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
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 09-01-2012 , 2012, and ending 08-31-2013
BCheck if applicable:
CName of organization
NORTHWESTERN MEDICAL FACULTY
FOUNDATION
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
680 North Lake Shore Drive
Suite 1118
Room/suite
City or town, state or country, and ZIP + 4
Chicago, IL60611
D Employer identification number

36-3097297
E Telephone number

G Gross receipts $ 756,730,261
F Name and address of principal officer:
David M Mahvi MD
680 N Lake Shore Dr STE 1118
Chicago,IL60611
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.nmff.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 MediumBullet  
K Form of organization:
 
L Year of formation: 1981
M State of legal domicile: IL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE MISSION OF NORTHWESTERN MEDICAL FACULTY FOUNDATION IS TO PROMOTE OPTIMAL HEALTH BY PREVENTING AND CURING DISEASE, PROVIDING HIGH QUALITY CARE, AND SUPPORTING CRITICAL INQUIRY AND CONTINUOUS LEARNING.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 33
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 6
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 2,573
6 Total number of volunteers (estimate if necessary) ............. 6 40
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 1,722,556
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 1,711,856
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 35,517,000 59,470,684
9 Program service revenue (Part VIII, line 2g) ......... 572,257,072 629,578,569
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,006,837 6,625,500
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 608,780,909 695,674,753
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 55,433,189 91,165,235
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) 333,687,452 391,908,182
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 203,749,187 235,640,526
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 592,869,828 718,713,943
19 Revenue less expenses. Subtract line 18 from line 12....... 15,911,081 -23,039,190
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 571,763,996 639,963,188
21 Total liabilities (Part X, line 26)............. 331,503,579 406,100,685
22 Net assets or fund balances. Subtract line 21 from line 20..... 240,260,417 233,862,503
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 MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
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: ABOUT NORTHWESTERN MEDICAL FACULTY FOUNDATION NORTHWESTERN MEDICAL FACULTY FOUNDATION (FOUNDATION) IS A FACULTY PRACTICE PLAN FOR THE FULL-TIME FACULTY OF NORTHWESTERN UNIVERSITY'S FEINBERG SCHOOL OF MEDICINE. COMPRISED OF APPROXIMATELY 900 PHYSICIANS AND 1,950 OTHER HEALTHCARE PROFESSIONALS, THE FOUNDATION PROVIDES SUPPORT FOR THE CLINICAL CARE ACTIVITIES OF ITS MEMBERS, A VENUE FOR MEDICAL EDUCATION AND CLINICAL RESEARCH, CHARITABLE OUTREACH TO THE COMMUNITY, AND FINANCIAL SUPPORT FOR THE ACADEMIC MISSION OF THE FEINBERG SCHOOL OF MEDICINE. MISSION: TO PROMOTE OPTIMAL HEALTH FOR OUR PATIENTS AND THE BROADER COMMUNITY BY PREVENTING AND CURING DISEASE, PROVIDING HIGH QUALITY MEDICAL CARE, AND SUPPORTING CRITICAL INQUIRY AND CONTINUOUS LEARNING. CORE COMMITMENTS: 1. TO PROVIDE ACCESSIBLE, EFFICIENT, AND EFFECTIVE MEDICAL CARE, WITH AN EMPHASIS ON DISTINCT INTERDISCIPLINARY SERVICES THAT FOCUS ON THE NEEDS OF THE PATIENT. 2. TO MAINTAIN PUBLIC AND INSTITUTIONAL TRUST BY EMBRACING THE HIG
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 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 $ 542,440,467 including grants of $ 0 ) (Revenue $ 629,578,569 )
CLINICAL CARE THE FOUNDATION IS COMMITTED TO PROVIDING HIGH QUALITY CLINICAL CARE TO OUR PATIENTS AND COMMUNITIES. OUR SPECIALISTS WORK ACROSS THE TRADITIONAL BOUNDARIES OF MEDICINE TO LEVERAGE THEIR EXPERTISE AND TO PROVIDE PATIENTS WITH COMPREHENSIVE, INDIVIDUALIZED, AND INNOVATIVE CLINICAL CARE. NORTHWESTERN MEMORIAL HOSPITAL, WHERE OUR MEMBERS ARE ATTENDING PHYSICIANS, IS RANKED AS A LEADER IN CLINICAL CARE IN A VARIETY OF SPECIALTIES BY U.S. NEWS AND WORLD REPORT. AMONG THESE ARE CANCER CARE; KIDNEY DISORDERS; HEART AND HEART SURGERY; GERIATRICS; EAR, NOSE AND THROAT; DIGESTIVE DISORDERS; RHEUMATOLOGY; DIABETES AND ENDOCRINE DISORDERS; NEUROLOGY AND NEUROSURGERY; GYNECOLOGY; ORTHOPEDICS; AND, UROLOGY. THE FOUNDATION ALSO OFFERS A VARIETY OF LEADING MULTI-DISCIPLINARY PROGRAMS THAT SERVE OUR PATIENT COMMUNITIES. EXAMPLES OF THESE ARE OUR CARDIOVASCULAR CENTER, CANCER CENTER, AND PELVIC HEALTH CENTER. THE BLUHM CARDIOVASCULAR INSTITUTE IS A RENOWNED HEART AND VASCULAR PROGRAM THAT OFFERS COMPREHENSIVE SERVICES AND TREATMENTS IN ALL AREAS OF CARDIOVASCULAR CARE. THE ROBERT H. LURIE COMPREHENSIVE CANCER CENTER IS COMMITTED TO PROVIDING PATIENTS WITH STATE-OF-THE ART TREATMENT, INNOVATIVE CLINICAL TRIAL OPTIONS, AND COMPASSIONATE CARE. THE MAGGIE DALEY CENTER FOR WOMEN'S CANCER CARE CENTRALIZES OUTPATIENT CANCER CARE FOR WOMEN, BRINGING TOGETHER IN ONE LOCATION BREAST MEDICAL ONCOLOGY, BREAST SURGERY, BREAST IMAGING, AND A COMPREHENSIVE RANGE OF SUPPORTIVE ONCOLOGY SERVICES. THE PELVIC HEALTH CENTER, A MULTIDISCIPLINARY CENTER TREATING SUCH DISORDERS AS INCONTINENCE, PELVIC ORGAN PROLAPSE, AND PELVIC PAIN SYNDROMES, BRINGS TOGETHER SPECIALISTS FROM UROGYNECOLOGY, UROLOGY, COLORECTAL SURGERY, AND REHABILITATION AND PHYSICAL THERAPY. THE FOUNDATION IS COMMITTED TO BEING A LEADING PROVIDER OF CLINICAL CARE TO ALL OF OUR COMMUNITIES AND NEIGHBORHOODS, REGARDLESS OF A PATIENT'S ABILITY TO PAY. IN ACCORDANCE WITH OUR COMMITMENT TO THE COMMUNITY, THE FOUNDATION PROVIDES MEDICAL CARE TO INDIGENT AND ECONOMICALLY DISADVANTAGED PERSONS FREE OF CHARGE OR AT DISCOUNTED RATES. SPECIFICALLY, THE FOUNDATION OFFERS CHARITY CARE OPTIONS TO ITS PATIENTS WHO ARE ILLINOIS RESIDENTS (WITH SOME EXCEPTIONS FOR NONRESIDENTS) AND WHO MEET THE GUIDELINES SET FORTH IN ITS CHARITY CARE POLICY AND WHO APPLY FOR FINANCIAL ASSISTANCE. THE CURRENT GUIDELINES OFFER A 100% DISCOUNT TO PATIENTS WITH INCOME UP TO 250% OF THE FEDERAL POVERTY LEVEL AND A 75% DISCOUNT TO PATIENTS WITH INCOME EQUAL TO 251-600% OF THE FEDERAL POVERTY LEVEL. EVEN IF A PATIENT IS NOT ELIGIBLE FOR A DISCOUNT DUE TO INCOME LEVEL, CHARGES ARE CAPPED TO NOT EXCEED SPECIFIED PERCENTAGES OF A PATIENT'S ANNUAL INCOME. FOR THE YEAR ENDED AUGUST 31, 2013, THE COST OF CHARITY CARE APPROXIMATED $20,272,000. THE FOUNDATION ESTIMATED THESE COSTS BY APPLYING AN OVERALL COST TO CHARGE RATIO TO THE CHARGES INCURRED. IN ADDITION TO CHARITY CARE, THE FOUNDATION PROVIDES MEDICAL CARE TO PERSONS COVERED BY GOVERNMENT PROGRAMS WHICH PROVIDE REIMBURSEMENT AT RATES THAT ARE LESS THAN THE RELATED COSTS. THE FOUNDATION ALSO STRIVES TO PROVIDE A FULL CONTINUUM OF CLINICAL CARE TO OUR COMMUNITY THAT MEETS THE VARYING HEALTHCARE NEEDS OF ITS RESIDENTS. IN ORDER TO PROVIDE COMPREHENSIVE CARE, THE FOUNDATION OFFERS SERVICES THAT ARE OFTEN CRITICAL TO A PATIENT'S HEALTH, BUT WHERE REIMBURSEMENT DOES NOT COVER THE COSTS OF PROVIDING THE SERVICES. THE FOUNDATION ENGAGES IN A NUMBER OF COMMUNITY OUTREACH ACTIVITIES, MANY OF WHICH PROVIDE ACCESS TO HIGH QUALITY CARE TO COMMUNITY RESIDENTS WHO MAY NOT OTHERWISE RECEIVE ADEQUATE TREATMENT. FOUNDATION PHYSICIANS FROM NUMEROUS PRACTICE AREAS PROVIDE FREE MEDICAL CARE AT COMMUNITY CLINICS SERVING THE INDIGENT AND UNDERSERVED POPULATIONS. IN ADDITION, SEVERAL FOUNDATION PHYSICIANS PROVIDE CARE AT THE JESSE BROWN VETERANS ADMINISTRATION MEDICAL CENTER AND AT THE JOHN STROGER HOSPITAL OF COOK COUNTY. THE FOUNDATION ALSO OFFERS INTERPRETATION SERVICES AT NO CHARGE TO ALL PATIENTS. FURTHER, THE FOUNDATION SPONSORS A TRANSPLANT PROGRAM DEDICATED TO SPANISH SPEAKING PATIENTS IN ORDER TO MORE EFFECTIVELY EDUCATE AND TREAT THE SPANISH SPEAKING SEGMENT OF OUR COMMUNITY. THE FOUNDATION ALSO SUPPORTS OTHER HEALTH-RELATED AND NON-HEALTH-RELATED PROGRAMS OF BENEFIT TO SURROUNDING COMMUNITIES. FOR EXAMPLE, A "CHARITABLE TEAM," COMPRISED OF EMPLOYEE VOLUNTEERS FROM A CROSS-SECTION OF DEPARTMENTS, IDENTIFIES OPPORTUNITIES DESIGNED TO SUPPORT COMMUNITY NEEDS. DURING FISCAL YEAR 2013, THESE ACTIVITIES INCLUDED CLOTHING, FOOD, SCHOOL SUPPLY, AND TOY DRIVES; A FUNDRAISING EVENT FOR THE GREATER CHICAGO FOOD DEPOSITORY; AND PARTICIPATING IN THE CHICAGO CARE-A-THON. IN ADDITION, THE FOUNDATION PROVIDES EXTENSIVE HEALTH CARE STUDENT TRAINING, CLINICAL OBSERVATION OPPORTUNITIES, AND IN-SERVICE OR OTHER TRAINING PROGRAMS FOR NON-NORTHWESTERN STUDENTS, VISITING SCHOLARS AND CLINICIANS, AND HEALTH CARE PROFESSIONALS. CLINICAL PRACTICE AREAS AND ADMINISTRATIVE DEPARTMENTS WITHIN THE FOUNDATION ALSO PARTICIPATE IN A NUMBER OF ACTIVITIES WHICH BENEFIT LOCAL, NATIONAL, AND INTERNATIONAL COMMUNITIES. THESE INCLUDE: -FUNDING A PORTION OF SALARIES FOR PATIENT NAVIGATORS TO ASSIST COMMUNITY PATIENTS IN OVERCOMING BARRIERS TO CANCER CARE; -PROVIDING SUPPORT PROGRAMS FOR PATIENTS, FAMILIES/CAREGIVERS AND THE PUBLIC. FOR EXAMPLE, THE FOUNDATION'S MONTHLY "CANCER CONNECTIONS" MEETING PROVIDES PATIENTS, CAREGIVERS AND FAMILY MEMBERS, AND THE PUBLIC AN OPPORTUNITY TO LEARN ABOUT LOCAL SUPPORT GROUPS, EDUCATIONAL PROGRAMS, WELLNESS ACTIVITIES AND COMMUNITY RESOURCES TO ASSIST PATIENTS IN THEIR CANCER JOURNEY; -PROVIDING HEALTH INFORMATION TO THE COMMUNITY: PHYSICIANS FROM ALMOST EVERY CLINICAL AREA AT THE FOUNDATION ARE FREQUENT SPEAKERS AT COMMUNITY EDUCATION EVENTS, AS WELL AS CONTRIBUTORS TO STRUCTURED EDUCATIONAL PROGRAMS. THE INTERNET HAS ALSO PROVIDED A FORUM FOR FOUNDATION PHYSICIANS TO COMMUNICATE HEALTH INFORMATION TO THE PUBLIC; AND -SUPPORTING IN-KIND CONTRIBUTION TO ORGANIZATIONS THAT BENEFIT THE COMMUNITY: THE FOUNDATION ENCOURAGES ITS EMPLOYEES TO BE ACTIVELY INVOLVED IN PROFESSIONAL ACTIVITIES, AND MANY OF THE PROFESSIONAL ORGANIZATIONS IN WHICH THE EMPLOYEES ARE INVOLVED SEEK TO IMPROVE PUBLIC HEALTH.
4b (Code:   ) (Expenses $ 91,165,235 including grants of $ 91,165,235 ) (Revenue $ 0 )
RESEARCH AND EDUCATION THE FOUNDATION IS COMMITTED TO THE MISSION OF ADVANCING THE BOUNDARIES OF MEDICAL SCIENCE AND CLINICAL PRACTICES THROUGH THE DISCOVERY, TRANSLATION, AND DISSEMINATION OF KNOWLEDGE IN CONJUNCTION WITH ITS ACADEMIC PARTNER, NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE (FSM). THE FOUNDATION ALSO IS COMMITTED TO TRAINING THE NEXT GENERATION OF HEALTHCARE PROVIDERS. THE FOUNDATION'S MEMBER PHYSICIANS ALSO SERVE AS FACULTY AT FSM AND PARTICIPATE IN A WIDE RANGE OF ACADEMIC ACTIVITIES INCLUDING TEACHING, RESEARCH, AND OTHER SCHOLARLY ACTIVITIES. FSM WAS RANKED BY U.S. NEWS AND WORLD REPORT AS BEING IN THE TOP TWENTY MEDICAL SCHOOLS IN THE NATION FOR RESEARCH. For the year ended August 31, 2013, the Foundation contributed $91.2 million to FSM FOR THE PURPOSE OF DEVELOPING AND SUSTAINING MEDICAL EDUCATION PROGRAMS, ENHANCING BASIC AND APPLIED BIOMEDICAL RESEARCH, AND SUPPORTING OTHER RESEARCH AND EDUCATIONAL ACTIVITIES. IN PARTICULAR, FSM REPORTS THAT CONTRIBUTIONS FROM THE FOUNDATION: SUPPORTED THE RECRUITMENT AND RETENTION OF FACULTY INVESTIGATORS AND ACADEMIC LEADERS; PROVIDED FUNDING FOR CORE FACILITIES AND SERVICES FOR RESEARCH AND EDUCATION, INCLUDING THE CENTER FOR SIMULATION AND TECHNOLOGY AND IMMERSIVE LEARNING, ENTERPRISE DATA WAREHOUSE, AND THE CENTER FOR COMPARATIVE MEDICINE; ENABLED THE RENOVATION AND IMPROVEMENT OF PHYSICAL FACILITIES FOR RESEARCH AND EDUCATION; supported THE INSTITUTE FOR PUBLIC HEALTH AND MEDICINE, WITH EMPHASIS ON HEALTH CARE QUALITY AND PATIENT CENTERED OUTCOMES; AND, PROVIDED FINANCIAL RESOURCES FOR THE GENERAL SUPPORT OF DEPARTMENT-BASED COSTS OF ACADEMIC AND RESEARCH ACTIVITIES, INCLUDING SALARIES OF FACULTY, GRADUATE STUDENTS, FELLOWS, AND RESEARCH STAFF.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $ 0 including grants of $ 0 ) (Revenue $ 0 )
4e Total program service expensesMediumBullet633,605,702
Form 990 (2012)
Form 990 (2012)
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 (see instructions)? 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 I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II........
4
 
No
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 III............................
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
 
No
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
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; 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 IVClick 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
 
No
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, line 10?
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 VIIClick 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 VIIIClick 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 IXClick 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 XClick 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 XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII 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 and XII 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, Parts I and IV......... 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 United States? If “Yes,” complete Schedule F, Parts II and IVClick 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 United States? If “Yes,” complete Schedule F, Parts III and IV... 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 I (see instructions)....
17
 
No
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............
18
 
No
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...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2012)
Form 990 (2012)
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
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 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 lines 24b through 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, highest 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
Yes
 
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
 
No
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
 
No
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 direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
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, Part II, III, or IV, and Part 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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
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
194
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
Yes
 
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
2,573
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, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
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 as charitable contributions?...
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
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
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. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
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 .....................
1a
33
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
6
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
 
No
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
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this 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:
MediumBulletJustin Johnson680 N Lake Shore Drive Suite 1118ChicagoIL60611 (312) 926-1599
Form 990 (2012)
Form 990 (2012)
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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(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) Eric Russell MD........................................................................
Director
 60.0
.......................0.0 		X           744,628 122,431 61,240
(2) Robert Kern md........................................................................
Director
 60.0
.......................0.0 		X           639,577 214,638 70,775
(3) Amy Paller MD........................................................................
Director
 60.0
.......................0.0 		X           370,879 199,073 68,304
(4) Anthony Schaeffer MD........................................................................
Director
 60.0
.......................0.0 		X           346,408 378,662 63,309
(5) Bharat Mittal MD........................................................................
Director
 60.0
.......................0.0 		X           703,787 98,475 61,883
(6) Robert Feder MD........................................................................
Director
 60.0
.......................0.0 		X           324,079 15,783 58,288
(7) Jack Rozental MD........................................................................
Director
 60.0
.......................0.0 		X           271,865 78,221 60,598
(8) James Chandler MD........................................................................
Director
 60.0
.......................0.0 		X           967,544 51,196 41,558
(9) William Grobman MD........................................................................
Director
 60.0
.......................0.0 		X           93,628 225,305 46,687
(10) Judith Wolfman MD........................................................................
Director
 60.0
.......................0.0 		X           407,333 1,208 47,523
(11) James Adams MD........................................................................
Director
 60.0
.......................0.0 		X           326,369 232,085 46,210
(12) Serdar Bulun MD........................................................................
Director
 60.0
.......................0.0 		X           263,792 399,051 65,029
(13) Nathaniel Soper MD........................................................................
Director
 60.0
.......................0.0 		X           719,833 150,706 60,889
(14) Jonathan Licht MD........................................................................
Director
 60.0
.......................0.0 		X           201,551 444,517 69,814
(15) William Muller MD........................................................................
Director
 60.0
.......................0.0 		X           248,965 307,925 71,549
(16) John Csernansky MD........................................................................
Director
 60.0
.......................0.0 		X           265,202 251,001 64,611
(17) Douglas Vaughan MD........................................................................
Director
 60.0
.......................0.0 		X           597,245 297,002 70,560
Form 990 (2012)
Form 990 (2012)
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 (list any hours for related organizations below dotted line) 		(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) David Mahvi MD........................................................................
Director
 60.0
.......................0.0 		X           473,282 70,551 60,664
(19) Cathrine Frank MD........................................................................
Director
 60.0
.......................0.0 		X           234,557 17,051 45,827
(20) Malcom DeCamp Jr MD........................................................................
Director
 60.0
.......................0.0 		X           827,600 71,898 61,264
(21) Nicholas Volpe MD........................................................................
Director
 60.0
.......................0.0 		X           438,833 194,264 62,766
(22) Clyde Yancy MD........................................................................
Director
 60.0
.......................0.0 		X           156,372 337,468 40,744
(23) Eric Neilson........................................................................
Chairman and CEO
 60.0
.......................0.0 		X   X       564,228 570,962 72,001
(24) Terrance Peabody md........................................................................
Director
 60.0
.......................0.0 		X           386,932 439,548 66,886
(25) Marie christine Stock md........................................................................
Director
 60.0
.......................0.0 		X           568,773 1,036 55,176
(26) Stephan Ondra........................................................................
Director
 60.0
.......................0.0 		X                
(27) Andrew Parsa........................................................................
Director
 60.0
.......................0.0 		X                
(28) Dimitri Krainc........................................................................
Director
 60.0
.......................0.0 		X                
(29) Dean Harrison........................................................................
Ex-Officio Director
 1.0
.......................0.0 		X                
(30) Stephen Crawford........................................................................
Independent Director
 1.0
.......................0.0 		X           7,000    
(31) Charles Gardner........................................................................
independent Director
 1.0
.......................0.0 		X           18,900    
(32) J Douglas Gray........................................................................
independent Director
 1.0
.......................0.0 		X           12,250    
(33) Lloyd Morgan........................................................................
Independent Director
 1.0
.......................0.0 		X           9,450    
(34) Jane Pigott........................................................................
Independent Director
 1.0
.......................0.0 		X           3,850    
(35) Norman Botsford........................................................................
Chief Operating Officer
 60.0
.......................0.0 		X   X       556,392 0 38,993
(36) Danae Prousis........................................................................
General Counsel
 60.0
.......................0.0 		    X       591,155 0 36,602
(37) Brian m Walsh........................................................................
Chief Financial Officer
 60.0
.......................0.0 		    X       382,070 0 50,023
(38) Carl Christensen........................................................................
Chief Information Officer
 60.0
.......................0.0 		    X       424,645 0 46,792
(39) Phillip Roemer md........................................................................
Chief Medical Officer
 60.0
.......................0.0 		    X       367,491 3,000 56,484
(40) Patrick McCarthy md........................................................................
Physician
 60.0
.......................0.0 		        X   1,791,190 198,428 59,002
(41) Murad Alam md........................................................................
Physician
 60.0
.......................0.0 		        X   1,566,078 1,000 38,805
(42) Tyler Koski md........................................................................
Physician
 60.0
.......................0.0 		        X   1,510,991 6,500 53,857
(43) Jayesh Mehta md........................................................................
Physician
 60.0
.......................0.0 		        X   1,326,202 156,329 53,679
(44) Steven Rosen md........................................................................
Physician
 60.0
.......................0.0 		        X   529,730 849,309 73,867
(45) Jeffrey Glassroth........................................................................
FORMER chairman and ceo
 60.0
.......................0.0 		          X 651,505 274,799 65,951
(46) James Schroeder........................................................................
FORMER CeO
 60.0
.......................0.0 		          X 449,342 164,084 59,888
(47) h Huntington Batjer md........................................................................
former director
 60.0
.......................0.0 		          X 724,700 86,458 54,909
(48) John Kessler........................................................................
FORMER DIRECTOR
 60.0
.......................0.0 		          X 193,345 618,769 64,765
(49) Sharon Dooley........................................................................
Former director
 60.0
.......................0.0 		          X 168,533 81,717 31,188
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 22,428,081 7,610,450 2,278,960
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet850
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
DEVELOPMENT SOLUTIONS, 20 North CLARKCHICAGOIL60602 CONSTRUCTION SERVICE 1,496,625
MCDERMOTT WILL AND EMERY, 227 WEST MONROECHICAGOIL60606 LEGAL SERVICES 636,768
POWER CONSTRUCTION COMPANY, 2360 PALMER DRIVESCHAUMBURGIL60173 CONSTRUCTION SERVICE 593,048
TRISSENTIAL LLC, 1905 EAST WAYZATA BLVD STE 333MINNEAPOLISMN55391 CONSULTING SERVICES 533,388
MIRAMED REVENUE GROUP, 991 OAK CREEK DRIVELOMBARDIL60148 COLLECTION SERVICES 424,410
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet21
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 0
d Related organizations...1d  
e Government grants (contributions)1e 7,377,557
f All other contributions, gifts, grants, and
similar amounts not included above1f 		52,093,127
g Noncash contributions included in lines
1a-1f:$ 		0
h Total. Add lines 1a-1f.......MediumBullet 59,470,684
Program Service Revenue Business Code
2a PATIENT SERVICE REVENUE 621110 560,883,125 560,883,125 0 0
b RENTAL INCOME 532000 1,119,310 1,119,310 0 0
c OTHER REVENUE 621110 65,542,785 65,542,785 0 0
d DIAGNOSTIC IMAGING - THIRD PARTIES 621110 2,033,349 2,033,349 0 0
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 629,578,569
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 2,725,998   1,722,556 1,003,442
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss) 0 0
d Net rental income or (loss).......MediumBullet 0      
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   64,955,010
b Less: cost or other basis and sales expenses   61,055,508
c Gain or (loss)   3,899,502
d Net gain or (loss)..........MediumBullet 3,899,502     3,899,502
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b 0
c Net income or (loss) from fundraising events..MediumBullet 0    
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  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 0
12 Total revenue. See Instructions......MediumBullet 695,674,753 629,578,569 1,722,556 4,902,944
Form 990 (2012)
Form 990 (2012)
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).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 91,165,235 91,165,235
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0 0
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0 0
4 Benefits paid to or for members 0 0
5 Compensation of current officers, directors, trustees, and key employees .... 15,830,937 13,418,843 2,412,094 0
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   0 0
7 Other salaries and wages 311,808,039 281,139,149 30,668,890 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 24,433,399 22,378,924 2,054,475 0
9 Other employee benefits ....... 23,769,313 21,864,172 1,905,141 0
10 Payroll taxes ........... 16,066,494 13,773,546 2,292,948 0
11 Fees for services (non-employees):        
a Management ...... 156,144 106,340 49,804 0
b Legal ......... 2,211,770 50,231 2,161,539 0
c Accounting ........... 1,017,860   1,017,860 0
d Lobbying ........... 0     0
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ...... 0 0 0 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 42,309,086 26,963,266 15,345,820 0
12 Advertising and promotion .... 777,768 434,639 343,129 0
13 Office expenses ....... 9,498,208 5,555,303 3,942,905 0
14 Information technology ...... 6,585,605 555,680 6,029,925 0
15 Royalties .. 0 0 0 0
16 Occupancy ........... 21,091,598 15,176,616 5,914,982 0
17 Travel ............ 1,311,476 1,218,304 93,172 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0 0 0 0
19 Conferences, conventions, and meetings .... 0 0 0 0
20 Interest ........... 1,434,162 1,402,155 32,007 0
21 Payments to affiliates ....... 0 0 0 0
22 Depreciation, depletion, and amortization ..... 15,209,318 7,044,748 8,164,570 0
23 Insurance .............. 10,051,813 9,559,107 492,706 0
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a DRUGS, MEDICAL SUPPLIES 87,623,062 87,588,814 34,248 0
b NON-OPERATING EXP - UBIT 1,128,036 0 1,128,036 0
c BAD DEBT EXPENSE 22,163,164 22,163,164 0 0
d MISC EXPENSES 13,071,456 12,047,466 1,023,990  
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 718,713,943 633,605,702 85,108,241 0
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). 0      
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 42,212,532 1 19,326,148
2 Savings and temporary cash investments ......... 85,521,548 2 67,068,271
3 Pledges and grants receivable, net ........... 15,444,029 3 33,654,003
4 Accounts receivable, net ............. 57,252,243 4 82,211,389
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
16,667 5 345,831
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 4,138,797 7 4,386,522
8 Inventories for sale or use .............. 3,899,062 8 2,568,199
9 Prepaid expenses and deferred charges .......... 5,632,205 9 7,171,811
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 167,226,445
b Less: accumulated depreciation ..... 10b 87,982,138 75,100,238 10c 79,244,307
11 Investments—publicly traded securities .......... 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 85,470,982 12 114,066,810
13 Investments—program-related. See Part IV, line 11 ..... 151,381 13 251,254
14 Intangible assets ............... 2,170,121 14 12,524,623
15 Other assets. See Part IV, line 11 ........... 194,754,191 15 217,144,020
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 571,763,996 16 639,963,188
Liabilities 17 Accounts payable and accrued expenses ......... 65,131,474 17 83,461,977
18 Grants payable ................. 30,423,278 18 41,854,325
19 Deferred revenue ................ 0 19 0
20 Tax-exempt bond liabilities ............. 63,965,000 20 62,095,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other 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 .. 1,651,503 23 524,854
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.................... 170,332,324 25 218,164,529
26 Total liabilities. Add lines 17 through 25......... 331,503,579 26 406,100,685
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 198,441,342 27 186,434,909
28 Temporarily restricted net assets ........... 41,819,075 28 47,427,594
29 Permanently restricted net assets ........... 0 29 0
Organizations that do not follow SFAS 117 (ASC 958), 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 ........... 240,260,417 33 233,862,503
34 Total liabilities and net assets/fund balances ........ 571,763,996 34 639,963,188
Form 990 (2012)
Form 990 (2012)
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
695,674,753
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
718,713,943
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-23,039,190
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
240,260,417
5
Net unrealized gains (losses) on investments ...............
5
17,039,574
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
-398,298
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
 
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
233,862,503
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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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
 
No
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
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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
2012
Open to Public
Inspection
Name of the organization
NORTHWESTERN MEDICAL FACULTY
FOUNDATION
Employer identification number

36-3097297
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 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
Provide the following information about the supported organization(s).
(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 monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 15,017,151 14,363,797 23,521,970 35,517,000 59,470,684 147,890,602
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...... 501,009,070 536,910,335 545,752,642 572,257,072 629,578,569 2,785,507,688
3 Gross receipts from activities that are not an unrelated trade or business under section 513..           0
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...           0
5 The value of services or facilities furnished by a governmental unit to the organization without charge..           0
6 Total. Add lines 1 through 5. 516,026,221 551,274,132 569,274,612 607,774,072 689,049,253 2,933,398,290
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...           0
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.           0
c Add lines 7a and 7b..           0
8 Public support (Subtract line 7c from line 6.)           2,933,398,290
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6... 516,026,221 551,274,132 569,274,612 607,774,072 689,049,253 2,933,398,290
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 1,203,782 1,763,780 1,569,425 399,394 1,003,442 5,939,823
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.       895,396 1,722,556 2,617,952
c Add lines 10a and 10b. 1,203,782 1,763,780 1,569,425 1,294,790 2,725,998 8,557,775
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.           0
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..           0
13 Total support. (Add lines 9, 10c, 11, and 12.).. 517,230,003 553,037,912 570,844,037 609,068,862 691,775,251 2,941,956,065
14
Section C. Computation of Public Support Percentage
15
15
99.709 %
16
16
99.710 %
Section D. Computation of Investment Income Percentage
17
17
0.291 %
18
18
0.290 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

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
2012
Name of the organization
NORTHWESTERN MEDICAL FACULTY
FOUNDATION
Employer identification number

36-3097297
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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
NORTHWESTERN MEDICAL FACULTY
FOUNDATION 		Employer identification number

36-3097297
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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
NORTHWESTERN MEDICAL FACULTY
FOUNDATION 		Employer identification number

36-3097297
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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
NORTHWESTERN MEDICAL FACULTY
FOUNDATION 		Employer identification number

36-3097297
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) (2012)

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
2012
Open to Public Inspection
Name of the organization
NORTHWESTERN MEDICAL FACULTY
FOUNDATION
Employer identification number

36-3097297
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 .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 XIII, 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
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)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII 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 .................   1,314,716 1,314,716
b Buildings ................   90,171,005 46,161,801 44,009,204
c Leasehold improvements ............   26,246,112 11,086,291 15,159,821
d Equipment ................   39,216,298 25,525,926 13,690,372
e Other .................   10,278,314 5,208,120 5,070,194
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 79,244,307
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
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) CFI CORE EQUITY FUND 		2,866,839 F

(B) CF ALTERNATIVE INVESTMENTS 		9,310,022 F

(C) STATE STREET INST US GOVT 		2,089,732 F

(D) VANGUARD INVESTMENTS 		40,510,475 F

(E) NU LONG TERM BALANCE POOL 750 		50,331,409 F

(F) OVERLAND BOND & CAR CREDIT 		8,958,333 F



Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 114,066,810
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) Other accounts receivable 15,288,202
(2) DEFERRED COMP PROGRAM ASSETS 9,206,840
(3) Insurance recoverables 76,358,000
(4) Insurance program assets 116,290,978





Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 217,144,020
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
ACCOUNTS PAYABLE DUE TO NU 720,077
DEFERRED COMPENSATION PROGRAM LIAB 9,283,890
ACCRUED LOSSES INSURANCE RECOVERY 76,358,000
Insurance program liabilities 103,413,410
DEFERRED RENT & LEASE INCENTIVE 12,447,335
Other non-current liabilities 15,941,817



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 218,164,529
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI 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 XIII.) ............ 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 XIII.) ........... 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 XII 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 XIII.) ............ 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 XIII.) ............ 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 XIII
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
SUPPLEMENTAL INFORMATION Schedule D, Part X, Line 2 The Foundation routinely assesses uncertain tax positions to determine whether, based on the technical merits, such positions are more likely than not to be sustained upon examination by taxing authorities. For positions that fail to meet the more likely than not threshold, the Foundation estimates and records the amount of the potential tax liability, including taxes, interest, and penalties.
Schedule D (Form 990) 2012

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
2012
Open to Public Inspection
Name of the organization
NORTHWESTERN MEDICAL FACULTY
FOUNDATION
Employer identification number

36-3097297
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 the grants or
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 grant funds outside
the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (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 and investments
in region
Central America and the Caribbean     Program Services Insurance 18,946,876
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     18,946,876
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     18,946,876
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
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. Part II can be duplicated 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) 2012
Schedule F (Form 990) 2012Page 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.
Part III can be duplicated 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) 2012
Schedule F (Form 990) 2012
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, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (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) 2012
Schedule F (Form 990) 2012
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
SUPPLEMENTAL INFORMATION FORM 990, SCHEDULE F, PART I, LINE 3 the amounts in Column F represent expenditures for the region based on accrual method of accounting.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2012
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
2012
Open to Public
Inspection
Name of the organization
NORTHWESTERN MEDICAL FACULTY
FOUNDATION
Employer identification number
36-3097297
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. Part II can be duplicated if additional space is needed.
(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 UNIVERSITY
333 EAST SUPERIOR ST
Chicago,IL60611 		36-2167817 501(c)(3) 6,600,000       NMCAT STRATEGIC ALIGNMENT
(2) NORTHWESTERN UNIVERSITY
333 EAST SUPERIOR ST
CHICAGO,IL60611 		36-2167817 501(c)(3) 8,603,000       NMCAT DEPARTMENT FUND
(3) NORTHWESTERN UNIVERSITY
333 EAST SUPERIOR ST
CHICAGO,IL60611 		36-2167817 501(c)(3) 15,544,654       NMCAT CLINICAL MISSION ASSETS
(4) NORTHWESTERN UNIVERSITY
333 East Superior St
CHICAGO,IL60611 		36-2167817 501(c)(3) 18,699,170       NU-FSM RUBICON RELINQUISHMENT
(5) NORTHWESTERN UNIVERSITY
333 East Superior St
CHICAGO,IL60611 		36-2167817 501(c)(3) 16,488,082       NU-FSM MISSION SUPPORT CONTRIBUTION
(6) NORTHWESTERN FOUNDATION FOR RESEARCH & EDUCATION
680 N LAKE SHORE DRIVE
CHICAGO,IL60611 		36-4093385 501(c)(3) 5,000,000       PROVISION FOR RESEARCH & EDUCATION
(7) NORTHWESTERN UNIVERSITY
333 East Superior St
CHICAGO,IL60611 		36-2167817 501(C)(3) 20,230,329       PROVISION FOR RESEARCH & EDUCATION










2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
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.
Part III can be duplicated 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












Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
FORM 990, SCHEDULE I DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE FOUNDATION REQUESTS NORTHWESTERN UNIVERSITY'S FEINBERG SCHOOL OF MEDICINE TO PROVIDE AN ANNUAL ACCOUNTING OF EXPENDITURES MADE AND ACTIVITIES SUPPORTED USING GRANTS AND CONTRIBUTIONS PROVIDED BY THE FOUNDATION.
Schedule I (Form 990) 2012


Additional Data


Software ID:  
Software Version:  


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
2012
Open to Public Inspection
Name of the organization
NORTHWESTERN MEDICAL FACULTY
FOUNDATION
Employer identification number

36-3097297
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 of the expenses described above? If "No," complete Part III to explain....
1b
 
 
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
 
 
3
Indicate which, if any, of the following the filing organization used 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
 
No
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
 
No
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
Yes
 
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
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 (E) amounts for that individual.
(A) Name and Title (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)Eric Russell MDDirector (i)
(ii)		 572,331
114,805 		162,925
0 		9,372
7,626 		30,000
11,987 		18,563
690 		793,191
135,108 		0
0
(2)Robert Kern mdDirector (i)
(ii)		 484,227
207,406 		149,100
0 		6,250
7,232 		30,000
9,737 		30,145
893 		699,722
225,268 		0
0
(3)Amy Paller MDDirector (i)
(ii)		 269,872
190,688 		81,948
0 		19,059
8,385 		28,433
7,965 		30,375
1,531 		429,687
208,569 		0
0
(4)Anthony Schaeffer MDDirector (i)
(ii)		 210,738
373,718 		107,397
0 		28,273
4,944 		30,000
12,500 		19,152
1,657 		395,560
392,819 		0
0
(5)Bharat Mittal MDDirector (i)
(ii)		 544,811
93,551 		152,425
0 		6,551
4,924 		30,000
9,848 		21,647
388 		755,434
108,711 		0
0
(6)Robert Feder MDDirector (i)
(ii)		 219,414
14,858 		65,150
0 		39,515
925 		30,000
1,850 		26,391
47 		380,470
17,680 		0
0
(7)Jack Rozental MDDirector (i)
(ii)		 184,099
74,287 		85,865
0 		1,901
3,934 		30,000
7,820 		22,646
132 		324,511
86,173 		0
0
(8)James Chandler MDDirector (i)
(ii)		 580,664
48,726 		386,432
0 		448
2,470 		30,000
2,339 		9,050
169 		1,006,594
53,704 		0
0
(9)William Grobman MDDirector (i)
(ii)		 84,806
211,400 		4,097
0 		4,725
13,905 		12,266
11,206 		22,415
800 		128,309
237,311 		0
0
(10)Judith Wolfman MDDirector (i)
(ii)		 303,407
1,148 		62,959
0 		40,967
60 		30,000
121 		17,380
22 		454,713
1,351 		0
0
(11)James Adams MDDirector (i)
(ii)		 229,391
225,745 		96,281
0 		697
6,340 		25,920
10,593 		8,841
856 		361,130
243,534 		0
0
(12)Serdar Bulun MDDirector (i)
(ii)		 146,197
381,859 		116,933
0 		662
17,192 		28,520
12,500 		23,092
917 		315,404
412,468 		0
0
(13)Nathaniel Soper MDDirector (i)
(ii)		 542,752
142,882 		153,689
0 		23,392
7,824 		30,000
6,792 		23,713
384 		773,546
157,882 		0
0
(14)Jonathan Licht MDDirector (i)
(ii)		 194,709
415,844 		0
0 		6,842
28,673 		25,401
12,500 		28,182
3,731 		255,134
460,748 		0
0
(15)William Muller MDDirector (i)
(ii)		 148,766
307,925 		93,573
0 		6,626
0 		30,000
12,500 		28,247
802 		307,212
321,227 		0
0
(16)John Csernansky MDDirector (i)
(ii)		 172,933
249,969 		85,531
0 		6,738
1,032 		27,690
12,498 		23,425
998 		316,317
264,497 		0
0
(17)Douglas Vaughan MDDirector (i)
(ii)		 436,017
211,015 		154,438
0 		6,790
85,987 		30,000
9,223 		30,391
946 		657,636
307,171 		0
0
(18)David Mahvi MDDirector (i)
(ii)		 375,789
67,023 		75,000
0 		22,493
3,528 		30,000
7,055 		23,507
102 		526,789
77,708 		0
0
(19)Cathrine Frank MDDirector (i)
(ii)		 191,703
16,198 		21,525
0 		21,329
853 		28,799
1,705 		15,263
60 		278,619
18,816 		0
0
(20)Malcom DeCamp Jr MDDirector (i)
(ii)		 706,578
68,303 		50,000
0 		71,022
3,595 		30,000
7,190 		23,808
266 		881,408
79,354 		0
0
(21)Nicholas Volpe MDDirector (i)
(ii)		 349,972
144,719 		88,375
0 		486
49,545 		30,000
6,931 		25,199
636 		494,032
201,831 		0
0
(22)Clyde Yancy MDDirector (i)
(ii)		 103,015
284,183 		50,000
0 		3,357
53,285 		14,794
10,181 		14,852
917 		186,018
348,566 		0
0
(23)Eric NeilsonChairman and CEO (i)
(ii)		 339,907
561,458 		200,000
0 		24,321
9,504 		30,000
16,250 		16,473
9,278 		610,701
596,490 		0
0
(24)Terrance Peabody mdDirector (i)
(ii)		 261,041
411,351 		125,000
0 		891
28,197 		30,000
12,783 		23,701
402 		440,633
452,733 		0
0
(25)Marie christine Stock mdDirector (i)
(ii)		 451,928
984 		93,152
0 		23,693
52 		30,000
104 		25,066
6 		623,839
1,146 		0
0
(26)Norman BotsfordChief Operating Officer (i)
(ii)		 437,722
0 		82,500
0 		36,170
0 		25,000
0 		13,993
0 		595,385
0 		0
0
(27)Danae ProusisGeneral Counsel (i)
(ii)		 439,204
0 		111,263
0 		40,688
0 		25,000
0 		11,602
0 		627,757
0 		0
0
(28)Brian m WalshChief Financial Officer (i)
(ii)		 277,660
0 		64,496
0 		39,914
0 		25,000
0 		25,023
0 		432,093
0 		0
0
(29)Carl ChristensenChief Information Officer (i)
(ii)		 304,143
0 		80,588
0 		39,914
0 		25,000
0 		21,792
0 		471,437
0 		0
0
(30)Phillip Roemer mdChief Medical Officer (i)
(ii)		 289,016
2,850 		61,226
0 		17,249
150 		30,000
300 		26,178
6 		423,669
3,306 		0
0
(31)Jeffrey GlassrothFORMER chairman and ceo (i)
(ii)		 302,500
262,296 		325,000
0 		24,005
12,503 		30,000
15,417 		2,295
18,239 		683,800
308,455 		0
0
(32)James SchroederFORMER CeO (i)
(ii)		 141,640
154,375 		0
0 		307,702
9,709 		19,500
16,250 		23,346
792 		492,188
181,126 		0
0
(33)Patrick McCarthy mdPhysician (i)
(ii)		 1,127,396
190,985 		640,000
0 		23,794
7,443 		30,000
13,589 		14,643
770 		1,835,833
212,787 		0
0
(34)Murad Alam mdPhysician (i)
(ii)		 330,702
990 		1,218,651
0 		16,725
10 		30,000
60 		8,740
5 		1,604,818
1,065 		0
0
(35)Tyler Koski mdPhysician (i)
(ii)		 551,599
6,175 		834,481
0 		124,911
325 		30,000
650 		23,186
21 		1,564,177
7,171 		0
0
(36)Jayesh Mehta mdPhysician (i)
(ii)		 557,648
4,825 		751,428
151,250 		17,126
254 		30,000
508 		23,144
27 		1,379,346
156,864 		0
0
(37)Steven Rosen mdPhysician (i)
(ii)		 147,250
827,475 		375,000
0 		7,480
21,834 		30,000
16,250 		23,808
3,809 		583,538
869,368 		0
0
(38)h Huntington Batjer mdformer director (i)
(ii)		 595,299
81,154 		0
0 		129,401
5,304 		30,000
8,495 		15,871
543 		770,571
95,496 		0
0
(39)John KesslerFORMER DIRECTOR (i)
(ii)		 167,187
607,839 		0
0 		26,158
10,930 		23,168
11,875 		28,713
1,009 		245,226
631,653 		0
0
(40)Sharon DooleyFormer director (i)
(ii)		 154,668
69,262 		0
0 		13,865
12,455 		20,136
8,023 		2,558
471 		191,227
90,211 		0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 4A DR. JAMES SCHROEDER RECEIVED SEVERANCE PAYMENTS TOTALING $288,755 FROM THE ORGANIZATION.
SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 5A A LIMITED NUMBER OF PHYSICIANS EMPLOYED BY THE FOUNDATION RECEIVE COMPENSATION IN PART BASED UPON REVENUES GENERATED BY THEIR PERSONALLY PROVIDED CLINICAL SERVICES.
SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 7 THE COMPENSATION COMMITTEE MAKES DECISIONS ON CERTAIN NON-FIXED PAYMENTS SUCH AS INCENTIVE COMPENSATION. SEE SCHEDULE O FOR DETAILED DESCRIPTION OF THE COMPENSATION COMMITTEE PROCESS.
SCHEDULE J, PART I, LINE 8   PHYSICIANS WHOSE COMPENSATION IS REPORTED IN FORM 990, PART VII RECEIVED COMPENSATION PURSUANT TO TERMS THAT WERE FIXED IN CONTRACTS EXECUTED AT THE TIME OF THEIR RECRUITMENT TO THE FOUNDATION. IN EACH CASE, THE FOUNDATION FOLLOWED THE REBUTTABLE PRESUMPTION PROCEDURE DESCRIBED IN REGULATIONS SECTION 53.4958-6(C) IN APPROVING THEIR COMPENSATION.
Schedule J (Form 990) 2012

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
2012
Open to Public
Inspection
Name of the organization
NORTHWESTERN MEDICAL FACULTY
FOUNDATION
Employer identification number
36-3097297
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 111111111 04-23-2012 63,965,000 Refunding of Series 1998 bonds   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 63,452,252      
2 Amount of bonds legally defeased . . . . . . . . . . . 0      
3 Total proceeds of issue . . . . . . . . . . . . . . 63,965,000      
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0      
5 Capitalized interest from proceeds . . . . . . . . . . . 0      
6 Proceeds in refunding escrows . . . . . . . . . . . . 0      
7 Issuance costs from proceeds . . . . . . . . . . . . 512,748      
8 Credit enhancement from proceeds . . . . . . . . . . . 0      
9 Working capital expenditures from proceeds . . . . . . . . . 0      
10 Capital expenditures from proceeds . . . . . . . . . . . 0      
11 Other spent proceeds . . . . . . . . . . . . . . 0      
12 Other unspent proceeds . . . . . . . . . . . . . . 0      
13 Year of substantial completion . . . . . . . . . . . . 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X              
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X            
16 Has the final allocation of proceeds been made? . . . . . . . . X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . 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            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X              
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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              
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              
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . 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              
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%   %   %   %
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%   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0%   %   %   %
7 Does the bond issue meet the private security or payment test? . . . . .   X            
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X            
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X            
9 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            
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X            
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X              
b Exception to rebate? . . . . . . . . X              
c No rebate due? . . . . . . . . . .
  X            
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X              
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X            
b Name of provider . . . . . . . . . 0
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X            
b Name of provider . . . . . . . . . 0
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X            
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X            
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 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?   X            
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
supplemental information 0 FORM 990, SCHEDULE K, PART III, LINE 7 There were no written procedures to monitor requirements. The debt was retired in 2014. THE FOUNDATION BELIEVES THAT THE BONDS DO NOT SATISFY THE PRIVATE PAYMENT/PRIVATE SECURITY TEST. HOWEVER, BECAUSE THE AMOUNT OF PRIVATE USE IS WELL BELOW THE 5% THRESHOLD, THE FOUNDATION HAS NOT PERFORMED A SPECIFIC ANALYSIS OF POTENTIAL PRIVATE PAYMENTS. FORM 990, SCHEDULE K, PART V There were no written procedures. The debt was retired in 2014.
Schedule K (Form 990) 2012

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, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
NORTHWESTERN MEDICAL FACULTY
FOUNDATION
Employer identification number

36-3097297
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) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
(1) Malcom DeCamp EMP & IND DIRECTOR Recruitment   X 300,000 112,500   No   No Yes  
(2) TYLER KOSKI HIGHEST COMP EMP RETENTION   X 500,000 233,331   No   No Yes  
Total ......Small Bullet $ 345,831
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 assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
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
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
LOAN TO DIRECTOR PRIOR TO HIS DIRECTORSHIP SCHEDULE L, PART II DR. MALCOLM DECAMP'S RECRUITMENT AGREEMENT WITH NORTHWESTERN MEDICAL FACULTY FOUNDATION INCLUDES A LOAN. DR. DECAMP IS A MEMBER OF THE BOARD OF DIRECTORS AND AN EMPLOYED PHYSICIAN. THIS ARRANGEMENT WAS PART OF A RECRUITMENT PACKAGE MADE IN ACCORDANCE WITH FOUNDATION'S COMPENSATION COMMITTEE POLICIES AND PROCEDURES, AND WAS EXECUTED BEFORE THE PHYSICIAN WAS APPOINTED AS A DIRECTOR. THE FOUNDATION ALSO HAS ENTERED INTO A LOAN AGREEMENT WITH DR. TYLER KOSKI, A HIGHEST COMPENSATED EMPLOYEE.
Schedule L (Form 990 or 990-EZ) 2012

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
2012
Open to Public
Inspection
Name of the organization
NORTHWESTERN MEDICAL FACULTY
FOUNDATION
Employer identification number

36-3097297
Identifier Return Reference Explanation
SUPPLEMENTAL INFORMATION FORM 990, PART III, LINE 3 In June 2013 a significant number of employees were transferred to Northwestern Foundation for Research and Education (NFRE). At that time NFRE began providing revenue cycle and scheduling services to NMFF. SUPPLEMENTAL INFORMATION FORM 990, PART V, LINE 2A THE AMOUNT DISCLOSED REFLECTS THE NUMBER OF W-2'S ISSUED BY NORTHWESTERN MEDICAL FACULTY FOUNDATION DIRECTLY, AS WELL AS THOSE ISSUED BY NORTHWESTERN UNIVERSITY TO JOINT EMPLOYEES WHO ARE PAID THROUGH A COMMON PAYMASTER.
DESCRIBE THE CLASS(ES) OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 THE FOUNDATION IS ORGANIZED UNDER THE ILLINOIS GENERAL NOT FOR PROFIT CORPORATION ACT AND HAS MEMBERS WHO ARE FACULTY MEMBERS OF THE NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A UNDER THE FOUNDATION'S BYLAWS, MEMBERS OF THE FOUNDATION HAVE THE RIGHT TO ELECT AT-LARGE DIRECTORS OF THE BOARD AT THE ANNUAL MEETING OF THE MEMBERS.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B UNDER THE FOUNDATION'S BYLAWS, MEMBERS OF THE FOUNDATION HAVE THE RIGHT TO VOTE TO AMEND OR REPEAL THE BYLAWS AND TO ALTER THE AMOUNT OF THE CONTRIBUTIONS TO THE DEAN'S EDUCATION-RESEARCH FUND OF THE FEINBERG SCHOOL OF MEDICINE. PROCESS ORGANIZATION USES TO REVIEW FORM 990 FORM 990, PART VI, LINE 11A The Foundation's Form 990 for fiscal year 2013 was compiled internally by management. management then worked with a national, independent public accounting firm, Ernst & Young LLP, as the paid tax preparer of the form 990 filing.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST FORM 990, PART VI, LINE 12C IN ACCORDANCE WITH ITS CONFLICT OF INTEREST POLICY, THE FOUNDATION CONDUCTS AN ANNUAL SURVEY OF INTERESTS OF THE MEMBERS OF THE BOARD OF DIRECTORS; MEMBERS OF BOARD COMMITTEES; OFFICERS; PHYSICIANS MEMBERS; PHYSICIAN CONSULTANTS; MANAGEMENT; THE INTERNAL AUDITOR; AND, THOSE INVOLVED IN PROCUREMENT ACTIVITIES. IN ADDITION TO COMPLETING THE ANNUAL SURVEY, INDIVIDUALS SUBJECT TO THE POLICY ARE REQUIRED TO UPDATE THEIR SURVEY RESPONSES THROUGHOUT THE YEAR. ALL ANNUAL RESPONSES ARE REVIEWED BY THE FOUNDATION'S GENERAL COUNSEL AND CHIEF COMPLIANCE OFFICER. ADDITIONALLY, THE FOUNDATION'S CLINICAL DEPARTMENT CHAIRMAN AND/OR DIVISION CHIEFS REVIEW THE ANNUAL SURVEY RESPONSES FOR THE PHYSICIANS IN THEIR DEPARTMENTS. FURTHER, THE COMPLIANCE AND AUDIT COMMITTEE REVIEWS THE ANNUAL SURVEY RESPONSES OF ALL MEMBERS OF THE BOARD OF DIRECTORS; MEMBERS OF BOARD COMMITTEES; OFFICERS; EXECUTIVE MANAGEMENT; AND, THE INTERNAL AUDITOR. THE COMPLIANCE AND AUDIT COMMITTEE ALSO RECEIVES AND REVIEWS A SUMMARY REPORT OF ANNUAL SURVEY RESPONSES FROM ALL OTHER RESPONDENTS. WHEN DEEMED NECESSARY AND APPROPRIATE, CONFLICT MANAGEMENT PLANS ARE DEVELOPED AND IMPLEMENTED FOR SELECT RESPONDENTS. THE FOUNDATION'S POLICY ALLOWS FOR PENALTIES FOR INDIVIDUALS REFUSING TO COOPERATE IN THE ANNUAL CONFLICT OF INTEREST SURVEY PROCESS.
PROCESS FOR DETERMINING COMPENSATION FOR CEO, AND OTHER OFFICERS FORM 990, PART VI, LINES 15A & 15B THE COMPENSATION COMMITTEE OF THE NORTHWESTERN MEDICAL FACULTY FOUNDATION IS A COMMITTEE OF THE BOARD OF DIRECTORS WHOSE VOTING MEMBERS ARE ALL OUTSIDE DIRECTORS. THE COMMITTEE OPERATES PURSUANT TO A COMPENSATION COMMITTEE CHARTER AND AN EXECUTIVE LEADERSHIP COMPENSATION PHILOSOPHY AND STRATEGY, BOTH APPROVED BY THE COMMITTEE AND THE BOARD OF DIRECTORS. THE CHARTER DELEGATES OVERSIGHT OF EXECUTIVE LEADERSHIP COMPENSATION TO THE COMMITTEE. THE COMMITTEE IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED BY THE FOUNDATION TO EXECUTIVES, PHYSICIANS WHO ARE "POTENTIALLY DISQUALIFIED PERSONS", AND OTHER PHYSICIAN EMPLOYEES WHO MEET CRITERIA ESTABLISHED BY THE COMMITTEE. THE COMMITTEE RECOGNIZES THE RESPONSIBILITY TO ENSURE THAT ITS EXECUTIVE LEADERSHIP COMPENSATION PROGRAM IS IN FULL COMPLIANCE WITH ALL APPLICABLE LAWS; THAT IT IS APPROPRIATE IN VIEW OF THE FOUNDATION'S PURPOSES, MISSION, AND TAX-EXEMPT STATUS; AND, THAT TOTAL COMPENSATION LEVELS ARE REASONABLE AND NOT EXCESSIVE. THE COMMITTEE, PRIOR TO MAKING COMPENSATION DECISIONS WITH RESPECT TO EXECUTIVE LEADERSHIP AND OTHER DISQUALIFIED PERSONS, OBTAINS AND RELIES UPON APPROPRIATE COMPARABILITY DATA TO SUPPORT ITS DECISION-MAKING PROCESS. THE COMMITTEE'S DECISION-MAKING PROCESS AND MEETINGS ARE THOROUGHLY DOCUMENTED IN OFFICIAL MINUTES ON A TIMELY BASIS. THE COMMITTEE ENGAGES OUTSIDE INDEPENDENT LEGAL COUNSEL AND OUTSIDE INDEPENDENT COMPENSATION CONSULTANTS TO ASSIST THE COMMITTEE IN ITS DECISION-MAKING PROCESS. NO MEMBER OF THE COMMITTEE HAS ANY CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENTS COMING BEFORE THE COMMITTEE.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 THE FOUNDATION MAKES AVAILABLE TO THE PUBLIC BOTH THE CONFLICT OF INTEREST POLICY AND RELEVANT EXTERNAL PROFESSIONAL RELATIONSHIPS REPORTED BY PHYSICIANS VIA ITS WEBSITE. IN ACCORDANCE WITH LAW, THE FOUNDATION MAKES AVAILABLE ITS FORM 990 AND FORM 990-T TO THE PUBLIC.
HOURS WORKED FOR RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A THE TOTAL 60 HOURS REPORTED AS WORKED INCLUDES HOURS WORKED FOR BOTH THE FOUNDATION AND RELATED ORGANIZATIONS DUE TO COMPLEXITIES IN ACCURATELY distinguishing SUCH EFFORT. FORMER EMPLOYEES HOURS FOR SERVICES PROVIDED IN ANOTHER CAPACITY FORM 990, PART VII, SECTION C COMPENSATION FOR FORMER DIRECTORS RELATES TO SERVICES PROVIDED IN THEIR CAPACITY AS PHYSICIAN EMPLOYEES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

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
2012
Open to Public Inspection
Name of the organization
NORTHWESTERN MEDICAL FACULTY
FOUNDATION
Employer identification number

36-3097297
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) 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" to 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 entity?
Yes No
(1) NORTHWESTERN UNIVERSITY FEINBERG SCHOOL

420 EAST SUPERIOR STREET

CHICAGO,IL60611
36-2167817 		EDUCATION IL 501(c)(3) 2 NA
 
 
No
(2) NORTHWESTERN FDN FOR RESEARCH &EDUCATION

680 NORTH LAKE SHORE DRIVE

CHICAGO,IL60611
36-4093385 		SUPPORT ORG IL 501(c)(3) 11,TYPE I NMFF
 
Yes
 










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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
(1) NORTHWESTERNROSIN EYECARE LLC

6233 CERMAK RD
BERWYN,IL60402
34-2028676 		EYEWARE SALES IL NA
  		Related 2,361 423,779   No   Yes   70.000 %
(2) NMFF DIALYSIS CENTER LLC

680 N LAKESHORE DR
CHICAGO,IL60611
46-2159685 		RENAL DIALYSIS DE N/A
 Related 0 0   No   Yes   80.000 %










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
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 Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
 
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
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-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) NORTHWESTERNROSIN EYECARE LLC

 a(iv) 65,000 CASH
(2) NORTHWESTERN FDN FOR RESEARCH & EDUCATION

 b 5,000,000 CASH




Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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 section 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) 2012
Schedule R (Form 990) 2012
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
Northwestern University as related organization SCHEDULE R NORTHWESTERN UNIVERSITY IS INCLUDED AS A "RELATED ORGANIZATION" BECAUSE UNDER THE CURRENT BYLAWS OF NORTHWESTERN MEDICAL FACULTY FOUNDATION, THE FOUNDATION'S CLINICAL DEPARTMENT CHAIRMEN COMPRISE A MAJORITY OF THE MEMBERS OF THE FOUNDATION'S BOARD OF DIRECTORS. THESE INDIVIDUALS ARE ALSO EMPLOYED AS CHAIRMEN OF THE CORRESPONDING ACADEMIC DEPARTMENTS WITHIN THE FEINBERG SCHOOL OF MEDICINE OF NORTHWESTERN UNIVERSITY (FSM). HOWEVER, THE TWO ORGANIZATIONS DO NOT STAND IN THE ROLES OF PARENT AND SUBSIDIARY. THEY ARE SEPARATE LEGAL ENTITIES, AND NORTHWESTERN MEDICAL FACULTY FOUNDATION IS NOT SUBJECT TO CONTROL BY NORTHWESTERN UNIVERSITY OR VICE-VERSA.

Additional Data


Software ID:  
Software Version: