Form990
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 private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 07-01-2013 , 2013, and ending 06-30-2014
BCheck if applicable:
CName of organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
155 E Brush Hill Road
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Elmhurst, IL60126
D Employer identification number

35-2339114
E Telephone number

G Gross receipts $ 377,479,496
F Name and address of principal officer:
MARY LOU MASTRO
155 E Brush Hill Road
Elmhurst,IL60126
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.EMHC.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet5467
K Form of organization:
 
L Year of formation:  
M State of legal domicile: IL
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO ENHANCE THE HEALTH OF THE COMMUNITIES AND CUSTOMERS WE SERVE AND TO PROVIDE QUALITY CARE TO EVERYONE WHO NEEDS IT.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 47
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 42
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 3,250
6 Total number of volunteers (estimate if necessary) ............. 6  
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 642,229
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,248,707 2,153,859
9 Program service revenue (Part VIII, line 2g) ......... 392,615,100 361,599,104
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -868,469 203,465
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,237,788 13,370,245
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 397,233,126 377,326,673
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 10,000 10,000
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) 182,800,613 178,783,664
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 250,825 238,463
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,101,532    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 236,965,196 198,276,393
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 420,026,634 377,308,520
19 Revenue less expenses. Subtract line 18 from line 12....... -22,793,508 18,153
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 574,801,195 560,579,141
21 Total liabilities (Part X, line 26)............. 128,431,984 127,668,777
22 Net assets or fund balances. Subtract line 21 from line 20..... 446,369,211 432,910,364
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 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES FOR THE RESIDENTS OF OUR COMMUNITIES, WITH AN EMPHASIS ON QUALITY, EFFICIENCY, AND ACCESS TO CARE.
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 $ 292,820,841 including grants of $ 10,000 ) (Revenue $ 367,373,549 )
ELMHURST MEMORIAL HOSPITAL (HOSPITAL OR EMH) IS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT PROVIDES ACUTE AND NONACUTE INPATIENT AND OUTPATIENT CARE TO RESIDENTS OF EASTERN DUPAGE AND WESTERN COOK COUNTIES. FOUNDED IN 1926, ELMHURST MEMORIAL HOSPITAL HAS EXPANDED ITS SERVICES AND HAS SEVERAL CONVENIENTLY LOCATED CARE CENTERS TO BETTER SERVE ITS PATIENTS, THEIR FAMILIES AND NUMEROUS COMMUNITIES. IN FISCAL YEAR 2014, ELMHURST MEMORIAL TREATED MORE THAN 13,800 INPATIENTS AND TOTALED MORE THAN 436,000 OUTPATIENT VISITS. THERE WERE MORE THAN 54,000 VISITS TO THE EMERGENCY DEPARTMENT AND MORE THAN 23,000 VISITS TO TWO IMMEDIATE CENTERS. 1,479 NEWBORNS WERE DELIVERED IN THE FAMILY BIRTHING CENTER. THE ORGANIZATION ALSO PROVIDED MORE THAN $26 MILLION IN COMMUNITY BENEFITS, WHICH INCLUDE A GENEROUS FINANCIAL ASSISTANCE POLICY THAT EXCEEDS THE STANDARDS RECOMMENDED BY THE ILLINOIS HOSPITAL ASSOCIATION, CHARITY CARE AND MORE THAN 200 COMMUNITY EDUCATION PROGRAMS AND EVENTS. ON 6/25/2011 ELMHURST MEMORIAL HOSPITAL MOVED TO A FULLY INTEGRATED MEDICAL CAMPUS THAT HAS CHANGED THE PERCEPTION OF WHAT A HOSPITAL CAN BE. LOCATED AT THE CORNER OF YORK STREET AND ROOSEVELT ROAD IN ELMHURST, THE CAMPUS IS SITUATED ON A HIGHLY ACCESSIBLE 50-ACRE SITE AND INCLUDES AN ACUTE CARE HOSPITAL WITH ALL PRIVATE ROOMS, OUTPATIENT SERVICES IN THE EXISTING ELMHURST MEMORIAL CENTER FOR HEALTH AND A VARIETY OF PHYSICIAN OFFICES IN NEW MEDICAL OFFICE BUILDINGS.
4b (Code:   ) (Expenses $ 6,007,855 including grants of $   ) (Revenue $ 6,600,230 )
ELMHURST MEMORIAL HOME HEALTH (HOME HEALTH) PROVIDES A COMPLETE RANGE OF SERVICES, COMBINING TECHNICAL EXPERTISE AND COMPASSIONATE CARE FOR PATIENTS OF ALL AGES AND MEDICAL NEEDS. IT HAS MADE IT A PRIORITY TO PROVIDE PATIENTS WITH HIGH QUALITY, COMPASSIONATE CARE - SERVICES THAT MAKE A DIFFERENCE IN THE LIVES OF PATIENTS. HOME HEALTH IS A STATE LICENSED, MEDICARE - CERTIFIED AGENCY THAT IS ACCREDITED BY THE JOINT COMMISSION. IT IS ALSO A MEMBER OF THE ILLINOIS HOME CARE COUNCIL. THROUGH THE HOSPICE PROGRAM, APPROPRIATE CARE AND SUPPORT ALLOWS PATIENTS TO LIVE THE LAST PHASE OF LIFE FULLY, WITH DIGNITY AND FREEDOM FROM PAIN OR DISCOMFORT, IN THE PRESENCE OF FAMILIAR PERSONS AND SURROUNDINGS. AN INTERDISCIPLINARY TEAM APPROACH IS USED TO HELP TERMINALLY ILL PATIENTS AND THEIR FAMILIES FACE PHYSICAL, EMOTIONAL, PSYCHOLOGICAL, SOCIAL AND SPIRITUAL ASPECTS OF THEIR LIVES AND THE PATIENT'S DEATH, TOGETHER IN AN ATMOSPHERE OF SUPPORT AND ACCEPTANCE. IN FISCAL YEAR 2014, HOME HEALTH ADMITTED 1,728 PATIENTS WHILE HOSPICE ADMITTED 213 PATIENTS AND HOME MEDICAL EQUIPMENT HAD 2,000 RENTAL ADMISSIONS. ALL THREE OF THESE BUSINESS LINES CEASED OPERATIONS AT THE END OF FISCAL YEAR 2014.
4c (Code:   ) (Expenses $ 259,875 including grants of $   ) (Revenue $ 24,246 )
ELMHURST MEMORIAL HOSPITAL FOUNDATION (FOUNDATION) WAS ESTABLISHED IN 1980 AS THE OFFICIAL FUNDRAISING AND GIFT RECEIVING ARM OF ELMHURST MEMORIAL HEALTHCARE (EMHC). THE FOUNDATION ENCOURAGES AND RECEIVES CONTRIBUTIONS THAT ARE USED TO ENHANCE THE DELIVERY OF HIGH QUALITY, COMPREHENSIVE HEALTHCARE SERVICES FOR THOSE WHO LIVE AND WORK IN THE COMMUNITIES SERVED BY EMHC. THE FOUNDATION ACCOMPLISHES THIS THROUGH FUNDRAISING EVENTS, SUCH AS THE ANNUAL AUTUMN AFFAIR, AND PROGRAMS, SUCH AS THE GRATEFUL PATIENT PROGRAM, WHICH WAS ESTABLISHED BY THE FOUNDATION AS A WAY FOR PATIENTS TO SHOW THEIR THANKS AND APPRECIATION FOR THE CARE THEY RECEIVED AT EMHC BY MAKING A DONATION. AS A RESULT OF THE FOUNDATION'S EFFORTS TO BUILD PRIVATE PHILANTHROPIC SUPPORT FOR THE HOSPITAL'S NEW MAIN CAMPUS PROJECT, THROUGH THE LAUNCH OF THE EXCEPTIONAL PAST, EXTRAORDINARY FUTURE: CAMPAIGN FOR THE NEW ELMHURST MEMORIAL HOSPITAL - THE MOST AMBITIOUS FUNDRAISING INITIATIVE IN THE ORGANIZATION'S HISTORY - THE HOSPITAL OPENED ITS NEW MAIN CAMPUS ON 6/25/2011 .
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet299,088,571
Form 990 (2013)
Form 990 (2013)
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 IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
............................
5
 
 
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 I........................
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 II
...
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 ....................
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 IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, 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 VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
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 .................
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.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
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).... Click to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, 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 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
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
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
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........
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...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II....................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
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 ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
.....................
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
Yes
 
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
........................... Click to see attachment
31
Yes
 
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
Yes
 
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.............
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 VI
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 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
250
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
3,250
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” to line 3b, 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
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
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 (2013)
Form 990 (2013)
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 or note to any line 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
47
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
42
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review 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:
MediumBulletVince Pryor801 South Washington StreetNapervilleIL60540 (630) 527-3000
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) ANNE OLDENBURG........................................................................
See Schedule O
2.00
.......................  
X   X       0 0 0
(2) DANIEL SULLIVAN........................................................................
See Schedule O
40.00
.......................  
X   X       47,832 0 0
(3) DAVE ATCHISON........................................................................
See Schedule O
2.00
.......................2.00
X   X       0 0 0
(4) DONALD LURYE........................................................................
See Schedule O
3.00
.......................  
X   X       0 0 0
(5) HENRY R ZEISEL........................................................................
See Schedule O
40.00
.......................  
X   X       320,157 0 13,877
(6) KENNETH WEGNER........................................................................
See Schedule O
1.00
.......................  
X   X       0 0 0
(7) MARY ANN MALLOY MD........................................................................
See Schedule O
1.00
.......................  
X   X       0 0 0
(8) PAMELA DUNLEY........................................................................
See Schedule O
40.00
.......................  
X   X       345,521 0 19,246
(9) RON SCHUBEL MD........................................................................
See Schedule O
2.00
.......................2.00
X   X       0 0 0
(10) ANN GUNST........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(11) BETSY HANISCH........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(12) BLANCHE HILL........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(13) BRIAN GRANT........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(14) BRIAN HAGAN........................................................................
See Schedule O
2.00
.......................2.00
X           0 0 0
(15) CARON LIZZADRO........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(16) CHRISTINA MORRISSEY........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(17) DANELLE ACHEPOHL........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
Form 990 (2013)
Form 990 (2013)
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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) DAVE BRUEGGEN........................................................................
See Schedule O
1.00
.......................2.00
X           0 0 0
(19) EDWARD MOMKUS........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(20) GREG YOUNG........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(21) JAMES MCNAMARA........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(22) JAMES NELSON........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(23) JOE BEATTY........................................................................
See Schedule O
2.00
.......................2.00
X           0 0 0
(24) JOE DEPAULO........................................................................
See Schedule O
2.00
.......................2.00
X           0 0 0
(25) JOEL HERTER........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(26) KARL VOS MD........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(27) KRISTINA KATZOVITZ........................................................................
See Schedule O
2.00
.......................  
X           0 0 0
(28) LAURA ATCHISON........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(29) LEE DANIELS........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(30) MARY KAY LADONE........................................................................
See Schedule O
2.00
.......................2.00
X           0 0 0
(31) MICHAEL DAVALLE........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(32) MICHAEL MARTIRANO........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(33) MICHAEL REGAN........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(34) MICHELLE MEZIERE........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(35) NANCY SCINTO........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(36) PAMELA M DAVIS........................................................................
See Schedule O
2.00
.......................38.00
X           0 1,527,875 267,186
(37) PAUL KOCH........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(38) RICHARD GILLETTE........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(39) RICHARD INSKEEP........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(40) ROBERT PLATT........................................................................
See Schedule O
1.00
.......................2.00
X           0 0 0
(41) ROCCO MARTINO........................................................................
See Schedule O
2.00
.......................2.00
X           0 0 0
(42) RON NYBERG........................................................................
See Schedule O
2.00
.......................2.00
X           0 0 0
(43) RONALD CHEFF MD........................................................................
See Schedule O
2.00
.......................  
X           0 0 0
(44) SARAH DIAMOND........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(45) THOMAS KLOET........................................................................
See Schedule O
2.00
.......................2.00
X           0 0 0
(46) TIM RIVELLI........................................................................
See Schedule O
2.00
.......................4.00
X           0 0 0
(47) VALERIE CAHILL........................................................................
See Schedule O
1.00
.......................  
X           0 0 0
(48) CATHY PETERSON........................................................................
See Schedule O
40.00
.......................  
    X       162,886 0 11,654
(49) CHARLES COLANDER........................................................................
See Schedule O
40.00
.......................  
    X       515,370 0 14,646
(50) CHRIS J MOLLET........................................................................
See Schedule O
4.00
.......................36.00
    X       0 499,875 65,780
(51) CONNIE NACOPOULOS........................................................................
See Schedule O
40.00
.......................  
    X       425,464 0 15,619
(52) JAMES F DOYLE........................................................................
See Schedule O
40.00
.......................  
    X       1,905,848 0 11,730
(53) JOHN A BACCHETTI........................................................................
See Schedule O
40.00
.......................  
    X       636,650 0 9,787
(54) MARY B DANO........................................................................
See Schedule O
40.00
.......................  
    X       494,393 0 5,645
(55) MARY K STULL........................................................................
See Schedule O
40.00
.......................  
    X       472,033 0 17,342
(56) MARY L MASTRO........................................................................
See Schedule O
40.00
.......................1.00
    X       0 729,046 51,960
(57) SANDRA H NELSON........................................................................
See Schedule O
40.00
.......................  
    X       206,827 0 15,713
(58) BRADLEY A REED........................................................................
See Schedule O
40.00
.......................  
      X     185,328 0 7,889
(59) GAIL S WARNER........................................................................
See Schedule O
40.00
.......................  
      X     372,053 0 11,817
(60) LAURA L ESLICK........................................................................
See Schedule O
40.00
.......................  
      X     203,345 0 16,150
(61) MICHAEL GRUBER........................................................................
See Schedule O
40.00
.......................  
      X     174,314 0 15,351
(62) ANDREW S BLUM........................................................................
See Schedule O
40.00
.......................  
        X   488,307 0 19,756
(63) EUGENE FARB........................................................................
See Schedule O
40.00
.......................  
        X   210,262 0 17,798
(64) GHASSAN ALDURRA........................................................................
See Schedule O
40.00
.......................  
        X   232,802 0 17,282
(65) JEAN T LYDON........................................................................
See Schedule O
40.00
.......................  
        X   239,863 0 5,598
(66) JOSEPH W MULLEN........................................................................
See Schedule O
40.00
.......................  
        X   222,294 0 0
(67) LOIS Z GRUBB........................................................................
See Schedule O
0.00
.......................  
          X 719,595 0 5,008
(68) WALTER P DANIELS........................................................................
See schedule O
0.00
.......................  
          X 438,395 0 5,948
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 9,019,539 2,756,795 642,780
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet117
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
 
No
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
CYBERKNIFE CENTER OF CHICAGO LLCPO BOX 6600NEWPORT BEACHCA92658 MEDICAL TREATMENTS 5,084,100
ELMCARE LLC155 E BRUSH HILL ROADELMHURSTIL60126 EPO CAPITATION PAYMENTS & PHYSICIAN 2,342,313
ELMHURST EMERGENCY MEDICAL SERVICE155 E BRUSH HILL ROADELMHURSTIL60126 PHYSICIAN SERVICES 1,760,703
LIFESOURCE1255 N MILWAUKEE AVEGLENVIEWIL60025 LAB TEST SERVICES 1,607,297
CISCO SYSTEMS CAPITAL CORP170 W TAXMAN DRSAN JOSECA95134 EQUIPMENT LEASING 1,329,602
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet110
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 129,990
d Related organizations...1d  
e Government grants (contributions)1e 209,506
f All other contributions, gifts, grants, and
similar amounts not included above
1f
1,814,363
g Noncash contributions included in lines
1a-1f:$
0
h Total. Add lines 1a-1f.......MediumBullet 2,153,859
 Program Service RevenueAmt Business Code
2a PATIENT SERVICES 621610 345,804,398 345,641,310 163,088  
b MEDICARE/MEDICAID 900099 11,666,785 11,666,785    
c BEHAVIORAL HEALTH PROG 900099 3,061,070 3,061,070    
d INCOME FROM K-1S 621400 1,066,851 1,066,851    
e     0      
f All other program service revenue . 0 0 0 0
g Total. Add lines 2a–2f........MediumBullet 361,599,104
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 203,465     203,465
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 374,103  
b Less: rental expenses    
c Rental income or (loss) 374,103 0
d Net rental income or (loss).......MediumBullet 374,103     374,103
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss) 0 0
d Net gain or (loss)..........MediumBullet 0      
8a Gross income from fundraising events (not including
$ 129,990
of contributions reported on line 1c). See Part IV, line 18 ..
a 107,815
b Less: direct expenses ...b 152,823
c Net income or (loss) from fundraising events..MediumBullet -45,008   -45,008
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 CAFETERIA AND DIETARY 561499 2,025,718 2,025,718    
b STARBUCKS 561499 479,141   479,141  
c LEASED EMPLOYEES 900099 1,520,278 1,520,278    
d All other revenue .... 9,016,013 9,016,013 0 0
e Total. Add lines 11a–11d ...... MediumBullet 13,041,150
12 Total revenue. See Instructions......MediumBullet 377,326,673 373,998,025 642,229 532,560
Form 990 (2013)
Form 990 (2013)
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 or note to any line 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 0  
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 10,000 10,000
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 8,144,095   8,144,095  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 136,438,185 107,465,844 28,972,341  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 5,561,625 4,380,984 1,180,641  
9 Other employee benefits ....... 18,273,700 14,516,748 3,756,952  
10 Payroll taxes ........... 10,366,059 8,210,439 2,155,620  
11 Fees for services (non-employees):        
a Management ...... 176,632   176,632  
b Legal ......... 135,101 106,188 28,913  
c Accounting ........... 295,026   295,026  
d Lobbying ........... 44,066   44,066  
e Professional fundraising services. See Part IV, line 17 238,463 238,463
f Investment management fees ...... 0      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 27,831,715 23,740,621 4,042,630 48,464
12 Advertising and promotion .... 1,819,810 790 1,789,009 30,011
13 Office expenses ....... 5,103,431 3,954,098 1,062,012 87,321
14 Information technology ...... 9,063,973 7,081,770 1,982,203  
15 Royalties .. 0      
16 Occupancy ........... 11,776,340 31,548 11,744,792  
17 Travel ............ 2,008     2,008
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 330,483 277,780 52,703  
19 Conferences, conventions, and meetings .... 1,903     1,903
20 Interest ........... 0      
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 39,974,893 31,461,480 8,513,413  
23 Insurance .............. 6,718,092 6,718,092    
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 MEDICAL SUPPLIES & DRUGS 70,900,672 70,900,672    
b EQUIP RENTAL & MAINTENANCE 7,262,592 5,705,929 1,556,663  
c COLLECTION EXPENSE 1,142,360 1,142,360    
d
e All other expenses 15,697,296 13,383,228 1,620,706 693,362
25 Total functional expenses. Add lines 1 through 24e 377,308,520 299,088,571 77,118,417 1,101,532
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 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 2,467,802 1 3,541,261
2 Savings and temporary cash investments ......... 1,113,678 2 1,113,314
3 Pledges and grants receivable, net ........... 2,594,602 3 2,405,954
4 Accounts receivable, net ............. 77,968,945 4 78,651,634
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
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 .............   7  
8 Inventories for sale or use .............. 6,725,293 8 7,805,586
9 Prepaid expenses and deferred charges .......... 11,911,985 9 27,097,210
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 664,016,574
b Less: accumulated depreciation ..... 10b 234,134,915 451,420,266 10c 429,881,659
11 Investments—publicly traded securities .......... 4,934,277 11 3,741,551
12 Investments—other securities. See Part IV, line 11 ..... 2,488,114 12 3,383,250
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 13,176,233 15 2,957,722
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 574,801,195 16 560,579,141
Liabilities 17 Accounts payable and accrued expenses ......... 101,985,676 17 105,280,658
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
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 ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
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.................... 26,446,308 25 22,388,119
26 Total liabilities. Add lines 17 through 25......... 128,431,984 26 127,668,777
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 .............. 442,006,362 27 429,094,099
28 Temporarily restricted net assets ........... 3,873,334 28 3,326,750
29 Permanently restricted net assets ........... 489,515 29 489,515
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 ........... 446,369,211 33 432,910,364
34 Total liabilities and net assets/fund balances ........ 574,801,195 34 560,579,141
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
377,326,673
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
377,308,520
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
18,153
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
446,369,211
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-13,477,000
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
432,910,364
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID: 13000248
Software Version: 2013v3.1
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.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number

35-2339114
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... 6,644,254 3,255,213 1,754,067 1,712,127 1,776,499 15,142,160
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......           0
3 The value of services or facilities furnished by a governmental unit to the organization without charge..           0
4 Total. Add lines 1 through 3 6,644,254 3,255,213 1,754,067 1,712,127 1,776,499 15,142,160
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).. 2,950,631
6 Public support. Subtract line 5 from line 4. 12,191,529
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4.. 6,644,254 3,255,213 1,754,067 1,712,127 1,776,499 15,142,160
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 354,213 466,701 -12,128 269,375 116,452 1,194,613
9 Net income from unrelated business activities, whether or not the business is regularly carried on..           0
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.).. 0 0 0 0 24,216 24,216
11 Total support (Add lines 7 through 10). 16,360,989
12
12
0
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
74.520 %
15
15
74.700 %
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .           0
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...... 9,005,197 8,349,867 10,178,933 11,180,027 6,600,230 45,314,254
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. 9,005,197 8,349,867 10,178,933 11,180,027 6,600,230 45,314,254
7a Amounts included on lines 1, 2, and 3 received from disqualified persons... 0 0 0 0 0 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 0 0 0 0 0
c Add lines 7a and 7b.. 0 0 0 0 0 0
8 Public support (Subtract line 7c from line 6.) 45,314,254
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6... 9,005,197 8,349,867 10,178,933 11,180,027 6,600,230 45,314,254
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..           0
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.           0
c Add lines 10a and 10b. 0 0 0 0 0 0
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.).. 9,005,197 8,349,867 10,178,933 11,180,027 6,600,230 45,314,254
14
Section C. Computation of Public Support Percentage
15
15
100.000 %
16
16
100.000 %
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
0 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. 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) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1
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.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number

35-2339114
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 its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number

35-2339114
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, RESTRICTEDRESTRICTED

$RESTRICTED


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number

35-2339114
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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number

35-2339114
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) (2013)

Additional Data


Software ID: 13000248
Software Version: 2013v3.1
SCHEDULE C
(Form 990 or 990-EZ)

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

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number

35-2339114
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

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

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

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

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










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
6,393
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
37,673
j
Total. Add lines 1c through 1i ...............................
44,066
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i (G) EXPENSES COVER BOTH EMPLOYEE LOBBYING AND THIRD-PARTY LOBBYING ACTIVITIES. (I) AMERICAN HOSPITAL ASSOCIATION AND ILLINOIS HOSPITAL ASSOCIATION (IHA) MEMBERSHIP DUES, OF WHICH A PERCENTAGE OF THE DUES ARE ALLOCABLE TO LOBBYING ACTIVITIES.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1

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. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number

35-2339114
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) 2013

Schedule D (Form 990) 2013
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 .... 660,959 624,731 651,465 582,437 489,516
b Contributions ........          
c Net investment earnings, gains, and losses -80,020 36,228 -26,734 79,028 97,621
d Grants or scholarships .....       10,000 4,700
e Other expenditures for facilities
and programs ........
         
f Administrative expenses ....          
g End of year balance ...... 580,939 660,959 624,731 651,465 582,437
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 Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. 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 .................   31,993,123 31,993,123
b Buildings ................   443,372,755 165,053,161 278,319,594
c Leasehold improvements ............       0
d Equipment ................   185,569,834 69,081,754 116,488,080
e Other .................   3,080,862   3,080,862
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 429,881,659
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
NET PENSION LIABILITY 19,082,951
MISCELLANEOUS LIABILITY 217,745
DUE TO EEH 3,087,423






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 22,388,119
2. Liability for uncertain tax positions 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) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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
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.
Return Reference Explanation
Schedule D, Part V, Line 4, Intended uses of endowment funds CLINICAL AND MEDICAL STAFF TRAINING, COMMUNITY HEALTH EVENTS/EDUCATION, AND MYERS SCHOLARSHIPS.
Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote EDWARD-ELMHURST HEALTHCARE, EDWARD HOSPITAL, EDWARD HEALTH VENTURES, EDWARD HEALTH AND FITNESS CENTER, EDWARD FOUNDATION, LINDEN OAKS HOSPITAL, ELMHURST MEMORIAL HOSPITAL, ELMHURST MEMORIAL FOUNDATION, AND ELMHURST MEMORIAL HEALTHCARE ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ON INCOME RELATED TO THEIR EXEMPT PURPOSES. ACCORDINGLY, THERE IS NO MATERIAL PROVISION FOR INCOME TAX FOR THESE ENTITIES.
Schedule D (Form 990) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number

35-2339114
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
 
IDC - IDC CENTRE
2500 PASEO VERDE PKWY
 
HENDERSON, NV89074
DIRECT MAIL CAMPAIGN   No 107,815 238,463 -130,648
             
             
             
             
             
             
             
             
             
Total .................right arrow 107,815 238,463 -130,648
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
IL
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

FALL BENEFIT
(event type)
(b) Event #2

AUTUMN AFFAIR
(event type)
(c) Other events

1
(total number)
(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 41,040 84,000 112,765 237,805
2 Less: Contributions . . 18,240 49,000 62,750 129,990
3 Gross income (line 1
minus line 2) . . .
22,800 35,000 50,015 107,815
VerticalDirectExpenses 4 Cash prizes . . .       0
5 Noncash prizes . . 5,270     5,270
6 Rent/facility costs . .       0
7 Food and beverages . 36,460 59,758   96,218
8 Entertainment . . .   11,761   11,761
9 Other direct expenses . 7,845 27,950 3,779 39,574
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 152,823
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow -45,008
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID: 13000248
Software Version: 2013v3.1
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number

35-2339114
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

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

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    6,951,061   6,951,061 1.890 %
b Medicaid (from Worksheet 3,
column a) ....
    34,640,225 9,319,000 25,321,225 6.870 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
    0 0 0 0 %
d Total Financial Assistance
and Means-Tested
Government Programs .
0 0 41,591,286 9,319,000 32,272,286 8.760 %
Other Benefits
    1,899,957 0 1,899,957 0.520 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    81,230 0 81,230 0.020 %
g Subsidized health services
(from Worksheet 6) ..
    154,195 0 154,195 0.040 %
h Research (from Worksheet 7)     49,500 0 49,500 0.010 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    1,016,359 0 1,016,359 0.280 %
j Total. Other Benefits .. 0 0 3,201,241 0 3,201,241 0.870 %
k Total. Add lines 7d and 7j . 0 0 44,792,527 9,319,000 35,473,527 9.630 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and training for community members         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 0 0 0 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
19,307,662
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
117,398
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
115,643,000
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
158,704,417
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-43,061,417
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1ELMHURST OUTPATIENT SURGERY CENTER LLC
 
OUTPATIENT SURGICAL SERVICES 52.5 % 0 % 47.5 %
2CYBERKNIFE CENTER OF CHICAGO LLC
 
RADIATION TREATMENT SERVICES FOR CANCER PATIENTS 40 % 0 % 40 %
3ELMCARE LLC
 
PHYSICIAN HOSPITAL ORGANIZATION (PHO) 50 % 0 % 50 %
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 ELMHURST MEMORIAL HOSPITAL
155 E Brush Hill Road
ELMHURST,IL60126
HTTP://WWW.EMHC.ORG/
0005751(1)
X X         X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ELMHURST MEMORIAL HOSPITAL
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)
1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 600%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22 Yes  
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment (1) - ELMHURST MEMORIAL HOSPITAL: AS PART OF THE COMMUNITY HEALTH ASSESSMENT, A FOCUS GROUP WAS HELD THAT INCLUDED A REPRESENTATIVE FROM PUBLIC HEALTH, PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND OTHER COMMUNITY LEADERS. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHO THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. PARTICIPANTS INCLUDED THOSE WHO WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS, AND THOSE WHO WORK WITH PERSONS WITH CHRONIC DISEASE CONDITIONS.;
Schedule H, Part V Sec B, Line 5a, Hospital Facility's Website (list URL) (1) - ELMHURST MEMORIAL HOSPITAL: HTTP://WWW.EMHC.ORG/ABOUT-EMHC/COMMUNITY-BENEFIT/DOCUMENTS/2012-PRC-MCHC-CHNA-REPORT;
Schedule H, Part V Sec B, Line 14g, Other ways hospital publicized Financial Assistance Policy (1) - : AN INFORMATIONAL NOTICE IS POSTED IN THE ADMITTING AREAS, EMERGENCY ROOM AND ON THE HOSPITAL WEBSITE EXPLAINING THE HOSPITAL FINANCIAL ASSISTANCE POLICY AND HOW TO APPLY.;
Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined (1) - ELMHURST MEMORIAL HOSPITAL: THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE TAKES INTO ACCOUNT THE AMOUNT OF DISPOSABLE INCOME AVAILABLE MONTHLY TO PAY THE HOSPITAL CHARGES. DISPOSABLE INCOME IS CALCULATED BY SUBTRACTING "AVERAGE ALLOWED EXPENSES" (BASED ON AGE, FAMILY SIZE, AND HOUSEHOLD TYPE) FROM GROSS INCOME.;
Schedule H, Part V Sec B, Line 22, Gross Charges for Medical Care (1) - ELMHURST MEMORIAL HOSPITAL: IN MOST INSTANCES, FAP-ELIGIBLE PATIENTS RECEIVE A DISCOUNT ON GROSS CHARGES. HOWEVER, IT IS POSSIBLE THAT PROVIDER BASED FACILITY CHARGES DO NOT REACH THE ELIGIBILITY THRESHOLDS FOR DISCOUNTS AND ARE THEREFORE BILLED AT GROSS CHARGES. ALSO, ELIGIBLE PATIENTS MUST APPLY FOR FINANCIAL ASSISTANCE IN ORDER FOR DISCOUNTS TO BE APPLIED.;
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?12
Name and address Type of Facility (describe)
1 ADDISON DOCTORS BUILDING
330 West Lake Street
ADDISON,IL60101
OP AMBULATORY CENTER
2 ELMHURST CLINIC LLC
1100 Lake Street Stes 220 230
OAK PARK,IL60301
OP AMBULATORY CENTER
3 ELMHURST PRIMARY CARE ASSOCIATES
305 North York Road
ELMHURST,IL60126
OP AMBULATORY CENTER
4 ELMHURST CLINIC LLC
471 West Army Trail Road
BLOOMINGDALE,IL60108
OP AMBULATORY CENTER
5 ELMHURST MEDICAL ASSOCIATES
183 N Addison Rd
ELMHURST,IL60126
OP AMBULATORY CENTER
6 ELMHURST MEMORIAL CENTER FOR HEALTH
1200 South York Road
ELMHURST,IL60126
OP AMBULATORY CENTER
7 ELMHURST PRIMARY CARE ASSOCIATES
3007 Wolf Road
WESTCHESTER,IL60154
OP AMBULATORY CENTER
8 ELMHURST MEMORIAL OCCUPATIONAL HEALTH
230 East Irving Park Road
WOOD DALE,IL60191
OCCUPATIONAL HEALTH SERVICES
9 ELMHURST CLINIC LLC
172 Schiller Street
ELMHURST,IL60126
OP AMBULATORY CENTER
10 LOMBARD HEALTH CENTER
130 South Main Street
LOMBARD,IL60148
OP AMBULATORY CENTER
11 ELMHURST CLINIC LLC
236 East Irving Road
WOOD DALE,IL60191
OP AMBULATORY CENTER
12 ELMHURST MEMORIAL SLEEP CENTER
701 South Main Street
LOMBARD,IL60148
SLEEP LAB
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment (1) - ELMHURST MEMORIAL HOSPITAL: AS PART OF THE COMMUNITY HEALTH ASSESSMENT, A FOCUS GROUP WAS HELD THAT INCLUDED A REPRESENTATIVE FROM PUBLIC HEALTH, PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND OTHER COMMUNITY LEADERS. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHO THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. PARTICIPANTS INCLUDED THOSE WHO WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS, AND THOSE WHO WORK WITH PERSONS WITH CHRONIC DISEASE CONDITIONS.;
Schedule H, Part V Sec B, Line 5a, Hospital Facility's Website (list URL) (1) - ELMHURST MEMORIAL HOSPITAL: HTTP://WWW.EMHC.ORG/ABOUT-EMHC/COMMUNITY-BENEFIT/DOCUMENTS/2012-PRC-MCHC-CHNA-REPORT;
Schedule H, Part V Sec B, Line 14g, Other ways hospital publicized Financial Assistance Policy (1) - : AN INFORMATIONAL NOTICE IS POSTED IN THE ADMITTING AREAS, EMERGENCY ROOM AND ON THE HOSPITAL WEBSITE EXPLAINING THE HOSPITAL FINANCIAL ASSISTANCE POLICY AND HOW TO APPLY.;
Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined (1) - ELMHURST MEMORIAL HOSPITAL: THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE TAKES INTO ACCOUNT THE AMOUNT OF DISPOSABLE INCOME AVAILABLE MONTHLY TO PAY THE HOSPITAL CHARGES. DISPOSABLE INCOME IS CALCULATED BY SUBTRACTING "AVERAGE ALLOWED EXPENSES" (BASED ON AGE, FAMILY SIZE, AND HOUSEHOLD TYPE) FROM GROSS INCOME.;
Schedule H, Part V Sec B, Line 22, Gross Charges for Medical Care (1) - ELMHURST MEMORIAL HOSPITAL: IN MOST INSTANCES, FAP-ELIGIBLE PATIENTS RECEIVE A DISCOUNT ON GROSS CHARGES. HOWEVER, IT IS POSSIBLE THAT PROVIDER BASED FACILITY CHARGES DO NOT REACH THE ELIGIBILITY THRESHOLDS FOR DISCOUNTS AND ARE THEREFORE BILLED AT GROSS CHARGES. ALSO, ELIGIBLE PATIENTS MUST APPLY FOR FINANCIAL ASSISTANCE IN ORDER FOR DISCOUNTS TO BE APPLIED.;
Schedule H (Form 990) 2013
Additional Data


Software ID: 13000248
Software Version: 2013v3.1
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
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number
35-2339114
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






















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
 
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
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
(1) SCHOLARSHIPS 2 10,000      












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds EMH FOLLOWS FEDERAL, STATE, DONOR, AND INSTITUTIONAL GUIDELINES FOR DETERMINING ELIGIBILITY FOR SCHOLARSHIPS, GRANTS, AND AWARDS. EMH MAINTAINS RECORDS SHOWING THE SELECTION CRITERIA, RECIPIENT ELIGIBILITY, HOW FUNDS MAY BE USED, AND ANY RELATED PARTY.
Schedule I (Form 990) 2013


Additional Data


Software ID: 13000248
Software Version: 2013v3.1


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, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number

35-2339114
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
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
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
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
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
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
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)PAMELA DUNLEYSEE SCHEDULE O (i)
(ii)
312,016
0
0
0
33,505
0
5,404
0
13,843
0
364,768
0
0
0
(2)HENRY R ZEISELSEE SCHEDULE O (i)
(ii)
276,805
0
0
0
43,352
0
0
0
13,877
0
334,034
0
0
0
(3)PAMELA M DAVISSEE SCHEDULE O (i)
(ii)
0
831,913
0
475,698
0
220,264
0
217,850
0
49,336
0
1,795,061
0
0
(4)MARY L MASTROSEE SCHEDULE O (i)
(ii)
0
350,624
0
145,791
0
232,631
0
18,565
0
33,396
0
781,006
0
0
(5)CHRIS J MOLLETSEE SCHEDULE O (i)
(ii)
0
298,660
0
147,167
0
54,047
0
57,398
0
8,382
0
565,654
0
0
(6)CHARLES COLANDERSEE SCHEDULE O (i)
(ii)
494,898
0
0
0
20,472
0
5,363
0
9,283
0
530,016
0
0
0
(7)JOHN A BACCHETTISEE SCHEDULE O (i)
(ii)
636,650
0
0
0
0
0
3,457
0
6,330
0
646,438
0
0
0
(8)MARY B DANOSEE SCHEDULE O (i)
(ii)
418,585
0
0
0
75,808
0
4,407
0
1,237
0
500,038
0
0
0
(9)JAMES F DOYLESEE SCHEDULE O (i)
(ii)
608,446
0
0
0
1,297,402
0
5,221
0
6,508
0
1,917,578
0
0
0
(10)CONNIE NACOPOULOSSEE SCHEDULE O (i)
(ii)
414,350
0
0
0
11,114
0
5,353
0
10,265
0
441,082
0
0
0
(11)SANDRA H NELSONSEE SCHEDULE O (i)
(ii)
200,771
0
0
0
6,056
0
2,333
0
13,380
0
222,540
0
0
0
(12)CATHY PETERSONSEE SCHEDULE O (i)
(ii)
132,118
0
0
0
30,768
0
0
0
11,654
0
174,540
0
0
0
(13)MARY K STULLSEE SCHEDULE O (i)
(ii)
461,462
0
0
0
10,571
0
4,800
0
12,542
0
489,375
0
0
0
(14)LAURA L ESLICKSEE SCHEDULE O (i)
(ii)
190,144
0
13,201
0
0
0
2,634
0
13,516
0
219,495
0
0
0
(15)MICHAEL GRUBERSEE SCHEDULE O (i)
(ii)
174,314
0
0
0
0
0
2,638
0
12,714
0
189,665
0
0
0
(16)BRADLEY A REEDSEE SCHEDULE O (i)
(ii)
173,925
0
5,433
0
5,970
0
3,749
0
4,140
0
193,217
0
0
0
(17)GAIL S WARNERSEE SCHEDULE O (i)
(ii)
356,533
0
0
0
15,520
0
2,941
0
8,876
0
383,870
0
0
0
(18)GHASSAN ALDURRASEE SCHEDULE O (i)
(ii)
223,933
0
0
0
8,870
0
3,592
0
13,689
0
250,084
0
0
0
(19)ANDREW S BLUMSEE SCHEDULE O (i)
(ii)
414,021
0
0
0
74,286
0
5,257
0
14,499
0
508,063
0
0
0
(20)EUGENE FARBSEE SCHEDULE O (i)
(ii)
205,797
0
4,465
0
0
0
4,302
0
13,495
0
228,060
0
0
0
(21)JEAN T LYDONSEE SCHEDULE O (i)
(ii)
236,455
0
0
0
3,408
0
3,941
0
1,657
0
245,461
0
0
0
(22)JOSEPH W MULLENSEE SCHEDULE O (i)
(ii)
222,294
0
0
0
0
0
0
0
0
0
222,294
0
0
0
(23)WALTER P DANIELSSEE SCHEDULE O (i)
(ii)
435,377
0
0
0
3,017
0
2,769
0
3,178
0
444,342
0
0
0
(24)LOIS Z GRUBBSEE SCHEDULE O (i)
(ii)
245,373
0
0
0
474,222
0
0
0
5,008
0
724,603
0
0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
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.
Return Reference Explanation
Schedule J, Part I, Line 1a, Tax indemnification and gross-up payments EXECUTIVES ARE OFFERED LIFE INSURANCE AND LONG TERM DISABILITY BENEFITS. THE AMOUNT OF THE PREMIUM IS GROSSED UP TO OFFSET THE TAX LIABILITY.
Schedule J, Part I, Line 1a, Personal services EMHC PROVIDES REIMBURSEMENT FOR FEDERAL AND STATE INDIVIDUAL INCOME TAX RETURN PREPARATION UP TO THE APPROVED AMOUNT IN THE EXECUTIVE COMPENSATION PACKAGE AS RECOMMENDED BY THE HUMAN RESOURCES COMMITTEE OF THE HOSPITAL BOARD AND APPROVED BY THE HOSPITAL BOARD. THIS REIMBURSEMENT WOULD BE INCLUDED IN THE INDIVIDUALS TAXABLE INCOME.
Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensation EXECUTIVE COMPENSATION, INCLUDING THE ELMHURST MEMORIAL HOSPITAL PRESIDENT AND ALL OFFICERS OF THE SYSTEM KNOWN AS EDWARD-ELMHURST HEALTHCARE ("SENIOR MANAGEMENT") IS MANAGED BY THE EDWARD-ELMHURST HEALTHCARE ("EEH") EXECUTIVE COMMITTEE ("COMMITTEE"), ON BEHALF OF EEH AND ALL OF ITS AFFILIATES. ON AN ANNUAL BASIS, THE COMMITTEE REVIEWS COMPENSATION ARRANGEMENTS, INCLUDING THE COMPENSATION AWARD FOR THE ELMHURST MEMORIAL HOSPITAL PRESIDENT FOR THE COMING YEAR. THE COMMITTEE CONDUCTS THE REVIEW IN A MANNER THAT WILL QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTION RULES OF SECTION 4958 OF THE INTERNAL REVENUE CODE. AS FOR THE ELMHURST MEMORIAL HOSPITAL PRESIDENT, THE PRESIDENT IS COMPENSATED WITH A COMPETITIVE BASE SALARY, ALONG WITH AN INCENTIVE PLAN WHICH IS REFLECTIVE OF EEH'S MARKET, AS DETERMINED BY A REVIEW OF MARKET COMPENSATION SURVEY DATA. FOR MORE INFORMATION ABOUT THE REVIEW AND DETERMINATION OF EXECUTIVE COMPENSATION, SEE DESCRIPTION IN SCHEDULE O IN RESPONSE TO FORM 990, PART VI, SECTION B, LINE 15.
Schedule J, Part I, Line 4a, Severance or change-of-control payment DANO, MARY $237,646 DOYLE, JAMES $2,588,905 GRUBB, LOIS $474,222 PETERSON, CATHY $63,074 STULL, MARY $147,633 WARNER, GAIL $154,657
Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan INDIVIDUALS WHO HAVE THE TITLE OF VICE PRESIDENT OR HIGHER ARE ELIGIBLE TO PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP); ANY ELIGIBLE PARTICIPANTS MUST BE APPROVED BY THE EDWARD-ELMHURST HEALTHCARE EXECUTIVE COMMITTEE. THE SERP WAS ESTABLISHED TO RECOGNIZE THE VALUABLE CONTRIBUTIONS THAT EACH OF THE PARTICIPANTS MAKES TO THE OPERATIONS OF EDWARD-ELMHURST HEALTHCARE AND TO REWARD CERTAIN EXECUTIVE EMPLOYEES FOR THEIR LONG-TERM SERVICE AND COMMITMENT TO EDWARD-ELMHURST HEALTHCARE. THE SERP IS DESIGNED TO PROVIDE A FULL RETIREMENT SUPPLEMENT TO PARTICIPANTS IF THEY REMAIN WITH EDWARD-ELMHURST HEALTHCARE UNTIL AGE 65. IN EXCHANGE FOR THIS LONG-TERM SERVICE, EDWARD-ELMHURST HEALTHCARE WANTS TO SUPPLEMENT THESE PARTICIPANTS' RETIREMENT INCOME WITH ADDITIONAL ANNUAL COMPENSATION THAT IS INVESTED IN AN ANNUITY CONTRACT; CONTRIBUTIONS VEST AFTER FIVE YEARS. THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2013; THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. CHARLES COLANDER -$ 18,953.76 JAMES F. DOYLE - $ 1,297,402.49 HENRY ZEISEL - $ 38,925.55 PAMELA DUNLEY - $ 24,044.92 MARY DANO - $ 56,145.32
Schedule J, Part I, Line 7, Non-fixed payments SCHEDULE J, PART 1, LINE 7 IS ANSWERED YES BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, RECEIVED A NON-FIXED PAYMENT DURING THE YEAR. THE NON-FIXED PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II).
Schedule J (Form 990) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1
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.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number

35-2339114
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
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of 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) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) ELMHURST EMERGENCY MEDICAL SERVICES LTD
 
KARL VOS, MD, EMH DIRECTOR, IS PRESIDENT OF ELMHURST EMERGENCY MEDICAL SERVICES, LTD 1,914,435 INDEPENDENT CONTRACTOR PHYSICIAN SERVICES RENDERED BY ELMHURST EMERGENCY MEDICAL SERVICES, LTD   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1




SCHEDULE N
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Liquidation, Termination, Dissolution, or Significant Disposition of Assets
bullet Complete if the organization answered "Yes" to Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
bullet Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet Attach to Form 990 or 990-EZ.
bulletInformation about Schedule N (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number
35-2339114
Part I
Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" to Form 990, Part IV, line 31, or Form 990-EZ, line 36.
Part I can be duplicated if additional space is needed.
1(a)Description of asset(s)
distributed or transaction
expenses paid
(b)Date of
distribution
(c)Fair market value of
asset(s) distributed or
amount of transaction
expenses
(d)Method of
determining FMV for
asset(s) distributed or
transaction expenses
(e)EIN of recipient (f)Name and address of recipient (g)IRC section
of recipient(s) (if
tax-exempt) or type
of entity
SEE PART III 03-29-2014 2,181,000 PROFESSIONAL APPRAISALS, DISCOUNTED CASH FLOWS, AND REPLACEMENT COSTS 36-3297173 EDWARD HOSPITAL
 
801 S WASHINGTON STREET
NAPERVILLE,IL60540
501(C)(3)




















Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2a
 
No
b
Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .
2b
 
No
c
Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . .
2c
 
No
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? . . . . .
2d
 
No
e
If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.
Cat. No. 50087Z
Schedule N (Form 990 or 990-EZ) (2013)

Schedule N (Form 990 or 990-EZ) (2013)
Page 2
Part I
Liquidation, Termination, or Dissolution (continued)
Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.
Yes
No
3
Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III . . . . . . . . . . .
3
Yes
 
4a
Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? . . . . . .
4a
 
No
b
If "Yes," did the organization provide such notice? . . . . . . . . . . . . . . . . . . . . . . . . . .
4b
 
 
5
Did the organization discharge or pay all of its liabilities in accordance with state laws? . . . . . . . . . . . . . . . . .
5
Yes
 
6a
Did the organization have any tax-exempt bonds outstanding during the year? . . . . . . . . . . . . . . . . . . . .
6a
 
No
b
Did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws? .
6b
 
 
c
If "Yes" to line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No," explain in Part III.

Part II
Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" to Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.
1(a) Description of asset(s)
distributed or transaction
expenses paid
(b) Date of
distribution
(c) Fair market value of
asset(s) distributed or
amount of transaction
expenses
(d) Method of
determining FMV for
asset(s) distributed or
transaction expenses
(e) EIN of recipient (f) Name and address of recipient (g) IRC section
of recipient(s) (if
tax-exempt) or type
of entity
















Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2a
 
No
b
Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .
2b
 
No
c
Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2c
 
No
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization’s significant disposition of assets? . . . . . . .
2d
 
No
e
If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet
Schedule N(Form 990 or 990-EZ) (2013)

Schedule N (Form 990 or 990-EZ) (2013)
Page 3
Part III
Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.
Return Reference Explanation
SCHEDULE N, PART I, LINE 1, COLUMN (A), DESCRIPTIONS OF ASSET(S) EFFECTIVE MARCH 29, 2014, ELMHURST MEMORIAL HOME HEALTH CONTRIBUTED AND TRANSFERRED ITS BUSINESS AND RELATED ASSETS TO EDWARD HOSPITAL (EH), WHICH THEN CONTRIBUTED AND TRANSFERRED THE BUSINESS AND RELATED ASSETS TO RESIDENTIAL HOME HEALTH OF ILLINOIS, LLC (RHHI). PRIOR TO MARCH 29, 2014, EH MAINTAINED A 49% OWNERSHIP INTEREST IN RHHI. BASED UPON THE FAIR VALUE OF THE ELMHURST MEMORIAL HOME HEALTH BUSINESS AND RELATED ASSETS TO RHHI OF $2,181,000, THE EH OWNERSHIP INTEREST IN RHHI INCREASED TO 60%.
Schedule N (Form 990 or 990-EZ) (2013)


Additional Data


Software ID: 13000248
Software Version: 2013v3.1


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.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number

35-2339114
Return Reference Explanation
CORE FORM PART VII, Ladone, Mary Kay ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Martino, Rocco ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Mastro, Mary L ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: PRESIDENT, CEO, AVERAGEHOURS: 37.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: PRESIDENT, CEO, AVERAGEHOURS: 1.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: PRESIDENT, CEO, AVERAGEHOURS: 1.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HOME HEALTH, TITLE: PRESIDENT, CEO, AVERAGEHOURS: 1.000; OFFICER
CORE FORM PART VII, Mollet, Chris J ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: SYSTEM EVP GENERAL COUNSEL, AVERAGEHOURS: 1.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HOME HEALTH, TITLE: SYSTEM EVP GENERAL COUNSEL, AVERAGEHOURS: 1.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: SYSTEM EVP GENERAL COUNSEL, AVERAGEHOURS: 1.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HOME HEALTH, TITLE: SYSTEM EVP GENERAL COUNSEL, AVERAGEHOURS: 1.000; OFFICER
CORE FORM PART VII, Oldenburg, Anne ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HOME HEALTH, TITLE: TRUSTEE/VICE CHAIR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, Hanisch, Betsy ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Hill, Blanche ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Young, Greg ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOME HEALTH, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, McNamara, James ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Herter, Joel ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Malloy, Mary Ann, MD ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE/VICE CHAIR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, Gillette, Richard ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Inskeep, Richard ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Platt, Robert ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Diamond, Sarah ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Regan, Michael ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Cahill, Valerie ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Gunst, Ann ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Morrissey, Christina ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Dunley, Pamela ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: CNO/VP, HOSPITAL OPS, AVERAGEHOURS: 39.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HOME HEALTH, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Colander, Charles ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: VP, CHIEF INFORMATION OFFICER, AVERAGEHOURS: 20.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: VP, CHIEF INFORMATION OFFICER, AVERAGEHOURS: 20.000; OFFICER
CORE FORM PART VII, Achepohl, Danelle ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Aldurra, Ghassan ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: PHYSICIAN, AVERAGEHOURS: 40.000; HIGHESTCOMPENSATEDEMPLOYEE
CORE FORM PART VII, Atchison, Dave ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE/VICE CHAIR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: VICE CHAIR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, Atchison, Laura ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Bacchetti, John A ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: VP, BUS DEV & MKTG, AVERAGEHOURS: 20.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: VP, BUS DEV & MKTG, AVERAGEHOURS: 20.000; OFFICER
CORE FORM PART VII, Beatty, Joe ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Blum, Andrew S ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: PHYSICIAN, AVERAGEHOURS: 40.000; HIGHESTCOMPENSATEDEMPLOYEE
CORE FORM PART VII, Brueggen, Dave ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Cheff, MD, Ronald ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Dano, Mary B ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: VP, GENERAL COUNSEL, AVERAGEHOURS: 37.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: VP, GENERAL COUNSEL, AVERAGEHOURS: 1.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: VP, GENERAL COUNSEL, AVERAGEHOURS: 1.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HOME HEALTH, TITLE: VP, GENERAL COUNSEL, AVERAGEHOURS: 1.000; OFFICER
CORE FORM PART VII, Doyle, James F ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: EVP/CFO, AVERAGEHOURS: 40.000; OFFICER
CORE FORM PART VII, Eslick, Laura L ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: ASSOC VP, HOSPITAL OPS, AVERAGEHOURS: 40.000; KEYEMPLOYEE
CORE FORM PART VII, Farb, Eugene ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: DIR, FACILITIES MGMT, AVERAGEHOURS: 40.000; HIGHESTCOMPENSATEDEMPLOYEE
CORE FORM PART VII, Grant, Brian ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Gruber, Michael ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: DIR, APPLICATIONS SYSTEMS, AVERAGEHOURS: 40.000; KEYEMPLOYEE
CORE FORM PART VII, Hagan, Brian ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Katzovitz, Kristina ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOME HEALTH, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Kloet, Thomas ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Koch, Paul ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Lizzadro, Caron ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Lurye, Donald ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HOME HEALTH, TITLE: CHAIR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, Lydon, Jean T ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: ASSOC VP, CLINICAL OPS, AVERAGEHOURS: 40.000; HIGHESTCOMPENSATEDEMPLOYEE
CORE FORM PART VII, Martirano, Michael ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Meziere, Michelle ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Momkus, Edward ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Mullen, Joseph W ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: PHYSICIAN, AVERAGEHOURS: 40.000; HIGHESTCOMPENSATEDEMPLOYEE
CORE FORM PART VII, Nacopoulos, Connie ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: VP, MEDICAL AFFAIRS, AVERAGEHOURS: 40.000; OFFICER
CORE FORM PART VII, Nelson, Sandra H ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: VP, DEVELOPMENT, AVERAGEHOURS: 20.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: VP, DEVELOPMENT, AVERAGEHOURS: 20.000; OFFICER
CORE FORM PART VII, Nelson, James ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Nyberg, Ron ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Peterson, Cathy ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: VP, MANAGED CARE, AVERAGEHOURS: 40.000; OFFICER
CORE FORM PART VII, Reed, Bradley A ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: VP, DEVELOPMENT, AVERAGEHOURS: 40.000; KEYEMPLOYEE
CORE FORM PART VII, Rivelli, Tim ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Schubel, MD, Ron ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE/CHAIR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: CHAIR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, Scinto, Nancy ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Stull, Mary K ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: VP/COO, PPD/OC HLTH/HH, AVERAGEHOURS: 20.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: VP/COO, PPD/OC HLTH/HH, AVERAGEHOURS: 20.000; OFFICER
CORE FORM PART VII, Sullivan, Daniel ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: CMO/TRUSTEE (PARTIAL YEAR), AVERAGEHOURS: 39.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, Vos, MD, Karl ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Warner, Gail S ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: VP, STRATEGIC PLANNING, AVERAGEHOURS: 40.000; KEYEMPLOYEE
CORE FORM PART VII, Wegner, Kenneth ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE/CHAIR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, Zeisel, Henry R ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: VP, FINANCE, AVERAGEHOURS: 37.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: VP, FINANCE, AVERAGEHOURS: 1.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: VP, FINANCE, AVERAGEHOURS: 1.000; OFFICER ORGANIZATION NAME: ELMHURST MEMORIAL HOME HEALTH, TITLE: VP, FINANCE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, Davalle, Michael ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Daniels, Lee ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL FOUNDATION, TITLE: TRUSTEE (PARTIAL YEAR), AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Davis, Pamela M ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, DePaulo, Joe ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HEALTHCARE, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL, TITLE: TRUSTEE, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Daniels, Walter P ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL(FORMER), TITLE: FORMER PRESIDENT, AVERAGEHOURS: 0.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, Grubb, Lois Z ADDITIONAL POSITIONS HELD ORGANIZATION NAME: ELMHURST MEMORIAL HOSPITAL(FORMER), TITLE: VP, HUMAN RESOURCES, AVERAGEHOURS: 0.000; HIGHESTCOMPENSATEDEMPLOYEE
Form 990, Part III, Line 3, Significant changes in program services AT THE END OF FISCAL YEAR 2014, ELMHURST MEMORIAL HOME HEALTH CEASED OPERATIONS, WHICH INCLUDES THE FOLLOWING BUSINESS LINES: HOME HEALTH, HOSPICE AND HOME MEDICAL EQUIPMENT.
Form 990, Part VI, Sec A, Line 2, Family/business relationships amongst interested persons EMHF TRUSTEES DANIEL WELZ AND BLANCHE HILL - BUSINESS RELATIONSHIP, EMHF TRUSTEES JAMES NELSON AND DONALD LURYE - BUSINESS RELATIONSHIP, EMHF TRUSTEES JAMES NELSON AND MARY ANN MALLOY - BUSINESS RELATIONSHIP
Form 990, Part VI, Sec A, Line 4, Significant changes to organizational documents EFFECTIVE JULY 1, 2014, THE ELMHURST MEMORIAL HEALTHCARE SYSTEM AND ITS AFFILIATES MERGED WITH THE EDWARD HEALTH SERVICES CORPORATION SYSTEM, ANOTHER NON-FOR-PROFIT HEALTHCARE ORGANIZATION THAT SERVES THE CHICAGOLAND AREA. AS THE PARENT ORGANIZATION OF THE RESULTING COMBINED SYSTEM, EDWARD HEALTH SERVICES CORPORATION CHANGED ITS LEGAL NAME TO EDWARD-ELMHURST HEALTHCARE (EEH). THE IRS WAS ALREADY PROVIDED WITH NOTICE OF THIS NAME CHANGE, ALONG WITH APPROPRIATE DOCUMENTATION EVIDENCING THE SAME, DURING THE REPORTING YEAR. AS PART OF THE MERGER TRANSACTION, THE BYLAWS AND ARTICLES OF INCORPORATION OF ELMHURST MEMORIAL HOSPITAL (EMH), ELMHURST MEMORIAL HOSPITAL FOUNDATION (EMHF) AND ELMHURST MEMORIAL HOME HEALTH (EMHH) WERE AMENDED AND RESTATED, SIGNIFICANT CHANGES ARE NOTED BELOW. ELMHURST MEMORIAL HEALTHCARE (EMHC) REMAINS THE SOLE CORPORATE MEMBER OF EMH. - THE PURPOSES OF EMH ARE TO: (I) OPERATE, ESTABLISH, ACQUIRE, SUPPORT, ERECT, MAINTAIN, OWN, OR EQUIP HEALTH CARE PROVIDERS AND INSTITUTIONS INCLUDING, WITHOUT LIMITING THE FOREGOING, NURSING HOMES, PHYSICIAN OFFICES, DIAGNOSTIC AND TREATMENT FACILITIES, SKILLED NURSING FACILITIES, INTERMEDIATE CARE FACILITIES, SURGICENTERS, AMBULATORY CARE CENTERS OR ANY OTHER HEALTH CARE FACILITY WHICH PROVIDES CARE FOR SICK AND DISABLED PERSONS WITHOUT REGARD TO CREED, NATIONALITY OR COLOR OR ABILITY TO PAY FOR SUCH SERVICES; (II) SPONSOR, SUPPORT, PROMOTE, DEVELOP, OWN AND OPERATE ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED FROM TIME TO TIME, OR ANY CORRESPONDING PROVISION OF ANY SUBSEQUENT REVENUE LAW OF THE UNITED STATES (THE "CODE"), WHICH SUPPORT, ASSIST, ENCOURAGE OR OTHERWISE PROMOTE HEALTH CARE, EDUCATION AND RESEARCH; (III) CARRY ON EDUCATIONAL ACTIVITIES RELATED TO THE RENDERING OF HEALTH CARE SERVICES OR THE PROMOTION OF HEALTH; (IV) INVEST IN ACTIVITIES THAT ARE CONSISTENT WITH AND IN FURTHERANCE OF THE CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES OF EMH AND PROMOTE THE GENERAL HEALTH OF THE COMMUNITY; (V) RAISE GIFTS, BEQUESTS, DONATIONS AND OTHER FUNDS FROM THE PUBLIC AND FROM ALL OTHER SOURCES AVAILABLE; RECEIVE AND MAINTAIN SUCH FUNDS AND EXPEND PRINCIPAL AND INCOME THERE FROM IN SUPPORT OF OR IN FURTHERANCE OF THE CHARITABLE PURPOSES OF EMH; (VI) ACQUIRE, OWN, USE, LEASE AS LESSOR OR LESSEE, CONVEY AND OTHERWISE DEAL IN AND WITH REAL AND PERSONAL PROPERTY AND INTERESTS THEREIN, ALL IN SUPPORT OF THE CHARITABLE PURPOSES OF EMH; AND (VII) OTHERWISE OPERATE IN SUPPORT OF, OR IN FURTHERANCE OF, THE CHARITABLE PURPOSES OF EMH, EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE CODE, IN THE COURSE OF WHICH OPERATION (X) NO PART OF THE NET EARNINGS OF EMH SHALL INURE TO THE BENEFIT OF, OR BE DISTRIBUTABLE TO, ANY PRIVATE INDIVIDUAL, AND NO PART OF THE INCOME OF EMH SHALL BE DISTRIBUTED TO EMHC (OTHER THAN AS OTHERWISE PERMITTED UNDER THE BYLAWS), TRUSTEES, OFFICERS OR ANY OTHER PRIVATE PERSONS, EXCEPT THAT EMH SHALL BE AUTHORIZED AND EMPOWERED TO PAY REASONABLE COMPENSATION FOR SERVICES RENDERED AND TO MAKE PAYMENTS AND DISTRIBUTIONS IN FURTHERANCE OF THE PURPOSES SET FORTH HEREIN; (Y) NO SUBSTANTIAL PART OF THE ACTIVITIES OF EMH SHALL CONSIST OF THE CARRYING ON OF PROPAGANDA OR OTHERWISE ATTEMPTING TO INFLUENCE LEGISLATION, AND EMH SHALL NOT PARTICIPATE IN OR INTERVENE IN ANY POLITICAL CAMPAIGN ON BEHALF OF OR IN OPPOSITION TO ANY CANDIDATE FOR PUBLIC OFFICE, INCLUDING THE PUBLISHING OR DISTRIBUTION OF STATEMENTS, EXCEPT AS AUTHORIZED UNDER THE CODE; AND (Z) NOTWITHSTANDING ANY OTHER PROVISIONS CONTAINED HEREIN, EMH SHALL NOT CARRY ON ANY OTHER ACTIVITIES NOT PERMITTED TO BE CARRIED ON BY (I) A CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE CODE, OR (II) A CORPORATION, THE CONTRIBUTIONS TO WHICH ARE DEDUCTIBLE UNDER SECTION 170(C)(2) OF THE CODE. - THE EMH BOARD OF TRUSTEES MUST CONSIST OF A NUMBER OF TRUSTEES EQUAL TO THE NUMBER OF CORPORATE TRUSTEES, THE PSA TRUSTEE AND THE MEDICAL STAFF PRESIDENT TRUSTEE, AS THOSE TERMS ARE DEFINED HEREIN. EACH OF THOSE INDIVIDUALS THEN SERVING ON THE EEH BOARD OF TRUSTEES (EACH, A "CORPORATE TRUSTEE") AND THE THEN CURRENT EMH MEDICAL STAFF PRESIDENT (THE "MEDICAL STAFF PRESIDENT TRUSTEE") SHALL EACH BE AN EMH TRUSTEE. IN ADDITION, THE EEH BOARD OF TRUSTEES SHALL APPOINT ONE TRUSTEE (THE "PSA TRUSTEE") FROM AMONG THE CHAIRPERSON OR CHIEF EXECUTIVE OFFICER OF EACH OF ELMHURST CLINIC, LLC, ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC, AND ELMHURST MEDICAL ASSOCIATES, LLC (THE "PSA ENTITIES"), BUT ONLY SO LONG SUCH ENTITY HAS IN PLACE A BINDING PROFESSIONAL SERVICES AGREEMENT WITH EMHC (AN "ELIGIBLE PSA ENTITY"). THE PSA TRUSTEE APPOINTMENT SHALL BE ROTATED AMONG THE PSA ENTITIES. NOTWITHSTANDING THE FOREGOING, IN THE EVENT THAT THE EMH MEDICAL STAFF PRESIDENT IS A MEMBER OF ANY OF THE ELIGIBLE PSA ENTITIES, THE EEH BOARD OF TRUSTEES SHALL APPOINT AN INDEPENDENT MEMBER OF THE EMH MEDICAL STAFF AS THE PSA TRUSTEE FOR THE THEN CURRENT TERM OF OFFICE (OR PORTION THEREOF). IN THE EVENT THAT THERE SHALL BE NO ELIGIBLE PSA ENTITY, THEN THE OFFICE OF THE PSA TRUSTEE SHALL BE FILLED BY A PHYSICIAN MEMBER OF THE EMH MEDICAL STAFF OR OTHER POSITION SELECTED BY THE EEH BOARD OF TRUSTEES. - EEH, THE CORPORATE MEMBER OF EMHC, HAS THE EXCLUSIVE POWER TO: (I) ELECT, APPOINT, REMOVE AND REPLACE THE TRUSTEES OF EMH; (II) INTERVENE IN ANY ACTION OR PLAN OF EMH, OR OF ANY OF ITS SUBSIDIARY OR AFFILIATE ENTITIES, TO THE EXTENT THE EEH BOARD OF TRUSTEES, IN ITS SOLE DISCRETION, DEEMS IT NECESSARY TO DO SO IN ORDER TO AVOID SIGNIFICANT RISK TO THE TAX EXEMPT STATUS, LICENSURE, OR ACCREDITATION OF EMH, EEH, EMHC, ANY SUBSIDIARY OR OTHER AFFILIATE OF EEH OR EMHC, OR ANY FACILITY OPERATED BY ANY OF THE FOREGOING, OR TO AVOID SIGNIFICANT LEGAL, REGULATORY, OR FINANCIAL RISK TO ANY OF THEM; AND (III) SELECT AND APPOINT INDEPENDENT AUDITORS FOR EMH, AND DIRECT THE PERFORMANCE OF AN ANNUAL INDEPENDENT AUDIT OF THE FINANCIAL CONDITION OF EMH.
FORM 990, PART VI, LINE 4, SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS (CONTINUED) - IN ADDITION TO THE EXCLUSIVE AUTHORITY OF EEH SET FORTH ABOVE, THE APPROVAL OF EACH OF EMHC AND EEH SHALL BE REQUIRED TO AUTHORIZE THE FOLLOWING MATTERS: (I) THE EXERCISE BY EMH OF ITS APPROVAL RIGHTS OVER CERTAIN ACTIONS OF EMHF AND EMHH AS SET FORTH IN THE EMH BYLAWS; (II) THE ADOPTION, AMENDMENT AND REPEAL OF THE AMENDED AND RESTATED ARTICLES OF INCORPORATION OF EMH AND THE EMH BYLAWS; (III) THE ADOPTION AND APPROVAL OF ANY PLAN OF DISSOLUTION OR LIQUIDATION OF EMH, ANY PLAN OF MERGER OR CONSOLIDATION OF EMH WITH ANOTHER CORPORATION OR OTHER ENTITY; AND/OR ANY EXCHANGE, SALE OR TRANSFER OF ANY MATERIAL PORTION OF THE ASSETS OF EMH IN ANY TRANSACTION OR SERIES OF RELATED TRANSACTIONS; (IV) THE ADOPTION, APPROVAL, AMENDMENT, RESTATEMENT OR MODIFICATION OF ANY FINANCIAL CONTROL POLICY FOR EMH AND THE TAKING OF ANY ACTION BY OR ON BEHALF OF EMH NOT OTHERWISE IN CONFORMANCE WITH ANY SUCH POLICY; (V) THE AMENDMENT OR REVISION OF THE INITIAL PURPOSE AND SCOPE OF SERVICES OF EMH, INCLUDING LOCATION, SIZE, OPERATIONS AND ACTIVITIES; (VI) THE ADOPTION OF ANY AND ALL ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, CAPITAL INVESTMENTS AND/OR CAPITAL ALLOCATIONS OF EMH; (VII) THE AUTHORIZATION OR APPROVAL OF ANY LONG-TERM BORROWING OF MONEY BY EMH, OR THE AUTHORIZATION OR APPROVAL OF ANY PREPAYMENT, IN WHOLE OR IN PART, REFINANCING, INCREASE, MODIFICATION OR EXTENSION OF ANY SUCH INDEBTEDNESS; (VIII) THE GRANTING OF ANY SECURITY INTEREST IN, OR OTHERWISE PROVIDING FOR THE ENCUMBRANCE OF, ANY OF THE ASSETS OR REVENUES OF EMH; (IX) THE CREATION AND/OR ADDITION OF ANY DIRECT OR INDIRECT SUBSIDIARIES OR AFFILIATES OF EMH, INCLUDING, WITHOUT LIMITATION, ANY NOT-FOR-PROFIT OR FOR-PROFIT CORPORATIONS, LIMITED LIABILITY COMPANIES, PARTNERSHIPS OR OTHER LEGAL ENTITIES; (X) THE FILING OF A VOLUNTARY PETITION, OR ANY CONSENT TO THE INVOLUNTARY FILING OF A PETITION, BY OR ON BEHALF OF EMH, IN BANKRUPTCY OR ANY REORGANIZATION, OR ANY APPOINTMENT OF A RECEIVER ON BEHALF OF EMH; (XI) THE SUBMISSION OF ANY APPLICATIONS, FILINGS OR MATERIAL CORRESPONDENCE TO THE ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD OR ANY SUCCESSOR THERETO (THE "IHFSRB") FOR ANY PROPOSED PROJECT OR ACTIVITY OF EMH SUBJECT TO THE JURISDICTION OF THE IHFSRB, REGARDLESS OF THE LEVEL OF CAPITAL EXPENDITURE; AND (XII) THE PURCHASE OR SALE BY EMH OF ANY INTEREST IN REAL PROPERTY. ANY EXERCISE OF ANY EXCLUSIVE POWERS BY EEH AS SET FORTH ABOVE SHALL BE EVIDENCED BY A RESOLUTION OF THE EEH BOARD OF TRUSTEES. ANY EXERCISE OF ANY APPROVAL RIGHTS AS SET FORTH ABOVE SHALL BE EVIDENCED BY A RESOLUTION OF EACH OF THE EEH AND EMHC BOARD OF TRUSTEES. THE EMHC BOARD OF TRUSTEES OR THE EEH BOARD OF TRUSTEES, AS APPLICABLE, MAY DELEGATE TO ITS RESPECTIVE PRESIDENT OR ANOTHER OFFICER THEREOF THE AUTHORITY TO EXERCISE ANY OF THE EXCLUSIVE POWERS OR APPROVAL RIGHTS NOTED ABOVE TO SUCH ENTITY, IF ANY, AND SUCH DELEGATION MAY BE LIMITED TO SPECIFIC EVENTS OR TRANSACTIONS, OR TO GENERAL CATEGORIES OF EVENTS OR TRANSACTIONS, AS SUCH BOARD OF TRUSTEES SHALL CONSIDER TO BE NECESSARY OR DESIRABLE IN THE CIRCUMSTANCES. -EMH IS THE SOLE CORPORATE MEMBER OF EMHF AND EMHH (THE "AFFILIATED CORPORATIONS"). THE BYLAWS OF EACH OF THE AFFILIATED CORPORATIONS REQUIRE THE APPROVAL OF EACH OF EMH, EMHC AND EEH TO AUTHORIZE THE FOLLOWING MATTERS: (I) THE ADOPTION, AMENDMENT, AND REPEAL OF THE ARTICLES OF INCORPORATION, BYLAWS OR SIMILAR GOVERNING DOCUMENT OF ANY AFFILIATED CORPORATION; (II) THE ADOPTION AND APPROVAL OF ANY PLAN OF DISSOLUTION OR LIQUIDATION OF ANY AFFILIATED CORPORATION, ANY PLAN OF MERGER OR CONSOLIDATION OF ANY AFFILIATED CORPORATION WITH ANOTHER CORPORATION OR OTHER ENTITY; AND/OR ANY EXCHANGE, SALE OR TRANSFER OF ANY MATERIAL PORTION OF THE ASSETS OF ANY AFFILIATED CORPORATION IN ANY TRANSACTION OR SERIES OF RELATED TRANSACTIONS; (III) THE ADOPTION, APPROVAL, AMENDMENT, RESTATEMENT OR MODIFICATION OF ANY FINANCIAL CONTROL POLICY FOR ANY AFFILIATED CORPORATION AND THE TAKING OF ANY ACTION BY OR ON BEHALF OF ANY AFFILIATED CORPORATION NOT OTHERWISE IN CONFORMANCE WITH ANY SUCH POLICY; (IV) THE AMENDMENT OR REVISION OF THE INITIAL PURPOSE AND SCOPE OF SERVICES OF ANY AFFILIATED CORPORATION, INCLUDING LOCATION, SIZE, OPERATIONS AND ACTIVITIES; (V) THE ADOPTION OF ANY AND ALL ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, CAPITAL INVESTMENTS AND/OR CAPITAL ALLOCATIONS OF ANY AFFILIATED CORPORATION; (VI) THE AUTHORIZATION OR APPROVAL OF ANY LONG-TERM BORROWING OF MONEY BY THE AFFILIATED CORPORATION, OR THE AUTHORIZATION OR APPROVAL OF ANY PREPAYMENT, IN WHOLE OR IN PART, REFINANCING, INCREASE, MODIFICATION OR EXTENSION OF ANY SUCH INDEBTEDNESS; (VIII) THE GRANTING OF ANY SECURITY INTEREST IN, OR OTHERWISE PROVIDING FOR THE ENCUMBRANCE OF, ANY OF THE ASSETS OR REVENUES OF ANY AFFILIATED CORPORATION; (IX) THE CREATION AND/OR ADDITION OF ANY DIRECT OR INDIRECT SUBSIDIARIES OR AFFILIATES OF ANY AFFILIATED CORPORATION, INCLUDING, WITHOUT LIMITATION, ANY NOT-FOR-PROFIT OR FOR-PROFIT CORPORATIONS, LIMITED LIABILITY COMPANIES, PARTNERSHIPS OR OTHER LEGAL ENTITIES: (X) THE FILING OF A VOLUNTARY PETITION, OR ANY CONSENT TO THE INVOLUNTARY FILING OF A PETITION, BY OR ON BEHALF OF ANY AFFILIATED CORPORATION, IN BANKRUPTCY OR ANY REORGANIZATION, OR ANY APPOINTMENT OF A RECEIVER ON BEHALF OF THE AFFILIATED CORPORATION; (XI) THE SUBMISSION OF ANY APPLICATIONS, FILINGS OR CORRESPONDENCE TO THE IHFSRB FOR ANY PROPOSED PROJECT OR ACTIVITY OF ANY AFFILIATED CORPORATION SUBJECT TO THE JURISDICTION OF THE IHFSRB, REGARDLESS OF THE LEVEL OF CAPITAL EXPENDITURE; (XII) THE PURCHASE OR SALE BY ANY AFFILIATED CORPORATION OF ANY INTEREST IN REAL PROPERTY. ANY EXERCISE OF ANY APPROVAL RIGHTS NOTED ABOVE SHALL BE EVIDENCED BY A RESOLUTION OF THE EMH BOARD OF TRUSTEES, THE EMHC BOARD OF TRUSTEES AND THE EEH BOARD OF TRUSTEES. THE EMH BOARD OF TRUSTEES, THE EMHC BOARD OF TRUSTEES OR THE EEH BOARD OF TRUSTEES, AS APPLICABLE, MAY DELEGATE TO ITS RESPECTIVE PRESIDENT OR ANOTHER OFFICER THEREOF THE AUTHORITY TO EXERCISE ANY OF THE APPROVAL RIGHTS AS NOTED ABOVE OF SUCH ENTITY, AND SUCH DELEGATION MAY BE LIMITED TO SPECIFIC EVENTS OR TRANSACTIONS, OR TO GENERAL CATEGORIES OF EVENTS OR TRANSACTIONS, AS SUCH BOARD OF TRUSTEES SHALL CONSIDER TO BE NECESSARY OR DESIRABLE IN THE CIRCUMSTANCES.
FORM 990, PART VI, LINE 4, SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS (CONTINUED) -THE PURPOSES OF EMHF ARE TO: (I) FOSTER, PROMOTE, SUPPORT, DEVELOP AND ENCOURAGE AND ACCEPT FUNDS FOR THE CONSTRUCTION, BUILDING, REMODELING, SUPPORT, ENDORSEMENTS, ADMINISTRATION, STAFFING, AND ANY OTHER LEGITIMATE PURPOSE OR FUNCTION OF EMH; (II) SPONSOR, SUPPORT, PROMOTE, DEVELOP, OWN AND OPERATE ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED FROM TIME TO TIME, OR ANY CORRESPONDING PROVISION OF ANY SUBSEQUENT REVENUE LAW OF THE UNITED STATES (THE "CODE"), WHICH SUPPORT, ASSIST, ENCOURAGE OR OTHERWISE PROMOTE HEALTH CARE, EDUCATION AND RESEARCH; (III) CARRY ON EDUCATIONAL ACTIVITIES RELATED TO THE RENDERING OF HEALTH CARE SERVICES OR THE PROMOTION OF HEALTH; (IV) INVEST IN ACTIVITIES THAT ARE CONSISTENT WITH AND IN FURTHERANCE OF THE CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES OF EMHF AND PROMOTE THE GENERAL HEALTH OF THE COMMUNITY; (V) RAISE GIFTS, BEQUESTS, DONATIONS AND OTHER FUNDS FROM THE PUBLIC AND FROM ALL OTHER SOURCES AVAILABLE; RECEIVE AND MAINTAIN SUCH FUNDS AND EXPEND PRINCIPAL AND INCOME THERE FROM IN SUPPORT OF OR IN FURTHERANCE OF THE CHARITABLE PURPOSES OF EMHF; (VI) ACQUIRE, OWN, USE, LEASE AS LESSOR OR LESSEE, CONVEY AND OTHERWISE DEAL IN AND WITH REAL AND PERSONAL PROPERTY AND INTERESTS THEREIN, ALL IN SUPPORT OF THE CHARITABLE PURPOSES OF EMHF; AND (VII) OTHERWISE OPERATE IN SUPPORT OF, OR IN FURTHERANCE OF, THE CHARITABLE PURPOSES OF EMHF, EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE CODE, IN THE COURSE OF WHICH OPERATION (X) NO PART OF THE NET EARNINGS OF EMHF SHALL INURE TO THE BENEFIT OF, OR BE DISTRIBUTABLE TO, ANY PRIVATE INDIVIDUAL, AND NO PART OF THE INCOME OF EMHF SHALL BE DISTRIBUTED TO ITS EMH (OTHER THAN AS OTHERWISE PERMITTED UNDER THE EMHF BYLAWS), TRUSTEES, OFFICERS OR ANY OTHER PRIVATE PERSONS, EXCEPT THAT EMHF SHALL BE AUTHORIZED AND EMPOWERED TO PAY REASONABLE COMPENSATION FOR SERVICES RENDERED AND TO MAKE PAYMENTS AND DISTRIBUTIONS IN FURTHERANCE OF THE PURPOSES SET FORTH HEREIN, (Y) NO SUBSTANTIAL PART OF THE ACTIVITIES OF EMHF SHALL CONSIST OF THE CARRYING ON OF PROPAGANDA OR OTHERWISE ATTEMPTING TO INFLUENCE LEGISLATION, AND EMHF SHALL NOT PARTICIPATE IN OR INTERVENE IN ANY POLITICAL CAMPAIGN ON BEHALF OF OR IN OPPOSITION TO ANY CANDIDATE FOR PUBLIC OFFICE, INCLUDING THE PUBLISHING OR DISTRIBUTION OF STATEMENTS, EXCEPT AS AUTHORIZED UNDER THE CODE, AND (Z) NOTWITHSTANDING ANY OTHER PROVISIONS CONTAINED HEREIN, EMHF SHALL NOT CARRY ON ANY OTHER ACTIVITIES NOT PERMITTED TO BE CARRIED ON BY (A) A CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE CODE, OR (B) A CORPORATION, THE CONTRIBUTIONS TO WHICH ARE DEDUCTIBLE UNDER SECTION 170(C)(2) OF THE CODE. -THE EMHF BOARD OF TRUSTEES MUST CONSIST OF NOT LESS THAN TWENTY-FOUR (24) NOR MORE THAN THIRTY (30) MEMBERS IN NUMBER, AND WHO SHALL BE APPOINTED BY EMH. -THE PURPOSES OF EMHH ARE TO: (I) OPERATE, ESTABLISH, ACQUIRE, SUPPORT, ERECT, MAINTAIN, OWN OR EQUIP HOME HEALTH AGENCIES; (II) SPONSOR, SUPPORT, PROMOTE, DEVELOP, OWN AND OPERATE ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED FROM TIME TO TIME, OR ANY CORRESPONDING PROVISION OF ANY SUBSEQUENT REVENUE LAW OF THE UNITED STATES (THE "CODE"), WHICH SUPPORT, ASSIST, ENCOURAGE OR OTHERWISE PROMOTE HEALTH CARE, EDUCATION AND RESEARCH; (III) CARRY ON EDUCATIONAL ACTIVITIES RELATED TO THE RENDERING OF HEALTH CARE SERVICES OR THE PROMOTION OF HEALTH; (IV) INVEST IN ACTIVITIES THAT ARE CONSISTENT WITH AND IN FURTHERANCE OF THE CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES OF EMHH AND PROMOTE THE GENERAL HEALTH OF THE COMMUNITY; (V) RAISE GIFTS, BEQUESTS, DONATIONS AND OTHER FUNDS FROM THE PUBLIC AND FROM ALL OTHER SOURCES AVAILABLE; RECEIVE AND MAINTAIN SUCH FUNDS AND EXPEND PRINCIPAL AND INCOME THERE FROM IN SUPPORT OF OR IN FURTHERANCE OF THE CHARITABLE PURPOSES OF EMHH; (VI) ACQUIRE, OWN, USE, LEASE AS LESSOR OR LESSEE, CONVEY AND OTHERWISE DEAL IN AND WITH REAL AND PERSONAL PROPERTY AND INTERESTS THEREIN, ALL IN SUPPORT OF THE CHARITABLE PURPOSES OF EMHH; AND (VII) OTHERWISE OPERATE IN SUPPORT OF, OR IN FURTHERANCE OF, THE CHARITABLE PURPOSES OF EMHH, EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE CODE, IN THE COURSE OF WHICH OPERATION (X) NO PART OF THE NET EARNINGS OF EMHH SHALL INURE TO THE BENEFIT OF, OR BE DISTRIBUTABLE TO, ANY PRIVATE INDIVIDUAL, AND NO PART OF THE INCOME OF EMHH SHALL BE DISTRIBUTED TO EMH (OTHER THAN AS SET FORTH IN SECTION 1.4 HEREOF), TRUSTEES, OFFICERS OR ANY OTHER PRIVATE PERSONS, EXCEPT THAT EMHH SHALL BE AUTHORIZED AND EMPOWERED TO PAY REASONABLE COMPENSATION FOR SERVICES RENDERED AND TO MAKE PAYMENTS AND DISTRIBUTIONS IN FURTHERANCE OF THE PURPOSES SET FORTH HEREIN; (Y) NO SUBSTANTIAL PART OF THE ACTIVITIES OF EMHH SHALL CONSIST OF THE CARRYING ON OF PROPAGANDA OR OTHERWISE ATTEMPTING TO INFLUENCE LEGISLATION, AND EMHH SHALL NOT PARTICIPATE IN OR INTERVENE IN ANY POLITICAL CAMPAIGN ON BEHALF OF OR IN OPPOSITION TO ANY CANDIDATE FOR PUBLIC OFFICE, INCLUDING THE PUBLISHING OR DISTRIBUTION OF STATEMENTS, EXCEPT AS AUTHORIZED UNDER THE CODE; AND (Z) NOTWITHSTANDING ANY OTHER PROVISIONS CONTAINED HEREIN, EMHH SHALL NOT CARRY ON ANY OTHER ACTIVITIES NOT PERMITTED TO BE CARRIED ON BY (A) A CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE CODE, OR (B) A CORPORATION, THE CONTRIBUTIONS TO WHICH ARE DEDUCTIBLE UNDER SECTION 170(C)(2) OF THE CODE. -THE EMHH BOARD OF TRUSTEES MUST CONSIST OF NOT LESS THAN FIVE (5) NOR MORE THAN SEVEN (7) MEMBERS IN NUMBER, AND WHO SHALL BE APPOINTED BY EMH.
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders REFER TO ANSWER TO FORM 990, PART VI, SEC A, LINE 4.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body REFER TO ANSWER TO FORM 990, PART VI, SEC A, LINE 4.
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders REFER TO ANSWER TO FORM 990, PART VI, SEC A, LINE 4.
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body A DRAFT OF THE FULL FORM 990 WAS PROVIDED TO THE EDWARD-ELMHURST HEALTHCARE AUDIT COMMITTEE, AND WAS REVIEWED WITH THE ASSISTANCE OF CROWE HORWATH. FOLLOWING REVIEW BY THE AUDIT COMMITTEE, AND PRIOR TO FILING, A FINAL COPY OF THE FORM 990 WAS THEN PROVIDED TO THE FULL BOARD OF TRUSTEES OF EDWARD HOSPITAL, AND KEY COMPONENTS OF THE FORM 990 WERE ALSO REVIEWED.
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy EDWARD-ELMHURST HEALTHCARE, ON BEHALF OF ITSELF AND ALL AFFILIATES, MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL REPORTING, AND ONGOING EDUCATION. EACH YEAR, EDWARD-ELMHURST HEALTHCARE CONDUCTS AN ANNUAL CONFLICT OF INTEREST REVIEW. THIS PROCESS INVOLVES REQUIRING ALL TRUSTEES, OFFICERS, KEY EMPLOYEES, EMPLOYED PHYSICIANS, CERTAIN OTHER PHYSICIANS, AND MANAGEMENT LEVEL EMPLOYEES TO COMPLETE AN ELECTRONIC CONFLICT OF INTEREST QUESTIONNAIRE. THE SYSTEM DIRECTOR OF INTERNAL AUDIT AND CORPORATE COMPLIANCE FACILITATES THE COMPLETION OF A QUESTIONNAIRE BY ALL REQUIRED INDIVIDUALS, AND IF NO QUESTIONNAIRE IS COMPLETED, THE MATTER IS REPORTED TO THE INDIVIDUAL'S SUPERVISOR UP TO AND INCLUDING THE BOARD OF TRUSTEES. DISCLOSURES MADE ON THE QUESTIONNAIRE ARE EVALUATED BY A CONFLICT OF INTEREST WORKGROUP COMPRISED OF THE SYSTEM DIRECTOR OF INTERNAL AUDIT AND CORPORATE COMPLIANCE, THE SYSTEM EXECUTIVE VICE PRESIDENT AND CHIEF FINANCIAL OFFICER, THE GENERAL COUNSEL, AND THE DEPUTY GENERAL COUNSEL. DISCLOSURES MADE BY TRUSTEES, OFFICERS AND KEY EMPLOYEES ARE EVALUATED BY THE TRUSTEES, OFFICERS AND KEY EMPLOYEES ARE EVALUATED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OR ITS DESIGNEE. THE EVALUATIONS MAY RESULT IN ACTIONS BEING TAKEN UP TO AND INCLUDING THE DEVELOPMENT OF A MANAGEMENT PLAN ACCEPTED BY THE INDIVIDUAL MAKING THE DISCLOSURE OR TERMINATION OF THE DISCLOSED RELATIONSHIP OR CONFLICT. IN CASES WHERE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED, THE CONFLICTED INDIVIDUAL IS EDUCATED ABOUT HOW THEY SHOULD RAISE THIS ISSUE IF THEY ARE EVER IN A POSITION WHERE THEIR CONFLICT MAY BE IMPLICATED. CONFLICTED INDIVIDUALS MUST RECUSE THEMSELVES FROM VOTING, BUT, AT THE DISCRETION OF THE BOARD, MAY BE PERMITTED TO PARTICIPATE IN DISCUSSION ABOUT MATTERS IN WHICH THEY HAVE AN ACTUAL OR APPARENT CONFLICT. IN ADDITION TO THIS ANNUAL REPORTING, ALL INDIVIDUALS NOTED ABOVE ARE ADVISED THAT, PURSUANT TO THE CONFLICTS POLICY, THEY ARE REQUIRED TO REPORT TO THE SYSTEM DIRECTOR OF INTERNAL AUDIT AND CORPORATE COMPLIANCE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AS THEY MAY ARISE THROUGHOUT THE COURSE OF THE YEAR.
Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official EXECUTIVE COMPENSATION, INCLUDING THE PRESIDENT AND ALL OFFICERS OF EDWARD-ELMHURST HEALTHCARE ("SENIOR MANAGEMENT") IS MANAGED BY THE EDWARD-ELMHURST HEALTHCARE ("EEH") EXECUTIVE COMMITTEE ("COMMITTEE"), ON BEHALF OF EEH AND ALL OF ITS AFFILIATES. ON AN ANNUAL BASIS, THE COMMITTEE REVIEWS COMPENSATION ARRANGEMENTS, INCLUDING THE COMPENSATION AWARD FOR ELMHURST MEMORIAL HEALTHCARE GROUP PRESIDENT FOR THE COMING YEAR. THE COMMITTEE CONDUCTS THE REVIEW IN A MANNER THAT WILL QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTION RULES OF SECTION 4958 OF THE INTERNAL REVENUE CODE. TO THAT END: - THE CEO AND ALL OTHER MEMBERS OF SENIOR MANAGEMENT MAY PARTICIPATE IN THIS REVIEW PROCESS AND BE PRESENT AT MEETINGS OF THE COMMITTEE ONLY IF AND TO THE EXTENT NECESSARY TO ANSWER QUESTIONS AND PROVIDE OTHER INFORMATION THE COMMITTEE NEEDS FOR ITS ANALYSIS, ASSESSMENT AND DELIBERATIONS, AND THEY MUST OTHERWISE RECUSE THEMSELVES FROM COMMITTEE MEETINGS DURING COMMITTEE DEBATE AND VOTING ON COMPENSATION ARRANGEMENTS. - ANY COMMITTEE MEMBER IDENTIFIED AS HAVING A CONFLICT SHALL PARTICIPATE IN THE PROCESS ONLY TO THE SAME EXTENT AS MEMBERS OF SENIOR MANAGEMENT. - THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION FIRM, WHICH SUMMARIZES ITS ANALYSIS AND FINDINGS IN WRITING TO THE COMMITTEE. - THE COMMITTEE OBTAINS AND RELIES ON CURRENT COMPARABLE MARKET COMPENSATION DATA FROM APPROPRIATE PEER ORGANIZATIONS FOR EACH COMPENSATION COMPONENT PRIOR TO MAKING ITS DETERMINATION. RELEVANT INFORMATION WILL INCLUDE COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY EEH; CURRENT COMPENSATION SURVEY COMPILED BY AN INDEPENDENT FIRM; AND, WHERE APPLICABLE, ACTUAL WRITTEN OFFERS FROM SIMILAR ORGANIZATIONS COMPETING FOR THE SERVICES FOR THE MEMBERS OF SENIOR MANAGEMENT. - THE COMMITTEE ALSO ADEQUATELY AND PROMPTLY DOCUMENTS ITS DECISION. THE DOCUMENTATION STATES ITS INTENTION TO QUALITY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS; THE SPECIFIC TERMS OF THE COMPENSATION ARRANGEMENT THAT WERE APPROVED; THE APPROVAL DATE; THE NAMES OF THE INDIVIDUALS PRESENT AND THOSE WHO VOTED; THE SPECIFIC COMPARABILITY DATA OBTAINED AND RELIED UPON; AND AN EXPLANATION AS TO WHY THE APPROVED AMOUNTS ARE CONSIDERED REASONABLE IF THE TERMS OF THE COMPENSATION ARRANGEMENT DIFFER FROM THE COMPARABILITY DATA. IN ADDITION, THE COMMITTEE PERIODICALLY REVIEWS THE EXECUTIVE COMPENSATION PLAN, INCLUDING THE PHILOSOPHY, FOR (A) COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS, AND (B) ALIGNMENT WITH EEH'S MISSION, CHARITABLE PURPOSES, GOALS AND STRATEGIES. BASED ON THE REVIEW, THE COMMITTEE APPROVES ANY CHANGES IN ONE OR MORE COMPONENTS OF THE PLAN OR THE PLAN PHILOSOPHY THAT THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE RELATIVE TO ONE OR BOTH OF THESE CRITERIA. OTHER INDIVIDUALS WHO ARE OFFICERS OR KEY EMPLOYEES OF ELMHURST MEMORIAL HEALTHCARE GROUP, BUT ARE NOT A PART OF EEH SENIOR MANAGEMENT ARE COMPENSATED WITH A COMPETITIVE BASE SALARY, ALONG WITH AN INCENTIVE PLAN, WHICH IS REFLECTIVE OF EEH'S MARKET AS DETERMINED BY A REVIEW OF INDEPENDENTLY GATHERED MARKET COMPENSATION SURVEY DATA. AT THE TIME OF HIRE, THE SALARY DETERMINATION IS MADE BY GIVING CONSIDERATION TO THE EXPERIENCE PERTINENT TO THE ROLE FOR WHICH THE INDIVIDUAL IS TO BE HIRED, ALSO CONSIDERED ARE NICHE SKILLS OR EXPERIENCE THE INDIVIDUAL BRINGS TO THE ORGANIZATION. SUPPLY AND DEMAND WILL ALSO PLAY A ROLE IN DETERMINING THE HIRING RATE OF PAY. BASED ON THESE FACTORS, THE EEH HUMAN RESOURCES DEPARTMENT, WHICH SUPPORTS EEH AND ALL OF ITS AFFILIATES, WILL ASSIGN THE KEY EMPLOYEE TO AN APPROPRIATE PAY GRADE, AND A RATE OF PAY WILL BE OFFERED WITHIN THAT PAY GRADE. ON A PERIODIC BASIS, THE EEH HUMAN RESOURCES DEPARTMENT WORKS WITH AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT TO CONDUCT A THOROUGH MARKET REVIEW OF ALL POSITIONS WHICH ARE NOT CONSIDERED SENIOR MANAGEMENT. USING A VARIETY OF SOURCES, EEH SALARY RANGES ARE COMPARED TO THE CURRENT MARKET PAY GRADE ASSIGNMENTS, AND INDIVIDUAL RATE OF PAY MAY CHANGE BASED ON THE RESULTS OF THIS ANNUAL MARKET REVIEW. IN ADDITIONAL, ANNUAL MERIT INCREASES MAY BE AWARDED BASED ON EEH'S BUDGET FOR THE YEAR.
Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees PLEASE SEE THE NARRATIVE TO FORM 990, PART VI, LINE 15A.
Form 990, Part VI, Sec C, Line 19, Required documents available to the public CURRENTLY, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE VIA EMMA. IF A REQUEST IS RECEIVED FOR THIS INFORMATION, IT IS FORWARDED ON TO EITHER THE LEGAL DEPARTMENT OR THE FINANCE DEPARTMENT, AND THE MATERIALS WOULD THEN BE PROVIDED TO THE REQUESTOR.
FORM 990, PART VII, SECTION A, LINE 1A, COMPENSATION REPORTING PURSUANT TO TREASURY REGULATION SECTION 1.6033-2(D)(5), ELMHURST MEMORIAL HEALTHCARE (EIN: 36-4037473), THE PARENT ENTITY OF ELMHURST MEMORIAL HEALTHCARE GROUP (EIN: 35-2339114), HAS ELECTED TO REPORT INFORMATION ABOUT COMPENSATION AND OTHER INFORMATION FOR OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES AND CERTAIN OTHER HIGHLY COMPENSATED EMPLOYEES ON A CONSOLIDATED BASIS ALONG WITH ALL MEMBERS OF THE GROUP ON THE ELMHURST MEMORIAL HEALTHCARE GROUP FORM 990.
Form 990 , Part XI, Line 9, Other changes in net assets or fund balances TRANSFERS FROM AFFILIATES - -34283000; TRANSFERS FROM CAPTIVE - 11707000; POSTRETIREMENT BENEFIT PLAN ADJUSTMENT - 9099000;
FORM 990, LINE H, SUBORDINATE ORGANIZATIONS THE ELMHURST MEMORIAL HEALTHCARE GROUP RETURN INCLUDES ALL SUBORDINATE ORGANIZATIONS INCLUDED IN GROUP EXEMPTION NUMBER 5467. PURSUANT TO TREASURY REGULATION SECTION 1.6033-2(D)(2)(II) THE FOLLOWING LIST IDENTIFIES THE NAME, ADDRESS, AND EIN OF EACH SUBORDINATE. ELMHURST MEMORIAL HOSPITAL 155 E. BRUSH HILL ROAD ELMHURST, IL 60126 EIN: 36-2167784 ELMHURST MEMORIAL HOSPITAL FOUNDATION 155 E. BRUSH HILL ROAD ELMHURST, IL 60126 EIN: 36-3083197 ELMHURST MEMORIAL HOME HEALTH 155 E. BRUSH HILL ROAD ELMHURST, IL 60126 EIN: 36-3962253
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ELMHURST MEMORIAL HEALTHCARE GROUP
 
Employer identification number

35-2339114
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on 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

(1) ELMHURST MEMORIAL INTERVENTIONAL RADIOLOGY SERVICES LLC
155 BRUSH HILL ROAD
ELMHURST,IL60126
80-0152217
PHYSICIAN GROUP-RADIOLOGY IL 0 0 ELMHURST MEMORIAL HOSPITAL
 










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


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


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

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1) EDWARD HOSPITAL

801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
36-3297173
HOSPITAL IL 501(C)(3) 3 EEH
 
 
No
(2) EDWARD-ELMHURST HEALTHCARE

801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
36-3513954
SYSTEM PARENT IL 501(C)(3) 11 - Type II NA
 
 
No
(3) NAPERVILLE PSYCHIATRIC VENTURES

801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
36-3965251
HOSPITAL IL 501(C)(3) 3 EHV
 
 
No
(4) EDWARD HEALTH VENTURES

801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
58-1672987
SUPPORTING ORG IL 501(C)(3) 11 - Type II EEH
 
 
No
(5) EDWARD FOUNDATION

801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
36-3723705
FUNDRAISING IL 501(C)(3) 7 EEH
 
 
No
(6) EDWARD HEALTH & FITNESS CENTER

801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
36-3555528
HEALTHCARE IL 501(C)(3) 9 EHV
 
 
No
(7) EDWARD AMBULANCE SERVICES LLC

801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
45-2389060
HEALTH CARE IL 501(C)(3) 9 EH
 
 
No
(8) ELMHURST MEMORIAL HEALTHCARE

155 EAST BRUSH HILL ROAD

ELMHURST,IL60126
36-4037473
SUPPORTING ORG IL 501(C)(3) 11 - Type II EEH
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



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

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




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



(k)
Percentage
ownership


Yes No Yes No
(1) ELMHURST OUTPATIENT SURGERY CENTER LLC

1200 SOUTH YORK ROAD
ELMHURST,IL60126
36-4150045
HEALTH CARE IL EMH
 
RELATED 987,502 2,318,355   No     No 0 %
(2) EDWARD PHYSICIAN OFFICE CENTER LP

801 SOUTH WASHINGTON STREET
NAPERVILLE,IL60540
36-3524485
HEALTH CARE IL NA
 
N/A                
(3) THE CENTER FOR SURGERY LP

475 E DIEHL ROAD
NAPERVILLE,IL60563
36-3776424
HEALTH CARE IL NA
 
N/A                
(4) RESIDENTIAL HOME HEALTH ILLINOIS LLC

5440 CORPORATE DRIVE SUITE 400
TROY,MI48098
27-0179825
HEALTH CARE IL NA
 
N/A                
(5) RESIDENTAL HOSPICE ILLINOIS LLC

5440 CORPORATE DRIVE SUITE 400
TROY,MI48098
45-4745710
HEALTH CARE IL NA
 
N/A                
(6) MIDWEST ENDOSCOPY LLC

1243 RICKERT DRIVE
NAPERVILLE,IL60540
20-8292570
HEALTH CARE IL NA
 
N/A                
(7) WESTMONT SURGERY CENTER LLC DBA SALT CREEK SURGERY CENTER

530 NORTH CASS AVENUE
WESTMONT,IL60599
36-4419691
HEALTH CARE IL NA
 
N/A                
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ELMHURST MEMORIAL HEALTH TECHNOLOGIES LLC

855 NORTH CHURCH COURT
ELMHURST,IL60126
36-3229839
PRACTICE MANAGEMENT IL NA
 
C CORPORATION          
(2) EDWARD MANANGEMENT CORPORATION

801 SOUTH WASHINGTON STREET
NAPERVILLE,IL60540
36-3833311
MANAGEMENT CORP IL NA
 
C CORPORATION          
(3) NAPERVILLE HEALTH CARE ASSOC LTD

801 SOUTH WASHINGTON STREET
NAPERVILLE,IL60540
36-3651180
HEALTH CARE IL NA
 
C CORPORATION          
(4) ILLINOIS HEALTH PARTNERS LLC

1100 W 31ST ST SUITE 400
DOWNERS GROVE,IL60515
90-0744712
HEALTH CARE IL NA
 
C CORPORATION          
(5) EEH SPC - SEGREGATED PORTFOLIO A

GOVERNORS SQUARE BLDG 4 FLOOR 2
23 LIME TREE BAY,GRAND CAYMANKY1-1002
CJ
INSURANCE CJ NA
 
C CORPORATION          
(6) EEH SPC - SEGREGATED PORTFOLIO B

GOVERNORS SQUARE BLDG 4 FLOOR 2
23 LIME TREE BAY,GRAND CAYMANKY1-1002
CJ
98-1185160
INSURANCE CJ NA
 
C CORPORATION          
(7) ELMHURST PHYSICIAN HOSPITAL ORGANIZATION LLC

855 N CHURCH COURT
ELMHURST,IL60126
36-3994179
HEALTH CARE IL EMH
 
C CORPORATION 0 942,585 0 %    
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on 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
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
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
 
No
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
Yes
 
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
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
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
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
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 related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) ELMHURST MEMORIAL HEALTH TECHNOLOGIES LLC

J 340,200 RENT RECEIVED





Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

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




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


Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


Software ID: 13000248
Software Version: 2013v3.1