2024-05-13T14:30:32+00:00 2023-06-30 135565207 KPMG LLP 200 EAST RANDOLPH STREET SUITE 5500 CHICAGO IL 606016436 990 2022-07-01 363181170 UCM Community Health & Hospital Division Inc UCMC 7083332300 One Ingalls Drive Harvey IL 60426 THOMAS JACKIEWICZ PRESIDENT 2024-05-13 true PHILLIP KAUFMAN 999009999 ZELJKO POPOVIC P01795951 3126651000 2022 2023-04-26 12:10:37Z THOMAS JACKIEWICZ One Ingalls Drive Harvey IL 60426 7072374 false X WWW.INGALLS.ORG X 1981 IL UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. (UCHHD) SUPPORTS AND ENCOURAGES HEALTH AND HUMAN SERVICE BY PROVIDING ASSISTANCE TO RELATED 501 (C) (3) HOSPITALS. 6 4 0 4 -3763 0 0 8507381 6935669 442867 116874 -2333 -3763 8947915 7048780 0 0 0 0 0 9074113 7468574 9074113 7468574 -126198 -419794 31857748 29383908 31359535 29425484 498213 -41576 UCHHD SUPPORTS AND ENCOURAGES HEALTH AND HUMAN SERVICE BY PROVIDING SUPPORT, DIRECTLY OR INDIRECTLY TO INGALLS MEMORIAL HOSPITAL, THE UNIVERSITY OF CHICAGO MEDICAL CENTER, AND OTHER RELATED TAX-EXEMPT ORGANIZATIONS. false false 2990719 6935669 UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. INCREASES EFFICIENCY IN ADMINISTERING PROGRAMS BY SPONSORING PRODUCTIVITY AND COST SAVINGS INITIATIVES FOR RELATED AND AFFILIATED 501(C)(3) ORGANIZATIONS. UCHHD OPERATES TWO PROFESSIONAL OFFICE BUILDINGS TO PROVIDE ACCESS TO HEALTHCARE SERVICES FOR COMMUNITY MEMBERS. 2990719 true false false false false false false false false true false false true true true false true false false true false false false false false false false false true false false false false false false false false false false false false true true true true false false true X 41 0 true 0 true true true CJ false false false false false false false false false false X 6 4 false false true false true true true true true false false true true true true true true true false false X PHILLIP KAUFMAN 7083332300 150 HARVESTER DRIVE SUITE 300 BURR RIDGE IL 60527 RANDY NEISWONGER BOARD MEMBER/CHIEF OPERATING OFFICER (THRU 7/10/22) 1.0 46.0 X X 0 388177 36830 AMY ROSS BOARD MEMBER/SVP UCMC (EFF 1/25/23) 1.0 40.0 X 0 669466 118154 AUDRE G BAGNALL BOARD MEMBER/EVP UCMC (THRU 1/25/23) 1.0 41.0 X 0 1013884 143162 JOHN A SVOBODA BOARD MEMBER UCMC 1.0 1.0 X 0 0 0 JOSEPH P NOLAN TRUSTEE UCMC 1.0 1.0 X 0 0 0 KENNETH S POLONSKY MD CHAIRMAN/EVP UCMC (THRU 9/30/22) 1.0 61.0 X 0 2468390 330694 KEVIN M PURCELL BOARD MEMBER 1.0 2.0 X 0 0 0 MARK ANDERSON BOARD MEMBER/DEAN, BIOLOGLICAL SCIENCES AND PRESIDENT UCHS (EFF. 10/1/22) 1.0 60.0 X 0 669519 32763 NATHANIEL SUTTON BOARD MEMBER INGALLS 1.0 1.0 X 0 0 0 THOMAS JACKIEWICZ BOARD MEMBER/PRESIDENT UCMC 1.0 42.0 X 0 2303568 335026 ANN MCCOLGAN TREASURER (THRU 5/1/23) 1.0 45.0 X 0 453543 87898 EMILY CHASE INTERIM PRESIDENT (7/10/22 THRU 3/7/23) 1.0 44.0 X 0 814302 143404 IVAN SAMSTEIN CHIEF FINANCIAL OFFICER, UCMC 1.0 48.0 X 0 1193414 211348 JENNIFER HILL SECRETARY 1.0 41.0 X 0 215623 54278 MICHELLE SALOMON TREASURER (EFF. 5/2/23) 1.0 45.0 X 0 0 0 SARA HAGGERTY INTERIM CHIEF FINANCIAL OFFICER 1.0 43.0 X 0 341647 61858 DOUGLAS SAEGESSER FORMER CHIEF FINANCIAL OFFICER (THRU 9/8/2021) 0.0 0.0 X 0 253258 23612 RICHARD W SILVERIA FORMER CHIEF FINANCIAL OFFICER (TIL 3/31/20) 0.0 0.0 X 0 251969 0 0 11036761 1579028 0 true true false PRICEWATERHOUSECOOPERS LLP 300 MADISON AVENUE NEW YORK NY 10017 INTERNAL AUDIT SERVICES 900324 AUDIO VISUAL PRODUCTIONS 7550 W 100TH PLACE BRIDGEVIEW IL 60455 AUDIO VISUAL SERVICES 102552 2 0 MANAGEMENT FEE 561439 4705435 4705435 RENTAL INCOME 531110 1302329 1302329 SELF INSURANCE REVENUE 525100 927905 927905 0 0 0 0 6935669 39011 39011 19831 23594 -3763 0 -3763 -3763 77863 77863 0 77863 77863 0 0 0 0 0 7048780 6935669 -3763 116874 274449 274449 56438 56438 1098613 1098613 29233 29233 527873 527873 0 0 64340 64340 52572 50162 2410 649232 426866 222366 525080 525080 1000924 1000924 SALARY NON-EMPLOYEES 2988261 2985374 2887 CONTRACTED SERVICES 184694 67419 117275 PATIENT ADVOCATE FUND 9299 9299 MEDICAL SUPPLIES 1280 1280 6286 6286 0 0 7468574 5075483 2393091 0 6840027 7203001 641173 1098795 0 0 0 0 413671 595699 9109161 3618082 6025387 5491079 7306763 5545528 0 3007266 886797 7623461 8563009 31857748 29383908 5765818 7990044 0 0 25593717 21435440 31359535 29425484 X 498213 -41576 498213 -41576 31857748 29383908 X -419794 -93322 -26673 X false true X true false X X 2 THE INGALLS MEMORIAL HOSPITAL 362170866 3 false 0 0 UNIVERSITY OF CHICAGO MEDICAL CENTER 363488183 3 true 0 0 2 0 0 false false false false false false false false false false false false false false false true true Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name UCHHD DESIGNATES ITS SUPPORTED ORGANIZATIONS BY CLASS OR PURPOSE AS FOLLOWS: THE CORPORATION WILL AT ALL TIMES BE ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC OR EDUCATIONAL PURPOSES WITHIN THE MEANING OF 501(C)(3) OF THE INTERNAL REVENUE LAW (THE "CODE"), TO PROMOTE AND SUPPORT, DIRECTLY OR INDIRECTLY, BY DONATION, LOAN OR OTHERWISE, THE INTERESTS AND PURPOSES OF ORGANIZATIONS THAT PROMOTE THE HEALTH OF THE COMMUNITY AND PROVIDE HEALTHCARE SERVICES, INCLUDING THE UNIVERSITY OF CHICAGO MEDICAL CENTER, AN ILLINOIS NOT FOR-PROFIT CORPORATION, PROVIDED THAT SUCH ORGANIZATIONS ARE TAX EXEMPT UNDER 501(C)(3) OF THE CODE ARE DESCRIBED IN 509(A)(1) OR (2) OF THE CODE. Schedule A, Part IV, Section B, Line 2 Benefit Of Supp. Org. Other Than The One Operating The Org. UCHHD OPERATED FOR THE BENEFIT OF THE UNIVERSITY OF CHICAGO MEDICAL CENTER (UCMC). UCMC CONTROLS UCHHD AND INDIRECTLY CONTROLS THE INGALLS MEMORIAL HOSPITAL (IMH). UCHHD CARRIED OUT THE PURPOSES OF UCMC BY SUPPORTING IMH TO PROVIDE SUPERIOR HEALTH CARE IN A COMPASSIONATE MANNER WHILE MINDFUL OF EACH PATIENT'S DIGNITY AND INDIVIDUALITY. UCMC CALLS UPON THE SKILLS AND THE EXPERTISE OF ALL WHO WORK TOGETHER TO ADVANCE MEDICAL INNOVATION, SERVE THE HEALTH NEEDS OF THE COMMUNITY AND FURTHER THE KNOWLEDGE OF THOSE DEDICATED TO CARING. 448148 448148 8378307 3423517 4954790 0 0 0 11503 11503 0 271203 183062 88141 5491079 INVESTMENTS - ICN DUE TO AFFILIATES - NET INVESTMENTS - ICN 5257332 DUE TO AFFILIATES - NET 3305677 8563009 DEFERRED COMPENSATION DUE TO AFFILIATES INVESTMENTS - MEDCENTRIX MINORITY INTEREST - ICI DEFERRED COMPENSATION 2416000 INVESTMENTS - MEDCENTRIX 11475424 DUE TO AFFILIATES 5839186 MINORITY INTEREST - ICI 1704830 21435440 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM APPLIES ASC TOPIC 740, INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S 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, 2023 AND 2022, THE SYSTEM DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS. UCHHD 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. Central America and the Caribbean 1 0 Investments 11049687 1 0 0 0 1 0 11049687 0 11049687 true false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Other:FMV X X X X true true false false false false false RANDY NEISWONGER BOARD MEMBER/CHIEF OPERATING OFFICER (THRU 7/10/22) 0 257241 0 127836 0 3100 0 7947 0 28883 0 425007 0 0 MARK ANDERSON BOARD MEMBER/DEAN, BIOLOGLICAL SCIENCES AND PRESIDENT UCHS (EFF. 10/1/22) 0 597666 0 0 0 71853 0 24400 0 8363 0 702282 0 0 AUDRE G BAGNALL BOARD MEMBER/EVP UCMC (THRU 1/25/23) 0 596700 0 202339 0 214845 0 121556 0 21606 0 1157047 0 96614 THOMAS JACKIEWICZ BOARD MEMBER/PRESIDENT UCMC 0 1636423 0 616836 0 50309 0 323694 0 11333 0 2638595 0 0 KENNETH S POLONSKY MD CHAIRMAN/EVP UCMC (THRU 9/30/22) 0 1300361 0 400000 0 768029 0 303992 0 26701 0 2799084 0 368555 AMY ROSS BOARD MEMBER/SVP UCMC (EFF 1/25/23) 0 495958 0 164728 0 8779 0 97783 0 20370 0 787619 0 0 DOUGLAS SAEGESSER FORMER CHIEF FINANCIAL OFFICER (THRU 9/8/2021) 0 0 0 0 0 253258 0 0 0 23612 0 276870 0 0 RICHARD W SILVERIA FORMER CHIEF FINANCIAL OFFICER (TIL 3/31/20) 0 0 0 0 0 251969 0 0 0 0 0 251969 0 0 EMILY CHASE INTERIM PRESIDENT (7/10/22 THRU 3/7/23) 0 533446 0 240486 0 40370 0 105854 0 37550 0 957706 0 0 SARA HAGGERTY INTERIM CHIEF FINANCIAL OFFICER 0 257303 0 83792 0 553 0 22613 0 39245 0 403505 0 0 JENNIFER HILL SECRETARY 0 213355 0 2000 0 268 0 16846 0 37432 0 269902 0 0 ANN MCCOLGAN TREASURER (THRU 5/1/23) 0 275729 0 68220 0 109594 0 49787 0 38111 0 541441 0 29271 IVAN SAMSTEIN CHIEF FINANCIAL OFFICER, UCMC 0 873834 0 287750 0 31830 0 176154 0 35194 0 1404763 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COMPENSATION OF THE PRESIDENT AND CEO OF UCHHD IS REVIEWED AND RECOMMENDED FOR APPROVAL BY THE COMPENSATION COMMITTEE OF UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. THE COMMITTEE'S DETERMINATION PROCESS UTILIZES A COMBINATION OF AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION STUDIES/SURVEYS, ALONG WITH APPROVAL BY THE COMPENSATION COMMITTEE, WHICH IS THEN REVIEWED AND APPROVED BY THE UCMC COMPENSATION COMMITTEE. THE UCHHD COMPENSATION COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS IN A MANNER DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER FEDERAL TAX LAW. THIS IS A RIGOROUS REVIEW AND APPROVAL PROCESS DESIGNED FOR TAX-EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, AND IS DESIGNED TO RESULT IN COMPETITIVE AND REASONABLE COMPENSATION. Schedule J, Part I, Line 4a Severance or change-of-control payment IN CALENDAR YEAR 2022, RICHARD SILVERIA AND DOUGLAS SAEGESSER RECEIVED SEVERANCE PAYMENTS FOLLOWING THEIR TERMINATION OF EMPLOYMENT ($251,969 TO RICHARD SILVERIA AND $253,258 TO DOUGLAS SAEGESSER). Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan CERTAIN INDIVIDUALS LISTED IN SCHEDULE J, PART II PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO WHICH UCMC MAKES ANNUAL CONTRIBUTIONS. THESE CONTRIBUTIONS ARE AT RISK AND DO NOT BECOME VESTED AND PAYABLE UNLESS AND UNTIL THE INDIVIDUAL SATISFIES A SUBSTANTIAL FUTURE SERVICE REQUIREMENT. THE FOLLOWING INDIVIDUALS HAD CONTRIBUTIONS MADE TO THE PLAN IN JANUARY 2023 FOR CALENDAR YEAR 2022: KENNETH POLONSKY AMY ROSS ANN MCCOLGAN AUDRE G. BAGNALL EMILY CHASE IVAN SAMSTEIN THOMAS JACKIEWICZ 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 2022 W-2S): KENNETH POLONSKY - $368,555 ANN MCCOLGAN - $29,271 AUDRE BAGNALL - $96,614 Schedule J, Part II COLUMN (B) 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 2022 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. Form 990, Part VI, Line 4 Significant changes to organizational documents UCHHD AMENDED ITS BYLAWS ON FEBRUARY 2, 2023 TO REFLECT A CHANGE IN TITLE OF THE EXECUTIVE VICE PRESIDENT OF THE UNIVERSITY FOR BIOLOGY AND MEDICINE AND PRESIDENT OF THE UNIVERSITY OF CHICAGO HEALTH SYSTEM TO THE DEAN OF THE BIOLOGICAL SCIENCES DIVISION AND PRITZKER SCHOOL OF MEDICINE AND EXECUTIVE VICE PRESIDENT FOR MEDICAL AFFAIRS ("DEAN/EVP"), AND REFLECT THE CHANGE IN TITLE FOR THE UCMC PRESIDENT TO ALSO BE THE PRESIDENT OF THE UNIVERSITY OF CHICAGO HEALTH SYSTEM. THE UNIVERSITY OF CHICAGO HEALTH SYSTEM INCLUDES THE UNIVERSITY OF CHICAGO MEDICAL CENTER AND ALL OF ITS AFFILIATED CLINICAL FACILITIES INCLUDING, WITHOUT LIMITATION, INGALLS MEMORIAL HOSPITAL, UCHICAGO MEDICINE NORTHWEST INDIANA INC., AND THE JOINT VENTURE WITH ADVENTHEALTH. THE AMENDMENT ALSO CLARIFIES THAT THE PRESIDENT OF CHHD WILL REPORT TO THE PRESIDENT OF UCMC AND THE UNIVERSITY OF CHICAGO HEALTH SYSTEM RATHER THAN TO THE DEAN/EVP, AND PERMITS THE DEAN/EVP TO DESIGNATE AN INDIVIDUAL TO WORK WITH THE CHHD PRESIDENT ON CHHD BUDGETS AND STRATEGIC PLANS. 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 THE UNIVERSITY OF CHICAGO MEDICAL CENTER. 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 THE BOARD OF DIRECTORS SHALL CONSIST OF NINE INDIVIDUALS. FIVE OF THE NINE DIRECTORS SHALL BE ELECTED BY THE MEMBER BOARD FROM AMONG INDIVIDUALS SERVING AS TRUSTEES OF THE MEMBER BOARD OR MEMBERS OF THE SENIOR LEADERSHIP TEAM OF THE UNIVERSITY OF CHICAGO MEDICAL CENTER. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders A DIRECTOR MAY BE REMOVED AT ANY TIME, WITH OR WITHOUT CAUSE, BY THE MEMBER BOARD OR THE EXECUTIVE COMMITTEE OF THE MEMBER BOARD AS DETERMINED BY THE MEMBER BOARD OR THE EXECUTIVE COMMITTEE OF THE MEMBER BOARD, AS THE CASE MAY BE, IN ITS SOLE DISCRETION. UNIVERSITY OF CHICAGO MEDICAL CENTER MUST APPROVE, AMONGST OTHER ITEMS, ANY MODIFICATION OR AMENDMENT TO ANY MISSION STATEMENT, ANY STATEMENT OF GOALS OR VALUES, THESE BYLAWS OR THE CORPORATION'S ARTICLES OF INCORPORATION; THE SALE, LEASE, EXCHANGE, OR DISPOSITION OF SUBSTANTIALLY ALL THE ASSETS OF THE CORPORATION OR ANY OF ITS AFFILIATES; AND THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR ANY OF ITS AFFILIATES. 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. THE FULL FORM 990, INCLUDING SUPPLEMENTAL SCHEDULES, WAS PRESENTED BY THE CHIEF FINANCIAL OFFICERS 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 THE 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 HOSPITAL AND HEALTHCARE DIVISION, INC (UCM CHHD) COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES (THE COMMITTEE) IS RESPONSIBLE FOR THE OVERSIGHT OF THE UCM CHHD 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 SANCTION 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 19 Required documents available to the public UCM CHHD'S BYLAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XI, Line 9 Other changes in net assets or fund balances INVESTMENT IN AFFILIATES - -26673; INGALLS CARE NETWORK 71 W 156TH STREET SUITE 500 HARVEY IL 60426 352477424 HEALTHCARE IL 0 1859876 UCHHD ADVENTIST BOLINGBROOK HOSPITAL 500 REMINGTON BLVD BOLINGBROOK IL 60440 651219504 HOSPITAL IL 501(c)(3) 3 ADVENT MIDWEST HEALTH false ADVENTIST GLENOAKS HOSPITAL 701 WINTHROP AVE GLENDALE HEIGHTS IL 60139 363208390 HOSPITAL IL 501(c)(3) 3 ADVENT MIDWEST HEALTH false ADVENTIST HEALTH PARTNERS INC 5101 S WILLOW SPRINGS RD B1013 LA GRANGE IL 60525 364138353 PHYSICIAN PRACTICES IL 501(c)(3) 3 AHS MIDWEST MGMT false ADVENTIST MIDWEST HEALTH 120 N OAK STREET HINSDALE IL 60521 362276984 2 HOSPITALS IL 501(c)(3) 3 NA false AHP SPECIALTY CARE NFP 5101 S WILLOW SPRINGS RD B1013 LA GRANGE IL 60525 811105774 PHYSICIAN PRACTICES IL 501(c)(3) 3 AHS MIDWEST MGMT false AHS MIDWEST MANAGEMENT INC 500 REMINGTON BLVD BOLINGBROOK IL 60440 363354567 PHYSICIAN PRACTICE MANAGEMENT IL 501(c)(3) Type I ADVENT MIDWEST HEALTH false 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 true INGALLS HEALTH VENTURES ONE INGALLS DRIVE HARVEY IL 60426 363239703 AMBULATORY IL 501(c)(3) Type I UCHHD true INGALLS HOME CARE ONE INGALLS DRIVE HARVEY IL 60426 363367939 HEALTHCARE IL 501(c)(3) 10 IMH false INGALLS MEMORIAL HOSPITAL ONE INGALLS DRIVE HARVEY IL 60426 362170866 HOSPITAL IL 501(c)(3) 3 UCHHD 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 true 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 & 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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) L-9 East Wing Raheja Towers MG R BANGALORE Karnataka IN 560001 FUNDRAISING IN UNIV CHICAGO false ADVENTIST MIDWESTUSP SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 203256430 SURGERY CENTER IL NA N/A false false INGALLS SAME DAY SURGERY CTR 6701 W 159TH ST TINLEY PARK IL 60477 363368549 SURGERY CENTER IL NA N/A false false PABHS-UCM MSO JV LLC 2845 N SHERIDAN RD SUITE 6400 CHICAGO IL 60657 874074642 RADIOLOGY ONCOLOGY IL NA N/A false false PABHS-UCM RADONC JV 2845 N SHERIDAN RD SUITE 6400 CHICAGO IL 60657 874057862 RADIOLOGY ONCOLOGY IL NA N/A false false UCMC-SOLIS OFF-CAMPUS MAMMOGRAPHY SERVICES LLC 1501 DALLAS PARKWAY SUITE 300 ADDISON TX 75001 384108853 MAMMOGRAPHY DE NA N/A false false UCMC-SOLIS ON-CAMPUS MAMMOGRAPHY LLC 15601 DALLAS PARKWAY SUITE 300 ADDISON TX 75001 352641914 MAMMOGRAPHY DE NA N/A false false CHARITABLE LEAD TRUST (0) 5801 S ELLIS AVENUE CHICAGO IL 60637 CHAR LEAD TRUST IL NA Trust false CHARITABLE REMAINDER TRUSTS (68) 5801 S ELLIS AVENUE CHICAGO IL 60637 CHAR RMDR TRUST IL NA Trust false INGALLS CASUALTY INSURANCE LTD ONE INGALLS DRIVE HARVEY IL 60426 980485714 LIAB INSURANCE CJ UCHHD C Corporation 0 288163 1 true INGALLS HEALTH COUNCIL ONE INGALLS DRIVE HARVEY IL 60426 273226539 PURCHASING GROUP IL UCHHD C Corporation 0 0 1 true INGALLS PROVIDER GROUP ONE INGALLS DRIVE HARVEY IL 60426 363485578 INSURANCE SERVICE IL IMH C Corporation 11717423 1830329 1 true MEDCENTRIX INC ONE INGALLS DRIVE HARVEY IL 60426 363374228 BILLING & MGMT IL UCHHD C Corporation 1249554 964200 1 true PHOENIX OVERLAY FUND LTD 401 N MICHIGAN AVE C/O INVST OFFICE CHICAGO IL 60611 INVESTMENT CJ NA false 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 CH NA false UCHICAGO CENTER IN INDIA PRIVATE LIMITED CONSULTING IN NA C Corporation false TRULEN INSURANCE SPC LIMITED 981571288 LIAB INSURANCE CJ UCHHD 16745322 126805696 1 true EMPLOYED PHYSICIANS SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC LTD 981571310 LIAB INSURANCE CJ UCHHD true HPL-GL SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC LTD 981571446 LIAB INSURANCE CJ UCHHD true NON-EMPLOYED PHYSICIANS SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC L TD 981571387 LIAB INSURANCE CJ UCHHD true true false false false false false false false false false false true true true true true true true false INGALLS MEMORIAL HOSPITAL A 224716 FMV PRIMARY HEALTHCARE ASSOCIATES A 580558 FMV MEDCENTRIX A 37860 FMV INGALLS MEMORIAL HOSPITAL P 278568 FMV INGALLS MEMORIAL HOSPITAL Q 4090389 FMV INGALLS HOME CARE Q 157324 FMV MEDCENTRIX Q 78674 FMV PRIMARY HEALTHCARE ASSOCIATES Q 303871 FMV INGALLS SAME DAY SURGERY Q 50993 FMV