2025-05-15T09:55:54+00:00 2024-06-30 135565207 KPMG LLP 200 EAST RANDOLPH STREET SUITE 5500 CHICAGO IL 606016436 990 2023-07-01 362170866 The Ingalls Memorial Hospital INGA 7083332300 One Ingalls Drive Harvey IL 60426 MICHAEL ANTONIADES PRESIDENT 7737021000 2025-05-15 true ZELJKO POPOVIC P01795951 3126651000 2025-05-15 2023 2025-03-06 01:10:19Z MICHAEL ANTONIADES One Ingalls Drive Harvey IL 60426 388777699 false X UCHICAGOMEDICINE.ORG X 1922 IL INGALLS MEMORIAL HOSPITAL IS A NONPROFIT ACUTE CARE HOSPITAL ORGANIZED FOR THE PURPOSE OF PROVIDING PATIENT CARE, EDUCATION, AND RESEARCH. 15 7 2125 62 555570 0 1547563 1017615 319991733 379960211 2452022 4484417 2134730 2415969 326126048 387878212 159350 100000 0 146968087 151387140 0 0 373523 205170506 219056251 352297943 370543391 -26171895 17334821 435712336 435665554 208322855 178329445 227389481 257336109 X 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. false false 224928053 218716012 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. 55146038 58345735 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 46,200 MEDICATION ORDERS AND MAKE 1,800 INTERVENTIONS PER MONTH. 27128307 34482112 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 FY2024 INGALLS PERFORMED OVER 1,150 INPATIENT SURGERIES AND NEARLY 3,000 AMBULATORY SURGERIES. 20904546 100000 71107265 OTHER PROGRAM SERVICES RELATED TO THE PROVISION OF HEALTHCARE INCLUDE LABORATORY SERVICES, PATIENT FINANCIAL SERVICES, COST OF FACILITIES, MALPRACTICE INSURANCE, AND OTHER SUPPORT SERVICES. 20904546 100000 71107265 328106944 true true false true false false false false false true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 189 0 true 2125 true true true false false false false false false false false false true false X 15 7 false true false false true true true true true false false true true true true true true true true false IL X PHILLIP KAUFMAN 7083332300 150 HARVESTER DRIVE SUITE 300 BURR RIDGE IL 60527 DENNIS IRVIN VICE CHAIRMAN 1.0 0 X X 0 0 0 GRETCHEN PACHOLEK BOARD MEMBER/VP PATIENT CARE & CNO, INGALLS 40.0 1.0 X X 0 341969 39150 KEVIN M PURCELL CHAIRMAN 1.0 2.0 X X 0 0 0 MICHAEL ANTONIADES PRESIDENT, INGALLS 40.0 5.0 X X 1268833 0 0 SAMUEL J CUTRARA JR SECRETARY/TREASURER 1.0 1.0 X X 0 0 0 ENGIN YILMAZ MD BOARD MEMBER 1.0 40.0 X 0 433569 27173 FRANCIS ALMEDA MD BOARD MEMBER 1.0 0 X 0 0 0 HENRY JOHNSON BOARD MEMBER 1.0 0 X 0 0 0 KAVEH RAHMANI DO BOARD MEMBER 1.0 42.0 X 0 577489 34209 MARK KOZLOFF MD BOARD MEMBER 1.0 42.0 X 0 540056 53556 MARY JO CRANDALL BOARD MEMBER/VP OPERATIONS 40.0 1.0 X 346778 0 28640 NATHANIEL SUTTON BOARD MEMBER 1.0 1.0 X 0 0 0 PAULA JACKSON BOARD MEMBER 1.0 0 X 0 0 0 STEPHEN WEBER MD BOARD MEMBER 1.0 41.0 X 0 1402086 212243 THOMAS JACKIEWICZ BOARD MEMBER/PRESIDENT UCMC 1.0 42.0 X 0 3453544 366776 IVAN SAMSTEIN CHIEF FINANCIAL OFFICER 1.0 59.0 X 0 1704200 233504 MICHELLE SALOMON ASSISTANT TREASURER 1.0 45.0 X 0 246423 37327 TOMASZ SAMEK ASSISTANT SECRETARY 1.0 41.0 X 0 261623 39025 JENNIFER ARIADO REGISTERED NURSE 40.0 0 X 236290 0 52069 PAUL DONOHUE VP PHILANTHROPY AND COMMUNITY 40.0 0 X 311617 0 70985 POONAM DESAI EXECUTIVE DIRECTOR, AMBULATORY 40.0 0 X 262110 0 10539 ROBYNN FOSEN DIRECTOR ADMIN RADIOLOGY SVCS 40.0 0 X 202979 0 9538 SUSAN KLACZAK EXECUTIVE DIRECTOR ACNO INGALLS 40.0 0 X 197929 0 25069 ANN MCCOLGAN ASSISTANT TREASURER (THRU 5/1/23) 0.0 0.0 X 0 271598 26286 EMILY CHASE INTERIM PRESIDENT (7/10/22 THRU 3/7/23) 0.0 40.0 X 0 1375367 152730 2826536 10607924 1418819 248 true true true VAYA WORKFORCE SOLUTIONS 5930 Cornerstone Court West San Diego CA 92121 Contract Labor 22314991 TRIMEDX 5451 Lakeview Pkwy S Drive Indianapolis IN 46268 Healthcare support services 5121271 EPIC SYSTEMS CORP PO Box 70539 Chicago IL 60673 Software/Consulting 3458300 CARDINAL HEALTH VL 25271 Network Place Chicago IL 60637 Supply Chain Services 3293724 CROTHALL HEALTHCARE INC 5451 Lakeview Parkway South Dr Indianapolis IN 46268 Healthcare Support Services 3142822 66 1017615 1017615 NET PATIENT REVENUE 622110 376179543 376179543 RENTAL INCOME 900099 1947117 1947117 LAB SERVICES 621500 555570 555570 CAPTIVE INSURANCE REVENUE 900099 779167 779167 BONUS FROM IPG 900099 490968 490968 7846 7846 0 0 379960211 847475 847475 624543 899487 -274944 0 -274944 -274944 3636942 3636942 0 3636942 3636942 340B PROGRAM 900099 649120 649120 BANK REBATES 900099 578818 578818 VENDOR REBATES 900099 564917 564917 898058 898058 0 0 2690913 387878212 382095554 555570 4209473 X 100000 100000 949614 297726 278365 373523 125935433 97695104 28240329 5505545 4972080 533465 11018674 9928028 1090646 7977874 7180087 797787 542070 542070 175924 175924 270205 270205 55541 55541 658206 658206 68832415 65194803 3637612 0 1273651 1273651 3246376 1478853 1767523 4771160 4704918 66242 9251260 7022779 2228481 23185 17770 5415 56609 12795 43814 2286412 2286412 17543587 17543587 15915522 12688661 3226861 MEDICAL SUPPLIES 56148665 56148665 MEDICAID PROVIDER TAX 23741269 23741269 IMPLANTS 6891928 6891928 MEALS AND CATERING 4442201 4442201 2930065 2516510 413555 0 370543391 324864176 45305692 373523 5220 5219 22802 28173 39263221 40897276 0 0 0 0 9420115 8217756 1716266 1545352 323789122 121244619 204104518 202544503 112956062 115514776 0 0 68224132 66912499 435712336 435665554 103365052 83158327 7150629 2332723 30280334 28665000 0 0 59490140 57500000 8036700 6673395 208322855 178329445 X 225249979 253426979 2139502 3909130 227389481 257336109 435712336 435665554 X 17334821 4275926 8335881 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 18060 false true 55541 73601 false 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 AMERICAN HOSPITAL ASSOCIATION AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE USED TO SUPPORT LOBBYING BY THE ASSOCIATION FOCUSED ON ADVOCACY AND REPRESENTATION. 9701922 9701922 181680171 50592544 131087627 0 0 0 128948192 68247925 60700267 3458837 2404150 1054687 202544503 DUE FROM AFFILIATES 65090545 RESTRICTED INVESTMENTS - FDN 1821954 66912499 Other Liabilities - Lease Obligations 221818 Other Liabilities - Asbestos Remediation 4443817 Other Liabilities - Swap Payable 2007760 6673395 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 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, 2024 AND 2023, 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. true true X true X true X 600 true true true false true true 8438142 0 8438142 0.0228 124656974 123104650 1552324 0.0042 0 0 0 0.0 0 0 133095116 123104650 9990466 0.0270 677762 0 677762 0.0018 2398740 505283 1893457 0.0051 18723635 14285573 4438062 0.0120 0 0 0 0.0 102700 0 102700 0.0003 0 0 21902837 14790856 7111981 0.0192 0 0 154997953 137895506 17102447 0.0462 5527 5527 0.0000 0 0.0 1100 1100 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 6627 0 6627 0.0000 true 11015420 0 47540509 47565041 -24532 X true true NONE 1 1 INGALLS MEMORIAL HOSPITAL ONE INGALLS DRIVE HARVEY IL 60426 WWW.INGALLS.ORG 0001099 X X X INGALLS MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 21 true false true true X https://www.uchicagomedicine.org/about-us/community/benefit/health-needs-ingalls-memorial/chna X X true 21 true https://www.uchicagomedicine.org/about-us/community/benefit/health-needs-ingalls-memorial/chna false true X 200.0 600.0 X X X X X true true X X X true X (SEE STATEMENT) X (SEE STATEMENT) X (SEE STATEMENT) X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - THE INGALLS MEMORIAL HOSPITAL. The CHNA process engaged several internal and external stakeholders to collect, curate, and interpret data, and then use that data to prioritize the health needs of the community. Partners and stakeholder groups also provided insight and expertise around the indicators to be assessed, types of focus group questions to be asked, interpretation of results, and prioritization of areas of highest need. Leaders from University of Chicago Medicine Ingalls Memorial (Ingalls), and the Urban Health Initiative (UHI) worked with Metopio to guide the strategic direction of the CHNA and engage the CHNA Steering Committee, other various internal committees, and workgroups to ensure broad engagement of diverse perspectives across Ingalls. Metopio is a software and services company grounded in the philosophy that communities are connected through places and people. Metopio's visualization tools use data to reveal valuable, interconnected factors that influence outcomes in different locations. The Ingalls Community Benefit Management Team guided the strategic direction of the CHNA while relying on the expertise of community stakeholders throughout the CHNA process. Ingalls' partners and stakeholders provided insight and expertise about the assessment of key indicators, the types of focus group questions, how to interpret results, and how to prioritize the areas of highest need. The Community Benefit Management Team is composed of key staff members with expertise in key areas related to Ingalls' community benefit activities. This group discusses and validates community benefit programs and activities, monitors CHNA policies, provides input on the CHNA strategic implementation plan and strategies, reviews and approves grant funding requests, provides feedback on community engagement activities, and provides input for the Annual Report. The Community Advisory Council (CAC) was established by Ingalls in June 2020 and is a representative group of volunteer members who live and/or work in the Ingalls Service Area. The CAC members serve as advisors to Ingalls on issues of interest to the community. The CAC is an essential partner in achieving Ingalls goals related to broader community interests, community benefit, access to care, and effective community engagement. Specifically, the CAC played a key role in identifying community organizations for our focus groups, disseminating the survey, and ensuring diverse community voices were heard throughout the CHNA process. THE INCLUSION OF PATIENT VOICE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A CORNERSTONE OF THE PROCESS. PRIMARY DATA FOR THE CHNA WAS COLLECTED THROUGH THE FOLLOWING METHODS: 1) 419 COMMUNITY RESIDENT SURVEYS COMPLETED IN ENGLISH AND SPANISH, IN BOTH ELECTRONIC AND PAPER VERSIONS 2) 4 COMMUNITY RESIDENT FOCUS GROUPS WITH 12 OR FEWER RESIDENTS IN EACH GROUP. TOPICS INCLUDED MENTAL HEALTH, MATERNAL AND CHILD HEALTH, YOUTH HEALTH, AND ADULT HEALTH 3) 8 KEY INFORMANT INTERVIEWS WITH RESIDENTS FROM UNDERSERVED POPULATIONS DURING DEVELOPMENT OF THE STRATEGIC IMPLEMENTATION PLAN, INGALLS CONSULTED SUBJECT MATTER EXPERTS ON INGALLS'S HEALTH PRIORITIES. THROUGHOUT the CHNA PROCESS, INGALLS WAS ABLE TO TAKE INTO ACCOUNT VARIOUS DIFFERING COMMUNITY VIEWPOINTS. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - THE INGALLS MEMORIAL HOSPITAL. FOR THE 2021- 2022 CHNA CYCLE, THE UCHICAGO MEDICINE HOSPITALS (UNIVERSITY OF CHICAGO MEDICAL CENTER AND UCHICAGO MEDICINE INGALLS MEMORIAL) PARTNERED IN AN EFFORT TO ADDRESS SHARED PRIORITIES FOR THE SYSTEM. BOTH HOSPITALS RECEIVED INPUT FROM COMMUNITY ORGANIZATIONS, FEDERALLY QUALIFIED HEALTH CENTERS AND COMMUNITY MEMBERS. IMH contracted with Metopio to complete the 2021-2022 Community Health Needs Assessment. Metopio is a software and services company grounded in the philosophy that communities are connected through places and people. Metopio's visualization tools use data to reveal valuable, interconnected factors that influence outcomes in different locations. Leaders from Ingalls and UHI worked with Metopio to guide the strategic direction of the CHNA and engage the CHNA Steering Committee, other various internal committees, and workgroups to ensure broad engagement of diverse perspectives across Ingalls Memorial. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - INGALLS MEMORIAL HOSPITAL. THE RESULTS OF THE CHNA REPORT HAVE BEEN DISCUSSED AT COMMUNITY MEETINGS, WITH REFERENCE TO THE FULL REPORT'S AVAILABILITY ON THE HOSPITAL'S WEBSITE AND PAPER COPIES AVAILABLE IN THE INGALLS MEMORIAL MAIN LOBBY AND THE PROFESSIONAL OFFICE BUILDING FRONT DESKS. 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 INGALLS CHNA WAS CONDUCTED IN 2021-2022. THE IMPLEMENTATION STRATEGY FOR THIS CHNA FOR YEARS 2023-2025 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 2021-2022 CHNA REPORT, FY2020-2022 EVALUATION REPORT, AND 2023- 2025 STRATEGIC IMPLEMENTATION PLAN AND FORMALLY APPROVED ALL THREE DOCUMENTS IN MAY 2022. THE HEALTH PRIORITIES IDENTIFIED IN THE MOST RECENT CHNA WERE: 1. PREVENT AND MANAGE CHRONIC DISEASES: HEART DISEASE, DIABETES, CANCER 2. PROVIDE ACCESS TO CARE AND SERVICES: MATERNAL HEALTH, MENTAL HEALTH 3. REDUCE INEQUITIES CAUSED BY SOCIAL DETERMINANTS OF HEALTH: FOOD INSECURITY, WORKFORCE DEVELOPMENT FY2023-2024, INGALLS CONTINUED TO ADDRESS THE NEEDS IDENTIFIED IN ITS MOST RECENT CHNA THROUGH EXECUTION OF THE IMPLEMENTATION STRATEGY. INGALLS CONTINUES TO ADDRESS THE IDENTIFED NEEDS 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. IN FY2023-2024, INGALLS EXPANDED CARE DELIVERY INITIATIVES BY ADDING COMMUNITY HEALTH WORKS (CHWs) TO FACILATE ACCESS TO SERVICES, IMPROVE HEALTH OUTCOMES AND ADDRESS SOCIAL DETERMINANTS OF HEALTH TO PATIENTS WITH ASTHMA AND HEART CONDITIONS. 2) COMMUNITY IMPACT GRANTS. INGALLS CONTINUES TO OFFER GRANT OPPORTUNITIES 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. 4) PARTNERSHIPS: INGALLS CONTINUES TO FOCUS ON ESTABLISING AND CULTIVATING INNOVATIVE PARTNERSHIPS WITH A COMMUNITY HEALTH LENS. THESE PARTNERSHIPS LEVERAGE TECHNOLOGY, CROSS-SECTOR COLLABORATIONS, AND MULTI-DISCIPLINARY APPLICATION LEARNINGS TO IMPROVE HEALTH AND ENGAGE THE COMMUNITY AND THAT.TRANSLATES INTO SUSTAINABLE IMPROVEMENTS IN THE COMMUNITY'S HEALTH. 5) POLICY & ADVOCACY: INFORM POPULATION HEALTH STRATEGIES, CONNECTIONS BETWEEN THE COMMUNITY AND CLINICAL SPHERES OF WORK, INSTITUTIONAL ADVOCACY EFFORTS, POLICY CHANGE, AND COMMUNITY PARTNERSHIPS. RATIONALE FOR UNADDRESSED NEEDS: 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 VIOLENCE WAS NOT SELECTED AS A HEALTH PRIORITY AREA FOR FY2023-2025, IT AFFECTS THE HEALTH STATUS OF THE WHOLE COMMUNITY. CONSEQUENTLY, VIOLENCE WILL BE ADDRESSED IN RELATION TO EACH OF THE PRIORITY HEALTH AREAS BY FOCUSING ON THE SOCIAL INEQUITIES CAUSED BY THE SOCIAL DETERMINANTS OF HEALTH (SDOH) AND BY PROVIDING ACCESS TO MENTAL HEALTH SERVICES. THIS FRAMEWORK RETAINS FOUR OF THE HEALTH PRIORITIES FROM THE FY 2020-2022 STRATEGIC IMPLEMENTATION PLAN: HEART DISEASE, DIABETES, CANCER, AND MATERNAL HEALTH. IN THE FY 2020-2022 SIP, ASTHMA WAS SELECTED AS A PRIORITY HEALTH AREA. DURING THE LAST CYCLE, INGALLS INVESTED RESOURCES TO ADDRESS ASTHMA. AS A RESULT OF THESE EFFORTS (AND OTHER FACTORS), THERE WAS A DECLINE IN ASTHMA EMERGENCY DEPARTMENT (ED) VISITS. CONSEQUENTLY, ASTHMA IS NOT A PRIORITY HEALTH AREA FOR THE FY 2023-2025 SIP. THE HOSPITAL WILL CONTINUE TO INVEST RESOURCES TO SUSTAIN THIS POSITIVE OUTCOME BY SUPPORTING EXISTING PROGRAMS. ADDITIONALLY, INGALLS WILL CONTINUE TO WORK WITH PARTNERS, INCLUDING THE LOCAL PUBLIC HEALTH DEPARTMENTS, COMMUNITY ORGANIZATIONS AND FEDERAL QUALIFIED HEALTH CENTERS TO MEET THE HEALTH NEEDS OF OUR PATIENT SERVICE AREA. PLEASE SEE A REPORT OF INGALLS COMMUNITY ACTIVITIES IN PART VI, LINE 5. 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. 4 INGALLS FAMILY CARE CENTER 6701 WEST 159TH STREET TINLEY PARK IL 60477 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 1600 TORRENCE AVENUE CALUMET CITY IL 60409 URGENT AID, PRIMARY CARE, AND SPECIALIST SERVICES INGALLS WELLNESS CENTER 2920 WELLNESS CENTER HOMEWOOD IL 60430 COMPLEMENTARY MEDICINE AND COMMUNITY HEALTH PROGRAMS 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. PATIENTS 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, 2022. 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://tinyurl.com/FAP-POLICY Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE https://tinyurl.com/FAP-APPLICATION Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE https://tinyurl.com/FAP-PLAIN-LANGUAGE 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 COMMUNITY BENEFIT PRIMARY SERVICE AREA. Community Impact Grants Ingalls Community Impact Grants program, PROVIDES NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATIONS FUNDING TO SUPPORT HEALTH PROGRAMMING. PRIORITY CONSIDERATION IS GIVEN TO THOSE GRANTS THAT ARE IN LINE WITH Ingalls' STRATEGIC HEALTH PRIORITIES. FUNDING TO COMMUNITY ORGANIZATIONS HELPS THEM EXPAND THEIR CAPABILITIES. IN FY 2024, INGALLS AWARDED $100K IN renewable Community Impact GRANTS, WHICH WERE USED TO ADDRESS THE HEALTH PRIORITY AREAS. - $25,000 GRANT FOR TCA HEALTH'S FRESH RX PROGRAM, PROVIDING NUTRITION EDUCATION, HEALTH SCREENINGS AND FOOD BAGS TO MEDICALLY AT-RISK SENIORS AND PATIENTS WITH DIABETES AND HYPERTENSION AND OTHER CHRONIC DISEASES. - $25,000 GRANT FOR SOUTH SUBURBAN PADS PROGRAM TO PROVIDE 100,000 FREE MEALS TO HOMELESS PEOPLE. - $25,000 GRANT FOR YOUR CAREER TAPESTRY'S CAREER EXPLORATION AND READINESS PROGRAM FOR UNDER RESOURCED STUDENTS AGED 12-19. - $25,000 GRANT FOR CANCER SUPPORT CENTER'S "KICK IT, CANCER" PROGRAM WHOSE MISSION IS TO PROVIDE MORE ACCESS TO CARE AND ONGOING SUPPORT TO ANYONE IMPACTED BY CANCER. CHRONIC DISEASES: DIABETES, HEART DISEASE AND CANCER LEADING AN ACTIVE LIFESTYLE AND EATING HEALTHY FOODS ARE IMPORTANT FACTORS IN PREVENTING AND MANAGING CHRONIC (LONG-TERM) DISEASES LIKE HEART DISEASE, DIABETES, AND CANCER. INGALLS MEMORIAL IS DEDICATED TO BRINGING FREE NUTRITION AND FITNESS CLASSES TO COMMUNITY MEMBERS IN THE SOUTH SUBURBS. THE 2021 - 2022 DATA SHOWED THAT IN THE INGALLS PSA, THE HEART DISEASE MORTALITY RATE FOR NON-HISPANIC BLACK PEOPLE IS 26% HIGHER THAN OTHER RACIAL AND ETHNIC GROUPS. IN ADDITION, THE EMERGENCY DEPARTMENT (ED) VISIT RATE FOR HYPERTENSION IS AMONG THE HIGHEST IN THE STATE AND THE ED VISIT RATE FOR HEART FAILURE IS IN THE 90TH PERCENTILE. DIABETES: THE RATE OF DIABETES IS 15% HIGHER IN THE INGALLS PSA THAN IN SOUTH SUBURBAN COOK COUNTY. THE DIAGNOSIS RATES FOR PROSTATE CANCER, LUNG CANCER, AND COLORECTAL CANCER ARE SIGNIFICANTLY HIGHER IN THE INGALLS PSA. ADDITIONALLY, THE DISTANT/SYSTEMIC CANCER DIAGNOSIS RATE, WHICH REFERS TO A DIAGNOSIS OF STAGE 4 OR METASTATIC CANCER, IS HIGHER IN THE INGALLS PSA THAN IN COOK COUNTY, ON AVERAGE. IN FISCAL YEAR 2024, DIETETIC INTERNS GAVE COMMUNITY NUTRITION TALKS FOCUSED ON TOPICS THAT ADDRESSED CHRONIC DISEASE MANAGEMENT AND PREVENTION. IN FISCAL YEAR 2024, INGALLS CONTINUED COLLABORATING WITH ARMORED FITNESS & NUTRITION TO OFFER FREE FITNESS CLASSES TO HELP MANAGE AND PREVENT CHRONIC DISEASES. CLASSES LIKE CARDIO DRUMMING AND HIP-HOP CARDIO DANCE WERE OFFERED AT MULTIPLE LOCATIONS THROUGHOUT INGALLS' PRIMARY SERVICE AREA. INGALLS LAUNCHED A MONTHLY WALKING CLUB, WHICH MEETS MONTHLY AT THE SOUTH HOLLAND COMMUNITY CENTER. THE PURPOSE OF THE WALKING CLUB IS TO FORM NEW FRIENDSHIPS OR CONNECT WITH OLD FRIENDS WHILE REDUCING STRESS AND BOOSTING MOOD, REDUCING THE RISKS FOR CHRONIC DISEASES AND IMPROVE HEART HEALTH. INGALLS PARNTERED WITH UCHICAGO MEDICINE COMPREHENSIVE CANCER CENTER, UI HEALTH (UNIVERSITY OF ILLINOIS CENTER CENTER), AND NORTHWESTERN MEDICINE ROBERT H. LURIE COMPREHENSIVE CANCER CENTER TO HOST SOUTHLAND FAMILY WELLNESS EXPO: CONNECTING COMMUNITIES WITH CANCER RESOURCES. PARTICIPANTS RECEIVED SCREENINGS FOR VARIOUS CANCERS, INFORMATION, RESOURCES, FITNESS, FOOD, FUN AND MUSIC. MORE THAN 150 PEOPLE ATTENDED. IN FY 2023 - FY 2024, INGALLS OFFERED A HEALTH AND WELLNESS FAIR, A FREE WELLNESS EVENT FOCUSED ON THE PRIORITY HEALTH AREAS AND THE OPPORTUNITY FOR PARTICIPANTS TO SPEAK TO BEHAVIORAL HEALTH SPECIALISTS, RECEIVE INFORMATION ON MAMMOGRAMS, THE IMPORTANCE OF PRENATAL AND MATERNAL HEALTHCARE, AND LEARN ABOUT THE NEWEST CANCER TREATMENTS. ACCESS TO MATERNAL HEALTH - HEALTHY BABY NETWORK THE SOUTH SUBURBS ARE A MATERNITY CARE PROGRAM, WITH LIMITED ACCESS TO MATERNITY HEALTHCARE RESOURCES AND SERVICES. THE HEALTHY BABY NETWORK (HBN) WAS ESTABLISHED TO ADDRESS THE NUMBER OF WOMEN GIVING BIRTH WHO HAVE NOT RECEIVED PRENATAL CARE AND ACCESS TO NEEDED RESOURCES. THE LACK OF PRENATAL CARE RESULTS IN PREMATURE BIRTHS, BABIES WITH LOW BIRTH WEIGHTS, INCREASED MORBIDITY AND MORTALITY AND NUMEROUS OTHER COMPLICATIONS. IN FISCAL YEAR 2024, OUTCOMES FOR HBN ENROLLEES INCLUDED: - 101 WOMEN ACCESSED PRENATAL CARE - 74 FULL-TERM DELIVERIES - 71 NORMAL WEIGHT BABIES IN 2024, HBN'S YEARLY DRIVE THRU BABY SHOWER PROVIDED 300 BAGS AND TWELVE CAR SEATS FOR GIVE-A-WAYS. THIS SHOWS THE CURRENT NEED OF INCREASED ACCESS TO MATERNAL HEALTH RESOURCES AND SERVICES IN THE SOUTHLAND. (CONTINUED ON NEXT PAGE) Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (cont.) INGALLS DEVELOPMENT FOUNDATION THE INGALLS DEVELOPMENT FOUNDATION'S PURPOSE IS TO CONNECT DONORS WITH PHILANTHROPIC INVESTMENT OPPORTUNITIES TO TRANSFORM COMMUNITY MEDICINE IN THE INGALLS SERVICE AREA. IN 2024, THE FOUNDATION PROVIDED: * $943,678 FOR CANCER RESEARCH PROGRAMS AND OPERATIONS TO SUPPORT GENETIC SCREENING, FINANCIAL COUNSELING PROGRAMS AND COMMUNITY HEALTH RESEARCH ON SOCIAL DETERMINANTS OF HEALTH THAT AFFECT CANCER PATIENTS. * $87,300 FOR COMMUNITY SCHOLARSHIPS TO HELP GRADUATING HIGH SCHOOL STUDENTS ATTEND COLLEGE CLASSES AND IMPROVE THEIR CAREER GOALS. OUTREACH AND SUPPORT - MENTAL HEALTH THE COVID-19 PANDEMIC UNLEASHED THE BRUTAL TRUTH-MENTAL HEALTH IS AN ESSENTIAL. THE 2021-2022 DATA SHOWED THAT INGALLS MEMORIAL'S SERVICE AREA HAS ONE OF THE HIGHEST BEHAVIORAL HEALTH EMERGENCY ROOM VISIT RATES IN THE STATE FOR ADULTS. TO ADDRESS THIS NEED, INGALLS OFFERED FOUR FREE WORKSHOPS ON MENTAL HEALTH, WELLNESS, AND SELF-CARE. IN FY 2023 - FY 2024, INGALLS MEMORIAL HOSTED A SERIES OF MENTAL HEALTH WORKSHOPS. COMMUNITY MEMBERS LEARNED THROUGH THESE WORKSHOPS HOW TO BETTER MANAGE THEIR MENTAL HEALTH, WELLNESS, AND EFFECTIVE WAYS FOR DEALING WITH EMOTIONS. ADDRESSING FOOD INSECURITY INGALLS OPERATES THREE ONSITE FOOD PANTRIES FOR ITS ONCOLOGY PATIENTS. THE PROGRAM DOES NOT REQUIRE INDIVIDUALS TO SIGN FOR EMERGENCY FOOD IF THEY ARE UNCOMFORTABLE. THE NUTRITION STATIONS ARE IN HARVEY, FLOSSMOOR, AND TINLEY PARK. FROM JULY 2023 TO JUNE 2024, 2,453 PEOPLE WERE PROVIDED 12,700 POUNDS OF FOOD. IN ADDITION TO OUR STATIONS, INGALLS LAUNCHED FOOD BRIGADE PROGRAM, WHICH DELIVERS GROCERIES DIRECTLY TO THE HOMES OF PATIENTS FACING FOOD INSECURITY AND TRANSPORTATION CHALLENGES. CURRENTLY, THE PROGRAM SUPPORTS FOUR FAMILIES. ADDITIONALLY, THE PROGRAM HAS COLLABORATED WITH THE AMERICAN CANCER SOCIETY TO RECEIVE 60 FACTOR MEALS WEEKLY, WHICH ARE PROVIDED TO PATIENTS RECEIVING CANCER TREATMENT WHO ARE EXPERIENCING FOOD INSECURITY. COMMUNITY ADVISORY COUNCIL (CAC) THE INGALLS CAC, IS COMPRISED OF 12 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 THE 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 IN FY 2024 INGALLS INVESTED $1.893 MILLION IN MEDICAL 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 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 I, Line 7b MEDICAID SHORTFALL DURING FY2024, IMH QUALIFIED FOR SAFETY-NET STATUS IN ILLINOIS. A SAFETY-NET HOSPITAL IS AN ILLINOIS HOSPITAL THAT HAS A MEDICAID INPATIENT UTILIZATION RATE (MIUR) OF AT LEAST 40% AND A CHARITY PERCENTAGE OF AT LEAST 4% OR HAS A MIUR OF AT LEAST 50%. IMH QUALIFIED FOR SAFETY-NET STATUS DUE ITS MIUR EXCEEDING 50%. AS SUCH, IMH SAW A DECREASE IN ITS FY2024 MEDICAID SHORTFALL DUE TO ITS ELIGIBILITY INCREASED LEVELS OF MEDICAID FUNDING AS A SAFETY-NET HOSPITAL. Schedule H, Part III, Line 6 THE FOLLOWING AMOUNTS REPRESENT REVENUE AND EXPENSES FROM PROFESSIONAL FEES, LABS, AND OTHER MEDICARE CHARGES NOT INCLUDED IN IMH'S MEDICARE COST REPORT FOR THE YEAR: REVENUE RECEIVED FROM MEDICARE $71,906,807 ALLOWABLE COSTS RELATING TO ABOVE PAYMENTS ($71,911,157) SHORTFALL ($4,350) Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN FINANCIAL ASSISTANCE AND MEDICAID AT COST IS THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. IMH's cost accounting system was used to determine costs related to the specific services reported in Subsidized Health Services. Costs and reimbursement from Medicaid, Costs for Charity, and bad debt accounts have been excluded. Costs for subsidized services reflect the direct and indirect costs of providing those programs. COSTS FOR ALL OTHER PROGRAMS REFLECT THE ACTUAL COSTS OF PROVIDING THOSE PROGRAMS. 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, STAKEHOLDER ENGAGEMENT, AND COMMUNITY IMPACT GRANT OPPORTUNITIES FOR COMMUNITY-BASED ORGANIZATIONS. INGALLS CONDUCTED ITS CHNA BETWEEN APRIL 2021 AND FEBRUARY 2022 USING A PROCESS THAT WAS ADAPTED FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. THIS PLANNING FRAMEWORK FOCUSES ON COMMUNITY ENGAGEMENT, PARTNERSHIP DEVELOPMENT, AND INCLUSION OF THOSE WHO HAVE HISTORICALLY BEEN EXCLUDED FROM DECISION-MAKING PROCESSES. PRIMARY DATA FOR THE CHNA WAS COLLECTED THROUGH FOUR CHANNELS. * COMMUNITY RESIDENT SURVEYS * COMMUNITY RESIDENT FOCUS GROUPS * HEALTHCARE AND SOCIAL SERVICE PROVIDER FOCUS GROUP * KEY INFORMANT INTERVIEWS THE COMMUNITY RESIDENT SURVEY TOOL WAS DEVELOPED BY INGALLS & UCMC STAFF, INGALLS COMMUNITY ADVISORY COUNCIL AND BASED ON A DESIGN USED BY OTHER PUBLIC HEALTH AGENCIES. THE FINAL SURVEY TOOL INCLUDED 29 QUESTIONS AND ASKED RESPONDENTS TO IDENTIFY HEALTH NEEDS OF YOUTH (0-17 YEARS), ADULTS (18-64 YEARS), AND SENIORS (65+ YEARS). COMMUNITY RESIDENT SURVEYS WERE AVAILABLE ONLINE AND IN PERSON IN BOTH ENGLISH AND SPANISH. COMMUNITY PARTNERS DISTRIBUTED THE SURVEY THROUGH VARIOUS CHANNELS WITH A PARTICULAR EMPHASIS ON SURVEYING TYPICALLY UNDERREPRESENTED POPULATIONS, SUCH AS COMMUNITIES OF COLOR, IMMIGRANTS AND MEMBERS OF THE LGBTQ+ COMMUNITY. INGALLS HELD FOUR FOCUS GROUPS, EACH COVERING A SPECIFIC HEALTH AREA OR POPULATION: * ADULT HEALTH * MATERNAL AND CHILD HEALTH * YOUTH HEALTH * HEALTHCARE AND SOCIAL SERVICE PROVIDERS DUE TO THE COVID-19 PANDEMIC, INGALLS CONDUCTED MOST OF ITS FOCUS GROUPS VIRTUALLY. IN-PERSON AND VIRTUAL FOCUS GROUPS LASTED 90 MINUTES WITH UP TO 12 COMMUNITY MEMBERS IN EACH ONE. IN ADDITION TO THE FOUR GROUPS, THE COMMUNITY BENEFIT MANAGEMENT TEAM IDENTIFIED EIGHT KEY INFORMANTS FOR ONE-ON-ONE INTERVIEWS. KEY INFORMANTS WERE CHOSEN BASED ON THEIR AREA OF EXPERTISE TO FURTHER VALIDATE THEMES THAT EMERGED FROM THE SURVEYS AND FOCUS GROUPS. KEY INFORMANT INTERVIEWS WERE CONDUCTED VIRTUALLY AND EACH LASTED 30 MINUTES. SECONDARY POPULATION HEALTH AND DEMOGRAPHIC DATA WAS COLLECTED FROM A VARIETY OF SOURCES, INCLUDING ILLINOIS HOSPITAL ASSOCIATION (IHA) COMPDATA. INGALLS USED A COMMON SET OF HEALTH INDICATORS TO UNDERSTAND THE PREVALENCE OF MORBIDITY AND MORTALITY IN THE SERVICE AREA. ALL DATA WERE UPLOADED AND ANALYZED USING THE METOPIO DATA PLATFORM. BUILDING ON INGALLS'S PAST CHNA, THE DATA PRIORITY SETTING TEAM, WHICH INCLUDED THE DIRECTOR, COMMUNITY RELATIONS & VOLUNTEER SERVICE 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 COMMITTEE AS WELL AS SEVERAL WORKGROUPS TO PRIORITIZE HEALTH ISSUES FOR INGALLS NEXT THREE YEARS OF COMMUNITY BENEFIT PROGRAMMING FROM 2023-2025 . USING THE CHNA AS A FOUNDATIONAL TOOL, THE DATA PRIORITY SETTING TEAM REVIEWED AND COMPARED THE 2020-2021 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'S 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 2021-2022 CHNA, THE INGALLS PATIENT SERVICE AREA HAS UNDERGONE SIGNIFICANT POPULATION CHANGES OVER THE LAST DECADE. THE 2015-2019 ESTIMATES FROM THE AMERICAN COMMUNITY SURVEY REVEALED THAT THE INGALLS PSA'S POPULATION DECLINED BY 4.9%, WHILE THE TOTAL POPULATON OF COOK COUNTY INCREASED BY 1.6%, AND SOUTH SUBURBAN COOK COUNTY (SSCC) DECREASED BY 2.2%. THE INGALLS PSA IS COMPRISED OF INGALLS SERVICE AREA IS THORNTON TOWNSHIP, WHICH CONSISTS OF 13 ZIP CODES, 20 CITIES/MUNICIPALITIES. THE INGALLS PSA COMPRISES OF 56,994 RESIDENTS, MANY OF WHOM ARE SERVED BY INGALLS. SOME OF THE COMMUNITIES IN INGALL SERVICE AREA HAVE SOME OF THE HIGHEST CHRONIC DISEASE RATES IN SUBURBAN COOK COUNTY. THE POPULATION OF THE INGALLS PSA IS APPROXIMATELY 62.5% BLACK, 19.8% Hispanic/Latinx, 14.4% non-Hispanic White, 0.6% Asian & Pacific Islander, 0.1% Native Americans in all three areas, and people identifying as two or more races account for 2.1% in both the Ingalls PSA. IN THE INGALLS PSA, 18.7% OF INDIVIDUALS LIVE BELOW THE FEDERAL POVERTY LEVEL-THIS IS 1.5 TIMES THE STATE LEVEL. THE UNEMPLOYMENT RATE IS 12.9% IN THE INGALLS PSA COMPARED TO 8.9% IN SOUTH SUBURBAN COOK COUNTY AND 5.9% IN ILLINOIS. 12.8% OF RESIDENTS IN INGALLS PSA ARE FOOD INSECURE. 9.1% OF THOSE IN THE INGALLS PSA DO NOT HAVE HEALTH INSURANCE COMPARED TO 6.8% IN SOUTH SUBURBAN COOK COUNTY AND 8.8% IN COOK COUNTY. 31.4% HAVE MEDICAID COVERAGE, WHICH IS 1.5 TIMES THE STATE LEVEL. IN THE INGALLS PSA PREVENTABLE CHRONIC DISEASE HOSPITALIZATION RATES ARE AMONG THE HIGHEST 1% IN ILLINOIS. THESE DISEASES AFFECT BLACK COMMUNITY MEMBERS AT AN UNEQUAL RATE. THE EMERGENCY DEPARTMENT VISIT RATE FOR HYPERTENSION IN THE INGALLS PSA IS AMONG THE HIGHEST IN THE STATE. ADDITIONALLY, THE EMERGENCY DEPARTMENT VISIT RATE FOR HEART FAILURE IS IN THE 90TH PERCENTILE. THE RATE OF DIABETES IS 15% HIGHER IN THE INGALLS PSA THAN IN SOUTH SUBURBAN COOK COUNTY. THE RATE OF OBESTIY, WHICH IS A RISK FACTOR FOR TYPE 2 DIABETES, IS NEARLY 35.5% IN THE SERVICE AREA. ON AVERAGE, PEOPLE WHO LIVE IN INGALLS PSA HAVE A MORE ADVANCED STAGE OF CANCER WHEN THEY ARE DIAGNOSED THAN OTHER RESIDENTS IN SOUTH SUBURBAN COOK COUNTY, COOK COUNTY AND ILLINOIS. IN ADDITION TO THE PREVENTABLE CHRONIC DISEASES, THE INGALLS PSA HAS ONE OF THE HIGHEST BEHAVIORAL HEALTH ED VISIT RATES IN THE STATE FOR ADULTS. INGALLS IS ONE OF THE FEW HOSPITALS LOCATED IN SOUTH SUBURBAN COOK COUNTY. 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 true TCA HEALTH INC 1029 E 130TH ST CHICAGO IL 60628 362743287 501(C)(3) 25000 COMMUNITY IMPACT GRANT YOUR CAREER TAPESTRY 6040 ASPEN LN MATTESON IL 60443 842421142 501(C)(3) 25000 COMMUNITY IMPACT GRANT SOUTH SUBURBAN PADS 414 W LINCOLN HWY CHICAGO HEIGHTS IL 60411 363744405 501(C)(3) 25000 COMMUNITY IMPACT GRANT CANCER SUPPORT CENTER 2028 ELM ROAD HOMEWOOD IL 60430 363880404 501(C)(3) 25000 COMMUNITY IMPACT GRANT 4 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. INGALLS DEVELOPMENT FOUNDATION'S BOARD OF DIRECTORS APPROVES THE GRANTS MADE TO OTHER ORGANIZATIONS. FUNDS ARE THEN TRANSFERRED TO INGALLS MEMORIAL HOSPITAL FOR DISBURSEMENT. ENTITIES RECEIVING GRANT FUNDS MUST PROVIDE A WRITTEN FINAL REPORT AND BUDGET NARRATIVE TO ENSURE THE FUNDS WERE EXPENDED TO ATTAIN GRANT OBJECTIVES. X true true X X X X false true false false false false false true false MICHAEL ANTONIADES PRESIDENT, INGALLS 1200000 0 0 0 68833 0 0 0 0 0 1268833 0 0 0 GRETCHEN PACHOLEK BOARD MEMBER/VP PATIENT CARE & CNO, INGALLS 0 290000 0 47860 0 4109 0 39150 0 0 0 381119 0 0 MARY JO CRANDALL BOARD MEMBER/VP OPERATIONS 289780 0 49740 0 7258 0 28640 0 0 0 375418 0 0 0 THOMAS JACKIEWICZ BOARD MEMBER/PRESIDENT UCMC 0 1741683 0 1653428 0 58433 0 345452 0 21324 0 3820320 0 0 MARK KOZLOFF MD BOARD MEMBER 0 392613 0 121235 0 26208 0 16500 0 37056 0 593612 0 0 KAVEH RAHMANI DO BOARD MEMBER 0 400332 0 154260 0 22897 0 16500 0 17709 0 611698 0 0 STEPHEN WEBER MD BOARD MEMBER 0 754090 0 525446 0 122550 0 153240 0 59003 0 1614329 0 122550 ENGIN YILMAZ MD BOARD MEMBER 0 299243 0 134326 0 0 0 26400 0 773 0 460742 0 0 EMILY CHASE INTERIM PRESIDENT (7/10/22 THRU 3/7/23) 0 548190 0 459963 0 367214 0 109990 0 42740 0 1528097 0 318337 ANN MCCOLGAN ASSISTANT TREASURER (THRU 5/1/23) 0 91513 0 59570 0 120515 0 8158 0 18128 0 297884 0 81828 MICHELLE SALOMON ASSISTANT TREASURER 0 196667 0 17772 0 31984 0 35953 0 1374 0 283750 0 0 TOMASZ SAMEK ASSISTANT SECRETARY 0 234136 0 26990 0 497 0 17867 0 21158 0 300648 0 0 IVAN SAMSTEIN CHIEF FINANCIAL OFFICER 0 1067829 0 598691 0 37680 0 195751 0 37753 0 1937704 0 0 JENNIFER ARIADO REGISTERED NURSE 236151 0 0 0 139 0 8550 0 43519 0 288359 0 0 0 POONAM DESAI EXECUTIVE DIRECTOR, AMBULATORY 232124 0 29166 0 820 0 3444 0 7095 0 272649 0 0 0 PAUL DONOHUE VP PHILANTHROPY AND COMMUNITY 214956 0 37456 0 59205 0 25121 0 45864 0 382602 0 48559 0 ROBYNN FOSEN DIRECTOR ADMIN RADIOLOGY SVCS 181550 0 20754 0 675 0 8290 0 1248 0 212517 0 0 0 SUSAN KLACZAK EXECUTIVE DIRECTOR ACNO INGALLS 175372 0 19809 0 2748 0 11250 0 13819 0 222998 0 0 0 Schedule J, Part I, Line 1a Housing allowance or residence for personal use DURING CALENDER YEAR 2023, ONE OFFICER LISTED ON SCHEDULE J, PART II RECEIVED REIMBURSEMENT FOR REASONABLE HOUSING ACCOMMODATIONS IN THE CHICAGO METROPOLITAN AREA IN CONNECTION WITH WORK REQUIREMENTS AND OBLIGATIONS. The housing allowance was reported as taxable income for the calendar year 2023 on Form 1099 issued to the firm Alvarez & Marsal. 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 2024 FOR CALENDAR YEAR 2023: EMILY CHASE MARY JO CRANDALL PAUL DONOHUE THOMAS JACKIEWICZ GRETCHEN PACHOLEK MICHELLE SALOMON IVAN SAMSTEIN STEPHEN WEBER 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 2023 W-2'S): EMILY CHASE - $318,337 PAUL DONOHUE - $48,559 ANN MCCOLGAN - $27,809 STEPHEN WEBER - $122,550 THE FOLLOWING INDIVIDUALS RECEIVED A DISTRIBUTION FROM A SUPPLEMENTAL RETIREMENT PLAN FOLLOWING THEIR TERMINATION OF EMPLOYMENT, IN ACCORDANCE WITH THE GOVERNING PLAN DOCUMENT. ANN MCCOLGAN - $185,873 THESE DISTRIBUTIONS WERE REPORTED AS TAXABLE INCOME AND ARE INCLUDED IN THE COMPENSATION DISCLOSED IN SCHEDULE J IN THE REPORTED YEAR. Schedule J, Part I, Line 7 Non-fixed payments FIVE PERSONS LISTED IN PART VII, SECTION A, LINE 1A RECEIVED NON-FIXED NON-RECURRING PAYMENTS DURING CALENDAR YEAR 2023. THESE NON-FIXED PAYMENTS ARE RELATED TO PERFORMANCE BONUSES. Schedule J, Part I, Line 1a DISCRETIONARY SPENDING ACCOUNT DISCRETIONARY SPENDING ACCOUNTS ARE AVAILABLE TO UCMC EMPLOYED EXECUTIVES ONLY, SERVING IMH. THOSE WHO MADE USE OF THE DISCRETIONARY SPENDING ACCOUNT RECEIVED BETWEEN $0 AND $10,000 DURING THE YEAR. THESE BENEFITS ARE ALL CONSIDERED TAXABLE COMPENSATION INCLUDED ON SCHEDULE J, PART II, COLUMN B(III). IMH-EMPLOYED EXECUTIVES ARE INELIGIBLE. 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 2023 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): EMILY CHASE AND ANN MCCOLGAN Schedule J, Part III INGALLS MEMORIAL HOSPITAL PAID COMPENSATION IN THE AMOUNT OF $1,268,833 TO THE CONSULTING FIRM ALVAREZ & MARSAL FOR THE SERVICES OF MICHAEL ANTONIADES, INTERIM PRESIDENT. A ILLINOIS FINANCE AUTHORITY 2017 861091967 000000000 2017-12-29 41180000 REFUNDING 2004 BONDS false false false A 12515000 41180000 349422 40830578 2017 true false true true A false true true true false 0.0 0.0 0.0 false false true A false false false true false false false false true A true Schedule K, Part V BOND POLICY WRITTEN TAX-EXEMPT BOND PROCEDURES WERE ADOPTED ON FEBRUARY 12, 2018. Schedule K, Part IV, Line 2c REBATE COMPUTATION INGALLS MEMORIAL HOSPITAL PERFORMED A REBATE COMPUTATION ON FEBRUARY 09, 2023. Form 990, Part III, Line 4d Description of other program services (Expenses $ 20,904,546 including grants of $ 100,000)(Revenue $ 71,107,265) 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 3 Delegation of management duties DURING FY2024, INGALLS MEMORIAL HOSPITAL ENGAGED MICHAEL ANTONIADES, A CONSULTANT EMPLOYED BY THE CONSULTING FIRM ALVAREZ & MARSAL, TO SERVE AS INTERIM PRESIDENT OF INGALLS MEMORIAL HOSPITAL. 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 by the UCMC tax department using information provided by management and reviewed in detail by an independent accounting firm. At its regularly scheduled meeting, the compensation committee of the UCMC Board of Trustees is provided a draft copy of portions of the Form 990. The final complete version of the Form 990 is then distributed to all voting members of the Board of Directors prior to its filing. 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 Lab services - Total Revenue: 7846, Related or Exempt Function Revenue: 7846, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revenue - Total Revenue: 382763, Related or Exempt Function Revenue: 382763, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Management Fee - Total Revenue: 278568, Related or Exempt Function Revenue: 278568, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Xray equipment and staff lease - Total Revenue: 183150, Related or Exempt Function Revenue: 183150, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Operating - Total Revenue: 53577, Related or Exempt Function Revenue: 53577, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Contract Labor - Total Expense: 25940036, Program Service Expense: 25940036, Management and General Expenses: , Fundraising Expenses: ; Medical Agreements - Total Expense: 22626642, Program Service Expense: 22626642, Management and General Expenses: , Fundraising Expenses: ; Program Support Services - Total Expense: 12518928, Program Service Expense: 12518928, Management and General Expenses: , Fundraising Expenses: ; Professional Services - Total Expense: 3258872, Program Service Expense: 848044, Management and General Expenses: 2410828, Fundraising Expenses: ; Patient transportation - Total Expense: 1748832, Program Service Expense: 1748832, Management and General Expenses: , Fundraising Expenses: ; Laundry services - Total Expense: 1308114, Program Service Expense: 696843, Management and General Expenses: 611271, Fundraising Expenses: ; Professional Services - Antoniades salary - Total Expense: 1105862, Program Service Expense: 608224, Management and General Expenses: 497638, Fundraising Expenses: ; Billing Fees - Total Expense: 217976, Program Service Expense: 196178, Management and General Expenses: 21798, Fundraising Expenses: ; Collection Fees - Total Expense: 96751, Program Service Expense: 674, Management and General Expenses: 96077, Fundraising Expenses: ; Recruiting Fees - Total Expense: 12630, Program Service Expense: 12630, Management and General Expenses: , Fundraising Expenses: ; Outside Lab Tests - Total Expense: 595, Program Service Expense: 595, Management and General Expenses: , Fundraising Expenses: ; Rental Reclass - Total Expense: -2823, Program Service Expense: -2823, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances FAIR VALUE OF DERIVATIVE INSTRUMENTS - 673867; TRANSFERS FROM AFFILIATES - 5862014; TRANSFERS FROM AFFILIATES - CAPITAL EXPENDITURE - 1800000; 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 FORWARD DISCOVERY GROUP LLC 5801 S ELLIS AVENUE CHICAGO IL 60637 933319101 MANAGEMENT IL 501(c)(3) 7 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 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 HK UNIV CHICAGO false THE UNIVERSITY OF CHICAGO CLOISTERS CLUB 1212 E 59TH STREET CHICAGO IL 60637 SOCIAL CLUB IL UNIV CHICAGO false UCHICAGO MEDICINE NORTHWEST INDIANA INC 5841 S MARYLAND AVE CHICAGO IL 60637 922355855 HOSPITAL IN 501(c)(3) 3 UCMC false 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 SN UNIV CHICAGO false UNIV OF CHI BOOTH SCH OF BUS (UK) EDUCATION UK UNIV CHICAGO false 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 FR UNIV CHICAGO false 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) 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 IRON POINT RE PTNRS - TE(C) LP 201 MAIN ST FORT WORTH TX 76102 260526955 INVESTMENT TX NA N/A false false JAPAN ABSOLUTE VALUE FUND LP 201 WASHINGTON ST BOSTON MA 02108 854345851 INVESTMENT MA NA N/A false false NEEDLE 2023-1 LLC 548 MARKET ST SAN FRANCISCO CA 94104 931514126 INVESTMENT CA NA N/A false false NYDIG DIGITAL ASSETS FUND V LP 1 VANDERBILT AVE NEW YORK NY 10017 362177139 INVESTMENT NY NA N/A false false SILKROAD ASIA VALUE PTNERS II INVESTMENT CJ NA N/A false false UCMC-SOLIS ON-CAMPUS MAMMOGRAPHY LLC 15601 DALLAS PARKWAY SUITE 500 ADDISON TX 75001 352641914 MAMMOGRAPHY DE NA N/A false false UCMC-SOLIS OFF-CAMPUS MAMMOGRAPHY LLC 15601 DALLAS PARKWAY SUITE 300 ADDISON TX 75001 384108853 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 CAPSTONE CPP 2012 1 FUND INVESTMENT CJ NA C Corporation false EMPLOYED PHYSICIANS SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC LTD 981571310 LIAB INSURANCE CJ UCHHD false HPL-GL SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC LTD 981571446 LIAB INSURANCE CJ UCHHD false INGALLS CASUALTY INSURANCE LTD ONE INGALLS DRIVE HARVEY IL 60426 980485714 LIAB INSURANCE CJ NA C Corporation false INGALLS HEALTH COUNCIL ONE INGALLS DRIVE HARVEY IL 60426 273226539 PURCHASING GROUP IL NA C Corporation false INGALLS PROVIDER GROUP ONE INGALLS DRIVE HARVEY IL 60426 363485578 INSURANCE SERVICE IL IMH C Corporation 12338904 2102501 1 true KOHINOOR CORE (CAYMAN) FUND INVESTMENT CJ NA C Corporation false MEDCENTRIX INC ONE INGALLS DRIVE HARVEY IL 60426 363374228 BILLING & MGMT IL NA C Corporation false NON-EMPLOYED PHYSICIANS SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC L TD 981571387 LIAB INSURANCE CJ UCHHD false PENSO FUND PLATFORM SPC - SEG PORTFOLIO 981360251 INVESTMENT CJ NA C Corporation false PHOENIX OVERLAY FUND LTD 401 N MICHIGAN AVE C/O INVST OFFICE CHICAGO IL 60611 INVESTMENT CJ NA C Corporation 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 SP 4 A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC LTD 981745253 LIAB INSURANCE CJ UCHHD false STANDARD GENERAL OFFSHORE FUND LTD 767 5TH AVE 12TH FLOOR NEW YORK CITY NY 10153 INVESTMENT CJ NA C Corporation false TARPON ALL EQUITIES FUND LP INVESTMENT CJ NA C Corporation false TRULEN INSURANCE SPC LIMITED 981571288 LIAB INSURANCE CJ UCHHD false UCHICAGO (BEIJING) CONSULTING CO LTD CONSULTING CH NA C Corporation false UCHICAGO CENTER IN INDIA PRIVATE LIMITED CONSULTING IN NA C Corporation false VIEWFORTH EUROPEAN EQUITY FUND LIMITED INVESTMENT CJ NA C Corporation false true true true false false false false false false false false true true true true true true true true INGALLS HOME CARE - A(iv) A 84000 FMV INGALLS PROVIDER GROUP Q 2507393 FMV INGALLS PROVIDER GROUP S 490968 FMV Schedule R, Part II Although each of UCMC and Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) and its wholly-owned subsidiary, Adventist Health System/Sunbelt, Inc. (AHSSI), appoint only half of Adventist Midwest Health (AMH's) Board of Directors, and thus neither technically has control over AMH based on the definition of "control" in the Schedule R instructions, the affiliation between UCMC and AMH gives UCMC a significant amount of control over AMH, and therefore AMH and its subsidiaries are being reported on the Schedule R of UCMC. For GAAP reporting, UCMC's consolidated financial statements reflect UCMC's controlling interest in the net assets and operations of AMH. Furthermore, the University of Chicago controls both UCMC (by virtue of being its sole member) and AMH and its subsidiaries (within the meaning of Reg §53.4968-3(b)(2)(iii)). As a result, UCMC and AMH and its subsidiaries are related by reason of both being controlled by the University of Chicago (though the University's control over AMH is within the meaning of Reg §53.4968-3(b)(2)(iii)) rather than the Schedule R instructions).