TY 2015 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Mary Dillon...................................................................... Director	1.0 ................. 0.0	X		0	0	0
(2) David A Dohnalek...................................................................... Director	1.0 ................. 0.0	X		0	0	0
(3) Connie K Duckworth...................................................................... Director	1.0 ................. 0.0	X		0	0	0
(4) William M Farrow III...................................................................... Director	1.0 ................. 0.0	X		0	0	0
(5) Gregory K Jones...................................................................... Director/Prior Past Chairman	1.0 ................. 0.0	X	X	0	0	0
(6) Karen L Kaul...................................................................... Director and Clinical Chairman	20.0 ................. 22.0	X		340,191	407,480	50,629
(7) Morris S Kharasch...................................................................... Director and Physician	7.0 ................. 35.0	X		66,662	497,070	47,951
(8) Harry M Jansen Kraemer Jr...................................................................... Director	1.0 ................. 0.0	X		0	0	0
(9) Theodore Mazzone...................................................................... Director and Clinical Chairman	38.0 ................. 4.0	X		821,258	86,032	49,517
(10) Samuel M Mencoff...................................................................... Director/Prior Board Secretary	1.0 ................. 0.0	X	X	0	0	0
(11) Nancy A Nora...................................................................... Director	1.0 ................. 0.0	X		0	0	0
(12) Michael Reinsdorf...................................................................... Director	1.0 ................. 0.0	X		0	0	0
(13) Thomas S Ricketts...................................................................... Director	1.0 ................. 0.0	X		0	0	0
(14) Scott C Schweighauser...................................................................... Director	1.0 ................. 0.0	X		0	0	0
(15) Susan B Sentell...................................................................... Director	1.0 ................. 0.0	X		0	0	0
(16) Mark S Talamonti...................................................................... Director and Clinical Chairman	31.0 ................. 11.0	X		910,249	312,633	51,818
(17) J Mikesell Thomas...................................................................... Director	1.0 ................. 0.0	X		0	0	0

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Sona Wang........................................................................ Director	1.0 .......................0.0	X					0	0	0
(19) Kevin Willer........................................................................ Director	1.0 .......................0.0	X					0	0	0
(20) David F Zucker........................................................................ Director	1.0 .......................0.0	X					0	0	0
(21) Percy L Berger Sr........................................................................ Board Chairman	1.0 .......................0.0	X	X				0	0	0
(22) Lester B Knight III........................................................................ Board Vice Chairman	1.0 .......................0.0	X	X				0	0	0
(23) A Steven Crown........................................................................ Board Past Chairman	1.0 .......................0.0	X	X				0	0	0
(24) Mark R Neaman........................................................................ President and CEO	41.0 .......................2.0	X	X				2,137,147	0	379,174
(25) Toure S Claiborne........................................................................ Board Secretary/Prior Director	1.0 .......................0.0	X	X				0	0	0
(26) Andrew J Mills........................................................................ Board Asst Secretary/Prior Dir	1.0 .......................0.0	X	X				0	0	0
(27) Gerald P Gallagher........................................................................ Chief Operating Officer	41.0 .......................1.0		X				867,611	0	247,842
(28) Gary E Weiss........................................................................ Board Treasurer and CFO	41.0 .......................0.0		X				1,119,250	0	154,010
(29) Julian E Bailes........................................................................ Clinical Chairman	22.0 .......................19.0			X			913,439	690,425	54,089
(30) William D Bloomer........................................................................ Clinical Chairman	24.0 .......................17.0			X			393,030	627,514	52,886
(31) Michael S Caplan........................................................................ Clinical Chairman	33.0 .......................8.0			X			638,008	121,435	28,252
(32) Robert R Edelman........................................................................ Clinical Chairman	38.0 .......................3.0			X			846,445	210,618	59,089
(33) Bernard G Ewigman........................................................................ Clinical Chairman	40.0 .......................1.0			X			448,822	0	133,571
(34) Thomas H Hodges........................................................................ Chief Investment Officer	40.0 .......................0.0			X			676,310	0	36,299
(35) Harry L Jones........................................................................ Chief Compliance Officer	40.0 .......................0.0			X			392,252	0	45,452
(36) Mary Keegan........................................................................ Chief Nursing Officer	40.0 .......................0.0			X			338,829	0	34,660
(37) Jason L Koh........................................................................ Clinical Chairman	22.0 .......................19.0			X			588,022	838,473	59,567
(38) William R Luehrs........................................................................ Chief Human Resources Officer	40.0 .......................0.0			X			631,774	0	116,382
(39) Demetrius Maraganore........................................................................ Clinical Chairman	30.0 .......................11.0			X			509,004	158,305	49,319
(40) Frederick E Miller........................................................................ Clinical Chairman	38.0 .......................3.0			X			436,705	36,238	42,449
(41) Kristen Murtos........................................................................ President, Skokie Hospital	40.0 .......................0.0			X			536,827	0	153,919
(42) Sean O'Grady........................................................................ President, Glenbrook Hospital	40.0 .......................0.0			X			499,208	0	127,780
(43) Jesse Peterson Hall........................................................................ President, Highland Park Hosp	40.0 .......................0.0			X			563,532	0	128,865
(44) Richard K Silver........................................................................ Clinical Chairman	35.0 .......................6.0			X			812,815	128,015	52,946
(45) Douglas M Silverstein........................................................................ President, Evanston Hospital	40.0 .......................0.0			X			2,786,164	0	137,271
(46) Steven Smith........................................................................ Chief Information Officer	40.0 .......................0.0			X			572,860	0	162,624
(47) Joseph Szokol........................................................................ Clinical Chairman	15.0 .......................26.0			X			170,435	650,758	51,872
(48) Brian Washa........................................................................ Senior Vice President	40.0 .......................0.0			X			424,915	0	113,241
(49) Janardan D Khandekar........................................................................ Medical Director	36.0 .......................4.0				X		561,935	44,960	42,539
(50) Ari A Robicsek........................................................................ VP, Clinical Analytics	37.0 .......................3.0				X		449,905	54,154	52,083
(51) Nancy Semerdjian........................................................................ Former Chief Nursing Officer	40.0 .......................0.0				X		619,403	0	34,704
(52) Jonathan Silverstein........................................................................ VP, Research Informatics	40.0 .......................0.0				X		456,593	0	44,679
(53) Jianfeng Xu........................................................................ VP, Translational Research	40.0 .......................0.0				X		456,290	0	37,273
(54) Jeffery S Vender........................................................................ Former Clinical Chairman	26.0 .......................15.0					X	497,743	584,927	45,346
(55) Thomas A Victor........................................................................ Former Clinical Chairman	11.0 .......................29.0					X	78,069	332,568	47,064

(A) Name and business address	(B) Description of services	(C) Compensation
Aramark Management Services, 2300 Warrenville Road DOWNERS GROVE,IL60515	Facilities/Diet Mgmt	58,730,921
Pepper Construction Co, 643 North Orleans Street CHICAGO,IL60610	Construction Mgmt	38,681,033
Power Construction Company, 2360 North Palmer Drive SCHAUMBURG,IL60173	Construction Mgmt	29,584,608
University of Chicago Medical Ctr, 5841 South Maryland Avenue CHICAGO,IL60637	Medical Education	17,273,340
Winston Strawn LLP, 35 West Wacker Drive CHICAGO,IL60601	Legal Services	10,446,941
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 261

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

NorthShore University HealthSystem

Employer identification number

36-2167060

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

NorthShore University HealthSystem

Employer identification number

36-2167060

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization NorthShore University HealthSystem

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization NorthShore University HealthSystem		Employer identification number 36-2167060

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization NorthShore University HealthSystem			Employer identification number 36-2167060
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose 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

(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

(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

(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) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

NorthShore University HealthSystem

Employer identification number

36-2167060

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ..............................................................................................................	Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(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) 2015

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

118,470

Total. Add lines 1c through 1i ....................................................................................................

118,470

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B 1i - Lobbying Activities	NorthShore University HealthSystem (NorthShore) and its employees are members of various organizations that advocate on legal and policy issues that affect healthcare. A portion of the annual membership dues paid by NorthShore to these organizations are attributable to lobbying activities.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

NorthShore University HealthSystem

Employer identification number

36-2167060

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

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? ...........

Yes No

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? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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" on Form 990, Part IV, line 8.

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.

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)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	129,005,444	136,189,072	120,987,343	115,113,667	103,761,994
b	Contributions ...	-907,383	1,662,274	1,852,969	1,726,137	1,404,411
c	Net investment earnings, gains, and losses	18,880,017	-1,207,791	20,724,353	11,275,287	18,276,391
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	7,115,037	7,638,111	7,375,593	7,127,748	8,329,129
f	Administrative expenses ....
g	End of year balance ......	139,863,041	129,005,444	136,189,072	120,987,343	115,113,667

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

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' on 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 ...	71,514,092		71,514,092
b	Buildings	1,377,278,876	681,056,997	696,221,879
c	Leasehold improvements	57,252,243	40,013,992	17,238,251
d	Equipment ...	431,162,913	335,299,752	95,863,161
e	Other ...	180,853,698	20,681,891	160,171,807
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,041,009,190

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other (A) HEDGE FUNDS	386,735,593	C
(B) PRIVATE EQUITY FUNDS	105,375,213	C
(C) PRIVATE EQUITY FUNDS	18,102,771	F
(D) REAL ASSET FUND	18,012,204	F
(E) OTHER INVESTMENTS	2,536,883	F
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	530,762,664

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
DUE TO AFFILIATES	347,065,459
RESERVE FOR MALPRACTICE LOSSES	232,000,000
DEFERRED COMPENSATION	158,201,521
DUE TO THIRD PARTIES	130,168,744
CURRENT MATURITY OF LT DEBT	10,295,000
ASSET RETIREMENT OBLIGATION	7,110,999
CURRENT BOND PAYABLE PREMIUM	88,128
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	884,929,851
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	1,534,540,732
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	116,384,803
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	14,933,421
e	Add lines 2a through 2d .....................			2e	131,318,224
3	Subtract line 2e from line 1..................			3	1,403,222,508
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	97,680,418
b	Other (Describe in Part XIII.) ...........	4b	89,291,253
c	Add lines 4a and 4b....................			4c	186,971,671
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,590,194,179

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	1,418,970,081
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	7,222,049
e	Add lines 2a through 2d....................			2e	7,222,049
3	Subtract line 2e from line 1...................			3	1,411,748,032
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	97,680,418
b	Other (Describe in Part XIII.) ............	4b	74,433,040
c	Add lines 4a and 4b.....................			4c	172,113,458
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,583,861,490

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
Part V Line 4 - Endowment Funds	Endowment fund earnings are used toward research, special purpose, general operations, and department chair funding, as well as uncompensated care offered to patients who meet the criteria established under NorthShore University HealthSystem's financial assistance policy.
Part X Line 2 - Liability for Uncertain Tax Positions	NorthShore University HealthSystem (NorthShore) and its related affiliates, except for NorthShore Physician Associates, Inc. (NPA) and Community Care Partners, LLC (CCP), known as NorthShore Exempt Group, have been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code (IRC). Most of the income received by NorthShore Exempt Group is exempt from taxation under Section 501(a) of the IRC, as income related to the mission of the organization. Accordingly, there is no material provision for income tax for these entities. Some of the income received by exempt entities is subject to taxation as unrelated business income. NorthShore and its subsidiaries file federal income tax returns and returns for various states in the U.S. ASC 740, Income Taxes, requires that realization of an uncertain income tax position is more likely than not (i.e., greater than 50% likelihood of receiving a benefit) before it is recognized in the financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax-related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the years ended September 30, 2016 or 2015. NorthShore currently has a net operating loss carryforward of $6,166,645, which generated assets of $2,412,083. NPA currently has a net operating loss carryforward of $642,281, which generated assets of $251,228. These assets are offset by a valuation allowance of $1,219,969. These amounts are for the period ended September 30, 2016.
Part XI Line 2d - Other	Amount represents expenses deducted from revenues in Form 990 Part VIII and changes in restricted net assets.
Part XI Line 4b - Other	Amount represents transfers to related organizations, Foundation administrative expenses and investment expenses moved to Form 990 Part IX, and changes in restricted net assets.
Part XII Line 2d - Other	Amount represents expenses deducted from revenues in Form 990 Part VIII.
Part XII Line 4b - Other	Amount represents transfers to related organizations, a reversal of prior year grant expenses, and Foundation administrative expenses and investment expenses moved to Form 990 Part IX.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
NorthShore University HealthSystem

Employer identification number

36-2167060

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Central America and the Caribbean	Investments		340,384,324
	Central America and the Caribbean	Insurance		3,142,898
	Central America and the Caribbean	Program Services	Medical Conferences	5,746
	Central America and the Caribbean	Program Services	Medical Services	16,266
	East Asia and the Pacific	Program Services	Medical Conferences	22,043
	East Asia and the Pacific	Program Services	Medical Services	1,000
	East Asia and the Pacific	Program Services	Medical Supplies	6,712
	Europe (Including Iceland and Greenland)	Insurance		3,181
	Europe (Including Iceland and Greenland)	Program Services	Medical Conferences	42,021
	Europe (Including Iceland and Greenland)	Program Services	Medical Equipment	14,350
	Europe (Including Iceland and Greenland)	Program Services	Medical Services	8,045
	Europe (Including Iceland and Greenland)	Program Services	Medical Supplies	56,795
	Middle East and North Africa	Program Services	Medical Conferences	2,767
	Middle East and North Africa	Program Services	Medical Services	2,287
	North America	Program Services	Medical Conferences	12,662
	North America	Program Services	Medical Equipment	96,906
	North America	Program Services	Medical Services	755,894
	North America	Program Services	Medical Supplies	90,623
	Russia and the Newly Independent States	Program Services	Medical Services	2,000
	South America	Program Services	Medical Conferences	1,914
	South America	Program Services	Medical Services	2,000
	South Asia	Program Services	Medical Services	2,000
	Sub-Saharan Africa	Program Services	Medical Conferences	7,724
	Sub-Saharan Africa	Program Services	Medical Services	1,000
3a	Sub-total .....			344,573,897
b	Total from continuation sheets to Part I ...			107,261
c	Totals (add lines 3a and 3b)			344,681,158

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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" on 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 arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
NorthShore University HealthSystem

Employer identification number

36-2167060

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

YesNo

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)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on 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 Am Craft Expo (event type)	(b) Event #2 Summer Soiree (event type)	(c) Other events 3 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	615,837	464,508	446,864	1,527,209
2	Less: Contributions . . . .	175,998	266,924	156,921	599,843
3	Gross income (line 1 minus line 2) . . . . . .	439,839	197,584	289,943	927,366

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .	1,029	90,966	37,741	129,736
7	Food and beverages . . .	61,679	60,060		121,739
8	Entertainment . . . .		10,159	6,100	16,259
9	Other direct expenses . . .	313,251	50,933	163,763	527,947
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				795,681
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				131,685

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .			24,090	24,090

2	Cash prizes . . . . .
3	Noncash prizes . . . .			500	500
4	Rent/facility costs . . . .
5	Other direct expenses . . .	313,251	50,933	163,763	527,947

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes100.000 %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

500

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

23,590

Enter the state(s) in which the organization conducts gaming activities: IL

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

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? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

0 %

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

100.000 %

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

NorthShore University HealthSystem

Address

1301 Central Street
Evanston,IL60201

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Kate Beckering

Gaming manager compensation right arrow

$ 0

Description of services provided right arrow

Oversees auxiliary operations including raffles.

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

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

$ 0

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

NorthShore University HealthSystem

Employer identification number

36-2167060

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 600 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	15,108,868	187,240	14,921,628	0.940 %
b	Medicaid (from Worksheet 3, column a) . . . . .	124,447,437	103,346,931	21,100,506	1.320 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	139,556,305	103,534,171	36,022,134	2.260 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	4,850,745		4,850,745	0.300 %
f	Health professions education (from Worksheet 5) . . .	56,024,731	11,504,951	44,519,780	2.790 %
g	Subsidized health services (from Worksheet 6) . . . .	50,420,577	30,978,262	19,442,315	1.220 %
h	Research (from Worksheet 7) .	27,064,254	22,424,654	4,639,600	0.290 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,513,183		1,513,183	0.090 %
j	Total. Other Benefits . .	139,873,490	64,907,867	74,965,623	4.690 %
k	Total. Add lines 7d and 7j .	279,429,795	168,442,038	110,987,757	6.950 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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.

		(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing
2	Economic development
3	Community support	11,023	11,023
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	2,870	2,870
7	Community health improvement advocacy	32,070	32,070
8	Workforce development
9	Other
10	Total	45,963	45,963

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

10,862,616

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

415,856,021

Enter Medicare allowable costs of care relating to payments on line 5.....

460,641,256

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-44,785,235

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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 %	(e) Physicians' profit % or stock ownership %
1HPMOB LP	Medical Office Building	34.82 %	65.18 %
2Ravine Way LLC	Orthopaedic Surgery Center	28.5 %	71.5 %
3NorthShoreUSP LLC	General Surgery Centers	50 %	50 %
4
5
6
7
8
9
10
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Schedule H (Form 990) 2015

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?4 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Facility reporting group
1	Evanston Hospital 2650 Ridge Avenue Evanston,IL60201 northshore.org 0000646	X	X	X	X	X	A
2	Glenbrook Hospital 2100 Pfingsten Road Glenview,IL60026 northshore.org 0003483	X	X	X	X	X	A
3	Highland Park Hospital 777 Park Avenue West Highland Park,IL60035 northshore.org 0005066	X	X	X	X	X	A
4	Skokie Hospital 9600 Gross Point Road Skokie,IL60076 northshore.org 0005587	X	X	X	X	X	A

Schedule H (Form 990) 2015

Page 4

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)

	A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Section C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): See Section C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 600.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

See Section C

The FAP application form was widely available on a website (list url):

See Section C

A plain language summary of the FAP was widely available on a website (list url):
See Section C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Part V Section B Line 5 - Input From Persons in the Community	Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital NorthShore University HealthSystem (NorthShore) contracted with the Illinois Public Health Institute (IPHI) to facilitate and conduct the Community Health Needs Assessment (CHNA). Through IPHIs Center for Community Capacity Development, IPHI supports non-profit hospitals, local health departments and other community groups to conduct community health assessment and planning activities to improve health and increase health equity. The CHNA process included community input data collection including a focus group with NorthShore staff, a focus group with community leaders, and an online survey for Community Advisory Committee members. Priority health issues were identified by NorthShore staff in partnership with IPHI by looking at findings from across all the assessment data and perspectives. The NorthShore staff leaders focus group was comprised of 18 staff members representing a range of departments throughout NorthShore including Emergency Medicine, Family Medicine, Kellogg Cancer Center, Nursing, Internal Medicine, Social Services, Cardiology, Psychiatry, Quality Improvement, and Infection Control. The group discussed prominent health and wellness issues and barriers and assets to health in the communities NorthShore serves. Finally, participants discussed potential strategies to address barriers to community health and well-being. The community leaders focus group was comprised of about twenty representatives from NorthShores Community Advisory Committees. The attendees included health care providers, social service providers, public health agency representatives, local government agency leaders, and small business organizations working throughout the NorthShore service area. The organizations represented included the Lake County Health Department, Moraine Township, Northfield Township, Niles Township, Skokie Health Department, Glenbrook North High School, Glenbrook South High School, Childcare Network of Evanston, Highland Park Chamber of Commerce, North Suburban Healthcare Foundation, City of Evanston, Great Lakes Adaptive Sports Association, Northwest Suburban United Way, Turning Point Behavioral Health Center, Terry Performance Group, Evanston Health Department, Northbrook Police Department, and the Healthcare Foundation of Northern Lake County. The group discussed prominent health and wellness issues, barriers and assets to health in the communities NorthShore serves, and potential strategies to address barriers to community health and well-being. NorthShore and IPHI also developed a nine-question online survey distributed to community partner organizations. The survey was emailed out to approximately 60 members of the four hospitals Community Advisory Committees, which include representatives from community organizations including social services, civic organizations, business, faith community, government, and elected officials. The organizations represented included the Village of Wilmette, Glenwood Sunday Market, Childcare Network of Evanston, McGaw YMCA, Evanston Township High School, City of Evanston, NAMI Cook County North Suburban, Erie Evanston/Skokie Health Center, Mather LifeWays, New Trier High School, Evanston Fire and Life Safety Services, Terry Performance Group, Evanston/Skokie School District 65, Kenilworth School District 38, Cradle to Career, Northfield Township, Northbrook Bank and Trust, Glenbrook South High School, Glenview Youth Services, Glenview Police Department, The Josselyn Center, Northbrook Park District, Frisbe Senior Center, Saint Philip Lutheran Church, Village of Glenview, Wesley Child Care Center, Covenant Village of Northbrook, Glenbrook North High School, Northbrook Police Department, Moraine Township, Zion Lutheran Church, Lake County Health Department, Village of Deerfield, School District 113, Illinois District 58, West Deerfield Township, School District 109, Illinois District 29, Great Lakes Adaptive Sports Association, City of Highland Park, Deerfield Park District, Village of Glencoe, Skokie Public Library, Village of Skokie, Niles Township, Turning Point Behavioral Health Center, Village of Skokie, Silverado Memory Care Communities, Church of God Lincolnwood, Open Communities, North Shore Senior Center, ELL Parent Center, Oakton Community College, Assyrian Health Center, Niles Township High School District 219, Northwest Suburban United Way, Village of Skokie, and CJE Senior Life. NorthShore staff spoke with many of the members and encouraged them to fill out the survey, and a reminder was sent during the second week of the survey period. As a result, a total of 30 community partner organizations responded to the survey. IPHI staff summarized survey responses and performed qualitative analysis of responses to the open ended questions.
Part V Section B Line 6a - Other Hospital Facilities Included in CHNA	Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The Community Health Needs Assessment (CHNA) conducted by NorthShore University HealthSystem (NorthShore) included all four NorthShore hospitals: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital.
Part V Section B Line 7a - Website Address of CHNA	Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The Community Health Needs Assessment can be found at northshore.org/community-events/community/community-health-needs-assessmen t/
Part V Section B Line 10a - Website Address of Implementation Strategy	Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The most recently adopted Implementation Strategy can be found at northshore.org/community-events/community/implementation-strategy-plan/
Part V Section B Line 11 - Needs Addressed from the CHNA	Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital NorthShore University HealthSystem (NorthShore) has implemented a three-fold strategy to address the identified health needs of the communities it serves, which includes: 1) Community benefit programs and partnerships will address a need identified in the Community Health Needs Assessment (CHNA), with a rationale provided for any identified needs not addressed by NorthShore, 2) Community benefit programs, initiatives, and partnerships will address a need requested by the community, and 3) Community benefit programs, initiatives, and partnerships will be aligned with the guiding principles outlined in Advancing the State of the Art of Community Benefits for Nonprofit Hospitals. The guiding principles are: Disproportionate Unmet Health-Related Needs, Primary Prevention, Seamless Continuum of Care, Build Community Capacity, and Community Collaboration. NorthShore places priority on providing community benefits and services in the communities located nearest to our hospitals, where we believe we have the greatest capacity and responsibility to serve. NorthShore is evaluating the impact of the initiatives developed to address the identified needs by collecting data on how many individuals utilize components of the initiative. Measurement of the impact will also be assessed by gathering ongoing feedback from the hospitals Community Advisory Committees, along with feedback from senior and physician leadership. The needs identified in the most recently conducted CHNA were: Access and Coordination of Care, Access to Behavioral Health, Health Literacy and Navigating the Health Care Environment, Access to Healthy and Affordable Food, Access to Oral Health Care, Chronic Disease Risk Factors (obesity, tobacco use, hypertension), Behavioral Health, Oral Health, Cardiovascular Disease and Stroke, Diabetes, Cancer, Alzheimers/Dementia, Lung Health, and Material and Child Health. NorthShore plans to address all the needs identified in the CHNA, although the following needs will be addressed in a limited capacity through existing services and financial contributions to outside organizations: health literacy and navigating the health care environment and access to healthy and affordable food. Actions taken during fiscal year 2016 to address the needs identified in the CHNA include the following NorthShore programs and services by hospital facility: A, 1 Evanston Hospital: The NorthShore Community Health Center at Evanston Hospital provides medical care to adults and children who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopaedics, diabetes education, and podiatry. In fiscal year 2016, the clinic treated 3,717 adult patients at 13,158 visits. NorthShores Emergency Departments are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. In addition, Evanston Hospital provides Level One trauma services. During fiscal year 2016, the NorthShore Emergency Departments had a total of 127,064 patient visits. The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided free and discounted care for adult patients making 4,319 visits during fiscal year 2016. NorthShores Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a womens heart program. During fiscal year 2016, NorthShore hospitals had a total of 128,942 cardiology patient visits. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShores collaborative cancer treatment model focuses on each patients individual needs, providing medical, surgical, radiation, psychological, and emotional care. During fiscal year 2016, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 83,330 patient visits. The Maternal Health Department at Evanston Hospital offers comfortable, high-tech birthing facilities. Evanston Hospital also serves as a Regional Perinatal Network hospital for northeastern Illinois. Both high-risk mothers and high-risk babies are transferred to Evanston Hospital for access to the latest technology and highly trained staff. During fiscal year 2016, the Evanston Hospital Maternal Health Department had a total of 43,713 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During fiscal year 2016, the Pediatric Rehabilitation Clinic had a total of 10,258 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offer referrals for women who many need additional support. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. The hotline provides multilingual interpretation services to assist those with limited or no English-speaking ability. All services are provided free of charge. In fiscal year 2016, NorthShore physicians conducted 9,966 screenings to identify at-risk patients, and the hotline received 1,015 calls. Free psychological support and referrals were provided for 598 women identified through the screenings as at-risk for perinatal mood disorders. NorthShores Medication Assistance Program helps patients with the cost of paying for prescription drugs. The Medication Assistance Program assisted 2,436 patients in filling 19,601 prescriptions during fiscal year 2016. NorthShore Evanston and Highland Park Hospitals provide Mental Health Services to adults, adolescents, and children, including group, individual, and family outpatient services, inpatient services, and a crisis call center. During fiscal 2016, the Mental Health Services Departments at Evanston and Highland Park Hospitals had a total of 47,687 patient visits. The Evanston Township High School Health Center was established as a collaborative partnership with Evanston Township High School, the Evanston Health Department, and NorthShore. The Health Center is a free school-based health clinic staffed by NorthShore employees that provides physical exams, immunizations, treatment of acute and chronic illnesses, health education, gynecological care, and counseling and support groups to students. During the 2015-2016 school year, 873 students made 3,173 visits to the Health Center. A, 2 Glenbrook Hospital: NorthShores Emergency Departments are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. In addition, Evanston Hospital provides Level One trauma services. During fiscal year 2016, the NorthShore Emergency Departments had a total of 127,064 patient visits. The Family Care Center at Glenbrook Hospital provides comprehensive care for people of all ages and serves as a training site for Family Medicine resident physicians and medical students. During fiscal year 2016, the Family Care Center had a total of 13,195 patient visits. NorthShores Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a womens heart program. During fiscal year 2016, NorthShore hospitals had a total of 128,942 cardiology patient visits. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShores collaborative cancer treatment model focuses on each patients individual needs, providing medical, surgical, radiation, psychological, and emotional care. During fiscal year 2016, the Kellogg Cancer Centers at Evanston, Glenbrook, and Hig
Part V Section B Lines 16a-16c - Website Address of FAP Documents	Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The Financial Assistance Policy (FAP), FAP application form, and plain language summary of the FAP can be found at northshore.org/about-us/billing/financial-assistance/
Part V Section B Line 16i - Publication of Financial Assistance Policy	Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital In addition to the measures listed, the NorthShore University HealthSystem (NorthShore) Financial Assistance program is publicized on NorthShore billing statements, which include a notice regarding the Financial Assistance program and necessary contact information. In addition, collection agencies coordinate financial assistance to potentially eligible patients.
Part V Section B Line 22d - Amounts Charged to FAP-Eligible Individuals	Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital NorthShore University HealthSystem follows the Illinois Hospital Uninsured Patient Discount Act, which requires discounts to uninsured patients who qualify for financial assistance that result in bills of no more than 135% of cost. The discounts required under Illinois law are also monitored to ensure they do not exceed the average of the three lowest negotiated commercial insurance rates.

Schedule H (Form 990) 2015

Page 8

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?31
Name and address		Type of Facility (describe)
1	Glenbrook Ambulatory Care Center 2180 Pfingsten Road Glenview,IL60026	Outpatient Clinic
2	Skokie Ambulatory Care Center 9650 Gross Point Road Skokie,IL60076	Outpatient Clinic
3	Graham Medical Office Building 1000 Central Street Evanston,IL60201	Outpatient Clinic
4	Highland Park Ambulatory Care Center 757 Park Avenue West Highland Park,IL60035	Outpatient Clinic
5	Gurnee Ambulatory Care Center 7900 Rollins Road Gurnee,IL60031	Outpatient Clinic
6	Old Orchard Medical Office Building 9977 Woods Drive Skokie,IL60077	Outpatient Clinic
7	Highland Park Medical Office Building 767 Park Avenue West Highland Park,IL60035	Outpatient Clinic
8	Glenbrook Medical Office Building North 2150 Pfingsten Road Glenview,IL60026	Outpatient Clinic
9	Glenbrook Medical Office Building South 2050 Pfingsten Road Glenview,IL60026	Outpatient Clinic
10	Lakeshore Imaging 680 N Lake Shore Drive Chicago,IL60611	Outpatient Clinic
11	Vernon Hills Specialty Care Center 225 N Milwaukee Avenue Vernon Hills,IL60061	Outpatient Clinic
12	Bannockburn Medical Office Building 2151 Waukegan Road Bannockburn,IL60015	Outpatient Clinic
13	NorthShore Lab Services - Evanston 2500 Ridge Avenue Evanston,IL60201	Outpatient Clinic
14	Ravinia X-Ray and GI Lab 1777 Green Bay Road Highland Park,IL60035	Outpatient Clinic
15	Gurnee Medical Office Building 15 Tower Court Gurnee,IL60031	Outpatient Clinic
16	Mount Prospect Medical Office Building 1329 N Wolf Road Mount Prospect,IL60056	Outpatient Clinic
17	Glenview Park Center 2400 Chestnut Avenue Glenview,IL60026	Outpatient Clinic
18	Fetal Diagnostic Center 71 Waukegan Road Lake Bluff,IL60044	Outpatient Clinic
19	PM&R Fitness Center 1501 Busch Parkway Buffalo Grove,IL60089	Outpatient Clinic
20	PM&R Benson Avenue 1729 Benson Avenue Evanston,IL60201	Outpatient Clinic
21	Adolescent Day School 3633 W Lake Avenue Glenview,IL60026	Therapeutic Day School
22	Northbrook Court Imaging 1182 Northbrook Court Northbrook,IL60062	Outpatient Clinic
23	North Suburban Foot and Ankle Center 400 Lake Cook Road Deerfield,IL60015	Outpatient Clinic
24	Fetal Diagnostic Center 880 West Central Road Arlington Heights,IL60005	Outpatient Clinic
25	Fetal Diagnostic Center 755 S Milwaukee Avenue Libertyville,IL60048	Outpatient Clinic
26	PM&R Old Deerfield Road 1630 Old Deerfield Road Highland Park,IL60035	Outpatient Clinic
27	Breast Health and Mammography Program 71 Old Orchard Shopping Center Skokie,IL60077	Outpatient Clinic
28	River North Same Day Surgery One East Erie Street Chicago,IL60611	Ambulatory Surgery Center
29	North Shore Same Day Surgery 3725 West Touhy Avenue Lincolnwood,IL60712	Ambulatory Surgery Center
30	Ravine Way Surgery Center 2350 Ravine Way Glenview,IL60025	Ambulatory Surgery Center
31	25 East Same Day Surgery Center 25 East Washington Street Chicago,IL60602	Ambulatory Surgery Center

Schedule H (Form 990) 2015

Page 9

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
Part I Line 3c - Other Factors Used to Determine Eligibility	In addition to the Federal Poverty Guidelines, NorthShore University HealthSystem uses the following factors to determine eligibility for financial assistance: asset level, medical indigency, insurance status, underinsurance status, and residency.
Part I Line 7 - Costing Methodology	NorthShore University HealthSystem calculated the cost of charity care and means-tested government programs using the cost-to-charge ratio derived from Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges. Amounts in the other benefits section of Line 7 were calculated using costs charged directly to the individual programs from the financial accounting system. An indirect cost allocation factor for hospital shared services was also calculated and included for each program indicated in other benefits.
Part II - Community Building Activities	NorthShore University HealthSystem (NorthShore) employees are involved in numerous community building activities which promote the health of the communities it serves. NorthShore encourages its employees to serve on community collaboration boards and participate in health advocacy programs to promote the health of the communities served.
Part III Line 2 - Bad Debt Expense	Bad debt expense was reported at cost using a cost-to-charge methodology. The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges calculated to report charity care on Part I, Line 7a was multiplied by the bad debt expense to determine the bad debt expense at cost. Discounts and payments on patient accounts are excluded from bad debt expense in order to reflect the expected amount to be paid.
Part III Line 4 - Financial Statement Footnote	Accounts Receivable Financial Statement Footnote - The Corporation evaluates the collectability of its accounts receivable based on the length of time the receivable is outstanding, the payor class, and the anticipated future uncollectible amounts based on historical experience. Accounts receivable are charged to the allowance for uncollectible accounts when they are deemed uncollectible.
Part III Line 8 - Medicare Shortfall	The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges was used to determine the Medicare costs reported on Part III, Line 6. NorthShore University HealthSystem (NorthShore) believes that all of the $44,785,235 Medicare shortfall should be considered as community benefit. The Internal Revenue Service Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by NorthShore in order to continue treating the elderly in our community. During fiscal year 2016, Medicare accounted for approximately 46% of hospital gross patient revenues. The hospital provides care regardless of this shortfall and thereby relieves the government of the burden of paying the full cost of care for Medicare beneficiaries.
Part III Line 9b - Collection Practices	NorthShore University HealthSystem (NorthShore) follows the Illinois Fair Patient Billing Act. The collection policy is the same for all patients. Patients are screened for eligibility for financial assistance before collection procedures begin. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off. Any remaining balance would be collected under the existing debt collection policy.
Part VI Line 2 - Needs Assessment	See the information reported in Part V Section B regarding the most recently completed Community Health Needs Assessment (CHNA). NorthShore University HealthSystem (NorthShore) contracted with the Illinois Public Health Institute (IPHI) to facilitate and conduct the CHNA. Through IPHIs Center for Community Capacity Development, IPHI supports non-profit hospitals, local health departments and other community groups to conduct community health assessment and planning activities to improve health and increase health equity. The CHNA process included community input data collection including a focus group with NorthShore staff, a focus group with community leaders, and an online survey for Community Advisory Committee members. The assessment process also included the development of a Community Health Profile using secondary data from local health department, federal, and state data sources. Priority health issues were identified by NorthShore staff in partnership with IPHI by looking at findings from across all the assessment data and perspectives.
Part VI Line 3 - Patient Education of Eligibility for Assistance	NorthShore University HealthSystem (NorthShore) informs and educates low income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities Emergency Departments and at our Central Registration areas. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describes the Financial Assistance program and necessary contact information. Our collection agencies and billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately 16 full time financial counselors and 38 Customer Service agents representing our hospitals, clinics, and physician offices. These counselors and representatives are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. NorthShore has also earned Certified Application Counselor Organization (CACO) status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance will have their case reviewed by calling our centralized Customer Service billing department. Our Customer Service department responds to approximately 1,400 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for Financial Assistance, NorthShore may also grant Financial Assistance on a presumptive basis. Presumptive Financial Assistance approvals are based upon individual life circumstances such as enrollment in low income government programs with income eligibility below 200 percent of federal poverty level income guidelines or verification of financial indigence through an outside vendor.
Part VI Line 4 - Community Information	NorthShore University HealthSystem (NorthShore) has four hospital facilities located in the northern suburbs of Chicago, Illinois. The NorthShore service area has a total population size of approximately 1.6 million. The average household income is approximately $100,000. During fiscal year 2016, approximately 3% of NorthShores patients had no insurance and 8% qualified for Medicaid. Within NorthShores service area, there are four federally-designated medically underserved areas. NorthShores service area also includes 11 other hospitals. *Source: Truven Health Analytics, Market Discovery Planning
Part VI Line 5 - Promotion of Community Health	NorthShore University HealthSystem (NorthShore) extends medical staff privileges to all qualified physicians in the NorthShore community. A majority of the NorthShore Board members also reside in NorthShores service area and are not employees, independent contractors, or family members thereof. NorthShore also uses surplus funds to add new buildings and renovate existing facilities to better serve patients and the community. Additional programs conducted by NorthShore to help promote the health of the community include: Residency and Education Programs NorthShore is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at our own teaching and research facilities. During fiscal year 2016, a total of 184 resident full time equivalents (FTEs) and 34 fellow FTEs participated in the NorthShore and affiliate-based programs. The NorthShore residency program areas included: Dentistry, Internal Medicine (Categorical, Preliminary, and Transitional), Pathology, and Family Medicine. The NorthShore fellowship program areas included: Anatomic Pathology, Endocrine Surgery, Family Medicine-Sports Medicine, Gastroenterology, Magnetic Resonance Imaging, Musculoskeletal Imaging, Surgical Pathology, and Urogynecology. The affiliate-based residency program areas included: Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Obstetrics and Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry, Radiology, and Urology. The affiliate-based fellowship program areas included: Advanced Cardiovascular Imaging/Research, Cardiology, Cardiothoracic Surgery, Child Neurology, Child Psychiatry, Colon Rectal Surgery, Electrophysiology, Gastroenterology, Gynecology-Oncology, Hematology-Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Molecular Genetics Pathology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Pediatric Plastic Surgery, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient practice. The program consists of a multitude of experiences that reinforce residents knowledge and skills and help them advance into well-rounded practitioners. During fiscal year 2016, 22 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the School is the enrichment and transmission of knowledge of nurse anesthesia as a discipline and promotion of the health and well-being of individuals, families, and communities. The School seeks to provide graduates with innovative, inquiry-based education that anticipates the rapid pace of change in health care and the knowledge, skills, and attitude necessary to assume leadership roles in the nurse anesthesia profession. During fiscal year 2016, 55 students participated in the program. NorthShore also provided clinical training and internships during the 2016 academic year for 910 high school and college students. Students interned in various areas including Nursing, Physical Therapy, Radiology, Laboratory, Speech Therapy, and Occupational Therapy. Community Advisory Committees The Community Advisory Committees (CAC) role is to advise hospital administration on services and initiatives from a community perspective. CACs are structured to ensure NorthShores accountability to the community by working to fulfill our community relations vision that the more NorthShore and the community connect, the stronger and healthier both will become. The CACs are comprised of primarily community members, along with hospital administrative and professional staff. NorthShore strives for diverse membership to include business, faith community, social services, civic organizations, government officials, elected officials, as well as interested citizens. The CACs meet quarterly and help to identify gaps in healthcare services within the community and seek opportunities for partnerships between the hospitals and community organizations. In addition, the CACs assist NorthShore with the community health needs assessment process. Be Well Lake County Be Well Lake County is a collaboration between NorthShore, Lake County Health Department and Community Health Center, and supporting community partners. The program goal is to build greater access through a coordinated network of healthcare targeting the underserved diabetes population in Lake County. The program enables the partner organizations to effectively pool and maximize resources in order to provide high quality comprehensive diabetes management, education, and support resources that will address one of the nations fastest growing health threats. NorthShore provides annual funding to support a diabetes management program to 1,200 current patients. NorthShore Community Health Center The NorthShore Community Health Center at Evanston Hospital provides medical care to adults and children who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopaedics, diabetes education, and podiatry. In fiscal year 2016, the clinic treated 3,717 adult patients at 13,158 visits. Dental Center The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided free and discounted care for adult patients making 4,319 visits at a cost of $180,592 during fiscal year 2016. Evanston Township High School Health Center Established as a collaborative partnership with Evanston Township High School, the Evanston Health Department, and NorthShore, the Health Center is a free school-based health clinic staffed by NorthShore employees that provides physical exams, immunizations, treatment of acute and chronic illnesses, health education, gynecological care, and counseling and support groups to students. During the 2015-2016 school year, 873 students utilized the Health Center at 3,173 visits at a cost of $612,804. Medication Assistance Program NorthShores Medication Assistance Program helps patients with the cost of paying for prescription drugs. The Medication Assistance Program assisted 2,436 patients in filling 19,601 prescriptions at a cost of $132,941 during fiscal year 2016. Perinatal Depression Program The Perinatal Depression Program identifies women who are suffering from perinatal depression and offer referrals for women who many need additional support. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. The hotline provides multilingual interpretation services to assist those with limited or no English-speaking ability. All services are provided free of charge. In fiscal year 2016, NorthShore physicians conducted 9,966 screenings to identify at-risk patients, and the hotline received 1,015 calls. Free psychological support and referrals were provided for 598 women identified through the screenings as at-risk for perinatal mood disorders. Employee Volunteerism NorthShore employees participate in various volunteer activities that meet community needs and promote goodwill. Several NorthShore publications include information about volunteer organizations and employee volunteer opportunities. NorthShore also recognizes and rewards employees for community service and volunteerism through the annual Sharing Spirit Volunteer Award. Home Health and Hospice Services NorthShore provides intermittent care including skilled nursing, physical therapy, occupational therapy, speech therapy, infusion therapy, and home health aides. NorthShore also provides hospice and palliative care services to patients and their families. During fiscal year 2016, there were 94,629 patient visits and 5,936 admissions.
Part VI Line 6 - Affiliated Health Care System	NorthShore University HealthSystem (NorthShore) is a comprehensive, fully integrated, healthcare delivery system that includes four hospitals, as well as numerous outpatient departments and clinics. In addition to the hospital organization, there are the following affiliates that help to meet the needs of the community: NorthShore University HealthSystem Foundation The NorthShore University HealthSystem Foundation (Foundation) seeks to obtain the philanthropic support required to ensure that NorthShore can provide medical care, advanced research, and state-of-the-art facilities and equipment. The Foundation builds relationships with individuals and the community to increase awareness of high-quality services and giving opportunities. NorthShore University HealthSystem Research Institute The NorthShore University HealthSystem Research Institute (Research Institute) was organized in 1996 to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute houses 108 externally funded research faculty who currently occupy 95,000 net square feet of research space and work on 1,172 active research protocols. Total external funding is now approximately $89 million. NorthShore has also made a substantial commitment to develop the Center for Clinical and Research Informatics to conduct expanded research using informatics. Such infrastructure enables large scale efforts on comparative effectiveness, clinical quality/outcomes, and practice based research. The Center and its work build on our award winning Epic medical records system, providing a focus for growing faculty involvement in research. In 2014 the Genomic Health Initiative was launched for members of the community to help shape the future of Personalized Medicine. This research project will give physician and research experts the opportunity to more proactively learn about the science behind diseases and conditions, and apply this knowledge directly to a clinical setting to improve patient outcomes. The Genomic Health Initiative will allow researchers to more precisely predict, prevent, and treat disease while improving the future of healthcare and the medical field for generations to come. The goal is to collect 40,000 100,000 participants over the next several years to enable sufficient samples for DNA studies. The Research Institute is also a member of the Illinois Precision Medicine Consortium (IPMC) which is part of a national landmark longitudinal Precision Medicine Initiative (PMI) cohort program to improve the ability to prevent and treat disease based on individual lifestyle, environment, and genetics. NorthShore will enroll over 9,000 NorthShore patients in the study, and participants in NorthShores PMI will be asked to share a wide-range of health, environmental, and lifestyle information. The NorthShore Program for Personalized Cancer Care (PPCC) is pioneering new strategies in cancer care. The PPCC uniquely focuses on the genetic pattern of an individuals hereditary DNA to derive a personalized cancer risk assessment profile. Based on the inherited risk of developing a given cancer, the PPCC is beginning to implement personalized cancer care strategies that encompass the entire spectrum of disease. The PPCC believes this approach will lead to more efficient use of health care resources by targeting prevention and screenings toward individuals at greater risk of developing cancer, earlier cancer detection, and, ultimately and most importantly, reduced cancer deaths and suffering. NorthShore University Health System Home and Hospice Services The NorthShore University HealthSystem Home and Hospice Services offers the full spectrum of home and hospice care, including skilled nursing, physical and occupational therapy, and home medical equipment. The Home and Hospice caregivers represent a wide range of medical specialties and work with the patient, family, and physician to tailor home care to meet the individual needs of each patient. NorthShore University HealthSystem Faculty Practice Associates The NorthShore University HealthSystem Faculty Practice Associates (FPA) represents more than 900 physicians with over 130 offices in virtually every specialty all on staff at the hospitals of NorthShore. The primary function and activity of FPA is to employ, supervise, and conduct employment-related activities with respect to physicians who provide professional health care services directly for patients of NorthShore. The FPA physicians also conduct medical education and research activities on behalf of NorthShore. Radiation Medicine Institute The Radiation Medicine Institute (RMI) employs, supervises, and conducts employment-related activities with respect to physicians who provide professional health care services directly for patients of NorthShore. The RMI physicians also conduct medical education and research activities on behalf of NorthShore. Community Care Partners Community Care Partners is an Accountable Care Entity (ACE) created to better serve the growing population of Medicaid patients. NorthShore has partnered with Erie Family Health Center, Lake County Health Department/Community Health Center, and Vista Health System to form this ACE. The organizations and physicians have come together to create a network of providers to improve efficiency and access to care for approximately 30,000 Medicaid patients.
Part VI Line 7 - State Filing of Community Benefit Report	Illinois

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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," on 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

2015

Open to Public
Inspection

Name of the organization
NorthShore University HealthSystem

Employer identification number
36-2167060

Part I

General Information on Grants and Assistance

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? ........................

Yes No

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) Alliance of Chicago 215 W Ohio St Chicago,IL60654	36-4444309	501(c)(3)	14,988				Research
(2) American Cancer Society 225 N Michigan Ave Chicago,IL60601	36-2167721	501(c)(3)	20,000				Community Event Contribution
(3) American Heart Association 208 South LaSalle St Chicago,IL60604	36-0900700	501(c)(3)	50,075				Community Event Contribution
(4) Boston Medical Center 88 E Newton St Boston,MA02118	04-3314093	501(c)(3)	10,745				Research
(5) Catholic Charities Lake County 721 N LaSalle Dr Chicago,IL60654	36-2170821	501(c)(3)	10,000				Community Contribution
(6) City of Evanston 2100 Ridge Ave Evanston,IL60201	36-6005870	115	12,050				Community Contribution
(7) Council for Jewish Elderly 3003 W Touhy Ave Chicago,IL60645	36-2727597	501(c)(3)	5,000	6,800	FMV	Office Space	Community Contribution
(8) Crohn's and Colitis Foundation of America 733 Third Ave New York,NY10017	13-6193105	501(c)(3)	13,000				Community Contribution
(9) Emergency Medicine Stroger Cook County 1900 W Polk Chicago,IL60601	68-0588634	501(c)(3)	25,000				Community Contribution
(10) Erie Family Health Center 1701 W Superior St Chicago,IL60622	36-3088628	501(c)(3)	205,000				Community Contribution
(11) Evanston Chamber of Commerce 1840 Oak Ave Evanston,IL60201	36-1051450	501(c)(6)	5,450				Community Contribution
(12) HP Township HS District 113 1040 Park Ave W Highland Park,IL60035	36-6004892	115	7,500				Community Contribution
(13) Illinois Hospital Research & Education Fdn 1151 E Warrenville Rd Naperville,IL60566	23-7421930	501(c)(3)	33,720				Hospital Mutual Assisstance Program
(14) Interdisciplinary Neonatal Follow-Up Treat 2212 S 17th St Wilmington,NC28401	27-2791351	501(c)(3)	47,175				Research
(15) Josselyn Center 405 Central Ave Northfield,IL60093	36-2217996	501(c)(3)	10,000				Community Contribution
(16) Lake County Health Department 3010 Grand Ave Waukegan,IL60085	36-6006600	115	552,667				Be Well Lake County Program
(17) Lake County Partners for Economic Develop 100 Tri-State Intl Lincolnshire,IL60069	36-4206288	501(c)(3)	10,000				Community Contribution
(18) Lurie Childrens Hospital 225 E Chicago Ave Chicago,IL60611	36-2170833	501(c)(3)	39,779				Research
(19) Medical College of Wisconsin 8701 Watertown Plank Rd Milwaukee,WI53226	39-0806261	501(c)(3)	198,556				Research
(20) Metropolitan Chicago Healthcare Council 222 S Riverside Plaza Chicago,IL60606	36-3401846	501(c)(6)	45,032				Illinois Poison Center Contribution
(21) Metropolitan Family Services 1 N Dearborn St Chicago,IL60602	36-2167940	501(c)(3)	10,000				Community Contribution
(22) Nami Cook County North Suburban 8324 Skokie Blvd Skokie,IL60077	36-3714540	501(c)(3)	10,500				Community Contribution
(23) NorthShore Faculty Practice Associates 1301 Central Street Evanston,IL60201	36-3738206	501(c)(3)	69,239,923				General Support
(24) Northwestern University 633 Clark St Evanston,IL60208	36-2167817	501(c)(3)	28,128				Research
(25) Operation Walk Chicago 680 N Lake Shore Dr Chicago,IL60611	47-3148545	501(c)(3)	13,793				Community Event Contribution
(26) Sinai Health System 2750 W 15th St Chicago,IL60608	36-3166895	501(c)(3)	6,000				Community Contribution
(27) Skokie Park District 9300 Weber Park Pl Skokie,IL60077	36-6006104	501(c)(3)	5,780				Community Contribution
(28) University of Chicago 6054 S Drexel Ave Chicago,IL60637	36-2177139	501(c)(3)	103,968				Research
(29) University of Chicago 6054 S Drexel Ave Chicago,IL60637	36-2177139	501(c)(3)	343,333				Residency Program Support
(30) University of Chicago Medical Center 5841 S Maryland Ave Chicago,IL60637	36-3488183	501(c)(3)	500,000				Community Contribution
(31) University of Michigan 500 S State St Ann Arbor,MI48109	38-6006309	115	18,760				Research
(32) University of Pittsburgh 116 Atwood St Pittsburgh,PA15260	25-0965591	501(c)(3)	14,000				Research
(33) University of Texas 7703 Floyd Curl Dr San Antonio,TX78229	74-1586031	115	48,129				Research
(34) Vanderbilt University 2301 Vanderbilt Pl Nashville,TN37240	62-0476822	501(c)(3)	43,882				Research
(35) Village of Skokie 5127 Oakton St Skokie,IL60077	36-6006103	115	15,000				Community Contribution
(36) Virginia Polytechnic Institute & State Univ 300 Turner St NW Blacksburg,VA24061	54-6001805	115	138,150				Research
(37) Wayne State University 5700 Cass Ave Detroit,MI48202	38-6028429	115	43,114				Research
(38) Youth Services of Glenview & Northbrook 3080 W Lake Ave Glenview,IL60026	36-3182275	501(c)(3)	25,500				Community Contribution

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

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) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 in Medical Field	62	224,184
(1)
(2)
(3)
(4)
(5)
(6)
(7)

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

Part I Line 2 - Monitoring of Grant Funds

NorthShore University HealthSystem (NorthShore) provides cash and non-cash assistance to organizations that help support NorthShore's mission to preserve and improve human life. Requests to support an outside organization must be reviewed and approved by the Community Relations department and NorthShore management to ensure the organization is aligned with NorthShore's mission and charitable purpose. NorthShore also provides cash grants to sub-recipients of grant awards. NorthShore requires all sub-recipients to sign a consortium agreement stating that the sub-recipient understands and agrees to all applicable compliance requirements. NorthShore meets with the sub-recipients on a regular basis and reviews the sub-recipients' A-133 reports. In addition, NorthShore provides cash support to related organizations. Support to related organizations is monitored through the NorthShore budget and reporting procedures for the consolidated financial statements. NorthShore also provides nursing scholarships to individuals. The scholarship amount depends on the degree sought, and the number of scholarships awarded depends on the available funds for each year. Scholarships are awarded on an annual basis to applicants that meet the eligibility criteria. Applicants must be current employees of NorthShore as a staff nurse or other related clinical position. Applicants must also be currently enrolled in a nursing degree program, and enrollment must be maintained for the year the scholarship is received. In addition, applicants must sign a Scholarship Agreement to work for NorthShore as a staff nurse or in a related clinical position for one year following receipt of the scholarship.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

NorthShore University HealthSystem

Employer identification number

36-2167060

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .........

Yes

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? ..

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on 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 ............

Yes

Were any amounts reported on 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 .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

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 on 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 in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Karen L KaulDirector and Clinical Chairman	(i) (ii)	257,191 ------------- 284,603	83,000 ------------- 100,000	0 ------------- 22,877	9,171 ------------- 10,148	14,863 ------------- 16,447	364,225 ------------- 434,075	0 ------------- 0
2Morris S KharaschDirector and Physician	(i) (ii)	59,995 ------------- 363,760	6,667 ------------- 120,500	0 ------------- 12,810	2,735 ------------- 16,584	4,054 ------------- 24,578	73,451 ------------- 538,232	0 ------------- 0
3Theodore MazzoneDirector and Clinical Chairman	(i) (ii)	701,258 ------------- 66,997	120,000 ------------- 0	0 ------------- 19,035	17,634 ------------- 1,685	27,565 ------------- 2,633	866,457 ------------- 90,350	0 ------------- 0
4Mark S TalamontiDirector and Clinical Chairman	(i) (ii)	810,249 ------------- 282,728	100,000 ------------- 0	0 ------------- 29,905	14,322 ------------- 4,997	24,092 ------------- 8,407	948,663 ------------- 326,037	0 ------------- 0
5Mark R NeamanPresident and CEO	(i) (ii)	1,099,592 ------------- 0	700,000 ------------- 0	337,555 ------------- 0	361,899 ------------- 0	17,275 ------------- 0	2,516,321 ------------- 0	0 ------------- 0
6Gerald P GallagherChief Operating Officer	(i) (ii)	596,457 ------------- 0	266,000 ------------- 0	5,154 ------------- 0	219,546 ------------- 0	28,296 ------------- 0	1,115,453 ------------- 0	0 ------------- 0
7Gary E WeissBoard Treasurer and CFO	(i) (ii)	544,827 ------------- 0	246,000 ------------- 0	328,423 ------------- 0	133,647 ------------- 0	20,363 ------------- 0	1,273,260 ------------- 0	0 ------------- 0
8Julian E BailesClinical Chairman	(i) (ii)	813,439 ------------- 677,267	100,000 ------------- 0	0 ------------- 13,158	10,542 ------------- 8,777	18,973 ------------- 15,797	942,954 ------------- 714,999	0 ------------- 0
9William D BloomerClinical Chairman	(i) (ii)	393,030 ------------- 258,878	0 ------------- 305,000	0 ------------- 63,636	11,647 ------------- 7,672	20,237 ------------- 13,330	424,914 ------------- 648,516	0 ------------- 0
10Michael S CaplanClinical Chairman	(i) (ii)	538,008 ------------- 109,392	100,000 ------------- 0	0 ------------- 12,043	16,055 ------------- 3,264	7,424 ------------- 1,509	661,487 ------------- 126,208	0 ------------- 0
11Robert R EdelmanClinical Chairman	(i) (ii)	779,445 ------------- 36,260	67,000 ------------- 148,600	0 ------------- 25,758	18,460 ------------- 859	38,002 ------------- 1,768	902,907 ------------- 213,245	0 ------------- 0
12Bernard G EwigmanClinical Chairman	(i) (ii)	423,822 ------------- 0	25,000 ------------- 0	0 ------------- 0	66,562 ------------- 0	67,009 ------------- 0	582,393 ------------- 0	0 ------------- 0
13Thomas H HodgesChief Investment Officer	(i) (ii)	432,170 ------------- 0	225,000 ------------- 0	19,140 ------------- 0	19,319 ------------- 0	16,980 ------------- 0	712,609 ------------- 0	0 ------------- 0
14Harry L JonesChief Compliance Officer	(i) (ii)	264,045 ------------- 0	122,000 ------------- 0	6,207 ------------- 0	19,319 ------------- 0	26,133 ------------- 0	437,704 ------------- 0	0 ------------- 0
15Mary KeeganChief Nursing Officer	(i) (ii)	257,782 ------------- 0	77,000 ------------- 0	4,047 ------------- 0	19,319 ------------- 0	15,341 ------------- 0	373,489 ------------- 0	0 ------------- 0
16Jason L KohClinical Chairman	(i) (ii)	521,022 ------------- 433,861	67,000 ------------- 400,000	0 ------------- 4,612	10,541 ------------- 8,778	21,961 ------------- 18,287	620,524 ------------- 865,538	0 ------------- 0
17William R LuehrsChief Human Resources Officer	(i) (ii)	374,181 ------------- 0	169,000 ------------- 0	88,593 ------------- 0	98,106 ------------- 0	18,276 ------------- 0	748,156 ------------- 0	0 ------------- 0
18Demetrius MaraganoreClinical Chairman	(i) (ii)	434,004 ------------- 148,973	75,000 ------------- 0	0 ------------- 9,332	14,382 ------------- 4,937	22,334 ------------- 7,666	545,720 ------------- 170,908	0 ------------- 0
19Frederick E MillerClinical Chairman	(i) (ii)	411,705 ------------- 26,065	25,000 ------------- 0	0 ------------- 10,173	18,169 ------------- 1,150	21,753 ------------- 1,377	476,627 ------------- 38,765	0 ------------- 0
20Kristen MurtosPresident, Skokie Hospital	(i) (ii)	370,503 ------------- 0	161,000 ------------- 0	5,324 ------------- 0	124,925 ------------- 0	28,994 ------------- 0	690,746 ------------- 0	0 ------------- 0
21Sean O'GradyPresident, Glenbrook Hospital	(i) (ii)	349,164 ------------- 0	145,000 ------------- 0	5,044 ------------- 0	97,052 ------------- 0	30,728 ------------- 0	626,988 ------------- 0	0 ------------- 0
22Jesse Peterson HallPresident, Highland Park Hosp	(i) (ii)	389,223 ------------- 0	164,000 ------------- 0	10,309 ------------- 0	101,548 ------------- 0	27,317 ------------- 0	692,397 ------------- 0	0 ------------- 0
23Richard K SilverClinical Chairman	(i) (ii)	729,815 ------------- 112,033	83,000 ------------- 0	0 ------------- 15,982	16,748 ------------- 2,571	29,152 ------------- 4,475	858,715 ------------- 135,061	0 ------------- 0
24Douglas M SilversteinPresident, Evanston Hospital	(i) (ii)	503,238 ------------- 0	226,000 ------------- 0	2,056,926 ------------- 0	124,458 ------------- 0	12,813 ------------- 0	2,923,435 ------------- 0	1,641,111 ------------- 0
25Steven SmithChief Information Officer	(i) (ii)	387,323 ------------- 0	173,000 ------------- 0	12,537 ------------- 0	136,384 ------------- 0	26,240 ------------- 0	735,484 ------------- 0	0 ------------- 0
26Joseph SzokolClinical Chairman	(i) (ii)	170,435 ------------- 298,756	0 ------------- 328,500	0 ------------- 23,502	7,018 ------------- 12,301	11,825 ------------- 20,728	189,278 ------------- 683,787	0 ------------- 0
27Brian WashaSenior Vice President	(i) (ii)	310,109 ------------- 0	111,000 ------------- 0	3,806 ------------- 0	85,538 ------------- 0	27,703 ------------- 0	538,156 ------------- 0	0 ------------- 0
28Janardan D KhandekarMedical Director	(i) (ii)	403,962 ------------- 39,960	100,000 ------------- 5,000	57,973 ------------- 0	17,580 ------------- 1,739	21,130 ------------- 2,090	600,645 ------------- 48,789	0 ------------- 0
29Ari A RobicsekVP, Clinical Analytics	(i) (ii)	343,395 ------------- 31,693	105,000 ------------- 22,461	1,510 ------------- 0	17,687 ------------- 1,632	29,996 ------------- 2,768	497,588 ------------- 58,554	0 ------------- 0
30Nancy SemerdjianFormer Chief Nursing Officer	(i) (ii)	262,032 ------------- 0	322,000 ------------- 0	35,371 ------------- 0	19,319 ------------- 0	15,385 ------------- 0	654,107 ------------- 0	0 ------------- 0
31Jonathan SilversteinVP, Research Informatics	(i) (ii)	348,923 ------------- 0	105,500 ------------- 0	2,170 ------------- 0	19,319 ------------- 0	25,360 ------------- 0	501,272 ------------- 0	0 ------------- 0
32Jianfeng XuVP, Translational Research	(i) (ii)	348,574 ------------- 0	105,000 ------------- 0	2,716 ------------- 0	19,319 ------------- 0	17,954 ------------- 0	493,563 ------------- 0	0 ------------- 0
33Jeffery S VenderFormer Clinical Chairman	(i) (ii)	497,743 ------------- 263,180	0 ------------- 282,885	0 ------------- 38,862	12,637 ------------- 6,682	17,025 ------------- 9,002	527,405 ------------- 600,611	0 ------------- 0
34Thomas A VictorFormer Clinical Chairman	(i) (ii)	78,069 ------------- 194,108	0 ------------- 101,800	0 ------------- 36,660	5,541 ------------- 13,778	7,958 ------------- 19,787	91,568 ------------- 366,133	0 ------------- 0

Schedule J (Form 990) 2015

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
Part I Line 1a - Benefits Provided	First-class airfare was provided to the Chief Executive Officer during calendar year 2015 for business travel purposes and was not treated as taxable compensation. The first-class airfare was purchased through a prepaid airline mileage account, which provided discounted airline fare rates. Spousal travel was provided for two trips during calendar year 2015 to the Chief Executive Officer and was treated as taxable compensation.
Part I Line 2 - Reimbursement Substantiation	A prepaid airline mileage account was purchased for the travel of the Chief Executive Officer. At the time of the purchase, it was not known what specific travel would occur and therefore the travel could not be substantiated at purchase. The business purpose of each trip was substantiated at the time of travel.
Part I Line 4b - Supplemental Nonqualified Retirement Plan	The following individuals participated in a supplemental nonqualified retirement plan and accrued the following benefits: Mark R Neaman, President and Chief Executive Officer - $291,699, Gerald P Gallagher, Chief Operating Officer - $71,134, William R Luehrs, Chief Human Resources Officer - $75,145, Kristen Murtos, President, Skokie Hospital - $24,843, Steven Smith, Chief Information Officer - $33,326, Gary E Weiss, Chief Financial Officer - $309,814.
Part I Line 7 - Non-Fixed Payments	NorthShore University HealthSystem provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the Compensation Committee of the Board of Directors.
Form 990 Part VII Line 5 - Compensation from Unrelated Organizations	The salary and benefits reported on Schedule J totaling $582,393 for Dr. Bernard G Ewigman were paid by the University of Chicago Medical Center for services provided to NorthShore University HealthSystem as the Chairman of the Department of Family Medicine.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
NorthShore University HealthSystem

Employer identification number
36-2167060

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Illinois Finance Authority	86-1091967	45200F4D8	07-14-2010	138,786,145	See Part VI		X		X		X
B	Illinois Finance Authority	86-1091967	45200MU93	12-11-2008	75,000,000	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	20,775,000		0
2 Amount of bonds legally defeased ..............	0		0
3 Total proceeds of issue ..................	138,786,145		75,000,000
4 Gross proceeds in reserve funds .............	0		0
5 Capitalized interest from proceeds .............	0		0
6 Proceeds in refunding escrows ...............	0		0
7 Issuance costs from proceeds ...............	1,017,771		433,044
8 Credit enhancement from proceeds .............	0		131,875
9 Working capital expenditures from proceeds .............	0		0
10 Capital expenditures from proceeds .............	0		74,435,081
11 Other spent proceeds .............	137,768,374		0
12 Other unspent proceeds .............	0		0
13 Year of substantial completion .............	2010		2008
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X			X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............				X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............				X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............			X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?			X
c Are there any research agreements that may result in private business use of bond-financed property? .............			X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?			X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0.300 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........			0.100 %
6 Total of lines 4 and 5 .............			0.400 %
7 Does the bond issue meet the private security or payment test? ...				X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............				X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............				X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........			X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X
b Exception to rebate? ........		X	X
c No rebate due? .........	X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........	0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........	0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Part I Line A Column (f)	To refund bonds issued on July 3, 2001. Proceeds were also used to pay termination costs in connection with certain derivative agreements related to the refunded bonds.
Part I Line B Column (f)	To reimburse NorthShore University HealthSystem for the costs of construction, renovation, and equipment for various projects at Evanston Hospital, Glenbrook Hospital, and Highland Park Hospital.
Part IV Line 2c Column A	A rebate analysis was performed on April 27, 2015, which found there was no rebate due.
Part IV Line 2c Column B	A rebate analysis was performed on January 29, 2014, which found there was no rebate due as the issue met an exception to rebate.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

NorthShore University HealthSystem

Employer identification number

36-2167060

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting 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) 2015

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Substantial Contributor 153	Substantial Contributor	30,278,501	Construction Management		No
(2) Substantial Contributor 58	Substantial Contributor	4,429,335	Property Management		No
(3) Substantial Contributor 73	Substantial Contributor	2,364,032	Medical Equipment		No
(4) Jamie Dohnalek	Family Mbr-David Dohnalek	91,964	Employment		No
(5) Maureen Kharasch	Family Mbr-Dr. Kharasch	136,347	Employment		No
(6) April F Victor	Family Mbr-Thomas Victor	96,312	Employment		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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

NorthShore University HealthSystem

Employer identification number

36-2167060

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	8	30,510	Cost
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		40	Cost
5 Clothing and household goods .......	X		38,721	Cost
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	23	379,438	Sale Proceeds
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....	X	13	2,460	Comparables
19 Food inventory ...	X	16	17,092	Cost
20 Drugs and medical supplies .	X	4	49,806	Cost
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( Gift Cards/Certificates )	X	235	37,667	Cost
26 Other ( Vacation/Property )	X	5	29,450	Comparables
27 Other ( Events/Entertainment )	X	66	22,534	Cost
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
Part I Column (b) - Number of Contributions	The amounts reported in Part I, column (b) represent the number of contributions.

Schedule M (Form 990) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

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 990-EZ 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

2015

Open to Public
Inspection

Name of the organization

NorthShore University HealthSystem

Employer identification number

36-2167060

Return Reference	Explanation
Part III Line 1 - Mission Statement	The core mission of NorthShore University HealthSystem is to "preserve and improve human life." This mission will be achieved through the provision of superior clinical care, academic excellence, and innovative research. NorthShore is a not-for-profit organization principally formed to provide quality healthcare services for the communities it serves. The delivery of healthcare services is provided in a wide range of inpatient and ambulatory healthcare settings, community-wide, employing modern technology and expertise. Support for qualified patients who may not be able to pay the entire cost of their care is a part of the organization's commitment. In support of its primary mission of patient care, the organization engages in a wide range of academic activities in medical education and research. This statement recognizes the Board of Directors' responsibility to maintain the organization's viability to meet its long-term commitment to the communities it serves. It further recognizes the responsibility to maintain technologically current assets for this purpose. This includes the cultivation and development of our physicians, graduate medical students, employees, physical plant, equipment and other resources to assure orderly growth of our services.
Part III Line 4a - Statement of Program Services - Patient Care	Headquartered in Evanston, Illinois, NorthShore University HealthSystem, (NorthShore), is a comprehensive, fully integrated, healthcare delivery system serving the Chicago region. NorthShore includes four hospitals: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital. NorthShore has approximately 10,000 employees and 2,400 affiliated physicians, including a multispecialty group practice with over 900 physicians and 130-plus office locations under NorthShore University HealthSystem Faculty Practice Associates. The integrated health system has significant capabilities in a wide spectrum of leading clinical programs, including the Kellogg Cancer Center, NorthShore Neurological Institute, NorthShore Orthopaedic Institute, NorthShore Cardiovascular Institute, and High-Risk Maternity. NorthShore also supports teaching and research as the principal teaching affiliate for the University of Chicago Pritzker School of Medicine. NorthShore is a Magnet recognized organization and is the first organization in Illinois designated as a system to receive this prestigious honor that demonstrates excellence in nursing and high standards of patient care. NorthShore is a national leader in the implementation of innovative technologies, including electronic medical records (EMR). In 2003, NorthShore was among the first hospital systems in the country to successfully launch a system-wide EMR with demonstrable benefits in quality, safety, efficiency, and service to patients. NorthShore has been recognized by multiple national organizations for this notable achievement. As part of an ongoing relationship between NorthShore and the Mayo Clinic, physicians from these two organizations are working together on the most complex medical cases. NorthShore physicians have direct access to Mayo Clinic physicians to collaborate on the best treatment for patients with hard to solve cases. NorthShore was recognized as one of the nations "100 Top Hospitals" for 2016 by Truven Health Analytics. NorthShore is one of only two major teaching hospitals in the country to achieve this honor 17 times during the awards 23-year history. Hospitals are evaluated across 11 key analytic measures including patient care, operational efficiency, and financial stability. NorthShore was named one of the "Most Wired" health systems in the country for the 13th straight year by Hospitals & Health Networks magazine's 2016 Most Wired survey. The annual report highlights hospitals and hospital systems at the forefront of adopting health information technology to improve patient care and increase clinical and administrative efficiencies. NorthShore earned national recognition for a number of specialties and procedures in the U.S. News & World Report annual "Best Hospitals" survey. NorthShore was rated high performing in six specialties: gastroenterology and GI surgery, geriatrics, nephrology, neurology and neurosurgery, ortholpaedics, and urology. NorthShore was also rated high performing in seven adult procedures: abdominal aortic aneurysm repair, chronic obstructive pulmonary disease (COPD), colon cancer surgery, heart failure, hip replacement, knee replacement, and lung cancer surgery. NorthShore recognizes and embraces its responsibility to ensure that it fulfills its charitable obligations in the most cost-effective and sustainable manner. In order to achieve this goal, NorthShore has aligned its community benefits program with the guiding principles outlined in Advancing the State of the Art of Community Benefit for nonprofit hospitals, which provides a set of uniform standards to increase accountability and align governance, management, and operations to return benefit to local communities. The five guiding principles are: 1) Disproportionate Unmet Health-Related Needs, 2) Primary Prevention, 3) Seamless Continuum of Care, 4) Build Community Capacity, and 5) Community Collaboration. NorthShore informs and educates low income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities Emergency Departments and at our Central Registration areas. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describes the Financial Assistance program and necessary contact information. Our collection agencies and billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (www.northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately 16 full time financial counselors and 38 Customer Service agents representing our hospitals, clinics, and physician offices. These counselors and representatives are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. NorthShore has also earned Certified Application Counselor Organization (CACO) status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance will have their case reviewed by calling our centralized Customer Service billing department. Our Customer Service department responds to approximately 1,400 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for Financial Assistance, NorthShore may also grant Financial Assistance on a presumptive basis. Presumptive Financial Assistance approvals are based upon individual life circumstances such as enrollment in low income government programs with income eligibility below 200 percent of federal poverty level income guidelines or verification of financial indigence through an outside vendor. Evanston Hospital - With a history dating back to 1891, Evanston Hospital is a 354-licensed bed comprehensive acute-care facility and the nucleus of NorthShore University HealthSystem. Evanston Hospital is a leader in cardiac care, cancer care via the Kellogg Cancer Center and a variety of surgical specialties including neurosurgery, gynecological surgery, robot-assisted surgery, surgical oncology, and urology surgery. Evanston Hospital is certified by the Joint Commission in palliative care and as a Primary Stroke Center. The hospital also is a licensed Level I Trauma Center. Evanston Hospital is also the regional center for high-risk obstetrics. The Infant Special Care Unit and the Women's Hospital offer a comfortable birthing environment where high-risk mothers and their babies have access to the latest technology and a highly trained staff. Evanston Hospital also houses the Grainger Center for Simulation and Innovation, which provides nurses, physicians, residents, paramedics, firefighters and police with simulated clinical care, trauma and emergency preparedness training in a controlled environment. During fiscal year 2016, Evanston Hospital total admissions were 17,610, and total patient days were 95,133. Glenbrook Hospital - Glenbrook Hospital, established in 1977, is a 173-licensed bed comprehensive medical center providing advanced diagnostic and therapeutic interventions. In addition to being a Level II Trauma Center, Glenbrook Hospital is certified by the Joint Commission as a Primary Stroke Center. Glenbrook Hospital provides advanced medical and surgical care for all specialties. Specific specialties include the Kellogg Cancer Center, NorthShore Neurological Institute, NorthShore Spine Center, John and Carol Walter Center for Urological Health, Patricia Nolan Center for Breast Health, Simms Family GI Lab, Eye and Vision Center, Surgical Specialty Suite, and Total Joint Replacement Center. In addition, the hospital offers leading-edge interventional radiology and cardiac catheterization laboratory. During fiscal year 2016, Glenbrook Hospital total admissions were 8,940, and total patient days were 42,294.
Part III Line 4a-Statement of Program Services - Patient Care - Continued	Highland Park Hospital - Founded in 1918, Highland Park Hospital has provided high-quality healthcare and a wide range of clinical programs for the people of Lake County and beyond for nearly a century. The 139-licensed bed hospital is the site of the first open-heart surgery in Lake County, and continues to provide a full range of cardiac diagnosis and intervention services. Highland Park Hospital's Kellogg Cancer Center offers the most comprehensive subspecialty care for oncology patients. Specialized physicians provide care for the following types of cancer: thoracic and lung, hematology, breast, ovarian, head and neck, melanoma and sarcoma, gastrointestinal, prostate, and stomach. Highland Park Hospital is a Joint Commission certified Primary Stroke Center. The Emergency Department at Highland Park Hospital acts as the region's "pod" hospital for disaster-response activities, coordinating Lake County's efforts when confronted with a disaster. The Pediatric Preparation Program helps to familiarize young patients with the hospital environment through hospital tours and play sessions prior to surgery. NorthShore also has a partnership with the Lake County Health Department and Community Health Center known as Be Well Lake County. The program goal is to build greater access through a coordinated network of healthcare targeting the underserved diabetes population in Lake County. The program enables the partner organizations to effectively pool and maximize resources in order to provide high quality comprehensive diabetes management, education, and support resources that will address one of the nations fastest growing health threats. During fiscal year 2016, Highland Park Hospital total admissions were 9,081, and total patient days were 39,929. Skokie Hospital - Established in 1963, Skokie Hospital is a 123-licensed bed facility that has provided high-quality healthcare for nearly five decades and is nationally recognized for its expertise in orthopaedics and cardiac care. Skokie Hospital is a Joint Commission certified Primary Stroke Center. Skokie Hospitals key specialties and features also include minimally invasive surgery, total joint replacement, spine surgery, clinical cardiology, and graduate medical education (residency) programs in internal medicine, general surgery, and anesthesia. In addition, Skokie Hospitals Level II Trauma Center is staffed by an experienced trauma team specially trained in pediatric life support. During fiscal year 2016, Skokie Hospital total admissions were 7,277, and total patient days were 34,111. NorthShore University HealthSystem Faculty Practice Associates - In order to increase the efficiency and quality of health care NorthShore provides, NorthShore University HealthSystem Faculty Practice Associates (FPA) was organized to serve as an integral part of its health care mission and activities. FPA represents more than 900 physicians with over 130 offices in virtually every specialty all on staff at the hospitals of NorthShore. FPA physicians provide professional health care services for patients of NorthShore, as well as conduct medical education and research activities on behalf of NorthShore. NorthShore University HealthSystem Foundation - NorthShore University HealthSystem Foundation (Foundation) is dedicated to assisting the integrated healthcare delivery system to fulfill NorthShores mission to "preserve and improve human life." The Foundation seeks to obtain the philanthropic support required to ensure that NorthShore can provide medical care, advanced research, and state-of-the-art facilities and equipment. The Foundation builds relationships with individuals and the community to increase awareness of NorthShores high-quality services and giving opportunities. NorthShore University HealthSystem Home and Hospice Services - NorthShore University HealthSystem Home and Hospice Services offers the full spectrum of home and hospice care, including skilled nursing, physical and occupational therapy, and home medical equipment. The Home and Hospice caregivers represent a wide range of medical specialties and work with the patient, family, and physician to tailor home care to meet the individual needs of each patient.
Part III Line 4b - Statement of Program Services - Education	NorthShore University HealthSystem (NorthShore) is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at our own teaching and research facilities. During fiscal year 2016, a total of 184 resident full time equivalents (FTEs) and 34 fellow FTEs participated in the NorthShore and affiliate-based programs. The NorthShore residency program areas included: Dentistry, Internal Medicine (Categorical, Preliminary, and Transitional), Pathology, and Family Medicine. The NorthShore fellowship program areas included: Anatomic Pathology, Endocrine Surgery, Family Medicine-Sports Medicine, Gastroenterology, Magnetic Resonance Imaging, Musculoskeletal Imaging, Surgical Pathology, and Urogynecology. The affiliate-based residency program areas included: Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Obstetrics and Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry, Radiology, and Urology. The affiliate-based fellowship program areas included: Advanced Cardiovascular Imaging/Research, Cardiology, Cardiothoracic Surgery, Child Neurology, Child Psychiatry, Colon Rectal Surgery, Electrophysiology, Gastroenterology, Gynecology-Oncology, Hematology-Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Molecular Genetics Pathology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Pediatric Plastic Surgery, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient practice. The program consists of a multitude of experiences that reinforce residents knowledge and skills and help them advance into well-rounded practitioners. During fiscal year 2016, 22 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the School is the enrichment and transmission of knowledge of nurse anesthesia as a discipline and promotion of the health and well-being of individuals, families, and communities. The School seeks to provide graduates with innovative, inquiry-based education that anticipates the rapid pace of change in health care and the knowledge, skills, and attitude necessary to assume leadership roles in the nurse anesthesia profession. During fiscal year 2016, 55 students participated in the program. NorthShore also provided clinical training and internships during the 2016 academic year for 910 high school and college students. Students interned in various areas including Nursing, Physical Therapy, Radiology, Laboratory, Speech Therapy, and Occupational Therapy.
Part III Line 4c - Statement of Program Services - Research	The NorthShore University HealthSystem Research Institute (Research Institute) was organized in 1996 to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute houses 108 externally funded research faculty who currently occupy 95,000 net square feet of research space and work on 1,172 active research protocols. Total external funding is now approximately $89 million. NorthShore has also made a substantial commitment to develop the Center for Clinical and Research Informatics to conduct expanded research using informatics. Such infrastructure enables large scale efforts on comparative effectiveness, clinical quality/outcomes, and practice based research. The Center and its work build on our award winning Epic medical records system, providing a focus for growing faculty involvement in research. In 2014 the Genomic Health Initiative was launched for members of the community to help shape the future of Personalized Medicine. This research project will give physician and research experts the opportunity to more proactively learn about the science behind diseases and conditions, and apply this knowledge directly to a clinical setting to improve patient outcomes. The Genomic Health Initiative will allow researchers to more precisely predict, prevent, and treat disease while improving the future of healthcare and the medical field for generations to come. The goal is to collect 40,000 100,000 participants over the next several years to enable sufficient samples for DNA studies. The Research Institute is also a member of the Illinois Precision Medicine Consortium (IPMC) which is part of a national landmark longitudinal Precision Medicine Initiative (PMI) cohort program to improve the ability to prevent and treat disease based on individual lifestyle, environment, and genetics. NorthShore will enroll over 9,000 NorthShore patients in the study, and participants in NorthShores PMI will be asked to share a wide-range of health, environmental, and lifestyle information. The NorthShore Program for Personalized Cancer Care (PPCC) is pioneering new strategies in cancer care. The PPCC uniquely focuses on the genetic pattern of an individuals hereditary DNA to derive a personalized cancer risk assessment profile. Based on the inherited risk of developing a given cancer, the PPCC is beginning to implement personalized cancer care strategies that encompass the entire spectrum of disease. The PPCC believes this approach will lead to more efficient use of health care resources by targeting prevention and screenings toward individuals at greater risk of developing cancer, earlier cancer detection, and, ultimately and most importantly, reduced cancer deaths and suffering.
Part VI Section A Line 2 - Business Relationships	The following directors, officers, and key employees are directors or officers of NorthShore Physician Associates, Inc., a related for-profit corporation, and have a business relationship: Percy L Berger Sr, Toure S Claiborne, A Steven Crown, Mary Dillon, David A Dohnalek, Connie K Duckworth, William M Farrow III, Gerald P Gallagher, Gregory K Jones, Karen L Kaul, Morris S Kharasch, Lester B Knight III, Harry M Jansen Kraemer Jr, Theodore Mazzone, Samuel M Mencoff, Andrew J Mills, Kristen Murtos, Mark R Neaman, Nancy A Nora, Michael Reinsdorf, Thomas S Ricketts, Scott C Schweighauser, Susan B Sentell, Mark S Talamonti, J Mikesell Thomas, Sona Wang, Kevin Willer, David F Zucker Business relationship - Harry M Jansen Kraemer Jr and Samuel M Mencoff Business relationship - Gerald P Gallagher and Harry L Jones Business relationship - Gerald P Gallagher and Kristen Murtos Business relationship - Gerald P Gallagher and Gary E Weiss
Part VI Section B Line 11b - Governing Body Review of 990	The NorthShore University HealthSystem (NorthShore) Form 990 was reviewed by executive management and an outside accounting firm. The NorthShore Form 990 was then provided to each member of the Board of Directors via email for their review and ability to ask questions of management prior to filing.
Part VI Section B Line 12c - Conflict of Interest Policy Monitoring	All officers, directors and employees are required to report any potential or actual conflicts of interest as they arise, promptly and in writing, to the Chief Compliance Officer. In addition, on an annual basis, the Chief Compliance officer requires all officers, directors, and key employees to complete, sign and return a Conflict of Interest Disclosure Statement requiring information about any and all potential or actual conflicts. Timely and accurate completion of the Statement is mandatory, and completed Statements must be returned to the Chief Compliance Officer within 15 days. Any disclosures included on the Statements are reviewed and acted upon as necessary by the Chief Compliance Officer and the Corporate Compliance Committee.
Part VI Section B Line 15 - Determination of Compensation	A detailed compensation review of the top 15 executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market data for base and variable compensation is assessed annually for local, regional and national hospitals, integrated delivery systems, and academic medical centers. A detailed total compensation market review is conducted every two years. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation. A detailed compensation review of the 13 Clinical Chairs is also conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting for physicians within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market compensation data for each physician's specialized area of training is assessed annually. A detailed total compensation and Fair Market Value review is conducted every two years. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation.
Part VI Section C Line 19 - Public Disclosure of Documents	The NorthShore University HealthSystem (NorthShore) governing documents, conflict of interest policy, and financial statements are available to the public upon request. The NorthShore annual audit report and financial statements are also available to the public through GuideStar and the Illinois Attorney General's Office websites as part of the federal and state tax return filings. The NorthShore quarterly and annual financial statements and annual audit are also made available to the public through the Electronic Municipal Market Access (EMMA) website as part of the tax-exempt bond offerings.
Part XI Line 9 - Other Changes in Net Assets	Other changes in net assets include equity adjustments for the pension plan in the amount of $64,868,191, equity adjustments for the supplemental executive retirement plans in the amount of ($584,341), and a reversal of prior year grant expenses in the amount of $1,000,000.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: The core mission of NorthShore University HealthSystem is to "preserve and improve human life."
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	22
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	11,415
6	Total number of volunteers (estimate if necessary) .............	6	1,101
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	7,782,122
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	22,100,860	18,549,509
9	Program service revenue (Part VIII, line 2g) .........	1,436,146,921	1,508,081,091
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	99,643,112	47,401,823
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	15,323,678	16,161,756
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,573,214,571	1,590,194,179
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	65,771,207	72,242,296
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)	637,887,808	666,577,871
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,877,037
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	730,245,338	845,041,323
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,433,904,353	1,583,861,490
19	Revenue less expenses. Subtract line 18 from line 12.......	139,310,218	6,332,689
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,267,370,040	3,461,456,234
21	Total liabilities (Part X, line 26).............	1,408,536,139	1,414,620,991
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,858,833,901	2,046,835,243

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,206,462,954 including grants of $ 71,529,989 ) (Revenue $ 1,485,796,198 )
	Patient Care - See Schedule O

4b	(Code: ) (Expenses $ 56,024,731 including grants of $ 0 ) (Revenue $ 11,504,951 )
	Education - See Schedule O

4c	(Code: ) (Expenses $ 29,628,210 including grants of $ 712,307 ) (Revenue $ 12,423,242 )
	Research - See Schedule O

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,292,115,895

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	22,561,702	5,781,605	2,925,162

1a	Federated campaigns..		1a	163,000
b	Membership dues..		1b	740,880
c	Fundraising events..		1c	599,843
d	Related organizations		1d	10,257,202
e	Government grants (contributions)		1e	242,584

f	All other contributions, gifts, grants, and similar amounts not included above		1f	6,546,000

g	Noncash contributions included in lines 1a-1f:$ 607,718
h Total.Add lines 1a-1f.......		18,549,509

		Business Code
2a	PATIENT REVENUE	621990	926,648,410	926,648,410
b	MEDICARE AND MEDICAID REVENUE	621990	542,729,569	542,729,569
c	RENT FROM AFFILIATED EXEMPT ORGS	900003	25,185,237			25,185,237
d	FEES AND CONTRACTS FROM GOVT AGENCIES	541700	7,308,521	7,308,521
e	GRANT INCOME	541700	5,114,722	5,114,722
f	All other program service revenue.			1,094,632	1,094,632
g Total.Add lines 2a–2f.....			1,508,081,091

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			33,247,010		2,246,647	31,000,363
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			3,500,000			3,500,000
		(ii) Personal	(i) Real
6a	Gross rents		3,198,204
b	Less: rental expenses		5,080,469
c	Rental income or (loss)	0	-1,882,265
d	Net rental income or (loss)......			-1,882,265			-1,882,265
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	430,232	325,599,198
b	Less: cost or other basis and sales expenses	47,892	311,826,725
c	Gain or (loss)	382,340	13,772,473
d	Net gain or (loss).....			14,154,813			14,154,813
8a	Gross income from fundraising events (not including $ 599,843of contributions reported on line 1c). See Part IV, line 18 ....
	a		927,366
b	Less: direct expenses ...b		795,681
c	Net income or (loss) from fundraising events..			131,685			131,685
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		24,090
b	Less: direct expenses ...b		500
c	Net income or (loss) from gaming activities..			23,590			23,590
10a	Gross sales of inventory, less returns and allowances ..
	a		961,215
b	Less: cost of goods sold ..b		646,600
c	Net income or (loss) from sales of inventory..			314,615			314,615
Business Code			Miscellaneous Revenue
11a	CAFETERIA		722514	5,134,700			5,134,700
b	LAB REFERENCE TESTING		541380	3,785,857		3,785,857
c	PARKING		812930	1,534,969		35,131	1,499,838
d	All other revenue ....			3,618,605	1,643,300	1,714,487	260,818
e	Total. Add lines 11a–11d ......			14,074,131
12	Total revenue. See Instructions......			1,590,194,179	1,484,539,154	7,782,122	79,323,394

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	72,018,112	72,018,112
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	224,184	224,184
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 ....	23,776,421	8,977,163	14,799,258
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	11,525,656	3,917,180	7,252,412	356,064
7	Other salaries and wages	514,142,499	432,879,994	79,785,509	1,476,996
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	49,971,925	39,624,214	10,347,711
9	Other employee benefits .......	33,431,229	29,536,187	3,649,233	245,809
10	Payroll taxes ...........	33,730,141	26,965,832	6,650,388	113,921
11	Fees for services (non-employees):
a	Management ......	92,544,757	81,844,458	10,700,299
b	Legal .........	15,899,239		15,899,239
c	Accounting ...........	1,142,901	1,103	1,141,798
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	19,992,810		19,992,810
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	81,568,067	55,836,508	25,441,138	290,421
12	Advertising and promotion ....	21,377,634		21,377,634
13	Office expenses .......	28,853,324	21,317,970	7,493,436	41,918
14	Information technology ......	19,758,095	2,132,085	17,624,862	1,148
15	Royalties ..	0
16	Occupancy ...........	31,364,114	21,386,134	9,647,494	330,486
17	Travel ............	1,142,551	896,945	233,508	12,098
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	2,169,799	1,515,503	646,897	7,399
20	Interest ...........	7,482,977		7,482,977
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	106,388,398	78,569,370	27,819,028
23	Insurance ...	-4,215,834	-5,421,601	1,205,767
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	301,830,113	301,830,113
b	PENSION SETTLEMENT CHARGE	77,687,608	77,687,608
c	MEDICAID TAX	36,838,130	36,838,130
d	DUES AND SUBSCRIPTIONS	2,390,568	1,413,652	976,139	777
e	All other expenses	826,072	2,125,051	-1,298,979
25	Total functional expenses. Add lines 1 through 24e	1,583,861,490	1,292,115,895	288,868,558	2,877,037
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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			62,114,780	1	56,420,741
2	Savings and temporary cash investments .........			986,669	2	1,047,320
3	Pledges and grants receivable, net ......			4,944,407	3	3,984,388
4	Accounts receivable, net .............			242,739,216	4	270,951,936
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 ....			0	7	0
8	Inventories for sale or use ........			20,340,080	8	19,955,131
9	Prepaid expenses and deferred charges ......			11,997,589	9	8,764,697
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,118,061,822
b	Less: accumulated depreciation	10b	1,077,052,632	995,509,205	10c	1,041,009,190
11	Investments—publicly traded securities .			1,135,294,071	11	1,271,186,381
12	Investments—other securities. See Part IV, line 11 .....			562,307,382	12	530,762,664
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			117,017,923	14	116,551,545
15	Other assets. See Part IV, line 11 ...........			114,118,718	15	140,822,241
16	Total assets. Add lines 1 through 15 (must equal line 34)...			3,267,370,040	16	3,461,456,234

17	Accounts payable and accrued expenses .....	198,076,911	17	185,368,513
18	Grants payable ...	0	18	0
19	Deferred revenue .........	10,367,402	19	9,680,979
20	Tax-exempt bond liabilities .........	347,563,968	20	334,641,648
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	852,527,858	25	884,929,851
26	Total liabilities. Add lines 17 through 25..	1,408,536,139	26	1,414,620,991

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,677,846,352	27	1,857,820,744
28	Temporarily restricted net assets ...........	103,222,668	28	112,157,001
29	Permanently restricted net assets	77,764,881	29	76,857,498
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	1,858,833,901	33	2,046,835,243
34	Total liabilities and net assets/fund balances ........	3,267,370,040	34	3,461,456,234

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No

(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?
(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	Yes	No
(1)NorthShore Faculty Practice Associates 1301 Central Street Evanston,IL60201 36-3738206	Healthcare	IL	501(c)(3)	11 Type I	NorthShore	Yes
(2)Radiation Medicine Institute 1301 Central Street Evanston,IL60201 36-3815543	Healthcare	IL	501(c)(3)	11 Type I	NorthShore	Yes
(3)Healthcare Foundation of Highland Park 610 Central Avenue Highland Park,IL60035 36-3196647	Fundraising	IL	501(c)(3)	11 Type II	NA		No

(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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Ravine Way LLC 2401 Ravine Glenview,IL60025 20-1245279	Healthcare	IL	NorthShore	Related	500,952	996,783		No	0	Yes		28.500 %
(2) HPMOB Limited Ptr 1301Central Evanston,IL60201 36-3497502	Healthcare	IL	NorthShore	Excluded	86,234	192,961		No	0	Yes		34.815 %

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) NorthShore Faculty Practice Associates	a	20,434,957	FMV
(2) NorthShore Faculty Practice Associates	b	69,239,923	FMV
(3) NorthShore Faculty Practice Associates	c	5,943,422	FMV
(4) Radiation Medicine Institute	c	313,780	FMV
(5) Healthcare Foundation of Highland Park	c	4,000,000	FMV
(6) HPMOB Limited Partnership	k	629,594	FMV
(7) NorthShore Faculty Practice Associates	p	62,302,112	Cost
(8) NorthShore Faculty Practice Associates	q	21,275,725	Cost
(9) NorthShore Physician Associates Inc	q	124,010	Cost
(10) Community Care Partners LLC	q	245,405	Cost
(11) NorthShore Faculty Practice Associates	r	422,990,607	FMV
(12) Radiation Medicine Institute	r	3,186,208	FMV
(13) NorthShore Physician Associates Inc	r	114,010,372	FMV
(14) NorthShore Insurance International	r	3,140,469	FMV
(15) NorthShore Faculty Practice Associates	s	395,934,008	FMV
(16) Radiation Medicine Institute	s	2,872,428	FMV
(17) HPMOB Limited Partnership	s	95,949	FMV
(18) Ravine Way Surgery Center LLC	s	384,750	FMV
(19) NorthShore Physician Associates Inc	s	84,696,212	FMV

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No