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The Ingalls Memorial Hospital

Ingalls Memorial Hospital
One Ingalls Drive
Harvey, IL 60426
Bed count582Medicare provider number140191Member of the Council of Teaching HospitalsYESChildren's hospitalNO
EIN: 362170866
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
9.11%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 358,853,017
      Total amount spent on community benefits
      as % of operating expenses
      $ 32,686,167
      9.11 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 6,902,992
        1.92 %
        Medicaid
        as % of operating expenses
        $ 24,068,691
        6.71 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 1,239,060
        0.35 %
        Subsidized health services
        as % of operating expenses
        $ 0
        0 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 419,740
        0.12 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 55,684
        0.02 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?NO
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 9,932,651
        2.77 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 188383811 including grants of $ 71500) (Revenue $ 219043451)
      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.
      4B (Expenses $ 28589279 including grants of $ 0) (Revenue $ 44057863)
      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 59,000 MEDICATION ORDERS AND MAKE 3,500 INTERVENTIONS PER MONTH.
      4C (Expenses $ 14300560 including grants of $ 0) (Revenue $ 18583369)
      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 FY2022 INGALLS PERFORMED 1,277 INPATIENT SURGERIES AND 2,306 AMBULATORY SURGERIES.
      4D (Expenses $ 91593870 including grants of $ 95000) (Revenue $ 49526422)
      OTHER PROGRAM SERVICES RELATED TO THE PROVISION OF HEALTHCARE INCLUDE LABORATORY SERVICES, PATIENT FINANCIAL SERVICES, COST OF FACILITIES, MALPRACTICE INSURANCE, AND OTHER SUPPORT SERVICES.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      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. IMH also gathered data from public health experts, through incorporating data from the Illinois Department of Public Health. 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 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 2020 and is a representative group of 14 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' HEALTH PRIORITIES. THROUGHOUT OUR 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. 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 REPORT WERE DISCUSSED AT COMMUNITY MEETINGS, WITH REFERENCE TO THE FULL REPORT'S ELECTRONIC AVAILABILITY ON THE HOSPITAL'S WEBSITE AND PAPER COPIES AVAILABLE IN THE INGALLS MEMORIAL MAIN LOBBY AND THE PROFESSIONAL OFFICE BUILDING FRONT DESKS. KEY EXTERNAL STAKEHOLDERS SUCH AS EXECUTIVE LEADERS AT COMMUNITY BASED ORGANIZATIONS, ELECTED OFFICIALS, AND INDIVIDUAL DONORS WERE SENT ELECTRONIC AND PAPER COPIES OF THE 4 PAGE, INFOGRAPHIC EXECUTIVE SUMMARY- WHICH IS ALSO AVAILABLE ON THE COMMUNITY BENEFIT WEBSITE. THE CHNA WAS MADE WIDELY AVAILABLE TO VARIOUS CHICAGOLAND COMMUNITY NEWS OUTLETS, INCLUDING THE HYDE PARK HERALD, SOUTHLAND JOURNAL, AND CRAIN'S CHICAGO BUSINESS, CHICAGO LEADER AND BLOCK CLUB CHICAGO. A LINK TO THE REPORT WAS ALSO SENT OUT TO A COMMUNITY HEALTH NEWSLETTER LISTSERV WITH OVER 11,000 PEOPLE SUBSCRIBED.
      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, FY 2020-2022 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 INGALLS WILL ADDRESS THE NEEDS IDENTIFIED IN ITS MOST RECENT CHNA THROUGH EXECUTION OF THE IMPLEMENTATION STRATEGY. INGALLS WILL ADDRESS THE IDENTIFIED 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. 2) COMMUNITY IMPACT GRANTS. GRANT OPPORTUNITIES ARE PROVIDED TO COMMUNITY-BASED ORGANIZATIONS THAT IMPLEMENT PROGRAMS TO ADDRESS THE INGALLS PRIORITY AREAS WITHIN THE INGALLS SERVICE AREA. 3) COMMUNITY-BASED EDUCATION & OUTREACH. INGALLS OUTREACH AND ENGAGEMENT COMPONENTS ARE DIRECTLY ALIGNED WITH THE HOSPITALS' PRIORITY AREAS, PROMOTING EDUCATION AND AWARENESS TO COMMUNITY MEMBERS IN THE TARGETED SERVICE AREAS. THESE ACTIVITIES ARE INTENDED TO BETTER INFORM AND EDUCATE THE COMMUNITY REGARDING HEALTH PROMOTION AND DISEASE SELF-MANAGEMENT PRACTICES. 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 FY 2023-2025, 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.
      Supplemental Information
      Schedule H (Form 990) Part VI
      Schedule H, Part I Line 3c
      AUTOMATIC UNINSURED SELF-PAY DISCOUNT A DISCOUNT OF 80% OF GROSS CHARGES, PROVIDED TO ALL UNINSURED PATIENTS WITHOUT REQUIRING EVIDENCE OF INABILITY TO PAY. THIS DISCOUNT IS DESIGNED TO ENSURE THAT PATIENTS ARE CHARGED AT A RATE GENERALLY COMPARABLE TO THAT APPLIED TO INSURED PATIENTS. 1. THERE IS NO APPLICATION PROCESS FOR THE PATIENT TO RECEIVE THE UNINSURED DISCOUNT. THE DISCOUNT IS APPLIED BASED ON THE ACCOUNT'S SELF-PAY/UNINSURED STATUS. 2. PATIENTS RECEIVING PRE-NEGOTIATED DISCOUNTS FOR HOSPITAL SERVICES WILL NOT BE ELIGIBLE FOR THIS UNINSURED DISCOUNT. 3. IF A PATIENT IS SUBSEQUENTLY APPROVED FOR FINANCIAL ASSISTANCE, THE AUTOMATIC DISCOUNT WILL BE REVERSED SO THAT THE FULL AMOUNT CAN BE RECOGNIZED AS A CHARITY ALLOWANCE. 4. IF A PATIENT SUBSEQUENTLY PROVIDES EVIDENCE OF INSURANCE COVERAGE, THE AUTOMATIC DISCOUNT WILL BE REVERSED AND THE INSURANCE COVERAGE PROVIDED WILL BE BILLED ACCORDINGLY. 5. PATIENT WHO ARE OTHERWISE INSURED AND CHOOSE NOT TO USE THEIR INSURANCE COVERAGE ARE INELIGIBLE FOR THIS AUTOMATIC DISCOUNT.
      Schedule H, Part I Line 7
      INGALLS UTILIZES A COST TO CHARGE METHODOLOGY. CHARGES ASSOCIATED WITH THE RELATED CATEGORIES ARE THEN USED TO DETERMINE COST RELATED TO SUCH REVENUE.
      Schedule H, Part V, Section B, Line 4
      THE HOSPITAL IS REPORTING THE TAX YEAR BEGINNING FOR WHICH IT LAST CONDUCTED ITS CHNA. THE CHNA WAS FINALIZED DURING THE TAX YEAR ENDED JUNE 30, 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://www.uchicagomedicine.org/-/media/pdfs/adult-pdfs/patients-and-visitors/patients/ingalls-financial-assistance/patient-financial-assistance-discounts-and-collections-policy-signed.pdf
      Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE
      https://www.uchicagomedicine.org/-/media/pdfs/adult-pdfs/patients-and-visitors/patients/ingalls-financial-assistance/financial-assistance-application.pdf
      Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE
      https://www.uchicagomedicine.org/-/media/pdfs/adult-pdfs/patients-and-visitors/patients/ingalls-financial-assistance/ingalls-financial-assistance-plain-language-summary.pdf
      Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
      THE AMOUNT REPORTED AS BAD DEBT EXPENSE IS DETERMINED BY APPLYING THE RATIO OF COST TO CHARGES (RCC) TO THE TOTAL CHARGES WRITTEN OFF TO BAD DEBT AS REPORTED IN THE AUDITED FINANCIAL STATEMENTS. THE RCC WAS DETERMINED UTILIZING WORKSHEET 2 FROM FORM 990, SCHEDULE H INSTRUCTIONS. THE BASIS FOR THIS COSTING METHODOLOGY IS THE HOSPITAL'S OPERATING EXPENSES (EXCLUDING BAD DEBT) ADJUSTED BY OTHER OPERATING REVENUE AND COMMUNITY BENEFIT EXPENSE DIVIDED BY GROSS PATIENT CHARGES.
      Schedule H, Part III, Line 3 Bad Debt Expense Methodology
      IMH RUNS PRESUMPTIVE ELIGIBILITY FOR FINANCIAL ASSISTANCE WHEN SUFFICIENT INFORMATION CANNOT BE OBTAINED. AS A RESULT, IMH DOES NOT BELIEVE THERE IS ANY BAD DEBT FOR INDIVIDUALS THAT WOULD OTHERWISE QUALIFY FOR ASSISTANCE.
      Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
      FOOTNOTE TO FINANCIAL STATEMENTS: IN ACCORDANCE WITH ASC TOPIC 606, REVENUE FROM CONTRACTS WITH CUSTOMERS, THE SYSTEM DOES NOT ADJUST THE PROMISED AMOUNT OF CONSIDERATION FROM PATIENTS AND THIRD-PARTY PAYORS FOR THE EFFECTS OF A SIGNIFICANT FINANCING COMPONENT DUE TO THE EXPECTATION THAT THE PERIOD BETWEEN THE TIME THE SERVICE IS PROVIDED TO A PATIENT AND THE TIME THAT THE PATIENT OR A THIRD-PARTY PAYOR PAYS FOR SERVICE WILL BE ONE YEAR OR LESS. REVENUES ARE RECOGNIZED IN THE AMOUNTS TO WHICH IT EXPECTS TO BE ENTITLED, WHICH ARE THE TRANSACTION PRICES ALLOCATED TO THE DISTINCT SERVICES. THE SYSTEM HAS AGREEMENTS WITH GOVERNMENTAL AND OTHER THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE SYSTEM AT AMOUNTS DIFFERENT FROM ESTABLISHED CHARGES. PAYMENT ARRANGEMENTS FOR MAJOR THIRD-PARTY PAYORS MAY BE BASED ON PROSPECTIVELY DETERMINED RATES, REIMBURSED COST, DISCOUNTED CHARGES, PER DIEM PAYMENTS, OR OTHER METHODS. THE TRANSACTION PRICE IS DETERMINED BASED ON GROSS CHARGES FOR SERVICES PROVIDED, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYERS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE PROGRAM, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO UNINSURED PATIENTS. THE ESTIMATES OF EXPLICIT PRICE CONCESSIONS AND DISCOUNTS ARE BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. THE ESTIMATES OF IMPLICIT PRICE CONCESSIONS ARE BASED ON HISTORICAL COLLECTION EXPERIENCE WITH THESE CLASSES OF PATIENTS USING THE PORTFOLIO APPROACH.
      Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
      THE HOSPITAL BELIEVES THE FULL AMOUNT OF THE SHORTFALL FROM MEDICARE SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE IT SERVES ALL PATIENTS REGARDLESS OF INSURANCE OR ABILITY TO PAY, AND IT CANNOT NEGOTIATE CONTRACTUAL RATES WITH THE MEDICARE PROGRAM. THE HOSPITAL MUST ACCEPT WHAT THE MEDICARE PROGRAM PAYS. THE METHODOLOGY USED IN DETERMINING MEDICARE SHORTFALL REPORTED IN THE COMMUNITY BENEFITS REPORT IS MEDICARE NET PATIENT SERVICE REVENUE LESS MEDICARE CHARGES MULTIPLIED BY THE MEDICARE COST REPORT COST TO CHARGE RATIO.
      Schedule H, Part 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 6 Affiliated health care system
      THE INGALLS MEMORIAL HOSPITAL IS PART OF THE INGALLS HEALTH SYSTEM THAT IS NOW KNOWN AS UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. THE INGALLS HEALTH SYSTEM WAS INCORPORATED TO SUPPORT AND ENCOURAGE HEALTH AND HUMAN SERVICES THROUGH THE FOLLOWING AFFILIATES: *THE INGALLS MEMORIAL HOSPITAL *INGALLS HEALTH VENTURES *MEDCENTRIX, INC. *INGALLS DEVELOPMENT FOUNDATION *INGALLS HEALTH COUNCIL *INGALLS HOME CARE *INGALLS PROVIDER GROUP *INGALLS CASUALTY INSURANCE *INGALLS SAME DAY SURGERY, LTD. *INGALLS CARE NETWORK *PRIMARY HEALTHCARE ASSOCIATES, SC* TRULEN INSURANCE SPC LIMITED
      Schedule H, Part VI, Line 7 State filing of community benefit report
      IL
      Schedule 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 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 THE DECISION-MAKING PROCESS. 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' 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 2020-2022. 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 INGALL'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 (PSA) 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 POPULATION OF COOK COUNTY INCREASED BY 1.6%, AND SOUTH SUBURBAN COOK COUNTY (SSCC) DECREASED BY 2.2%. THE INGALLS PSA IS COMPRISED OF THORNTON TOWNSHIP, WHICH CONSISTS OF 13 ZIP CODES, 20 CITIES/MUNICIPALITIES. THE INGALLS PSA COMPRISES OF 56,994 RESIDENTS, MANY OF WHOM ARE UNDERSERVED BY INGALLS. SOME OF THE COMMUNITIES IN INGALLS SERVICE AREA HAVE SOME OF THE HIGHEST CHRONIC DISEASE RATES IN SUBURBAN COOK COUNTY. THE POPULATION OF THE INGALLS PSA IS APPROXIMATELY 62.5 PERCENT 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 OBESITY, 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 5 Promotion of community health
      THE UNIVERSITY OF CHICAGO INGALLS MEMORIAL HOSPITAL (INGALLS) IS A COMMUNITY HOSPITAL THAT WORKS WITH ITS COMMUNITY AND PARTNERS TO IMPROVE HEALTH, PREVENT DISEASES AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH IN ITS SERVICE AREA. COMMUNITY IMPACT GRANTS INGALLS COMMUNITY IMPACT GRANTS PROGRAM PROVIDES NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATIONS FUNDING TO SUPPORT HEALTH PROGRAMMING OR A FUNDRAISING EVENT. 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 TO SERVE MORE COMMUNITY MEMBERS. IN FY 2022, INGALLS AWARDED $50,000 IN COMMUNITY IMPACT GRANTS, WHICH WERE USED TO ADDRESS THE HEALTH PRIORITY AREAS. - $25,000 DONATED TO CANCER SUPPORT CENTER TO INCREASE CANCER AWARENESS AND EXPAND ACCESS TO CANCER CARE - $10,000 PROVIDED TO THORNTON TOWNSHIP HIGH SCHOOL TO INTRODUCE STUDENTS TO URBAN FARMING AND ACCESS TO QUALITY FOOD - $15,000 IN FUNDING GIVEN TO BARBARA W. SMITH FAMILY LIFE CENTER TO PROVIDE HEALTH AND WELLNESS PROGRAMMING CHRONIC DISEASES: DIABETES, HEART DISEASE AND CANCER IN 2022, INGALLS OFFERED: - 14 NUTRITION WELLNESS TALKS FOCUSED ON HEART HEALTH, CANCER, DIABETES, AND WEIGHT MANAGEMENT - 106 PEOPLE ATTENDED ACCESS TO MATERNAL HEALTH THE HEALTHY BABY NETWORK (HBN) WAS ESTABLISHED TO ADDRESS THE NUMBER OF WOMEN GIVING BIRTH WHO HAVE NOT RECEIVED PRENATAL CARE. THE LACK OF PRENATAL CARE RESULTS IN PREMATURE BIRTHS, BABIES WITH LOW BIRTH WEIGHTS, INCREASED MORBIDITY AND MORTALITY, AND NUMEROUS OTHER COMPLICATIONS THAT HAVE BEEN EASILY TREATED. IN 2022, 101 PEOPLE ENROLLED IN HBN, 84 OF HBN PARTICIPANTS DELIVERED BABIES, 73 DELIVERIES WERE FULL-TERM BABIES, 72 BABIES HAD A NORMAL BIRTH WEIGHT, AND 100 PEOPLE ATTENDED THE DRIVE THRU BABY SHOWER. INGALLS DEVELOPMENT FOUNDATION THE INGALLS DEVELOPMENT FOUNDATION'S PURPOSE IS TO CONNECT DONORS WITH PHILANTHROPIC INVESTMENT OPPORTUNITIES TO TRANSFORM COMMUNITY MEDICINE IN THE UCHICAGO MEDICINE INGALLS MEMORIAL HOSPITAL SERVICE AREA. IN 2022, THE FOUNDATION PROVIDED: - $2.4 MILLION TO FUND WOOD STREET COMMUNITY HEALTH CORRIDOR. THIS INCLUDED AN OVERALL PLAN TO PROMOTE ECONOMIC DEVELOPMENT IN HARVEY, ILLINOIS. - $18,750 IN COMMUNITY SCHOLARSHIPS FOR 20 HEALTH EDUCATION STUDENTS. -$8,750 IN SUPPORT OF THE INGALLS ROOFTOP GARDEN. FUNDING ALLOWED FOR THE HIRING OF A LOCAL GARDEN COORDINATOR WHO WORKED WITH COMMUNITY MEMBERS IN MAINTENANCE AND HARVESTING EFFORTS. OUTREACH AND SUPPORT - MENTAL HEALTH THE COVID-19 PANDEMIC UNLEASHED THE BRUTAL TRUTH - MENTAL HEALTH IS AS IMPORTANT AS PHYSICAL HEALTH. 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 THE NEED, INGALLS OFFERED FOUR FREE WORKSHOPS ON MENTAL HEALTH, WELLNESS AND SELF-CARE. ADDRESSING FOOD INSECURITY UCHICAGO MEDICINE INGALLS MEMORIAL HOSPITAL OPENED THREE ONSITE FOOD PANTRIES FOR ITS ONCOLOGY PATIENTS. THE PROGRAM DOES NOT REQUIRE INDIVIDUALS TO SIGN FOR EMERGENCY FOOD IF THEY ARE UNCOMFORTABLE. IN 2022, THE NUTRITION STATIONS EXPANDED TO FLOSSMOOR AND TINLEY PARK. IN FY 2022, 300 POUNDS OF FOOD WERE DISTRIBUTED, SERVING 2,705 PATIENTS. COMMUNITY ADVISORY COUNCIL (CAC) THE INGALLS CAC IS COMPRISED OF 14 MEMBERS AND SEEKS COMMUNITY INPUT ON HEALTH ISSUES THAT ARE IMPORTANT TO ITS PRIMARY SERVICE AREA AND SURROUNDING COMMUNITIES. THE COUNCIL TALKS TO THE COMMUNITY TO HELP GUIDE FUTURE DECISIONS FOR RESOURCES OF UCHICAGO MEDICINE INGALLS MEMORIAL HOSPITAL IN HARVEY AND INGALLS AMBULATORY LOCATIONS. COMMUNITY BOARD THE INGALLS BOARD OF DIRECTORS MEMBERSHIP IS COMPRISED OF LOCAL BUSINESS AND COMMUNITY MEMBERS THAT LIVE IN THE CHICAGO AND THE SOUTH SUBURBAN REGION. IN ADDITION TO THE INGALLS 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 2022 INGALLS INVESTED $1.2 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