242263TotalCommunityBenefitExpense
Direct Offsetting Revenue42302493DirectOffsettingRevenue
Net Community Benefit Expense18939770NetCommunityBenefitExpense
Percent Of Total Expense0.06970PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$19,666,864BadDebtExpenseAmount
Amount Attributable To11652617AmountAttributableTo
Amount Reimbursed By Medicare109270215AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare109154947CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall115268MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1INGALLS MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1ONE INGALLS DRIVEAddressLine1
CityHARVEYCity
StateILState
ZIP Code60426ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1INGALLS MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Uninsured DiscountXUninsuredDiscount
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities9NumberOfOtherFacilities

Other Facilities OtherFacilities (9 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
INGALLS FAMILY CARE CENTER
1600 TORRENCE AVENUECALUMET CITYIL60409URGENT AID, PRIMARY CARE, AND SPECIALIST SERVICES
INGALLS FAMILY CARE CENTER
4647 WEST LINCOLN HIGHWAYMATTESONIL60443LABORATORY, IMAGING, AND DIAGNOSTIC SERVICES
INGALLS FAMILY CARE CENTER
6701 WEST 159TH STREETTINLEY PARKIL60477URGENT AID, PRIMARY CARE, AND SPECIALIST SERVICES
INGALLS CENTER-OUTPATIENT REHABILITATION
1551 HUNTINGTON DRIVECALUMET CITYIL60409INDUSTRIAL AND MEDICAL REHABILITATION
INGALLS WELLNESS CENTER
2920 WELLNESS CENTERHOMEWOODIL60430COMPLEMENTARY MEDICINE AND COMMUNITY HEALTH PROGRAMS
INGALLS FAMILY CARE CENTER
19550 GOVERNORS HIGHWAYFLOSSMOORIL60422URGENT AID AND SPECIALIST SERVICES
THE CANCER SUPPORT CENTER
19250 EVERETT LANEMOKENAIL60448PREVENTION, SCREENING, AND EDUCATIONAL PROGRAMS
HORTON OCCUPATIONAL MEDICINE
16246 PRINCE DRIVESOUTH HOLLANDIL60473PHYSICIAN OFFICES
SOUTHWEST INDUSTRIAL CARE
7600 WEST COLLEGE DRIVE SUITE 7APALOS HEIGHTSIL60463PHYSICIAN OFFICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Eligibility criteria for free or discounted careSchedule H, Part I, Line 3cINGALLS MEMORIAL HOSPITAL DOES NOT FOLLOW THE FPG GUIDLINES TO DETERMINE ANY SELF PAY DISCOUNTED CARE, BUT DOES USE THE FPG GUIDLINES TO DETERMINE FREE CARE. INGALLS' ONLY DETERMINATION OF ELIGIBILITY OF CHARITY CARE IS MEASURED BY FAMILY INCOME AGAINST THE FEDERAL INCOME POVERTY GUIDELINES.
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)26,666,211
Bad debt expense - financial statement footnoteSchedule H, Part III, Line 4BAD DEBT EXPENSE IS DEFINED AS PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, WHO SHOULD HAVE THE ABILITY TO PAY THEIR RESPONSIBILITIES BUT HAVE NOT.
Community benefit & methodology for determining medicare costsSchedule H, Part III, Line 8THE HOSPITAL BELIEVES THE FULL AMOUNT OF THE SHORTFALL FROM MEDICARE SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE IT SERVE ALL PATIENTS REGARDLESS OF INSURANCE OR ABILITY TO PAY, AND IT CANNOT NEGOTIATE CONTRACTUAL RATES WITH THE MEDICARE PROGRAM. THE HOSPITAL MUST ACCEPT WHAT THE MEDICARE PROGRAM PAYS. THE METHODOLOGY USED IN DETERMINING MEDICARE USED IN THE COMMUNITY BENEFITS REPORT IS MEDICARE CHARGES MULTIPLIED BY THE MEDICARE COST REPORT, COST TO CHARGE RATIO
Collection practices for patients eligible for financial assistanceSchedule H, Part III, Line 9bPATIENT ACCOUNTS QUALIFYING FOR CHARITY CARE, WITH A KNOWN BALANCE AT TIME OF APPROVAL RECEIVE A CHAIRTY CARE ADJUSTMENT CODE AT THAT TIME. PATIENTS WITHOUT A KNOWN BALANCE AT TIME OF APPROVAL, RECEIVE AN ADJUSTMENT CODE AFTER APPROVAL.
Used FPG to determine eligibility for providing discounted care criteriaSchedule H, Part V Section B, Line 10(1) INGALLS MEMORIAL HOSPITAL - THE HOSPITAL PROVIDES A 65% DISCOUNT OFF GROSS CHARGES FOR ALL UNINSURED PATIENTS. ;
Needs assessment.Schedule H, Part VI, Line 2THE HOSPITAL HAS A COMMUNITY RELATIONS DEPARTMENT WHOSE SOLE PURPOSE IS TO ASSESS AND ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITY. THE HOSPITAL PARTNERS WITH COMMUNITY GROUPS TO IDENTIFY NEEDS, STRENGTHEN EXISTING COMMUNITY PROGRAMS, AND PLAN NEWLY NEEDED SERVICES. SPECIFIC ATTENTION IS PAID TO THE NEEDS OF LOW INCOME AND VULNERABLE POPULATIONS.
Patient education of eligibility for assistance.Schedule H, Part VI, Line 3THE 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 ALSO INFORMED VIA THE HOSPITAL'S WEBSITE, INDIVIDUAL PATIENT STATEMENTS AND FINANCIAL COUNSELORS.
Community information.Schedule H, Part VI, Line 4THE HOSPITAL'S IMMEDIATE SERVICES AREA FACES A NUMBER OF DIFFERENT CHALLENGES SUCH AS: *THE HIGHEST RATE IN THE METRO AREA FOR PERSONS BELOW POVERTY LEVEL, *THE GREATEST NUMBERS OF PERSONS ON MEDICAID, *THE HIGHEST RATES OF UNINSURED INDIVIDUALS, AND *THE HIGHEST RATES OF UNEMPLOYED INDIVIDUALS. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE HOSPITAL'S SERVICE AREA WAS $31,013, AND THE MEDIAN INCOME FOR A FAMILY WAS $36,284. ABOUT 26.1% OF FAMILIES AND 31.5% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 45.9% OF THOSE UNDER AGE 18 AND 11% OF THOSE AGE 65 OR OVER. THE INFORMATION ABOVE WAS OBTAINED FROM THE UNITED STATES CENSUS BUREAU. HTTP//FACTFINDER.CENSUS.GOV. 2009 DATA
Promotion of community healthSchedule H, Part VI, Line 5THE HOSPITAL'S SERVICE AREA HAS HISTORICALLY SEEN THE HIGHEST PREGNANCY OUTCOME RISK INDEX IN THE STATE. AS SUCH, INGALLS HAS PARTNERED WITH LOCAL SERVICE AGENCIES TO OFFER THE HEALTHY BABY NETWORK WHICH PROVIDES MEDICAL CARE AND SOCIAL SERVICE PROGRAMS FOR MOTHERS AT RISK. INGALLS CONTRACTED WITH A LOCAL GROUP OF OB/GYNS TO PROVIDE ROUND THE CLOCK CARE IN OUR EMERGENCY ROOM FOR WOMEN WHO PRESENT WITH NO PRENATAL CARE AND ARE AT HIGHER RISK. THE AREA'S LOCAL CHILDREN ALSO HAVE AMONG THE REGION'S LOWEST IMMUNIZATION RATES. ACCORDINGLY, INGALLS HAS, FOR MANY YEARS, OFFERED FREE COMMUNITY PROGRAMS TO PROVIDE NEEDED VACCINATIONS.
Affiliated health care systemSchedule H, Part VI, Line 6THE INGALLS MEMORIAL HOSPITAL IS PART OF THE INGALLS HEALTH SYSTEM. THE INGALLS HEALTH SYSTEM WAS INCORPORATED TO SUPPORT AND ENCOURAGE HEALTH AND HUMAN SERVICES THROUGH THE FOLLOWING AFFILIATES: *THE INGALLS MEMORIAL HOSPITAL *INGALLS HEALTH VENTURES *MEDCENTRIX, INC. *INGALLS DEVELOPMENT FOUNDATION *INGALLS HOME CARE *INGALLS PROVIDER GROUP *INGALLS CASUALTY INSURANCE *INGALLS SAME DAY SURGERY, LTD.
State filing of community benefit reportSchedule H, Part VI, Line 7IL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1INGALLS DEVELOPMENT FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE INGALLS DRIVEAddressLine1
CityHARVEYCity
StateILState
ZIP Code60426ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient363189150EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant149694AmountOfCashGrant
Purpose Of GrantGENERAL OPERATIONSPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationGRANTS ARE PROVIDED TO A RELATED ORGANIZATION, INGALLS DEVELOPMENT FOUNDATION, SO FORMAL MONITORING OF THE GRANT FUNDS IS NOT NEEDED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL J DEVORE
2145840322500617202150013620256518000
ALETHA ROSS
22286009137702636074980175510341922000
ANDREW STEFO
4549920172601070670409500182010693811000
LAWRENCE KLONOWSKI
1804760006723071770149090209285000
KISHA N CULBREATH LEAR
186017000205078880179400212050000
CHRISTINE SALVATOR
192485000109507888098770211345000
DOROTHY GRZADZINSKI
333524010212904257032163095480481621000
JOSEPH MOSER
268766012493502476041861010000439038000
MICHAEL HICKS
2368790100934020900410170195010400421000
SCOTT C STRAUSSER
3651490123669045070267230227510542799000
DIANE JACOBY
4054180145949043410486580195510623917000
KATHLEEN MIKOS RN MSN
3254270123908076250485470175510523058000
KURT E JOHNSON
1057720037530001065804870501755101509934000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN861091967IssuerEIN
CUSIP Number45200BHK7CUSIPNumber
Date Issued2007-11-16DateIssued
Issue Price48000000IssuePrice
Description Of PurposeREFUNDING OF 2004 BONDSDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds48000000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds811990IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures48000000CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2004YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.0000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.0000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.0000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1MERRILL LYNCHBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge29.5TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1THE HOSPITAL PROVIDES CARE TO MEDICAID BENEFICIARIES AND OTHER PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. IN ADDITION, THE HOSPITAL IS INVOLVED IN NUMEROUS COMMUNITY BENEFIT ACTIVITIES. THESE ACTIVITIES ARE WIDE RANGING AND INCLUDE HEALTH EDUCATION, SUPPORT GROUPS, HEALTH SCREENINGS, HEALTH FAIRS, PASTORAL CARE, HOME-DELIVERED MEALS, TRANSPORTATION SERVICES, PROVISION OF SEMINARS AND SPEAKERS, HEALTH INFORMATION LINES, AND PUBLICATION OF HEALTH MAGAZINES. THESE ACTIVITIES ARE PROVIDED FREE OF CHARGE OR BELOW THE COST OF PROVIDING THEM. DURING THE YEAR ENDING SEPTEMBER 30, 2011, CHARITY CARE SERVICES PROVIDED WAS APPROXIMATELY $26,435,000, PER THE ORGANIZATION'S FINANCIAL STATEMENTS.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE SOLE VOTING MEMBER OF THE ORGANIZATION IS INGALLS HEALTH SYSTEM (IHS), A RELATED TAX-EXEMPT ORGANIZATION. AS THE ORGANIZATION'S SOLE CORPORATE MEMBER, IHS HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE. IHS HAS THE RIGHT TO ELECT, APPOINT, OR REMOVE ANY BOARD OF DIRECTOR OF THE ORGANIZATION WITHOUT CAUSE AT ANY TIME. IN ADDITION, THE SOLE CORPORATE MEMBER HAS THE EXCLUSIVE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY. SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY INCLUDE, BUT ARE NOT LIMITED TO, THE RIGHT TO APPROVE LONG-TERM CAPITAL AND OPERATIONAL BUDGETS, TO APPROVE A PLAN OF DISSOLUTION OR MERGER WITH ANOTHER ORGANIZATION, AND TO APPROVE THE DEVELOPMENT, CONSTRUCTION OR IMPLEMENTATION OF ANY NEW HEALTHCARE FACILITY, PROGRAM, OR SERVICE.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aPLEASE SEE THE NARRATIVE FOR PART VI, SECTION A, LINE 6
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bPLEASE SEE THE NARRATIVE FOR PART VI, SECTION A, LINE 6
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE FULL FORM 990, INCLUDING SUPPLEMENTAL SCHEDULES, WAS PRESENTED BY THE CHIEF FINANCIAL OFFICER TO THE EXECUTIVE COMMITTEE AT A COMMITTEE MEETING. THE FULL BOARD HAS GRANTED TO THE EXECUTIVE COMMITTEE AUTHORITY TO APPROVE THE FORM 990. THE FULL BOARD WILL RECEIVE A REPORT FROM THE EXECUTIVE COMMITTEE, DESCRIBING THE EXECUTIVE COMMITTEE'S REVIEW PERFORMED. THE FORM 990 WILL BE AVAILABLE AT THE ORGANIZATION'S BOARD MEETING FOR EACH MEMBER'S REVIEW.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cALL OFFICERS, DIRECTORS, BOARD MEMBERS, AND KEY EMPLOYEES MUST AVOID SITUATIONS IN WHICH THEIR PERSONAL INTERESTS MAY CONFLICT, OR APPEAR TO CONFLICT, WITH THE INTEREST OF INGALLS; AND INGALLS REVIEWS ITS OWN RELATIONSHIPS WITH OTHER CARE PROVIDERS, EDUCATIONAL INSTITUTIONS, AND PAYERS TO DETERMINE IF POTENTIAL CONFLICTS EXIST. EMPLOYEES SHALL HAVE THE CONTINUING AFFIRMATIVE DUTY TO REPORT TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) OF INGALLS ANY PERSONAL OWNERSHIP INTEREST OR OTHER RELATIONSHIP THAT MIGHT AFFECT THEIR ABILITY TO EXERCISE IMPARTIAL, ETHICAL BUSINESS JUDGMENTS IN THE AREA OF THEIR RESPONSIBILITIES. PER THE ENTITY'S CONFLICT OF INTEREST POLICY, EMPLOYEES AT MANAGEMENT LEVEL WILL BE REQUIRED TO COMPLETE A "CERTIFICATION AND DISCLOSURE" FORM, ON A SCHEDULE DETERMINED BY THE CORPORATE COMPLIANCE OFFICER. COMPLETION OF THIS FORM IS A JOB REQUIREMENT FOR ALL MANAGERIAL EMPLOYEES, AND MAY BE REQUIRED OF NON-MANAGEMENT EMPLOYEES AS DETERMINED BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE CORPORATE COMPLIANCE OFFICER. EMPLOYEES ALSO HAVE A DUTY TO REPORT CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST OF WHICH THEY MAY BE AWARE INVOLVING OTHER EMPLOYEES. EACH SITUATION REPORTED SHALL BE REVIEWED BY THE PRESIDENT AND CEO, AND INGALLS CORPORATE COMPLIANCE OFFICER, AND A DETERMINATION SHALL BE MADE AS TO WHETHER A CONFLICT OF INTEREST EXISTS OR MAY ARISE FROM SUCH A SITUATION. THE DECISION OF THE PRESIDENT AND CEO AND CORPORATE COMPLIANCE OFFICER REGARDING WHETHER A CONFLICT EXISTS SHALL BE FINAL. THE EMPLOYEE HANDBOOK MENTIONS THE ENTITY'S CONFLICT OF INTEREST POLICY. EACH EMPLOYEE IS REQUIRED TO SIGN AN ACKNOWLEDGMENT OF THE HANDBOOK UPON EMPLOYMENT.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE ORGANIZATION ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IN DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. IN SETTING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THE EXECUTIVE COMMITTEE RELIES ON RECENT COMPARABILITY STUDIES THAT PROVIDE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE TOP MANAGEMENT OFFICIAL'S COMPENSATION ARRANGEMENT. THE COMMITTEE ADEQUATELY DOCUMENTS ITS COMPENSATION DETERMINATIONS AND DELIBERATIONS REGARDING COMPENSATION IN THE MEETING MINUTES. THE PROCESSING FOR DETERMINING AND REVIEWING COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS LAST UNDERTAKEN IN THE PRIOR YEAR.
PROCESS USED TO DETERMINE COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEESFORM 990, PART VI, LINE 15BAN OUTSIDE COMPENSATION CONSULTANT IS USED TO RENDER A REASONABLE OPINION AS TO WHAT PERCENTAGE OF INCREASE A VICE PRESIDENT SHOULD RECEIVE BY PERFORMING A MARKET COMPARISON FOR ALL VICE PRESIDENTS. THE PROCESS TO DETERMINE AN INCREASE IN COMPENSATION FOR VICE PRESIDENTS WAS PERFORMED IN THE PRIOR YEAR FOR THE CURRENT YEAR'S COMPENSATION. SALARY INCREASES ARE APPROVED ANNUALLY BY THE PRESIDENT AND EXECUTIVE COMMITTEE ONCE RECEIVED BY THE OUTSIDE CONSULTANT. DIRECTORS AND MANAGERS RECEIVE AN INCREASE IN COMPENSATION BASED ON WHETHER OR NOT PERFORMANCE GOALS HAVE BEEN REACHED. BEFORE A FISCAL YEAR STARTS PERFORMANCE GOALS ARE SET BY THE DIRECTOR OR MANAGER AND SUBMITTED TO THE VICE PRESIDENT FOR APPROVAL. APPROVED GOALS ARE REVIEWED BY THE EXECUTIVE TEAM. THE PERFORMANCE GOALS ARE COMPARED TO PERFORMANCE AND ASSESSED AS COMPLETED OR NOT COMPLETED BY HUMAN RESOURCES AND SENT TO ALL EXECUTIVES FOR THEIR APPROVAL.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
AVERAGE HOURS PER WEEK TO RELATED ORGANIZATIONFORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B)KURT E. JOHNSON, PRESIDENT AND CEO, ANDREW STEFO, VP - FINANCE AND CFO, AND DIANE JACOBY, GENERAL COUNSEL, DEVOTE TIME TO THE FOLLOWING RELATED TAX-EXEMPT ORGANIZATIONS: *THE INGALLS MEMORIAL HOSPITAL (IMH) *INGALLS HEALTH SYSTEM (IHS) *INGALLS DEVELOPMENT FOUNDATION (IDF) *INGALLS HOME CARE (IHC) *IHS EMPLOYEE BENEFIT TRUST (EBT) *INGALLS HEALTH VENTURES (IHV) JOSEPH M. MOSER, VP - DEVELOPMENT FOUNDATION, DEVOTES APPROXIMATELY 40 HOURS A WEEK TO INGALLS DEVELOPMENT FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION. SCOTT C. STRAUSSER, VP - BUSINESS DEVELOPMENT, DEVOTES APPROXIMATELY 1 HOUR A WEEK TO INGALLS HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION.
EXPENSES FOR INGALLS HEALTH SYSTEMFORM 990, PART VII, SECTION B, LINE 1EXPENSES OF INGALLS HEALTH SYSTEM (IHS) AND RELATED ENTITIES (SEE SCHEDULE R) ARE PAID BY IHS. IHS IS RESPONSIBLE FOR ISSUING THE 1099'S TO INDEPENDENT CONTRACTORS, AND SUBSEQUENTLY ALLOCATES A PERCENTAGE OF THE EXPENSE AND RECEIVES REIMBURSEMENT FROM THE RELATED ENTITIES.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 2849303; INTEREST RATE SWAP VALUATION - -229392; NET ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS - -718565; ROUNDING - -1;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
INGALLS DEVELOPMENT FOUNDATION
ONE INGALLS DRIVEHARVEYIL60426363189150SUPPORTIL501(C)(3)7IHSfalse
INGALLS HOME CARE
ONE INGALLS DRIVEHARVEYIL60426363367939HEALTHCAREIL501(C)(3)9IMHtrue
INGALLS HEALTH SYSTEM
ONE INGALLS DRIVEHARVEYIL60426363181170MANAGEMENTIL501(C)(3)11 - Type INAfalse
INGALLS HEALTH VENTURES
ONE INGALLS DRIVEHARVEYIL60426363239703AMBULATORYIL501(C)(3)3IHSfalse
IHS EMPLOYEE BENEFIT TRUST
ONE INGALLS DRIVEHARVEYIL60426363581617BENEFITSIL501(C)(9)N/ANA
PRIMARY HEALTHCARE ASSOCIATES SC
71 W 156TH STREETHARVEYIL60426364132865HEALTHCAREIL501(C)(3)9IHSfalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1INGALLS SAME DAY SURGERY CENTER LTDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16701 W 159TH STREETAddressLine1
CityTINLEY PARKCity
StateILState
ZIP Code60477ZIPCode
FieldValueIRS element (for citing)
EIN363368549EIN
Primary ActivitySURGERY CENTERPrimaryActivity
Legal Domicile StateILLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1IHVBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeType
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnerfalseGeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile Foreign CountryLegalDomicileForeignCountry
INGALLS PROVIDER GROUP
ONE INGALLS DRIVEHARVEYIL60426363485578INSURANCE SERVICEILNAC CORPORATION064075321
MEDCENTRIX INC
ONE INGALLS DRIVEHARVEYIL60426363374228BILLING & MGMTILIHSC CORPORATION0
INGALLS CASUALTY INSURANCE LTD
ONE INGALLS DRIVEHARVEYIL60426980485714LIAB INSURANCEIHSC CORPORATION0CJ
INGALLS HEALTH COUNCIL
ONE INGALLS DRIVEHARVEYIL60426273226539PURCHASING GROUPILIHSC CORPORATION0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
INGALLS HOME CARE
N88285FMV
INGALLS HOME CARE
A84000FMV