2024-11-15T14:02:53-06:00 2023-12-31 420714325 RSM US LLP 30 South Wacker Dr Suite 3300 Chicago IL 606063392 990 2023-01-01 862358048 Insight Chicago Inc INSI 3125672000 2525 S Michigan Ave Chicago IL 60616 Atiq Nakrawala Chief Financial Officer 3125672000 2024-11-15 1 1 Rebekuh Eley P01247672 3126343400 2024-11-15 2023 2024-10-15 13:58:12Z Insight Hospital & Medical Center Atif Bawahab 2525 S Michigan Ave Chicago IL 60616 129628867 0 X www.insightchicago.com X 2021 IL Insight Hospital and Medical Center Chicago is dedicated to transformation and impact. We will deliver world class, compassionate, expert care to every patient who comes through our doors. As stewards of holistic health, Insight is committed to seeing our community flourish through increased access to holistic care and improved health. 19 17 1060 17 899420 63774 12704477 13411853 89589195 113968105 0 0 940898 2248909 103234570 129628867 0 0 0 0 34568070 60007203 0 0 61063 75788261 112466470 110356331 172473673 -7121761 -42844806 65033463 67358107 49480113 102893396 15553350 -35535289 X Insight Hospital and Medical Center Chicago is dedicated to transformation and impact. We will deliver world class, compassionate, expert care to every patient who comes through our doors. As stewards of holistic health, Insight is committed to seeing our community flourish through increased access to holistic care and improved health. 0 0 89953319 113968105 Insight Chicago Inc. is a licensed 412-bed acute care facility with its primary market in the south and southwest side of Chicago and adjacent suburbs.Insight is committed to rebuilding a storied hospital and looks forward to providing the highest quality of care to our patients. Insight is committed to operating a full-service community hospital; creating a comprehensive plan to increase services and meet community needs; restoring the hospital as a teaching facility and restoring a comprehensive emergency department. 89953319 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 84 0 1 1060 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 17 1 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X Atiq Nakrawala 3125672000 2525 S Michigan Ave Chicago IL 60616 Dr Naveed Mallick Board Member 40.00 0.00 X 445712 0 31910 Kaleem Qazi Board Member 40.00 0.00 X 248009 0 8678 Atif Bawahab President and CEO 10.00 0.00 X X 0 0 0 Ali Madha Chairman of the Board 10.00 0.00 X X 0 0 0 Nadir Ijaz Vice-Chairman of the Board 10.00 0.00 X X 0 0 0 Atiq Nakrawala Treasurer 10.00 0.00 X X 0 0 0 Baseer Tajuddin Secretary 10.00 0.00 X X 0 0 0 Alaa Abdeldaiem Board Member 5.00 0.00 X 0 0 0 Dr Henry Barlow Board Member 5.00 0.00 X 0 0 0 Clyde El Amin Board Member 5.00 0.00 X 0 0 0 Will Evans Board Member 5.00 0.00 X 0 0 0 Ladale George Board Member 5.00 0.00 X 0 0 0 Pastor Chris Harris Board Member 5.00 0.00 X 0 0 0 Muaz Jondy Board Member 5.00 0.00 X 0 0 0 Dr Harriet Lewis Board Member 5.00 0.00 X 0 0 0 Paul Luu Board Member 5.00 0.00 X 0 0 0 Amjad Quadri Board Member 5.00 0.00 X 0 0 0 Habeeb Quadri Board Member 5.00 0.00 X 0 0 0 Maryum Rasool Board Member 5.00 0.00 X 0 0 0 Dillon Bannis Chief Medical Officer 40.00 0.00 X 391381 0 16343 Mitul Patel VP of Patient Care Services 40.00 0.00 X 200069 0 7692 Bobby Diniotis Physician 40.00 0.00 X 731309 0 23712 Jehad Bittar Physician 40.00 0.00 X 659691 0 56977 Mohammed Hussain Physician 40.00 0.00 X 603564 0 22236 G Bookatz Physician 40.00 0.00 X 496066 0 34475 Umar Shakur Physician 40.00 0.00 X 461941 0 50519 4237742 0 252542 129 0 1 0 Insight Management and Consulting Servic 4800 S Saginaw Street Flint MI 48507 Management Services 12000000 Advantis Medical Staffing 20 Sunnyside Ave Suite E Mill Valley CA 94941 Temporary Medical Staffing Services 4082932 Ahmed VIR PLLC 235 Maple Hill Rd Glencoe IL 60022 Consulting Services 841667 Wings International Inc 514 N Peshtigo Ct Suite 3605 Chicago IL 60611 Consulting Services 736000 Forefront Healthcare 22622 Harper Avenue St Clair Shores MI 48080 Consulting Services 686377 23 13411853 13411853 Patient Services 621990 71517841 71517841 Medicaid 621990 42450264 42450264 113968105 175114 0 175114 175114 175114 Retail Pharmacy 900099 1680860 899420 781440 Returned Deposits 900099 206313 206313 Gift Shop/Vending 721000 27743 27743 158879 158879 2073795 129628867 113968105 899420 1349489 X 1285171 777243 507928 50248282 30389042 19859240 1193370 408282 785088 3340140 1065172 2274968 3940240 1355322 2584918 12000000 7655396 4344604 1060834 1060834 458226 458226 1260000 1260000 42184147 13133311 28992486 58350 1321002 1321002 6656899 5514250 1142649 1272552 32389 1237450 2713 12995970 851616 12144354 152415 24037 128378 1242372 1242372 2004168 2004168 2925925 2925925 Bad Debt Expense 15317114 15317114 Medical Supplies 7959768 7959768 IL Hospital Assessment 2294115 2294115 1360963 1172094 188869 172473673 89953319 82459291 61063 18662523 14617317 13076516 19958174 1937565 2470332 1735170 1500736 33428853 4922720 29621689 28506133 0 305415 65033463 67358107 3003048 34672845 3500571 0 19748565 9078993 23227929 59141558 49480113 102893396 X 15553350 -35597464 0 62175 15553350 -35535289 65033463 67358107 -42844806 -8243833 0 X 0 0 0 X 0 0 0 0 0 0 0 0 1 1269161 1269161 0 Part II-B, Line 1: 37% of membership dues from IHA (Illinois Healthcare and Hospital Association) are allocated to lobbying expenditures. A law firm was engaged for Lobbying and Government Affairs services: $1,260,000. 26470001 26470001 87700 9944 77756 5938674 4531505 1407169 932478 381271 551207 28506133 Medicaid Advanced Payments 34925000 Due to Third-Party Payors 21357329 Other Liabilities 1260000 Deferred Compensation 1599229 59141558 1 1 1 X 1 X 600.000000000000 1 1 0 1 1 6604151 6604151 0.04200 67920441 61403288 6517153 0.04150 74524592 61403288 13121304 0.08350 137889 137889 0.00090 4386459 283527 4102932 0.02610 4524348 283527 4240821 0.02700 79048940 61686815 17362125 0.11050 4750 4750 0.00000 4750 4750 0.00000 1 15317114 12306212 23505835 -11199623 X 1 1 1 1 Insight Chicago Inc 2525 S Michigan Ave Chicago IL 60616 www.insightchicago.com 0006427 X X X X Insight Chicago Inc 1 0 0 1 X X X X X X X X X X 23 1 1 1 1 X See Part V, Page 8 X 1 23 1 See Part V, Page 8 0 1 X 200.000000000000 600.000000000000 X X X X X 1 1 X X X X 1 X https://insightchicago.com/financial-assistance/ X See Part V, Page 8 X See Part V, Page 8 X X X X X X 1 X 0 X X X X 1 X 0 0 Insight Chicago Inc. Part V, Section B, Line 3j: Social determinants of health (poverty, education, unemployment, housing, community safety and violence), mental health and substance abuse disorders. Insight Chicago Inc. Part V, Section B, Line 5: We surveyed individuals who live in the community. We also held focus groups with a wide variety of participants. We also discussed the items on the CHNA with our board of directors as well as members of the South Side Health Equity Collaborative. Insight Chicago Inc. Part V, Section B, Line 6a: Lurie Children's, Rush, UIC, Mt Sinai, Swedish Covenant, Jackson Park, Northwestern Memorial. Insight Chicago Inc. Part V, Section B, Line 6b: Illinois Public Health Institute (IPHI) Insight Chicago Inc. Part V, Section B, Line 11: We responded by onboarding community health workers who work one-on-one with our patients as well as residents in the community to connect them to resources that address their needs. We initiated a program to restart labor and delivery services, we initiated a remote blood pressure and blood glucose program, we initiated a program to screen for retinopathy in our community. We added an endocrinologist to help us address poorly controlled diabetes. We initiated a project to address dietary needs and food insecurity in the community. We added a behavioral health provider in response to the needs identified in the CHNA. We initiated a program to address transportation difficulties in our community as well. Insight Chicago Inc.: Part V, Section B, Line 7a, CHNA:https://insightchicago.com/wp-content/uploads/2023/11/2023-Insight-Hospital-and-Medical-Center-CHNA.pdfPart V, Section B, Line 10a, Implementation Strategy:https://insightchicago.com/wp-content/uploads/2023/11/2023-Insight-Hospital-and-Medical-Center-CHNA.pdfInsight Chicago Inc.:Part V, Section B, Line 16b, FAP Application website:https://insightchicago.com/financial-assistance/Insight Chicago Inc.:Part V, Section B, Line 16b, FAP Plain Language Summary website:https://insightchicago.com/financial-assistance/ Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 15,317,114. Part II, Community Building Activities: Community support: Participated in several health fairs. Also participated in the big 10k run and to a lesser, the Chicago Marathon. We also participated in the Bud Billiken Parade. Environmental support: We will have completed the electric charger installation by the end of the year.Coalition building: We currently lead one of the largest HFS transformation collaborative in the state, which includes two CBO's and two FQHC's. A subsidiary of one of the FQHC's is solely focused on behavioral health. The full collaborative focuses on chronic conditions management, maternal health, behavioral health, youth empowerment, and workforce development.Community health improvement advocacy: We hold a seat on the Near South Planning Board and approach that assignment with a health focus. Part III, Line 2: Bad Debt expense is computed based on the actual bad debt write offs during the year, and the change in the Bad Debt Allowance Reserve which is computed based on the changes in the Accounts Receivable balances from period to period. Part III, Line 4: Please refer to Pages 7-9 of the attached audit report for footnotes describing accounts receivable and patient service revenue. Part III, Line 8: Insight does not believe any Medicare shortfall should be treated as community benefit. Medicare costs were obtained from the filed Medicare cost report. The costs are based on Medicare allowable costs as reported on worksheet B, column 27, which exclude direct medical education costs. Inpatient Medicare costs are calculated based on a combination of allowable cost per day times Medicare days for routine services and cost to charge ratio times medicare charges for ancillary services. Outpaitent medicare costs are calculated based on cost to charge ratio times medicare charges by ancillary department. Part III, Line 9b: The Hospital's collection policy contains provisions on the collection practices to be followed for patients who are known to qualify for financial assistance. Charity discounts are applied to the amounts that qualify for financial assistance. Collection practices for the remaining balances are clearly outlined in the organization's collection policy. The hospital has implemented billing and collection practices for patient payment obligations that are fair, consistent and compliant with state and federal regulations. Part VI, Line 2: We conduct a community health needs assessment in conjunction with IPHI to gather information via survey distribution and response analysis as well as community forums. These data points are reviewed and utilized to determine and direct future investments into various resources that meet the needs of the patients that we serve. In addition to this method, we also employ community health workers who conduct social needs assessments with our patients in the outpatient setting. The responses are utilized to inform our approachto meeting the needs of our patients. Part VI, Line 3: The organization provides education and information about financial assistance in multiple ways. The financial assistance policy is available on the organization's website and displayed at all registration points throughout the hospital. Registration staff are trained to inform patients about the financial assistance program and provide applications when needed. If a patient is uninsured or expresses concerns about affording treatment, the staff contacts the team responsible for Medicaid applications to assess eligibility. If the patient qualifies, the team assists with the Medicaid application process. If not, the Medicaid team coordinates with the financial coordinator, who promptly meets with the patient or schedules a convenient appointment. Additionally, patient bills include a message indicating that financial assistance maybe available for those unable to pay their balance along with contact information for further assistance. Part VI, Line 4: The hospital is located in the Bronzeville neighborhood of Chicago just south of Motor Row. This area, historically, was home to numerous performing arts such as blues, jazz, and gospel music. It was also very important to the Civil Rights Movement. The area continues to be rich in culture which continues to attract more business and more investment into the neighborhood. Our primary service area includes the following zip codes: 60616, 60653, 60609, 60608, 60619, 60615, 60637, 60620, 60617, 60621, and 60649. The largest racial/ethnic group is non-Hispanic Black, followed by Hispanic/Latino, non-Hispanic White, and Asian. Approximately 22 percent of the population is less than 17 years of age. 64 percent are between 18-64, and 15 percent are above the age of 65. Part VI, Line 5: We are active participants in several health fairs focused on bringing awareness to our community regarding their own healthcare. We provide screening and testing for various conditions such as hypertension, diabetes, and prostate cancer. We provide information regarding services that we perform at the main hospital campus. These health fairs are conducted alongside key elected officials in our service area in order to maximize impact. We are the lead organization in the South Side Health Equity Collaborative which addresses the social drivers of health, nutrition, chronic conditions, workforce development, maternal health care, behavioral health, and youth empowerment. This effort is conducted with collaboration from local CVO's and FQHC's. Part VI, Line 6: Insight Chicago is not part of an affiliated health program. Part VI, Line 7, Reports Filed With States IL 0 0 0 0 0 0 0 0 0 Bobby Diniotis Physician 730769 0 0 0 540 0 22500 0 1212 0 755021 0 0 0 Jehad Bittar Physician 609205 0 50000 0 486 0 18665 0 38312 0 716668 0 0 0 Mohammed Hussain Physician 600000 0 0 0 3564 0 18000 0 4236 0 625800 0 0 0 G Bookatz Physician 495526 0 0 0 540 0 20000 0 14475 0 530541 0 0 0 Umar Shakur Physician 461180 0 0 0 761 0 18920 0 31599 0 512460 0 0 0 Dr Naveed Mallick Board Member 445335 0 0 0 377 0 18001 0 13909 0 477622 0 0 0 Dillon Bannis Chief Medical Officer 391236 0 0 0 145 0 11806 0 4537 0 407724 0 0 0 Kaleem Qazi Board Member 237830 0 10000 0 179 0 7440 0 1238 0 256687 0 0 0 Mitul Patel VP of Patient Care Services 200000 0 0 0 69 0 7692 0 0 0 207761 0 0 0 Form 990, Part VI, Section A, line 2 Dr. Naveed Mallick, Board Member, and Muaz Jondy, Board Member, have a family relationship. The following individuals have a business relationship in relation to Insight Management and Consulting Services, Inc. (IMCS), Atif Bawahab (Chief Strategy Officer of IMCS), Ali Madha (Chief Operating Officer of IMCS), Atiq Nakrawala (Chief Financial Officer of IMCS), Nadir Ijaz (employee of IMCS), Baseer Tajuddin (employee of IMCS), Kaleem Qazi (employee of IMCS), and Maryum Rasool (employee of IMCS). In addition, the sole owner of IMSC is Chairman Emeritus (non-voting board member) of Insight Chicago. Form 990, Part VI, Section A, line 3 Certain functions of key employees (for example: service line leadership, administrative leadership, legal, finance, RCM integrity, pharmacy services, laboratory Services, radiology services) are managed by a third-party management company, Insight Management and Consulting Services, Inc. (IMCS). Insight Chicago paid IMCS $12,000,000 in management fees during the tax year. The following Officers and Board of Directors of Insight Chicago are compensated by IMCS for services provided to Insight Chicago: Atif Bawahab, CEO - $400,000 Ali Madha, COO - $400,000 Atiq Nakrawala, CFO - $100,000 Baseer Tajuddin, Legal Counsel - $150,000 Form 990, Part VI, Section A, line 7a The Firdaus Foundation shall appoint at least three (3) Directors (the "Firdaus Directors"). Form 990, Part VI, Section A, line 7b Firdaus Foundation has authority and reserved powers to make governance decisions. Form 990, Part VI, Section B, line 11b The Accounting and legal team met internally to review and respond to the questionnaire working with the independent accounting firm on completion of the 990. Once the 990 is finalized, the Accounting team will review key items with leadership. Form 990, Part VI, Section B, line 12c Before any vote in a meeting for the Board of Directors, Board Members and Officers are asked whether they have any conflicts on voting on certain matters - and are required to abstain from voting on such matters. Key employees are required to disclose any conflicting interests before starting and are monitored accordingly. Any prospective business that the entity might engage in discloses if it has any ties with anyone at Insight Chicago. If concerns are brought regarding potential conflicts of interests, they are investigated by legal or outside counsel. Form 990, Part VI, Section B, line 15 Compensation for executive contracts or independent contractors are presented to the Board of Directors for approval. Along with the individual, title, role - the proposed compensation, and whether it meets fair market value (and how fair market value was determined in each instance) is provided to the board. Examples of how fair market value is determined include independent analysis, competing offers the individual received, and if there is some third party that lists such compensation for the area. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request for the same period of disclosure as set forth in IRC section 6104(d). Form 990, Part IX, line 11g Temporary Labor: Program service expenses 9,421,739. Management and general expenses 457,355. Fundraising expenses 0. Total expenses 9,879,094. Physician Fees: Program service expenses 3,014,930. Management and general expenses 1,919,732. Fundraising expenses 0. Total expenses 4,934,662. Consulting Fees: Program service expenses 242,327. Management and general expenses 9,258,184. Fundraising expenses 20,297. Total expenses 9,520,808. Security Services: Program service expenses 48,793. Management and general expenses 1,864,142. Fundraising expenses 4,087. Total expenses 1,917,022. Cleaning Services: Program service expenses 568. Management and general expenses 21,719. Fundraising expenses 48. Total expenses 22,335. Purchased Services: Program service expenses 202,619. Management and general expenses 7,741,114. Fundraising expenses 16,971. Total expenses 7,960,704. Other Professional Fees: Program service expenses 202,335. Management and general expenses 7,730,240. Fundraising expenses 16,947. Total expenses 7,949,522.