Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2011
Open to Public Inspection
A For the calendar year, or tax year beginning 09-01-2011 and ending 08-31-2012
BCheck if applicable:
CName of organization
Northwestern Memorial Healthcare Group
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
251 E Huron 541 N Fairbanks
 
Room/suite
City or town, state or country, and ZIP + 4
Chicago, IL606112908
D Employer identification number

36-4724966
E Telephone number

G Gross receipts $ 2,185,158,961
F Name and address of principal officer:
DEAN M HARRISON
251 E Huron
chicago,IL60611
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.NMH.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet5878
K Form of organization:
 
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: The primary mission of the Northwestern memorial Healthcare affiliates included in this group Return is to support the activities of Northwestern memorial Hospital & Northwestern Lake Forest Hospital
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a)..... 3 129
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 111
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ... 5 9,634
6 Total number of volunteers (estimate if necessary) .... 6 1,010
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 6,732,790
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b  
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 50,223,810 60,190,556
9 Program service revenue (Part VIII, line 2g) ......... 1,601,811,082 1,622,330,021
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 138,811,954 122,745,545
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 78,897,424 79,970,739
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,869,744,270 1,885,236,861
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 55,917,618 106,771,351
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 696,731,816 661,782,497
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 110,021
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet4,014,977    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 932,005,728 990,895,875
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,684,655,162 1,759,559,744
19 Revenue less expenses. Subtract line 18 from line 12....... 185,089,108 125,677,117
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 4,024,176,222 4,493,292,214
21 Total liabilities (Part X, line 26)............. 1,603,168,173 1,950,941,821
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,421,008,049 2,542,350,393
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid preparer use only
Print/type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name Right pointing arrowhead image

Firm's EIN Right pointing arrowhead image
Firm's address Right pointing arrowhead image



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2011)
Form 990 (2011)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III .........
1
Briefly describe the organization’s mission: NORTHWESTERN MEMORIAL HOSPITAL IS AN ACADEMIC MEDICAL CENTER HOSPITAL WHERE THE PATIENT COMES FIRST. WE ARE AN ORGANIZATION OF CAREGIVERS WHO ASPIRE TO CONSISTENTLY HIGH STANDARDS OF QUALITY, COST-EFFECTIVENESS AND PATIENT SATISFACTION. WE SEEK TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY DELIVERING A BROAD RANGE OF SERVICES WITH SENSITIVITY TO THE INDIVIDUAL NEEDS OF OUR PATIENTS AND THEIR FAMILIES. WE ARE BONDED IN AN ESSENTIAL ACADEMIC AND SERVICE RELATIONSHIP WITH NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE. THE QUALITY OF OUR SERVICES IS ENHANCED THROUGH THEIR INTEGRATION WITH EDUCATION AND RESEARCH IN AN ENVIRONMENT THAT ENCOURAGES EXCELLENCE OF PRACTICE, CRITICAL INQUIRY AND LEARNING. NORTHWESTERN LAKE FOREST HOSPITAL IS COMMITTED TO PROVIDING THE COMMUNITIES WE SERVE THE HIGHEST QUALITY HEALTH CARE THROUGH EXCEPTIONAL ACCESS TO STATE-OF-THE-ART CLINICAL SERVICES WITH COMPASSIONATE AND PERSONAL CARE. Northwestern Memorial Foundation conducts fundraising and other
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe 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 and section 4947(a)(1) trusts 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 (Code:   ) (Expenses $ 1,166,607,839 including grants of $ 101,884,436 ) (Revenue $ 1,324,519,440 )
For 148 years, NMH and its predecessor institutions, Passavant Memorial and Wesley Memorial hospitals, have served the people of Chicago. The commitment to provide healthcare, regardless of the ability to pay, reaches back to the founding principles of Passavant and Wesley and continues to be integral to our Patients First mission. Importantly, it provides the foundation for our mission-driven commitment to improve the health of the communities we serve. This commitment is advanced by focusing on enhancing patient access, safety and quality through hospital-based care and services and through partnerships with community health centers that date back more than 50 years. As the primary teaching hospital for Northwestern University Feinberg School of Medicine (Feinberg), the more than 1,700 physicians on the medical staff at NMH carry faculty appointments at Feinberg and represent virtually every medical specialty. Through Northwestern Medicine, Northwestern Memorial shares a vision with Feinberg and Northwestern Medical Faculty Foundation (NMFF), an independent academic multispecialty group practice for the fulltime faculty of Feinberg, to work collaboratively as a leading academic medical center (AMC) to positively impact the future of healthcare through exceptional patient care, excellence in medical education and breakthrough scientific research that can lead to improved treatments and cures. NMH is among only 6% of the nation's hospitals designated as an AMC hospital, which according to the Association of American Medical Colleges in aggregate deliver a vastly disproportionate share of the nation's trauma, intensive care and tertiary services, provide 28% of all Medicaid care and underwrite 41% of all hospital-based charity care. As the only acute care hospital located in Chicago's growing downtown area, more than 47,000 adult patients were admitted to NMH as inpatients in fiscal year 2012. As the only adult Emergency Department (ED) in downtown Chicago with 24/7 service, NMH had more than 83,800 ED visits in fiscal year 2012, up 19% since fiscal year 2005. NMH is also the only AMC hospital in Chicago participating in both city and state Level I trauma networks and as a Level III neonatal intensive care unit, allowing us to provide lifesaving care and treatment to the most seriously injured adults and premature and sick infants. In addition to meeting the needs of the patients and communities in our primary service area, NMH also serves an important role for patients residing outside of Chicago. As a nationally ranked AMC hospital and a major referral center in the Midwest and beyond, NMH is one of a limited number of places in the region where patients requiring advanced tertiary, quaternary or specialty services can receive the care they need
4b (Code:   ) (Expenses $ 197,759,547 including grants of $ 103,552 ) (Revenue $ 224,857,318 )
Northwestern Memorial provides access to specialty medical care, clinical trials and a host of other healthcare services for patients in Lake County and surrounding regions through NLFH. From its founding 114 years ago as Alice Home on the campus of Lake Forest College, NLFH has upheld its promise to provide Lake County residents convenient access to the highest quality, most advanced healthcare services available. NLFH has continually expanded its healthcare services to respond to the growing needs of its community. NLFH shares Northwestern Memorial's commitment to provide care for those unable to pay, consistently providing the highest percentage of charity care as a percent of patient revenue among Lake County hospitals. NLFH's board-certified emergency physicians and trauma-trained nurses serve and support the Region 10 Emergency Medical System, providing trauma and emergency care to patients at its Level II Trauma Center at NLFH and emergency services at the Northwestern Grayslake Emergency Center.
4c (Code:   ) (Expenses $ 56,799,060 including grants of $   ) (Revenue $ 64,751,732 )
Northwestern Memorial Physicians Group (NMPG) is a multi-site practice of primary care physicians who are on the medical staff at Northwestern Memorial Hospital and faculty members of Northwestern University's Feinberg School of Medicine. NMPG brings the exceptional quality of Northwestern Memorial Hospital to convenient locations throughout Chicago, Northern cook and Lake County.
(Code:   ) (Expenses $ 6,410,574 including grants of $   ) (Revenue $ 8,188,608 )
hEALTH AND fITNESS member programs
(Code:   ) (Expenses $ 4,783,363 including grants of $ 4,783,363 ) (Revenue $   )
NMF's Contributions
(Code:   ) (Expenses $   including grants of $   ) (Revenue $ 43,609,485 )
Other
4d Other program services (Describe in Schedule O.)
(Expenses $ 11,193,937 including grants of $ 4,783,363 ) (Revenue $ 51,798,093 )
4e Total program service expensesMediumBullet$ 1,432,360,383
Form 990 (2011)
Form 990 (2011)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment....................
6
Yes
 
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
Yes
 
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statement to this return? Note. All Form 990 filers that operated one or more hospitals must attach audited financial statements. Click to see list of attachments
20b
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V .........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
669
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
9,634
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ , EI , LU
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2011)
Form 990 (2011)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI .........
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
If the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
1a
129
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
111
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? .................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ............
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ..........
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ....
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done ....................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes," to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
IL
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
ROBERT GERECKE
541 N FAIRBANKS RM 1639
CHICAGO,IL606113309
(312) 926-9495
Form 990 (2011)
Form 990 (2011)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII .........
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) THOMAS A COLE NMHC
CHAIR/DIRECTOR
5.0 X   X            
(2) CAROL L BERNICK NMHC
CHAIR/DIRECTOR
5.0 X   X            
(3) JOHN A CANNING JR NMHC
VICE CHAIR/DIRECTOR
5.0 X   X            
(4) WILLIAM A OSBORN NMHC
VICE CHAIR/DIRECTOR
5.0 X   X            
(5) NICHOLAS D CHABRAJA NMHC
DIRECTOR
5.0 X                
(6) PETER D CRIST NMHC
DIRECTOR
5.0 X                
(7) JOHN H DICK NMHC
DIRECTOR
5.0 X                
(8) Kent P Dauten NMHC
DIRECTOR
5.0 X   X            
(9) DEAN M HARRISON NMHC
DIRECTOR PRESIDENT & CEO
40.0 X   X       3,810,450 0 291,748
(10) EDWARD M LIDDY NMHC
DIRECTOR
5.0 X                
(11) W JAMES MCNERNEY JR NMHC
DIRECTOR
5.0 X                
(12) GARY A NOSKIN MD NMHC
DIRECTOR
40.0 X           122,447   0
(13) ROBERT L PARKINSON JR NMHC
DIRECTOR
5.0 X   X            
(14) HOMI B PATEL NMHC
DIRECTOR
5.0 X                
(15) PHILIP J PURCELL III NMHC
DIRECTOR
5.0 X                
(16) J CHRISTOPHER REYES NMHC
DIRECTOR
5.0 X                
(17) LARRY D RICHMAN NMHC
DIRECTOR
5.0 X                
Form 990 (2011)
Form 990 (2011)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Samuel C SCOTT III NMHC
DIRECTOR
5.0 X                
(19) GLENN F TILTON NMHC
DIRECTOR
5.0 X                
(20) FORREST R WHITTAKER NMHC
DIRECTOR
5.0 X                
(21) William J Brodsky NMH
DIRECTOR
5.0 X   X            
(22) Gregory Q Brown NMH
DIRECTOR
5.0 X                
(23) Joseph F Damico Jr NMH
DIRECTOR
5.0 X                
(24) John A Edwardson NMH
DIRECTOR
5.0 X                
(25) Sharon Gist Gilliam NMH
DIRECTOR
5.0 X                
(26) Jeffrey L GLassroth MD NMH
DIRECTOR
5.0 X                
(27) Ilene S Gordon NMH
DIRECTOR
5.0 X                
(28) J Larry Jameson MD NMH
DIRECTOR
5.0 X                
(29) Eric G Neilson MD NMH
DIRECTOR
5.0 X                
(30) William D Perez NMH
DIRECTOR
5.0 X                
(31) Anna Pramaggiore NMH
DIRECTOR
5.0 X                
(32) Timothy P Sullivan NMH
DIRECTOR
5.0 X                
(33) Donald Thompson NMH
DIRECTOR
5.0 X                
(34) Frederick H Waddell NMH
DIRECTOR
5.0 X                
(35) Miles D White NMH
DIRECTOR
5.0 X                
(36) Abra Prentice Wilkin NMH
DIRECTOR
5.0 X                
(37) Richard L Wixson MD NMH
DIRECTOR
5.0 X                
(38) Maria C Bechily NMF
VICE CHAIR/DIRECTOR
5.0 X   X            
(39) Ellen S Alberding NMF
DIRECTOR
5.0 X                
(40) THOMAS L BERNARDIN NMF
DIRECTOR
5.0 X                
(41) Jennifer Bianchi NMF
DIRECTOR
5.0 X                
(42) NEIL G BLUHM NMF
DIRECTOR
5.0 X                
(43) Sharon M Brady NMF
DIRECTOR
5.0 X                
(44) CHARLES M BRENNAN III NMF
DIRECTOR
5.0 X                
(45) DENNIS H CHOOKASZIAN NMF
DIRECTOR
5.0 X                
(46) Michael F DeSantiago NMF
DIRECTOR
5.0 X                
(47) Anthony B Davis NMF
DIRECTOR
5.0 X                
(48) Shawn M Donnelley NMF
DIRECTOR
5.0 X                
(49) STEPHEN A FALK NMF
DIRECTOR VP-DEVELOPMENT & PRES
40.0 X   X       674,212   53,427
(50) MICHAEL W FERRO NMF
DIRECTOR
5.0 X                
(51) ALBERT M FRIEDMAN NMF
DIRECTOR
5.0 X                
(52) C GARY GERST NMF
DIRECTOR
5.0 X                
(53) LISA M GILES NMF
DIRECTOR
5.0 X                
(54) ANDREA M GORDON NMF
DIRECTOR
5.0 X                
(55) JAMES A GORDON NMF
DIRECTOR
5.0 X                
(56) Judy Greffin NMF
DIRECTOR
5.0 X                
(57) SANDRA L HELTON NMF
DIRECTOR
5.0 X                
(58) ROBERTO R HERENCIA NMF
DIRECTOR
5.0 X                
(59) BRUCE A HEYMAN NMF
DIRECTOR
5.0 X                
(60) WILLIAM M HUNTER NMF
DIRECTOR
5.0 X                
(61) PETER S HURST BDS NMF
DIRECTOR
5.0 X                
(62) RICK H KASH NMF
DIRECTOR
5.0 X                
(63) JOHN A KESSLER MD NMF
DIRECTOR
5.0 X                
(64) WILLIAM C KUNKLER III NMF
DIRECTOR
5.0 X                
(65) LAWRENCE F LEVY NMF
DIRECTOR
5.0 X                
(66) Stephanie Lieber NMF
DIRECTOR
5.0 X                
(67) WILLIAM T LYNCH JR NMF
DIRECTOR
5.0 X                
(68) JOSEPH D MANSUETO NMF
DIRECTOR
5.0 X                
(69) TRINA GORDON MCCALLISTER NMF
DIRECTOR
5.0 X                
(70) RICHARD MELMAN NMF
DIRECTOR
5.0 X                
(71) JOANNE C MILLER NMF
DIRECTOR
5.0 X                
(72) Mimi Olson NMF
DIRECTOR
5.0 X                
(73) M K PRITZKER NMF
DIRECTOR
5.0 X                
(74) ANDREA REDMOND NMF
DIRECTOR
5.0 X                
(75) VICTORIA J REICH NMF
DIRECTOR
5.0 X                
(76) LINDA JOHNSON RICE NMF
DIRECTOR
5.0 X                
(77) MARY BETH RICHMOND MD NMF
DIRECTOR
5.0 X                
(78) MICHAEL A RUCHIM MD NMF
DIRECTOR
40.0 X           627,102   50,697
(79) Desiree Rogers NMF
DIRECTOR
5.0 X                
(80) MANUEL SANCHEZ NMF
DIRECTOR
5.0 X                
(81) Nancy W Sassower MD NMF
DIRECTOR
40.0 X           54,355   35
(82) TERRY SAVAGE NMF
DIRECTOR
5.0 X                
(83) MARC S SCHULMAN NMF
DIRECTOR
5.0 X                
(84) RICHARD J L SENIOR NMF
DIRECTOR
5.0 X                
(85) SCOTT C SMITH NMF
DIRECTOR
5.0 X                
(86) NATHANIEL SOPER MD NMF
DIRECTOR
5.0 X                
(87) M CHRISTINE STOCK MD NMF
DIRECTOR
5.0 X                
(88) ROBERT J STUCKER NMF
DIRECTOR
5.0 X                
(89) Katie Surkamer NMF
DIRECTOR
5.0 X                
(90) SHEILA G TALTON NMF
DIRECTOR
5.0 X                
(91) Jason Tyler NMF
DIRECTOR
5.0 X                
(92) DOUGLAS E VAUGHAN MD NMF
DIRECTOR
5.0 X                
(93) WILLIAM A VON HOENE JR NMF
DIRECTOR
5.0 X                
(94) REEVE B WAUD NMF
DIRECTOR
5.0 X                
(95) ARTHUR M WOOD JR NMF
DIRECTOR
5.0 X                
(96) Corine J Wood NMF
DIRECTOR
5.0 X                
(97) Todd Altounian NLFH
DIRECTOR
5.0 X                
(98) Kermit L Crawford NLFH
DIRECTOR
5.0 X                
(99) NEIL FREEMAN MD NLFH
DIRECTOR
5.0 X                
(100) Anthony Kessman NLFH
DIRECTOR
5.0 X                
(101) Thomas J McAfee NLFH
Director SR VP-OPERATIons & Pr
40.0 X   X       811,810   137,980
(102) PATRICK M MCCARTHY MD NLFH
DIRECTOR
5.0 X                
(103) Charlie N Mills NLFH
DIRECTOR
5.0 X                
(104) LEE M MITCHELL NLFH
DIRECTOR
5.0 X                
(105) LORNA S PFAELZER NLFH
DIRECTOR
5.0 X                
(106) Debbie S Saran NLFH
DIRECTOR
5.0 X                
(107) Kim R Sobinsky MD NLFH
DIRECTOR
5.0 X                
(108) Lewis A Steverson NLFH
DIRECTOR
5.0 X                
(109) Alexander D Stuart NLFH
DIRECTOR
5.0 X                
(110) EDWARD J WEHMER NLFH
DIRECTOR
5.0 X                
(111) Dennis M Murphy NMPG
DIRECTOR Exec VP
40.0 X   X       1,036,819   187,386
(112) Daniel M Derman MD NMPG
Director VP-OPERATION & PRES (
40.0 X   X       487,182   216,936
(113) Jeffrey D Kopin MD NMPG
DIRECTOR
40.0 X           420,600   31,791
(114) Peter A Lechman MD NMPG
DIRECTOR
40.0 X           364,540   32,425
(115) Dean L Manheimer NMPG
Director SR VP-HUMAN RESOURCES
40.0 X           688,490   66,054
(116) Earl J Barnes HFI
DIRECTOR
40.0 X           495,619   42,349
(117) Matthew J Flynn HFI
Director Assistant Secretary/S
40.0 X   X       430,918   61,994
(118) PETER J MCCANNA NMHC
EXEC VP-ADMIN CFO & TREASURER
40.0     X       1,226,362   788,690
(119) CAROL M LIND NMHC
SR VP, GEN COUNSEL & SECRETARY
40.0     X       704,220   136,001
(120) Douglas M Young NMHC
assistant treasurer
40.0     X       485,930   270,142
(121) JENNIFER S WOOTEN NMHC
ASSISTANT SECRETARY
40.0     X       134,023   26,194
(122) Michelle A Janney NMH
Senior VP & Chief Nurse Exec
40.0     X       591,254   115,884
(123) PAUL L SHOUN NMF
ASSISTANT SECRETARY
40.0     X       99,007   24,235
(124) Michael G Ankin MD NLFH
VP & CMO
40.0     X       532,838   61,971
(125) Kimberly A Nagy NLFH
VP & Chief Nursing Officer
40.0     X       297,596   43,055
(126) Andrew C Palumbo NMPG
VICE PRESIDENT
40.0     X       41,470   3,885
(127) TIMOTHY R ZOPH NMHC
SR VP-Admin & CIO
40.0         X   4,416,377   75,044
(128) JULIA L CREAMER NMHC
Senior VP-Quality & Planning
40.0         X   655,855   438,844
(129) Timothy Garvey MD NMPG
Physician
40.0         X   676,148   15,429
(130) Scott Moses MD NMPG
Physician
40.0         X   665,964   31,588
(131) Steven P Klimkowski NMHC
Chief Investment Officer
40.0         X   613,777   50,863
(132) Charles M Watts
SR VP Medical Affairs
40.0           X 701,211   38,517
(133) Marsha Oberrieder NLFH
VP HR & Professional Services
40.0           X 324,211   167,531
(134) Jane Griffin NLFH
VP Philantrophy & marketing
40.0           X 256,776   73,679
(135) Matthew Koschmann NLFH
VP External Affairs Bus DIr
40.0           X 288,830   50,570
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 22,736,393 0 3,584,944
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet624
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
NORTHWESTERN MEDICAL FACULTY FOUNDA
680 N LAKE SHORE DRIVE STE 1118
CHICAGO,IL60611
MEDICAL SERVICES 58,711,513
MCGAW MEDICAL CENTER OF NORTHWESTER
645 N MICHIGAN AVE
CHICAGO,IL60611
MED SVCS/RESIDENCY 33,667,566
W E O'NEIL COnstruction
1245 washington
CHICAGO,IL60607
construction 31,182,063
NORTHWESTERN UNIVersity
710 N lake Shore Drive
CHICAGO,IL60611
medical services 33,182,063
skender construction
200 W madison
CHICAGO,IL60602
construction 17,772,532
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet248
Form 990 (2011)
Form 990 (2011)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 474,499
d Related organizations...1d  
e Government grants (contributions)1e 13,722,823
f All other contributions, gifts, grants, and
similar amounts not included above
1f
45,993,234
g Noncash contributions included in lines 1a-1f:$ 26,516,322
h Total. Add lines 1a-1f.......MediumBullet 60,190,556
 Program Service Revenue Business Code
2a NMH PATIENT SERVICES AND OTHER REVENUE 561,000 1,324,519,440 1,324,519,440    
b NLFH PATIENT SERVICES AND OTHER REVENUE 561,000 224,857,318 224,857,318    
c NMPG PATIENT SERVICES AND OTHER REVENUE 561,000 64,751,732 64,751,732    
d HFI REVENUE 561,000 8,201,531 8,188,308 13,223  
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,622,330,021
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 45,562,641   2,120,541 43,442,100
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 31,721,779  
b Less: rental expenses    
c Rental income or (loss) 31,721,779  
d Net rental income or (loss).......MediumBullet 31,721,779     31,721,779
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 295,257,556 81,006,747
b Less: cost or other basis and sales expenses 252,753,132 46,327,937
c Gain or (loss) 42,504,424 34,678,810
d Net gain or (loss)..........MediumBullet 77,182,904     77,182,904
8a Gross income from fundraising events (not including
$ 474,499
of contributions reported on line 1c). See Part IV, line 18 ...
a 220,162
b Less: direct expenses ...b 365,077
c Net income or (loss) from fundraising events..MediumBullet -144,915   -144,915
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a 661,318
b Less: cost of goods sold ..b 475,954
c Net income or (loss) from sales of inventory..MediumBullet 185,364     185,364
Miscellaneous Revenue Business Code
11a NON PATIENT MEDICAL SERVICES 561,000 10,969,068 6,820,341 4,148,727  
b PROFESSIONAL SERVICES TO AFFILIATES 561,000 10,060,935 10,060,935    
c PROFESSIONAL SERVICE FEES 561,000 7,140,995 7,140,995    
d All other revenue .... 20,037,513 19,587,214 450,299  
e Total. Add lines 11a–11d ......MediumBullet 48,208,511
12 Total revenue. See Instructions....MediumBullet 1,885,236,861 1,665,926,283 6,732,790 152,387,232
Form 990 (2011)
Form 990 (2011)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Check if Schedule O contains a response to any question in this Part IX. .........
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 106,730,338 106,730,338
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 41,013 41,013
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 18,681,451 5,673,991 12,522,125 485,335
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 525,733,749 483,075,769 41,317,515 1,340,465
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 26,814,316 24,499,352 2,314,964  
9 Other employee benefits ....... 54,903,100 46,195,276 8,300,492 407,332
10 Payroll taxes ........... 35,649,881 32,424,892 3,224,567 422
11 Fees for services (non-employees):        
a Management ...... 131,404,848   131,404,848  
b Legal ......... 1,899,628 59,023 1,840,605  
c Accounting ........... 1,179,603 393,034 785,563 1,006
d Lobbying ........... 0      
e Professional fundraising. See Part IV, line 17.. 110,021 110,021
f Investment management fees ...... 4,457,028   4,457,028  
g Other .......... 136,557,069 83,731,010 51,927,803 898,256
12 Advertising and promotion .... 2,806,801 502,935 2,288,878 14,988
13 Office expenses ....... 41,054,371 34,310,188 6,376,730 367,453
14 Information technology ...... 11,091,755 7,751,973 3,339,748 34
15 Royalties .. 0      
16 Occupancy ........... 79,762,981 51,502,251 28,248,435 12,295
17 Travel ............ 1,911,402 1,201,958 646,492 62,952
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 1,050,696 458,391 414,450 177,855
20 Interest ........... 28,255,031 28,255,031    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 140,414,078 130,550,649 9,863,429  
23 Insurance .............. 52,550,726 42,112,594 10,438,132  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a MEDICAL SUPPLIES 267,314,020 267,314,020    
b MEDICAID TAX 41,395,021 41,395,021    
c BAD DEBT 32,164,970 32,164,970    
d SECURITY SERVICES 5,981,508 4,937,685 1,043,823  
e
f All other expenses 9,644,339 7,079,019 2,428,757 136,563
25 Total functional expenses. Add lines 1 through 24f 1,759,559,744 1,432,360,383 323,184,384 4,014,977
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2011)
Form 990 (2011)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 0 1 0
2 Savings and temporary cash investments ....... 117,124,878 2 137,446,129
3 Pledges and grants receivable, net ......... 41,947,069 3 43,794,943
4 Accounts receivable, net ......... 232,460,485 4 279,774,948
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 0 5 0
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L .......... 0 6 0
7 Notes and loans receivable, net ............. 0 7 0
8 Inventories for sale or use .............. 31,714,555 8 31,528,365
9 Prepaid expenses and deferred charges ............ 83,315,755 9 51,373,390
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,316,682,236
b Less: accumulated depreciation. ..... 10b 990,363,563 1,340,249,772 10c 1,326,318,673
11 Investments—publicly traded securities .......... 1,012,404,237 11 1,099,721,709
12 Investments—other securities. See Part IV, line 11 ...... 1,083,439,095 12 1,212,047,352
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ......... 0 14 0
15 Other assets. See Part IV, line 11 ........... 81,520,376 15 311,286,705
16 Total assets. Add lines 1 through 15 (must equal line 34)... 4,024,176,222 16 4,493,292,214
Liabilities 17 Accounts payable and accrued expenses . 214,040,402 17 193,710,946
18 Grants payable .......... 64,318,351 18 134,841,937
19 Deferred revenue .......... 8,494,584 19 6,372,582
20 Tax-exempt bond liabilities .......... 835,064,027 20 820,654,963
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D..... 481,250,809 25 795,361,393
26 Total liabilities. Add lines 17 through 25..... 1,603,168,173 26 1,950,941,821
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 2,154,291,520 27 2,245,299,813
28 Temporarily restricted net assets ..... 140,387,958 28 155,279,701
29 Permanently restricted net assets ..... 126,328,571 29 141,770,879
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 2,421,008,049 33 2,542,350,393
34 Total liabilities and net assets/fund balances ..... 4,024,176,222 34 4,493,292,214
Form 990 (2011)
Form 990 (2011)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI .........
1
Total revenue (must equal Part VIII, column (A), line 12) ...
1
1,885,236,861
2
Total expenses (must equal Part IX, column (A), line 25) ....
2
1,759,559,744
3
Revenue less expenses. Subtract line 2 from line 1 ...
3
125,677,117
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
2,421,008,049
5
Other changes in net assets or fund balances (explain in Schedule O) ...
5
-4,334,773
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) ....
6
2,542,350,393
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII .........
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?....
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. ...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2011)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(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
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
Listed below are THOSE gROUP MEMBERS THAT ARE NEITHER A HOSPITAL NOR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(a)(III) nORTHWESTERN mEMORIAL fOUNDATION, tYPE 7, aN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(a)(VI) lAKE fOREST HEALTH & fITNESS iNSTITUTE, TYPE 9, AN ORGANIZATION THAT NORMALLY RECEIVES: (1) MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS-SUBJECT TO CERTAIN EXCEPTIONS, AND (2) NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME (LESS SECTION 511 TAX) FROM BUSINESSES ACQUIRED BY THE ORGANIZATION AFTER jUNE 30, 1975. SEE SECTION 509(a)(2)
 
 
 
Schedule A (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2011
Name of organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
Part I
Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
Part II
Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  

Use duplicate copies of Part III if additional space is needed
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2011

Schedule C (Form 990 or 990-EZ) 2011
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check expenses, and share of excess lobbying expenditures).
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...... 0 10,209
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 0 521,977
c Total lobbying expenditures (add lines 1a and 1b) ................... 0 532,186
d Other exempt purpose expenditures ........................ 1,428,862,178 1,581,224,431
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 1,428,862,178 1,581,756,617
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000 1,000,000
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) Total
             
2a Lobbying non-taxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
        6,000,000
             
c Total lobbying expenditures 194,319 192,553 190,640 532,186 1,109,698
             
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
        1,500,000
             
f Grassroots lobbying expenditures     5,000 10,209 15,209
Schedule C (Form 990 or 990-EZ) 2011


Schedule C (Form 990 or 990-EZ) 2011
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Affiliated Group schedule Schedule C, Part II-A affiliated organizations Organization Name: Northwestern Memorial Hospital Address: 251 E Huron Chicago, IL 60611 FEIN: 37-0960170 Grassroots Lobbying Amount: Direct Lobbying Amount: Total Lobbying Expenditures: Other Exempt Purpose Expenditures: 1,163,190,071 Total Exempt Purpose Expenditures: 1,163,190,071 Lobbying Nontaxable Amount: 1,000,000 Grassroots Nontaxable Amount: 250,000 Total Grassroots Less Nontaxable Amount: Total Expenditures Less Nontaxable Amount: Share of Excess Lobbying Expenditures: Organization Name: Northwestern Lake Forest Hospital Address: 660 N Westmoreland Road Lake Forest, IL 60645 FEIN: 36-2179779 Grassroots Lobbying Amount: Direct Lobbying Amount: Total Lobbying Expenditures: Other Exempt Purpose Expenditures: 197,741,699 Total Exempt Purpose Expenditures: 197,741,699 Lobbying Nontaxable Amount: 1,000,000 Grassroots Nontaxable Amount: 250,000 Total Grassroots Less Nontaxable Amount: Total Expenditures Less Nontaxable Amount: Share of Excess Lobbying Expenditures: Organization Name: Northwestern Memorial HealthCare Address: 251 E Huron Chicago, IL 60611 FEIN: 36-3152959 Grassroots Lobbying Amount: 10,209 Direct Lobbying Amount: 521,977 Total Lobbying Expenditures: 532,186 Other Exempt Purpose Expenditures: 152,362,253 Total Exempt Purpose Expenditures: 152,894,439 Lobbying Nontaxable Amount: 1,000,000 Grassroots Nontaxable Amount: 250,000 Total Grassroots Less Nontaxable Amount: Total Expenditures Less Nontaxable Amount: Share of Excess Lobbying Expenditures: Organization Name: Northwestern Memorial Physicians Group Address: 251 E Huron Chicago, IL 60611 FEIN: 36-4030256 Grassroots Lobbying Amount: Direct Lobbying Amount: Total Lobbying Expenditures: Other Exempt Purpose Expenditures: 56,799,060 Total Exempt Purpose Expenditures: 56,799,060 Lobbying Nontaxable Amount: 1,000,000 Grassroots Nontaxable Amount: 250,000 Total Grassroots Less Nontaxable Amount: Total Expenditures Less Nontaxable Amount: Share of Excess Lobbying Expenditures: Organization Name: Lake Forest Health & Fitness Institute Address: 1200 N Westmoreland Road Lake Forest, IL 60045 FEIN: 36-3835030 Grassroots Lobbying Amount: Direct Lobbying Amount: Total Lobbying Expenditures: Other Exempt Purpose Expenditures: 6,410,574 Total Exempt Purpose Expenditures: 6,410,574 Lobbying Nontaxable Amount: 470,529 Grassroots Nontaxable Amount: 117,632 Total Grassroots Less Nontaxable Amount: Total Expenditures Less Nontaxable Amount: Share of Excess Lobbying Expenditures: Organization Name: Northwestern Memorial Foundation Address: 351 E Huron Chicago, IL 60611 FEIN: 36-3155315 Grassroots Lobbying Amount: Direct Lobbying Amount: Total Lobbying Expenditures: Other Exempt Purpose Expenditures: 4,720,774 Total Exempt Purpose Expenditures: 4,720,774 Lobbying Nontaxable Amount: 386,039 Grassroots Nontaxable Amount: 96,510 Total Grassroots Less Nontaxable Amount: Total Expenditures Less Nontaxable Amount: Share of Excess Lobbying Expenditures: Total Grassroots Less Nontaxable Amount: Total Expenditures Less Nontaxable Amount: Share of Excess Lobbying Expenditures:
Schedule C (Form 990 or 990EZ) 2011

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......   1
2 Aggregate contributions to (during year) ...   688,320
3 Aggregate grants from (during year) ...   600,000
4 Aggregate value at end of year .......   5,609,103
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 126,328,570 105,903,251 79,495,000 77,797,000
b Contributions ........ 16,347,337 19,682,870 26,169,000 1,884,000
c Net investment earnings, gains, and losses ... -905,027 742,449 239,251 -186,000
d Grants or scholarships .....        
e Other expenditures for facilities
and programs ........
       
f Administrative expenses ....        
g End of year balance ...... 141,770,880 126,328,570 105,903,251 79,495,000
2
Provide the estimated percentage of the year end balance (line 1g) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   237,952,616 237,952,616
b Buildings ................   1,668,000,013 735,915,403 932,084,610
c Leasehold improvements ............        
d Equipment ................   364,156,475 254,448,180 109,708,295
e Other .................   46,573,132 0 46,573,132
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 1,326,318,653
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) LIMITED PARTN'SHIP INVESTMENTS
1,212,047,352 F








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 1,212,047,352
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM AFFILIATES -2,750,660
(2) BENEFICIAL INTEREST IN TRUSTS 11,565,814
(3) ARTWORK 1,137,904
(4) INSURANCE RECOVERABLE 275,208,535
(5) SECTION 457-B PLAN ASSET 3,950,563
(6) OTHER ASSETS 2,646,713
(7) INVEST NONGROUP SUBS & JV 13,400,900
(8) BOND ISSUANCE COSTS 6,126,936

Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 311,286,705
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Book value
Federal Income Taxes 0
ACCRUED BOND INTEREST 1,741,383
EST THIRD PARTY PAYOR SETTLEMENT 207,439,885
DUE TO AFFILIATES -8,827,799
SELF INSURANCE RESERVES 471,190,378
INTEREST RATE SWAPS 104,502,789
SECTION 457-B AND PENSION PLAN LIABILITY 7,813,530
DEFERRED RENT 2,758,496
OTHER 8,742,731

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 795,361,393
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV.) ................................. 8  
9 Total adjustments (net). Add lines 4 through 8 ......................... 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
FIn 48 Statement Sch D Part X Line 2 The organization's financial statements do not report any uncertain tax positions under FIN 48.
Endowments schedule D part V The Northwestern Group disclosed the endowment funds in Part V in accordance with FAS 117. The Group reports board designated funds of $138,600,000 in unrestricted net assets as of August 31, 2012. These amounts were not included in Part V so that the Endowment funds match the financial statements. The Group also has temporarily restricted assets generated from endowment funds of 54,984,000 as of August 31, 2012. In accordance with FAS 117 these amounts are not considered endowments and have not been included in Part V. The two years and three years back have been combined to present the group endowment information.
Collections of Art Schedule D part III Due to immateriality there is no separate footnote in the financial statements regarding SFAS 116 contributed art. The hospital maintains artwork that is on public display. The arts program was developed in response to research that demonstrates the healing value of representational art depicting natural landscapes and positive human interactions. Our art collection provides comfort, evokes positive emotions and can help promote healing for our patients. The hospital also maintains historical items that relate to care such as historical medical instruments and nursing uniforms.
Schedule D (Form 990) 2011

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants
and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ..............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other
assistance outside the United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total
expenditures for region/investments
in region
Central America and the Caribbean 1   Program Services liability risk funding 71,459,885
Central America and the Caribbean     Investments   621,789,961
Europe (Including Iceland and Greenland)     Investments   27,348,806
East Asia and the Pacific     Investments   13,084,007
Sub-Saharan Africa     Investments   1,450,876
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 1   735,133,535
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 1   735,133,535
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount of
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2011
Additional Data


Software ID:  
Software Version:  



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,or if the organization entered more than $15,000 on Form 990-EZ, line 6a.right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
Campbell Company
1 East Upper wacker drive
 
chicago, IL60601
consulting   No   110,021  
Total .................right arrow   110,021  
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
FL, IL, WI
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2011
Schedule G (Form 990 or 990-EZ) 2011
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

golf
(event type)
(b) Event #2

womens Board
(event type)
(c) Other Events

1
(total number)
(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 108,300 469,375 116,986 694,661
2 Less: Charitable
contributions . . .
38,400 377,804 58,295 474,499
3 Gross income (line 1
minus line 2) . . .
69,900 91,571 58,691 220,162
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . . 65,039 96,539 12,254 173,832
7 Food and beverages . .   43,735 5,087 48,822
8 Entertainment . . .   74,540   74,540
9 Other direct expenses . 1,243 39,703 26,937 67,883
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 365,077
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -144,915
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
Schedule G (Form 990 or 990-EZ) 2011
Schedule G (Form 990 or 990-EZ) 2011
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2011
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the
following was the family income limit for eligibility for discounted care: ............
3b
Yes
 
c
If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year?...........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ...............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance
and Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    64,091,255 5,423,018 58,668,237 3.400 %
b Medicaid (from Worksheet 3, column a) .....     175,271,987 149,710,316 25,561,671 1.480 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .            
dTotal Financial Assistance and
Means-Tested Government Programs .....
    239,363,242 155,133,334 84,229,908 4.880 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
    2,473,749 22,934 2,450,815 0.140 %
f Health professions education
(from Worksheet 5) ..
    48,450,142 9,405,474 39,044,668 2.260 %
g Subsidized health services
(from Worksheet 6) ..
    9,169,552   9,169,552 0.530 %
h Research (from Worksheet 7)     15,579,978   15,579,978 0.900 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....     67,309,873   67,309,873 3.900 %
jTotal Other Benefits ...     142,983,294 9,428,408 133,554,886 7.730 %
kTotal. Add lines 7d and 7j. ..     382,346,536 164,561,742 217,784,794 12.610 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     510,228   510,228 0.030 %
9 Other            
10 Total     510,228   510,228 0.030 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense........
2
7,545,967
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
337,284,036
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
442,808,092
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-105,524,056
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures
(see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership %
1Lake Forest Endo LLC
 
Endoscopy Center 30.000 %   70.000 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest)
How many hospital facilities did the organization operate during the tax year?2
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 Northwestern memorial Hospital
251 E Huron
chicago,IL60611
X X   X   X X    
2 Northwestern lake FOrest Hospital
660 N westmoreland road
lake forest,IL60045
X X   X     X    
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Northwestern memorial Hospital
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet the community health needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Participation in the development of a community-wide community benefit plan
d Participation in the execution of a community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. .... 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 250.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 600.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Northwestern lake FOrest Hospital
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet the community health needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Participation in the development of a community-wide community benefit plan
d Participation in the execution of a community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. .... 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 250.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 600.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?22
Name and address Type of Facility (describe)
1 Grayslake Outpatient & Acute Care Center
1475 E Belvidere Road
GRayslake,IL60045
Outpatient & acute care
2 Westmoreland Nursing Center
660 N Westmoreland Road
Lake Forest,IL60045
Nursing Center
3 NMPG IM Office
1913 W North Avenue
chicago,IL60611
outpatient clinic
4 NMPG - Northwestern Integrative Medicine
150 E Huron Street Ste 1100
chicago,IL60611
outpatient clinic
5 NMPG - Corporate Health and Travel Medic
676 N Saint Clair St Ste 900
chicago,IL60611
outpatient clinic
6 NMPG - Grayslake
1275 E Belvidere Road Suite 250
Grayslake,IL60030
outpatient clinic
7 NMPG - Highland Park
600 Central Suite 333
Highland Park,IL60035
outpatient clinic
8 NMPG - Lake Forest
800 N Westmoreland Road ste 201
Lake Forest,IL60045
outpatient clinic
9 NMPG - Lincoln Park SoNo
1460 N Halsted Ste 203 502 504
chicago,IL60611
outpatient clinic
10 NMPG - Loop
20 S Clark Street 11th Floor
chicago,IL60603
outpatient clinic
11 NMPG - Lincoln Park Lakeview
1333 W Belmont Suite 100 200
chicago,IL60657
outpatient clinic
12 NMPG - Northbrook
1535 Lake Cook Road ste 406
Northbrook,IL60062
outpatient clinic
13 NMPG - Northwestern Memorial Hospital
201 E Huron 12th Floor ste 105
chicago,IL60611
outpatient clinic
14 NMPG - Streeterville Obstetrics and Gyne
680 N Lake Shore Drive Ste 810
chicago,IL60611
outpatient clinic
15 Northwestern Executive Health
676 N St Clair St Suite 2200
chicago,IL60611
outpatient clinic
16 NMPG-Evanston
1704 Maple Suite 100 200
Evanston,IL60201
Outpatient clinic
17 NMPG Follow UP Clinic
676 N St Clair Suite 701
Chicago,IL60611
Outpatient Clinic
18 GLenview Center
2501 Campus road ste 105
glenview,IL60026
outpatient clinic
19 Gurnee Brookside
36100 N braokside Drive
Gurnee,IL60031
imaging center
20 Gurnee Tower Court
25 Tower Court Ste A
gurnee,IL60031
imaging center
21 Libertyville
1800 Hollister Drive Ste 610
Libertyville,IL60048
outpatient clinic
22 vernon Hills
870 West end Court
Vernon Hills,IL60061
outpatient clinic
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
Community benefit Report Schedule H, Part I, Line 6a NORTHWESTERN MEMORIAL HEALTHCARE AND SUBSIDIARIES (NMHC) SUBMIT A COMMUNITY BENEFIT REPORT TO THE ILLINOIS ATTORNEY GENERAL ACCORDING TO THE REQUIREMENTS FOR THE STATE OF ILLINOIS. NORTHWESTERN MEMORIAL HOSPITAL'S(NMH), NORTHWESTERN LAKE FOREST HOSPITAL'S (NLFH) AND ALL OTHER NMHC NON-PROFIT SUBSIDIARIES' RESULTS ARE INCLUDED IN THIS REPORT. A COMPLETE COPY OF THE REPORT IS AVAILABLE ON REQUEST. A SUMMARY VERSION IS ALSO AVAILABLE ON THE NMH.ORG AND LFH.ORG WEBSITES.
Subsidized Health Services schedule H, Part I, line 7g THE BENEFITS REPORTED ARE PRIMARILY ASSOCIATED WITH OPERATING LOSSES SUPPORTING NMH'S MENTAL HEALTH PROGRAMS. NMHC DOES NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
Bad Debt expense removed schedule h, part I, line 7 f The amount of bad debt expenses included in Part IX line 25 is 32,164,970. Of this amount 32,072,599 is subtracted from total costs for calculating the percentages.
Costing methodology Schedule H, Part I, line 7 THE COST OF financial assistance at cost WAS CALCULATED BY APPLYING THE TOTAL COST-TO-CHARGE RATIO FROM EACH HOSPITAL'S MEDICARE COST REPORT (CMS 2552-10 WORKSHEET C, PART 1, CONSISTENT WITH THE STATE OF ILLINOIS ATTORNEY GENERAL OFFICE DEFINITION) TO THE CHARGES ON ACCOUNTS IDENTIFIED AS QUALIFYING FOR CHARITY CARE (AS DEFINED IN THE AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS ACCOUNTING AND AUDITING GUIDE - HEALTHCARE ORGANIZATIONS). THE RESULTANT CALCULATED COST WAS THEN OFFSET BY ANY PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF PATIENT BILLS QUALIFYING FOR A CHARITY CARE DISCOUNT (AS DEFINED IN THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION'S PRINCIPLES AND PRACTICES BOARD STATEMENT 15: VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS). THE UNREIMBURSED COST OF BAD DEBT, MEDICAID, MEDICARE OR ANY OTHER FEDERAL, STATE OR LOCAL INDIGENT HEALTHCARE PROGRAM IS NOT INCLUDED IN THE UNREIMBURSED COST FIGURE FOR CHARITY CARE. THE UNREIMBURSED COST OF MEDICAID FOR THE HOSPITALS WAS CALCULATED BY APPLYING THE HOSPITALS' OVERALL COST-TO-CHARGE RATIOS TO THEIR TOTAL MEDICAID INPATIENT AND OUTPATIENT CHARGES AND THEN SUBTRACTING PAYMENTS RECEIVED UNDER THESE PROGRAMS. THE COST-TO-CHARGE RATIOS ARE ADJUSTED TO EXCLUDE MEDICAL EDUCATION AND OTHER COSTS THAT ARE INCLUDED ELSEWHERE ON SCHEDULE H. THE UNREIMBURSED COST OF MEDICAID FOR FISCAL YEAR 2012 IS REDUCED BY $16.5 MILLION OF NET REIMBURSEMENT NMHC RECEIVED UNDER THE ILLINOIS HOSPITAL ASSESSMENT PROGRAM. The costs for OTHER BENEFITs WERE CALCULATED PRIMARILY BASED ON DIRECT COSTING METHODOLOGY CONSISTENT WITH FUNCTIONAL EXPENSE REPORTING IN THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS.
Community Building activities schedule H, part II, Description Community Training and Education programs at Northwestern Memorial work to ensure that a highly trained healthcare workforce of adequate capacity is in place to serve the residents of the region, that at-risk members of the community have access to jobs in the healthcare system and that the youth have access to programs that help them learn about and potentially become interested in healthcare careers. Objective #1: Continue to provide training and employment opportunities for residents of the community while addressing the shortage of healthcare workers through a direct, formal training pipeline. Ongoing Initiatives: NMH offers 12 to 21-month certificate programs in four areas including nuclear medicine technology, radiation therapy, radiography and diagnostic medical sonography. The programs are available to employees as well as the general public. Many students come from the local community as well as from affiliated colleges and universities. Leaders of these programs visit city high schools, colleges and universities to introduce various medical fields to prospective students and increase their general knowledge of various allied health fields. NMH is an important clinical setting for the education of the next generation of healthcare workers, from physicians to nurses to skilled technicians. Through clinical affiliations with top regional universities and colleges, as well as established clinical rotation, mentoring, clinician shadowing, traditional didactic lectures and other teaching programs, NMH provided a clinical setting for education of hundreds of students, many of whom will become professionals in fields identified as areas of current or future workforce shortage in the U.S. healthcare system. In fiscal year 2012, NMH provided education to: a. More than 700 undergraduate and graduate nursing students b. 300 students from university-based pharmacy programs c. 50 respiratory therapy students d. 5 graduate social work interns e. 23 clinical pastoral students f. 4 interns in biomedical engineering g. 6 students in clinical coding h. Students in cardiac rehabilitation, clinical psychology, counseling and human services, exercise and sports sciences, health informatics technology, healthcare research, kinesiology, nutrition/dietician services, phlebotomy, physical therapy, physical therapy assistant, occupational therapy and occupational therapy aide programs, respiratory therapy, social work, special care nursery and newborn nutrition, ultrasound technology and vascular ultrasound technology. Additionally, NLFH provides clinical training for students in phlebotomy, physical therapy, occupational therapy, speech therapy and audiology. Objective #2: Continue to provide on-the-job training programs for at-risk members of our community. Ongoing Initiatives: a. Since 1997, NMH has partnered with the CARA program to help homeless and other at-risk adults in their efforts to achieve long-term employment success by providing on-the-job training skills that ready them to move into the work force. NMH has hired more than 120 employees through this partnership since it began. b. NMH participates in the Chicago Career Tech, a public-private program initiated in 2010. The program provides job training in public and private organizations and placement services for unemployed, mid-career technology professionals. Since 2010, 25 students have received training at NMH and two have been hired into full-time positions. Objective #3: Continue to support youth education programs, helping students understand the potential for job openings and success in healthcare careers. ongoing Initiatives: a. NMH offers ongoing, comprehensive youth programs that expose Chicago students to potential healthcare careers. - For 13 years, through the Medical and Health Careers Academy, NMH has partnered with high schools in the Chicago Public School (CPS) System - Percy L. Julian on the South Side, Roger C. Sullivan on the North Side, Richard T. Crane Technical Preparatory on the Near West Side and Dunbar Vocational Academy on the South Side - to promote interest in post-high school education and healthcare careers. NMH employees speak to the students about their jobs in healthcare and students with their parents visit the hospital, where they have the opportunity for a behind-the-scenes understanding of clinical areas and potential careers. Through this program, 100 high school students visited NMH in fiscal year 2012. - NMH has hosted Medical Explorers Post 9766 since 1996. Students participate in a variety of activities designed to encourage their expressed interest in healthcare careers and expose them to the field. The program emphasizes career exploration, life skills, service learning, character development and leadership. Students participate in tours, hear guest speakers and join in discussions and projects. The program offers internships, mentorship, tutoring, networking, community service opportunities and scholarships. To date, more than 800 high school and college students have participated in NMH's Medical Explorers Post. Since the program began, many Medical Explorers have pursued careers in nursing and medicine and several are now employed at NMH, including a recent nursing Medical Explorer student who now works in the neonatal intensive care unit. Cristo Rey Jesuit High School in the Pilsen neighborhood on the city's Near West Side, offers students from a primarily Hispanic community an opportunity to work one day a week in an administrative role with the Human Resources division or within the Information Services department at NMH to gain valuable work experience and learn time management and organizational skills in a corporate setting. Twelve students participated in this program in fiscal year 2012. - NMH and the Feinberg school of medicine developed the Northwestern Medicine Scholar's Program at Chicago Public School system's Westinghouse College Preparatory High School, a selective enrollment high school located in Garfield Park. Through the program, talented students who wish to become physicians or biomedical researchers are provided learning opportunities. A group of high-achieving high school freshmen are selected each year to participate in the four-year program which includes mentoring by senior faculty members, an intensive three-week summer program, distance learning, ACT test preparation and leadership and life skills development. Two classes of six students participated in fiscal year 2012 and studied cardiology. High Schools Technical Campus for students pursuing careers in healthcare directly following high school or seeking professional healthcare careers. a. emotionally challenged students learning to perform housekeeping duties in partnership with the Special Education District of Lake County, a cooperative educational organization working among 35 school districts in Lake County, Illinois. b. NMH continues to offer comprehensive internships and fellowships for college students and post-graduates. c. internships, year-round academic instruction and summer workshops to prepare minority college students for the corporate work setting. Initially developed under the federal Hire the future program, NMH was the first Chicago hospital to participate in this program. Students benefit from mentoring and leadership training to prepare them for future positions in a healthcare career. - In fiscal year 2012, NMH offered a paid internship to a college-level student participating in the Chicago Scholars program. Chicago Scholars is a not-for-profit organization that provides a comprehensive five-year program of mentoring, internship placement, networking and college admission assistance and scholarships to college-bound and college-level Chicago youth from underprivileged backgrounds. select post-graduate students to various aspects of leadership within our AMC hospital.
Bad debt expense footnote Schedule H, part III, Line 4 PART III LINE 2: Patient revenue, net of contractual allowances and discounts, is reduced by the provision for bad debts, and net patient accounts receivable are reduced by an allowance for uncollectible accounts. These amounts are based primarily on management's assessment of historical and expected write-offs and net collections along with the aging status for each major payor source. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for uncollectible accounts. Based on historical experience, a portion of Northwestern Memorial's self-pay patients who do not qualify for charity care will be unable or unwilling to pay for the services provided. Thus, a provision is recorded for bad debts in the period services are provided related to these patients. After all reasonable collection efforts have been exhausted in accordance with Northwestern Memorial's policies, accounts receivable are written off and charged against the allowance for uncollectible accounts. Northwestern Memorial has determined, based on an assessment at the reporting-entity level, that patient service revenue is primarily recorded prior to assessing the patient's ability to pay, and as such, the entire provision for bad debts is recorded as a deduction from patient service revenue in the accompanying consolidated statements of operations and changes in net assets.
Medicare shortfall Schedule H, part III, line 8 THE UNREIMBURSED COST OF MEDICARE IS DEFINED BY THE STATE OF ILLINOIS ATTORNEY GENERAL'S OFFICE ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT AS A COMMUNITY BENEFIT. THE HEALTHCARE FINANCial MANAGEMENT ASSOCIATION ALSO VIEWS THE UNREIMBURSED COSTS OF MEDICARE AS PART OF A HOSPITAL'S COMMUNITY BENEFIT PROGRAM. NMHC PROVIDES MEDICAL CARE TO MEDICARE PATIENTS AT A COST HIGHER THAN THE REIMBURSEMENT IT RECEIVES FROM MEDICARE. THE AMOUNTS LISTED FOR PART III, LINES 5 THRU 7, ARE CALCULATED CONSISTENT WITH THE METHODOLOGY DESCRIBED FOR CALCULATING UREIMBURSED COST OF MEDICAID FOR FISCAL 2012.
Financial Assistance collection practices Schedule H, part III, line 9b NMHC's Credit and Collection Policy contains a provision for financial counseling. tHE POLICY STATES THAT patients with self-pay balances and without the resources to pay their obligations will be assessed FOR FREE AND DISCOUNTED CARE eligibility By the Financial Counseling Departments. The assessment involves an evaluation of all levels of assistance including governmental assistance, extended pay alternatives, and free or discounted care. If THE PATIENT QUALIFIES FOR free care, THE ACCOUNT IS ADJUSTED TO ZERO SO NO COLLECTION ACTIVITY OCCURS. If financial assistance results in a discounted or reduced balance, only the reduced balance will be subject to the collection practices.
Amounts Charged to patients Schedule H, Part V, schedule B, Line 11h, Other other variables used to determine amounts charged to patients included: state of residency, family size, extenuating circumstances and medically necessary services.
Publicizing Policy Schedule H, Part V, Line 13g, Other Summary brochure was available at check-in.
Determination of FAP eligible charges Schedule H, Part V, Line 19d, Other The maximum amount that can be charged to FAP-eligible individuals is dependent upon their household income level and family size. Emergency or other medically necessary care for individuals with household income up to 250% of the published federal poverty income levels ("FPL") is provided at no charge. Care for individuals with family income from 251% to 600% of the FPL is charged at the approximate cost of the care provided, with the cost calculation based on the annual filed Medicare Cost Report. In addition, the FAP for NMHC has provisions to address catastrophic care situations. Payments under the NMHC FAP shall not exceed 21% of the patient's annual household income, for patients under 600% of FPL, and shall not exceed 35% of the patient's household income for qualifying patients above 600% of FPL.
Needs assessment schedule H, part VI, Line 2 Healthcare Needs Considered in Developing the Community Benefits Plan NMHC's mission to improve the health of the communities we serve is advanced through innovative programs to better manage chronic diseases, particularly among the medically underserved. NMhC's Community Benefit Plan focuses on addressing chronic diseases and is consistent with the strategic priorities of public health organizations at both the state and local levels. Among the leading health indicators identified in the United States Department of Health and Human Services (HHS) Healthy People 2020 initiative is clinical preventive services. Through use of preventive strategies and screenings, both chronic and acute diseases can be detected and treated at earlier, more treatable stages, significantly reducing the risk of illness, disability, early death, and medical care costs. The Chicago Department of Public Health (CDPH) Healthy Chicago agenda prioritizes prevention of chronic diseases, health awareness and access for all Chicagoans, reduction in health disparities based on socioeconomic status, and promotion of healthier lifestyles and environment. The Healthy Chicago agenda explicitly calls for increased partnerships between public, community-based, and hospital healthcare providers and researchers to attain its goals. Members of the Metropolitan Chicago Healthcare Council (MCHC) engaged Professional Research Consultants, Incorporated (PRC) in 2009 to design, implement and analyze a comprehensive statistical assessment of the health needs, behaviors and disparities among residents of Cook, DuPage and Lake Counties in Illinois. NMH purchased the report and utilizes the findings in identifying the most important health needs in the communities served by NMH and NLFH. NMH has formal and longstanding affiliations with two Federally Qualified Health Center partners based in the community, Near North health service corp and Erie family health center. Through these partnerships, programs are collaboratively developed and implemented to address the healthcare needs of the patients in medically underserved communities throughout Chicago. One member of NMH's senior management team serves as a board member at Near North and two serve at Erie. Near North, a community health partner for more than 40 years, provides neighborhood-based care and support services through eight primary healthcare sites and four ancillary sites to more than 35,000 primarily low-income uninsured or underinsured residents who live in some of the city's most impoverished communities, including the Near North/Cabrini Green area; West Town; Humboldt Park; West Garfield Park; Austin; Kenwood/Oakland; Douglas; Grand Boulevard and Uptown. Near North operates primary care clinics on Chicago's South, West and Near North sides. Erie was founded in the 1950s as a project of volunteer physicians from NMH and Erie Neighborhood House. Erie provides a variety of primary care and case management services through nine sites and a number of other partnership programs to more than 34,000 patients annually from the Chicago neighborhoods of Albany Park, Avondale, Belmont Cragin, Hermosa, Humboldt Park, Logan Square, Lincoln Square, North Lawndale and West Town. Erie serves a population that is primarily Hispanic, the majority of which come from households with incomes that fall below the federal poverty level. NMH collaborates with both Near North and Erie to identify health concerns for the populations they serve, and both organizations have targeted diabetes and women's health as priority areas of focus. The collaborative development of health initiatives among NMH, Near North, Erie, Feinberg and others to address chronic disease in their communities is detailed in a subsequent section of this report. Based on the success of Diabetes Collaborative, the program was expanded to the Humboldt Park community, an area of extraordinarily high incidence of diabetes, as detailed further in this report. Through charity care, outreach services and health education programs at NLFH, NMHC responds to the priority health needs of the residents of Lake County, especially among the uninsured or underinsured. Information on health needs comes from the Lake County Health Department and Community Health Center's Annual Report and Information Guide and NLFH also participated in the Metropolitan Chicago Healthcare Council's 2009 Community Health Assessment, which evaluated the health needs of residents in each county throughout the Chicago region Through charity care, outreach services and health education programs at NLFH, Northwestern Memorial responds to the priority health needs of the residents of Lake County, especially among the uninsured or underinsured. Information on health needs comes from the Lake County Health Department and Community Health Center's Annual Report and Information Guide and NLFH also participated in the Metropolitan Chicago Healthcare Council's 2009 Community Health Assessment, which evaluated the health needs of residents in each county throughout the Chicago region.
Patient education of financial assistance eligibility Schedule H, part VI, Line 3 There are many ways that patients of the Hospitals are informed or made aware of the availability of the Hospital's various financial assistance programs: a. To increase awareness of its financial assistance programs, the Hospitals have developed brochures (in English and Spanish) that are provided to patients upon admission and available at registration points-of-entry. b. English and Spanish-language signs notifying patients that financial assistance is available are present at every patient registration area, including the emergency department. c. As part of the registration process, patients are provided with a financial assistance information brochure which describes the types of assistance available and how to qualify for one or more of the programs. d. The general consent form that every patient signs contains information about the NMHC financial assistance programs, and is available in English, Spanish, Russian and Polish at NMH, while NLFH has programs in english and spanish. e. Inpatients receive a Patient Welcome Package that includes the financial assistance information. f. Patients can learn about and assess their eligibility for the Hospital's financial assistance programs with the help of the Hospital's team of financial counseling and patient inquiry representatives. These representatives are available on a walk-in basis or through a toll-free number. g. Processes are in place to link patients with financial counselors and patient inquiry representatives when financial hardship is identified as a concern during social services assessments. h. The entry portal to the NMH and NLFH websites contain a prominent link to information about NMH's various financial assistance programs, the financial assistance brochure and downloadable applications in multiple languages. i. Working in conjunction with clinical staff, financial counselors visit inpatients not enrolled in government or private health plans while they are still in the hospital to assist them in determining their eligibility for both government health programs and for Hospital Free and Discounted Care programs. j. The Hospitals inform uninsured patients, and patients with an outstanding balance after insurance, of the availability of various financial assistance programs, including the free care and discounted care program, and the catastrophic program offered by the Hospitals, in written correspondence sent to those patients. This information includes the toll-free phone number to the team of patient account representatives. k. The Hospitals have on-site patient account staff who are trained and available to assist patients with financial assistance. l. The Hospitals provide proactive financial counseling for self-pay patients who have a scheduled inpatient admission. Financial counseling includes assessment for publicly or privately funded insurance and the Hospitals' financial assistance programs. Financial assistance programs, includes the free care and discounted care programs, and the catastrophic program offered by the Hospitals, in written correspondence sent to those patients. This information includes the toll-free phone number to the team of patient account representatives.
Community Information Schedule H, Part VI, Line 4 Populations and Community Served by Northwestern Memorial Northwestern Memorial's patient care, education and research programs provide broad benefit to Chicago, the region, nationally and internationally. Patient care is provided at both NMH and at NLFH, each serving surrounding regions. Northwestern Memorial Hospital Service Area NMH divides its total service area into three geographic areas: the primary service area (PSA), the city of Chicago and the surrounding seven-county area. The PSA, which is defined by the 22 zip codes surrounding NMH, accounts for 38% of inpatient admissions. The city of Chicago in total accounts for 65% of inpatient admissions. The community in NMH's PSA has a large and growing population and it is important for us to continue to grow so that we can continue to provide quality healthcare services, especially those only available at an Academic medical Center (AMC). Between 2012 and 2017, the population in NMH's PSA is projected to increase by 1.0%, whereas the population of Chicago is projected to decrease by 1.5%. Chicago is a diverse city, with a large African-American population and growing Latino and Asian populations. Northwestern Memorial is committed to providing culturally competent care that is responsive to the needs of all our patients. NMH has worked with community health centers in some of Chicago's medically underserved areas to identify priority health concerns and jointly develop community-based health initiatives designed to address healthcare disparities among people living in the community. Northwestern Lake Forest Hospital Service Area NLFH primarily serves Lake County. Lake County is defined by 28 zip codes and accounts for 90% of inpatient admissions at NLFH. Of the approximately 706,000 residents in the county, an estimated 80,000 under the age of 65 are uninsured and more than 80,000 live in poverty Lake County's population is growing. Between 2012 and 2017, the population of Lake County is projected to increase by 3.1%.
Promotion of Community health schedule H, Part VI, Line 5 Objective: As an academic medical center hospital, NMH values continual learning and innovation among its administrative as well as clinical staff. NMH seeks out and supports opportunities to share its knowledge as well as tangible resources with safety-net hospitals and not-for-profit providers of health and social services in Chicago and elsewhere. Donation of Furniture and Equipment In fiscal year 2012, Northwestern Memorial donated furniture and equipment that would have cost more than $100,000 if purchased new from a physician practice office to a local community healthcare organization. Chicago Cares In fiscal year 2012, Northwestern Memorial served as corporate sponsor for the 19th Annual Chicago Cares Serve-a-Thon. At the event, more than 750 NMH and NLFH employees and their family members donated personal time to volunteer work in general maintenance, construction and painting in public school campuses citywide. Northwestern Memorial was recognized for sending the largest team in the history of the event. Supporting Lambs Farm More than 160 NLFH employees and their families participated in a day of service at Lambs Farm, a not-for-profit organization that provides residence, vocational services, employment and support to adults with developmental disabilities in Lake County, Illinois. The families helped with painting and landscaping services. Objective: Northwestern Memorial seeks and maintains strong relationships with local residents, business leaders and community service organizations in the area immediately surrounding the NMH medical campus. These relationships help to ensure that NMH addresses its responsibility to provide healthcare services to its campus neighbors - not only residents, but also a large number of hotels, commercial properties and businesses that serve many thousands of visitors and tourists within blocks of the medical campus every day. NMH works to be a good neighbor in the community by participating in local activities and keeping residents and businesses informed about hospital programs and new developments that have an impact on the surrounding neighborhoods. Similarly, NLFH actively participates in a broad range of initiatives that benefit local communities throughout Lake County, ranging from community programs like stroke awareness education and obesity prevention to affordable workforce housing and bike helmet safety. Northwestern Memorial actively seeks partners among the Chicago business community to join in health promotion and awareness initiatives. Members of Northwestern Memorial's leadership team serve on boards and advisory boards of local community health organizations, including but not limited to Near North, Erie, HealthReach, University HealthSystem Consortium, the Illinois Hospital Association, the Institute of Medicine of Chicago, the Metropolitan Chicago Healthcare Council, the American Orthopaedics Association and others. Members of Northwestern Memorial's senior management team also hold leadership positions or memberships with significant civic organizations such as the United Way of Metropolitan Chicago, World Business Chicago, the Business Leadership Group for Workforce Chicago 2.0, Greater North Michigan Avenue Association, Streeterville Chamber of Commerce, The Commercial Club of Chicago, the Economic Club of Chicago, the Chicagoland Chamber of Commerce, the Lake Forest/Lake Bluff Chamber of Commerce, Susan G. Komen Race for a Cure, and the American Cancer Society of Lake County. Northwestern Memorial's employees generously support a wide range of causes, including participating in blood drives and raising funds for the United Way, March of Dimes, walks to raise funds for causes such as cancer research and AIDS and NMH's Adopt-a-School program. Northwestern Memorial actively participates in planning initiatives that impact the broader community, such as transit and transportation planning in the downtown Chicago central area. NMH also participates in local neighborhood development planning to ensure that development in the south area of Streeterville, which includes the medical campus, is considerate of Streeterville residents and keeps them informed.
affilated health care system Schedule H, part VI, Line 6 As described throughout this Form 990, the affiliates reported in this group return are all part of Northwestern Memorial HealthCare. The community benefit plan, described earlier in Schedule H, gives details about each affiliate's respective role in promoting the health of the communities we serve.
STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI IL,
Schedule H (Form 990) 2011
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
Northwestern Memorial Healthcare Group
 
Employer identification number
36-4724966
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed
......................... lBullet
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) Northwestern University710 N Lake Shore Drive
Chicago,IL60611
36-2167817 501 c 3 88,717,540       Research support
(2) Northwestern Univ Feinberg School Medicine303 E Chicago Ave
Chicago,IL60611
36-2167817 501 c 3 12,103,298       Research & Education
(3) Northwestern Medical Faculty Foundation680 N Lake Shore Drive
Chicago,IL60611
36-3097297 501 c 3 2,253,741       fellowships
(4) McGaw Medical Center of Northwestern University645 N Michigan Ave Suite 1058A
Chicago,IL60611
36-2656113 501 c 3 1,850,910       fellowships
(5) Children's Memorial Hospital2300 Childrens Plaza
Chicago,IL60614
36-2170833 501 c 3 456,074       Operating support
(6) Erie Family Health Center1701 W Superior
Chicago,IL60622
36-3088628 501 c 3 350,000       Operating support
(7) Near North Health Services Corporation1276 N Clybourn
Chicago,IL60610
36-3197647 501 c 3 330,000       Operating support
(8) Community Health2611 West Chicago Avenue
Chicago,IL60622
36-3831791 501 c 3 220,000       Research support
(9) Sinai Urban Health InstituteCalifornia Avenue at 15th Street-Ro
Chicago,IL60608
36-3166895 501 c 3 175,000       Research support
(10) HealthReach Incorporated1800 Grand Avenue
waukegan,IL60085
36-3816410 501 c 3 100,000       Operating support
(11) Cease Fire Univ Illinois at Chicago1603 Taylor Street
Chicago,IL60612
37-6006007 501 c 3 65,000       Operating support
(12) YMCA of Metropolitan Chicago824 N Hamlin
Chicago,IL60651
36-2179782 501 c 3 57,760       Operating support
(13) West Humboldt Park Development Council3620 W Chicago Ave
Chicago,IL60651
36-3807011 501 c 3 37,540       Operating support
(14) Bears Care1000 Football Drive
Lake Forest,IL60045
36-3931105 501 c 3 5,500       OPERATING SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
14
3
Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2011

Schedule I (Form 990) 2011
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance
(1) Employees Crisis Assistance 30 37,461      
(2) employees Crisis assistance 3 3,552      











Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Monitoring use of Grant funds Form 990, Schedule I, Question 2 Northwestern Memorial Hospital, Northwestern Lake Forest Hospital and Northwestern Memorial Foundation maintain detailed records and internal control procedures to ensure grant recipients are qualified, award amounts are documented and selection criteria are clear. Once a grant has been awarded, these organizations initiate a written agreement with the grant recipient that incorporates a budget and time period for spending the grant dollars. Reasonable direct costs, supported by direct budget justification and related to the project's purpose are allowable. Recipients agree to abide by the budget and all relevant policies in effect at Northwestern Memorial HealthCare. Grant expenditures are monitored for compliance with their respective agreements, at least once a year to ensure that budgets are followed and expenses are appropriate. At the end of each budget period, these organizations require the grant recipient to submit a written narrative and financial report outlining project accomplishments and how the grant dollars were expended. Unexpended funds are returned to the organizations.
Schedule I (Form 990) 2011


Additional Data


Software ID:  
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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
Yes
 
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) DEAN M HARRISON NMHC (i)
(ii)
1,082,040
0
1,003,502
0
1,724,908
0
252,772
 
38,976
 
4,102,198
0
413,200
 
(2) STEPHEN A FALK NMF (i)
(ii)
319,652
 
124,400
 
230,160
 
28,858
 
24,569
 
727,639
 
114,197
 
(3) MICHAEL A RUCHIM MD NMF (i)
(ii)
532,029
 
55,700
 
39,373
 
24,839
 
25,858
 
677,799
 
 
 
(4) Thomas J McAfee NLFH (i)
(ii)
453,228
 
314,607
 
43,975
 
106,934
 
31,046
 
949,790
 
30,100
 
(5) Dennis M Murphy NMPG (i)
(ii)
565,559
 
410,008
 
61,252
 
152,683
 
34,703
 
1,224,205
 
178,600
 
(6) Daniel M Derman MD NMPG (i)
(ii)
320,908
 
113,000
 
53,274
 
173,589
 
43,347
 
704,118
 
 
 
(7) Jeffrey D Kopin MD NMPG (i)
(ii)
368,546
 
29,762
 
22,292
 
7,350
 
24,441
 
452,391
 
 
 
(8) Peter A Lechman MD NMPG (i)
(ii)
238,260
 
 
 
126,280
 
4,985
 
27,440
 
396,965
 
 
 
(9) Dean L Manheimer NMPG (i)
(ii)
336,105
 
246,893
 
105,492
 
34,905
 
31,149
 
754,544
 
112,500
 
(10) Earl J Barnes HFI (i)
(ii)
321,965
 
151,501
 
22,153
 
17,996
 
24,353
 
537,968
 
 
 
(11) Matthew J Flynn HFI (i)
(ii)
207,858
 
199,900
 
23,160
 
35,673
 
26,321
 
492,912
 
 
 
(12) PETER J MCCANNA NMHC (i)
(ii)
671,305
 
499,536
 
55,521
 
754,295
 
34,395
 
2,015,052
 
226,200
 
(13) CAROL M LIND NMHC (i)
(ii)
424,878
 
238,562
 
40,780
 
106,781
 
29,220
 
840,221
 
147,000
 
(14) Douglas M Young NMHC (i)
(ii)
265,975
 
109,900
 
110,055
 
241,622
 
28,520
 
756,072
 
 
 
(15) JENNIFER S WOOTEN NMHC (i)
(ii)
100,197
 
13,008
 
20,818
 
8,758
 
17,436
 
160,217
 
 
 
(16) Michelle A Janney NMH (i)
(ii)
314,235
 
222,786
 
54,233
 
93,672
 
22,212
 
707,138
 
100,600
 
(17) Michael G Ankin MD NLFH (i)
(ii)
298,180
 
204,019
 
30,639
 
49,438
 
12,533
 
594,809
 
 
 
(18) Kimberly A Nagy NLFH (i)
(ii)
165,100
 
114,212
 
18,284
 
42,424
 
631
 
340,651
 
 
 
(19) TIMOTHY R ZOPH NMHC (i)
(ii)
432,978
 
229,322
 
3,754,077
 
35,434
 
39,610
 
4,491,421
 
3,409,635
 
(20) JULIA L CREAMER NMHC (i)
(ii)
325,053
 
239,845
 
90,957
 
402,859
 
35,985
 
1,094,699
 
106,700
 
(21) Timothy Garvey MD NMPG (i)
(ii)
545,642
 
15,827
 
114,679
 
7,350
 
8,079
 
691,577
 
 
 
(22) Scott Moses MD NMPG (i)
(ii)
462,171
 
35,167
 
168,626
 
7,350
 
24,238
 
697,552
 
 
 
(23) Steven P Klimkowski NMHC (i)
(ii)
437,379
 
153,246
 
23,152
 
23,765
 
27,098
 
664,640
 
 
 
(24) Marsha Oberrieder NLFH (i)
(ii)
170,984
 
125,773
 
27,454
 
164,657
 
2,874
 
491,742
 
 
 
(25) Jane Griffin NLFH (i)
(ii)
132,700
 
100,703
 
23,373
 
49,866
 
23,813
 
330,455
 
 
 
(26) Matthew Koschmann NLFH (i)
(ii)
93,298
 
107,184
 
88,348
 
34,020
 
16,550
 
339,400
 
 
 
(27) Charles M Watts (i)
(ii)
3,243
 
188,893
 
509,075
 
22,220
 
16,297
 
739,728
 
131,300
 
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
NON FIXED PAYMENTS FORM 990 SCH J PART I QUEStion 7 bonuses are a significant portion of compensation. these portions are at risk and payable only upon achievement of substantial goals.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990 SCHEDULE J PART I QUESTION 4 b There are two different nonqualified deferred compensation plans sponsored by Northwestern Memorial Healthcare, which provide supplemental, competitive retirement benefits. The employer pays the cost of participation, and the benefits and contributions are subject to a substantial risk of forfeiture based on the completion of substantial service requirements. The amounts earned by participants fluctuate from year to year based on factors such as a change in market interest rates. Timothy Zoph completed his substantial service requirements during the reporting period resulting in "other reportable compensation" that consists largely of amounts reported in prior form 990s. Participants in one or both of the plans who are listed on the schedule are Julia Creamer, Dean Harrison, Michelle Janney, Dean Manheimer, Thomas McAfee, Peter McCanna, Daniel Derman, Stephen Falk, Carol Lind, Dennis Murphy, Charles Watts, Douglas Young and Timothy Zoph.
Contingent Compensation Schedule J part I lines 5a and 6a 5a Revenue: Certain employed physicians are compensated on the basis of productivity that takes into account the revenues associated with services personally performed by them. 6a Net earnings: Certain employed physicians may receive a bonus in part based on a percentage of their practice group's net surplus (i.e. practice group revenue less overhead expenses) over a predetermined target amount. The amount of the bonus is capped and represents no more than a modest percentage of each physician's total compensation.
severance Question 4 a during fiscal 2012, Charles Watts received severance from NMHC in the amount of $ 484,794.
health club dues schedule J, part 1, question 1 Employees of Northwestern Lake Forest Hospital are offered discounted health and fitness club dues at Lake Forest Health and Fitness Institute. The amount of the discount is treated as taxable income for each of the employees.
Schedule J (Form 990) 2011

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
Northwestern Memorial Healthcare Group
 
Employer identification number
36-4724966
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer
(i) Pool
financing
Yes No Yes No Yes No
A Illinois Finance Authority
 
86-1091967 45200fww5 04-09-2009 470,335,841 see schedule O   X   X   X
B Illinois Finance authority
 
86-1091967 45200fbz1 12-19-2007 214,500,000 refund bonds issued 5/27/2004   X   X   X
C Illinois Finance Authority
 
86-1091967 45200ftb5 01-13-2009 207,360,000 refund bonds issued 5/27/2004   X   X   X
D Illinois Health facilities Authority
 
37-9881399 45200pvm6 12-13-2003 27,358,669 renovation & construction   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . 36,640,000 3,900,000 128,585,000 1,050,000
2 Amount of bonds legally defeased . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . 470,335,841 214,500,000 207,360,000 27,572,592
4 Gross proceeds in reserve funds . . . . . . . . 0 0 0 1,575,575
5 Capitalized interest from proceeds . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . 0 201,298,513 0 0
7 Issuance costs from proceeds . . . . . . . . . . . 5,350,841 1,871,062 1,985,000 477,950
8 Credit enhancement from proceeds . . . . . . . . . . 0 0 25,000 0
9 Working capital expenditures from proceeds . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . 0 0 0 25,519,067
11 Other spent proceeds . . . . . . . . . . . 464,985,000 52,760,750 205,350,000 0
12 Other unspent proceeds . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . 2004 2004
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . X     X X     X
15 Were the bonds issued as part of an advance refunding issue? . . . .   X X     X   X
16 Has the final allocation of proceeds been made? . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2011
Schedule K (Form 990) 2011
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . X   X   X     X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0.00000% 0.00000% 0.00000%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.00000% 0.00000% 0.00000% 0.00000%
6 Total of lines 4 and 5 . . .. . . . . . . . . 0.00000% 0.00000% 0.00000% 0.00000%
7 Does the bond issue meet the private security or payment test? . . . X   X   X   X  
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X X     X   X
2 Is the bond issue a variable rate issue?   X   X X     X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X X     X   X
b Name of provider . . . . . . . . 0
 
JP Morgan & UBS
 
0
 
 
 
c Term of hedge . . . . . . . . 34.7 34.7    
d Was the hedge superintegrated? . . . . X   X          
e Was a hedge terminated? . . . . .   X   X        
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .   X   X   X   X
b Name of provider . . . . . . 0
 
0
 
0
 
0
 
c Term of GIC . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .                
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .   X X     X   X
6 Did the bond issue qualify for an exception to rebate? .   X   X   X X  
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X   X X  
Schedule K (Form 990) 2011

Schedule K (Form 990) 2011
Page 3
Part V
Procedures To Undertake Corrective Action
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . .
Part VI
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Part I, Line A and Part II Col A, c, and d 0 See schedule O for explanations
Schedule K (Form 990) 2011

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2011
Schedule L (Form 990 or 990-EZ) 2011
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Exelon John Canning Director 3,034,208 electric Utility   No
(2) exelon Donald Thompson Director 3,034,208 electric utility   No
(3) exelon Anne Pramaggiore Director 3,034,208 electric utility   No
(4) Lamajak Carol Bernick FmrDirector 128,000 rent   No
(5) McDonald's Corporation Donald Thompson Director 136,000 rent   No
(6) McDonald's Corporation Miles White Director 136,000 rent   No
(7) Northern Trust Frederick waddell Directo 535,456 bank services   No
(8) Medline Charles Mills Director 4,115,408 medical product   No
(9) Northern Trust William Kunkler Director 195,864 bank services   No
(10) family member Edward Liddy Fmr Director 10,000 Compensation   No
(11) CDW GOvernment inc John Edwardson Director 2,623,472 computer services   No
(12) NMIC See supplemental 63,151,415 risk funding services   No
(13) NHC see supplemental 473,479 services physicians   No
(14) baxter Robert parkinson FMr Dir 1,319,468 hospital supplies   No
(15) Bannockburn Mediplex Partners Michael ankin MD officer 119,905 rent   No
(16) Abbott Miles white director 3,291,228 hospital supplies   No
(17) Advanced Resources LLC Mary beth richmond FMrDir 990,026 personnel services   No
(18) Roundtable Healthcare Partners Joseph Damico Director 211,207 Financial services   No
(19) A J Gallagher Ilene Gordon Director 2,378,965 Financial services   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Exelon schedule L Part IV lines 1 to 3 John a. Canning, jr, Donald Thompson and Anne Pramaggiore are directors of Northwestern memorial Hospital. John A. Canning and Donald Thompson are directors of Exelon and anne Pramaggiore is an officer of Com Ed, a subsidiary of Exelon, a public utility that provides electrical service to Northwestern memorial Hospital.
Lamajack Schedule L Part IV line 4 Carol l. Bernick is a current director of Northwestern Memorial HealthCare and a former director of Northwestern memorial Hospital. She has an interest in a business that pays rent to Northwestern memorial Hospital.
McDonald's Corporation Schedule L Part IV lines 5 and 6 Donald Thompson and Miles white are directors of Northwestern memorial Hospital. They are also Directors of Mcdonald's Corporation. Mcdonald's pays rent to Northwestern memorial Hospital.
Northern trust schedule L part IV Line 7 Frederick Waddell is a Director of Northwestern memorial Hospital. He is also an Officer of Northern Trust. Northern trust supplies financial services to Northwestern memorial hospital.
Medline schedule L part IV Line 8 Charles n. Mills is a director of Northwestern Lake Forest Hospital. He is also a Director and officer of MEdline. Medline provides medical supplies to Northwestern LAke Forest Hospital.
Northern trust Schedule L Part IV line 9 William c. Kunkler III, is a director and Michael h. Moskow is a former director at Northwestern memorial Foundation. Michael h. Moskow is a member of the Board of Trustees at Northern Funds, William c. Kunkler III's spouse is a director at Northern Trust. Northern trust provides financial services to Northwestern memorial Foundation.
Family member Schedule L part IV line 10 Edward m. Liddy is a former Director of Northwestern Lake Forest Hospital. A family member is an employee of Northwestern Lake Forest Hospital.
CDW GOvernment Schedule L Part IV line 1 John A. edwardson is a Director of NMH. He is also an officer of CDW. CDW supplies computer related equipment and services to NMH.
NMIC Schedule L Part IV line 2 Northwestern memorial Insurance Company (NMIC), is a for profit risk servicing operation for the Northwestern memorial healthcare organization. Peter J. McCanna, Carol m. Lind, and Douglas m. Young are officers of NMIC. Carol M. Lind and DOuglas M. Young are also directors at NMIC. Peter J. Mccanna, Carol M.Lind, and Douglas M. Young are officers of Northwestern Memorial Hospital (NMH) and Northwestern Lake Forest Hospital (NLFH). Peter J. McCanna and Douglas M. Young are officers at Northwestern memorial Physicians Group (NMPG). NMIC provides services to NMH, NLFH and NMPG.
NHC Schedule L Part IV line 3 ARVYDAS d. vANAGUNAS md, gARY a. nOSKIN md, jEFFREY l. gLASSRoTH md are directors of Northwestern HealthCare Corporation (NHC). they are also directors of Northwestern memorial Hospital, (NMH). Charles m. Watts was also a director of NHC and was an officer of NMH. NHC provides services for physicians at NMH.
Baxter schedule L part IV line 4 Robert L. parkinson JR. is a former director of Northwestern Memorial Hospital. He is also a director and officer at baxter International. Baxter provides hospital supplies to Northwestern Memorial Hospital.
Bannockburn mediplex Partners Schedule L part IV Line 5 Michael G. Ankin, MD is an officer of Northwestern Lake Forest Hospital. He is also an owner of Bannockburn Mediplex partners which receives rent from Northwestern Lake Forest Hospital.
advanced resources LLC schedule L part iv line 6 Mary beth Richmond, MD., former director of Northwestern memorial Hospital has a family member that has an ownership interest in advanced resources LLC, which provides personnel services to NMH.
Abbott laboratories Schedule L Part IV line 7 Miles White is on the Board of Directors of Abbott and Northwestern Memorial Hospital. Abbott furnishes hospital supplies to Northwestern memorial Hospital.
Roundtable Schedule L Part IV line 8 Joseph F. damico JR is a director of both Northwestern memorial hospital and roundtable healthcare partners. Northwestern memorial hospital has invested in Roundtable's financial products.
A.J. Gallagher Schedule L Part IV line 9 Ilene S Gordon is a Board memeber of Northwestern Memorial Hospital and A.J. Gallagher. A.J. Gallagher's subsidiary provides financial services to Northwestern memorial Hospital.
Schedule L (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
Part I
Types of Property
(a)
Check if applicable
(b)
Number of Contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures . X 1 2,000 sale of comparables
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
X 9,847 sale of comparables
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 41 876,761 market quote
10 Securities—Closely held stock . X 1 25,627,714 opinions of experts
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ............................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2011
Schedule M (Form 990) 2011
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33 and whether the organization is reporting in Part I, column (b) the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Identifier Return Reference Explanation
Gift acceptance Policy Form 990 schedule M Line 31 Members of the Northwestern Memorial HealthCare Group have a gift acceptance policy that requires the review of gifts of real or personal property and other non-standard contributions. All gifts must be fully consistent with the mission and objectives of Northwestern Memorial HealthCare. All gifts of personal property valued at $5,000 or more, real estate, life insurance, other assets, non-publicly traded securities, other income producing assets, contingent bequests and other non-standard contributions require approval by Northwestern Memorial HealthCare Group's Member Executive Committee prior to acceptance.
Use of Third parties Form 990 Schedule M Question 32 b Members of the Northwestern Memorial HealthCare Group do not use third parties to solicit or process noncash contributions. However third parties are used to sell contributions of real or personal property.
Schedule M (Form 990) 2011
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
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.
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.
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 Group/NMF Terry Savage and Dennis S. Chookaszian are directors on NMF's Board. They are also directors of the Chicago Mercantile Exchange. Judy Greffin and Andrea Redmond are Board members of NMF. Judy Greffin is an officer and Andrea Redmond is a board member of allstate corporation. Michael a. Ruchim MD, M. Christine stock md and nancy sassower are Directors at Northwestern memorial Foundation. They are also directors at Northwestern Healthcare corporation. Nancy W. sassower MD is also an officer of Northwestern healthcare corporation. GROUP/NMH gary A. Noskin and Jeffery l. Glassroth are directors of Northwestern memorial Hospital. They are also directors of Northwestern Healthcare Corporation. Donald Thompson and Miles white are Directors at Northwestern memorial Hospital. Mr. Thompson is an officer and a Board member and MR. white is also a director at McDonald's Corporation. Donald Thompson, John A. Canning Jr. and Anne Pramaggiore are Directors at Northwestern memorial Hospital. mr. Thompson and mr. Canning are also directors at Exelon corporation and Ms. Pramaggiore is an officer of commonwealth Edison, a subsidiary. Peter J. McCanna, Douglas M. Young and Carol M. Lind are officers of Northwestern Memorial HealthCare, Northwestern memorial Hospital, Northwestern memorial Foundation, and Northwestern Lake Forest Hospital. Douglas M. Young and Peter J. mcCanna are also officers at Northwestern memorial Physicians group. Peter J. mcCanna is an officer of Northwestern Memorial Insurance Company. Douglas M. Young and Carol M. lind are directors and officers of Northwestern Memorial Insurance Company. GROUP/NMPG Jeffery D. Kopin and Daniel M. Derman are Directors of Northwestern memorial Physician Group. Andrew palumbo and Daniel M. derman MD are officers of Northwestern memorial Physicians group. These individuals are also partners in a partnership and greater than 10% owners in an LLC.
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 accounting firm as the paid preparer of the Form 990 filing. The final Form was reviewed by members of the Finance department prior to review by the NMHC Vice President, Finance and Interim 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 JULIA L CREAMER, DANIEL M DERMAN MD, STEPHEN C FALK, DEAN M HARRISON, MICHELLE A JANNEY, CAROL M LIND, DEAN L MANHEIMER, THOMAS J MCAFEE, PETER J MCCANNA, DENNIS M MURPHY, CHARLES M WATTS MD, DOUGLAS M YOUNG AND TIMOTHY R ZOPH, ARE ALL EMPLOYEES OF NMHC. THEY GENERALLY WORK MORE THAN 40 HOURS A WEEK AND PERFORM SERVICES FOR VARIOUS NMHC SUBSIDIARIES
Reconciliation Net Assets Form 990 Part XI Line 5 Post Retirement Benefit Changes (12,028,160) Unrealized Gains 39,060,359 Net assets released 243,284 Change in Value Split Interest Agreements (943,686) Change in Beneficial interests (45,855) Change in interest rate swaps (30,658,253) changes in restricted income 70,514 Miscellaneous (32,978) total (4,334,775)
Group Titles & Compensation Presentation Form 990, Part VII Northwestern Memorial HealthCare (NMHC), is the direct parent organization for Northwestern Memorial Hospital (NMH), Northwestern Memorial Foundation (NMF), and Northwestern Lake Forest Hospital (NLFH). NMHC is also the indirect parent for Northwestern Memorial Physicians Group (NMPG), and Lake Forest Health and Fitness Institute (HFI). These six corporations have combined through the election under Regulation 1.6033-2 (d) (5) to report the directors, officers, key employees and five highly compensated employees under the Group Return requirements for Form 990 for the fiscal year ended 8/31/2012. No organization in this Group Return compensates their directors for services performed as directors. Where compensation is reported for a director, the compensation is associated with another position held within the six corporations. Certain individuals hold multiple positions throughout these six corporations. In order to simplify the reporting, their names are listed only once per Form 990, Part VII and Schedule J. Each individual listed has his or her organization's initials listed next to their respective name and the box checked for their position with that corporation. Additional director or officer positions held by each individual are noted below. Thomas A Cole is also the Chair and Director for NMH. John A Canning JR is also the Vice-Chair and Director for NMH. Kent P Dauten is also the current Chair for NMF. Dean M Harrison is director, President and CEO of NMHC and nmh. he is also a Director and CEO of NMF and NLFH. Gary A Noskin MD is also a Director of NMH. Robert L Parkinson JR is also the Chair of NLFH. Homi P Patel is also a Director of NLFH. J Larry Jameson MD is also a Director of NLFH. Maria C Bechily is also a director of NLFH. Daniel M Derman MD is also the President of NMPG. Dennis M Murphy is the Executive Vice President of NMHC. He is also the Executive Vice President and Chief Operating Officer of NMH, as well as Chair of NMPG. Douglas M Young is also the Assistant Treasurer of NMH, NMF, and NLFH, as well as the Secretary & Assistant Treasurer of NMPG and the Treasurer of hfi Stephen C Falk is also President of NMF. Thomas a McAfee is also the President of NLFH, as well as the chair, director and president of hfi. Peter J McCanna is also the Exec VP Admin, CFO & Treasurer of NMH as well as the CFO & Treasurer of NMF, the Treasurer of NMPG & NLFH. Carol L Lind is also the Senior Vice President Senior Counsel & Secretary of NMH and the Secretary of NMF and NLFH. Jennifer S Wooten is also the Assistant Secretary of NMH. Matthew J Flynn is also Senior VP, CFO, & Assistant Secretary of NLFH as well as secretary of HFI. Nancy W Sassower MD is a director of NMF. She is also compensated by NMH for a non-director position. The following are Directors per the listed corporations, they are not compensated as Directors or Officers of any entities; Earl J Barnes, Jeffery D Kopin MD, Peter A Lechman MD, Nancy W Sassower MD, MICHAEL A RUCHIM MD and GARY A NOSKIN MD.
NMHC Departmental Transfers Form 990, Part III, Question 3 NMHC transferred a number of departments and employees from its subsidiaries to establish a more complete operating entity. Formerly it only had an executive employee roster and utilized departments and their employees from its affiliates. Those departments and employees have now been transferred to NMHC.
Schedule K Supplemental Information Schedule K Part VI supplemental Information Part I, Line A, Column F: refund bonds issued on 8/3/95, 5/27/04, 12/19/07 and 1/13/09 Part II, Line 6, Column A the refunded bonds were redeemed on 4/9/09 and 4/20/2009 PArt II, Line 6 Column C the refunded bonds were redeemed on 1/13/09 Part II, Line 3, Column D The difference between Part I, Column e, and Part II, Line 3 is due to investment earnings
Other Program Services Part III, Line 4d Revenue in other program services includes non-patient related medical services, Lake Forest Health and Fitness Institute revenue, income associated with services provided to Northwestern Memorial HealthCare which is the parent of this group, and other. Some of the expenses associated with these revenues are included in Form 990 Part III lines 4a - 4c.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Northwestern Memorial Healthcare Group
 
Employer identification number

36-4724966
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity



















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) NORTHWESTERN MEMORIAL HOSPITAL

251 E HURON 541 FAIRBANKS

CHICAGO,IL60611
37-0960170
HOSPITAL IL 501(c)3 3 nmhc
 
Yes
 
(2) NORTHWESTERN MEMORIAL FOUNDATION

215 E HURON 541 FAIRBANKS

CHICAGO,IL60611
36-3155315
FUNDRAISING IL 501(c)3 7 nmhc
 
Yes
 
(3) NORTHWESTERN MEMORIAL PHYSICIANS GROUP

251 E HURON 541 FAIRBANKS

CHICAGO,IL60611
36-4030256
HEALTHCARE IL 501(c)3 3 NMH
 
Yes
 
(4) NORTHWESTERN LAKE FOREST HOSPITAL

660 N WESTMORELAND ROAD

LAKE FOREST,IL60045
36-2179779
Hospital IL 501(c)3 3 nmhc
 
Yes
 
(5) Lake Forest Health & Fitness Inst

1200 N WESTMORELAND

Lake FOREST,IL60045
36-3835030
Health IL 501(c)3 9 NLFH
 
Yes
 
(6) northwestern memorial healthcare

251 e huron

chicago,IL60611
36-3152959
management IL 501(c)3 11-III-FI nA
 
 
No
(7) Service League of NMH

240 E ontario ste 300

chicago,IL60611
23-7291156
supporting IL 501(c)3 11-III-FI NA
 
 
No
(8) friends of prentice

251 e huron ste 3-200

chciago,IL60611
36-3930139
supporting IL 501(c)3 11-III-0 NA
 
 
No
(9) mcgaw medical center Northwestern Univ

645 n michigan

chicago,IL60611
36-2656113
supporting IL 501(c)3 11-I na
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) NORTHWESTERN HEALTHCARE CORPORATION
541 FAIRBANKS SUITE 1630
CHICAGO,IL606113309
36-3382383
SErvices IL NMH
 
C Corp 67,403 842,780 100.000 %
(2) NORTHWESTERN MEMORIAL INSURANCE COMPANY
GRAND PAVILLION COMMERCIAL CENTRE
  GRAND CAYMAN ISLANDPO BOX 1085
CJ
98-0384611
liability ris CJ NMH
 
C CORP 20,307,623 541,276,812 100.000 %










Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
Yes
 
g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
Yes
 
h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1) Northwestern memorial insurance Corporation

line 18,994,726 cost
(2) Northwestern memorial insurance Corporation

Line 50,494,411 cost
(3) Northwestern healthcare Corporation

line 130,907 cost
(4) Northwestern memorial healthcare

Line 20,546,540 cost
(5) Northwestern memorial healthcare

Line 229,917 cost
(6) Northwestern memorial healthcare

Line 131,404,848 cost
(7) Northwestern memorial healthcare

Line 22,047,660 cost
(8) Northwestern memorial healthcare

Line 3,903,897 cost
(9) Northwestern Healthcare corporation

Line 473,479 cost
(10) Northwestern memorial healthcare

Line 1,272,456 cost
(11) Northwestern memorial insurance Corporation

line 1,031,282 cost
(12) Northwestern memorial healthcare

line 40,990,780 cost
(13) Northwestern memorial healthcare

line 2,543,522 cost
(14) Northwestern memorial healthcare

line 1,880,848 cost
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(e)
Are all
partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: