Attach to Form 990 or Form 990-EZ.
See separate instructions.| (i) Name of supported organization |
(ii) EIN |
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) |
(iv) Is the organization in col. (i) listed in your governing document? |
(v) Did you notify the organization in col. (i) of your support? |
(vi) Is the organization in col. (i) organized in the U.S.? |
(vii) Amount of support? |
|||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| (1)
NORTHWESTERN MEMORIAL HOSPITAL |
370960170 | 03 | Yes | Yes | Yes | 23,438,987 | |||
| (2)
NORTHWESTERN MEMORIAL FOUNDATION |
363155315 | 03 | Yes | Yes | Yes | 799,700 | |||
| (3)
NORTHWESTERN MEMORIAL PHYSICIANS GROUP |
364030256 | 03 | No | Yes | Yes | 1,055,031 | |||
| (4)
NORTHWESTERN LAKE FOREST HOSPITAL |
362179779 | 03 | Yes | Yes | Yes | 1,833,153 | |||
| Total | 27,126,871 | ||||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3.. | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public Support. Subtract line 5 from line 4. | ||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public Support (Subtract line 7c from line 6.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | ||||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Northwestern Memorial HealthCare is the sole member of Northwestern Memorial Hospital, Northwestern lake forest Hospital and Northwestern Memorial Foundation. It is the indirect parent of Northwestern Memorial Physicians Group and lake forest health & Fitness Institute. Northwestern Memorial HealthCare provides managerial services and support to the not-for-profit corporations identified above. |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Conflict of Interest | Part VI Section B Question 12 c | Northwestern Memorial HealthCare (NMHC) maintains both a Conflict of Interest Policy and an Intermediate Sanctions Policy. These policies have been approved by its Board of Directors and apply to all entities, directors, officers, employees and transactions which take place within the NMHC system. The policies were written to assist board members and management with the identification of those transactions that warrant attention and consideration to ensure proper adherence to the tax laws impacting tax-exempt organizations. The conflict of interest policy requires completion of an annual certification which affirms that such person has received, read and understands the conflict of interest policy, has agreed to comply, has disclosed any matters required to be disclosed under the policy, and agrees to report any changes promptly to the Chief Integrity Executive. Once the annual certifications are complete, the Chief Integrity Executive reviews the disclosures for compliance with the policy. |
| STATEMENT PER SECTION 1.6038-2(j) | Form 990 Schedule O | Statement Filed Pursuant to Code Section 1.6038-2(j) Northwestern Memorial HealthCare, For the Fiscal Year Ended August 31, 2011, Pursuant to Regulation 1.6038-2(j)(3), the taxpayer hereby states that the information required to be filed with the IRS for Form 5471 for the taxable year ended August 31, 2011 will be furnished by the group return identified below; and the exception provided for in Regulation 1.6038-2(j)(1) will be fully satisfied. 1) Entity Name: Northwestern Memorial HealthCare 2) Address: 251 E. Huron (541 Fairbanks, Ste 1630) Chicago Il 60611-3309 3) FEIN: 36-6152959 4) Form Type: 990 5) Place of Filing: Internal Revenue Service, Ogden Utah Controlled Foreign Corporation : Northwestern Memorial Insurance Company Address : 113 S church street, Queensgate house 5th flr po box 1085, Grand Cayman Island, Cayman Islands |
| COMPENSATION POLICY | Part VI Section B Question 15 a and b | AS A MEMBER OF THE NORTHWESTERN MEMORIAL HEALTHCARE ORGANIZATION, NMHC IS INCLUDED IN THE OVERALL Board-led executive compensation review and approval process. THE PROCESS FOR DETERMINING EXECUTIVE COMPENSATION AT NORTHWESTERN MEMORIAL COMPLIES WITH IRS GUIDELINES FOR TAX-EXEMPT ORGANIZATIONS; IS DETERMINED BY A SEPARATE SUBCOMMITTEE OF THE BOARD OF DIRECTORS WHOSE MEMBERS ARE ALL INDEPENDENT AND NON-PAID; AND IS ANNUALLY EVALUATED IN THE CONTEXT OF COMPENSATION DATA GATHERED BY EXTERNAL CONSULTANTS FROM A PEER GROUP COMPRISED OF similarly situated healthcare organizations. IN ADDITION, a significant portion of compensation is at risk and is payable only upon achievement of substantial goals. THE BOARD PLACES A HIGH PRIORITY ON ITS ABILITY TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM TO ENSURE WE SERVE OUR MISSION AND ACHIEVE OUR GOALS. THE OFFICERS OF NORTHWESTERN MEMORIAL HEALTHCARE ALSO FULFILL OFFICER AND EXECUTIVE FUNCTIONS FOR NMHC'S SUBSIDIARIES. ALL OF THE COMPENSATION DISCLOSED in the Group return IS ALLOCATED TO THE SUBSIDIARIES. |
| Governing Documents Disclosure | Part VI Section C Question 19 | THE CORPORATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE CONSOLIDATED FINANCIAL STATEMENTS OF NORTHWESTERN MEMORIAL HEALTHCARE AND SUBSIDIARIES ARE AVAILABLE on the websites for Northwestern memorial Hospital and Northwestern Lake Forest Hospital. The financial statements are also available FROM THE ILLINOIS ATTORNEY GENERAL'S OFFICE AS PART OF ITS ANNUAL COMMUNITY BENEFITS REPORT and through the ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM OF THE MUNICIPAL SECURITIES RULEMAKING BOARD. |
| BUSINESS RELATIONSHIPS | FORM 990 SECTION VI QUEStion 2 | NORTHWESTERN MEMORIAL HEALTHCARE DIRECTORS WILLIAM a. OSBORN, EDWARD m. LIDDY, Glenn F. tilton AND SAMUEL c. SCOTT III ARE ALSO DIRECTORS AT ABBOTT LABORATORIES. NORTHWESTERN MEMORIAL HEALTHCARE DIRECTORS W James McNerney Jr and Edward M. Liddy are also directors of the Boeing company. Peter J. McCanna, Douglas M. Young and Carol M. Lind are officers of Northwestern Memorial HealthCare. They are also officers of Northwestern Memorial Insurance Company. Douglas M. Young and Carol M. lind are also directors of Northwestern Memorial Insurance Company. Gary A. Noskin, MD and arvydas D. vanagunas, MD are directors at Northwestern memorial healthcare. They are also directors at Northwestern HealthCare Corporation. John a Canning Jr and Glenn F Tilton are directors of Northwestern memorial HealthCare. They are also Directors at Corning. |
| REVIEW FORM 990 | FORM 990, PART VI, SECTION A, QUESTION 11 | The Form 990 ("Form") was GENERATED internally by the finance department with support from various departments within the organization. Various sections of the Form were reviewed by senior management of Northwestern Memorial HealthCare ("NMHC"), as the parent organization, and various committees. As examples, the Chief Integrity Executive reviewed disclosures for related party transactions, the Tax and Regulatory Review Committee reviewed the community benefit report that describes the exempt purpose achievements, and lobbying expenditures were reviewed by the VP External Affairs. The Executive Compensation Subcommittee of the Board of Directors of NMHC was provided the compensation disclosures. The organization then worked with a national, independent public auditing and accounting firm as paid preparer of the Form 990 filing. The final Form was reviewed by the Vice President, Finance and members of the Finance department prior to review by the NMHC Executive Vice President, Administration and Chief Financial Officer. Prior to filing, the completed Form 990 was provided to the Board of Directors through a secure website. |
| HOURS WORKED RELATED COMPANIES | Form 990 Part VII | The employees of NMHC generally work more than 40 hours a week and perform services for various NMHC subsidiaries. Their information is reported on the Northwestern memorial HealthCare Group return. |
| Reconciliation Net Assets | Form 990 Part XI Line 5 | Post Retirement Benefit Changes (1,296,152) Unrealized Gains 1,246,762 Prior Period Fair Value Changes in Measurements 541,021 Total 491,631 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Per REGULATION 1.6033-2(D)(5) THIS TITLE:information is found on the HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GROUP Return # 5878 HOURS: |
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Affiliated Group Business Name:
Northwestern memorial hospit
Address. Either US or Foreign Type:
251 E Huron
chicago, IL60611 EIN:
37-0960170
Electing Organization Checkbox:
Total Grassroots Lobbying:
5,000
Total Direct Lobbying:
185,640
Total Lobbying Expenditures:
190,640
Other Exempt Purpose Expenditures:
1,348,327,074
Total Exempt Purpose Expenditures:
1,348,517,714
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
Northwestern memorial founda
Address. Either US or Foreign Type:
251 e Huron
chicago, IL60611 EIN:
36-3155315
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
8,315,286
Total Exempt Purpose Expenditures:
8,315,286
Lobbying Nontaxable Amount:
565,764
Grassroots Nontaxable Amount:
141,441
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
northwestern memorial physic
Address. Either US or Foreign Type:
251 e huron
chicago, IL60611 EIN:
36-4030256
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
62,720,505
Total Exempt Purpose Expenditures:
62,720,505
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
northwestern lake forest hos
Address. Either US or Foreign Type:
660 n westmoreland road
lake forest, IL60045 EIN:
36-2179779
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
221,365,836
Total Exempt Purpose Expenditures:
221,365,836
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
Lake Forest Health & Fitness
Address. Either US or Foreign Type:
1200 N westmoreland road
lake forest, IL60045 EIN:
36-3835030
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
7,438,553
Total Exempt Purpose Expenditures:
7,438,553
Lobbying Nontaxable Amount:
521,928
Grassroots Nontaxable Amount:
130,482
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
Northwestern memorial Health
Address. Either US or Foreign Type:
251 e huron
chicago, IL60611 EIN:
36-3152959
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
20,808,399
Total Exempt Purpose Expenditures:
20,808,399
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|