Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 09-01-2017 , and ending 08-31-2018
BCheck if applicable:
CName of organization
Northwestern Memorial HealthCare Group
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
541 N Fairbanks Ct 1630
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Chicago, IL606113319
D Employer identification number

36-4724966
E Telephone number

G Gross receipts $ 5,535,704,560
F Name and address of principal officer:
Dean M Harrison
251 E Huron
Chicago,IL606112908
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.NM.Org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions) Click to see attachment
H(c)
Group exemption number MediumBullet5878
K Form of organization:  
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE PRIMARY MISSION OF THE NORTHWESTERN AFFILIATES INCLUDED IN THIS GROUP RETURN IS TO BE THE DESTINATION OF CHOICE FOR (CONTINUED IN SCHEDULE O)
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 160
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 127
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 23,327
6 Total number of volunteers (estimate if necessary) ............. 6 2,200
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 72,031,602
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 18,478,934
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 49,727,631 95,379,350
9 Program service revenue (Part VIII, line 2g) ......... 4,953,190,879 5,345,664,800
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 10,357,864 7,713,968
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 58,904,076 71,851,898
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 5,072,180,450 5,520,610,016
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 20,421,778 14,040,179
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 2,007,830,607 2,137,868,779
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet16,409,641    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 2,698,497,776 3,036,943,488
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 4,726,750,161 5,188,852,446
19 Revenue less expenses. Subtract line 18 from line 12....... 345,430,289 331,757,570
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 9,994,738,417 9,984,226,689
21 Total liabilities (Part X, line 26)............. 3,644,491,423 2,725,172,406
22 Net assets or fund balances. Subtract line 21 from line 20..... 6,350,246,994 7,259,054,283
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
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Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: NORTHWESTERN MEMORIAL HEALTHCARE IS AN INTEGRATED HEALTHCARE SYSTEM, CONSISTING OF MULTIPLE HOSPITALS (INCLUDING NORTHWESTERN MEMORIAL HOSPITAL, AN ACADEMIC MEDICAL CENTER) AND NETWORKS OF PHYSICIANS AND HEALTHCARE PROFESSIONALS, WHERE THE PATIENT COMES FIRST. WE ARE AN ORGANIZATION OF CAREGIVERS WHO ASPIRE TO CONSISTENTLY HIGH STANDARDS OF QUALITY, COST-EFFECTIVENESS AND PATIENT SATISFACTION. WE SEEK TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY DELIVERING A BROAD RANGE OF SERVICES WITH SENSITIVITY TO THE INDIVIDUAL NEEDS OF OUR PATIENTS AND THEIR FAMILIES. WE ARE BONDED IN AN ESSENTIAL ACADEMIC AND SERVICE RELATIONSHIP WITH FEINBERG SCHOOL OF MEDICINE OF NORTHWESTERN UNIVERSITY. THE QUALITY OF OUR SERVICES IS ENHANCED THROUGH THEIR INTEGRATION WITH EDUCATION AND RESEARCH IN AN ENVIRONMENT THAT ENCOURAGES EXCELLENCE OF PRACTICE, CRITICAL INQUIRY AND LEARNING.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 3,846,863,051 including grants of $ 14,040,179 ) (Revenue $ 5,366,584,103 )
THE NMHC GROUP RETURN REFLECTS THE COMBINED INFORMATION AND OPERATIONS OF TWENTY-ONE TAX EXEMPT ORGANIZATIONS. THIS INCLUDES SEVEN HOSPITAL FACILITIES, FOUR MEDICAL GROUPS, ONE FOUNDATION, AND VARIOUS OTHER RELATED ENTITIES SUPPORTING THE HEALTHCARE MISSION OF THE SYSTEM. NORTHWESTERN MEMORIAL HOSPITAL (EIN: 37-0960170) ("NMH") FOR MORE THAN 150 YEARS, NMH AND ITS PREDECESSOR INSTITUTIONS, PASSAVANT MEMORIAL AND WESLEY MEMORIAL HOSPITALS, HAVE SERVED THE RESIDENTS OF CHICAGO. THE COMMITMENT TO PROVIDE HEALTHCARE, REGARDLESS OF THE PATIENTS' ABILITY TO PAY, REACHES BACK TO THE FOUNDING PRINCIPLES OF PASSAVANT AND WESLEY AND CONTINUES TO BE INTEGRAL TO OUR MISSION TO PUT PATIENTS FIRST. NMH IS AN ACADEMIC MEDICAL CENTER (AMC) HOSPITAL AND SERVES AS THE PRIMARY TEACHING HOSPITAL FOR THE NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE ("FEINBERG"), WITH MORE THAN 1,800 PHYSICIANS ON THE MEDICAL STAFF WHO HAVE FACULTY APPOINTMENTS AT FEINBERG. NMH IS AMONG THE LIMITED NUMBER OF HOSPITALS IN THE UNITED STATES TO BE DESIGNATED AS A MAJOR TEACHING HOSPITAL BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC). ACCORDING TO THE AAMC, WHILE MAJOR TEACHING HOSPITALS REPRESENT ONLY 5 PERCENT OF ALL HOSPITALS, THEY ACCOUNT FOR 25 PERCENT AND 20 PERCENT OF ALL MEDICAID AND MEDICARE DISCHARGES, RESPECTIVELY, AS WELL AS PROVIDE 35 PERCENT OF THE COUNTRY'S CHARITY CARE. IN AGGREGATE, MAJOR TEACHING HOSPITALS SERVE A HIGHER PROPORTION OF LOW-INCOME, DUAL-ELIGIBLE, DISABLED AND MINORITY PATIENTS THAN OTHER HOSPITALS. AS AMCS SERVE AS MAJOR REFERRAL CENTERS AND HAVE VERY SPECIALIZED EXPERTISE, THEY PROVIDE CARE TO THOSE PATIENTS WHO ARE UNABLE TO SEEK NECESSARY CARE ELSEWHERE AND THEREFORE HAVE A PATIENT POPULATION THAT IS OFTEN MORE COMPLEX, SICKER AND MORE VULNERABLE THAN THE GENERAL PATIENT POPULATION. NMH IS AN 894-BED, ADULT ACUTE CARE HOSPITAL LOCATED IN CHICAGO'S GROWING DOWNTOWN AREA AND SAW MORE THAN 45,000 ADULTS ADMITTED AS INPATIENTS IN FISCAL YEAR 2018. AS AN ADULT LEVEL I TRAUMA CENTER IN DOWNTOWN CHICAGO WITH 24/7 SERVICE, NMH HAD MORE THAN 83,000 EMERGENCY DEPARTMENT (ED) VISITS IN FISCAL YEAR 2018. NMH IS ALSO THE ONLY AMC HOSPITAL IN CHICAGO PARTICIPATING IN BOTH CITY AND STATE LEVEL I TRAUMA NETWORKS AND AS A LEVEL III NEONATAL INTENSIVE CARE UNIT, ALLOWING US TO PROVIDE LIFESAVING CARE AND TREATMENT TO THE MOST SERIOUSLY INJURED ADULTS AND PREMATURE AND SICK INFANTS. NMH HAS THE LARGEST BIRTHING CENTER IN ILLINOIS, WITH MORE THAN 11,600 DELIVERIES IN FISCAL YEAR 2018. NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL (EIN: 36-2513909) ("CDH") CDH HAS A RICH HISTORY OF CARING FOR ITS COMMUNITY. THE 392-BED, TERTIARY-CARE FACILITY LOCATED IN WINFIELD, ILLINOIS OFFERS EMERGENCY, INPATIENT AND OUTPATIENT CARE IN MEDICAL AND SURGICAL SERVICES, OBSTETRICS, PEDIATRICS, BEHAVIORAL HEALTH, CARDIOLOGY, NEUROLOGY AND ONCOLOGY TO RESIDENTS OF DUPAGE COUNTY AND SURROUNDING AREAS. CDH IS DESIGNATED AS A LEVEL II TRAUMA CENTER AND PROVIDES LEVEL III NEONATAL INTENSIVE CARE; CDH EMS SERVES AS A STATE-DESIGNATED RESOURCE HOSPITAL. IT IS ALSO A REGIONAL DESTINATION FOR ONCOLOGY, ORTHOPEDIC, PEDIATRIC AND CARDIOLOGY CARE. CANCER PATIENTS ARE OFFERED HIGHLY ADVANCED TREATMENT AT THE STATE'S FIRST AND ONLY PROTON THERAPY CENTER. MORE THAN 1,290 PHYSICIANS ARE ON THE MEDICAL STAFF AND ARE TRAINED IN MORE THAN 90 SPECIALTY AREAS. IN FISCAL YEAR 2018, CDH HAD NEARLY 21,000 INPATIENT ADMISSIONS. CDH'S ED HAD MORE THAN 72,000 VISITS IN FISCAL YEAR 2018. NORTHWESTERN LAKE FOREST HOSPITAL (EIN: 36-2179779) ("LFH") WITH ROOTS IN THE NORTHERN CHICAGO REGION, LFH WAS FOUNDED IN 1899 AS ALICE HOME ON THE CAMPUS OF LAKE FOREST COLLEGE. SINCE ITS FOUNDING, LFH HAS UPHELD THE PROMISE TO PROVIDE LAKE COUNTY RESIDENTS WITH CONVENIENT ACCESS TO QUALITY CARE SUPPORTED BY ADVANCED DIAGNOSTICS AND TECHNOLOGY. IN FISCAL YEAR 2018, NORTHWESTERN MEDICINE OPENED A NEW LAKE FOREST HOSPITAL WHICH INCLUDES 114 PRIVATE INPATIENT ROOMS, 72 OUTPATIENT CARE SPACES, EIGHT OPERATING ROOMS AND 483,500 SQUARE FEET OF NEW CONSTRUCTION ON ITS 160-ACRE CAMPUS. LFH SERVES THE LAKE COUNTY, ILLLINOIS AND KENOSHA COUNTY, WISCONSIN AREA. MORE THAN 700 PHYSICIANS OFFER LAKE COUNTY RESIDENTS CONVENIENT ACCESS TO ADVANCED DIAGNOSTIC AND SPECIALTY SERVICES. CARE IS PROVIDED THROUGH THE MAIN HOSPITAL CAMPUS IN SUBURBAN LAKE FOREST, ABOUT 30 MILES NORTH OF DOWNTOWN CHICAGO, AT LARGE OUTPATIENT FACILITIES IN GRAYSLAKE, ILLINOIS AND GLENVIEW, ILLINOIS AND AT FOUR IMMEDIATE CARE CENTERS. IN FISCAL YEAR 2018, LFH PROVIDED CARE FOR OVER 8,000 INPATIENT ADMISSIONS. LFH'S BOARD-CERTIFIED EMERGENCY PHYSICIANS AND TRAUMA-TRAINED NURSES PROVIDE TRAUMA AND EMERGENCY CARE TO PATIENTS THROUGH THE LEVEL II TRAUMA CENTER AT LFH AND A FREE-STANDING EMERGENCY ROOM AT THE GRAYSLAKE OUTPATIENT CENTER, WHICH TOGETHER HAD MORE THAN 52,000 EMERGENCY VISITS IN FISCAL YEAR 2018. LAUNCHED IN 2015, LFH HAS WELCOMED ITS FOURTH CLASS OF RESIDENTS FROM THE NORTHWESTERN MCGAW FAMILY MEDICINE RESIDENCY PROGRAM IN FISCAL YEAR 2018 AND SERVES AS THE PROGRAM'S HOME SITE. LAKE FOREST HEALTH & FITNESS INSTITUTE (EIN: 36-3835030) ("LFHFI") LOCATED ON THE NORTHWESTERN MEDICINE LAKE FOREST HOSPITAL CAMPUS, LFHFI OFFERS MORE THAN 130 INTERACTIVE GROUP FITNESS CLASSES WEEKLY, HOLISTIC TOTAL-BODY FITNESS PROGRAMS, INDIVIDUALIZED PERSONAL TRAINING AND A WIDE VARIETY OF HEALTH AND WELLNESS PROGRAMMING. ADDITIONALLY, LFHFI ALSO IMPLEMENTS MEDICAL FITNESS PROGRAMS DESIGNED TO HELP MEMBERS WHO ARE LIVING WITH CANCER, ARTHRITIS, OSTEOPOROSIS, FIBROMYALGIA AND CARDIOVASCULAR DISEASE TO BETTER COPE WITH THE SIDE EFFECTS OF THEIR ILLNESS. NORTHWESTERN MEMORIAL FOUNDATION (EIN: 36-3155315) ("NMF") NMF RAISES FUNDS TO SUSTAIN THE MISSION AND STRATEGIC GOALS OF NORTHWESTERN MEMORIAL HEALTHCARE. NMF SUPPORTS THE SYSTEM'S DEDICATION TO CLINICAL INNOVATION, SCIENTIFIC DISCOVERY AND IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. NORTHWESTERN MEDICAL FACULTY FOUNDATION D/B/A NORTHWESTERN MEDICAL GROUP (EIN: 36-3097297) ("NMG") NORTHWESTERN MEDICAL GROUP IS A MULTISPECIALTY AND PRIMARY CARE PHYSICIAN PRACTICE WITH MORE THAN 1,360 PHYSICIANS AND 360 ADVANCED PRACTICE PROVIDERS WITH EXPERTISE IN 40 MEDICAL SPECIALTIES. SERVING ON THE FACULTY OF FEINBERG, PHYSICIANS CONTRIBUTE TO RESEARCH AND EDUCATION, AS WELL AS PROVIDE CLINICAL CARE. CDH-DELNOR HEALTH SYSTEM D/B/A CADENCE HEALTH (EIN: 36-3099698) ("CDHS") CDHS WAS INCORPORATED IN 1980 AND IS BASED IN WINFIELD, ILLINOIS WITH HOSPITALS IN WINFIELD AND GENEVA, ILLINOIS. AS OF SEPTEMBER 1, 2014, CDH-DELNOR HEALTH SYSTEM, INC. OPERATES AS A SUBSIDIARY OF NMHC. CENTRAL DUPAGE PHYSICIAN GROUP D/B/A NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP (EIN: 36-3149833) ("RMG" or "CDPG") CENTRAL DUPAGE PHYSICIAN GROUP IS A MULTI-SPECIALTY AND PRIMARY CARE NETWORK WITH MORE THAN 425 PHYSICIANS, INCLUDING 335 SPECIALISTS, WITH EXPERTISE IN 30 SPECIALTIES. RMG OFFERS MORE THAN 90 PRACTICES IN 36 LOCATIONS THROUGHOUT CHICAGO'S WESTERN SUBURBS. DELNOR-COMMUNITY HOSPITAL (EIN: 36-3484281) ("DCH") DCH OPENED 75 YEARS AGO AS THE RESULT OF A COMMUNITY-LED EFFORT TO BUILD A FACILITY TO MEET THE GROWING HEALTHCARE NEEDS OF RESIDENTS OF KANE COUNTY. NOW A 159-BED ACUTE CARE FACILITY, DCH IS A RECOGNIZED LEADER IN CLINICAL QUALITY AND PATIENT-CENTERED CARE LOCATED 37 MILES WEST OF DOWNTOWN CHICAGO IN GENEVA, ILLINOIS. THE DCH MEDICAL STAFF INCLUDES MORE THAN 670 PHYSICIANS IN 80 SPECIALTIES, PROVIDING COMPREHENSIVE MEDICAL CARE FOR ITS SURROUNDING COMMUNITIES. IN FISCAL YEAR 2018 DCH HAD MORE THAN 7,900 INPATIENT ADMISSIONS AND ITS ED HAD MORE THAN 42,000 VISITS. KISHWAUKEE COMMUNITY HOSPITAL (EIN: 23-7087041) ("KCH") KCH IS LOCATED IN DEKALB, ILLINOIS AND SERVES AS AN ACUTE-CARE, 98-BED COMMUNITY HOSPITAL WITH AN ENDURING COMMITMENT TO THE RESIDENTS OF DEKALB COUNTY. THE HOSPITAL PROVIDES CARE THROUGH A BROAD RANGE OF SPECIALTIES AND UNIQUE SERVICES, INCLUDING THROUGH ITS INNOVATIVE BREASTFEEDING CENTER AND ITS NEW, STATE-OF-THE-ART HEALTH AND WELLNESS CENTER THAT OPENED IN 2018. THE KISHWAUKEE MEDICAL STAFF IS COMPOSED OF MORE THAN 275 PHYSICIANS WHO TREATED MORE THAN 5,100 INPATIENT ADMISSIONS AND NEARLY 34,000 ED VISITS IN FISCAL YEAR 2018. VALLEY WEST COMMUNITY HOSPITAL (EIN: 36-4244337) ("VWCH") VWCH IS A CRITICAL-ACCESS, 25-BED HOSPITAL IN SANDWICH, ILLINOIS, SERVING THE FOX VALLEY COMMUNITY FOR MORE THAN 70 YEARS. MORE THAN 170 PHYSICIANS ARE ON STAFF WITH VALLEY WEST, REPRESENTING A WIDE RANGE OF SPECIALTIES. DURING FISCAL YEAR 2018, VALLEY WEST HAD 760 INPATIENT ADMISSIONS AND MORE THAN 8,700 ED VISITS. AS A CRITICAL-ACCESS HOSPITAL WITHIN THE NORTHWESTERN MEDICINE SYSTEM, VALLEY WEST CREATES A SEAMLESS PATHWAY TO SPECIALTY CARE ACROSS THE SYSTEM AND GREATLY EXPANDING ACCESS TO CARE FOR THE RURAL COMMUNITY.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet3,846,863,051
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III..
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
Yes
 
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
Yes
 
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
19
Yes
 
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
Yes
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
Yes
 
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
Yes
 
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
1,150
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
23,327
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
Yes
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
No
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
No
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
 
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
160
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
127
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
CA , FL , IL , KY , MD , MA , MN , NJ , OR , SC , WI
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletRobert Gerecke541 N Fairbanks Rm 1639   Chicago,IL606113319 (312) 926-9495
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JAY ANDERSON
 
See Schedule O
 40.0
.................
0 		X   X       881,465 0 204,011
(2) Marvin Barnes
 
See Schedule O
 1.0
.................
0 		X   X       0 0 0
(3) Tonda Bruch
 
See Schedule O
 1.0
.................
0 		X   X       0 0 0
(4) JOHN A CANNING
 
See Schedule O
 2.0
.................
0 		X   X       0 0 0
(5) Howard B Chrisman MD
 
See Schedule O
 40.0
.................
0 		X   X       942,621 0 132,571
(6) Seamus Collins
 
See Schedule O
 40.0
.................
0 		X   X       257,585 0 50,603
(7) JULIE L CREAMER
 
See Schedule O
 40.0
.................
0 		X   X       1,751,195 0 133,933
(8) Kent Dauten
 
See Schedule O
 9.0
.................
0 		X   X       0 0 0
(9) Gary Evans
 
See Schedule O
 1.0
.................
0 		X   X       0 0 0
(10) Connie Falcone
 
See Schedule O
 40.0
.................
0 		X   X       263,003 0 31,124
(11) WILLIAM P FLESCH
 
See Schedule O
 7.0
.................
0 		X   X       0 0 0
(12) Matthew J Flynn
 
See Schedule O
 39.0
.................
1.0 		X   X       518,802 0 93,338
(13) Richard Franco
 
See Schedule O
 40.0
.................
0 		X   X       394,113 0 58,186
(14) James Giblin MD
 
See Schedule O
 38.0
.................
2.0 		X   X       746,604 0 139,209
(15) Dean M Harrison
 
See Schedule O
 38.0
.................
2.0 		X   X       6,401,987 0 689,022
(16) Staci Hoste
 
See Schedule O
 1.0
.................
0 		X   X       0 0 0
(17) Christine Johnson
 
See Schedule O
 1.0
.................
0 		X   X       0 0 0
Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Emily J Kozak
 
See Schedule O
 39.0
.......................1.0 		X   X       355,788 0 51,553
(19) DIANA KRAFT MD
 
See Schedule O
 40.0
.......................0 		X   X       72,826 0 0
(20) Brian J Lemon
 
See Schedule O
 38.0
.......................2.0 		X   X       851,111 0 104,717
(21) Karen Mason
 
See Schedule O
 1.0
.......................0 		X   X       0 0 0
(22) Thomas J McAfee
 
See Schedule O
 40.0
.......................0 		X   X       1,069,139 0 236,020
(23) W James McNerney
 
See Schedule O
 1.0
.......................0 		X   X       0 0 0
(24) Eric G Neilson MD
 
See Schedule O
 40.0
.......................0 		X   X       996,149 0 32,614
(25) John A Orsini
 
See Schedule O
 38.0
.......................2.0 		X   X       1,360,633 0 293,678
(26) William A Osborn
 
See Schedule O
 1.0
.......................0 		X   X       0 0 0
(27) HOMI B PATEL
 
See Schedule O
 2.0
.......................0 		X   X       0 0 0
(28) Kevin P Poorten
 
See Schedule O
 39.0
.......................1.0 		X   X       976,112 0 270,200
(29) MK Pritzker
 
See Schedule O
 1.0
.......................0 		X   X       0 0 0
(30) Glenn F Tilton
 
See Schedule O
 2.0
.......................0 		X   X       0 0 0
(31) PATRICK TOWNE MD
 
See Schedule O
 40.0
.......................0 		X   X       680,679 0 110,934
(32) EDWARD J WEHMER
 
See Schedule O
 1.0
.......................0 		X   X       0 0 0
(33) NANCY ALCORN-KELL
 
SEE SCHEDULE O
 1.0
.......................0 		X           0 0 0
(34) Dean Barrett
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(35) TODD BARROWCLIFT DO
 
See Schedule O
 40.0
.......................0 		X           225,613 0 37,649
(36) Roger L Benson
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(37) Peter Bernick
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(38) Carol Bernick
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(39) Joan Bickner
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(40) Andrew Bluhm
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(41) John Boies
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(42) CHARLES M BRENNAN
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(43) WILLIAM J BRODSKY
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(44) DAVID BROWN
 
See Schedule O
 6.0
.......................0 		X           0 0 0
(45) Cindy Capek
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(46) David R Casper
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(47) Nicholas D Chabraja
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(48) Dennis S Chookaszian
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(49) Craig T Collins
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(50) SEAN M CONNOLLY
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(51) Adam Cooper
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(52) Mark Cozzi
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(53) Stephen Crawford
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(54) KERMIT R CRAWFORD
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(55) PETER D CRIST
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(56) Keating Crown
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(57) Michael A Cullen
 
See Schedule O
 10.0
.......................0 		X           0 0 0
(58) William Cunningham
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(59) Denise Curren
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(60) Brett M Dale
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(61) William M Daley
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(62) WILLIAM G DALUGA
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(63) JOSEPH F DAMICO
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(64) Matthew S Darnall
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(65) Anthony B Davis
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(66) Richard Davis
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(67) Dan DeCanniere
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(68) PEDRO DEJESUS
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(69) Michael F DeSantiago
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(70) JOHN H DICK
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(71) Shawn M Donnelly
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(72) Stephen W Elliott
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(73) John R Ettelson
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(74) Manny Favela
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(75) Ronald Feldmann MD
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(76) Michael W Ferro
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(77) Albert M Friedman
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(78) Mark Furlong
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(79) Lisa M Giles
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(80) James T Glerum
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(81) Teresa Gobeli
 
See Schedule O
 40.0
.......................0 		X           113,485 0 24,639
(82) William Goldberg
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(83) James A Gordon
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(84) ILENE S GORDON
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(85) Trina Gordon McCallister
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(86) Judy Greffin
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(87) ROGER T HARRIS
 
See Schedule O
 6.0
.......................0 		X           0 0 0
(88) Brett J Hart
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(89) Sandra L Helton
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(90) Roberto R Herencia
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(91) Mark Hilde
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(92) Adam Hoeflich
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(93) WILLARD M HUNTER
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(94) Peter S Hurst BDS
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(95) Linda Johnson Rice
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(96) Michael J Kachmer
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(97) Rick H Kash
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(98) Dennis Keane MD
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(99) ANTHONY K KESMAN
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(100) John A Kessler MD
 
See Schedule O
 40.0
.......................0 		X           33,143 0 17,188
(101) Sushil Keswani
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(102) Ron Klein
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(103) JAY KLOOSTERBOER
 
See Schedule O
 6.0
.......................0 		X           0 0 0
(104) CATHERINE KOZIK
 
See Schedule O
 6.0
.......................0 		X           0 0 0
(105) Michael Kulisz DO
 
See Schedule O
 40.0
.......................0 		X           745,244 0 65,547
(106) William C Kunkler
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(107) Julie Lampert
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(108) Richard H Lenny
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(109) Lawrence F Levy
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(110) Robert A Livingston
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(111) Timothy J Luby
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(112) Dee A Manire
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(113) Joseph D Mansueto
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(114) Thomas Matya
 
See Schedule O
 8.0
.......................0 		X           0 0 0
(115) J Richard Maybury
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(116) PATRICK M MCCARTHY MD
 
See Schedule O
 40.0
.......................0 		X           1,936,583 0 38,032
(117) Richard Melman
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(118) Ricardo Meza
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(119) Becky Milliman
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(120) Karen Mills
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(121) CHARLES N MILLS
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(122) LEE M MITCHELL
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(123) Timothy P Moen
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(124) Lou Jean Moyer
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(125) DENNIS MUILENBERG
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(126) James Murray III
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(127) Phebe N Novakovic
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(128) ANDREW OLEKSYN DO
 
See Schedule O
 6.0
.......................0 		X           0 0 0
(129) Amy S Paller MD
 
See Schedule O
 40.0
.......................0 		X           372,688 0 40,949
(130) Robert J Parkinson Jr
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(131) JAGDISH PATEL MD
 
See Schedule O
 40.0
.......................0 		X           34,350 0 0
(132) TERRANCE D PEABODY MD
 
See Schedule O
 40.0
.......................0 		X           781,273 0 40,273
(133) WILLIAM D PEREZ
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(134) Joseph M Persak MD
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(135) Jane D Pigott
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(136) Leonidas C Plantanias MD PhD
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(137) John Podjasek
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(138) ANNE PRAMAGGIORE
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(139) Craig R Pryde
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(140) Andrea Redmond-Ferguson
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(141) J Christopher Reyes
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(142) LARRY D RICHMAN
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(143) Mary Beth Richmond MD
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(144) Sue Richter
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(145) LEONETTA RIZZI
 
See Schedule O
 7.0
.......................0 		X           0 0 0
(146) Desiree Rogers
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(147) Matthew W Ross
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(148) Debbie S Saran
 
See Schedule O
 2.0
.......................0 		X           0 0 0
(149) Ron Saslow
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(150) Muneer A Satter
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(151) Terry Savage
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(152) Morton O Schapiro
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(153) John Schmidt MD
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(154) Marc S Schulman
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(155) Samuel C Scott III
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(156) RONALD J SEVERINO MD
 
See Schedule O
 40.0
.......................0 		X           377,779 0 41,987
(157) DEAN P SHOENER MD
 
See Schedule O
 40.0
.......................0 		X           600,757 0 41,443
(158) Scott C Smith
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(159) Greg Smith
 
See Schedule O
 3.0
.......................0 		X           0 0 0
(160) NATHANIEL J SOPER MD
 
See Schedule O
 40.0
.......................0 		X           803,667 0 33,622
(161) MARC STRAUSS
 
See Schedule O
 6.0
.......................0 		X           0 0 0
(162) ALEXANDER D STUART
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(163) Robert J Stucker
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(164) Robert Sullivan
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(165) Timothy P Sullivan
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(166) Shelia G Talton
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(167) DONALD L THOMPSON
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(168) Michael Thornton MD
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(169) Edward T Tilly
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(170) DEAN G TSARWHAS MD
 
See Schedule O
 40.0
.......................0 		X           922,715 0 45,156
(171) Jason Tyler
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(172) Douglas E Vaughan
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(173) Nicholas J Volpe MD
 
See Schedule O
 40.0
.......................0 		X           522,446 0 41,269
(174) WILLIAM A VONHOENE
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(175) FREDERICK H WADDELL
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(176) Ruth WALKER
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(177) Reeve Waud
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(178) JEFFREY D WAYNE MD
 
See Schedule O
 40.0
.......................0 		X           495,941 0 41,269
(179) Ann West MD
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(180) Peter Whinfrey
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(181) Forrest Whittaker
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(182) ABRA PRENTICE WILKIN
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(183) Patricia A Woertz
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(184) Corinne J Wood
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(185) JAMES P ZALLIE
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(186) Andrea Zopp
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(187) MAUREEN BRYANT
 
See Schedule O
 40.0
.......................0 		    X       632,502 0 71,421
(188) Danae K Prousis
 
See Schedule O
 40.0
.......................0 		    X       824,596 0 25,923
(189) Mary Savaiano
 
See Schedule O
 40.0
.......................0 		    X       111,172 0 24,897
(190) Maureen A Taus
 
See Schedule O
 40.0
.......................0 		    X       524,396 0 59,080
(191) KATHLEEN YOSKO
 
See Schedule O
 40.0
.......................0 		    X       599,911 0 26,094
(192) Aaron Bare
 
See Schedule O
 40.0
.......................0 		        X   1,078,565 0 45,379
(193) Michael Lee MD
 
See Schedule O
 40.0
.......................0 		        X   895,695 0 36,399
(194) Harish Shownkeen MD
 
See Schedule O
 40.0
.......................0 		        X   1,637,869 0 36,497
(195) Regina Stein MD
 
See Schedule O
 40.0
.......................0 		        X   841,275 0 40,134
(196) Claudia Tellez MD
 
See Schedule O
 40.0
.......................0 		        X   917,317 0 35,464
(197) James Adams
 
See Schedule O
 40.0
.......................0 		          X 899,728 0 68,275
(198) Roger Bell
 
See Schedule O
 40.0
.......................0 		          X 446,486 0 56,408
(199) Steven Burandt MD
 
See Schedule O
 40.0
.......................0 		          X 266,801 0 39,144
(200) Carl Christensen
 
See Schedule O
 40.0
.......................0 		          X 686,559 0 155,904
(201) Brad Copple
 
See Schedule O
 40.0
.......................0 		          X 562,645 0 51,426
(202) Mark Daniels MD
 
See Schedule O
 40.0
.......................0 		          X 491,959 0 40,191
(203) Joseph Dant
 
See Schedule O
 40.0
.......................0 		          X 75,154 0 26,262
(204) James C Dechene
 
See Schedule O
 40.0
.......................0 		          X 916,147 0 28,384
(205) Pamela Duffy
 
See Schedule O
 40.0
.......................0 		          X 415,291 0 35,351
(206) Erik Englehart MD
 
See Schedule O
 40.0
.......................0 		          X 422,709 0 33,743
(207) Stephen Falk
 
See Schedule O
 40.0
.......................0 		          X 735,834 0 28,580
(208) Loren Foelske
 
See Schedule O
 40.0
.......................0 		          X 318,443 0 1,002
(209) Francis Fraher
 
See Schedule O
 40.0
.......................0 		          X 419,201 0 41,800
(210) David Hensley
 
See Schedule O
 40.0
.......................0 		          X 341,078 0 45,777
(211) John Hubbe
 
See Schedule O
 40.0
.......................0 		          X 146,894 0 34,806
(212) Denise Majeski
 
See Schedule O
 40.0
.......................0 		          X 356,693 0 20,922
(213) Dean Manheimer
 
See Schedule O
 40.0
.......................0 		          X 2,202,561 0 39,287
(214) Peter McCanna
 
See Schedule O
 40.0
.......................0 		          X 3,738,508 0 34,973
(215) Michele McClelland
 
See Schedule O
 40.0
.......................0 		          X 225,233 0 0
(216) Gary Noskin MD
 
See Schedule O
 40.0
.......................0 		          X 668,706 0 129,051
(217) Elizabeth Rosenberg
 
See Schedule O
 40.0
.......................0 		          X 1,093,258 0 250,945
(218) Michael Vivoda
 
See Schedule O
 40.0
.......................0 		          X 1,607,462 0 239,356
(219) Brian Walsh
 
See Schedule O
 40.0
.......................0 		          X 544,924 0 64,384
(220) Jennifer Wooten Ierardi
 
See Schedule O
 40.0
.......................0 		          X 427,288 0 59,292
(221) Douglas M Young
 
See Schedule O
 40.0
.......................0 		          X 605,234 0 50,670
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 53,163,589 0 5,117,956
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet3,351
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
TURNER CONSTRUCTION COMPANY

55 E MONROE SUITE 1430
CHICAGO,IL60603 		CONSTRUCTION 73,806,458
SKENDER CONSTRUCTION

200 W MADISON SUITE 1300
CHICAGO,IL60606 		CONSTRUCTION 44,618,843
DELOITTE CONSULTING LLP

111 S WACKER DRIVE
CHICAGO,IL60606 		CONSULTING SERVICES 18,654,203
LO DESTRO CONSTRUCTION COMPANY

211 E Ontario St 500
CHICAGO,IL60604 		CONSTRUCTION SERVICES 18,139,947
MEDICAL STAFFING NETWORK

PO Box 840292
Dallas,TX752840292 		TEMPORARY STAFFING 16,714,009
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet645
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 2,041,968
d Related organizations1d  
e Government grants (contributions)1e 605,333
f All other contributions, gifts, grants, and similar amounts not included above1f 92,732,049
g Noncash contributions included in lines 1a - 1f:$ 1g 7,445,455
h Total. Add lines 1a-1f.......MediumBullet 95,379,350
Program Service RevenueAmt Business Code
2a NMH - Patient Service and Other Revenue 621990 2,014,559,648 2,012,005,581 2,554,067  
b CDH - Patient Service and Other Revenue 621990 1,062,225,966 999,328,964 62,897,002  
c NMG - Patient Service and Other Revenue 621110 924,608,470 924,608,470    
d DCH - Patient Service and Other Revenue 621990 354,806,130 354,806,130    
e NLFH - Patient Service and Other Revenue 621990 332,712,221 332,666,416 45,805  
f All other program service revenue. 656,752,365 654,892,628 1,859,737 0
g Total. Add lines 2a–2f .....MediumBullet 5,345,664,800
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 18,638,052   2,121,780 16,516,272
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   48,823,932 6a
b Less: rental expenses     6b
c Rental income or (loss) 0 48,823,932 6c
d Net rental income or (loss).......MediumBullet 48,823,932   780,875 48,043,057
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   2,114,124 7a
b Less: cost or other basis and sales expenses 10,359,313 2,678,895 7b
c Gain or (loss) -10,359,313 -564,771 7c
d Net gain or (loss).........MediumBullet -10,924,084     -10,924,084
8a Gross income from fundraising events (not including $ 2,041,968of contributions reported on line 1c). See Part IV, line 18 ....
8a 1,409,530
b Less: direct expenses ... 8b 1,542,895
c Net income or (loss) from fundraising events..MediumBullet -133,365   -133,365
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 51,840
b Less: direct expenses ... 9b 4,454
c Net income or (loss) from gaming activities..MediumBullet 47,386     47,386
10a Gross sales of inventory, less
returns and allowances ..
10a 931,293
b Less: cost of goods sold .. 10b 508,987
c Net income or (loss) from sales of inventory..MediumBullet 422,306     422,306
Business Code Miscellaneous Revenue
11a PROFESSIONAL SERVICE FEES 561000 9,321,294 9,321,294    
b PARKING REVENUE 812930 10,529,780 8,760,336 1,769,444  
c PROFESSIONAL SERVICES TO AFFILIATES 561000 2,814,598 2,814,598    
d All other revenue .... 25,967 23,075 2,892 0
e Total. Add lines 11a–11d ...... MediumBullet 22,691,639
12 Total revenue. See instructions.....MediumBullet 5,520,610,016 5,299,227,492 72,031,602 53,971,572
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 13,528,560 13,528,560
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 511,619 511,619
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 29,589,502 26,929,059 2,560,003 100,440
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 22,710,845 20,439,761 2,214,307 56,777
7 Other salaries and wages........ 1,728,917,416 1,555,727,167 168,894,422 4,295,827
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 62,075,819 55,868,237 6,052,392 155,190
9 Other employee benefits ....... 188,154,811 169,339,330 18,345,094 470,387
10 Payroll taxes ........... 106,420,386 95,778,347 10,375,988 266,051
11 Fees for services (non-employees):        
a Management ...... 889,710,557   889,710,557  
b Legal ......... 335,972   335,972  
c Accounting ........... 1,610,946   1,610,946  
d Lobbying ........... 287,149 287,149    
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 233,049,666 127,550,131 96,786,006 8,713,529
12 Advertising and promotion .... 3,110,058 329,517 2,662,383 118,158
13 Office expenses ....... 40,311,834 32,248,111 7,783,262 280,461
14 Information technology ...... 5,075,333 1,307,267 3,760,607 7,459
15 Royalties ..        
16 Occupancy ........... 218,121,113 126,088,722 91,443,442 588,949
17 Travel ............ 5,055,679 3,843,763 1,114,955 96,961
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 6,483,866 1,777,762 3,758,153 947,951
20 Interest ........... 39,397,257 39,380,827 16,430  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 231,061,082 221,145,897 9,877,542 37,643
23 Insurance ... 99,887,115 95,008,640 4,862,990 15,485
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 958,445,467 958,445,467    
b MEDICAID TAX 110,338,619 110,338,619    
c BAD DEBT 173,930,605 173,930,605    
d INCOME TAXES 4,030,572 4,030,572    
e All other expenses 16,700,598 13,027,922 3,414,303 258,373
25 Total functional expenses. Add lines 1 through 24e 5,188,852,446 3,846,863,051 1,325,579,754 16,409,641
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1  
2 Savings and temporary cash investments ......... 538,558,196 2 1,028,958,393
3 Pledges and grants receivable, net ...... 44,466,856 3 48,062,765
4 Accounts receivable, net ............. 698,751,574 4 813,771,785
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 17,500
7 Notes and loans receivable, net ...........   7 3,595,586
8 Inventories for sale or use ............ 64,241,358 8 71,476,227
9 Prepaid expenses and deferred charges ...... 133,944,498 9 206,219,525
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 5,197,627,635
b Less: accumulated depreciation 10b 1,955,147,566 3,080,350,069 10c 3,242,480,069
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 48,206,263 13 50,437,021
14 Intangible assets ............... 30,939,944 14 28,450,908
15 Other assets. See Part IV, line 11 ........... 5,355,279,659 15 4,490,756,910
16 Total assets. Add lines 1 through 15 (must equal line 33)... 9,994,738,417 16 9,984,226,689
Liabilities 17 Accounts payable and accrued expenses ..... 670,208,042 17 387,645,226
18 Grants payable ... 93,025,335 18 72,565,233
19 Deferred revenue ......... 1,616,526 19 10,702,180
20 Tax-exempt bond liabilities ......... 1,249,724,261 20 541,864,829
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 1,629,917,259 25 1,712,394,938
26 Total liabilities. Add lines 17 through 25.. 3,644,491,423 26 2,725,172,406
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions ..........   27  
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 6,350,246,994 32 7,259,054,283
33 Total liabilities and net assets/fund balances ........ 9,994,738,417 33 9,984,226,689
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
5,520,610,016
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
5,188,852,446
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
331,757,570
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
6,350,246,994
5
Net unrealized gains (losses) on investments ...............
5
31,467,270
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
545,582,449
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
7,259,054,283
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID: 17005876
Software Version: 2017v2.2
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number

36-4724966
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................19
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) CENTRAL DUPAGE HOSPITAL ASSOCIATION
  		362513909 3   No 0 0
(B) DELNOR-COMMUNITY HOSPITAL
  		363484281 3   No 0 0
(C) KISHWAUKEE COMMUNITY HOSPITAL
  		237087041 3   No 0 0
(D) VALLEY WEST COMMUNITY HOSPITAL
  		364244337 3   No 0 0
(E) KISHHEALTH FOUNDATION
  		363649077 7   No 0 0
(F) DEKALB BEHAVIORAL HEALTH FOUNDATION INC
  		474579189 3   No 0 0
(G) DEKALB COUNTY HOSPICE
  		363164329 9   No 0 0
(H) KISHHEALTH SYSTEM HOME CARE
  		371703513 3   No 0 0
(I) KISHWAUKEE PHYSICIAN GROUP
  		651293967 3   No 0 0
(J) CENTER FOR FAMILY HEALTH-MALTA
  		800869393 3   No 0 0
(K) MARIANJOY REHABILITATION HOSPITAL & CLINICS INC
  		362680776 3   No 0 0
(L) REHABILITATION MEDICINE CLINIC INC
  		363236791 3   No 0 0
(M) NORTHWESTERN MEDICAL FACULTY FOUNDATION
  		363097297 9 Yes   0 0
(N) NORTHWESTERN MEMORIAL HOSPITAL
  		370960170 3 Yes   0 0
(O) NORTHWESTERN LAKE FOREST HOSPITAL
  		362179779 3 Yes   0 0
(P) LAKE FOREST HEALTH & FITNESS INSTITUTE
  		363835030 9   No 0 0
(Q) NORTHWESTERN MEMORIAL FOUNDATION
  		363155315 7   No 0 0
(R) CENTRAL DUPAGE PHYSICIAN GROUP
  		363149833 9   No 0 0
Total
18
 0 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 23,749,768 25,212,380 28,919,061 48,893,913 83,043,128 209,818,250
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....           0
3 The value of services or facilities furnished by a governmental unit to the organization without charge..           0
4 Total. Add lines 1 through 3 23,749,768 25,212,380 28,919,061 48,893,913 83,043,128 209,818,250
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).. 26,115,162
6 Public support. Subtract line 5 from line 4. 183,703,088
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
7 Amounts from line 4.. 23,749,768 25,212,380 28,919,061 48,893,913 83,043,128 209,818,250
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 20,017,161 17,722,673 20,397,994 12,141,681 12,413,256 82,692,765
9 Net income from unrelated business activities, whether or not the business is regularly carried on..           0
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 27,950 0 0 0 0 27,950
11 Total support. Add lines 7 through 10 292,538,965
12
12
15,187,841
13
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
14
14
62.80 %
15
15
61.45 %
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 12,357,394 8,129,452 5,938,157 5,565,947 4,985,684 36,976,634
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 839,493,483 787,115,693 1,054,631,080 1,098,936,793 1,141,764,470 4,921,941,519
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....           0
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...           0
5 The value of services or facilities furnished by a governmental unit to the organization without charge           0
6 Total. Add lines 1 through 5 851,850,877 795,245,145 1,060,569,237 1,104,502,740 1,146,750,154 4,958,918,153
7a Amounts included on lines 1, 2, and 3 received from disqualified persons 0 0 0 0 0 0
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. 0 0 0 0 0 0
c Add lines 7a and 7b.. 0 0 0 0 0 0
8 Public support. (Subtract line 7c from line 6.) 4,958,918,153
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
9 Amounts from line 6... 851,850,877 795,245,145 1,060,569,237 1,104,502,740 1,146,750,154 4,958,918,153
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 11,247,540 319,784 5,530,886 589,616 1,949,628 19,637,454
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. 1,475,155 1,144,227 999,307 1,463,994 1,189,812 6,272,495
c Add lines 10a and 10b. 12,722,695 1,464,011 6,530,193 2,053,610 3,139,440 25,909,949
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.           0
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. 2,970,792 484,250 8,028,253 40,911,309 50,772,483 103,167,087
13 Total support. (Add lines 9, 10c, 11, and 12.).. 867,544,364 797,193,406 1,075,127,683 1,147,467,659 1,200,662,077 5,087,995,189
14
Section C. Computation of Public Support Percentage
15
15
97.46 %
16
16
98.30 %
Section D. Computation of Investment Income Percentage
17
17
0.51 %
18
18
0.54 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
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.
1
 
No
2
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).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
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.
3b
 
 
c
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.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
No
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
Yes
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
Yes
 
7
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) .
7
 
No
8
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).
8
 
No
9a
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.
9a
 
No
b
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.
9b
 
No
c
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.
9c
 
No
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
 
No
b
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
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
 
No
Section B. Type I Supporting Organizations
Yes
No
1
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.
1
Yes
 
2
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.
2
Yes
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
Yes
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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 0
2 Enter 85% of line 1 2 0
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3 0
4 Enter greater of line 2 or line 3 4 0
5 Income tax imposed in prior year 5 0
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6 0
7
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 2019 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-2019 		(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		  
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		  
7 Excess distributions carryover to 2020. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
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, Part I PUBLIC CHARITY STATUS THIS SCHEDULE A IS BEING FILED ON BEHALF OF A GROUP EXEMPTION AND INCLUDES MULTIPLE ENTITIES. THEY ARE GROUPED AS FOLLOWS: THE PRIMARY RESPONSE FOR SCHEDULE A REPRESENTS THOSE ORGANIZATIONS LISTED AS TYPE 3, HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATIONS AS DESCRIBED IN SECTION 170(B)(1)(A)(III). - CENTER FOR FAMILY HEALTH-MALTA - CENTRAL DUPAGE HOSPITAL ASSOCIATION - DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. - DELNOR-COMMUNITY HOSPITAL - KISHHEALTH SYSTEM HOMECARE - KISHWAUKEE COMMUNITY HOSPITAL - KISHWAUKEE PHYSICIAN GROUP, INC. - MARIANJOY REHABILITATION HOSPITAL & CLINICS, INC. - NORTHWESTERN LAKE FOREST HOSPITAL - NORTHWESTERN MEMORIAL HOSPITAL - REHABILITATION MEDICINE CLINIC, INC. - VALLEY WEST COMMUNITY HOSPITAL THE FOLLOWING ORGANIZATIONS ARE GROUPED AS TYPE 7, ORGANIZATIONS THAT NORMALLY RECEIVE A SUBSTANTIAL PART OF THEIR SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). - NORTHWESTERN MEMORIAL FOUNDATION - KISHHEALTH FOUNDATION THEY ARE REPRESENTED IN TOTAL BY PART II OF THE SCHEDULE A. THE FOLLOWING ORGANIZATIONS ARE GROUPED AS TYPE 10, ORGANIZATIONS THAT NORMALLY RECEIVE: (1) MORE THAN 33 1/3% OF THEIR SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO THEIR EXEMPT FUNCTIONS-SUBJECT TO CERTAIN EXCEPTIONS, AND (2) NO MORE THAN 33 1/3% OF THEIR SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME (LESS SECTION 511 TAX) FROM BUSINESSES ACQUIRED BY THE ORGANIZATIONS AFTER JUNE 30, 1975. SEE SECTION 509(A)(2). - LAKE FOREST HEALTH & FITNESS INSTITUTE - NORTHWESTERN MEDICAL FACULTY FOUNDATION (NMG) - CENTRAL DUPAGE PHYSICIAN GROUP - DEKALB COUNTY HOSPICE, INC. THEY ARE REPRESENTED IN TOTAL BY PART III OF THE SCHEDULE A. TYPE I SUPPORTING ORGANIZATION UNDER SECTION 509(A)(3) INCLUDE: - MARIANJOY REHABILITATION CENTER AUXILIARY TYPE II SUPPORTING ORGANIZATIONS UNDER SECTION 509(A)(3) INCLUDE: - CDH-DELNOR HEALTH SYSTEM - KISHHEALTH SYSTEM
Schedule A, Part I, Line 12g(v) AMOUNT OF MONETARY AND OTHER SUPPORT TO SUPPORTED ORGANIZATIONS THE ORGANIZATION DOES NOT BREAK OUT THE SPECIFIC MONETARY VALUE OF THE SUPPORT PROVIDED TO EACH ENTITY, AS THE ORGANIZATION EXISTS SOLELY TO SUPPORT THE MISSION AND OPERATIONS OF ITS SUPPORTED ORGANIZATIONS AND THEIR AFFILIATES, WHICH ARE ALL PART OF THE SAME INTEGRATED HEALTH CARE SYSTEM. AS A RESULT, ALL OF ITS ACTIVITIES AND EXPENSES DIRECTLY OR INDIRECTLY SUPPORT ITS SUPPORTED ORGANIZATIONS.
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name ALL SUPPORTED ORGANIZATIONS OF THE TYPE II SUPPORTING ORGANIZATIONS ARE DESIGNATED BY CLASS IN THE RESPECTIVE ARTICLES OF INCORPORATION, WHICH STATE THAT THE CORPORATION'S PURPOSES SHALL BE LIMITED TO OPERATING EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR THE CARRY OUT THE PURPOSES OF THOSE ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY NORTHWESTERN MEMORIAL HEALTHCARE, PROVIDED THAT SUCH ORGANIZATIONS ARE EXEMPT FROM TAX UNDER SECTION 501(A) OF THE CODE AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND ARE CLASSIFIED AS OTHER THAN PRIVATE FOUNDATIONS UNDER SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE CODE (COLLECTIVELY, THE "SUPPORTED ORGANIZATIONS"). THE SUPPORTED ORGANIZATIONS LISTED IN THIS SCHEDULE ARE THOSE ORGANIZATIONS WHICH THE SUPPORTING ORGANIZATIONS HAVE HISTORICALLY AND CONTINUALLY SUPPORTED WITHIN THE NORTHWESTERN MEMORIAL HEALTHCARE SYSTEM.
Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. MARIANJOY FOUNDATION (35-2165613) WAS DISSOLVED AS OF 8/31/2017 AT THE CLOSE OF THE PRIOR TAX PERIOD FOLLOWING THE APPROVAL AND FILING OF ARTICLES OF MERGER WITH NORTHWESTERN MEMORIAL FOUNDATION.
Schedule A, Part IV, Section A, Line 6 Support to other supported orgs THE SUPPORTING ORGANIZATIONS WITHIN THE SYSTEM PROVIDED GRANT FUNDS TO NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE AS INDICATED ON SCHEDULE I.
Schedule A, Part IV, Section B, Line 2 Benefit Of Supp. Org. Other Than The One Operating The Org. MARIANJOY REHABILITATION CENTER AUXILIARY'S BOARD OF DIRECTORS IS APPOINTED BY MARIANJOY REHABILITATION HOSPITAL & CLINICS, PURSUANT TO CRITERIA ESTABLISHED BY NORTHWESTERN MEMORIAL HEALTHCARE, THE SOLE MEMBER OF THE REMAINING SUPPORTED ORGANIZATIONS LISTED IN THIS SCHEDULE A, PART I, LINE 12G. THE ORGANIZATION PROVIDES SUPPORT TO ALL OF ITS SUPPORTED ORGANIZATIONS, WHICH OPERATE FOR THE BENEFIT AND TO CARRY OUT THE MISSION OF INTEGRATED HEALTH CARE SYSTEM.
Schedule A, Part III, Line 12 Other Income DESCRIPTION - SHARED SERVICES, COLUMN A - 2970792.0, COLUMN B - 484250.0, COLUMN C - 8028253.0, COLUMN D - 40911309.0, COLUMN E - 50772483.0, COLUMN F - XXX-XX-XXXX.0;
Schedule A, Part II, Line 10 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 27950.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 27950.0;
Schedule A (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number

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






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
Northwestern Memorial HealthCare Group
  		Employer identification number
36-4724966
Part I
Contributors
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
 
 
 
 

$  


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

$  


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

$  


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

$  


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

$  


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

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 3
Name of organization
Northwestern Memorial HealthCare Group
  		Employer identification number

36-4724966
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 4
Name of organization
Northwestern Memorial HealthCare Group
  		Employer identification number

36-4724966
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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data


Software ID: 17005876
Software Version: 2017v2.2
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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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
Northwestern Memorial HealthCare Group
 
Employer identification number

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

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

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

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

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
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) 2019

Schedule C (Form 990 or 990-EZ) 2019
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).Click to see attachment
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................   0
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................ 287,149 376,949
c Total lobbying expenditures (add lines 1a and 1b) ............................................................ 287,149 376,949
d Other exempt purpose expenditures ............................................................................... 5,188,565,297 6,174,049,217
e Total exempt purpose expenditures (add lines 1c and 1d) .................................................. 5,188,852,446 6,174,426,166
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000 1,000,000
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ................................................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................ 0 0
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................ 0 0
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) Total
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		6,000,000
c Total lobbying expenditures 529,932 412,411 394,401 376,949 1,713,693
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))		 1,500,000
f Grassroots lobbying expenditures   0 0 0 0
Schedule C (Form 990 or 990-EZ) 2019


Schedule C (Form 990 or 990-EZ) 2019
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|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
 
c
Media advertisements? ...................................................................................................
 
 
 
d
Mailings to members, legislators, or the public? .............................................................................
 
 
 
e
Publications, or published or broadcast statements? ...........................................................
 
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
 
 
i
Other activities? ...................................................................................................................
 
 
 
j
Total. Add lines 1c through 1i ....................................................................................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
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
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: NORTHWESTERN MEMORIAL HOSPITAL ADDRESS: 251 E HURON CHICAGO, Illinois 60611 EIN: 37-0960170 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 86,855 TOTAL LOBBYING EXPENDITURES: 86,855 OTHER EXEMPT PURPOSE EXPENDITURES: 1,690,138,884 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,690,225,739 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: NORTHWESTERN LAKE FOREST HOSPITAL ADDRESS: 1000 N WESTMORELAND ROAD LAKE FOREST, Illinois 60645 EIN: 36-2179779 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 35,454 TOTAL LOBBYING EXPENDITURES: 35,454 OTHER EXEMPT PURPOSE EXPENDITURES: 366,931,291 TOTAL EXEMPT PURPOSE EXPENDITURES: 366,966,745 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: NORTHWESTERN MEDICAL FACULTY FOUNDATION ADDRESS: 251 E HURON CHICAGO, Illinois 60611 EIN: 36-3097297 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 1,086,203,978 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,086,203,978 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: LAKE FOREST HEALTH & FITNESS INSTITUTE ADDRESS: 1200 N WESTMORELAND ROAD LAKE FOREST, Illinois 60645 EIN: 36-3835030 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 7,039,876 TOTAL EXEMPT PURPOSE EXPENDITURES: 7,039,876 LOBBYING NONTAXABLE AMOUNT: 501,994 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 125,498 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: NORTHWESTERN MEMORIAL FOUNDATION ADDRESS: 251 E HURON CHICAGO, Illinois 60611 EIN: 36-3155315 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 11,478,757 TOTAL EXEMPT PURPOSE EXPENDITURES: 11,478,757 LOBBYING NONTAXABLE AMOUNT: 723,938 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 180,984 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C (Form 990 or 990EZ) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number

36-4724966
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ......... 1 1
2 Aggregate value of contributions to (during year) 763 1,000,000
3 Aggregate value of grants from (during year) 4,240 659,203
4 Aggregate value at end of year ........ 16,396 12,494,747
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB 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 $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" 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 .... 175,079,702 161,910,261 160,775,409 154,047,947 150,742,275
b Contributions ... 6,403,092 5,608,930 1,930,836 8,113,774 2,420,472
c Net investment earnings, gains, and losses 1,149,184 7,560,511 -795,984 -1,386,312 885,200
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ...... 182,631,978 175,079,702 161,910,261 160,775,409 154,047,947
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet100 %
c
Term endowment SchDMd Bullet0 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" 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 .....   347,816,172 347,816,172
b Buildings ....   3,883,356,513 1,437,778,468 2,445,578,045
c Leasehold improvements        
d Equipment ....   836,415,374 500,171,057 336,244,317
e Other .....   130,039,576 17,198,041 112,841,535
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 3,242,480,069
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other 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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' 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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)I/C RECEIVABLE 3,922,412,344
(2)INSURANCE RECOVERABLE 443,527,657
(3)OTHER ASSETS 18,244,415
(4)DUE FROM AFFILIATES 140,182
(5)SECTION 457-B PLAN ASSET 89,678,498
(6)INVEST NON GROUP SUBS JV  
(7)BENEFICIAL INTEREST IN TRUSTS 15,047,955
(8)MEDICAID RECEIVABLE 1,306,980
(9)ARTWORK 398,879
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 4,490,756,910
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 5,613,722
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,712,394,938
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) 2019

Schedule D (Form 990) 2019
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  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part III, Line 1a Collections of Art DUE TO IMMATERIALITY THERE IS NO SEPARATE FOOTNOTE IN THE FINANCIAL STATEMENTS REGARDING SFAS 116 (ASC 958) CONTRIBUTED ART.
Schedule D, Part III, Line 4 Collections of Art NORTHWESTERN MEMORIAL HOSPITAL MAINTAINS ARTWORK THAT IS ON PUBLIC DISPLAY. THE ARTS PROGRAM WAS DEVELOPED IN RESPONSE TO RESEARCH THAT DEMONSTRATES THE HEALING VALUE OF REPRESENTATIONAL ART DEPICTING NATURAL LANDSCAPES AND POSITIVE HUMAN INTERACTIONS. OUR ART COLLECTION PROVIDES COMFORT, EVOKES POSITIVE EMOTIONS AND CAN HELP PROMOTE HEALING FOR OUR PATIENTS. THE HOSPITAL ALSO MAINTAINS HISTORICAL ITEMS THAT RELATE TO CARE SUCH AS HISTORICAL MEDICAL INSTRUMENTS AND NURSING UNIFORMS.
Schedule D, Part X, Line 2 Tax Footnote Each of the NMHC not-for-profit entities is qualified under the Internal Revenue Code (the Code) as a tax-exempt organization and is exempt from tax on income related to its tax-exempt purposes under Section 501(a) of the Code. Accordingly, no income taxes are provided for the majority of the income in the accompanying consolidated financial statements for these corporations. Certain corporations had unrelated business income (UBI) generated primarily from the sale of certain services that are not directly related to patient care and through limited partnerships within the investment portfolio. Certain corporations have unused net operating loss carryforwards available to offset the UBI tax. The net operating loss carryforwards expire through 2037. The deferred tax assets associated with these net operating loss carryforwards of $10,844,000 and $6,802,000 at August 31, 2018 and 2017, respectively, are offset by valuation allowances on the accompanying consolidated balance sheets of $10,844,000 and $6,802,000 respectively. The total net operating loss carryforwards at August 31, 2018 and 2017 were $33,113,000 and $16,938,000 respectively. NMHC calculates income taxes for its taxable subsidiaries. Taxable income differs from pretax book income principally due to certain income and deductions for tax purposes being recorded in the consolidated financial statements in different periods. Deferred income tax assets and liabilities are recorded for the tax effect of these differences using enacted tax rates for the years in which the differences are expected to reverse. In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent on the generation of future taxable income during the periods in which those temporary differences become deductible. The Cayman Islands government does not impose any tax on income or capital gains. However, such corporations are subject to U.S. federal corporate taxation to the extent that they generate net income that is effectively connected with a U.S. trade or business. These corporations were not engaged in any such trade or business in the U.S. during fiscal year 2018 or 2017. Therefore, no income tax provision has been recorded related to these corporations and their operations. Provisions for federal and state income taxes of $6,028 and $13,010 for the years ended August 31, 2018 and 2017, respectively, are included within Other in Nonoperating gains (losses) in the accompanying consolidated statements of operations and changes in net assets.
Schedule D, Part V, Line 4 Intended uses of endowment funds THE NORTHWESTERN GROUP DISCLOSED THE ENDOWMENT FUNDS IN PART V IN ACCORDANCE WITH SFAS 117 (ASC 958). THE GROUP REPORTS BOARD DESIGNATED FUNDS OF $242,870,339 IN UNRESTRICTED NET ASSETS AS OF AUGUST 31, 2018. THESE AMOUNTS WERE NOT INCLUDED IN PART V SO THAT THE ENDOWMENT FUNDS MATCH THE FINANCIAL STATEMENTS. THE GROUP ALSO HAS TEMPORARILY RESTRICTED ASSETS GENERATED FROM ENDOWMENT FUNDS OF $55,800,533 AS OF AUGUST 31, 2018. IN ACCORDANCE WITH SFAS 117 (ASC 958) THESE AMOUNTS ARE NOT CONSIDERED ENDOWMENTS AND HAVE NOT BEEN INCLUDED IN PART V. THE 4 PRIOR YEARS ARE THE COMBINED GROUP MEMBERS ENDOWMENT INFORMATION.
Schedule D (Form 990) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number

36-4724966
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, 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 the region		 (f) Total expenditures
for and investments
in the region
Middle East and North Africa 0 0 Program Services SEND AGENTS TO SEMINAR 21,028
Europe (Including Iceland and Greenland) 0 0 Program Services SEND AGENTS TO SEMINAR 48,662
North America (Canada & Mexico only) 0 0 Program Services SEND AGENTS TO SEMINAR 30,485
Middle East and North Africa 0 1 Unrelated Business Activities   958,028
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 1 1,058,203
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 1 1,058,203
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the 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; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
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) 2019
Additional Data


Software ID: 17005876
Software Version: 2017v2.2



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 arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number

36-4724966
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2019
Schedule G (Form 990 or 990-EZ) 2019
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.









VerticalRevenue
(a) Event #1

WOMEN'S BOARD OF NLFH BENEFIT
(event type) 		(b) Event #2

CDH/DELNOR GALA
(event type) 		(c) Other events

16
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
1,238,450
442,007
1,771,041
3,451,498

2
Less: Contributions . . . .
863,700
269,010
909,258
2,041,968
3 Gross income (line 1 minus
line 2) . . . . . .
374,750
172,997
861,783
1,409,530



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .     32,256 32,256
6 Rent/facility costs . . . . 263,946   200,955 464,901
7 Food and beverages . . . 74,978 70,547 243,568 389,093
8 Entertainment . . . . 80,890 4,681 40,677 126,248
9 Other direct expenses . . . 65,772 108,251 356,374 530,397
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 1,542,895
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -133,365
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.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
51,840
51,840
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
2,355
2,355

3
Noncash prizes . . . .
 
 
2,099
2,099

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
 
 


6

Volunteer labor . . . .
%
%
100 %


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities: IL
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2019
Schedule G (Form 990 or 990-EZ) 2019
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
100 %
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
NORTHWESTERN MEMORIAL FOUNDATION
Address right arrow
0S050 WINFIELD ROAD   WINFIELD, IL60190
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
NORTHWESTERN MEMORIAL FOUNDATION
Gaming manager compensation right arrow $ 0
Description of services provided right arrow
ASSIST VOLUNTEERS
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$ 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 provide any additional information. See instructions.
Return Reference Explanation
Schedule G, Part III, Line 14 Special Events - Books and Records THESE WERE SMALL RAFFLES, NO SPECIFIC PERSON WAS IN CHARGE OF THE ACTIVITIES. BOOKS AND RECORDS ARE HELD BY NORTHWESTERN MEMORIAL FOUNDATION.
Schedule G, Part III, Line 9a Part III, Line 9a ILLINOIS DOES NOT REQUIRE LICENSING TO CONDUCT GAMING ACTIVITIES.
Schedule G (Form 990 or 990-EZ) 2019
Additional Data


Software ID: 17005876
Software Version: 2017v2.2
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number

36-4724966
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the 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.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

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

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    73,916,007 7,986,731 65,929,276 1.31 %
b Medicaid (from Worksheet 3, column a) . . . . .     450,337,200 303,345,814 146,991,386 2.93 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 524,253,207 311,332,545 212,920,662 4.25 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     3,966,584 0 3,966,584 0.08 %
f Health professions education (from Worksheet 5) . . .     38,682,629 12,410,432 26,272,197 0.52 %
g Subsidized health services (from Worksheet 6) . . . .     13,124,123 0 13,124,123 0.26 %
h Research (from Worksheet 7) .     22,231,680 0 22,231,680 0.44 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     2,121,415 0 2,121,415 0.04 %
j Total. Other Benefits . . 0 0 80,126,431 12,410,432 67,715,999 1.35 %
k Total. Add lines 7d and 7j . 0 0 604,379,638 323,742,977 280,636,661 5.60 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development     1,946,878   1,946,878 0.04 %
9 Other         0 0 %
10 Total 0 0 1,946,878 0 1,946,878 0.04 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
42,281,000
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
1,181,664,064
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
1,647,218,756
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-465,554,692
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1Kishwaukee Area PHO
  		Credentialing & Managed Care 66.67 %   33.33 %
2Midland Surgical Center
  		Surgery Center 74.5 %   25.5 %
3Lake Forest Managed Care Association
  		Credentialing & Managed Care 50 %   50 %
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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?7Name, 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) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Northwestern Memorial Hospital
251 E Huron
Chicago,IL60611
www.nmh.org
0003251 		X X   X   X X      
2 NORTHWESTERN LAKE FOREST HOSPITAL
1000 N WESTMORELAND ROAD
LAKE FOREST,IL60045
WWW.LFH.ORG
0005660 		X X   X     X      
3 CENTRAL DUPAGE HOSPITAL ASSOCIATION
25 N WINFIELD ROAD
WINFIELD,IL60190
WWW.CADENCEHEALTH.ORG
0005744 		X X   X     X      
4 DELNOR-COMMUNITY HOSPITAL
300 RANDALL ROAD
GENEVA,IL60134
WWW.CADENCEHEALTH.ORG
0005736 		X X         X      
5 NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
1 KISH HOSPITAL DR
DEKALB,IL60115
0005470 		X X         X      
6 Northwestern Medicine Valley West Hospital
1302 N Main Street
Sandwich,IL60548
www.kishhealth.org
0004690 		X X     X   X      
7 Marianjoy Rehabilitation Hospital
26 W 171 Roosevelt Rd
Wheaton,IL60187
www.marianjoy.org
0003228 		X     X         Rehabilitation Svcs  
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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)
Northwestern Memorial Hospital
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): 		1
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Northwestern Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
Northwestern Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Northwestern Memorial Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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)
NORTHWESTERN LAKE FOREST HOSPITAL
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): 		2
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
NORTHWESTERN LAKE FOREST HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
NORTHWESTERN LAKE FOREST HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
NORTHWESTERN LAKE FOREST HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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)
CENTRAL DUPAGE HOSPITAL ASSOCIATION
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): 		3
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 17
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
CENTRAL DUPAGE HOSPITAL ASSOCIATION
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
CENTRAL DUPAGE HOSPITAL ASSOCIATION
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
CENTRAL DUPAGE HOSPITAL ASSOCIATION
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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)
DELNOR-COMMUNITY HOSPITAL
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): 		4
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 17
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
DELNOR-COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
DELNOR-COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
DELNOR-COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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)
NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
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): 		5
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 17
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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)
Northwestern Medicine Valley West Hospital
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): 		6
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 17
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Northwestern Medicine Valley West Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
Northwestern Medicine Valley West Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Northwestern Medicine Valley West Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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)
Marianjoy Rehabilitation Hospital
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): 		7
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 17
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Marianjoy Rehabilitation Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://marianjoy.org/patients-visitors/billing-insurance.aspx
b
http://marianjoy.org/patients-visitors/billing-insurance.aspx
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
Marianjoy Rehabilitation Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Marianjoy Rehabilitation Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - Northwestern Memorial Hospital. The CHNA report also describes Northwestern Memorial Hospital's CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. To solicit input from key informants, defined as those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was conducted as part of the CHNA process. A list of recommended participants was compiled by NMH and the Metropolitan Chicago Healthcare Council; this list included names and contact information for individuals including physicians, public health representatives, other healthcare professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the population with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. In all, 37 community stakeholders took part in the Online Key Informant Survey including ten Public Health Experts, eight Community Leaders, eight Other Healthcare Providers, seven Social Service Representatives and four Physicians. Final participation included representatives from the following organizations: 1. A Save Haven Foundation 2. Austin Childcare Providers Network 3. Chicago Department of Public Health 4. Chicago Family Health Center 5. Enlace Chicago 6. Governors State University Department of Health Administration 7. Grand Prairie Services 8. Illinois Department of Public Health, Bellwood Office 9. La Rabida Children's Hospital 10. Loretto Hospital 11. Metropolitan Chicago Healthcare Council 12. New Moms, Inc 13. North Park University 14. PCC Community Wellness Center 15. Respond Now 16. Southland Ministerial Health Network 17. St. Joseph Services 18. Swedish Covenant Hospital 19. United Way of Metropolitan Chicago 20. West Humboldt Park Development Council Through this process, input was gathered from several individuals whose organizations work with low-income, minority populations, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might be better addressed. Results of their ratings, as well as their verbatim comments, are included in NMH's CHNA Report. Findings represent qualitative rather than quantitative data. The Online Key Informant Survey was designed to gather input from participants regarding their opinions and perceptions of the health of the residents in the area. Therefore, these findings are based on perceptions, not facts. To ensure that organizations impacting health in Chicago were meaningfully engaged in reviewing and interpreting the findings of the CHNA, developing priorities among the identified needs and forming a collaborative plan to address the top priority needs, the External Steering Committee (ESC) was established and maintained. Members include representatives from: 1. Alliance for Research in Chicagoland Communities 2. Chicago Department of Public Health 3. CommunityHealth 4. Consortium to Lower Obesity in Chicago Children 5. Erie Family Health Center 6. Health and Disability Advocates 7. Kelly Hall YMCA 8. Logan Square Neighborhood Association 9. Near North Health Services Corporation 10. Northwestern University Feinberg School of Medicine 11. West Humboldt Park Development Council
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. The assessment was conducted by Professional Research Consultants, Inc. (PRC). PRC is a nationally recognized healthcare consulting firm with extensive experience conducting Community Health Needs Assessments. The hiring of PRC was facilitated by the Metropolitan Chicago Healthcare Counsel (MCHC) on behalf of participating member hospitals and health systems. These hospitals and health systems include: Alexian Brothers Health System/Amita Health (Alexian Brothers Behavioral Health Hospital, Alexian Brothers Medical Center, St. Alexius Medical Center); Amita Health (Adventist Bolingbrook Hospital, Adventist GlenOaks Hospital, Adventist Hinsdale Hospital, Adventist LaGrange Memorial Hospital); Edward-Elmhurst Healthcare (Edward Hospital & Health Services, Elmhurst Memorial Hospital); Franciscan Alliance (Franciscan St. James Health); Ingalls Health System (Ingalls Memorial Hospital); Little Company of Mary Hospital and Health Care Centers; Loretto Hospital; Northwest Community Healthcare (Northwest Community Hospital); Northwestern Medicine (Central DuPage Hospital, Northwestern Memorial Hospital, Northwestern Lake Forest Hospital); Palos Community Hospital; Rush System for Health (Rush Oak Park Hospital, Rush University Medical Center); Saint Anthony Hospital; St. Bernard Hospital and Health Care Center; Swedish Covenant Hospital; Thorek Memorial Hospital; and the University of Chicago Medicine.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following groups: 1. Key community organizations 2. NMH External Steering Committee 3. Northwestern University Institute of Public Health and Medicine 4. Northwestern Medicine Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Northwestern Memorial Hospital. Through the prioritization process, NMH identified four Priority Health Needs: Access to Healthcare Services, Chronic Disease, Injury and Violence, and Mental Health. NMH identified health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which NMH is addressing the significant needs identified in its most recently conducted CHNA are defined as follows: 1 Access to Healthcare Services: NMH aims to improve access to quality, culturally appropriate healthcare services among underserved populations in the NMH service area. Efforts include improved alignment of current NMH care coordination programs; IT solutions to improve care coordination for Medicaid patients through the Emergency Department; continued innovation and process improvement to reduce barriers (such as office hours) relating to access to care for medically underserved populations; and collaboration with external workgroups and agencies to support efforts that increase access to care. 1.1 Improve alignment of current NMH care coordination programs. Transitioning between care settings or providers can be especially difficult for medically complex and vulnerable patients. Recognizing the need to improve care coordination for our vulnerable populations, NMH developed the Innovations in Managing Patients Across Care Transitions (IMPACT) initiative in FY17. Aligned with our mission to put patients first, IMPACT is a collaboration of care transition programs that address the needs of our most medically and psychosocially complex patients. The collaboration is composed of seven distinct programs focused on managing patients across care transitions. These programs include: Complex Discharge Team (CDT), Complex High Admission Management Program (CHAMP), CHI-CARE, Geriatric Home Visit, Heart Failure Bridge and Transition Team (HF BAT), Intensive Case Management (ICM), and Transitional Care (TC). Each IMPACT program focuses on a different patient population with unique individual needs. Patients who may be unable to succeed with standard health system resources are identified as eligible by the IMPACT team or by their care team and referred to the appropriate IMPACT program. By building trusting relationships, identifying and addressing barriers, providing patient-centered comprehensive care, and connecting with community resources, IMPACT is able to sustain partnerships with our patients across the healthcare continuum. In FY18, IMPACT collaborated with community-based organizations in Chicago in an effort to address the underlying social determinants of health that impact care coordination and to improve the health of our patients. One basic and powerful social determinant of health is access to safe, quality housing and the supports necessary to maintain that housing. To help address this need in FY18, IMPACT collaborated on two housing pilots with the Center for Housing and Health (CHH) and Thresholds, which are Chicago-based social, mental health and housing service providers. Through these pilots, eligible patients in IMPACT will be provided with supportive housing, ongoing case management and additional support services. NMH is proactively addressing the needs of our patients by improving care coordination of patient transfers among care sites and the community, and by addressing the social determinants of health. 1.2 Assess and implement information technology (IT) solutions to improve care coordination for Medicaid patients through the Emergency Department (ED). Vulnerable populations required a diverse set of clinical and social services. The inability to address these needs has proven to lead to unnecessary emergency department utilization and preventable readmissions for patients. NMH identified the need for an easy-to-use, standardized, and measureable solution to increase access to social services and improve care coordination. In FY17, NowPow was selected as NMH's IT solution to improve care coordination and connect patients to reliable community resources. NowPow has the ability to identify and assess patients at high-risk for social needs, keep an accurate, accessible list of community and system-based resources, develop a process through the EMR to facilitate bidirectional referrals with community-based organizations, and analyze the effectiveness of these referrals and their impact on patient outcomes. In FY18, the commitment between NowPow and NMHC was finalized, and the infrastructure was established to launch the NowPow pilot in FY19. In addition to securing a digital solution to standardize the process to address social needs of patients and the community, NMH identified the need for referring providers at two federally qualified health centers (FQHC) based in the community - Near North Health Service Corporation and Erie Family Health Center - to achieve direct ordering into the NMH care system through Epic Care Link. This access removes barriers related to patient scheduling such as a potential lack of patient knowledge regarding the procedure name or ordering physician, a lost fax order, and language barriers. Epic Care Link removes these barriers by automatically adding an external order directly into the NMH system so that the patient only has to know their own name when calling to schedule an appointment. This system was launched in FY18, including training and communication to the referring FQHC providers. However, there were many challenges with the system including variations with ICD10 codes and patient name differences (i.e. patients may use maiden name at NM but married name at the FQHC). Much of FY18 was spent working with FQHC partners to resolve these issues. 1.3 Continued innovation and process improvement to reduce barriers (such as office hours) relating to access to care for medically underserved populations. NMH has longstanding relationships with major federally qualified health centers (FQHC) and a free health clinic within the City of Chicago: Erie Family Health Centers (Erie), Near North Health Services Corporation (Near North) and CommunityHealth. NMH provides grant funding and care coordination to each of these organizations to support expanded access to health services for underserved patients in Chicago and the surrounding areas. Through support from NMH, Erie, Near North and CommmunityHealth are able to enhance their efforts to provide quality care in a local and culturally competent setting. This includes expanded access to clinical care, improved care coordination, and Education-Centered Medical Home (ECMH) student clinics. An ECMH embeds teams of medical students into primary care, community-based clinics to care for a panel of complex patients over time. The ECMH model serves the dual purpose of increasing the capacity of community clinics as well as providing early and comprehensive educational exposure to team-based medicine in an authentic outpatient environment. In collaboration with Northwestern University's Feinberg School of Medicine, NMH underwrote the cost of ECMHs at Erie, Near North and CommunityHealth in FY18. Through our collaborations with community health services providers, we learned that the greatest need of patients receiving care in the community setting is often access to subspecialty care and diagnostic services. To help address this need, much of the care provided to our patients who have been referred from a community partner is now provided by our physician groups. By building capacity for community organizations to provide primary care, while simultaneously increasing access to subspecialty care and diagnostic services at our physician groups, these collaborations ensure that the patient receives quality, efficient care in the most appropriate setting. Many patients who are referred to NMH for care from our community affiliations receive free or substantially discounted services. Other patients receive care that is underwritten as part of NMH's Community Service Expansion Program (CSEP), which covers costs associated with specialty consultations and services, and hospital-based diagnostic services. To enhance access to this care, NMHC continues to refine processes to make the transition of patients from community organizations to NMHC entities more efficient and to continue to incorporate presumptive eligibility requirements.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Northwestern Memorial Hospital. 1.4 Collaborate with external workgroups and agencies to support efforts that increase access to care. In FY18, Northwestern Memorial Hospital continued its partnership with the Alliance for Health Equity (AHE), a collaboration of 30 hospitals, six health departments, and nearly 100 community-based organizations across Chicago and Cook County. Through AHE, NMH partnered with external organizations to advance health equity and wellness through strategies that address pressing issues in our communities to achieve greater collective impact. Our main focus was to address the social determinants of health (SDOH), which are the conditions in which people are born, grow, live, learn, work, play, and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels and affect a wide range of health, functioning, and quality-of-life outcomes and risks. SDOHs are mostly responsible for health inequities, or the unfair and avoidable differences in health status seen between different geographic areas. Access to health care services is an example of an SDOH. In FY18, NMH participated on the AHE committee to address access to care. 2 Chronic Disease (Diabetes, Heart Disease, Stroke, and Obesity) NMH partners with area hospitals and community-based organizations to reduce the rate of heart disease, diabetes, and obesity through increased access to care and education interventions. Efforts include continued support and expansion of diagnostic and specialty care services related to stroke; continued support of community health partners efforts to reduce the rate of heart disease, diabetes, and obesity; continued support and expansion of the Healthy Community Initiative; and collaboration with external workgroups and agencies to support efforts that impact chronic disease prevention. 2.1 Continue to support and expand diagnostic and specialty care services related to stroke. Launched in 2013, the Northwestern Medicine Telestroke Network now provides 24/7/365 direct access to board-certified vascular neurologists via dedicated telemedicine technology. In FY18, there were eight NM Telestroke Network hospitals in the Chicagoland area - NM LFH, NM Grayslake Outpatient Center, Northwest Community Hospital, CGH Medical Center, Weiss Memorial Hospital, Swedish Covenant Hospital, Loretto Hospital and Saint Anthony Hospital. Expansion of the NM Telestroke Network is planned for the coming years. Through videoconference and advanced diagnostic tools, the NMHC vascular neurologist sees and consults with the emergency room physician and patient at the NM Telestroke Network hospital, which allows the vascular neurologist to determine what treatment should be administered in the emergency department, what should happen after the emergency department visit and whether the complexity of the stroke indicates the need to transfer to a designated stroke specialty hospital. NMH provides capital equipment including technology, upgrades and on-site training in telestroke protocols to NM Telestroke Network hospitals. Technology is provided to participating hospitals below cost, and technical support, maintenance and staff training are provided at no cost. Because many insurance companies will not pay for remote consults, NMH reimburses the vascular neurologists for consult services. In FY18 alone, the NM Telestroke Network provided more than 1,600 consults and transferred more than 225 patients for neurovascular intervention or to a dedicated neuro ICU setting for monitoring, regardless of their insurance status. Since the program began in 2013, the network has provided more than 4,300 consults and 575 transfers. Rapid decision-making for tissue plasminogen activator (tPA) administration has led to decreased door-to-needle time at every member hospital of the NM Telestroke Network. In FY18, 62 percent of NM Telestroke Network tPA cases achieved door-to-needle time in less than one hour. This is well ahead of the national average of about 30 percent. In partnership with the NM Telestroke Network, NM LFH, Weiss Memorial Hospital and Swedish Covenant Hospital maintained certification as Primary Stroke Centers. Northwest Community Hospital is certified as a Comprehensive Stroke Center. These certifications and the work of the network hospitals in receiving certification are a reflection of the hospitals' commitment to improving the quality of patient care in their respective communities, and enables them to receive reimbursement commensurate with higher levels of certification and to fulfill regulatory requirements. In 2018, NMH also implemented RAPID software at Northwest Community Hospital and Saint Anthony Hospital. Supported by two stroke treatment trials, this software provides an intuitive and easily interpretable real-time view of brain perfusion. Use of the software allows the hospitals the opportunity to offer stroke treatment for up to 24 hours. 2.2 Continue to support community health partner efforts to reduce the rate of heart disease, diabetes and obesity. NMH continued work to improve coordination of care for heart disease and stroke through strengthened high-quality, patient-centered medical homes. Programs such as the Keep Your Heart Healthy (KYHH) initiative were designed to identify Chicago residents most at risk for developing heart disease and work on an individual basis to empower those individuals to make lifestyle changes to reduce their health risks. This free program links individuals with healthcare services and medical homes through referrals in an effort to control health risk factors. Northwestern University's Institute for Public Health and Medicine (IPHAM) led the program, which was funded in part by grant funding from NMH. 2.3 Continue to support and expand the Healthy Community Initiative. To help address obesity in Humboldt Park, NMH has collaborated with community partners to create programs uniquely tailored to the neighborhood. The Humboldt Park Healthy Community Initiative (HCI) was developed to improve the health of the residents of Humboldt Park based on the specific needs and challenges of the community, which include limited health literacy, violence, cultural beliefs and language barriers. The model was grounded in improved access to health information as well as safe, convenient and affordable options for learning about nutrition and engaging in physical activity in an effort to impact chronic disease. NMH continues to be a trusted source for health education and works to increase awareness, provide educational tools and encourage healthy lifestyle choices. The HCI consists of a variety of community organizations that have joined together to expand a healthy lifestyle framework and develop a comprehensive, sustainable, and replicable model that will lead to measurable improvements in health outcomes. The goal of this work is to reduce risk factors and prevent/delay chronic disease; promote wellness and improve management of chronic conditions; and monitor, evaluate and make recommendations to strengthen established processes to ensure achievement of our shared community goals. In FY18, the HCI committee promoted healthy lifestyle behaviors through free nutrition programs, physical activity classes, and wellness events to the residents of Humboldt Park. This included 750 physical fitness classes that reached approximately 7,500 participants; 36 nutrition programs that reached approximately 393 participants; 3 resource fairs that reached approximately 400 attendees each; and 16 Farmers Markets that reached approximately 650 attendees. Also during FY18, NMH piloted adolescent mental health services in collaboration with Hartgrove Hospital and the Salvation Army. HCI continued to refine and utilize an electronic tool to track fitness and nutrition outcomes in order to gather valuable metrics to better understand the needs of the community. 2.4 Collaborate with external workgroups and agencies to support efforts that impact chronic disease prevention. In FY18, NMH participated in the Alliance for Health Equity (AHE), a collaboration of 30 hospitals, six health departments, and nearly 100 community-based organizations across Chicago and Cook County, to advance health equity and pressing issues in our communities to achieve greater collective impact. In order to address the root cause of many chronic diseases, NMH participated in the social determinants of health (SDOH) committee. This committee addressed social and structural determinants of health and identified collective impact objectives, including food access, housing, workforce development, and access to care.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - Northwestern Memorial Hospital. 3 Injury and Violence NMH aims to identify and implement best practices for addressing violence in collaboration with community-based organizations. Efforts include continued utilization of effective models for ensuring victims of violent trauma have clinic and mental health support following ED or inpatient care; participation in community-led efforts to address violence; and collaboration with external workgroups and agencies to support efforts that impact violence prevention. 3.1 Continue to utilize and seek effective models for ensuring victims of violent trauma have clinical and mental health support following ED or inpatient hospital-based care. In FY18, NMH continued to partner with Cure Violence, previously known as CeaseFire, an organization founded in Chicago, to reduce retaliatory actions following violent trauma. As one of only four level I trauma centers in Chicago, NMH provides care to hundreds of Chicago residents who have violence-related traumatic injuries each year. NMH pays an annual fee to Cure Violence and integrates its intervention services into the treatment protocol for appropriate violent trauma cases. Trained "violence interrupters" meet with violent trauma victims and their families at NMH and attempt to defuse feelings of anger as well as discourage victims and their families from retaliating. The violence interrupters work in tandem with violence interrupters in the victim's home community. 3.2 Participate in community-led efforts to address violence. In 2014, leaders from NMH joined with Bright Star Community Outreach (BSCO) and other healthcare leaders and community partners to support the launching of a community-based effort to reduce the rate of violence in the Bronzeville neighborhood on the south side of Chicago. The Urban Resilience Network (TURN) Model (formerly known as the Bronzeville Dream Center) offers a bridge to mental health services and focuses on the five core competencies of counseling, workforce, parenting, mentorship and advocacy, which collectively focus on reducing violence and providing opportunities to the residents of Greater Bronzeville. TURN utilizes local faith leaders to implement evidence-based programs based on the NATAL-Israel Trauma model and the Communities That Care (CTC) model. NMH has played an active role in developing the TURN Model. In addition to direct funding, NMH provides leadership and knowledge-transfer, convenes community support, established governance and operational structures, and supports fundraising efforts, including the development of grant applications. The TURN Model Trauma Counseling Program offers a bridge to mental health services. TURN utilizes local faith and community leaders to implement evidence-based programs based on the NATAL-Israel Trauma model and the Communities That Care (CTC) model. In July 2017, BSCO successfully launched its Trauma Helpline. The Helpline had 20 unique callers in its first year of operation. In 2018, that number increased to 52 callers. BSCO is continuing to build capacity, including training a second cohort of faith and community leaders capable of staffing the Trauma Helpline. It anticipates handling an increase in call volume commensurate to this increased capacity. Additionally, BSCO has worked with CPS Network 9, Chicago Police Department (CPD) and funeral staff, and other neighborhood entities to build resilience and trauma-informed counseling within the community. 3.3 Collaborate with external workgroups and agencies to support efforts that impact violence prevention. In FY18, NMH continued its collaboration with the Alliance for Health Equity (AHE), a collaboration of 30 hospitals, six health departments, and nearly 100 community-based organizations across Chicago and Cook County. AHE hosted a committee to address community safety, and NMH participated to identify collective impact objectives. NMH continues to work collaboratively with community leaders to develop health policies and advocacy related to violence prevention. NMH is committed to helping communities identify targeted interventions that reduce and prevent violence, and this committee will continue to work towards a phased approach and determine the scope and scale of the work plan. 4 Mental Health In support of national and local mental health service objectives, NMH will provide leadership, invest resources and work collaboratively with community partners to address mental health needs and increase access to culturally competent mental health services for underserved populations in the City of Chicago. Efforts include implementation of behavioral healthcare services within the primary care setting; feasibility evaluation of co-locating primary care and mental health services within the outpatient psychiatry clinic to increase alignment with best practices in mental health care; increased access to mental health services such as counseling and education programs; advocacy for adequate mental health services and reimbursement; and collaboration with external workgroups and agencies to support efforts that impact violence prevention. 4.1 Implement behavioral healthcare services within the primary care setting. Due to insurance limitations, a nationwide shortage of psychiatrists, and a tendency for patients to see their primary care physician for mood disorders, psychiatric care may not be pursued as often as it should be. In response, NMH implemented a pilot program, based on the Collaborative Care Model, to strengthen the linkage between primary care and mental health in an effort to improve access and reduce obstacles to receiving mental health services. The program brings psychiatric care to patients by embedding behavioral health screenings and services within the primary care setting. If the patient is a fit for the program based on depression screening scores and symptoms, the primary care physician (PCP) refers the patient to the behavioral health care manager (BHCM) who coordinates treatment with the consulting psychiatrist and communicates the plan to both the PCP and the patient. The team is in constant communication to address the patients' symptoms, medications, and progress. Treatment provided in the program is outcomes-oriented. The goal for the program's patients is to get to remission which is defined as having minimal to no symptoms of depression. Success of the program was defined as an increase in access to depression treatment within the primary care setting, as well as a reduced wait-time to be seen by a behavioral health resource. In FY18, the NMH branded the collaborative care model as the Collaborative Behavioral Health Program (CBHP), and prepared to expand the program to additional sites throughout the health system. There was a continued focus on creating performance dashboards to track clinical outcomes, utilization, and financial scaling.
Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - Northwestern Memorial Hospital. 4.2 Evaluate the feasibility of co-locating primary care and mental health services within the outpatient psychiatry clinic to increase alignment with best practices in mental health care. In FY18, NMH provided funding and began work to evaluate the feasibility of offering primary care services within the Norman and Ida Stone Institute of Psychiatry- outpatient clinic. The goal of this initiative was to improve access to primary care and care coordination for individuals with serious and persistent mental illness; to promote healthy lifestyles including counseling on healthy eating, exercise, and tobacco cessation; and to implement guideline-based screening for common medical disorders in a chronically mentally ill population. The feasibility assessment would require a pilot project of physically locating two primary care providers to staff one-half day of the clinic (one full day total). The pilot include a medical assistant to support the providers by rooming patients, obtaining vital signs, and providing other medical support. In addition to staff support, the proposal included a description of clinical services, medical guidelines, and infrastructure development such as scheduling and marketing. The following metrics were established: Number of patients referred; time from referral to clinical encounter; access to care measured by number of completed primary care visits; engagement in care measured by patient activation survey instruments; and tracking of preventive health screenings. The team continued to secure necessary equipment such as exam tables, blood pressure cuffs, and other medical supplies. The pilot will launch in FY19, and will focus on increased primary care coordination for individuals with serious mental illness. We anticipate that increased access and engagement around preventable cardiac disease risk factors such as weight reduction, tobacco cessation and lipid control will enhance the overall health and well-being among this patient population. If the pilot proves successful, NMH will seek to make this initiative part of an elective rotation for internal medicine, family medicine, and psychiatry residents. 4.3 Increase access to mental health services (such as counseling and education programs) through the TURN model, a Bright Star Community Outreach initiative In FY18, because of funding from NMH, Bright Star Community Outreach (BSCO) was able to complete its second five-week training for an additional ten faith and community leaders to provide counseling and access to mental health services via the TURN Trauma Helpline. This second cohort of leaders, which were trained as both Helpline Counselors and Community Ambassadors, graduated on the same day that the helpline celebrated its one year launch anniversary. After training, outreach work began to target organizations and individuals that had been directly impacted by trauma such as suicide or gun violence. This increased outreach, which includes workshops and fliers to over 8,000 individuals, had a positive impact on the number of callers who accessed the Helpline. In FY18, TURN assisted 52 callers with over 250 total calls. This includes two successful discharges and 19 referrals to additional mental health services. In addition, BSCO continued to break down related barriers and de-stigmatize trauma and counseling through education and advocacy work. Continued growth and expansion of services offered by BSCO is expected over the next few years. NMH is committed to BSCO's mission and the TURN Model initiative. We will continue to support BSCO with dedicated funding, public health and mental health resources, and administrative support, and will continue to help plan for the delivery of mental health services. 4.4 Advocate for adequate mental health services and reimbursement NMH engages in advocacy efforts aimed at increasing access to behavioral health services. NMH is on the steering committee and behavioral health committee for the Alliance for Health Equity, an initiative of the Cook County collaborative. Through this initiative, NMH works with other community healthcare leaders to implement strategies to address the most pressing issues in the community, including mental health. In FY18, as part of the collaborative, NMH worked to identify gaps and opportunities to implement Mental Health First Aid training, as well as engaged in the development of a stigma awareness campaign to address the stigma surrounding mental health. In addition to advocacy for mental health services, NMH is also an advocate for patients through the Representative Payee (RP) Program. NMH's RP program provides free financial management to beneficiaries who are assessed by a psychiatrist as incapable of managing their Social Security or other government benefits. The goal of this program is to help patients in need manage their finances so that they can successfully manage their lives (have money for food, housing, and other necessities), until they are able to do so on their own. NMH pays bills directly on behalf of the patient and also provides financial counseling to participants so that they lean how to manage their finances. Once the patient is approved by the psychiatrist to manage their benefits independently, they graduate from the program. 4.5 Collaborate with external workgroups and agencies to support efforts that impact mental health NMH collaborates with community-based mental health organizations and at neighborhood sites, including the Chicago Alliance to End Homelessness, Catholic Charities and Help Ease Local Poverty (HELP), where mental health employees serve meals to the homeless and in this setting identify and engage those who may benefit from mental health services. For many, NMH's mental health programs provide a critical link to public health and social support services. For individuals who are homeless or experience mental health conditions that impair cognitive abilities, the process of gaining access to social welfare programs and accessing health coverage is often beyond their capabilities. Without access to social and welfare supportive programs, individuals are unlikely to be able to manage a mental health or substance abuse problem and are at high risk for homelessness. NMH's mental health employees are trained in the SSI/SSDI Outreach, Access and Recovery (SOAR) program that provides training and tools for mental health professionals across the country to help them assist the homeless or those at risk of homelessness gain access to health, income support and housing programs. NMH also provides transportation and food vouchers to patients receiving treatment if needed. In addition, NMH recognizes that mental and behavioral health conditions can significantly impact the families of those receiving care. NMH hosts a support group of the Illinois chapter of NAMI and provides educational presentations to parents and siblings of adults with serious mental illness. In addition, in FY18, NMH continued its partnership with Calm Classroom to provide mindfulness strategies to youth in our communities. Mindfulness is the practice of bringing one's focus to the experience occurring in the present moment, which has been shown to positively impact health conditions and promote healthy behaviors. NMH engaged Calm Classroom, the largest provider of school-wide mindfulness programming in the U.S., to teach mindfulness practices to students in Chicago Public Schools (CPS) Network 9. Network 9 schools are primarily located in Bronzeville, a neighborhood on Chicago's South Side that is plagued by persistent, high rates of violence. Calm Classroom offers accessible mindfulness techniques that help promote self-awareness, mental focus and emotional resilience in the classroom setting. In FY18, the collaboration between NMH, Calm Classroom and CPS Network 9 served more than 5,000 CPS students and their teachers at eight schools. Through their train-the-trainer model, Calm Classroom equipped CPS teachers with mindfulness techniques that can be taught in three minutes in the classroom. These practices supplement CPS's trauma-informed approach to creating supportive schools. Following implementation of the mindfulness practices, teachers who engaged in the program were surveyed and reported a positive impact on their students. Since practicing Calm Classroom, 90 percent of teachers reported their students seem calmer and more peaceful; 89 percent reported their students were more engaged and ready to learn; 81 percent believed the culture and the climate in their classroom had improved; and 76 percent stated students were better able to regulate their emotions. NMH will continue to sponsor Calm Classroom initiatives within CPS.
Schedule H, Part V, Section B, Line 11 Facility , 5 Facility , 5 - Northwestern Memorial Hospital. The CHNA report identified areas of opportunity for health improvement for which NMH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Cancer NMH provides a comprehensive range of clinical services to treat and screen for cancer. NMH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Chronic Kidney Disease (Kidney Disease Deaths) NMH provides clinical services to treat chronic kidney disease and will continue to sustain these services. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Hearing and Vision Problems NMH Supports access to vision screenings in medically underserved communities through its community health partners. The ESC recommended that NMH focus on strengthening and improving access to medical homes, where primary vision screenings can be effectively and conveniently provided. HIV (HIV Prevalence) NMH provides clinical services to treat chronic HIV/AIDS and collaborates with Feinberg in conducting research to better prevent, detect and treat HIV/AIDS. The ESC recommended focusing efforts on improving access to medical homes, where access to these services can be effectively coordinated. Immunization and Infectious Disease NMH provides clinical services to treat pneumonia, asthma and tuberculosis. The ESC recommended that NMH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Infant Health and Family Planning NMH provides a comprehensive range of outpatient and inpatient services to expectant women and teens, including family planning services. NMH will continue to sustain these services and work to strengthen community-based medical homes where family planning services can be conveniently accessed. The ESC recommended that NMH focus on strengthening and improving access to medical homes, where access to these services and other prenatal care can be effectively coordinated. Oral Health (Regular Dental Care) NMH does not provide office-based dental care services. Potentially Disabling Conditions NMH provides comprehensive rehabilitation services including physical, speech, and occupational therapy for patients. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Sexually Transmitted Diseases The ESC recommended that NMH focus on strengthening and improving access to medical homes, where counseling on prevention and screening for disease can be effectively coordinated and access to medically necessary specialty care can be facilitated. Sickle-Cell Anemia The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Substance Abuse NMH provides inpatient and outpatient substance abuse counseling. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Tobacco Use NMH supports public policies aimed at reducing tobacco use. NMH also offers a comprehensive Smoking Cessation Program, facilitated by an American Lung Association certified instructor. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1.Women, Infants and Children Nutrition Program (WIC); 2.Supplemental Nutrition Assistance Program (SNAP); 3.Illinois Free Lunch and Breakfast Program; 4.Low Income Home Energy Assistance Program (LIHEAP); 5.Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. The CHNA report also describes Northwestern Lake Forest Hospital's CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. To solicit input from key informants, defined as those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was conducted as part of the CHNA process. A list of recommended participants was compiled by Northwestern Lake Forest Hospital (LFH) and the Metropolitan Chicago Healthcare Council; this list included names and contact information for individuals including physicians, public health representatives, other healthcare professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the population with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. In all, 13 community stakeholders took part in the Online Key Informant Survey including six Public Health Experts, five Community Leaders, one Other Healthcare Provider, and one Social Service Representative. Final participation included representatives from the following organizations: 1. Antioch Area Healthcare Accessibility Alliance 2. Erie Family Health Center/Erie HealthReach Waukegan 3. Healthcare Foundation of Northern Lake County 4. Lake County Forest Preserves 5. Lake County Health Department 6. Lake County Community Health Center 7. Metropolitan Chicago Healthcare Council 8. Northwestern Lake Forest Hospital Through this process, input was gathered from several individuals whose organizations work with low-income, minority, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might be better addressed. Results of their ratings, as well as their verbatim comments, are included in LFH's CHNA Report. Findings represent qualitative rather than quantitative data. The Online Key Informant Survey was designed to gather input from participants regarding their opinions and perceptions of the health of the residents in the area. Therefore, these findings are based on perceptions, not facts. To ensure that organizations impacting health in Lake County were meaningfully engaged in reviewing and interpreting the findings of the CHNA, developing priorities among the identified needs and forming a collaborative plan to address the top priority needs, the External Steering Committee (ESC) was established and maintained. Members include representatives from: 1. Lake County Health Department 2. Live Well Lake County Steering Committee 3. Mano a Mano Family Resource Center 4. National Recreation Foundation 5. Youth Build Lake County 6. Waukegan Public Library
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - PROFESSIONAL RESEARCH CONSULTANTS, INC.. The assessment was conducted by Professional Research Consultants, Inc. (PRC). PRC is a nationally recognized healthcare consulting firm with extensive experience conducting Community Health Needs Assessments. The hiring of PRC was facilitated by the Metropolitan Chicago Healthcare Counsel (MCHC) on behalf of participating member hospitals and health systems. These hospitals and health systems include: Alexian Brothers Health System/Amita Health (Alexian Brothers Behavioral Health Hospital, Alexian Brothers Medical Center, St. Alexius Medical Center); Amita Health (Adventist Bolingbrook Hospital, Adventist GlenOaks Hospital, Adventist Hinsdale Hospital, Adventist LaGrange Memorial Hospital); Edward-Elmhurst Healthcare (Edward Hospital & Health Services, Elmhurst Memorial Hospital); Franciscan Alliance (Franciscan St. James Health); Ingalls Health System (Ingalls Memorial Hospital); Little Company of Mary Hospital and Health Care Centers; Loretto Hospital; Northwest Community Healthcare (Northwest Community Hospital); Northwestern Medicine (Central DuPage Hospital, Northwestern Memorial Hospital, Northwestern Lake Forest Hospital); Palos Community Hospital; Rush System for Health (Rush Oak Park Hospital, Rush University Medical Center); Saint Anthony Hospital; St. Bernard Hospital and Health Care Center; Swedish Covenant Hospital; Thorek Memorial Hospital; and the University of Chicago Medicine.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also provided to a variety of community partners, including: 1. Key community organizations 2. LFH External Steering Committee 3. Northwestern University Institute of Public Health and Medicine 4. Northwestern Medicine and LFH Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Northwestern Lake Forest Hospital. Northwestern Medicine Lake Forest Hospital (NMLFH) completed a comprehensive Community Health Needs Assessment (CHNA) in August 2016. The CHNA assessed a broad range of health issues and behaviors for residents of NMLFH's primary community, which was defined as Lake County, Illinois. Through the CHNA process, NMLFH identified high priority health needs that can be meaningfully addressed through collaborative planning and coordinated action together with organizations that impact health services in our community. In partnership with dedicated healthcare, social service, public health and policy organizations, we have developed a multi-year implementation plan, drawing on our collective resources to make an impact on some of the most critical health needs of the residents of Lake County. 1 ACCESS TO HEALTHCARE Access to comprehensive, quality health care services is important for the achievement of health equity and for increasing quality of life. It impacts overall physical, social and mental health status, as well as prevention of disease and disability; detection and treatment of health conditions; preventable death; and life expectancy. Improving health care services depends in part on ensuring that people have a usual and ongoing source of care. People with a usual source of care have better health outcomes and fewer disparities and costs. Improving health care services also includes increasing access to and use of evidence-based preventive services. Clinical preventive services are services that prevent illness by detecting early warning signs or symptoms before they develop into a disease (primary prevention) or detect a disease at an earlier and often more treatable stage (secondary prevention). Efforts to increase access to healthcare include: increasing capacity to provide quality medical care to underserved communities through the construction of a new hospital; providing targeted, community centered vaccination clinics for school-aged youth; and providing transportation assistance to medically underserved patients. 1.1 Northwestern Medicine Lake Forest Hospital (NMLFH) is committed to improving the health of Lake County. By emphasizing healthy lifestyles and primary and preventative care at a medical home, we can reduce overall healthcare expenditures and improve the health of our communities. Since the implementation of the Affordable Care Act, the uninsured rate in Lake County has dropped to nearly 8%, with many of the newly insured coming through Illinois's Medicaid expansion. However, despite becoming insured, many barriers to care continue to exist including appointment availability, phantom provider networks, and lack of specialty and sub-specialty care. Northwestern Medicine proudly opened its new Lake Forest Hospital in March of 2018. This state-of-the-art facility continues a long-standing commitment to deliver world-class medicine to the region, while using its natural surroundings to create a healing, tranquil environment for our patients, visitors and staff. The hospital features all private inpatient rooms, advanced technology and increased privacy for patients and visitors. It is part of a redeveloped campus that provides access to primary, specialty and emergency care, as well as a seamless pathway to specialty care from throughout the Northwestern Medicine network. This includes access to leading-edge clinical trials through Northwestern University Feinberg School of Medicine, an integration that also fosters an environment of world-class patient care, academic inquiry and innovative research. Over 700 physicians practice at Northwestern Medicine Lake Forest Hospital, board-certified in 68 medical specialties include regionally recognized specialties of geriatrics, orthopedics, and urology departments. - In FY18, 43.8% of inpatients and outpatients were on Medicaid, Medicare, or self-pay. - In FY18, 62.5% of emergency department encounters were on Medicaid, Medicare, or self-pay. - In FY18, 40% of emergency department encounters were to people from our service area's most disparate communities. - In FY18, 50% of births were to minority mothers. 1.2 Immunizations are one of our greatest defense against many serious illnesses. In the state of Illinois, all students entering, transferring, or advancing into kindergarten through 12th grades are required to show proof of receipt of 2 doses of mumps and 2 doses of rubella vaccine. In addition, students entering, transferring, or advancing into kindergarten, 6th, or 9th grades are required to show proof of receipt of 2 doses of varicella vaccine. If students cannot, are not vaccinated, or do not show proof or exemption, they are excluded from school until they are able to meet the requirements. According to the Illinois State Board of Education's most recent statistics (2015-2016), in the North Chicago School District 187, over 6 percent of the student population was excluded from school due to lack of vaccination compliance. NMLFH is helping address the need for access to vaccines for school-aged children in North Chicago. Working in collaboration with The Grainger Foundation, North Chicago Community Partners, and the North Chicago School District 187, NMLFH provided funding for, and has worked to develop, an efficient way to administer vaccines to elementary age children to ensure they are prepared to start the new school year. In FY2018 NMLFH began administering TDAP and MCV vaccinations to children in this school district. NMLFH administered over 20 vaccinations, free of charge, in FY18, accounting for nearly 10 percent of the excluded population. Expansion of the program is planned in FY19. 1.3 Transportation barriers are often cited in northern Lake County as a barrier to accessing quality and timely medical care. This barrier may lead to missed appointments, delayed care, or people not seeking care in the first place, and often forces people to wait hours for a bus that may not run routinely in order to get around. Consequences of lack of transportation can manifest in poorer management of chronic disease and poorer health outcomes. This social determinant of health mainly affects the poorer population in northern Lake County who may face additional barrier to care including access to insurance, language barriers, and cost. Because these patients are often seeking care at local clinics, NMLFH partnered with a local federally qualified health center (FQHC), Erie HealthCenter Waukegan, and Lyft, the ride share transportation company, to provide transportation vouchers to patients without access to a vehicle. In FY18, 409 Lyft rides were provided to patients for medical care for any patient needing transportation assistance.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Northwestern Lake Forest Hospital. 2 HEART DISEASE AND STROKE Heart disease is the leading cause of death in the United States, with stroke following as the third leading cause. These chronic conditions are among the most widespread and costly health problems facing the nation today. Fortunately, they are also among the most preventable. The risk of Americans developing and dying from cardiovascular disease would be substantially reduced if major improvements were made across the US population in diet, physical activity, and control of high blood pressure and cholesterol. In addition, obesity and cardiovascular disease are significantly influenced by physical and social environments and by public policies that affect the quality and safety of these environments. This includes access to educational opportunities; opportunities for physical activity (including access to safe and walkable communities); access to healthy foods; quality of working conditions and worksite health; availability of community support and resources; and access to affordable, quality healthcare. NMLFH continues to be a trusted source for heart health education and provides community programs that increase awareness and education and offer screenings for hypertension and related health conditions. Efforts include: continuing to support and expand diagnostic and specialty care services related to stroke; supporting a legislative agenda to address health risk behaviors including tobacco use policies; and the promotion of community physical activity events through Go Lake County expansion. 2.1 Stroke is the leading cause of disability and the fifth-leading cause of death in the United States according to the American Stroke Association. When a patient is suffering a stroke, every minute counts. Thanks to advances in technology, patients with stroke symptoms can now be rapidly assessed by a neurologist 24/7, even if the specialist is physically located many miles away. The Northwestern Medicine telestroke program features a two-way video and audio system that allows a board-certified neurologist from the comprehensive stroke centers at Northwestern Memorial Hospital and Northwestern Medicine Central DuPage Hospital to conduct a virtual physical exam and to collaborate with the emergency medicine teams at area hospitals. The Northwestern Medicine telestroke program is offered to several hospitals in Illinois, including Northwestern Medicine Lake Forest Hospital. The videoconferencing system connects the neurologist and patient through a secure internet connection. Using the camera, the neurologist can perform observational tests, such as gauging how a patient's pupils respond to light sources and monitoring how well the patient can move and speak. Simultaneously, through the electronic medical record, the neurologist has instant access to the patient's medical information, including vital signs, CT scans and lab results. In FY18, our NMLFH conducted 231 telestroke consultations and the Northwestern Medicine Grayslake Outpatient Center conducted 81 telestroke consultations. 2.2 Tobacco kills over 480,000 people each year, more than automobile crashes, gun violence and opiate overdoses combined and the developing teenage brain is particularly vulnerable to the effects of nicotine. In Lake County, 14 percent of residents are considered smokers. However, according to the most recent Illinois Youth Survey, youth tobacco use has doubled since 2010 with 31 percent of 12th graders having used an e-cigarette in the past 12 months. Medical efforts to address youth tobacco use have not been effective as rates continue to climb. Literature shows that the most effective interventions to curb youth tobacco use have been to raise the minimum legal sales age of tobacco products from 18 to 21. More than 95% of addicted smokers start before age 21. This intervention has been shown to decrease youth tobacco use in other communities and so it was adopted as a course of action by the Tobacco Prevention and Cessation Action Team as part of the Live Well Lake County Steering Committee. Through this action team, NMLFH has worked with local home-rule communities within Lake County to pass legislation raising the minimum legal sales age of tobacco products from 18 to 21. In FY18: - Four communities raised the minimum legal sales age of tobacco products from 18 to 21. - The total population covered by new tobacco 21 legislation is almost 150,000 people. - The total population under age 18 covered by new tobacco 21 legislation is almost 37,000 people. 2.3 The benefits of physical activity are well known: increased cardiovascular fitness; reduced risk of heart disease and stroke; improved management of conditions such as hypertension, high cholesterol, and diabetes; increased muscle strength; and reduced body fat. Joining a gym is a barrier for many that makes staying active difficult, especially through long winter months. In FY17, through the Be Active: Walking Action Team as part of the Live Well Lake County Steering Committee, NMLFH worked to create the Go Lake County initiative. GO Lake County is a walking initiative that promotes healthy and active living through programing and events within Lake County communities. GO enables everyone in Lake County to increase their level of daily physical activity and foster community engagement. GO events or programs are open to everyone in Lake County and are intended to be free. In FY18, NMLFH supported expansion of Go Lake County programming. - In FY18, the number of communities with active Go Lake County park districts and partnerships grew to 12. - Over 5,000 people across those communities were able to attend free walking events increasing physical activity. 3 MENTAL HEALTH DISORDERS AND SUBSTANCE ABUSE Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and cope with challenges. Mental health is essential to personal well-being, family and interpersonal relationships, and the ability to contribute to society. Mental disorders are health conditions that are characterized by alterations in thinking, mood, and/or behavior that are associated with distress and/or impaired functioning. Mental disorders contribute to a host of problems that may include disability, pain, or death. The resulting disease burden of mental illness is among the highest of all diseases. The existing model for understanding mental health and mental disorders emphasizes the interaction of social, environmental and genetic factors throughout the lifespan. In behavioral health, researchers identify risk factors (which predispose individuals to mental illness), and protective factors (which protect them from developing mental disorders). Researchers now know that the prevention of mental emotional, and behavioral (MEB) disorders is inherently interdisciplinary and draws on a variety of different strategies. NMLFH efforts to address mental health disorders include: expansion of psychiatric services; evaluating the feasibility of co-locating primary care and mental health services within the outpatient psychiatry clinic to increase alignment with best practices in mental health care; and drug education and prevention programming with students in our local schools, and with parents in our local community through Text-A-Tip.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - Northwestern Lake Forest Hospital. 3.1 Since FY16, NMLFH has seen a significant increase in behavioral health inpatient and emergency department patient volume. NMLFH seeks solutions that can be implemented in parallel to system planning, thereby offering these patients treatment in the appropriate care settings based on their diagnosis. After discharge from the hospital, outpatient care was needed to close the loop on referral visits. In FY18, NMLFH added additional psychiatric staff to provide behavioral health services, increasing capacity in our community. New outpatient and consultation clinic visits have increased with the onboarding of new providers. - Hired 2 new psychiatric APNs - 70% increase in unique patient visits 3.2 Due to insurance limitations, a nationwide shortage of psychiatrists, and a tendency for patients to see their primary care physician for mood disorders, psychiatric care may not be pursued as often as it should be. In response, NMLFH began work to evaluate the feasibility of offering behavioral healthcare services within the primary care setting, based on the Collaborative Care Model, to strengthen the linkage between primary care and mental health in an effort to improve access and reduce obstacles to receiving mental health services. The program brings psychiatric care to patients by embedding behavioral health screenings and services within the primary care setting. If the patient is a fit for the program based on depression screening scores and symptoms, the primary care physician (PCP) refers the patient to the behavioral health care manager (BHCM) who coordinates treatment with the consulting psychiatrist and communicates the plan to both the PCP and the patient. The team is in constant communication to address the patients' symptoms, medications, and progress. Treatment provided in the program is outcomes-oriented. The goal for the program's patients is to get to remission which is defined as having minimal to no symptoms of depression. Success of the program was defined as an increase in access to depression treatment within the primary care setting, as well as a reduced wait-time to be seen by a behavioral health resource. The pilot will launch in FY19, and will focus on increased behavioral health care coordination for individuals within the primary care setting. We anticipate that increased access and engagement will enhance the overall health and well-being among this patient population. If the pilot proves successful, NMLFH will seek to roll this clinical intervention out to its various outpatient primary care clinics. 3.3 NMLFH supports Lake Forest LEAD, a local non-profit organization dedicated to the promotion of healthy family relationships and the prevention of alcohol, drug use, and other risky behavior by youth. LEAD has served the Lake Forest, Lake Bluff, and Knollwood, IL communities for nearly 30 years. There are a variety of long-term issues that LEAD is seeking to address, including underage drinking and drug abuse; prevention of prescription, over-the-counter and illegal drug abuse by youth and adults; promotion of mental health and wellness; reducing stigma related to depression and other mental health issues; and the prevention of suicide. A significant and successful strategy in the NMFLH and LEAD partnership has been the 24/7 anonymous text crisis line, Text-A-Tip. LEAD has seen a dramatic increase in the number of people who benefit from its programming, both in our local Lake Forest and Lake Bluff community and across the nation. LEAD has conducted trainings, programs and workshops in nearly 20 states over the past two years, and our Text-A-Tip hotline is now accessible to over 7 million people, almost doubling in scope since this time last year, and including the entirety of Lake and McHenry Counties in Illinois. Finally, LEAD's online and social media presence has seen an increase of over 500% in the past 3 years. Text-A-Tip is now available to over 7 million people nationwide. Text-A-Tip has been able to deliver wellness checks and emergency personnel to teens in crisis, and has led to interventions in suicide and self-harm situations, violence situations, and situations of drug overdose. Aside from the actual lives saved to date, the resource allows students a 24/7 place to turn when they are in need of emotional support. It is safe, anonymous, and always available. The CHNA report identified areas of opportunity for health improvement for which NMLFH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. CANCER NMLFH provides a comprehensive range of clinical services to treat and screen for cancer. NMLFH will continue to sustain these services and work to strengthen community-based outreach both through the internal oncology department and through community partners. The ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact. DIABETES NMLFH provides clinical services to treat diabetes and will continue to sustain these services. While there is a lot of crossover between the preventable conditions that cause Diabetes and those that cause Heart Disease and Stroke, the ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact. Community work will continue through participation on the Diabetes Prevention and Management Action Team as part of the Live Well Lake County Steering Committee. IMMUNIZATION & INFECTIOUS DISEASES NMLHH provides clinical services to treat pneumonia, asthma, and tuberculosis, as well as other infectious diseases. The ESC recommended that NMLHH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. INJURY & VIOLENCE NMLFH will work to strengthen community-based outreach both through community partnerships to affect injury and violence. The ESC recommended focusing efforts on other determinants for which NMLFH could have a greater impact. NUTRITION, PHYSICAL ACTIVITY & WEIGHT NMLFH provides clinical services, nutritional counseling, and weight loss programming for patients and will continue to sustain these services. While there is a lot of crossover between these behaviors and those that cause Heart Disease and Stroke, the ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact. Community work will continue through participation on the various Action Teams as part of the Live Well Lake County Steering Committee. POTENTIALLY DISABLING CONDITIONS NMLFH provides comprehensive rehabilitation services including physical, speech, and occupational therapy for patients. The ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact. TOBACCO USE NMLFH supports public policies aimed at reducing tobacco use. NMLFH also offers a comprehensive Smoking Cessation Program, facilitated by an American Lung Association certified instructor. The ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. The CHNA report also describes Central DuPage Hospital's CHNA goals and objectives, public dissemination plan, and the process for the development of the implementation plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was implemented as part of the CHNA process. A list of recommended participants was provided by NMCDH; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the population with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. In all, 41 community stakeholders took part in the Online Key Informant Survey including representatives of the organizations below: 1. DuPage County Health Department 2. DuPage Federation on Human Services Reform 3. DuPagePads 4. American Cancer Society 5. B.R. Ryall YMCA of Northwestern DuPage County 6. Bartlett Park District 7. Benedictine Public Health Department 8. Breaking Free 9. Catholic Charities Diocese of Joliet 10. DuPage Foundation 11. DuPage Senior Citizens Council 12. DuPage United 13. Educare West DuPage 14. Fox Valley Special Recreation Association 15. NAMI DuPage 16. Northern Illinois Food Bank 17. People's Resource Center 18. Public School District, DuPage County 19. SamaraCare 20. Senior Services Associates, Inc. 21. Warrenville Park District 22. Western DuPage Special Recreation Association 23. West Chicago Public Library District 24. Winfield Park District 25. World Relief DuPage Aurora Through this process, input was gathered from several individuals whose organizations work with low-income, minority populations, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might be better addressed. Findings represent qualitative rather than quantitative data. The Online Key Informant Survey was designed to gather input from participants regarding their opinions and perceptions of the health of the residents in the area. Therefore, these findings are based on perceptions, not facts. To ensure that organizations impacting health in DuPage County were meaningfully engaged in reviewing and interpreting the findings of the CHNA, developing priorities among the identified needs and forming a collaborative plan to address the top priority needs, the External Steering Committee (ESC) was established and maintained.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: * Key community organizations and leaders * Central DuPage Hospital External Steering Committee * Central DuPage Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Central DuPage Hospital Association. Through the prioritization process, NMCDH identified three Priority Health Needs: Access to Healthcare Services, Chronic Disease, and Mental Health. NMCDH identified health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which NMCDH is addressing the significant needs identified in its most recently conducted CHNA are defined as follows: 1 MENTAL HEALTH Mental health and physical health are closely connected. Mental health plays an integral role in the ability to maintain physical health. Mental illnesses, such as depression, anxiety and addiction, affect people's ability to participate in health promoting behaviors. Subsequently, the presence of mental health problems can have a serious impact on chronic disease and decrease the ability to participate in treatment and recovery. To address the identified health needs related to Mental Health and Substance Abuse, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 1.1 Continue strategic planning efforts to evaluate the demand for hospital-based mental health services and identify appropriate NMCDH resources to address those needs. A comprehensive strategic plan is being developed to properly address the mental health needs of the NMCDH and Northwestern Medicine Delnor Hospital service areas. The plan continued to identify the needs and develop strategies to address those needs, including but not limited to expansion of inpatient behavioral health and addiction services and additional capacity in the outpatient mental health service line. 1.2 Provide Community Benefit Grant funding and further solidify relationships with community agencies that can provide outpatient mental health services to the medically underserved residents within the service area. Grants were provided to NAMI DuPage, Ecker Center, Samara Care and World Relief. The following outcomes were reported: A. NAMI DuPage Education and Resources Services grant outcomes: - 85% of the participants reported a greater understanding and changed in attitude towards mental illness; - 90% of the participants report increased knowledge of resources to help themselves and family members in recovery; - 80% of individuals with mental illness report to recognizing triggers and early warning signs of their illnesses. B. Ecker Center grant outcomes: - Medication Possession Ratio: baseline is 0.89 and it was measured to be consistently a 0.92 over the grant period; - Clients' symptoms improvement baseline is 72% and it was measured that 90% of clients reports symptom improvement. C. Individuals impacted by funding from the Samara Care: Mental Health Access Program reported: (NMCDH/NMDH) - 87% of clients experienced an increase in their GAF scale score; - 90% of those who completed the client satisfaction survey indicated that they agree/strongly agree, "I feel I was able to accomplish what I set out to do," "I am better able to handle conflict and stress." - 95% of those who completed the client satisfaction survey indicated that they agree/strongly agree, "My counselor interventions and interactions were helpful." D. Outcomes reported as the result of NMCDH funding to the World Relief Refugee Wellness Program: (NMCDH/NMDH) - 8% of participants were able to identify symptoms of mental illness; - 75% were to identify at least 3 helpful mainstream community resources and report stronger connectedness to members of their own community; - 68% of refugees receiving mental health treatment demonstrated an increased level of functioning, decreased symptoms and completed treatment goals 1.3 Participate in and support initiatives within Kane County that are focused on Mental Health. The Kane County Health Department is currently developing a Community Health Improvement Plan (CHIP) in collaboration with the hospitals and community agencies within the county. One of the identified priorities to be addressed is Mental Health and Substance Abuse. NMCDH will continue to participate in the CHIP Executive Committee and the Mental Health Subgroup to develop and implement the action plan to address the health priority of Mental Health and Substance Abuse. 1.4 Complete the planning phase and implement the Mental Health First Aid Program in the NMCDH service area. The Mental Health First Aid (MHFA) program is designed to teach residents of the community how to take action when a mental illness is suspected or identified. The intent is to reduce the wide reach and economic toll that mental health disorders and crises have on the community. Individuals within NMCDH are currently completing training and the certification process and will begin providing educational sessions to teach parents, family members, caregivers, teachers, school staff, peers and community members how to help an adolescent or adult experiencing a mental health or addiction challenge or crisis. These individuals can then intervene and direct the individual to appropriate resources. The overall goal is to increase awareness and early intervention to those in need of behavioral health services. One NMCDH/NMDH staff was trained to offer the nationally recognized evidence-based Mental Health First Aid program. - 17 classes were held; - 318 individuals (adults and youth) attended the programs; - 100% of MHFA participants scored a minimum of 85% on the MHFA course exam. 2 CHRONIC DISEASE Chronic conditions are responsible for 70% of deaths and 75% of healthcare spending. Chronic disease is a leading cause of disability and lost income. Chronic disease disproportionally affects low-income and minority populations. In the NMCDH service area, 35% of adults have been told that they have high blood pressure; 30% have been told they have a high cholesterol reading; 23% are obese; and chronic diseases of the heart are the second leading cause of death. To address the identified deficiencies in Chronic Disease, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 2.1 Provide resources and tools to patients diagnosed with heart failure in order to improve self-management skills and quality of life. NMCDH continued to provide a post-discharge community-based heart failure program designed to improve the quality of life and decrease readmission rates for patients diagnosed with heart failure. Efforts to improve the coordination of care for heart failure patients were expanded, and a system of referrals for specialty care and social service needs were implemented. A retrospective study of outcomes related to the program was completed to ensure maximum quality is achieved. Key outcomes of this program were: A. 382 individuals were enrolled in the Community-Based Heart Failure program: (NMCDH/NMDH) - 30-day readmission rate for heart failure diagnosis: 1% (markedly below the national rate); - 85% of clients demonstrated the ability to identify appropriate action in the event of a worsening of their condition; - 97% of clients utilized an effective medication management system; - 86% of clients demonstrated compliance with symptom tracking.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Central DuPage Hospital Association. 2.2 Continue to provide, participate and partner in community-based health education, nutrition and activity programs focused on reducing the risk of obesity and chronic disease. NMCDH provided community education related to chronic disease in the areas of evidence-based primary interventions (disease prevention, health promotion), evidence-based secondary interventions (screening) and evidence-based tertiary interventions (education to individuals affected with a chronic disease in an effort to promote an optimum state of individual wellness). Programmatic venues included the CATCH (Coordinated Approach to Child Health) program, the Dinner with the Doc series, clinician-led educational offerings, self-help groups, rehabilitation service programs and support programs. A comprehensive plan to increase patient compliance with physician and ancillary staff referrals to smoking cessation resources was also investigated and developed. Community Benefit Grants were also be provided to agencies that provide programming related to the priority health need of chronic disease. Key outcomes of these interventions include: A. A total of one educational seminars were offered in the areas of cardiovascular health. A total of 170 individuals attended these seminars. (NMCDH/NMDH combined data.) B. Meeting space was provided at no charge for 20 support groups. (NMCDH/NMDH) C. A total of two educational seminars were offered in the areas of cancer. A total of 102 individuals attended these seminars. (NMCDH/NMDH) D. A total of twelve additional educational seminars were offered. 1,343 individuals attended these seminars. (NMCDH/NMDH) E. Rehabilitation Services offered 18 community programs. 282 individuals attended. (NMCDH/NMDH) F. Diabetes Education Services offered 9 community programs. 78 individuals attended. (NMCDH/NMDH) G. 104 individuals participated in the Northern Illinois Food Bank's Diabetes Prevention Education Programs. H. Saint Charles Park District CATCH Kids Club utilized their new CATCH Early Childhood equipment set and curriculum to impact the health and wellness of the students and families that attended Baker Station. I. Fox Valley Food for Health built a network of adult and teen volunteers who helped in providing nutrient rich meals, nutrition education and personal caring support to individuals and families dealing with serious illness such as cancer. J. The CATCH Program reached over 778 students and teachers. 89% of children were able to verbalize 6 out of 8 GO foods. 84% of children recognized the importance of consuming GO foods daily. 95% of schools/programs adjusted their snack lists to include healthy (GO) foods. 100% of teachers organized 20 minutes of moderate physical activity. 96% of teachers continued to reinforce the GO-WHOA healthy food message in the classroom. (NMCDH/NMDH) K. A total of 10 community programs and 679 individuals participated in Community Stroke Education presentations. (NMCDH/NMDH) L. A total of 308 Kits for Kids were disseminated in the areas hand washing, bicycle safety and healthy nutrition. (NMCDH/NMDH) M. A total of 184 individuals participated in smoking cessation programs. 91% self-reported smoking cessation by the end of week 3. (NMCDH/NMDH) N. The Think First Curriculum was offered to 24,240 children from kindergarten through high school and 132,733 individuals participated in Think First community events. (NMCDH/NMDH): - A total of 6,549 children were fitted for and received bike helmets (NMCDH/NMDH); - A total of 77 couples attended child safety classes (NMCDH/NMDH); - A total of 1066 car seats were checked / distributed (NMCDH/NMDH); 3 ACCESS TO CARE An aging population, coupled with a challenging economy and an increasing prevalence of chronic disease, create access-to-care issues relating to both the affordability and availability of care. NMCDH seeks to promote access through a variety of initiatives identified below. NMCDH will continue to work with individuals and families to promote access to medically necessary services by maintaining an accessible financial assistance program. Additionally, staff and leadership will work collaboratively with key community partners to promote a seamless continuum of care into local medical home settings. To improve Access to Health Services, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 3.1 Strengthen and increase patient affiliation with high-quality patient-centered medical homes. NMCDH and its partners from the External Steering Committee focused efforts on strengthening the care coordination, availability, cultural competency and offerings available at the patient-centered medical homes operated by the Federally Qualified Health Centers and healthcare organizations that are closely aligned with Northwestern Medicine Delnor Hospital. By concentrating efforts on improving the most essential community-based component of the healthcare system - the patient-centered medical home - NMCDH focused on ensuring patients receive timely and appropriate care. NMCDH will implement evidence-based practices to address the health concern related to members of the community receiving age and gender-appropriate screenings and other preventive services, including recommended routine immunizations. 3.2 Investigate innovative ways to connect uninsured members of the community with applicable entitlement programs and available healthcare and social services to improve access to medical care. Patients in need of financial assistance were connected with appropriate resources and assisted in the completion of applications for government assistance programs. 3.3 Improve access to evidence-based preventive services, including age and gender-appropriate screenings and routine immunizations. A total of 48 vaccine clinics were provided in Tax Year 2017, as well as 385 free mammograms for patients in need. The CHNA report identified areas of opportunity for health improvement for which NMCDH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. CANCER NMCDH provides a comprehensive range of clinical services to treat and screen for cancer. NMCDH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMCDH could have a greater impact (heart failure and nutrition and weight). IMMUNIZATION AND INFECTIOUS DISEASE IN ADULTS NMCDH provides clinical services to treat pneumonia, asthma and tuberculosis. The ESC recommended that NMCDH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Vaccine services are provided to children as part of the access to care strategies. TOBACCO USE Tobacco use was incorporated into the strategies around chronic disease. INJURY AND VIOLENCE Injury prevention and car seat safety is addressed in our chronic disease initiatives through our ThinkFirst Injury Prevention program and Car Seat initiatives. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT Nutrition, physical activity and weight has been addressed through our preventative efforts in our strategies to address chronic disease. SUBSTANCE ABUSE Substance Abuse has been linked to the priority of mental health, as resources and initiatives to address both concerns are connected.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - DELNOR-COMMUNITY HOSPITAL. The CHNA report also describes Delnor Hospital's CHNA goals and objectives, public dissemination plan, and the process for the development of the implementation plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - DENOR-COMMUNITY HOSPITAL. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY NMDH; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 157 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY INCLUDING REPRESENTATIVES OF THE ORGANIZATIONS BELOW: 1. ADVOCATE SHERMAN HOSPITAL 2. AGENCY ON AGING NORTHEASTERN ILLINOIS 3. ASSOCIATION FOR INDIVIDUAL DEVELOPMENT 4. BATAVIA INTERFAITH FOOD PANTRY AND CLOTHES CLOSET 5. BATAVIA UNITED WAY 6. BENEDICTINE UNIVERSITY 7. BLACKBERRY TOWNSHIP 8. BATAVIA PUBLIC SCHOOL DISTRICT #101 9. CASA KANE COUNTY 10. CATHOLIC SOCIAL SERVICES (CATHOLIC CHARITIES) 11. CENTRO DE INFORMACION 12. CITY OF AURORA 13. COMMUNITY CONTACTS, INC. 14. COMMUNITY FOUNDATION OF THE FOX RIVER VALLEY 15. CONLEY OUTREACH COMMUNITY SERVICES 16. DAYONEPACT 17. ELDERDAY CENTER, INC. 18. ELGIN AREA CHAMBER OF COMMERCE 19. ELGIN PARTNERSHIP FOR EARLY LEARNING 20. ENVIRONMENTAL PROTECTION AGENCY 21. FAMILY SERVICE ASSOCIATION OF GREATER ELGIN AREA 22. FOX VALLEY SPECIAL RECREATION ASSOCIATION 23. GAIL BORDEN LIBRARY 24. GATEWAY FOUNDATION 25. GENEVA PARK DISTRICT 26. GREATER ELGIN FAMILY CARE CENTER 27. HERGET MIDDLE SCHOOL 28. HESED HOUSE 29. HIGHLAND AVENUE CHURCH OF THE BRETHREN 30. HOPE FOR TOMORROW, INC. 31. INC BOARD NFP 32. KANE COUNTY BOARD 33. KANE COUNTY DEVELOPMENT AND COMMUNITY SERVICES DEPARTMENT 34. KANE COUNTY DIVISION OF TRANSPORTATION 35. KANE COUNTY FARM BUREAU 36. KANE COUNTY HEALTH DEPARTMENT 37. KANE COUNTY MEDICAL SOCIETY 38. KANE COUNTY REGIONAL OFFICE OF EDUCATION 39. KANE COUNTY SHERIFF'S OFFICE 40. KANELAND COMMUNITY SCHOOL DISTRICT #302 41. LAO-AMERICAN ORGANIZATION OF ELGIN 42. LAZARUS HOUSE 43. LUTHERAN SOCIAL SERVICES (ELGIN) 44. MARIE WILKINSON FOOD PANTRY 45. MARKLUND HYDE CENTER 46. MUTUAL GROUND 47. NAMI - KANE, DEKALB AND KENDALL COUNTIES 48. NORTHEASTERN ILLINOIS AREA AGENCY ON AGING 49. OPEN DOOR CLINIC OF GREATER ELGIN 50. PADS AT HESED HOUSE 51. PR STRATEGIES AND COMMUNICATIONS/PMS ADVERTISING, INC. 52. PRESENCE MERCY MEDICAL CENTER (AURORA) 53. PRESENCE ST. JOSEPH HOSPITAL (ELGIN) 54. REBUILDING TOGETHER AURORA 55. RENZ ADDICTION COUNSELING CENTER 56. RUSH COPLEY MEDICAL CENTER 57. ST. CHARLES PARK DISTRICT 58. STC UNDERGROUND TEEN CENTER 59. SUICIDE PREVENTION SERVICES 60. SALVATION ARMY OF AURORA 61. TRI CITY FAMILY SERVICES 62. TRI CITY HEALTH PARTNERSHIP 63. U-46 SCHOOL DISTRICT (ELGIN) 64. UNIVERSITY OF ILLINOIS EXTENSION 65. VALLEY INDUSTRIAL ASSOCIATION 66. VILLAGE OF ALGONQUIN 67. VNA HEALTHCARE 68. WAUBONSEE COMMUNITY COLLEGE 69. WAYSIDE CROSS MINISTRIES 70. WELL CHILD CENTER 71. WELLBATAVIA INITIATIVE 72. WEST AURORA SCHOOL DISTRICT #129 73. YWCA ELGIN INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WITH SPECIAL EMPHASIS ON PERSONS WHO WORK WITH OR HAVE SPECIAL KNOWLEDGE ABOUT VULNERABLE POPULATIONS IN CENTRAL KANE COUNTY INCLUDING LOW-INCOME INDIVIDUALS, MINORITY POPULATIONS, THOSE WITH CHRONIC CONDITIONS AND OTHER MEDICALLY UNDERSERVED RESIDENTS. To ensure that organizations impacting health in central Kane County were meaningfully engaged in reviewing and interpreting the findings of the CHNA, developing priorities among the identified needs and forming a collaborative plan to address the top priority needs, the External Steering Committee (ESC) was established and maintained. This multidisciplinary committee was made up of key stakeholders who were selected based on strong collaborative efforts to improve the health of the community, including the medically underserved, minority and low-income populations.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - DELNOR-COMMUNITY HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: 1. Key community organizations and leaders 2. Delnor External Steering Committee 3. Delnor Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Delnor-Community Hospital. Through the prioritization process, NMDH identified three Priority Health Needs: Access to Healthcare Services, Chronic Disease, and Mental Health. NMDH identified health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which NMDH is addressing the significant needs identified in its most recently conducted CHNA are defined as follows: 1 MENTAL HEALTH Mental health and physical health are closely connected. Mental health plays an integral role in the ability to maintain physical health. Mental illnesses, such as depression, anxiety and addiction, affect people's ability to participate in health promoting behaviors. Subsequently, the presence of mental health problems can have a serious impact on chronic disease and decrease the ability to participate in treatment and recovery. To address the identified health needs related to Mental Health and Substance Abuse, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 1.1 Continue strategic planning efforts to evaluate the demand for hospital-based mental health services and identify appropriate NMDH resources to address those needs. A comprehensive strategic plan is being developed to properly address the mental health needs of the NMDH and Northwestern Medicine Central DuPage service areas. The plan will identify the needs and develop strategies to address those needs, including but not limited to expansion of inpatient behavioral health and addiction services and additional capacity in the outpatient mental health service line. 1.2 Provide Community Benefit Grant funding and further solidify relationships with community agencies that can provide outpatient mental health services to the medically underserved residents within the service area. Grants were provided to Tri City Family Services, Ecker Center, Samara Care and World Relief. The following outcomes were reported: A. Tri City Family Services grant outcomes: - 80% reported progress towards treatment plan goals; - 47.3% reported progress in Moods and Emotions which indicate a reduction of anxiety and/or depression symptoms; - 26.5% reported progress in Home/Family, which indicates improvements in family relationships and interactions; - 9.25% reported progress in Thinking, which indicated improved cognition relative to self and others. B. Ecker Center grant outcomes: - Medication Possession Ratio: baseline is 0.89 and it was measured to be consistently a 0.92 over the grant period; - Clients' symptoms improvement baseline is 72% and it was measured that 90% of clients reports symptom improvement. C. Individuals impacted by funding from the Samara Care: Mental Health Access Program reported: (NMDH/NMCDH) - 87% of clients experienced an increase in their GAF scale score; - 90% of those who completed the client satisfaction survey indicated that they agree/strongly agree, "I feel I was able to accomplish what I set out to do," "I am better able to handle conflict and stress." - 95% of those who completed the client satisfaction survey indicated that they agree/strongly agree, "My counselor interventions and interactions were helpful." D. Outcomes reported as the result of NMDH funding to the World Relief Refugee Wellness Program: (NMDH/NMCDH) - 8% of participants were able to identify symptoms of mental illness; - 75% were to identify at least 3 helpful mainstream community resources and report stronger connectedness to members of their own community; - 68% of refugees receiving mental health treatment demonstrated an increased level of functioning, decreased symptoms and completed treatment goals 1.3 Participate in and support initiatives within Kane County that are focused on Mental Health. The Kane County Health Department is currently developing a Community Health Improvement Plan (CHIP) in collaboration with the hospitals and community agencies within the county. One of the identified priorities to be addressed is Mental Health and Substance Abuse. NMDH will continue to participate in the CHIP Executive Committee and the Mental Health Subgroup to develop and implement the action plan to address the health priority of Mental Health and Substance Abuse. 1.4 Complete the planning phase and implement the Mental Health First Aid Program in the NMDH service area. The Mental Health First Aid (MHFA) program is designed to teach residents of the community how to take action when a mental illness is suspected or identified. The intent is to reduce the wide reach and economic toll that mental health disorders and crises have on the community. Individuals within NMDH are currently completing training and the certification process and will begin providing educational sessions to teach parents, family members, caregivers, teachers, school staff, peers and community members how to help an adolescent or adult experiencing a mental health or addiction challenge or crisis. These individuals can then intervene and direct the individual to appropriate resources. The overall goal is to increase awareness and early intervention to those in need of behavioral health services. One NMCDH/NMDH staff was trained to offer the nationally recognized evidence-based Mental Health First Aid program. - 17 classes were held; - 318 individuals (adults and youth) attended the programs; - 100% of MHFA participants scored a minimum of 85% on the MHFA course exam. 2 CHRONIC DISEASE Chronic conditions are responsible for 70% of deaths and 75% of healthcare spending. Chronic disease is a leading cause of disability and lost income. Chronic disease disproportionally affects low-income and minority populations. In the NMDH service area, 35% of adults have been told that they have high blood pressure; 30% have been told they have a high cholesterol reading; 23% are obese; and chronic diseases of the heart are the second leading cause of death. To address the identified deficiencies in Chronic Disease, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 2.1 Provide resources and tools to patients diagnosed with heart failure in order to improve self-management skills and quality of life. NMDH continued to provide a post-discharge community-based heart failure program designed to improve the quality of life and decrease readmission rates for patients diagnosed with heart failure. Efforts to improve the coordination of care for heart failure patients were expanded, and a system of referrals for specialty care and social service needs were implemented. A retrospective study of outcomes related to the program was completed to ensure maximum quality is achieved. Key outcomes of this program were: A. 382 individuals were enrolled in the Community-Based Heart Failure program: (NMDH/NMCDH) - 30-day readmission rate for heart failure diagnosis: 1% (markedly below the national rate); - 85% of clients demonstrated the ability to identify appropriate action in the event of a worsening of their condition; - 97% of clients utilized an effective medication management system; - 86% of clients demonstrated compliance with symptom tracking.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Delnor-Community Hospital. 2.2 Continue to provide, participate and partner in community-based health education, nutrition and activity programs focused on reducing the risk of obesity and chronic disease. NMDH provided community education related to chronic disease in the areas of evidence-based primary interventions (disease prevention, health promotion), evidence-based secondary interventions (screening) and evidence-based tertiary interventions (education to individuals affected with a chronic disease in an effort to promote an optimum state of individual wellness). Programmatic venues included the CATCH (Coordinated Approach to Child Health) program, the Dinner with the Doc series, clinician-led educational offerings, self-help groups, rehabilitation service programs and support programs. A comprehensive plan to increase patient compliance with physician and ancillary staff referrals to smoking cessation resources was also investigated and developed. Community Benefit Grants were also provided to agencies that provide programming related to the priority health need of chronic disease. Key outcomes of these interventions include: A. A total of one educational seminars were offered in the areas of cardiovascular health. A total of 170 individuals attended these seminars. (NMDH/NMCDH combined data.) B. Meeting space was provided at no charge for 20 support groups. (NMDH/NMCDH) C. A total of two educational seminars were offered in the areas of cancer. A total of 102 individuals attended these seminars. (NMDH/NMCDH) D. A total of twelve additional educational seminars were offered. 1,343 individuals attended these seminars. (NMDH/NMCDH) E. Rehabilitation Services offered 18 community programs. 282 individuals attended. (NMDH/NMCDH) F. Diabetes Education Services offered 9 community programs. 78 individuals attended. (NMDH/NMCDH) G. Making Kane County Fit for Kids - Provided parents and children with information on physical activity and eating habits; - Supported a culture of wellness and health promotion in schools, workplaces, and other institutions; - Developed land use, planning and policies to support physical activity; - Provide affordable and accessible fresh fruit and vegetables to all families. H. 104 individuals participated in the Northern Illinois Food Bank's Diabetes Prevention Education Programs. I. Saint Charles Park District CATCH Kids Club utilized their new CATCH Early Childhood equipment set and curriculum to impact the health and wellness of the students and families that attended Baker Station. J. Fox Valley Food for Health built a network of adult and teen volunteers who helped in providing nutrient rich meals, nutrition education and personal caring support to individuals and families dealing with serious illness such as cancer. K. The CATCH Program reached over 778 students and teachers. 89% of children were able to verbalize 6 out of 8 GO foods. 84% of children recognized the importance of consuming GO foods daily. 95% of schools/programs adjusted their snack lists to include healthy (GO) foods. 100% of teachers organized 20 minutes of moderate physical activity. 96% of teachers continued to reinforce the GO-WHOA healthy food message in the classroom. (NMDH/NMCDH) L. A total of 10 community programs and 679 individuals participated in Community Stroke Education presentations. (NMDH/NMCDH) M. A total of 308 Kits for Kids were disseminated in the areas hand washing, bicycle safety and healthy nutrition. (NMDH/NMCDH) N. A total of 184 individuals participated in smoking cessation programs. 91% self-reported smoking cessation by the end of week 3. (NMCDH/NMDH) O. The Think First Curriculum was offered to 24,240 children from kindergarten through high school and 132,733 individuals participated in Think First community events. (NMDH/NMCDH): - A total of 6,549 children were fitted for and received bike helmets (NMDH/NMCDH); - A total of 77 couples attended child safety classes (NMDH/NMCDH); - A total of 1066 car seats were checked / distributed (NMDH/NMCDH); 3 ACCESS TO CARE An aging population, coupled with a challenging economy and an increasing prevalence of chronic disease, create access-to-care issues relating to both the affordability and availability of care. NMDH seeks to promote access through a variety of initiatives identified below. NMDH will continue to work with individuals and families to promote access to medically necessary services by maintaining an accessible financial assistance program. Additionally, staff and leadership will work collaboratively with key community partners to promote a seamless continuum of care into local medical home settings. To improve Access to Health Services, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 3.1 Strengthen and increase patient affiliation with high-quality patient-centered medical homes. NMDH and its partners from the External Steering Committee focused efforts on strengthening the care coordination, availability, cultural competency and offerings available at the patient-centered medical homes operated by the Federally Qualified Health Centers and healthcare organizations that are closely aligned with Northwestern Medicine Delnor Hospital. By concentrating efforts on improving the most essential community-based component of the healthcare system - the patient-centered medical home - NMDH focused on ensuring patients receive timely and appropriate care. NMDH continued its long-established partnership with Tri City Health Partnership looked for ways to strengthen the patient-centered medical home. NMDH supported this partnership through grant funding, knowledge sharing efforts and streamlined access to medically appropriate diagnostic and specialty services at NMDH and within the Northwestern Medicine Regional Medical Group. In Tax Year 2017, 106 patients from TCHP received care at no charge at Northwestern Medicine facilities. NMDH will implement evidence-based practices to address the health concern related to members of the community receiving age and gender-appropriate screenings and other preventive services, including recommended routine immunizations. 3.2 Investigate innovative ways to connect uninsured members of the community with applicable entitlement programs and available healthcare and social services to improve access to medical care. Patients in need of financial assistance were connected with appropriate resources and assisted in the completion of applications for government assistance programs. 3.3 Improve access to evidence-based preventive services, including age and gender-appropriate screenings and routine immunizations. A total of 48 vaccine clinics were provided in Tax Year 2017, as well as 385 free mammograms for patients in need. The CHNA report identified areas of opportunity for health improvement for which NMDH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. CANCER NMDH provides a comprehensive range of clinical services to treat and screen for cancer. NMDH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMDH could have a greater impact (heart failure and nutrition and weight). IMMUNIZATION AND INFECTIOUS DISEASE IN ADULTS NMDH provides clinical services to treat pneumonia, asthma and tuberculosis. The ESC recommended that NMDH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Vaccine services are provided to children as part of the access to care strategies. TOBACCO USE Tobacco use was incorporated into the strategies around chronic disease. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT Nutrition, physical activity and weight has been addressed through our preventative efforts in our strategies to address chronic disease. SUBSTANCE ABUSE Substance Abuse has been linked to the priority of mental health, as resources and initiatives to address both concerns are connected.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - DELNOR-COMMUNITY HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - DELNOR-COMMUNITY HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - KISHWAUKEE HOSPITAL. The CHNA report also describes Kishwaukee Hospital background, charity care, the mission, CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - KISHWAUKEE HOSPITAL. PARTNERING WITH DEKALB COUNTY HEALTH DEPARTMENT, THE CHNA PROCESS INCLUDED A SURVEY ADMINISTERED TO COMMUNITY PARTNERS, THEIR EMPLOYEES, AND CLIENTS, TO ALLOW RESPONSES FROM LOW-INCOME AREAS, MENTAL HEALTH CLINICS, YOUTH ORGANIZATIONS AND FOOD PANTRIES. REPRESENTATIVES OF THE COMMUNITY INCLUDED: 1. ADVENTURE WORKS DEKALB 2. CITY OF DEKALB 3. CITY OF SYCAMORE 4. DEKALB COUNTY NON-PROFIT PARTNERSHIP 5. DEKALB COUNTY BOARD OF HEALTH 6. DEKALB COUNTY COMMUNITY DEVELOPMENT 7. DEKALB COUNTY COMMUNITY FOUNDATION 8. DEKALB COUNTY HEALTH DEPARTMENT 9. DEKALB COUNTY MENTAL HEALTH BOARD AND COMMUNITY ACTION 10. DEKALB CUSD 428 11. FAMILY FIRST PHYSICIANS 12. FOX VALLEY YMCA 13. KISHWAUKEE YMCA FINDINGS REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS. AN EXTERNAL STEERING COMMITTEE WAS CONVENED TO PROVIDE OVERSIGHT TO THE DEVELOPMENT OF THE CHNA AND ENGAGE THE COMMUNITY THROUGHOUT THE PROCESS UNDER THE LEADERSHIP AND DIRECTION OF MEMBERS FROM DEKALB COUNTY HEALTH DEPARTMENT, KISHWAUKEE HOSPITAL, AND NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - KISHWAUKEE HOSPITAL. KISHWAUKEE HOSPITAL WORKED IN TANDEM WITH VALLEY WEST HOSPITAL AND SHARED RESPONSIBILITIES ON A JOINT STEERING COMMITTEE. SPECIFIC NEEDS AND CONCERNS OF KISHWAUKEE COMMUNITY HOSPITAL WERE IDENTIFIED AND ADDRESSED SEPARATELY.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - KISHWAUKEE HOSPITAL. KISHWAUKEE HOSPITAL COMPLETED A CHNA IN PARTNERSHIP WITH DEKALB COUNTY HEALTH DEPARTMENT. THE TWO ORGANIZATIONS COLLABORATED UNDER THE NAME "TOGETHER FOR A HEALTHIER DEKALB COUNTY" FOR THE PURPOSE OF THE CHNA. THE TOGETHER FOR A HEALTHIER DEKALB COUNTY STEERING COMMITTEE, MADE UP OF EMPLOYEES FROM BOTH ORGANIZATIONS, UTILIZED THE ASSESSMENT TOOL OF MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) IN JANUARY 2018. MAPP IS A COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - KISHWAUKEE HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: * Key Community Organizations & Leaders * Internal & External Steering Committee Members * Kishwaukee Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - KISHWAUKEE HOSPITAL. Northwestern Medicine Kishwaukee Hospital (NMKH) completed a comprehensive Community Health Needs Assessment (CHNA) to identify the highest priority health needs of residents within our community, and use this information to guide new and existing efforts to improve the overall health of the populations served. The goals of the CHNA was to implement a structured data driven approach to determine health status, behaviors, and needs of all residents in the NMKH service area. Through this assessment and prioritization process NMKH identified three health priority needs; Cancer, Cardiovascular Disease and Maternal Child Health. Specific ways in which NMKH is addressing the needs identified in the CHNA are defined as follows: 1 CANCER Cancer remains the second leading cause of death in the United States (Center for Disease Control and Prevention, 2012) and of DeKalb County residents. By cancer site, lung cancer is the most common site for both genders. The leading male cancer site deaths are lung, colorectal, and prostate, while the leading female cancer site deaths are lung, breast, and colorectal. The Centers of Disease Control and Prevention reports adult smoking prevalence as the estimated percent of the adult population that currently smokes every day of "most days" and has smoked at least 100 cigarettes in their lifetime. According to the County Health Rankings 2015 approximately 20% of DeKalb County adults, aged 18 and older, self-reported tobacco use, this is higher than the averages of both the state and the U.S. According to the National Cancer Institute, smoking causes many types of cancer, including cancers of the throat, mouth, nasal cavity, esophagus, stomach, pancreas, kidney, bladder and cervix and acute myeloid leukemia. Screening refers to tests and exams used to find disease, such as cancer, in people who do not have any symptoms. Current American Cancer Society guidelines include methods for early detection of the cervix, breast, colon and rectum, endometrial and prostate. Cancer-related check-ups depending on age and gender may include exams for cancers of the thyroid, mouth, skin, lymph nodes, testes and ovaries. Among the population 50 years and older, 53.5% in 2010 received a colonoscopy or sigmoidoscopy. More than half of all cancer deaths can be prevented by making healthy choices such as, not smoking, maintaining a healthy weight, eating right and keeping active and participating in cancer screenings. 1.1 The American Respiratory Associations, Courage to Quit smoking cessation programs are offered throughout the year to the community and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. During the fiscal year there were six group cessation classes and two private presentations, which provide 21 people with some type of tobacco cessation opportunity. 1.2 NMKH works to support activities related to smoking prevention programs in school age children through collaboration with local school districts. Tar Wars is supported in part by a grant from the American Academy of Family Physicians Foundation. This program has shown to be effective in increasing students' knowledge of and attitudes toward tobacco use and advertising. The program is consistent with best practice guideline for youth tobacco prevention programs set forth by the Centers for Disease Control and Prevention. Locally was offered five times at middle school at the 6th grade level. CATCH My Breath is a prevention program that provides students with skills to resist peer pressure and media influences to try electronic nicotine delivery systems, commonly known as e-cigarettes. This program was offered 26 times and impacted 564 students at the middle school level during the fiscal year. 1.3 NMKH supports the work of DeKalb county Health Department's Women, Infants and Children (WIC) population on the effects of smoking during pregnancy. In partnership with the DeKalb County Health Department meetings were held and campaign material designed with messaging related to the effects of smoking during pregnancy and exposure to second hand smoking. Clients of the health department receive the information at each appointment at the health department. The health department saw approximately 400 clients of which 46 identified as smokers and were given targeted materials and resources at each appointment. Of those who reported smoking, 28 decreased or quit completely. 1.4 Efforts are made to promote free and reduced cost mammograms to women with the following criteria: between the ages of 40-64 years of age, reside within DeKalb County, and no insurance/under insured or high deductible plan. Information about this program is shared at various events throughout the community during the fiscal year, total women who qualified based on the criteria and received free screening was 11 women. 1.5 Information related to skin cancer prevention and education is provided at various community events. The information shared was from The American Academy of Dermatology on best practice on early detection and sun safety. Information was given at several community events and 250 people received information related to best practice behaviors for UV safety and early detection. 2 CARDIOVASCULAR DISEASE Cardiovascular Disease, principally heart disease and stroke, is the leading cause of death in the U.S. for both men and women among all racial and ethnic groups (Centers for Disease Control and Prevention, 2012). It is also the leading cause of death among DeKalb County residents. Cardiovascular disease is the most widespread and costly health problem, although heart disease and stroke are often preventable. High cholesterol is one of the major risk factors leading to heart disease, heart attack, and stroke, and uncontrolled high blood pressure can injure or kill. Over one-fourth of DeKalb County residents have high cholesterol (25.9%) or high blood pressure (27.3%) and almost two-thirds (64.4%) are overweight or obese based on body mass index (BMI). Overweight or obesity increases risk for high cholesterol, high blood pressure, and insulin resistance, and is a precursor of type 2 diabetes - all factors that heighten risk for cardiovascular disease. The proportions of DeKalb County residents who currently smoke is 20.0%, much higher than previous rates and slightly higher than the 18.0% rate of the state. The National Cancer Institute reports that people who smoke are up to six times more likely to suffer a heart attack than nonsmokers, and the risk increases with the number of cigarettes smoked. 2.1 Better prevention of and the management of high cholesterol, high blood pressure or diabetes to help lower the risk for heart disease is a key component to the Know Your Numbers biometric screening appointments. A screening designed to provide a participant with their individual cardiovascular risk factors including fasting glucose, total cholesterol, Body Mass Index (BMI), blood pressure and waist measurement. Lifestyle changes such as quitting or never smoking, limiting alcohol use, exercising and eating healthy all lower risk for cardiovascular disease and are thoroughly discussed during the screening appointments. Community members have access to this complimentary screening and appointments are available monthly. 138 community members participated in the screening. Additionally, blood pressure checks are offered weekly free of charge for community members and patients at two locations; Kishwaukee Hospital and NM Genoa clinic. The goal of offering the blood pressure checks is to improve awareness of one's own blood pressure number, an indicator used for heart disease risk factors. 1,907 people participated in blood pressure screenings during the fiscal year. 2.2 The Leishman Center for Culinary Health offers a variety of natural, whole foods cooking classes designed to help participants make simple changes for a healthier lifestyle. Classes offered in the center include disease specific offerings such as Eat to Beat: Cancer and Eat to Beat: Heart Disease. The philosophy of the Leishman Center is focused around eating real food, which support the mission of the department in tackling chronic illness, disease and obesity. The Leishman Center for Culinary Health reached more than 1,800 participants through 171 in-house classes and external programs.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Kishwaukee Hospital. 2.3 Increase awareness on the daily consumption of sodium and its impact on high blood pressure, which is a leading risk factor for cardiovascular disease. As part of larger community events, NMKH participated in seven community opportunities to share information related to sodium consumption, reading a nutrition label to identify sodium on the label, and helpful tips for reducing sodium in the diet, this evidence based information is from the American Heart Association. The development and implementation of the program called Managing your Blood Pressure with the DASH (Dietary Approaches to Stop Hypertension) Diet was also implemented. This 4-week educational series on how to manage hypertension using the DASH Eating Plan was offered four times throughout the year and had a total of 20 participants. The number of participants able to identify sodium on a food label by week 4 of the program was 20 participants. The number of the participants able to use/follow the DASH Eating Plan by week 4 was 20 participants. The class continues to be offered on a quarterly basis. 2.4 The hospital supports and collaborates with the DeKalb County Health Department and Northern Illinois University Departments of Nursing, Kinesiology and Physical Education to implement the CATCH program in local school districts. CATCH aims to impact the messaging a child receives in physical education, the lunchroom, the classroom, and at home, to influence a child's choices. This program seeks to motivate and educate students and families on eating healthy and moving more. During the fiscal year 13,329 students received lessons in the classroom from NMKH employees. In collaboration with the partners, 630 students received lessons in the classroom. Additionally, there were two family events for the community in which 250 people participated in learning about healthy eating and making healthier choices. 3 MATERNAL CHILD HEALTH According to the Centers for Disease Control and Prevention, safe motherhood begins before conception with good nutrition and a healthy lifestyle. It continues with appropriate prenatal care with the ideal result being a full-term pregnancy without unnecessary interventions and the delivery of a healthy baby. In addition, it includes a healthy postpartum period in a positive environment that supports the physical and emotional needs of the mother, baby and family. 2012 birth rates for DeKalb County by race/ethnicity were white non-Hispanic (72.2%), black non-Hispanic (9.0%), other non-Hispanic (2.6%) and Hispanic (16.2%). Over one-third (36.7%) of DeKalb County births were to unmarried mothers, a record high for the county and more than three times the 1980 proportion (9.7%). Almost one-third (32.3%) of DeKalb County births were to women ages 25-29 years, while one quarter (24.7%) were born to women ages 30-34 and another quarter (24.5%) to ages 20-24. The percentage of women in DeKalb County who smoke during pregnancy has increased 3% since 2012. Currently 12% of pregnant women smoke. 105 DeKalb County births were of low weight (less than 2,500 grams or five and one-half pounds). Low birth weight percentages by race/ethnicity for 2012 were white non-Hispanic (7.8%), black non-Hispanic (13.1%), other non-Hispanic (16.1%) and Hispanic (9.9%). The proportions of both black and Hispanic low birth weight births tripled from 2009 to 2012. Birth weight is a leading indicator for the health of a population. DeKalb County low birth weight babies reached a 30-year high and the proportion of both black and Hispanic low birth weights tripled from 2009 to 2012. In addition, the service area experienced a significant increase in pregnant women who smoke. Understanding and addressing maternal child health issues helps to improve the well-being of mothers and infants and children. Respiratory issues continuing to be the leading cause for ED visits in children under the age of 18. 3.1 NMKH community wellness continued to offer ongoing sessions of the Respiratory Health Association's Courage to Quit smoking cessation programs to women who are receiving services at the DeKalb County Health Department. 3.2 This evidence based program is aimed at discussing asthma signs, symptoms, management plans, and medication options to educate parents of asthmatic children to reduce costly emergency department visits. This program was planned, implemented and publicized in the community wellness program guide. No class was offered due to the lack of registration. Efforts are being made to increase awareness of a future program. 3.3 NMKH supports the work of DeKalb county Health Department's Women, Infants and Children (WIC) population on the effects of smoking during pregnancy. In partnership with the DeKalb County Health Department meetings were held and campaign material designed with messaging related to the effects of smoking during pregnancy and exposure to second hand smoking. This material is given to Clients of the health department at each visit to discuss the harmful effects of smoking, secondhand smoke, and the benefits of smoke free living spaces and vehicles. Approximately 400 clients in the WIC program received information. 3.4 The hospital supports and collaborates with the DeKalb County Health Department and Northern Illinois University Departments of Nursing, Kinesiology and Physical Education to implement the CATCH program in local school districts. CATCH aims to impact the messaging a child receives in physical education, the lunchroom, the classroom, and at home, to influence a child's choices. This program seeks to motivate and educate students and families on eating healthy and moving more. During the fiscal year, 13,329 students received lessons in the classroom from NMKH employees. In collaboration with the partners, 630 students received lessons in the classroom. Additionally, there were two family events for the community in which 250 people participated in learning about healthy eating and making healthier choices. The CHNA report identified area of opportunity for health improvement for which NMKH and its external committee determined it would not prepare an implementation plan and strategy. These identified areas and the reason for not addressing are listed below: Access to health services Access to health services ranked as a concern that will be addressed within the health priorities selected through the MAPP process. Environmental Health NMKH did not select this as a priority to address in the population, as there are programs and initiatives available through other organizations, such as the Local Health Department within DeKalb County. Health communication/Health Information Technology NMKH did not select this as a priority to address, however, the hospital does utilize tools such as an electronic medical record as a way to continue to assist patients and community members with Health Information Technology. Infectious Disease/Sexually transmitted infections NMKH did not select this as a priority to address in the population, as there are programs and initiatives available through other organizations within DeKalb County. Injury and violence NMKH did not select this as a priority to address in the population, as there are programs and initiatives available through the organizations within DeKalb County. Social determinants of health Social Determinants of Health ranked as a concern that will be address within the health priorities selected through the MAPP process.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - KISHWAUKEE COMMUNITY HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - KISHWAUKEE COMMUNITY HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - VALLEY WEST HOSPITAL. The CHNA report also describes Valley West Hospital background, charity care, the mission, CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - VALLEY WEST HOSPITAL. PARTNERING WITH DEKALB COUNTY HEALTH DEPARTMENT, THE CHNA PROCESS INCLUDED A SURVEY ADMINISTERED TO COMMUNITY PARTNERS, THEIR EMPLOYEES, AND CLIENTS, TO ALLOW RESPONSES FROM LOW-INCOME AREAS, MENTAL HEALTH CLINICS, YOUTH ORGANIZATIONS AND FOOD PANTRIES. REPRESENTATIVES OF THE COMMUNITY INCLUDED: 1. ADVENTURE WORKS DEKALB 2. CITY OF DEKALB 3. CITY OF SYCAMORE 4. DEKALB COUNTY NON-PROFIT PARTNERSHIP 5. DEKALB COUNTY BOARD OF HEALTH 6. DEKALB COUNTY COMMUNITY DEVELOPMENT 7. DEKALB COUNTY COMMUNITY FOUNDATION 8. DEKALB COUNTY HEALTH DEPARTMENT 9. DEKALB COUNTY MENTAL HEALTH BOARD AND COMMUNITY ACTION 10. DEKALB CUSD 428 11. FAMILY FIRST PHYSICIANS 12. FOX VALLEY YMCA 13. KISHWAUKEE YMCA FINDINGS REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS. AN EXTERNAL STEERING COMMITTEE WAS CONVENED TO PROVIDE OVERSIGHT TO THE DEVELOPMENT OF THE CHNA AND ENGAGE THE COMMUNITY THROUGHOUT THE PROCESS UNDER THE LEADERSHIP AND DIRECTION OF MEMBERS FROM DEKALB COUNTY HEALTH DEPARTMENT, KISHWAUKEE HOSPITAL, AND NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - VALLEY WEST HOSPITAL. VALLEY WEST HOSPITAL WORKED IN TANDEM WITH KISHWAUKEE HOSPITAL AND SHARED RESPONSIBILITIES ON A JOINT STEERING COMMITTEE. SPECIFIC NEEDS AND CONCERNS OF VALLEY WEST HOSPITAL WERE IDENTIFIED AND ADDRESSED SEPARATELY.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - VALLEY WEST HOSPITAL. VALLEY WEST HOSPITAL PARTNERED WITH DEKALB COUNTY HEALTH DEPARTMENT UNDER THE NAME "TOGETHER FOR A HEALTHIER DEKALB COUNTY" AND UTILIZED THE ASSESSMENT TOOL OF MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP). THIS COLLABORATION ENGENDERED BROADER THINKING ABOUT COMMUNITY NEEDS FOR THE VALLEY WEST COMMUNITY.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - VALLEY WEST HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: * Key Community Organizations & Leaders * NMVWH Internal & External Steering Committee Members * Northwestern Medicine Valley West Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Valley West Hospital. Northwestern Medicine Valley West Hospital (NMVW) completed a comprehensive Community Health Needs Assessment (CHNA) to identify the highest priority health needs of residents within our community, and use this information to guide new and existing efforts to improve the overall health of the populations served. The goals of the CHNA was to implement a structured data driven approach to determine health status, behaviors, and needs of all residents in the NMVW service area. Through this assessment and prioritization process NMVW identified three health priority needs; Cancer, Cardiovascular Disease and Diabetes. Specific ways in which NMVW is addressing the needs identified in the CHNA are defined as follows: 1 CANCER Cancer remains the second leading cause of death in the United States (Center for Disease Control and Prevention, 2012) and of DeKalb County residents. By cancer site, lung cancer is the most common site for both genders. The leading male cancer site deaths are lung, colorectal, and prostate, while the leading female cancer site deaths are lung, breast, and colorectal. The Centers of Disease Control and Prevention reports adult smoking prevalence as the estimated percent of the adult population that currently smokes every day of "most days" and has smoked at least 100 cigarettes in their lifetime. According to the County Health Rankings 2015 approximately 20% of DeKalb County adults, aged 18 and older, self-reported tobacco use, this is higher than the averages of both the state and the U.S. According to the National Cancer Institute, smoking causes many types of cancer, including cancers of the throat, mouth, nasal cavity, esophagus, stomach, pancreas, kidney, bladder and cervix and acute myeloid leukemia. Screening refers to tests and exams used to find disease, such as cancer, in people who do not have any symptoms. Current American Cancer Society guidelines include methods for early detection of the cervix, breast, colon and rectum, endometrial and prostate. Cancer-related check-ups depending on age and gender may include exams for cancers of the thyroid, mouth, skin, lymph nodes, testes and ovaries. Among the population 50 years and older, 53.5% in 2010 received a colonoscopy of sigmoidoscopy. More than half of all cancer deaths can be prevented by making healthy choices such as, not smoking, maintaining a healthy weight, eating right and keeping active and participating in cancer screenings. 1.1 The American Respiratory Association's Courage to Quit smoking cessation programs are offered throughout the year to the community and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. This program continues to be offered on a regular basis at NMVW. 1.2 NMVW works to support activities related to smoking prevention programs in school age children through collaboration with local school districts. This prevention program provides students with skills to resist peer pressure and media influences to try nicotine delivery systems, commonly known as E-Cigarettes. This program was offered to 73 students at the middle school to 7th grade level during the fiscal year. 1.3 NMVW supports the work of DeKalb county Health Department's Women, Infants and Children (WIC) population on the effects of smoking during pregnancy. In partnership with the DeKalb County Health Department meetings were held and campaign material designed with messaging related to the effects of smoking during pregnancy and exposure to second hand smoking. Clients of the health department receive the information at each appointment at the health department. The health department saw approximately 400 clients of which 46 identified as smokers and were given targeted materials and resources at each appointment. Of those who reported smoking, 28 decreased or quit completely. 1.4 Efforts are made to promote free and reduced cost mammograms to women with the following criteria: between the ages of 40-64 years of age, reside within DeKalb County, and no insurance/under insured or high deductible plan. Information about this program is shared at various events throughout the community during the fiscal year, total women who qualified based on the criteria and received free screening was four women. 1.5 Information related to skin cancer prevention and education is provided at various community events. The information shared was from The American Academy of Dermatology on best practice on early detection and sun safety. Information was shared at community events and 250 people received information related to best practice behaviors for UV safety and early detection. 2 CARDIOVASCULAR DISEASE Cardiovascular Disease, principally heart disease and stroke, is the leading cause of death in the U.S. for both men and women among all racial and ethnic groups (Centers for Disease Control and Prevention, 2012). It is also the leading cause of death among DeKalb County residents. Cardiovascular disease is the most widespread and costly health problem, although heart disease and stroke are often preventable. High cholesterol is one of the major risk factors leading to heart disease, heart attack, and stroke, and uncontrolled high blood pressure can injure or kill. Over one-fourth of DeKalb County residents have high cholesterol (25.9%) or high blood pressure (27.3%) and almost two-thirds (64.4%) are overweight or obese based on body mass index (BMI). Overweight or obesity increases risk for high cholesterol, high blood pressure, and insulin resistance, and is a precursor of type 2 diabetes - all factors that heighten risk for cardiovascular disease. The proportions of DeKalb County residents who currently smoke is 20.0%, much higher than previous rates and slightly higher than the 18.0% rate of the state. The National Cancer Institute reports that people who smoke are up to six times more likely to suffer a heart attack than nonsmokers, and the risk increases with the number of cigarettes smoked. 2.1 Better prevention of and the management of high cholesterol, high blood pressure or diabetes to help lower the risk for heart disease is a key component to the Know Your Numbers biometric screening appointments. A screening designed to provide a participant with their individual cardiovascular risk factors including fasting glucose, total cholesterol, Body Mass Index (BMI), blood pressure and waist measurement. Lifestyle changes such as quitting or never smoking, limiting alcohol use, exercising and eating healthy all lower risk for cardiovascular disease and are thoroughly discussed during the screening appointments. Community members have access to this complimentary screening and appointments are available monthly. 62 community members participated in the screening. NMVW works with local school districts to provide the biometric screening to district staff, there were five events held and 76 district employees who benefited from this complimentary screening on-site at the school locations. Additionally, blood pressure checks are offered weekly free of charge for community members and patients at NMVW aimed at improving awareness of one's own blood pressure number, an indicator used for heart disease risk factors. 704 people participated in blood pressure screenings during the fiscal year. 2.2 Increase awareness on the daily consumption of sodium and its impact on high blood pressure, which is a leading risk factor for cardiovascular disease. As part of larger community events, NMVW participated in six community opportunities to share information related to sodium consumption, reading a nutrition label to identify sodium on the label, and helpful tips for reducing sodium in the diet, this evidence based information is from the American Heart Association. The development and implementation of the program called Managing your Blood Pressure with the DASH (Dietary Approaches to Stop Hypertension) Diet was also implemented. This 4-week educational series on how to manager hypertension using the DASH Eating Plan was offered two times throughout the year and had a total of 3 participants. The number of participants able to identify sodium on a food label by week 4 of the program was 3 participants. The number of the participants able to use/follow the DASH Eating Plan by week 4 was 3 participants. Additionally, 35 community members participated in a blood pressure program aimed at increasing knowledge on lifestyle factors related to lowering blood pressure, incorporating more fruits and vegetables into their diet, and incorporating physical activity daily.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Valley West Hospital. 2.3 Founded by the American Heart Association and the Clinton Foundation, the Alliance for a Healthier Generation is a collaborative of change makers working to create a national where children thrive. The evidence based Health School Program is currently building healthier school environments for eleven local schools in NMVW primary service area. The Healthy Schools Program Framework of Criteria identifies best practices to create a healthier school environment. Three schools were recognized at the National Bronze level this year. To earn the award, schools must demonstrate implementation of specific best practices in each of the following modules that address school health: School Health and Safety Policies and Environment, Health Education, Physical Education and other Physical Activity Programs, Nutrition Services, Health Promotion for Staff, and Family and Community Involvement. These three schools joined six additional schools in the local districts who already have been awarded and carry this designation. As a best practice using the Healthy Schools Program, the hospital facilitates with the local school districts a walking challenge among the staff to engage faculty to become more physically active. These walking challenges offered in the spring had over 170 staff participate in the four-week challenge. 3 DIABETES/KIDNEY DISEASE Diabetes is a disease marked by high levels of blood glucose and can lead to serious complications and premature death. If untreated, diabetes can cause more serious health complications, including, but not limited to heart disease; stroke; eye, foot, and skin complication; high blood pressure; hearing loss, and kidney disease as defined by the American Diabetes Association. Almost two thirds (64.4%) of DeKalb County adults are overweight or obese based on body mass index (BMI) calculated from height and weight. The proportion of obese individuals has risen substantially since 2001, when the proportion stood at 18.8%. According to the Centers for Disease Control and Prevention, being overweight or obese increases the likelihood of developing diabetes and excess weight keeps the body from making and using insulin properly. Moderate exercise of about 30 minutes or more 5 days per week, or 150 minutes or more per week, resulting in a 5% to 7% weight loss can delay and possibly prevent type 2 diabetes. In DeKalb County, 4.4% of the population 18 years and older are afflicted with diabetes, with a significant increase to 18.9% in those aged 65 and over. Diabetes was noted as a top 10 health concern in the online community survey. Also, worth mentioning is the increase in diagnosis related groups with the health system for renal failure. Uncontrolled diabetes can contribute to kidney/renal issues. NMVW Center for Diabetes offers diabetes screenings, dietic and nutrition counseling, and mindful eating programs for prediabetes and diabetes to assist with management of this chronic issue. 3.1 Northwestern Medicine Kishwaukee and Valley West Hospital Diabetes Centers will provide diabetes education to school personnel, home care agencies, long-term care facilities, and other community/organizations upon request. Presentations are tailored to the organizations/establishment's request. Diabetes education was offered to 12 organizations and to 146 people. 3.2 Northwestern Medicine Valley West Hospital Diabetes Center will provide 6-week comprehensive Managing Diabetes Mindfully classes throughout the year regularly. This curriculum is approved by the American Diabetes Association meeting required diabetes self-management training and education criteria. Managing Diabetes Mindfully classes were offered 6 times to 11 people at Northwestern Medicine Valley West Hospital Diabetes Center. Additionally, this program is also offered at the Kishwaukee Hospital Diabetes Center and community members from the service area can also attend this program and location. At this location, Managing Diabetes Mindfully classes were offered 12 times to 112 people. 3.3 The Road to Health program was designed by the National Diabetes Education Program (NDEP), in partnership with the Center of Disease Control, the Department of Health and Human Services and the National Institutes of Health. The program is designed to preventatively educate Hispanic individuals on how to prevent or delay that may be at high risk for developing type 2 diabetes. It offers lessons in helping understand and identify at least 5 risk factors for type 2 diabetes, identify symptoms of type 2 diabetes, define serving and portion sizes for common foods, identify serving sizes, total calories, and saturated fat on a nutrition facts label, understand the importance of making small lifestyle changes to prevent or delay the onset of type 2 diabetes and use a NDEP Food and Activity Tracker to record food and drink intake and physical activity. The curriculum is specifically designed for the Hispanic community, offering culturally specific intervention methodologies. This program was done in partnership with a Spanish language church and at a local high school. The program impacted 32 individuals during the four sessions of the program that were offered. The CHNA report identified areas of opportunity for health improvement for which NMVW and its external committee determined it would not prepare an implementation plan and strategy. These identified areas and the reason for not addressing are listed below: Access to health services Access to health services ranked as a concern that will be addressed within the health priorities selected through the MAPP process. Environmental Health NMVW did not select this as a priority to address in the population, as there are programs and initiatives available through other organizations, such as the Local Health Department within DeKalb County. Health communication/Health Information Technology NMVW did not select this as a priority to address, however, the hospital does utilize tools such as an electronic medical record as a way to continue to assist patients and community members with Health Information Technology. Infectious Disease/Sexually transmitted infections NMKH did not select this as a priority to address in the population, as there are programs and initiatives available through other organizations within DeKalb County. Injury and violence NMVW did not select this as a priority to address in the population, as there are programs and initiatives available through the organizations within DeKalb County. Social determinants of health Social Determinants of Health ranked as a concern that will be address within the health priorities selected through the MAPP process.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. THE CHNA REPORT ALSO DESCRIBES MARIANJOY REHABILITATION HOSPITAL BACKGROUND, CHARITY CARE, THE MISSION, CHNA GOALS AND OBJECTIVES, PUBLIC DISSEMINATION PLAN, AND DEVELOPMENT OF THE IMPLEMENTATION PLAN.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS. THE LIST OF PARTICIPANTS WAS PROVIDED BY MARIANJOY REHABILITATION HOSPITAL AND INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 41 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY INCLUDING REPRESENTATIVES OF THE ORGANIZATIONS BELOW: 1. DUPAGE FOUNDATION 2. DUPAGE SENIOR CITIZENS COUNCIL 3. DUPAGE UNITED 4. EDUCARE WEST DUPAGE 5. FOX VALLEY SPECIAL RECREATION ASSOCIATION 6. NAMI DUPAGE 7. NORTHERN ILLINOIS FOOD BANK 8. PEOPLE'S RESOURCE CENTER 9. SAMARACARE 10. SENIOR SERVICES ASSOCIATES, INC. 11. WARRENVILLE PARK DISTRICT 12. WESTERN DUPAGE SPECIAL RECREATION ASSOCIATION 13. WEST CHICAGO PUBLIC LIBRARY DISTRICT 14. WINFIELD PARK DISTRICT THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFIED PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BE BETTER ADDRESSED. FINDING REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE ONLINE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FORM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. IN ADDITION TO PROVIDING THE CHNA REPORT ON THE WEBSITE AND MAKING IT AVAILABLE TO THE PUBLIC UPON REQUEST, THE CHNA REPORT WAS ALSO DISTRIBUTED TO THE FOLLOWING: * KEY COMMUNITY ORGANIZATIONS & LEADERS * MARIANJOY REHABILITATION HOSPITAL INTERNAL & EXTERNAL STEERING COMMITTEE MEMBERS * MARIANJOY REHABILITATION HOSPITAL LEADERSHIP
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Marianjoy Rehabilitation Hospital. Through the prioritization process, Marianjoy Rehabilitation Hospital (MRH) identified 4 priority health needs: 1. Access to healthcare services 2. Chronic disease management and rehabilitation 3. Promoting Independence in Individuals with Disabilities 4. Injury Prevention MRH identified priority health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which MRH is addressing the significant needs identified in its most recently conducted CHNA are below. 1 Access to healthcare services MRH ensures that residents of our community have access to high quality medically necessary healthcare services in the most appropriate setting. Dedicated to the delivery of physical medicine and rehabilitation, MRH offers specialty programs for adult and pediatric patients recovering from injury or illness in both the inpatient and outpatient settings. MRH is committed to developing and maintaining programs that address the affordability of and accessibility to healthcare services. Additionally, MRH offers a comprehensive financial assistance program to patients who are unable to afford the cost of necessary medical care. MRH seeks to engage and maintain a multicultural workforce of primary care providers, specialists, midlevel practitioners, registered professional nurses and other specialties committed to working in an evidence-based practice setting by providing a clinical site for educational experiences. The development and implementation of the DuPage County Access to Health Services Action Plan is led by the DuPage Health Coalition. Formerly known as Access DuPage, the Coalition is a collaborative effort by thousands of individuals and hundreds of organizations in DuPage County to provide access to medical services to the county's low-income, medically uninsured residents. The DuPage Health Coalition also operates the Silver Access Program, which provides financial help to lower income families purchasing Health Insurance through the Affordable Care Act's Healthcare Marketplace. In early 2017, the DuPage Health Coalition will open the DuPage Dispensary of Hope, a new free pharmacy program in Wheaton, offered in partnership with DuPage County. MRH leadership and staff work collaboratively with the DuPage Coalition to promote affordable access to care for all residents of DuPage County. MRH will continue to support national and local efforts to increase access to care by providing leadership, investing resources and working collaboratively with other community organizations throughout the county. In conjunction with DuPage Health Coalition's Access DuPage program and independent medical providers, MRH will support the maintenance of an efficient and effective continuum of care for individuals with disabilities, offering inpatient and outpatient rehabilitation services to those in need. 1.1 MRH will offer financial assistance policies that are easily accessible, user-friendly, respectful, and meet all regulatory requirements. In FY18, Marianjoy completed another audit and will expand communication of programs through the registration process. 1.2 MRH will continue to provide medically necessary inpatient and outpatient hospital services to uninsured and underinsured patients in accordance with the hospital's financial assistance policies. MRH tracked the number of individuals and the amount of rendered financial assistance annually. In FY18, 168 patients/services provided, in the amount of $1,547,991 of community care provided. 1.3 MRH will continue to address the needs of individuals identified as potentially eligible for public health insurance by facilitating their application for government-sponsored healthcare coverage via a trained in-person staff who will assist in facilitating enrollment. In FY18, MRH maintained 99% approval rate of applications submitted. 1.4 MRH leadership will continue representation on various task forces and work groups related to the collaborative work occurring on access to care issues. In FY18, MRH continued coordination of monetary support of Access DuPage services. 1.5 MRH will provide low-cost transportation to outpatient appointments. In FY18, MRH provided 13,662 rides through MRH transport services. 1.6 MRH will continue to provide free inpatient and outpatient care to all Access DuPage clients in accordance with presumptive eligibility and existing MRH financial assistance policies. Opportunities to promote coordinated care to needed services for Access DuPage will be evaluated. In FY18, 168 patients/services provided, in the amount of $1,547,991 of community care provided. 1.7 MRH will serve as a training center for physicians, nursing and other allied health professions. Quantitative data, such as the number and types of internships and staff time commitment, was tracked throughout FY18 and maintained 99% approval rate of applications submitted. 1.8 MRH will provide trained professional healthcare interpreters and offer language assistance programs. In FY18, MRH provided a total of $500,908 in interpreter services for MRH patients, including $10,070 on phone interpretation and the remainder on in-person interpretation. 2 Chronic disease management and rehabilitation In general, individuals with disabilities tend to experience higher percentages of health disparities than the larger population. These added challenges can result in further impaired mobility, nutritional deficits and an increased susceptibility to chronic medical conditions. Common precursors of chronic diseases, including physical inactivity, obesity, hypertension and high cholesterol, are more prevalent among persons with disabilities than those without. Despite increased health risks, people with disabilities are rarely targeted by specific health-promotion and disease-prevention efforts. Given the increasing prevalence of disability as the population ages, the need for community health services focusing on the rehabilitation needs of those served will likely increase at a proportional rate. A broad range of intervention exists to address the issue of chronic disease including health education, health screenings, supporting linkages to medical homes, and chronic disease management programs. MRH utilizes a collaborative, evidence-based approach to prevention, screening and chronic disease management aimed at reducing and eliminating many of the prominent contributors to mortality in the United States. Programs such as Access DuPage and Engage DuPage ensure access to routine healthcare, screening, primary care providers, specialists, medications and medical homes. MRH offers a comprehensive financial assistance program to individuals unable to afford the cost of their acute medical care. In addition, the hospital offers a comprehensive array of community education programing and services to support both primary and tertiary interventions. 2.1 MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities. In FY18, MRH staff developed curriculum for the five courses listed below. Follow-up based on course content was tracked through the support groups. A. Understanding Pediatric Spasticity B. Relaxation and meditation C. Balance and Fall Risks D. Posture training to increase flexibility and decrease lower back pain E. Behavioral Coaching 2.2 MRH will provide access to the Emerging Fitness Center, including specialty group classes for individuals with specific exercise needs. In FY18, 3,476 sessions were held in the MRH Fitness Center for individuals with disabilities. Many of the participants were prior MRH patients or family members. 2.3 MRH Medical Library will provide educational and supportive resources for the community. In FY18, MRH experienced 4,484 literature searches, 75 hours of education support, and 292 interlibrary load transactions. 2.4 MRH will offer evidence-based support programs in the areas of chronic disease management programmatic venues including but not limited to, self-help and support groups. In FY18, MRH provided the following support groups: A. Amputee (4 sessions; 43 participants) B. Parkinson's (5 sessions; 40 participants) C. Caregiver Support (13 sessions; 37 participants) D. Stroke (6 sessions; 45 participants) E. ALS (8 sessions; 185 participants) F. Aphasia (7 sessions; 189 participants) G. Connections-Peds (7 sessions; 83 participants) H. High Hopes- BI (7 sessions; 121 participants) I. Lives in Motion- SCI (7 sessions; 158 participants) J. MS (5 sessions; 72 participants)
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Marianjoy Rehabilitation Hospital. 3 Promoting Independence in Individuals with Disabilities The physicians and clinicians at MRH are trained in the provision of specialty treatments and rehabilitation for individuals with disabilities resulting from injuries, accidents, illnesses, or congenital defects. Fitness and wellness programs tailored to people with disabilities and other health issues help ensure these vulnerable populations are engaged in moderate physical activity designed to improve strength and increase flexibility, to protect against further disability and enhance functional independence. The addition of the Marianjoy Fitness Center has opened new opportunities for individuals who may not have felt physically able or comfortable in other exercise settings. Throughout the year, MRH offers a variety of free and public classes and lectures (focused on health and wellness) to support and promote the independence of disabled individuals. Additionally, MRH sponsors a variety of support groups at no cost and open to the public including: amputation, aphasia, brain injury, chronic pain, and stroke. MRH works closely with its community partners to promote independence of disabled individuals. Partners include, but are not limited to the DuPage County Health Department, DuPage Federation on Human Service Reform, local school districts, Office of the Secretary of State, DuPage Workforce Board and AbilityLinks, a national, web-based community where qualified job seekers with disabilities gain access to valuable networking opportunities. 3.1 MRH will provide aquatic programs in a group class setting for adults and children. In FY18, MRH provided 210 patient sessions (3,159 pool sessions provided). Individual goals were established, and PHI documented towards goal attainment. 3.2 MRH will provide a program that will seek to match qualified individuals to employers who embrace diversity. This program will also provide job-seeking skills through practice interviewing sessions and educational programs on finding employment. In FY18, MRH experienced 52,910 Ability Links Website visitors. A total of 450 resumes were submitted, and 51 individuals self-disclosed that they were placed. 3.3 MRH will provide services through the Tellabs Center for Neurorehabilitation and Neuroplasticity, an innovative rehab technology designed to support a wide range of patient conditions which benefit from the creation of lasting neuro-pathway changes derived through repetition. In FY18, MRH provided 5,373 sessions using the mobility and upper extremity robotic equipment available in the TCNN. In addition, patients were assessed by therapy experts and individual goals were established. 3.4 The Marianjoy Driver Rehabilitation Program will work with clients utilizing specialized equipment to promote the ability to drive for individuals with disabilities. Participants are provided with a comprehensive appraisal of a person's ability to drive safely. The Driver Rehabilitation Program also provides behind-the-wheel training for students that qualify, and will assist in obtaining the requirements for a driver's license. In FY18, MRH evaluated and/or provided drivers training to 171 students. In addition, a self-reported tracking process was implemented. 3.5 MRH will provide the GoBabyGo program, where therapists and engineers collaborate to retrofit powered toy vehicles to meet the needs of children with disabilities. In FY18, 37 volunteers from the community participated in MRH's GoBabyGo program which served 17 children, 10 of which were new recipients. The program provided three car upgrades from existing participants. 3.6 MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities, including but not limited to the following topic: Life after an amputation. In FY18, MRH staff developed curriculum for the five courses listed below. Follow-up based on course content was tracked through the support groups. A. Understanding Pediatric Spasticity B. Relaxation and meditation C. Balance and fall risks D. Posture training to increase flexibility and decrease lower back pain 3.7 MRH will offer evidence-based support programs in the areas of promoting independence in programmatic venues including but not limited to, self-help and support groups. In FY18, MRH provided the following support groups: A. Amputee B. Parkinson's C. Caregiver Support D. Stroke E. ALS F. Aphasia G. Connections-Peds H. High Hopes- BI I. Lives in Motion- SCI J. MS 4 Injury Prevention MRH offers a variety of programs, both through inpatient and outpatient services, to address injury prevention. Evidence-based, community health and wellness programming are offered by MRH in the areas of chronic disease management and rehabilitation and overcoming the limitations of chronic disabilities. Some topics include: Core Yoga to increase strength and balance in individuals with disabilities; Understanding, identifying and preventing running injuries; and how aging affects your balance. These programs address the prevention of injury for both persons with or without disabilities. MRH offers the CarFit program for seniors, which allows older adults the opportunity to check how well their personal vehicles fit them. The CarFit program is aimed at preventing injury for seniors. MRH works closely with its community partners to address the issue of injury prevention. Partners include, but are not limited to the DuPage County Health Department, Northwestern Memorial Central DuPage Hospital and local school districts. 4.1 MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities. In FY18, MRH developed and implemented curriculum for four courses: A. Yoga (10 five-week sessions were held; 152 participants) B. Running Injuries (1 course; 12 participants) C. Aging and Balance (2 courses; 84 participants) D. Therapeutic Golf Program (11 adult sessions; 161 participants) In addition, six youth events were offered with 14 registered participants. 4.2 MRH will offer the CarFit program for seniors, which allows older adults the opportunity to check how well their personal vehicles fit them. Evaluations will be provided by certified inspectors and occupational therapists. In FY18, MRH staff will be able to monitor and track program outcomes, as well as the number of programs offered and individuals attending when the program is implemented in FY19. 4.3 MRH will collaborate with Central DuPage Hospital (NMCDH) to offer evidence-based community-based injury prevention programming. In FY18, MRH collaborated with NMCDH and began to market programming in the shared NM program brochure. In order to increase efficiency, course registration was transitioned to the general NM registration line, and data will be collected in FY19 to measure the impact of this program.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - Marianjoy Rehabilitation Hospital. The CHNA report identified areas of opportunity for health improvement for which Marianjoy Rehabilitation Hospital and the external steering committee determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Mental health and substance abuse The DuPage behavioral health collaborative was formed in response to the mental health findings and needs noted in the DuPage county IPLAN. The mission of the group is to work collaboratively to identify and implement data-driven strategies that improve access and quality of behavioral health services for all DuPage county residents, advocate for aligning resources and funding, and to educate the community about the signs and symptoms of mental health issues. The collaborative is composed of two teams: the treatment leadership team (behavioral health) and the prevention leadership team (substance abuse). Northwestern Medicine Central DuPage Hospital (NMCDH) leadership and staff serve as integral members of both teams working both independently and collaboratively to address mental health and substance abuse issues in DuPage County. Both teams are comprised of members from local hospitals, public health, private and community sectors and represent a broad cross-section of the community united to respond to both issues. Additionally, the DuPage county health department crisis intervention unit is a mental health support system that deals with mental health emergencies on a 24-hour basis. This unit deals with urgent mental health issues that require immediate attention such as suicidal thoughts, homicidal threats, and symptoms of serious mental illness including depression, schizophrenia, bipolar disorder, anxiety and other issues that may require hospitalization. Individuals can contact the unit at any time and set up an appointment either by phone or in person. The crisis program also has a ten-bed respite unit available for short term stabilization. Psychiatric evaluations and short-term crisis counseling intervention are also available on a scheduled basis as needed. In the area of inpatient care, NMCDH offers immediate help, providing short-term psychiatric care for adults and teens (13 years of age and older) in a hospital setting. Short term inpatient care is provided in three secure hospital psychiatric units to help people who pose a risk to themselves or others and those who are unable to care for themselves. Following stabilization, NMCDH offers a full range of treatment including outpatient partial hospitalization, individual and family therapy, group therapy and follow-up services in the community. NMCDH also offers a full range of substance abuse services including inpatient detoxification, residential treatment and rehabilitation services, along with continued counseling to support long-term recovery. Immunization and infectious disease The DuPage County Health Department is responsible for monitoring the incidence of infectious diseases and providing childhood and adult immunizations. Immunization services are offered at the CPHC (Wheaton), SEPHC (Westmont), and EPHC (Lombard) offices. Childhood immunizations are available for all children who do not have insurance, or have insurance that does not cover immunizations, through the state of Illinois' Vaccines for Children (VFC) program. Additionally, immunizations and selected testing are also offered by the county's Federally Qualified Health Centers (FQHC), thereby assuring multiple opportunities for residents to receive screening and immunizations. Access to health promotion activities MRH works collaboratively to support the provision of health promotion and health education sessions to clients residing in the community. It is widely recognized that the most effective way to address chronic disease is to address the problem across its lifespan in a coordinated effort. Health education programs are offered by NMCDH and MRH in an effort to focus on health promotion and disease prevention. Local primary care providers and FQHCs provide medical homes and routine care aimed at screening, early detection and prompt treatment of disease and other health concerns. Local hospitals provide immediate and emergently needed acute care. Programs such as access DuPage and engage DuPage ensure access to routine healthcare, screening, primary care providers, specialists, medications and medical homes. Guided by the ESC, MRH will continue to support and work collaboratively with existing local organizations who are providing affordable primary healthcare to individuals experiencing the remaining healthcare issues noted above as we believe they are best positioned to lead the provision of these services.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
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?182
Name and address Type of Facility (describe)
1 Clark Street Galleria
1030 N Clark
Chicago,IL60611 		MOB
2 Garland Bldg
111 N Wabash
Chicago,IL60602 		MOB
3 111 W Washington
111 W Washington
Chicago,IL60602 		MOB
4 Northwestern Medicine South Loop
1135 S Delano Court
Chicago,IL60605 		MOB
5 Northwestern Medicine Lakeview
1333 W Belmont Avenue STE 100/200
Chicago,IL60657 		MOB
6 Northwestern Medicine Immediate Care
1333 W Belmont Avenue STE 100/200
Chicago,IL60657 		Urgent Care
7 Northwestern Medicine SoNO
1460 N Halsted Street STE 203/502/5
04
Chicago,IL60642 		MOB
8 Northwestern Medicine Chicago
150 E Huron Street
Chicago,IL60611 		MOB
9 Northwestern Medicine Crest Hill
16151 Weber Road STE 107
Crest Hill,IL60403 		MOB
10 Northwestern Medicine Bucktown
1776 Milwaukee Ave
Chicago,IL60647 		MOB
11 Bucktown North Ave Ofc
1913 W North Avenue
Chicago,IL60622 		OUTPATIENT
12 Northwestern Medicine Loop South Clark
20 S Clark Street STE 1100
Chicago,IL60603 		MOB
13 Northwestern Medicine Washington
201 N Cummings Lane
Washington,IL61571 		MOB
14 Northwestern Medicine Chicago Ave
211 E Chicago Ave
Chicago,IL60611 		MOB
15 Streeterville CTR
233 E Erie
Chicago,IL60611 		MOB
16 Northwestern Medicine Oak Brook
2425 W 22nd Street STE 203B
Oak Brook,IL60523 		MOB
17 Robert H Lurie Comprehensive Cancer CTR
250 E Superior St STE 420
Chicago,IL60611 		Cancer Center
18 Maggie Daley CTR for Women's Cancer Care
250 E Superior Street Fourth Floor
Chicago,IL60611 		Cancer Center
19 Northwestern Memorial Hospital -Lavin FP
259 E Erie Street
Chicago,IL60611 		MOB
20 2701 S Western Ave
2701 S Western Ave
Chicago,IL60608 		MOB
21 Lincoln Park Office
2835 N Sheffield
Chicago,IL60657 		MOB
22 River North Office
310 W Superior
Chicago,IL60610 		MOB
23 321 N Clark Street
321 N Clark Street
Chicago,IL606545313 		MOB
24 Halsted Radiology
3245 N Halsted
Chicago,IL60657 		MOB
25 CNA Bldg
333 S Wabash
Chicago,IL60604 		SUPPORT
26 Northwestern Medicine Portage Indiana
3691 Willowcreek Road STE 100
Portage,IN46368 		MOB
27 Northwestern Medicine River Forest
420 Thatcher Avenue
River Forest,IL60305 		MOB
28 Northwestern Medicine Laboratory Chicago
4255 W 63rd Street
Chicago,IL60629 		Laboratory
29 Northwestern Memorial Hospital
446 E Ontario St
Chicago,IL60611 		MOB
30 Northwestern Medicine Sauganash
4801 W Peterson STE 406
Chicago,IL60646 		MOB
31 Northwestern Medicine Moline
515 Valley View Drive
Moline,IL61265 		MOB
32 Northwestern Medicine River North
635 N Dearborn Street STE 100
Chicago,IL60654 		MOB
33 Northwestern Medicine Immediate Care Riv
635 N Dearborn Street STE 100
Chicago,IL60654 		Urgent Care
34 Northwestern Memorial Hospital Arkes
676 N St Clair Street
Chicago,IL60611 		MOB
35 Northwestern Medicine Streeterville
680 N Lake Shore Drive STE 810
Chicago,IL60611 		MOB
36 Northwestern Medicine Chicago N Michigan
737 N Michigan Avenue STE 700
Chicago,IL60611 		MOB
37 Northwestern Medicine Chicago
750 N Lake Shore Drive
Chicago,IL60611 		MOB
38 10024 Skokie Bldv
10024 Skokie Blvd STE 304
Skokie,IL60077 		MOB
39 Northwestern Medicine Lake Forest Health
1200 N Westmoreland
Lake Forest,IL60045 		Fitness Center
40 Northwestern Medicine Grayslake
1275 E Belvidere
Grayslake,IL60030 		MOB
41 Northwestern Medicine Grayslake - OP
1475 E Belvidere Road
Grayslake,IL60030 		MOB
42 Northwestern Medicine Emergency CTR
1475 E Belvidere Road
Grayslake,IL60030 		Urgent Care
43 Northwestern Medicince Cancer CTR
1475 East Belvidere Road
Grayslake,IL60030 		Cancer Center
44 Glenview Carillion Sq
1500 Waukegan Road
Glenview,IL60025 		MOB
45 1632 W Central Road
1632 W Central Road
Arlington Heights,IL60005 		MOB
46 Northwestern Medicine Evanston
1704 Maple Avenue
Evanston,IL60021 		MOB
47 Northwestern Medicine Immediate Care
1704 Maple Avenue
Evanston,IL60021 		Urgent Care
48 Northwestern Medicine Laboratory Vernon
175 E Hawhorth Parkway
Vernon Hills,IL60061 		Laboratory
49 Highland Park ofc
1770 1st Avenue
Highland Park,IL60063 		MOB
50 Libertyville Hollister
1800 Hollister Drive
Libertyville,IL60048 		MOB
51 Libertyville Med Bldg
1900 USG Drive
Libertyville,IL60048 		MOB
52 LFH Bannockburn
2151 Waukegan Road
Bannockburn,IL60015 		MOB
53 Northwestern Medicine Gurnee
25 Tower Court
Gurnee,IL60031 		Imaging
54 Northwestern Medicine Glenview
2501 Compass Road
Glenview,IL60025 		MOB
55 Northwestern Medicine Glenview - OP
2701 Patriot Boulevard
Glenview,IL60026 		MOB
56 Northwestern Medicine Immediate Care
2701 Patriot Boulevard
Glenview,IL60026 		Urgent Care
57 Northwestern Medicine Lindenhurst Health
3098 Fallingwaters Boulevard
Lindenhurst,IL60046 		Fitness Center
58 Northwestern Medicine Deerfield
350 S Waukegan
Deerfield,IL60015 		MOB
59 Northwestern Medicine Immediate Care
350 S Waukegan
Deerfield,IL60015 		Urgent Care
60 Northwestern Medicine Gurnee
36100 N Brookside
Gurnee,IL60031 		MOB
61 3633 W Lake Ave
3633 W Lake Ave
Glenview,IL60026 		MOB
62 Northwestern Medicine Highland Park
600 Central Avenue
Highland Park,IL60035 		MOB
63 LFH Womens CTR
660 N Westmoreland
Lake Forest,IL60045 		MOB
64 LFH Westmoreland Bldg
660 N Westmoreland
Lake Forest,IL60045 		OUTPATIENT
65 Northwestern Medicine Lake Forest Hosp
660 N Westmoreland Rd
Lake Forest,IL60045 		Urgent Care
66 Northwestern Medicine Lake Forest Hospit
700 N Westmoreland
Lake Forest,IL60045 		MOB
67 740 N Waukegan Road
740 N Waukegan Road
Deerfield,IL60015 		MOB
68 Northwestern Medicine Lake Forest Hospit
800 N Westmoreland
Lake Forest,IL60045 		MOB
69 Gurnee Radiology CTR
83 Ambrogio Drive
Gurnee,IL60031 		MOB
70 Northwestern Medicine Vernon Hills
870 N Milwaukee
Vernon Hills,IL60061 		MOB
71 Northwestern Medicine Immediate Care
870 N Milwaukee
Vernon Hills,IL60061 		Urgent Care
72 Vernon Hills Med Bldg
870 West End Ct
Vernon Hills,IL60061 		MOB
73 Northwestern Medicine Arlington Heights
880 W Central Road
Arlington Heights,IL60005 		MOB
74 Northwestern Medicine Lake Forest Hosp
900 N Westmoreland
Lake Forest,IL60045 		MOB
75 9555 Gross Point Road
9555 Gross Point Road
Skokie,IL60076 		MOB
76 Northwestern Medicine Naperville
101 E 75th Street
Naperville,IL60563 		MOB
77 Northwestern Medicine Lisle
1019 School Street
Lisle,IL60532 		MOB
78 Northwestern Medicine Batavia
1049 E Wilson Street
Batavia,IL60510 		MOB
79 Elmhurst Memorial Hosp
1200 York Road
Elmhurst,IL60126 		MOB
80 Northwestern Medicine HealthLab
1311 N Arlington Ave
Indianapolis,IN46219 		HealthLab - Draw Station
81 Oak Brook Regency
1415 West 22nd Street STE 750E
Oakbrook,IL60523 		MOB
82 CPG Rheumatology
1425 N McLean Blvd Suite 400
Elgin,IL60123 		MOB
83 Northwestern Medicine Elgin
1600 North Randall Road
Elgin,IL60123 		MOB
84 Wheaton Med MOB
1800 N Main St
Wheaton,IL60187 		MOB
85 Northwestern Medicine Sycamore
1830 Mediterranean Drive
Sycamore,IL60178 		MOB
86 Northwestern Medicine New Lenox
1890 Silver Cross Boulevard
New Lenox,IL60451 		MOB
87 Northwestern Medicine Wheaton
2001 Gary Avenue
Wheaton,IL60187 		MOB
88 Northwestern Medicine Wheaton
2001 Weisbrook Road
Wheaton,IL60187 		MOB
89 Northwestern Medicine Bloomingdale
235 S Gary Avenue
Bloomingdale,IL60108 		MOB
90 Northwestern Medicine Convenient Care
235 S Gary Avenue
Bloomingdale,IL60108 		Urgent Care
91 Prairie Medical CTR
2434 S Wolf Rd
Westchester,IL60154 		MOB
92 Northwestern Medicine Bloomingdale
245 S Gary Ave
Bloomingdale,IL60108 		MOB
93 Northwestern Medicine Aurora
2635 Church Road
Aurora,IL60502 		MOB
94 Northwestern Medicine Convenient Care
2635 Church Road
Aurora,IL60502 		Urgent Care
95 Northwestern Medicine Warrenville
27650 Ferry Road
Warrenville,IL60555 		MOB
96 Behaviorial Health Bldg
27W350 High Lake Rd
Winfield,IL60190 		BEHAVIORAL
97 Cantera Medical Bldg
28375 Davis Pkwy
Warrenville,IL60555 		MOB
98 Bloomindale Springfield
290 Springfield Drive
Bloomingdale,IL60108 		MOB
99 Northwestern Medicine St Charles
2900 Foxfield Drive
St Charles,IL60174 		MOB
100 Northwestern Medicine Convenient Care St
2900 Foxfield Drive
St Charles,IL60174 		Urgent Care
101 Northwestern Medicine Delnor Health
296 Randall Road
Geneva,IL60134 		Fitness Center
102 Delnor 302 MOB
302 Randall Rd
Geneva,IL60134 		MOB
103 Northwestern Medicine Delnor Hospital
304 Randall Road
Geneva,IL60134 		Cancer Center
104 Twin Dialysis Building
306 Randall Rd
Geneva,IL60134 		OUTPATIENT
105 Northwestern Medicine Delnor Hospital
308 Randall Road
Geneva,IL60134 		MOB
106 Northwestern Medicine HealthLab Highland
3100 45th Street
Highland,IN46322 		HealthLab - Draw Station
107 Wheaton Office CTR
311 South County Farm Rd
Wheaton,IL60187 		MOB
108 333 Chestnut Street
333 Chestnut Street
Hinsdale,IL60521 		MOB
109 Delnor 345 MOB
345 Randall Rd
Geneva,IL60134 		MOB
110 Delnor 351 MOB
351 Delnor Rd
Geneva,IL60134 		MOB
111 Northwestern Medicine HealthLab Buffalo
355 W Dundee Road STE 110B
Buffalo Grove,IL60089 		HealthLab - Draw Station
112 Batavia house
3S105 Wagner Rd
Batavia,IL60510 		BEHAVIORAL
113 Northwestern Medicine Sugar Grove
414 Division Street
Sugar Grove,IL60554 		MOB
114 Northwestern Medicine Cancer CTR Warrenv
4405 Weaver Parkway
Warrenville,IL60555 		Cancer Center
115 LivingWell Cancer Resource CTR
442 Williamsburg Avenue
Geneva,IL60134 		Cancer Center
116 Northwestern Medicine Glen Ellyn
444 Park Boulevard
Glen Ellyn,IL60137 		MOB
117 Northwestern Medicine Chicago Proton CTR
4455 Weaver Parkway
Warrenville,IL60555 		Cancer Center
118 Northwetsern Medicine Bloomingdale
455 Scott Drive
Bloomingdale,IL60108 		MOB
119 Northwestern Medicine HealthLab Blooming
471 W Army Trail Road STE 104
Bloomingdale,IL60108 		HealthLab - Draw Station
120 Northwestern Medicine Bloomingdale W Ar
471 W Army Trail Road
Bloomingdale,IL60108 		MOB
121 Northwestern Medicine DeKalb
5 Kish Hospital Drive
DeKalb,IL60115 		MOB
122 Winfield Town CTR
50 Winfield Rd
Winfield,IL60190 		MOB
123 Northwestern Medicine Carol Stream
501 Thornhill Drive
Carol Stream,IL60188 		MOB
124 Yorkville
502 Center Parkway
Yorkville,IL60560 		MOB
125 Northwestern Medicine Carol Stream
515 Thornhill Drive
Carol Stream,IL60188 		MOB
126 Northwestern Medicine South Elgin
552 Randall Road
South Elgin,IL60177 		MOB
127 Northwestern Medicine Naperville
636 Raymond Drive
Naperville,IL60563 		MOB
128 Northwestern Medicine Convenient Care
636 Raymond Drive
Naperville,IL60563 		Urgent Care
129 Northwestern Medicine HealthLab Crown PT
6625 Lincoln Highway
Crown Point,IN46307 		HealthLab - Draw Station
130 Northwestern Medicine Wheaton
7 Blanchard Circle
Wheaton,IL60187 		MOB
131 Northwestern Medicine Convenient Care
7 Blanchard Circle
Wheaton,IL60187 		Urgent Care
132 Batavia- Express Care
811 North Randall Rd
Batavia,IL60510 		MOB
133 Northwestern Medicine Bartlett
820 S Rt 59
Bartlett,IL60103 		MOB
134 Northwestern Medicine Convenient Care
820 S Rt 59
Bartlett,IL60103 		Urgent Care
135 Medical Plaza of Porter
85 East HU Hwy 6 STE 330
Valparaiso,IN46383 		MOB
136 Northwestern Medicine Glen Ellyn
875 Roosevelt Road
Glen Ellyn,IL60137 		MOB
137 Northwestern Medicine Glen Ellyn
885 Roosevelt Road
Glen Ellyn,IL60137 		MOB
138 Northwestern Medicine Convenient Care
885 Roosevelt Road
Glen Ellyn,IL60137 		Urgent Care
139 Elburn MOB
905 N First St
Elburn,IL60119 		MOB
140 Northwestern Medicine St Charles
964 N 5th Avenue
St Charles,IL60174 		MOB
141 Delnor Glen Senior Livi
975 N 5th Ave
St Charles,IL60174 		SENIOR
142 Stratford North Outlook
235 S Gary Ave
Bloomingdale,IL60108 		MOB
143 KishHealth System Physical Therapy CTR -
1 E County Line Road
Sandwich,IL60548 		MOB
144 KishHealth System Cancer CTR DeKalb
10 Health Services Drive
DeKalb,IL60115 		Cancer Center
145 KishHealth System - Ben Gordon CTR
100 S Latham Street STE 204
Sandwich,IL60548 		MOB
146 KishHealth System Physician Group
10003 US Rt 30
Waterman,IL60556 		MOB
147 BHS Ben Gordon Cental Ofc
12 Health Services Dr
DeKalb,IL60115 		BEHAVIORAL
148 KishHealth System Physician Group
1209 Starfire Drive Unit 2
Ottawa,IL61350 		MOB
149 KishHealth System Physician Group -Plano
12700 US Highway 34
Plano,IL60545 		MOB
150 KishHealth System Cancer CTR Sandwich
1310 North Main Street STE 201
Sandwich,IL60548 		Cancer Center
151 KishHealth System Cancer CTR Aurora
1315 N Highland Ave STE 201
Aurora,IL60506 		Cancer Center
152 Plank Road Clinic
165 E Plank Rd
Sycamore,IL60178 		MOB
153 KishHealth System Physician Group
1850 Gateway Drive
Sycamore,IL60178 		MOB
154 KishHealth System Physician Group
1850 Gateway Drive
Sycamore,IL60178 		Urgent Care
155 KishHealth System Physical Therapy CTR
2111 Midlands Court
Sycamore,IL60178 		MOB
156 KishHealth System CTR for Family Health
21193 Malta Road
Malta,IL60150 		MOB
157 Midlands Surgical CTR
2120 Midlands Court
Sycamore,IL60178 		OUTPATIENT
158 BHS Discovery House
220 College Ave
DeKalb,IL60115 		BEHAVIORAL
159 KishHealth System Physician Group
224 E Railroad Street
Sandwich,IL60548 		MOB
160 KishHealth System HospiceHomecareEMS
2727 Sycamore Road
DeKalb,IL60115 		MOB
161 KishHealth System Physical Therapy CTR
3875 Edlamain Road
Plano,IL60545 		MOB
162 KishHealth System Physician Group - Peru
4040 Progress Boulevard
Peru,IL61354 		MOB
163 KishHealth System Physician Group
450 Coronado Drive
Rochelle,IL61068 		MOB
164 KishHealth System Cancer CTR
450 Coronado Drive
Rochelle,IL61068 		Cancer Center
165 KishHealth System Physician Group
599 Pearson Drive
Genoa,IL60135 		MOB
166 KishHealth System - Ben Gordon CTR
631 S 1st Street
DeKalb,IL60115 		MOB
167 KishHealth System Behavior Health Svcs
760 Foxpointe Drive
Sycamore,IL60178 		MOB
168 KishHealth System Physician Group Prof
8 Health Services Drive
DeKalb,IL60115 		MOB
169 KishHealth System Physical Therapy CTR -
895 S State Street
Hampshire,IL60140 		MOB
170 Marianjoy at Park Pl Health & Wellness
1150 S Euclid Avenue
Elmhurst,IL60126 		MOB
171 Marianjoy at Victorian Village
12525 Renaissance Circle
Homer Glen,IL60491 		MOB
172 Marianjoy at Providence Healthcare
13259 S Central Avenue
Palos Heights,IL60464 		MOB
173 Marianjoy Physical Therapy & Outpatient
17W682 Butterfield Road
Oakbrook Terrace,IL60181 		MOB
174 Marianjoy at Rush Copley Medical CTR
2020 W Ogden Avenue STE 365
Aurora,IL60504 		MOB
175 Marianjoy at Loyola University Medical
2160 S 1st Ave
Maywood,IL60153 		MOB
176 Marianjoy Outpt bldg
26W171 Roosevelt Rd
Wheaton,IL60187 		OUTPATIENT
177 Elmhurst Orthopedics
300 W Butterfield Rd
Elmhurst,IL60126 		MOB
178 Marianjoy at Providence Healthcare
3450 Saratoga Avenue
Downers Grove,IL60515 		MOB
179 Marianjoy at RUSH Oak Park Hospital
520 S Maple
Oak Park,IL60304 		MOB
180 Marianjoy at RUSH Medical Offc Building
610 S Maple STE 3420
Oak Park,IL60304 		MOB
181 7411 Lake Street STE 2210
7411 Lake Street
River Forest,IL60305 		MOB
182 NORTHWESTERN MEDICINE HEALTHLAB ST LOUIS
916 OLIVE ST
ST LOUIS,MO63101 		HEALTHLAB - DRAW STATION
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT Northwestern Memorial HealthCare and Subsidiaries (NMHC) submit a community benefit report to the Illinois attorney general according to the requirements for the state of Illinois. Northwestern Memorial Hospital (NMH), Northwestern Lake Forest Hospital (NLFH), Central DuPage Hospital (NWCDH), Delnor Community Hospital (Delnor), Kishwaukee Community Hospital (KCH), Valley West Hospital (VWH), Kishwaukee Physicians Group (KPG), Marianjoy Rehabilitation Hospital and Clinics (MJRH), Marianjoy Medical Group (MMG) and all other NMHC non-profit subsidiaries' results are included in this report.
Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES THE BENEFITS REPORTED ARE PRIMARILY ASSOCIATED WITH OPERATING LOSSES SUPPORTING NMH'S MENTAL HEALTH PROGRAMS. NMHC DOES NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
Schedule H, Part I, Line 3c DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE Northwestern Memorial Hospital, Northwestern Lake Forest Hospital, Central DuPage Hospital, Delnor-Community Hospital, Kishwaukee Community Hospital, and Valley West Hospital 09/01/2017-08/31/2018 NMH, NLFH, CDH, Delnor, Kishwaukee and Valley West shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance. A. Homelessness B. Deceased with no estate C. Mental incapacitation with no one to act on the patient's behalf D. Medicaid eligibility, but not on date of service for non-covered service E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines; 1. Women, Infants and Children Nutrition Program (WIC) 2. Supplemental Nutrition Assistance Program (SNAP) 3. Illinois Free Lunch and Breakfast Program 4. Low Income Home Energy Assistance Program (LIHEAP) 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial 6. Receipt of grant assistance for medical services Marianjoy Rehabilitation Hospital & Clinics: 09/01/2017 - 08/31/2018 In addition to FPG guidelines, Marianjoy Rehabilitation Hospital & Clinics utilizes other factors to determine eligibility for free or discounted care per the organization's charity care policy. These factors include: 1. Family income relative to family size and other related factors such as current financial obligations 2. Employment status, including, but not limited to, future earning capacity sufficient to meet the patient's financial obligations in an acceptable period of time 3. Future and current ability to pay 4. Medical expenses, including pharmaceutical expenses, as a percentage of a patient's annual gross income, the amount of total medical bills outstanding, and the frequency of payments to be made in relation to the factors above 5. Credit report information 6. Actual cost of care provided 7. Other factors deemed appropriate by the health system. Marianjoy Rehabilitation Hospital & Clinics do not consider the patient's assets in determining ability to pay or eligibility for charity care.
Schedule H, Part VI, Line 2 NEEDS ASSESSMENT, CONTINUED Northwestern Medicine Valley West Hospital: NM Valley West collaborates with diverse organizations to identify a common vision and plan to create a collective impact on the overall health of the community. This includes striving to coordinate efforts focusing on community priorities with community stakeholders including the DeKalb County Health Department, the Kendall County Health Department, Fox Valley Older Adults, and other medical, not-for-profit, community and faith-based organizations. Marianjoy Rehabilitation Hospital: MRH coordinates strategies with community partners and key stakeholders who include, but are not limited to, the DuPage County Health Department, DuPage Federation on Human Services Reform, AbilityLinks, the People's Resource Center, and local school districts and public entities. MRH's Pediatric Community Groups continue to be highly utilized by parents/caregivers to work on achieving functional goals for children with special needs.
Schedule H, Part VI Rev. Proc. 2015-21 Disclosure During the August 31, 2018 fiscal year, Kishwaukee Community Hospital (KCH) received an IRS notice indicating a Compliance Check of the Financial Assistance Policy. The Compliance Check focused on the availability of a Provider Listing in addition to the basis for patient charges and discounts. A response was prepared on the basis of the FAP at the time of response when KCH had been fully incorporated in the overall FAP designated by NM Healthcare. The response was provided to the IRS on a timely basis and discussed with the Agent initiating the Compliance Check. The Agent acknowledged that the FAP language discussing patient charges and discounts was adequate and did not require update or clarification at this time. It was noted that the Provider List was required to more fully describe the providers who are or are not subject to the FAP, on either the basis of the physician or the department. The List was also acknowledged as required to be available more directly through the FAP or a website connected to the FAP. Although not meeting the disclosure requirements, the FAP met the spirit of serving the emergency and medically necessary care needs of patients. It is estimated that no patient was adversely affected, and was able to access this detail with the assistance of Hospital staff as needed. The Provider List was posted to the website for access prior to July 1, 2018 and is updated on a monthly basis, exceeding the quarterly basis as suggested by IRS guidance. The FAP will continue to direct users to access the List in this manner and clarify any necessary paths to obtaining or navigating the List.
Schedule H, Part V, Section B Marianjoy Rehabilitation Hospital and Clinics As of September 1, 2018, Marianjoy was added and incorporated within the broader NMHC policies, particularly the Financial Assistance Policy. This return is completed with a historical approach as of August 31, 2018 responses pertaining to Marianjoy. Internet links are no longer active but will redirect to the current policy followed by Marianjoy. The active link redirect is: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 173930605
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST OF CHARITY CARE FOR THE HOSPITALS WAS CALCULATED BY APPLYING THE TOTAL COST-TO-CHARGE RATIO FROM EACH HOSPITAL'S MEDICARE COST REPORT (CMS 2552-96 WORKSHEET C, PART 1, CONSISTENT WITH THE STATE OF ILLINOIS ATTORNEY GENERAL'S OFFICE DEFINITION) TO THE CHARGES ON ACCOUNTS IDENTIFIED AS QUALIFYING FOR CHARITY CARE (AS DEFINED IN THE AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS ACCOUNTING AND AUDITING GUIDE - HEALTHCARE ORGANIZATIONS). THE RESULTANT CALCULATED COST WAS THEN OFFSET BY ANY PAYMENTS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF PATIENT BILLS QUALIFYING FOR A CHARITY CARE DISCOUNT (AS DEFINED IN THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION'S PRINCIPLES AND PRACTICES BOARD STATEMENT 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS) NMG IS NOT REQUIRED TO FILE A MEDICARE COST REPORT. AN INTERNALLY CALCULATED COST-TO-CHARGE RATIO SPECIFIC TO NMG WAS USED TO DETERMINE THE COST OF CHARITY CARE FOR NMG. THE RESULTANT CALCULATED COST WAS THEN OFFSET BY ANY PAYMENTS, CONSISTENT WITH THE METHODOLOGY FOR THE HOSPITALS. THE UNREIMBURSED COST OF BAD DEBT, MEDICAID, MEDICARE OR ANY OTHER FEDERAL, STATE OR LOCAL INDIGENT HEALTHCARE PROGRAM IS NOT INCLUDED IN THE UNREIMBURSED COST FIGURE FOR CHARITY CARE. THE COSTS OF CHARITY CARE IN THIS REPORT DIFFER FROM NMHC'S NOTES TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR FISCAL YEAR 2018 WHERE THEY WERE CALCULATED BY APPLYING A COST-TO-CHARGE RATIO DEVELOPED PRIOR TO FILING NMH'S, NLFH'S, CDH'S, DELNOR'S, KISH'S, AND MARIANJOY'S FISCAL YEAR 2018 MEDICARE COST REPORTS TO CHARGES FOREGONE FOR CHARITY CARE. THE FISCAL YEAR 2018 MEDICARE COST REPORTS WERE COMPLETED AFTER THE AUDITED FINANCIAL STATEMENTS WERE ISSUED. THE COSTS OF CHARITY CARE FOR THE HOSPITALS INCLUDED IN THIS REPORT WERE CALCULATED USING THE COST-TO-CHARGE RATIOS FROM NMH'S, NLFH'S, CDH'S, DELNOR'S, KISH'S, AND MARIANJOY'S COST REPORTS FILED IN FEBRUARY OF 2019 FOR FISCAL YEAR 2018. COMMUNITY HEALTH IMPROVEMENT SERVICES - THE COST OF LANGUAGE ASSISTANCE PROGRAMS INCLUDES BOTH THE COST OF EMPLOYEES AND NONEMPLOYEES TO PROVIDE TRANSLATION SERVICES TO NMHC HOSPITAL PATIENTS AND FAMILY MEMBERS. EDUCATION - UNREIMBURSED EDUCATION COSTS INCLUDE THE COST OF NMHC'S MEDICAL RESIDENCY, FELLOWSHIP AND INTERNSHIP PROGRAMS LESS ANY THIRD-PARTY PAYOR REIMBURSEMENTS AND FEES RECEIVED. SUBSIDIZED HEALTH SERVICES - SUBSIDIZED HEALTH SERVICES INCLUDE THE UNCOMPENSATED COST OF PROVIDING BEHAVIORAL HEALTH SERVICES, HEALTH EDUCATION AND INFORMATION AND PROGRAMS TO POSITIVELY IMPACT THE WELLNESS OF THE COMMUNITY. COSTS CALCULATED WERE OFFSET BY ANY REIMBURSEMENT RECEIVED FOR SERVICES PROVIDED. THE UNREIMBURSED COST FOR BEHAVIORAL HEALTH SERVICES WAS ALSO ADJUSTED TO EXCLUDE THE UNREIMBURSED COST OF CHARITY CARE AND GOVERNMENT SPONSORED INDIGENT HEALTHCARE. RESEARCH - NMHC PROVIDES SUPPORT TO ADVANCE MEDICAL AND SCIENTIFIC RESEARCH AND ACADEMIC PURSUITS. THE REPORTED SUPPORT INCLUDES THE UNREIMBURSED COST OF FUNDS PROVIDED FOR RESEARCH PROJECTS AND UNREIMBURSED OPERATIONAL INFRASTRUCTURE COSTS TO SUPPORT CLINICAL RESEARCH THAT OCCURS AT NMH, NMG, CDH AND MJRH. DONATIONS - DONATIONS INCLUDE THE DOLLAR AMOUNT RECORDED DURING FISCAL YEAR 2018 IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AS CONTRIBUTIONS TO CHARITABLE AND OTHER COMMUNITY OR CIVIC ORGANIZATIONS FOR FURTHERANCE OF THEIR CHARITABLE PURPOSES.
Schedule H, Part II Community Building Activities NMHC HOSPITALS PROVIDE A BROAD RANGE OF TRAINING PROGRAMS AND SUPERVISED PATIENT CARE EXPERIENCES TO ENSURE THAT A HIGHLY TRAINED HEALTHCARE WORKFORCE OF ADEQUATE CAPACITY IS IN PLACE TO SERVE THE RESIDENTS OF THE REGION. IMPORTANTLY, THESE PROGRAMS CREATE PATHWAYS FOR AT-RISK MEMBERS OF THE COMMUNITY TO SEEK JOBS WITHIN THE HEALTHCARE SYSTEM AND ALSO ARE IN PLACE FOR YOUNG PEOPLE TO LEARN ABOUT AND POTENTIALLY EXPLORE HEALTHCARE CAREERS. ALLIED HEALTH SCHOOLS AT NMH NMH OPERATES FOUR ACCREDITED ALLIED HEALTH SCHOOLS - DIAGNOSTIC MEDICAL SONOGRAPHY, NUCLEAR MEDICINE TECHNOLOGY, RADIATION THERAPY AND RADIOLOGY - AS WELL AS A COMPUTED TOMOGRAPHY TRAINING PROGRAM. THE 21-MONTH CERTIFICATE PROGRAMS ARE OPEN TO EMPLOYEES AND THE GENERAL PUBLIC. MANY STUDENTS COME FROM THE LOCAL COMMUNITY, AS WELL AS FROM AFFILIATED COLLEGES AND UNIVERSITIES. LEADERS OF THESE PROGRAMS VISIT CITY HIGH SCHOOLS, COLLEGES AND UNIVERSITIES TO INTRODUCE VARIOUS MEDICAL FIELDS TO PROSPECTIVE STUDENTS AND INCREASE THEIR GENERAL KNOWLEDGE OF VARIOUS ALLIED HEALTH FIELDS. THE CERTIFICATE PROGRAMS AIM TO ADDRESS THE NEED FOR ALLIED HEALTH PROFESSIONALS IN THE FIELD. CLINICAL EXPERIENCE AT NMHC HOSPITALS NMHC HOSPITALS PROVIDE THE IMPORTANT CLINICAL SETTING FOR THE EDUCATION OF THE NEXT GENERATION OF HEALTHCARE WORKERS, INCLUDING PHYSICIANS, NURSES, PHARMACISTS, LABORATORY PROFESSIONALS, ALLIED HEALTH WORKERS AND SKILLED TECHNICIANS. THROUGH CLINICAL AFFILIATIONS WITH TOP REGIONAL UNIVERSITIES AND COLLEGES AND ESTABLISHED CLINICAL ROTATIONS, MENTORING, CLINICIAN SHADOWING, TRADITIONAL DIDACTIC LECTURES AND OTHER TEACHING PROGRAMS, WE PROVIDE CLINICAL SETTINGS FOR THE EDUCATION OF THOUSANDS OF STUDENTS, MANY OF WHOM WILL BECOME PROFESSIONALS IN FIELDS IDENTIFIED AS AREAS OF CURRENT OR FUTURE WORKFORCE SHORTAGE IN THE NATIONAL HEALTHCARE SYSTEM. NMHC PROVIDES EDUCATION TO A WIDE RANGE OF STUDENTS INCLUDING: - UNDERGRADUATE AND GRADUATE NURSING STUDENTS - STUDENTS FROM UNIVERSITY-BASED PHARMACY PROGRAMS - RESPIRATORY THERAPY STUDENTS - GRADUATE SOCIAL WORK INTERNS - PSYCHOLOGY PHD CANDIDATES WITH CLINICAL EMPHASES IN ADULT CLINICAL PSYCHOLOGY, BEHAVIORAL MEDICINE (HEALTH PSYCHOLOGY), CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY AND CLINICAL NEUROPSYCHOLOGY - INTERNS IN BIOMEDICAL ENGINEERING - PASTORAL CARE STUDENTS - PHYSICAL AND OCCUPATIONAL THERAPY ASSISTANT, BACHELOR, MASTERS AND PHD STUDENTS - STUDENTS IN A BROAD ARRAY OF OTHER CLINICAL PROGRAMS ON-THE-JOB TRAINING AND YOUTH EDUCATION PROGRAMS SINCE 1997, NMH HAS PARTNERED WITH THE CARA PROGRAM TO HELP HOMELESS AND OTHER AT-RISK ADULTS IN THEIR EFFORTS TO ACHIEVE LONG-TERM EMPLOYMENT SUCCESS BY PROVIDING ON-THE-JOB TRAINING SKILLS THAT READY THEM TO MOVE INTO THE WORKFORCE. NMH HAS HIRED MORE THAN 120 EMPLOYEES THROUGH THIS PARTNERSHIP SINCE IT BEGAN. NMHC OFFERS ONGOING, COMPREHENSIVE YOUTH PROGRAMS THAT EXPOSE STUDENTS TO POTENTIAL HEALTHCARE CAREERS. - THE NM SCHOLARS PROGRAM IS A UNIQUE PARTNERSHIP BETWEEN NMHC AND THE CHICAGO PUBLIC SCHOOL (CPS) WESTINGHOUSE COLLEGE PREPARATORY HIGH SCHOOL (WESTINGHOUSE), A SELECTIVE ENROLLMENT HIGH SCHOOL LOCATED IN GARFIELD PARK ON THE CITY'S WEST SIDE. THE PROGRAM PROVIDES TALENTED HIGH SCHOOL STUDENTS WITH THE OPPORTUNITY TO LEARN ABOUT AND PURSUE POST-HIGH SCHOOL EDUCATION IN HEALTHCARE CAREERS. STUDENTS ARE EXPOSED TO FEINBERG FACULTY AND HOSPITAL EMPLOYEES AND PROVIDED A BEHIND-THE-SCENES UNDERSTANDING OF CLINICAL AREAS AND POTENTIAL CAREERS. A GROUP OF HIGH-ACHIEVING HIGH SCHOOL FRESHMEN ARE SELECTED EACH YEAR TO PARTICIPATE IN THE FOUR-YEAR PROGRAM WHICH INCLUDES MENTORING BY SENIOR FACULTY MEMBERS, AN INTENSIVE THREE-WEEK SUMMER PROGRAM, DISTANCE LEARNING, ACT TEST PREPARATION AND LEADERSHIP AND LIFE SKILLS DEVELOPMENT; 17 STUDENTS PARTICIPATED IN FISCAL YEAR 2018. - NMHC FORMALIZED ITS PARTNERSHIP WITH WESTINGHOUSE'S MEDICAL AND IT CAREER ACADEMIES AND WILL HELP TO STRENGTHEN CURRICULUM AND PROVIDE EXPOSURE TO HEALTH AND IT CAREERS THROUGH SITE VISITS, JOB SHADOWING, SPEAKERS AND INTERNSHIPS. THIS ACTIVITY IS FUNDED IN PART BY THE MICHAEL REESE HEALTH TRUST. - THE NM DISCOVERY PROGRAM, FORMERLY KNOWN AS MEDICAL EXPLORERS, HAS BEEN AN NMHC INSTITUTION SINCE 1996, NOW OPERATED THROUGH TWO CHAPTERS: NM DISCOVERY PROGRAM CENTRAL AND NM DISCOVERY PROGRAM WEST. THROUGHOUT THE TWO YEAR PROGRAM, STUDENTS ARE EXPOSED TO A BROAD RANGE OF ACTIVITIES DESIGNED TO ENCOURAGE THEIR INTEREST IN HEALTHCARE CAREERS. IN ADDITION, THE PROGRAM FOSTERS CHARACTER AND PROFESSIONAL DEVELOPMENT, CULTIVATES LIFE SKILLS, PROVIDES COMMUNITY SERVICE AND LEADERSHIP EXPERIENCE, OFFERS MENTORSHIP AND NETWORKING OPPORTUNITIES. ONCE MONTHLY ACTIVITIES INCLUDE TOURS, GUEST SPEAKERS, GROUP DISCUSSION AND HANDS-ON PROJECTS. TO DATE, OVER 1,000 HIGH SCHOOL STUDENTS HAVE PARTICIPATED IN THE PROGRAM, WITH 109 PARTICIPANTS IN FISCAL YEAR 2018, INCLUDING 49 STUDENTS FROM THE CENTRAL CHAPTER AND 60 PARTICIPANTS FROM THE WEST CHAPTER. ADDITIONALLY, EACH SUMMER A SELECT NUMBER OF NM DISCOVERERS ARE OFFERED INTERNSHIPS IN VARIOUS DEPARTMENTS THROUGHOUT NMH; NMH HOSTED SEVEN SUMMER INTERNS IN FISCAL YEAR 2018 FROM THE DISCOVERY PROGRAM. SINCE THE PROGRAM BEGAN, MANY PARTICIPANTS HAVE PURSUED CAREERS IN NURSING AND MEDICINE AND SEVERAL ARE NOW EMPLOYED AT NMH. ADDITIONAL EXPANSION OF THE PROGRAM AND THE PROGRAM INTERNSHIP ARE EXPECTED IN THE COMING YEARS. - NMCDH WORKS WITH NAPERVILLE CENTRAL HIGH SCHOOL TO PROVIDE INFORMATION ON HEALTHCARE CAREERS AND OFFER HOSPITAL TOURS TO INTERESTED STUDENTS. - LFH STAFF PROVIDE MEDICAL CAREER ADVISORY TRAINING AT LAKE COUNTY HIGH SCHOOL'S TECHNICAL CAMPUS AND ASSIST STUDENTS AND PARENTS IN EXPLORING EDUCATIONAL PATHS TO SUPPORT CAREER GOALS. - LAKE FOREST HOSPITAL VOLUNTEER SERVICES DEPARTMENT COLLABORATES WITH AREA HIGH SCHOOLS ON THEIR TRANSITION STUDENT VOLUNTEER INITIATIVE. THE INITIATIVE MATCHES SPECIAL EDUCATION STUDENTS WITH VOLUNTEER POSITIONS TO BUILD THE STUDENTS' JOB SKILLS IN PREPARING FOR ENTERING THE WORKFORCE. IN FY18, TWO STUDENTS WERE INVOLVED IN THE INITIATIVE, HOLDING POSITIONS AT LAKE FOREST HOSPITAL AND LAKE FOREST HEALTH & FITNESS CENTER. - NMHC CONTINUES TO OFFER COMPREHENSIVE INTERNSHIPS AND FELLOWSHIPS FOR COLLEGE STUDENTS AND POST-GRADUATES. - FOR MORE THAN 20 YEARS, NMH HAS BEEN A SPONSOR OF THE INROADS PROGRAM, WHICH PROVIDES PROGRESSIVE INTERNSHIPS, YEAR-ROUND ACADEMIC INSTRUCTION AND SUMMER WORKSHOPS TO PREPARE MINORITY COLLEGE STUDENTS FOR THE CORPORATE WORK SETTING. INITIALLY DEVELOPED UNDER THE FEDERAL "HIRE THE FUTURE" PROGRAM, NMH WAS THE FIRST CHICAGO HOSPITAL TO PARTICIPATE IN THIS PROGRAM. STUDENTS BENEFIT FROM MENTORING AND LEADERSHIP TRAINING TO PREPARE THEM FOR FUTURE POSITIONS IN A HEALTHCARE CAREER. - CHICAGO SCHOLARS IS A NOT-FOR-PROFIT ORGANIZATION THAT PROVIDES A COMPREHENSIVE FIVE-YEAR PROGRAM OF MENTORING, INTERNSHIP PLACEMENT, NETWORKING, COLLEGE ADMISSION ASSISTANCE AND SCHOLARSHIPS TO COLLEGE-BOUND AND COLLEGE-LEVEL CHICAGO YOUTH FROM PRIMARILY LOW-INCOME BACKGROUNDS. NMHC IS A "HIGH FIVE PARTNER" OF THE PROGRAM, CONTRIBUTING $20,000 EACH YEAR FOR FOUR YEARS. MEMBERS OF THE HUMAN RESOURCES DEPARTMENT AT NMHC PROVIDED SUPPORT TO THIS PROGRAM BY PARTICIPATING IN THE APPLICANT INTERVIEW AND SELECTION PROCESS AND VOLUNTEERING AT THE CAREER FAIR. - NMHC OFFERS SUMMER INTERNSHIPS FOR HIGH SCHOOL AND UNDERGRADUATE STUDENTS IN BOTH CLINICAL AND ADMINISTRATIVE SETTINGS THROUGHOUT THE SYSTEM. THE SUMMER INTERNSHIP PROGRAM OFFERS AN OPPORTUNITY FOR COLLEGE JUNIORS AND SENIORS TO SHADOW AND OBSERVE A VARIETY OF SPECIALTY PROGRAMS WITHIN THEIR RESPECTIVE HOSPITALS AND OTHER NMHC AFFILIATES IN THE WESTERN SUBURBS. THE EIGHT-WEEK PROGRAM FOCUSES ON SPECIALTY ROTATIONS, WITH EACH WEEKLY ROTATION PROVIDING A BEHIND-THE-SCENES LOOK AT THE CARE OUR PATIENTS RECEIVE IN HOSPITAL AND OFFICE SETTINGS. THERE WERE 12 PARTICIPANTS IN THE SUMMER INTERNSHIP PROGRAM IN FY18.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount NET PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, AND NET PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED PRIMARILY ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, ALONG WITH THE AGING STATUS FOR EACH MAJOR PAYOR SOURCE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF NORTHWESTERN MEMORIAL'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, A PROVISION IS RECORDED FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO THESE PATIENTS. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH NORTHWESTERN MEMORIAL'S POLICIES, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, NORTHWESTERN MEMORIAL RECORDS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. BAD DEBTS REPRESENT THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS REPORTED IN NMHC'S FISCAL YEAR 2018 AUDITED FINANCIAL STATEMENTS RELATED TO PATIENT CARE SERVICES ADJUSTED TO COST CONSISTENT WITH THE METHODOLOGY USED TO CALCULATE GOVERNMENT SPONSORED INDIGENT HEALTHCARE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NET PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, AND NET PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED PRIMARILY ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, ALONG WITH THE AGING STATUS FOR EACH MAJOR PAYOR SOURCE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF NORTHWESTERN MEMORIAL'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, A PROVISION IS RECORDED FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO THESE PATIENTS. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH NORTHWESTERN MEMORIAL'S POLICIES, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, NORTHWESTERN MEMORIAL RECORDS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. BAD DEBTS REPRESENT THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS REPORTED IN NMHC'S FISCAL YEAR 2018 AUDITED FINANCIAL STATEMENTS RELATED TO PATIENT CARE SERVICES ADJUSTED TO COST CONSISTENT WITH THE METHODOLOGY USED TO CALCULATE GOVERNMENT SPONSORED INDIGENT HEALTHCARE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE UNREIMBURSED COST OF MEDICARE IS DEFINED BY THE STATE OF ILLINOIS ATTORNERY GENERAL'S OFFICE ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT AS A COMMUNITY BENEFIT. THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION ALSO VIEWS THE UNREIMBURSED COSTS OF MEDICARE AS PART OF A HOSPITAL'S COMMUNITY BENEFIT PROGRAM. NMHC PROVIDES MEDICAL CARE TO MEDICARE PATIENTS AT A COST HIGHER THAN THE REIMBURSEMENT IT RECEIVES FROM MEDICARE. THE AMOUNTS LISTED FOR PART III, LINE 5 THRU 7, ARE CALCULATED CONSISTENT WITH THE METHODOLOGY DESCRIBED FOR CALCULATING UNREIMBURSED COST OF MEDICAID FOR FISCAL 2018.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance NMHC'S CREDIT AND COLLECTION POLICY CONTAINS A PROVISION FOR FINANCIAL COUNSELING. THE POLICY STATES THAT PATIENTS WITH SELF-PAY BALANCES AND WITHOUT THE RESOURCES TO PAY THEIR OBLIGATIONS WILL BE ASSESSED FOR FREE AND DISCOUNTED CARE ELIGIBILITY BY THE FINANCIAL COUNSELING DEPARTMENTS. THE ASSESSMENT INVOLVES AND EVALUATION OF ALL LEVELS OF ASSISTANCE INCLUDING GOVERNMENTAL ASSISTANCE, EXTENDED PAY ALTERNATIVES, AND FREE OR DISCOUNTED CARE. IF THE PATIENT QUALIFIES FOR FREE CARE, THE ACCOUNT IS ADJUSTED TO ZERO SO NO COLLECTION ACTIVITY OCCURS. IF FINANCIAL ASSISTANCE RESULTS IN A DISCOUNTED OR REDUCED BALANCE, ONLY THE REDUCED BALANCE WILL BE SUBJECT TO THE COLLECTION PROCESS.
Schedule H, Part V, Section B, Line 16a FAP website - Northwestern Memorial Hospital: Line 16a URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16a URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16a URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16a URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16a URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16a URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16a URL: http://marianjoy.org/patients-visitors/billing-insurance.aspx;
Schedule H, Part V, Section B, Line 16b FAP Application website - Northwestern Memorial Hospital: Line 16b URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16b URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16b URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16b URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16b URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16b URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16b URL: http://marianjoy.org/patients-visitors/billing-insurance.aspx;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Northwestern Memorial Hospital: Line 16c URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16c URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16c URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16c URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16c URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16c URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16c URL: http://marianjoy.org/patients-visitors/billing-insurance.aspx;
Schedule H, Part VI, Line 2 Needs assessment NMHC's mission sets forth our commitment to improve the health of the communities we serve and to advance medical research and education. The Community Benefits Plan describes the broad-reaching goals that support this commitment and address our responsibility as a tax-exempt organization. The Department of Community Affairs develops and maintains a Community Benefits Plan for the Health System, which is executed at the hospital level to best meet the needs of our local communities. Reviewed annually and revised as needed, the objectives of the Community Benefits Plan are to: 1. Provide quality medical care, regardless of the patients' ability to pay. 2. Honor Northwestern Medicine's Mission and Commitment to the Community. 3. Be responsive to the assessed needs of the local community served by each hospital. 4. Forge relationships with local community organizations to help address social determinants of health. 5. Evaluate the public health impact of Northwestern Medicine programming and replicate by geography and/or disease state with sensitivity to the individual needs of our patients, their families and the communities we serve. 6. Leverage our strengths as a premier Academic Health System to train the next generation of caregivers and utilize evidence-based models for community health engagement. 7. Leverage our bond with Northwestern University Feinberg School of Medicine to be leaders in quality, academic excellence, scientific discovery, patient safety and research-informed treatment. Aligned with our missions and Community Benefits Plan, and in accordance with the requirements of the Affordable Care Act, each of the NMHC Health System hospitals works with community and campus partners every three years to complete a comprehensive Community Health Needs Assessment (CHNA) that identifies the highest priority health needs of residents of their communities. With Feinberg, NMHC brings to bear the resources of a world-class integrated academic health system to advance our Community Benefits Plan and CHNA initiatives in ways that could not be achieved as stand-alone hospitals. Providing better care, closer to home allows our communities access to the latest developments in education and research that previously may not have been available at the community level. This includes: 1. Seeking root causes to health conditions and collaborating with scientists and clinicians to develop solutions; 2. Enhancing access to health care; 3. Improving clinical quality; 4. Advancing medical innovation; and 5. Ensuring that a highly skilled healthcare workforce is in place for decades to come. CHNAs provide information that enables hospitals to identify health issues of greatest concern among all residents in the identified community and decide how best to commit resources to those areas, thereby making the greatest possible impact on community health status. They employ a systematic, data-driven approach to determine the health status, behaviors and needs of the residents of each hospital's Service Area. Each CHNA serves as a tool toward reaching three goals: 1. To improve residents' health status, increase their life spans and elevate their overall quality of life. A healthy community is one where its residents suffer little from physical and mental illness and also enjoy a high quality of life. 2. To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at risk for various diseases and injuries. Intervention plans aimed at targeting these segments may then be developed to combat some of the socio-economic factors that have historically had a negative impact on residents' health. 3. To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care. The CHNAs and corresponding implementation plans were developed with feedback from community healthcare organizations and other social services and public organizations who understand and help represent the wide-ranging healthcare needs of the residents in our communities. The CHNA implementation plans are grounded in public health models developed with our community partners, in which residents of our communities are informed and able to make healthy lifestyle choices, manage their chronic health conditions and receive medically necessary healthcare services in the most appropriate setting. We believe that our mission to improve the health of the communities we serve is best accomplished in collaboration with partners in both the community and within the organizations that comprise Northwestern Medicine including the Health System and Feinberg. Our affiliations with community-based healthcare and community partners enable the Health System's organizations to meaningfully improve access to high-quality health care and implement targeted programs that address the highest-priority health needs of the community. We have implemented large-scale programs throughout our communities using this framework to target high-priority health conditions and will continue to use public health models to address priority health needs identified through our CHNAs. Ongoing efforts draw on NMHC's and Feinberg's strengths in public health, communication and education, and include programs to address identified priority health needs across the Health System. Our hospitals have enduring relationships, often decades old, with local healthcare and community organizations. Through these partnerships, we collaborate on determining priority health needs through the CHNA process and work together to develop solutions that respect the varied cultural, socioeconomic and practical needs of our diverse communities. Northwestern Memorial Hospital: NMH collaborates with community-based health, education and social service organizations to provide health education, outreach services and focused disease management programs, and to ensure that the residents of our communities have convenient access to high-quality medical homes. NMH has formal and longstanding affiliations with two federally qualified health centers (FQHC) based in the community - Near North Health Service Corporation and Erie Family Health Center - as well as with CommunityHealth, the largest free health clinic in Illinois. Vital community partnerships are also in place among various health and community partners, including Bright Star Community Outreach and Kelly Hall YMCA, among many more. Northwestern Medicine Lake Forest Hospital: Through charity care, outreach services and health education programs, NM LFH improves access to healthcare services and responds to the priority health needs of the residents of Lake County, especially among the uninsured or underinsured. NM LFH has deep roots in Lake County and strong relationships with community partners including Erie HealthReach Waukegan Health Center and the Lake County Health Department, among others. Northwestern Medicine Central DuPage Hospital: NM CDH has enduring relationships with several community-led, county-wide health collaboratives, the DuPage County Health Department, local school districts and social services organizations. Longstanding collaborations include the DuPage Health Coalition/Access DuPage and the Village of Winfield. Through these partnerships, and many more, NM CDH provides health education, navigation and outreach services. Northwestern Medicine Delnor Hospital: NM Delnor regularly engages with Kane County organizations committed to improving the health of its residents, including the Kane County Health Department and the Tri City Health Partnership, among others. Northwestern Medicine Kishwaukee Hospital: NM Kishwaukee works closely with many community partners including the DeKalb County Community Mental Health Board, DeKalb County Health Department, Northern Illinois University, Kishwaukee College, area school districts, and many other local medical providers, not-for-profit organizations, and community groups. Together, NM Kishwaukee collaborates with these diverse organizations to identify a common vision and plan to create a collective impact on the overall health of the community.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THERE ARE MANY WAYS THAT PATIENTS OF THE HOSPITALS ARE INFORMED OR MADE AWARE OF THE AVAILABILITY OF THE HOSPITAL'S VARIOUS FINANCIAL ASSISTANCE PROGRAMS. A. TO INCREASE AWARENESS OF FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITALS HAVE DEVELOPED BROCHURES (IN ENGLISH AND SPANISH) THAT ARE PROVIDED TO PATIENTS UPON ADMISSION AND AVAILABLE AT REGISTRATION POINTS-OF-ENTRY B. ENGLISH- AND SPANISH-LANGUAGE SIGNS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE ARE PRESENT AT EVERY PATIENT REGISTRATION AREA, INCLUDING THE EMERGENCY DEPARTMENT. C. AS PART OF THE REGISTRATION PROCESS, PATIENTS ARE PROVIDED WITH A FINANCIAL ASSISTANCE INFORMATION BROCHURE WHICH DESCRIBES THE TYPES OF ASSISTANCE AVAILABLE AND HOW TO QUALIFY FOR ONE OR MORE OF THE PROGRAMS. D. THE GENERAL CONSENT FORMS THAT EVERY PATIENT SIGNS CONTAINS INFORMATION ABOUT THE NMHC FINANCIAL ASSISTANCE PROGRAMS, AND IS AVAILABLE IN ENGLISH, SPANISH, RUSSIAN, AND POLISH AT NMH, WHILE NLFH, CDH, DELNOR, KCH, VWH, AND MJRH HAVE PROGRAMS IN ENGLISH AND SPANISH. E. INPATIENTS RECEIVE A PATIENT WELCOME PACKAGE THAT INCLUDES THE FINANCIAL ASSISTANCE INFORMATION. F. PATIENTS CAN LEARN ABOUT AND ASSESS THEIR ELIGIBILITY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS WITH THE HELP OF THE HOSPITAL'S TEAM OF FINANCIAL COUNSELING AND PATIENT INQUIRY REPRESENTATIVES. THESE REPRESENTATIVES ARE AVAILABLE ON A WALK-IN BASIS OR THROUGH A TOLL-FREE NUMBER. G. PROCESSES ARE IN PLACE TO LINK PATIENTS WITH FINANCIAL COUNSELORS AND PATIENT INQUIRY REPRESENTATIVES WHEN FINANCIAL HARDSHIP IS IDENTIFIED AS A CONCERN DURING SOCIAL SERVICES ASSESSMENTS. H. THE ENTRY PORTAL TO THE NMHC WEBSITE CONTAIN A PROMINENT LINK TO INFORMATION ABOUT NMHC'S VARIOUS FINANCIAL ASSISTANCE PROGRAMS, THE FINANCIAL ASSISTANCE BROCHURE AND DOWNLOADABLE APPLICATIONS IN MULTIPLE LANGUAGES. I. WORKING IN CONJUNCTION WITH CLINICAL STAFF, FINANCIAL COUNSELORS VISIT INPATIENTS NOT ENROLLED IN GOVERNMENT OR PRIVATE HEALTH PLANS WHILE THEY ARE STILL IN THE HOSPITAL TO ASSIST THEM IN DETERMINING THEIR ELIGIBILITY FOR BOTH GOVERNMENT HEALTH PROGRAMS AND FOR HOSPITAL FREE AND DISCOUNTED CARE PROGRAMS. J. THE HOSPITALS INFORM UNINSURED PATIENTS, AND PATIENTS WITH AN OUTSTANDING BALANCE AFTER INSURANCE, OF THE AVAILABILITY OF VARIOUS FINANCIAL ASSISTANCE PROGRAMS, INCLUDING THE FREE CARE AND DISCOUNTED CARE PROGRAM, AND THE CATASTROPHIC PROGRAM OFFERED BY THE HOSPITALS, IN WRITTEN CORRESPONDENCE SENT TO THOSE PATIENTS. THIS INFORMATION INCLUDES THE TOLL-FREE PHONE NUMBER TO THE TEAM OF PATIENT ACCOUNT REPRESENTATIVES. K. THE HOSPITALS HAVE ON-SITE PATIENT ACCOUNT STAFF WHO ARE TRAINED AND AVAILABLE TO ASSIST PATIENTS WITH FINANCIAL ASSISTANCE. L. THE HOSPITALS PROVIDE PROACTIVE FINANCIAL COUNSELING FOR SELF-PAY PATIENTS WHO HAVE A SCHEDULED INPATIENT ADMISSION. FINANCIAL COUNSELING INCLUDES ASSESSMENT FOR PUBLICLY OR PRIVATELY FUNDED INSURANCE AND THE HOSPITALS' FINANCIAL ASSISTANCE PROGRAMS. FINANCIAL ASSISTANCE PROGRAMS, INCLUDES THE FREE CARE AND DISCOUNTED CARE PROGRAMS, AND THE CATASTROPHIC PROGRAM OFFERED BY THE HOSPITALS, IN WRITTEN CORRESPONDENCE SENT TO THOSE PATIENTS. THIS INFORMATION INCLUDES THE TOLL-FREE PHONE NUMBER TO THE TEAM OF PATIENT ACCOUNT REPRESENTATIVES.
Schedule H, Part VI, Line 4 Community information The communities served by NMHC hospitals are complex and diverse, encompassing rural, suburban and urban areas, with a range of socioeconomic statuses and the social determinants of health that correspond to these demographics. NMHC is committed to providing culturally competent care that is responsive to the needs of all of our patients. NMHC works closely with community partners, including community health centers, to identify priority health concerns and jointly develop community-based health initiatives designed to address healthcare disparities. NMHC defined its communities based on the Hospital Service Areas outlined below. NMHC Service Areas NMHC defines Hospital Service Area as a combination of the Primary Service Area (PSA) and the Secondary Service Area (SSA) that account for a percentage of inpatient admissions to each hospital. The Hospital Service Area of each hospital is defined in further detail, below. Northwestern Memorial Hospital Service Area NMH serves a large, complex and diverse area with patients coming from the City of Chicago and surrounding counties. NMH's Hospital Service Area is defined as the Cities of Chicago and Evanston, which provides 69 percent of inpatient admissions. The community in NMH's Hospital Service Area is ethnically and racially diverse with large Black and Hispanic populations as well as large Polish and Spanish-speaking populations. Within NMH's Hospital Service Area, the population is expected to grow at a rate of 0.9 percent over the next five years. Significantly, nearly 20 percent of families live below the poverty level in NMH's Hospital Service Area. NMH is committed to providing culturally competent care that is responsive to the needs of all our patients, regardless of the ability to pay. NMH works with community health centers in some of Chicago's medically underserved areas to identify priority health concerns and jointly develop community-based health initiatives designed to address healthcare disparities. Northwestern Medicine Lake Forest Hospital Service Area NM LFH primarily serves Lake County, which has a fairly stable population of around 704,000 residents; nearly 73 percent of inpatient admissions at NM LFH are derived from Lake County. While NM LFH's Hospital Service Area population is only expected to grow by 0.7 percent over the next five years, the over-65 population is growing rapidly. Between 2010 and 2015 (the most recent information available), the number of persons in Lake County 65 years and older increased by more than 2 percent. A total of 20.2% of Lake County residents are Hispanic or Latino. In looking at race independent of ethnicity, 78.7% of residents of Lake County are White and 14.4% are Black. Northwestern Medicine Central DuPage Hospital Service Area Located in Winfield, Illinois, NMCDH serves the residents of central and western DuPage County and beyond. NMCDH's Hospital Service Area accounts for 70 percent of inpatient admissions. Age distribution in the County includes 23.8 percent infants, children or adolescents (up 0.4 percent from the 2015 CHNA), 63.3 percent of residents are age 18 to 64 (up 1.1 percent), and the 12.9 percent of age 65 or older (up 0.6 percent). In looking at race independent of ethnicity, 79.4% of residents in DuPage County are White and 4.7% are Black. When considering ethnicity, 13.9% of DuPage residents are Hispanic or Latino. The county has a higher proportion of white residents and a lower proportion of black residents than the state and US. The percentage of Hispanic and Latino residents is also lower than found in the state and US. Northwestern Medicine Delnor Hospital Service Area NMDH primarily serves the residents of Kane County. Kane County is the seventh-youngest county in Illinois and notable for its age distribution. The median age remains 34.5 years as compared to the 2015 current Census Bureau average of 36.7 years. Those aged 18 to 24 comprise 61.1 percent of the population; 27.1 percent are age 0 to 17, and 11.7 percent are age 65 or older. Non-Hispanic whites now constitute 72.5 percent of the total population, an increase from 59 percent in the prior CHNA report, and Hispanics now comprise 31.4 percent of the total population. When compared to Illinois and the US in general, the proportion of Hispanics is double in Kane County, and the county has the largest proportion of Hispanics in the state. Northwestern Medicine Kishwaukee Hospital Service Area NMKH serves a majority of DeKalb County residents; the greater part of the county's residents live in the cities of DeKalb and Sycamore. The median age of DeKalb County residents is significantly lower than that of Illinois overall, at 30.3 years, or seven years less than the median age of an Illinois or US resident. 21.4 percent of residents are aged 20 to 29 years and 16.3 percent are aged from 10 to 19 years. Additionally, 11 percent of the population is aged 30 to 39, 11.8 percent comprises 40 to 49 years, 2.4 percent from 50 to 59 years, and 15.8 percent are over 60 years. The county population is 87 percent white, 8 percent black, 3 percent Asian and 2 percent is two or more races. When considering ethnicity, 11 percent of the population identified as Hispanic or Latino. Northwestern Medicine Valley West Hospital Service Area A critical access hospital in Sandwich, Illinois, NMVW primarily serves residents of DeKalb County, demographics as detailed with NMKH. NMVW's Hospital Service Area accounts for 72 percent of inpatient admissions. Marianjoy Rehabilitation Hospital Service Area Located in Wheaton, Illinois, MRH largely serves the residents of DuPage County, demographics as discussed with regards to the NMCDH service area of DuPage County as well. However, due to the specialty nature of the hospital, MRH also serves as a destination hospital receiving patient referrals from surrounding counties including Cook, Will, Kane, Kendall, DeKalb and LaSalle.
Schedule H, Part VI, Line 5 Promotion of community health As described in earlier sections, NMHC believes that its mission to improve the health of the communities it serves is best accomplished in collaboration with partners in the community. The CHNA process and ongoing input from community partners inform how NMHC hospitals prioritize and address community health needs. Along with our many care locations, our community affiliations help us to provide care to residents near where they live or work, with streamlined pathways to access medically necessary hospital-based care. NMHC also sponsors numerous programs to provide mental health services, promote health and wellness, prevent injury and trauma, and provide healthcare career training, youth mentoring, language assistance and volunteer programs to enhance the quality and accessibility of care. Net unreimbursed cost for these activities for FY18 was more than $19 million.
Schedule H, Part VI, Line 6 Affiliated health care system AS DESCRIBED THROUGHOUT THIS FORM 990, THE SUBORDINATES REPORTED IN THIS GROUP RETURN ARE ALL PART OF NORTHWESTERN MEMORIAL HEALTHCARE. THE COMMUNITY BENEFIT PLAN AND COMMUNITY HEALTH NEEDS ASSESSMENT, DESCRIBED EARLIER IN SCHEDULE H, GIVE DETAILS ABOUT EACH SUBORDINATE'S RESPECTIVE ROLE IN PROMOTING THE HEALTH OF THE COMMUNITIES WE SERVE.
Schedule H, Part VI, Line 7 State filing of community benefit report IL
Schedule H (Form 990) 2019
Additional Data


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Software Version: 2017v2.2

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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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number
36-4724966
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to 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
noncash assistance		 (h) Purpose of grant
or assistance
(1) Northwestern University
750 N Lake Shore Dr
Chicago,IL60611 		36-2167817 501(c)3 10,208,183       Academic support
(2) DuPage Health Coalition
511 Thornhill Dr
Ste E
Carol Stream,IL60188 		36-4448208 501(c)3 641,377       Access to healthcare
(3) Erie Family Health Center
1701 W Superior St
Chicago,IL60622 		36-3088628 501(c)3 330,000       Access to healthcare
(4) Near North Health Svcs Corp
1276 N Clybourn Ave
Chicago,IL60610 		36-3197647 501(c)3 325,000       Access to healthcare
(5) Northern Illinois University Fnd
Altgeld Hall 134
DeKalb,IL60115 		36-6086819 501(c)3 274,368       Community and Education Support
(6) Winfield Fire Protection District
27W560 High Lake Rd
Winfield,IL60190 		36-2797572 Government 150,000       Community safety and education
(7) CommunityHealth
2611 W Chicago Ave
Chicago,IL60622 		36-3831793 501(c)3 115,000       Access to healthcare
(8) TRI CITY HEALTH PARTNERSHIP INC
318 Walnut St
St Charles,IL60174 		36-4475369 501(c)3 110,000       Access to healthcare
(9) Kane County
719 S Batavia Ave
Geneva,IL60134 		36-6006585 Government 102,912       Community health and education
(10) YMCA of Metropolitan Chicago
824 N Hamlin Ave
Chicago,IL60651 		36-2179782 501(c)3 100,000       Community health and education
(11) PARENTS ALLIANCE EMPLOYMENT PROJECT
2525 Cabot Dr
Lisle,IL60532 		36-3003311 501(c)3 94,600       Support adults with disabilities
(12) Ann & Robert H Lurie Children's Hospital of Chicago
225 E Chicago Ave
Chicago,IL60611 		36-2170833 501(c)3 75,000       Health and well-being of children
(13) American Cancer Society
143 First St
Batavia,IL60510 		13-1788491 501(c)3 50,000       Support Relay for Life event
(14) Sycamore Park District
940 E State St
Sycamore,IL60178 		36-6006122 Government 45,500       Support park district programs
(15) COMMUNITY FOUNDATION OF THE FOX RIVER VALLEY
111 W Downer Pl
Aurora,IL60506 		36-6086742 501(c)3 40,750       Support community education
(16) Kishwaukee Family YMCA
2500 W Bethany Rd
Sycamore,IL60178 		36-2379643 501(c)3 34,500       Community health and education
(17) Sandwich Park District
1001 N Latham Rd
Sandwich,IL60548 		36-2646087 Government 29,000       Support for park district programs
(18) Family Service Agency of DeKalb County
14 Health Services Dr
DeKalb,IL60115 		36-2360012 501(c)3 25,000       Community health
(19) Fox Valley Food For Health
PO Box 532
Geneva,IL60134 		46-0961627 501(c)3 25,000       Community health and education
(20) Lazarus House
214 Walnut St
St Charles,IL60174 		36-4187609 501(c)3 25,000       Shelter and meals for homeless
(21) KISHWAUKEE COLLEGE FOUNDATION
21193 Malta Rd
Malta,IL60150 		23-7433949 501(c)3 19,260       Community and Education Support
(22) World Business Chicago
177 N State St
Chicago,IL60601 		36-4313685 501(c)3 17,840       Community support
(23) DEKALB COUNTY COMMUNITY FOUNDATION
475 DeKalb Ave
Sycamore,IL60178 		36-3788167 501(c)3 17,500       Community support
(24) Luster Learning Institute
1126 Hillcrest Ave
Highland Park,IL60035 		36-4604965 501(c)3 16,750       Community support
(25) Northern Illinois Food Bank
273 Dearborn
Geneva,IL60134 		36-3203648 501(c)3 16,060       Community health and nutrition
(26) DeKalb County Economic Development Corporation
421 N California St
Sycamore,IL60178 		36-3524353 501(c)3 15,880       Support economic development
(27) American Heart Association
205 N Michigan Ave
Chicago,IL60604 		13-5613797 501(c)3 15,000       Education/research/support
(28) DEKALB COUNTY YOUTH SERVICES BUREAU
330 Grove St
DeKalb,IL60115 		36-3034427 501(c)3 15,000       Support for youth programs
(29) Safe Passage
PO Box 621
DeKalb,IL60115 		36-3108372 501(c)3 15,000       Prevention of domestic violence
(30) VNA Healthcare
400 N Highland Ave
Aurora,IL60506 		36-2182095 501(c)3 15,000       Healthcare support
(31) Young Mens Christian Association of Northwestern DuPage County
49 Diecke Dr
Glen Ellyn,IL60137 		36-2470895 501(c)3 15,000       Community health and education
(32) DUPAGE COUNTY CONVALESCENT CENTER
400 N County Farm Rd
Wheaton,IL60187 		36-6006553 Government 14,000       Community health
(33) Fox Valley YMCA
3875 Eldamain Rd
Plano,IL60545 		36-3028169 501(c)3 13,000       Promote healthy lifestyle
(34) Fox Valley Older Adult Services
1406 Suydam Rd
Sandwich,IL60548 		36-2738669 501(c)3 13,000       Programs for seniors
(35) CASA - DeKalb County
407 W State St
Sycamore,IL60178 		36-3903898 501(c)3 12,500       Well-being of abused and neglected children
(36) SYCAMORE EDUCATION FOUNDATION
245 W Exchange St
Sycamore,IL60178 		36-3329746 501(c)3 12,500       Community and Education Support
(37) Thresholds
4101 N Ravenswood
Chicago,IL60613 		36-2518901 501(c)3 12,000       Support for mental health programs
(38) Chicago Youth Symphony Orchestra
410 S Michigan Ave
Chicago,IL60605 		36-6109808 501(c)3 10,000       Community support
(39) LAKE COUNTY PARTNERS
1 Overlook Pt
Lincolnshire,IL60069 		36-4206288 501(c)3 10,000       Community support
(40) Pulmonary Fibrosis Foundation
230 E Ohio St
Chicago,IL60611 		84-1558631 501(c)3 10,000       Research and education
(41) DEKALB COUNTY COMMUNITY GARDENS
PO Box 348
DeKalb,IL60115 		46-3681206 501(c)3 10,000       Community support
(42) HOPE HAVEN OF DEKALB COUNTY INC
1145 Rushmoore Dr
DeKalb,IL60115 		36-3537762 501(c)3 10,000       Shelter and meals for homeless
(43) KISHWAUKEE UNITED WAY
115 N First St
DeKalb,IL60115 		36-6158489 501(c)3 10,000       Support programs for community health
(44) VOLUNTARY ACTION CENTER OF DEKALB COUNTY
1606 Bethany Rd
Sycamore,IL60178 		36-2798257 501(c)3 10,000       Transportation and nutrition needs
(45) Common Threads
3811 Bee Caves Rd
Austin,TX78746 		20-0106847 501(c)3 10,000       Community health and education
(46) DuPage PADS
601 W Liberty
Wheaton,IL60187 		36-3675494 501(c)3 10,000       Shelter and meals for homeless
(47) DeKalb Chamber of Commerce
164 E Lincoln Hwy
DeKalb,IL60115 		36-0981630 501(c)6 9,500       Community support
(48) United Way
205 W Wacker Dr
Chicago,IL60606 		30-0200478 501(c)3 9,350       Community support
(49) SPECTRIOS INSTITUTE for low vision
219 E Cole Ave
Wheaton,IL60187 		36-3083157 501(c)3 9,340       Support for those with low vision
(50) Winfield Lions Club
PO Box 252
Winfield,IL60190 		36-3332525 501(c)4 9,000       Vision and hearing assistance programs
(51) GILDAS CLUB CHICAGO
537 N Wells St
Chicago,IL60654 		36-4115144 501(c)3 8,900       Support for cancer patients
(52) Navy Pier Inc
600 E Grand Ave
Chicago,IL60611 		27-4813461 501(c)3 8,500       Community support
(53) The Civic Federation
205 W Wacker Dr
Chicago,IL60606 		36-2170124 501(c)3 8,000       Improve government efficiency
(54) MIDTOWN EDUCATIONAL FOUNDATION
718 S Loomis Ave
Chicago,IL60607 		36-3417278 501(c)3 8,000       Community and Education Support
(55) RONALD MCDONALD HOUSE
1301 W 22nd St
Oak Brook,IL60523 		36-3532553 501(c)3 8,000       Community support
(56) Opportunity House
202 Lucas St
Sycamore,IL60178 		36-2476231 501(c)3 8,000       Support adults with disabilities
(57) SYCAMORE CHAMBER OF COMMERCE
407 W State St
Sycamore,IL60178 		36-1848940 501(c)6 7,800       Community support
(58) Catholic Charities of the Archdiocese of Chicago
721 N LaSalle St
Chicago,IL60610 		36-2170821 501(c)3 7,500       Community and Education Support
(59) Family Shelter Service
605 E Roosevelt Rd
Wheaton,IL60187 		36-2883552 501(c)3 7,500       Support for victims of domestic abuse
(60) Habitat for Humanity
233 N Michigan Ave
Chicago,IL60601 		36-4257107 501(c)3 7,500       Shelter for homeless
(61) Jackson Chance Foundation
200 N Michigan Ave
Chicago,IL60601 		46-1400798 501(c)3 7,500       Community support
(62) Wings Program
PO Box 95615
Palatine,IL60095 		36-3456061 501(c)3 7,500       Support for victims of domestic violence
(63) HOSPITAL SISTER MISSION OUTREACH CORP
PO Box 1665
Springfield,IL62705 		35-2271729 501(c)3 6,886       Medical assistance for the underserved
(64) Roman Catholic Diocese of Joliet-St John the Baptist
0S259 Church St
Winfield,IL60190 		36-2167849 501(c)3 6,500       Community support
(65) GENOA CHAMBER OF COMMERCE
113 N Genoa St
Genoa,IL60135 		36-2355846 501(c)6 6,300       Community support
(66) BEARS CARE
1920 Football Dr
Lake Forest,IL60045 		20-3902715 501(c)3 6,000       Community support
(67) Friends for Therapeutic Equine Activities
28W051 Liberty St
Winfield,IL60190 		36-4095011 501(c)3 5,500       Support for children/adults with special needs
(68) Special Camps for Special Citizens
26W684 Lindsey
Winfield,IL60190 		36-4002804 501(c)3 5,500       Recreational programs for youth with special needs
(69) Digestive Health Foundation
251 E Huron
Chicago,IL60611 		47-4178944 501(c)3 5,300       Research and education
(70) Winfield Park District
0N020 County Farm Rd
Winfield,IL60190 		36-3303703 Government 5,098       Community health
(71) Winfield in Action
0S623 Jefferson St
Winfield,IL60190 		23-7359257 501(c)3 5,020       Recreational program support
(72) FEED MY STARVING CHILDREN
401 93rd Ave NW
Coon Rapids,MN55433 		41-1601449 501(c)3 5,000       Community health and nutrition
(73) KISHWAUKEE SYMPHONY ORCHESTRA
PO Box 310
DeKalb,IL60115 		36-3069093 501(c)3 5,000       Community support
(74) TriCities Family Services
1120 Randall Ct
Geneva,IL60134 		23-7310008 501(c)3 5,000       Mental health program for low income
(75) Ecker Center for Mental Health
1845 Grandstand Pl
Elgin,IL60123 		36-2312495 501(c)3 5,000       Mental health program for low income
(76) EPILEPSY FOUNDATION OF GREATER CHICAGO
17 N State St
Chicago,IL60602 		36-2317619 501(c)3 5,000       Research and education
(77) World Relief
7 E Baltimore St
Baltimore,MD21202 		23-6393344 501(c)3 5,000       Support for Refugee programs
(78) Almost Home Kids
7S721 State Rte 53
Naperville,IL60540 		36-3822010 501(c)3 5,000       Support for children with special-needs
(79) NAMI of DuPage County
115 N County Farm Rd
Wheaton,IL60187 		36-3412057 501(c)3 5,000       Support for mental health programs
(80) Samaritan Interfaith Counseling Center
1819 Bay Scott Cir
Naperville,IL60540 		36-2846570 501(c)3 5,000       Support for mental health programs
(81) Western DuPage Special Recreation Association Foundation
116 N Schmale Rd
Carol Stream,IL60188 		36-3932924 501(c)3 5,000       Recreation scholarships for those with special needs
(82) Knights of Columbus
0S233 Church St
Winfield,IL60190 		36-3180409 501(c)8 5,000       Community support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
77
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
5
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
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
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) SCHOLARSHIPS 106 247,800      
(2) EMPLOYEE CRISIS ASSISTANCE 116 181,941      
(3) PATIENT BILL ASSISTANCE 18 50,730      
(4) PATIENT TRANSPORTATION ASSISTANCE 284 5,787      
(5) FOOD AND MEDICINE FOR INDIVIDUALS 188 25,361      
(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
Schedule I, Part III, Column (b) Number of recipients The number of scholarship recipients is known. For the other types of assistance to domestic individuals the number of recipients benefiting was estimated based on an average or typical amount of assistance provided.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE MAJORITY OF THE GRANTS FROM THE NORTHWESTERN MEMORIAL HEALTHCARE GROUP ARE ADMINISTERED THROUGH NORTHWESTERN MEMORIAL FOUNDATION ("NMF"). NMF MAINTAINS DETAILED RECORDS AND INTERNAL CONTROL PROCEDURES TO ENSURE GRANT RECIPIENTS ARE QUALIFIED, AWARD AMOUNTS ARE DOCUMENTED AND SELECTION CRITERIA ARE CLEAR. ONCE A GRANT HAS BEEN AWARDED, NMF INITIATES A WRITTEN AGREEMENT WITH THE GRANT RECIPIENT THAT INCORPORATES A BUDGET AND TIME PERIOD FOR SPENDING THE GRANT DOLLARS. REASONABLE DIRECT COSTS, SUPPORTED BY DIRECT BUDGET JUSTIFICATION AND RELATED TO THE PROJECT'S PURPOSE, ARE ALLOWABLE. RECIPIENTS AGREE TO ABIDE BY THE BUDGET AND ALL RELEVANT POLICIES IN EFFECT AT NORTHWESTERN MEMORIAL HEALTHCARE. GRANT EXPENDITURES ARE MONITORED FOR COMPLIANCE WITH THEIR RESPECTIVE AGREEMENTS, AT LEAST ONCE A YEAR TO ENSURE THAT BUDGETS ARE FOLLOWED AND EXPENSES ARE APPROPRIATE. AT THE END OF EACH BUDGET PERIOD, NMF REQUIRES THE GRANT RECIPIENT TO SUBMIT A WRITTEN NARRATIVE AND FINANCIAL REPORT OUTLINING PROJECT ACCOMPLISHMENTS AND HOW THE GRANT DOLLARS WERE EXPENDED. UNEXPENDED FUNDS ARE RETURNED TO NMF. GRANTS PROVIDED BY NORTHWESTERN MEMORIAL HOSPITAL AND NORTHWESTERN LAKE FOREST HOSPITAL TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS ARE SUPPORTED BY A GRANT AGREEMENT THAT DEFINES ANY RESTRICTIONS ASSOCIATED WITH THE GRANT AND ANY RELATED REPORTING REQUIREMENTS. IN ADDITION, CDH-DELNOR HEALTH SYSTEM AND KISHHEALTH SYSTEM ALSO PROVIDE GRANTS UNDER THEIR COMMUNITY BENEFIT GRANT PROGRAMS TO NONPROFIT, GOVERNMENTAL OR PUBLIC ORGANIZATIONS WITHIN THEIR LOCAL COMMUNITIES WHO ARE WORKING TO ADDRESS IDENTIFIED COMMUNITY HEALTH PRIORITIES, BASED ON THEIR LOCAL COMMUNITY HEALTH NEEDS ASSESSMENTS AND/OR COMMUNITY HEALTH IMPROVEMENT PLANS. THE GUIDING PHILOSOPHY OF THE CHARITABLE GRANT ACTIVITY IS TO NOT ONLY CONTRIBUTE OUR RESOURCES BUT TO ACTIVELY ENGAGE PARTNERS TO ASSESS, PLAN FOR AND MEET COMMUNITY HEALTH NEEDS. THE NMHC GROUP ORGANIZATIONS WORK CLOSELY WITH THEIR PARTNERS IN THE PROGRAMS THAT ARE AWARDED GRANTS. MONITORING THE USE OF GRANT FUNDS IS ACHIEVED THROUGH VARIOUS MEANS, INCLUDING ACTIVE PARTICIPATION IN PROGRAM IMPLEMENTATION, WRITTEN CONTRIBUTION AGREEMENTS, PERFORMANCE REPORTS AND BOARD PARTICIPATION IN SOME INSTANCES.
Schedule I (Form 990) 2019



Additional Data


Software ID: 17005876
Software Version: 2017v2.2


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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number

36-4724966
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
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:
a
The organization? ....................
5a
Yes
 
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1JAY ANDERSON
 
See Schedule O 		(i)

(ii)		 494,685
-------------
0 		322,619
-------------
0 		64,160
-------------
0 		178,642
-------------
0 		25,369
-------------
0 		1,085,476
-------------
0 		0
-------------
0
2Howard B Chrisman MD
 
See Schedule O 		(i)

(ii)		 631,122
-------------
0 		309,699
-------------
0 		1,800
-------------
0 		127,200
-------------
0 		5,371
-------------
0 		1,075,192
-------------
0 		0
-------------
0
3Seamus Collins
 
See Schedule O 		(i)

(ii)		 200,858
-------------
0 		55,907
-------------
0 		820
-------------
0 		24,412
-------------
0 		26,191
-------------
0 		308,188
-------------
0 		0
-------------
0
4JULIE L CREAMER
 
See Schedule O 		(i)

(ii)		 627,325
-------------
0 		435,848
-------------
0 		688,022
-------------
0 		108,600
-------------
0 		25,333
-------------
0 		1,885,128
-------------
0 		126,149
-------------
0
5Connie Falcone
 
See Schedule O 		(i)

(ii)		 199,576
-------------
0 		62,118
-------------
0 		1,310
-------------
0 		19,802
-------------
0 		11,322
-------------
0 		294,127
-------------
0 		0
-------------
0
6Matthew J Flynn
 
See Schedule O 		(i)

(ii)		 348,303
-------------
0 		166,173
-------------
0 		4,327
-------------
0 		67,800
-------------
0 		25,538
-------------
0 		612,141
-------------
0 		0
-------------
0
7Richard Franco
 
See Schedule O 		(i)

(ii)		 276,425
-------------
0 		115,638
-------------
0 		2,050
-------------
0 		33,336
-------------
0 		24,850
-------------
0 		452,299
-------------
0 		0
-------------
0
8James Giblin MD
 
See Schedule O 		(i)

(ii)		 518,289
-------------
0 		223,341
-------------
0 		4,974
-------------
0 		110,160
-------------
0 		29,049
-------------
0 		885,813
-------------
0 		0
-------------
0
9Dean M Harrison
 
See Schedule O 		(i)

(ii)		 1,671,192
-------------
0 		2,362,489
-------------
0 		2,368,306
-------------
0 		670,970
-------------
0 		18,052
-------------
0 		7,091,009
-------------
0 		460,979
-------------
0
10Emily J Kozak
 
See Schedule O 		(i)

(ii)		 207,779
-------------
0 		125,742
-------------
0 		22,267
-------------
0 		26,073
-------------
0 		25,479
-------------
0 		407,340
-------------
0 		0
-------------
0
11Brian J Lemon
 
See Schedule O 		(i)

(ii)		 553,322
-------------
0 		257,376
-------------
0 		40,413
-------------
0 		76,895
-------------
0 		27,821
-------------
0 		955,828
-------------
0 		0
-------------
0
12Thomas J McAfee
 
See Schedule O 		(i)

(ii)		 572,984
-------------
0 		395,897
-------------
0 		100,259
-------------
0 		209,063
-------------
0 		26,957
-------------
0 		1,305,159
-------------
0 		231,453
-------------
0
13Eric G Neilson MD
 
See Schedule O 		(i)

(ii)		 559,359
-------------
0 		405,375
-------------
0 		31,415
-------------
0 		16,200
-------------
0 		16,414
-------------
0 		1,028,763
-------------
0 		0
-------------
0
14John A Orsini
 
See Schedule O 		(i)

(ii)		 774,824
-------------
0 		565,551
-------------
0 		20,258
-------------
0 		275,155
-------------
0 		18,522
-------------
0 		1,654,310
-------------
0 		162,274
-------------
0
15Kevin P Poorten
 
See Schedule O 		(i)

(ii)		 622,699
-------------
0 		275,740
-------------
0 		77,674
-------------
0 		243,078
-------------
0 		27,122
-------------
0 		1,246,313
-------------
0 		10,000
-------------
0
16PATRICK TOWNE MD
 
See Schedule O 		(i)

(ii)		 457,607
-------------
0 		217,785
-------------
0 		5,287
-------------
0 		87,009
-------------
0 		23,925
-------------
0 		791,613
-------------
0 		0
-------------
0
17TODD BARROWCLIFT DO
 
See Schedule O 		(i)

(ii)		 188,622
-------------
0 		35,710
-------------
0 		1,280
-------------
0 		11,769
-------------
0 		25,880
-------------
0 		263,262
-------------
0 		0
-------------
0
18Michael Kulisz DO
 
See Schedule O 		(i)

(ii)		 412,781
-------------
0 		161,876
-------------
0 		170,588
-------------
0 		41,235
-------------
0 		24,312
-------------
0 		810,791
-------------
0 		50,703
-------------
0
19PATRICK M MCCARTHY MD
 
See Schedule O 		(i)

(ii)		 1,355,631
-------------
0 		551,250
-------------
0 		29,702
-------------
0 		16,200
-------------
0 		21,832
-------------
0 		1,974,615
-------------
0 		0
-------------
0
20Amy S Paller MD
 
See Schedule O 		(i)

(ii)		 222,667
-------------
0 		130,791
-------------
0 		19,229
-------------
0 		16,200
-------------
0 		24,749
-------------
0 		413,637
-------------
0 		0
-------------
0
21TERRANCE D PEABODY MD
 
See Schedule O 		(i)

(ii)		 608,837
-------------
0 		165,476
-------------
0 		6,960
-------------
0 		16,200
-------------
0 		24,073
-------------
0 		821,546
-------------
0 		0
-------------
0
22RONALD J SEVERINO MD
 
See Schedule O 		(i)

(ii)		 277,476
-------------
0 		0
-------------
0 		100,303
-------------
0 		16,200
-------------
0 		25,787
-------------
0 		419,765
-------------
0 		0
-------------
0
23DEAN P SHOENER MD
 
See Schedule O 		(i)

(ii)		 492,995
-------------
0 		0
-------------
0 		107,763
-------------
0 		16,200
-------------
0 		25,243
-------------
0 		642,200
-------------
0 		0
-------------
0
24NATHANIEL J SOPER MD
 
See Schedule O 		(i)

(ii)		 619,247
-------------
0 		155,327
-------------
0 		29,093
-------------
0 		16,200
-------------
0 		17,422
-------------
0 		837,289
-------------
0 		0
-------------
0
25DEAN G TSARWHAS MD
 
See Schedule O 		(i)

(ii)		 914,925
-------------
0 		0
-------------
0 		7,790
-------------
0 		16,200
-------------
0 		28,956
-------------
0 		967,871
-------------
0 		0
-------------
0
26Nicholas J Volpe MD
 
See Schedule O 		(i)

(ii)		 380,136
-------------
0 		121,133
-------------
0 		21,177
-------------
0 		16,200
-------------
0 		25,069
-------------
0 		563,716
-------------
0 		0
-------------
0
27JEFFREY D WAYNE MD
 
See Schedule O 		(i)

(ii)		 409,547
-------------
0 		60,000
-------------
0 		26,394
-------------
0 		16,200
-------------
0 		25,069
-------------
0 		537,210
-------------
0 		0
-------------
0
28MAUREEN BRYANT
 
See Schedule O 		(i)

(ii)		 413,238
-------------
0 		188,853
-------------
0 		30,411
-------------
0 		62,446
-------------
0 		8,975
-------------
0 		703,923
-------------
0 		0
-------------
0
29Danae K Prousis
 
See Schedule O 		(i)

(ii)		 517,415
-------------
0 		256,585
-------------
0 		50,595
-------------
0 		16,200
-------------
0 		9,723
-------------
0 		850,519
-------------
0 		0
-------------
0
30Maureen A Taus
 
See Schedule O 		(i)

(ii)		 324,595
-------------
0 		147,441
-------------
0 		52,360
-------------
0 		35,640
-------------
0 		23,440
-------------
0 		583,476
-------------
0 		16,667
-------------
0
31KATHLEEN YOSKO
 
See Schedule O 		(i)

(ii)		 408,906
-------------
0 		156,478
-------------
0 		34,527
-------------
0 		16,200
-------------
0 		9,894
-------------
0 		626,006
-------------
0 		0
-------------
0
32Aaron Bare
 
See Schedule O 		(i)

(ii)		 803,243
-------------
0 		0
-------------
0 		275,322
-------------
0 		16,200
-------------
0 		29,179
-------------
0 		1,123,944
-------------
0 		0
-------------
0
33Michael Lee MD
 
See Schedule O 		(i)

(ii)		 868,176
-------------
0 		0
-------------
0 		27,519
-------------
0 		16,200
-------------
0 		20,199
-------------
0 		932,094
-------------
0 		0
-------------
0
34Harish Shownkeen MD
 
See Schedule O 		(i)

(ii)		 1,208,193
-------------
0 		0
-------------
0 		429,676
-------------
0 		16,200
-------------
0 		20,297
-------------
0 		1,674,366
-------------
0 		0
-------------
0
35Regina Stein MD
 
See Schedule O 		(i)

(ii)		 711,324
-------------
0 		0
-------------
0 		129,951
-------------
0 		16,200
-------------
0 		23,934
-------------
0 		881,410
-------------
0 		0
-------------
0
36Claudia Tellez MD
 
See Schedule O 		(i)

(ii)		 770,601
-------------
0 		0
-------------
0 		146,716
-------------
0 		16,200
-------------
0 		19,264
-------------
0 		952,781
-------------
0 		0
-------------
0
37James Adams
 
See Schedule O 		(i)

(ii)		 592,669
-------------
0 		280,675
-------------
0 		26,384
-------------
0 		59,460
-------------
0 		8,815
-------------
0 		968,003
-------------
0 		0
-------------
0
38Roger Bell
 
See Schedule O 		(i)

(ii)		 304,159
-------------
0 		140,442
-------------
0 		1,886
-------------
0 		34,203
-------------
0 		22,205
-------------
0 		502,895
-------------
0 		0
-------------
0
39Steven Burandt MD
 
See Schedule O 		(i)

(ii)		 135,479
-------------
0 		0
-------------
0 		131,322
-------------
0 		15,873
-------------
0 		23,271
-------------
0 		305,946
-------------
0 		0
-------------
0
40Carl Christensen
 
See Schedule O 		(i)

(ii)		 471,729
-------------
0 		210,240
-------------
0 		4,590
-------------
0 		133,122
-------------
0 		22,782
-------------
0 		842,464
-------------
0 		0
-------------
0
41Brad Copple
 
See Schedule O 		(i)

(ii)		 216,554
-------------
0 		118,037
-------------
0 		228,054
-------------
0 		34,971
-------------
0 		16,455
-------------
0 		614,071
-------------
0 		20,860
-------------
0
42Mark Daniels MD
 
See Schedule O 		(i)

(ii)		 320,021
-------------
0 		136,262
-------------
0 		35,677
-------------
0 		16,200
-------------
0 		23,991
-------------
0 		532,151
-------------
0 		0
-------------
0
43James C Dechene
 
See Schedule O 		(i)

(ii)		 165,194
-------------
0 		146,565
-------------
0 		604,388
-------------
0 		9,648
-------------
0 		18,736
-------------
0 		944,531
-------------
0 		0
-------------
0
44Pamela Duffy
 
See Schedule O 		(i)

(ii)		 180,359
-------------
0 		87,520
-------------
0 		147,413
-------------
0 		26,356
-------------
0 		8,995
-------------
0 		450,642
-------------
0 		7,563
-------------
0
45Erik Englehart MD
 
See Schedule O 		(i)

(ii)		 258,151
-------------
0 		30,715
-------------
0 		133,843
-------------
0 		10,094
-------------
0 		23,649
-------------
0 		456,452
-------------
0 		0
-------------
0
46Stephen Falk
 
See Schedule O 		(i)

(ii)		 331,577
-------------
0 		200,774
-------------
0 		203,483
-------------
0 		16,200
-------------
0 		12,380
-------------
0 		764,414
-------------
0 		0
-------------
0
47Loren Foelske
 
See Schedule O 		(i)

(ii)		 10,565
-------------
0 		0
-------------
0 		307,878
-------------
0 		322
-------------
0 		680
-------------
0 		319,445
-------------
0 		0
-------------
0
48Francis Fraher
 
See Schedule O 		(i)

(ii)		 273,652
-------------
0 		119,760
-------------
0 		25,788
-------------
0 		16,200
-------------
0 		25,600
-------------
0 		461,001
-------------
0 		0
-------------
0
49David Hensley
 
See Schedule O 		(i)

(ii)		 232,120
-------------
0 		100,620
-------------
0 		8,337
-------------
0 		28,264
-------------
0 		17,513
-------------
0 		386,855
-------------
0 		0
-------------
0
50John Hubbe
 
See Schedule O 		(i)

(ii)		 124,578
-------------
0 		4,119
-------------
0 		18,198
-------------
0 		9,337
-------------
0 		25,469
-------------
0 		181,700
-------------
0 		0
-------------
0
51Denise Majeski
 
See Schedule O 		(i)

(ii)		 240,291
-------------
0 		97,731
-------------
0 		18,670
-------------
0 		11,174
-------------
0 		9,748
-------------
0 		377,615
-------------
0 		0
-------------
0
52Dean Manheimer
 
See Schedule O 		(i)

(ii)		 394,395
-------------
0 		542,117
-------------
0 		1,266,050
-------------
0 		16,200
-------------
0 		23,087
-------------
0 		2,241,848
-------------
0 		361,807
-------------
0
53Peter McCanna
 
See Schedule O 		(i)

(ii)		 728,582
-------------
0 		685,416
-------------
0 		2,324,510
-------------
0 		16,200
-------------
0 		18,773
-------------
0 		3,773,480
-------------
0 		426,058
-------------
0
54Michele McClelland
 
See Schedule O 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		225,233
-------------
0 		0
-------------
0 		0
-------------
0 		225,233
-------------
0 		0
-------------
0
55Gary Noskin MD
 
See Schedule O 		(i)

(ii)		 430,659
-------------
0 		212,313
-------------
0 		25,733
-------------
0 		102,600
-------------
0 		26,451
-------------
0 		797,757
-------------
0 		0
-------------
0
56Elizabeth Rosenberg
 
See Schedule O 		(i)

(ii)		 632,655
-------------
0 		450,289
-------------
0 		10,314
-------------
0 		222,902
-------------
0 		28,043
-------------
0 		1,344,203
-------------
0 		134,188
-------------
0
57Michael Vivoda
 
See Schedule O 		(i)

(ii)		 939,913
-------------
0 		656,608
-------------
0 		10,941
-------------
0 		211,848
-------------
0 		27,508
-------------
0 		1,846,817
-------------
0 		227,495
-------------
0
58Brian Walsh
 
See Schedule O 		(i)

(ii)		 361,608
-------------
0 		172,670
-------------
0 		10,646
-------------
0 		37,794
-------------
0 		26,590
-------------
0 		609,308
-------------
0 		0
-------------
0
59Jennifer Wooten Ierardi
 
See Schedule O 		(i)

(ii)		 265,428
-------------
0 		137,260
-------------
0 		24,600
-------------
0 		34,200
-------------
0 		25,092
-------------
0 		486,580
-------------
0 		0
-------------
0
60Douglas M Young
 
See Schedule O 		(i)

(ii)		 367,299
-------------
0 		156,190
-------------
0 		81,744
-------------
0 		16,200
-------------
0 		34,470
-------------
0 		655,904
-------------
0 		0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 8 INITIAL CONTRACT EXCEPTION WHILE THERE ARE NO AMOUNTS REPORTED ON FORM 990, PART VII, FOR WHICH THE INITIAL CONTRACT EXCEPTION EXPRESSLY APPLIES, THE ORGANIZATION RESERVES THE RIGHT TO ASSERT AT ANY TIME THAT THE INITIAL CONTRACT EXCEPTION APPLIES TO AN AMOUNT PROVIDED A PERSON LISTED IN PART VII AND/OR ON SCHEDULE J.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees HEALTH CLUB DUES EMPLOYEES OF NORTHWESTERN LAKE FOREST HOSPITAL ARE OFFERED DISCOUNTED HEALTH AND FITNESS CLUB DUES AT LAKE FOREST HEALTH AND FITNESS INSTITUTE. THE AMOUNT OF THE DISCOUNT IS TREATED AS TAXABLE INCOME FOR EACH OF THE EMPLOYEES. MATTHEW J. FLYNN AND DENISE MAJESKI RECEIVED THIS BENEFIT. COUNTRY CLUB DUES COUNTRY CLUB DUES WERE REIMBURSED FOR CERTAIN KISHWAUKEE HEALTH EMPLOYEES. THIS AMOUNT IS TREATED AS TAXABLE INCOME FOR EACH OF THESE EMPLOYEES. BRAD COPPLE AND KEVIN POORTEN RECEIVED THIS BENEFIT.
Schedule J, Part I, Line 4a Severance or change-of-control payment SEVERANCE PAYMENTS THE FOLLOWING PERSONS RECEIVED SEVERANCE PAYMENTS: Dean Manheimer, $165,592 James Dechene, $423,520 Michele McClelland, $225,233 Pamela Duffy, $43,820 Brad Copple, $121,532 Loren Foelske, $279,309
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THERE ARE TWO DIFFERENT NONQUALIFIED DEFERRED COMPENSATION PLANS SPONSORED BY NORTHWESTERN MEMORIAL HEALTHCARE, WHICH PROVIDE SUPPLEMENTAL, COMPETITIVE RETIREMENT BENEFITS. THE EMPLOYER PAYS THE COST OF PARTICIPATION, AND THE BENEFITS AND CONTRIBUTIONS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE BASED ON THE COMPLETION OF SUBSTANTIAL FUTURE SERVICE REQUIREMENTS. THE AMOUNTS EARNED BY PARTICIPANTS FLUCTUATE FROM YEAR TO YEAR BASED ON A VARIETY OF FACTORS INCLUDING CHANGES IN MARKET INTEREST RATES. PLAN A JULIA CREAMER IS VESTED IN A NON-QUALIFIED PLAN. AS SUCH, ANY CONTRIBUTIONS ARE TAXED CURRENTLY AND THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $606,772. DEAN HARRISON IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH, ANY CONTRIBUTIONS ARE TAXED CURRENTLY AND THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $1,989,073. DEAN MANHEIMER IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH, ANY CONTRIBUTIONS ARE TAXED CURRENTLY AND THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $461,393. PETER MCCANNA IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH, ANY CONTRIBUTIONS ARE TAXED CURRENTLY AND THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $810,655. PLAN B THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE THE CURRENT YEAR CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: MAUREEN BRYANT, $24,744 JULIA CREAMER, $74,160 JAMES DECHENE, $109,752 STEPHEN FALK, $81,192 FRANCIS FRAHER, $16,542 DEAN HARRISON, $318,780 BRIAN LEMON, $33,018 DENISE MAJESKI, $14,526 DEAN MANHEIMER, $67,980 PETER MCCANNA, $150,645 DANAE PROUSIS, $29,220 KATHLEEN YOSKO, $24,720 DOUGLAS YOUNG, $55,968 THE FOLLOWING EMPLOYEES ARE NOT VESTED IN THE PLAN, AND FOR SUCH EMPLOYEES THE CURRENT YEAR EARNED AMOUNT (WHICH REMAINS AT RISK BECAUSE OF THE REQUIREMENT OF SUBSTANTIAL FUTURE SERVICES) WAS: JAMES ADAMS, $43,260 JAY ANDERSON, $87,432 ROGER BELL, $18,450 HOWARD CHRISMAN, $37,080 CARL CHRISTENSEN, $81,456 BRAD COPPLE, $18,771 JOSEPH DANT, $17,838 PAMELA DUFFY, $13,613 CONNIE FALCONE, $12,250 MATTHEW FLYNN, $51,600 RICHARD FRANCO, $17,136 JAMES GIBLIN, $93,960 DAVID HENSLEY, $14,232 EMILY KOZAK, $13,542 MICHAEL KULISZ, $25,035 THOMAS MCAFEE, $106,392 GARY NOSKIN, $43,200 JOHN ORSINI, $147,672 KEVIN POORTEN, $116,501 ELIZABETH ROSENBERG, $118,152 MAUREEN TAUS, $19,440 PATRICK TOWNE, $27,000 MICHAEL VIVODA, $195,648 BRIAN WALSH, $21,594 JENNIFER WOOTEN IERARDI, $18,000
Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization CERTAIN LISTED INDIVIDUALS ARE EMPLOYED AS PHYSICIANS. THE COMPENSATION LISTED IN SCHEDULE J IS PROVIDED SOLELY IN CONNECTION WITH THEIR EMPLOYMENT AS PHYSICIANS, AND IS IN PART BASED ON REVENUES ASSOCIATED WITH THEIR PERSONALLY PERFORMED SERVICES. THE COMPENSATION LISTED IS FOR THE CLINICAL AND ADMINISTRATIVE SERVICES PROVIDED WITHIN THE NORTHWESTERN MEMORIAL HEALTHCARE GROUP. THE MAJORITY OF THESE PHYSICIANS ARE ALSO COMPENSATED BY AN UNRELATED ORGANIZATION (NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE) THROUGH A COMMON PAYMASTER FOR THEIR ACADEMIC AND RESEARCH EFFORTS. THE COMPENSATION LISTED IN SCHEDULE J DOES NOT INCLUDE ACADEMIC AND RESEARCH COMPENSATION FROM THE UNRELATED ORGANIZATION.
Schedule J, Part I, Line 7 Non-fixed payments THE BONUS AND INCENTIVE COMPENSATION AMOUNTS LISTED IN COLUMN (B)(II) FOR ALL LISTED INDIVIDUALS WERE DETERMINED USING A SPECIFIED FORMULA. THIS FORMULA AND THE CALCULATION OF THEIR ANNUAL BONUS IS BASED ON TWO COMPONENTS: THE EMPLOYEE'S TITLE/POSITION (STAFF, MANAGER, DIRECTOR, VP, ETC.) AND THE DEGREE TO WHICH ESTABLISHED PERFORMANCE GOALS WERE ACHIEVED. INCENTIVE COMPENSATION AMOUNTS ARE AT RISK AND ARE NOT PAID UNLESS THERE IS EXCEPTIONAL INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE IN ACCORDANCE WITH SUBSTANTIAL PRE-APPROVED GOALS. THE INCENTIVE COMPENSATION LISTED FOR CERTAIN PHYSICIANS IS FOR PERSONAL PROFESSIONAL PRODUCTIVITY AND FOR PERFORMANCE IN IMPROVING THE QUALITY OF PATIENT CARE.
Schedule J (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number
36-4724966
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FBZ1 12-19-2007 214,500,000 REFUND BONDS ISSUED 05/27/2004   X   X   X
B ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FTB5 01-13-2009 207,360,000 REFUND BONDS ISSUED 05/27/2004   X   X   X
C ILLINOIS FINANCE AUTHORITY
  		86-1091967   08-05-2011 127,150,000 REFUND SERIES 2004A BONDS   X   X   X
D ILLINOIS FINANCE AUTHORITY
  		86-1091967   08-24-2011 58,415,000 REFUND SERIES 2008 BONDS   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HPT3 02-27-2013 119,589,286 SEE SUPPLEMENTAL INFORMATION   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967   03-02-2015 12,300,000 BUILDING ACQUISITION   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 11,100,000 138,030,000 12,550,000 2,365,000
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 269,866,112 207,360,000 127,150,000 58,415,000
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 1,871,062 1,985,000    
8 Credit enhancement from proceeds .............   25,000    
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 65,004,825 12,300,000    
11 Other spent proceeds ............. 267,995,050 205,350,000 127,150,000 58,415,000
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2007 2007 2006 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........ 		               
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........ 		               
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 %      
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   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   X   X   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? .............                
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   X   X   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   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X X   X   X  
c No rebate due? ......... X     X   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   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X   X   X
b Name of provider .......... JPMORGAN & BARCLAYS
  		 
  		 
  		 
 
c Term of hedge ......... 3470 %      
d Was the hedge superintegrated? ......   X            
e Was the hedge terminated? ........   X            
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
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   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........   X            
6 Were any gross proceeds invested beyond an available temporary period? X     X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   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   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part I, Column (f) LINE A, COLUMN F, GROUP II Refund series 2009B, reimburse for the construction of health facilities
Schedule K, Part II, Line 3 2007 Bond Issue The total proceeds of issue reported at Part II, Line 3, exceed the issue price of Part I due to interest earnings related to this issue.
Schedule K, Part IV, Line 2c COLUMN A Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 02/27/2018
Schedule K (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number
36-4724966
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FBZ1 12-19-2007 214,500,000 REFUND BONDS ISSUED 05/27/2004   X   X   X
B ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FTB5 01-13-2009 207,360,000 REFUND BONDS ISSUED 05/27/2004   X   X   X
C ILLINOIS FINANCE AUTHORITY
  		86-1091967   08-05-2011 127,150,000 REFUND SERIES 2004A BONDS   X   X   X
D ILLINOIS FINANCE AUTHORITY
  		86-1091967   08-24-2011 58,415,000 REFUND SERIES 2008 BONDS   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HPT3 02-27-2013 119,589,286 SEE SUPPLEMENTAL INFORMATION   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967   03-02-2015 12,300,000 BUILDING ACQUISITION   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 11,100,000 138,030,000 12,550,000 2,365,000
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 269,866,112 207,360,000 127,150,000 58,415,000
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 1,871,062 1,985,000    
8 Credit enhancement from proceeds .............   25,000    
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 65,004,825 12,300,000    
11 Other spent proceeds ............. 267,995,050 205,350,000 127,150,000 58,415,000
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2007 2007 2006 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........ 		               
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........ 		               
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 %      
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   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   X   X   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? .............                
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   X   X   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   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X X   X   X  
c No rebate due? ......... X     X   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   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X   X   X
b Name of provider .......... JPMORGAN & BARCLAYS
  		 
  		 
  		 
 
c Term of hedge ......... 3470 %      
d Was the hedge superintegrated? ......   X            
e Was the hedge terminated? ........   X            
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
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   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........   X            
6 Were any gross proceeds invested beyond an available temporary period? X     X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   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   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part I, Column (f) LINE A, COLUMN F, GROUP II Refund series 2009B, reimburse for the construction of health facilities
Schedule K, Part II, Line 3 2007 Bond Issue The total proceeds of issue reported at Part II, Line 3, exceed the issue price of Part I due to interest earnings related to this issue.
Schedule K, Part IV, Line 2c COLUMN A Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 02/27/2018
Schedule K (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number

36-4724966
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
(1) JOACQUIN BRIEVA
  		FORMER DIRECTOR RETENTION   X 50,000 17,500   No   No Yes  
Total ...............Small Bullet $ 17,500
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) 2019
Schedule L (Form 990 or 990-EZ) 2019
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) JAMES TOWNE
  		JAMES TOWNE, EMPLOYEE OF THE ORG AND BROTHER OF PATRICK TOWNE, A DIRECTOR OF NMRMG 277,566 EMPLOYEE   No
(2) WILLIAM TOWNE
  		WILLIAM TOWNE, EMPLOYEE OF THE ORG AND BROTHER OF PATRICK TOWNE, A DIRECTOR OF NMRMG 644,468 EMPLOYEE   No
(3) MEDLINE
  		CHARLES N. MILLS, A DIRECTOR NLFH, INDIRECTLY OWNS A GREATER THAN 35% INTEREST 845,690 MEDICAL PRODUCTS   No
(4) CHRISTINE E ENGLEHART
  		EMPLOYEE OF THE ORG AND DAUGHTER OF ERIK ENGLEHART, M.D., A FORMER OFFICER OF KCH 44,146 EMPLOYEE   No
(5) Hailey Orsini
  		HAILEY ORSINI, EMPLOYEE OF NMHC AND DAUGHTER OF JOHN ORSINI, CURRENT DIRECTOR OF NMHC 64,675 EMPLOYEE   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) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete 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 imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number

36-4724966
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications .. X 3,291 Market value
5 Clothing and household
goods ....... 		X 303,375 Selling cost
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 65 7,094,255 Market value
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 3 3,175 Market value
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Gym Membership ) X 1 1,000 Market value
26 Other Right pointing arrow large image ( Dinner ) X 2 1,600 Market value
27 Other Right pointing arrow large image ( Lighting ) X 1 10,870 Market value
28 Other Right pointing arrow large image ( TRAVEL ) X 2 9,600 Market value
Other Right pointing arrow large image ( EVENT TICKETS ) X 3 16,190 Market value
Other Right pointing arrow large image ( GIFTCARD ) X 1 500 Market value
Other Right pointing arrow large image ( CIGAR BASKET ) X 1 500 Market value
Other Right pointing arrow large image ( TV ) X 1 1,099 Market value
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
0
Yes
No
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 isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization didn't 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) (2019)
Schedule M (Form 990) (2019)
Page 2
Part IISupplemental 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
Schedule M, Part I, Line 31 GIFT ACCEPTANCE POLICY MEMBERS OF THE NORTHWESTERN MEMORIAL HEALTHCARE GROUP HAVE A GIFT ACCEPTANCE POLICY THAT REQUIRES THE REVIEW OF GIFTS OF REAL OR PERSONAL PROPERTY AND OTHER NON-STANDARD CONTRIBUTIONS. ALL GIFTS MUST BE FULLY CONSISTENT WITH THE MISSION AND OBJECTIVES OF NORTHWESTERN MEMORIAL HEALTHCARE. ALL GIFTS OF PERSONAL PROPERTY VALUED AT $5,000 OR MORE, REAL ESTATE, LIFE INSURANCE, OTHER ASSETS, NON-PUBLICLY TRADED SECURITIES, OTHER INCOME PRODUCING ASSETS, CONTINGENT BEQUESTS AND OTHER NON-STANDARD CONTRIBUTIONS REQUIRE APPROVAL BY NORTHWESTERN MEMORIAL HEALTHCARE GROUP'S MEMBER EXECUTIVE COMMITTEE PRIOR TO ACCEPTANCE.
Schedule M, Part I Column (b) The amount in column (b) represents the number of contributions during the period.
Schedule M, Part I, Line 32b Third parties used to solicit, process, or sell noncash contributions MEMBERS OF THE NORTHWESTERN MEMORIAL HEALTHCARE GROUP DO NOT USE THIRD PARTIES TO SOLICIT OR PROCESS NONCASH CONTRIBUTIONS. HOWEVER THIRD PARTIES ARE USED TO SELL CONTRIBUTIONS OF REAL OR PERSONAL PROPERTY.
Schedule M (Form 990) (2019)

Additional Data


Software ID: 17005876
Software Version: 2017v2.2
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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number

36-4724966
Return Reference Explanation
Form 990, Part I, Line 1 Mission Statement PEOPLE SEEKING QUALITY HEALTHCARE. WITH A MISSION-DRIVEN COMMITMENT TO PROVIDING QUALITY MEDICAL CARE, REGARDLESS OF THE PATIENTS' ABILITY TO PAY, NMHC MAINTAINS ITS DEDICATION TO IMPROVE THE HEALTH OF THE MOST MEDICALLY UNDERSERVED MEMBERS OF OUR COMMUNITY BY: 1. PROVIDING MORE THAN $846.5 MILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2018 INCLUDING CHARITY CARE, OTHER UNREIMBURSED CARE, RESEARCH, EDUCATION AND OTHER COMMUNITY ACTIVITIES; 2. SUPPORTING THOSE RECENTLY INSURED UNDER THE AFFORDABLE CARE ACT (ACA) AND MEDICAID EXPANSION BY CONTINUING TO PROVIDE MEDICALLY NECESSARY HEALTHCARE AND ASSISTING PATIENTS IN DETERMINING ELIGIBILITY AND UNDERSTANDING COVERAGE AND PROVIDER NETWORKS IN THE CHANGING FACE OF HEALTHCARE; 3. PROVIDING $104.7 MILLION IN FUNDING FOR RESEARCH AND MEDICAL EDUCATION IN FISCAL YEAR 2018, INCLUDING PARTICIPATING IN MORE THAN 4,500 CLINICAL RESEARCH STUDIES AND TRAINING MORE THAN 1,660 MEDICAL STUDENTS, RESIDENTS AND FELLOWS; 4. EXPANDING ACCESS TO HEALTHCARE SERVICES THROUGH ESTABLISHMENT OF PRIMARY CARE IN THE COMMUNITY, PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS DETERMINED TO INCREASE ACCESS TO CARE, CONNECTING PATIENTS WITH MEDICAL HOMES, UNDERWRITING MEDICALLY NECESSARY DIAGNOSTIC SPECIALTY CARE, DEVELOPING TARGETED PROGRAMS TO HELP INDIVIDUALS BETTER MANAGE PREVALENT CHRONIC CONDITIONS AND SUPPORTING VOLUNTEER EFFORTS; 5. PARTICIPATING IN COMMUNITY-BASED HEALTH INITIATIVES AIMED AT PROMOTING HEALTHY LIFESTYLES TO REDUCE RISK FACTORS FOR HEART DISEASE, STROKE, CARDIOVASCULAR DISEASE AND OTHER CHRONIC DISEASES, PROMOTING MATERNAL CHILD HEALTH, ADDRESSING MENTAL HEALTH AND SUBSTANCE ABUSE, PROMOTING INDEPENDENCE IN INDIVIDUALS WITH DISABILITIES AND REDUCING VIOLENCE. MANY THAT WE HAVE TRADITIONALLY CARED FOR IN OUR COMMUNITIES GAINED ACCESS TO COVERAGE THROUGH HEALTHCARE INSURANCE PLANS OFFERED UNDER THE ACA - EITHER THROUGH THE LAW'S MEDICAID EXPANSION OR THE HEALTH INSURANCE MARKETPLACE - THUS REDUCING THE TOTAL COST OF CHARITY CARE PROVIDED UNDER OUR FINANCIAL ASSISTANCE PROGRAMS. BAD DEBT IS DRIVEN IN PART BY PATIENTS UNDER ACTIVE TREATMENT WHO ENCOUNTERED NETWORK RESTRICTIONS OR CHANGES IN COVERAGE LIMITS WHEN THEY GAINED COVERAGE UNDER THESE PLANS. NMHC CONTINUED TO PROVIDE CARE FOR THESE PATIENTS EVEN IF NOT REIMBURSABLE, CONTRIBUTING TO THE COST OF BAD DEBT. ALSO, DRIVEN BY THE CONTINUED PARTICIPATION OF NMHC ENTITIES IN ILLINOIS' MEDICAID PROGRAM AND THE INCREASED NUMBER OF MEDICAID PATIENTS CARED FOR AS A RESULT OF THE ACA, THE TOTAL COST OF CHARITY CARE PROVIDED TO GOVERNMENT SPONSORED MEDICAID AND MEDICARE PROGRAMS INCREASED IN FISCAL YEAR 2018. NMHC IS POSITIONED TO ADVANCE GROUNDBREAKING WORK THAT CAN ONLY BE ACCOMPLISHED WITH THE RESOURCES OF AN INTEGRATED ACADEMIC MEDICAL HEALTH SYSTEM. AS AN INTEGRATED ACADEMIC MEDICAL HEALTH SYSTEM, NMHC CAN TAKE ACTION BEYOND PROVIDING CLINICAL CARE. WORKING WITH SCIENTISTS AND EXPERTS IN PUBLIC HEALTH, WE ARE STRIVING TO DETERMINE ROOT CAUSES AND DEVELOP SOLUTIONS TO ERADICATE SOME OF THE MOST WIDESPREAD, GROWING AND COMPLEX PUBLIC HEALTH ISSUES FACING THE UNITED STATES TODAY - FROM CHRONIC DISEASES INCLUDING CARDIOVASCULAR DISEASE, CANCER AND DIABETES, TO THE UNDERLYING CAUSES OF OBESITY, POOR MENTAL HEALTH AND PERSISTENT VIOLENCE IN OUR COMMUNITIES. NMHC SUPPORTS SOME OF THE NATION'S MOST ADVANCED RESEARCH PROGRAMS, LED BY PHYSICIAN SCIENTISTS AT FEINBERG, WHO ARE PUSHING THE BOUNDARIES OF SCIENCE AND MEDICINE THROUGH NATIONALLY RECOGNIZED RESEARCH PROGRAMS AS WELL AS ENTIRELY NEW SCIENTIFIC DISCIPLINES THAT ARE PIONEERING DIRECTIONS FOR PREVENTING AND CURING DISEASE. NMHC IS A GROWING, NATIONALLY RECOGNIZED HEALTH SYSTEM THAT PROVIDES ACCESS TO WORLD-CLASS CARE ONE PATIENT AT A TIME AT MORE THAN 100 LOCATIONS, INCLUDING ITS SEVEN HOSPITALS THROUGHOUT CHICAGO, ITS NORTH AND WEST SUBURBS AND NORTHERN ILLINOIS. MORE THAN 29,000 PHYSICIANS,NURSES, STAFF AND VOLUNTEERS PROVIDED CARE FOR MORE THAN 91,000 INPATIENT ADMISSIONS AND MORE THAN 2.4 MILLION OUTPATIENT ENCOUNTERS IN FISCAL YEAR 2018. THE GEOGRAPHICAL REACH OF NMHC MEETS THE GROWING DEMAND FOR QUALITY HEALTHCARE CLOSE TO WHERE PEOPLE LIVE AND WORK. OUR PATIENTS HAVE ACCESS TO EVIDENCE-BASED MEDICINE AND RESEARCH THAT IS TRANSLATED TO CLINICAL PRACTICE, OFFERING NEW HOPE THROUGH LEADING-EDGE APPROACHES TO HEALTH,WELLNESS AND DISEASE. THE NMHC MEDICAL STAFF OF MORE THAN 4,250 INCLUDES MORE THAN 900 RESIDENTS AND FELLOWS AND NEARLY 1,900 EMPLOYED PHYSICIANS WHO ARE PART OF NMG, RMG, KMG OR MMG. FOR GENERATIONS, NMHC HOSPITALS AND HEALTHCARE ORGANIZATIONS HAVE SERVED THE VITAL ROLE OF PROVIDING TRUSTED MEDICAL CARE IN THEIR COMMUNITIES. THEY HAVE CONTINUALLY EXPANDED IN RESPONSE TO THE NEEDS OF THEIR COMMUNITIES, PROVIDING ACCESS TO MEDICALLY NECESSARY CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY.
Form 990, Part III, Line 4a PROGRAM SERVICES CONTINUED MARIANJOY REHABILITATION HOSPITAL AND CLINICS, INC. (EIN: 36-2680776) ("MJRH") MJRH IS A SPECIALTY AND TEACHING HOSPITAL IN WHEATON, ILLINOIS, DEDICATED TO THE DELIVERY OF PHYSICAL MEDICINE AND REHABILITATION. RESIDENTS TRAIN IN THE HIGHLY SPECIALIZED FIELD THROUGH CLINICAL EXPERIENCE, EDUCATIONAL OPPORTUNITIES AND RESEARCH ACTIVITIES. MARIANJOY IS A DESTINATION HOSPITAL LOCATED IN DUPAGE COUNTY, SERVING THE RESIDENTS OF DUPAGE AND NEARBY COUNTIES. MORE THAN 90 PHYSICIANS PROVIDE HIGHLY SPECIALIZED PROGRAMS FOCUSED ON TREATMENT OF STROKE, SPINAL CORD INJURY, BRAIN INJURY, PEDIATRIC CONDITIONS AND ORTHOPAEDIC/MUSCULOSKELETAL CONDITIONS, WITH 127 LICENSED BEDS INCLUDING 100 ACUTE INPATIENT REHABILITATION BEDS AND 27 MEDICARE-LICENSED, SUBACUTE BEDS. FISCAL YEAR 2018 SAW MORE THAN 3,000 INPATIENT ADMISSIONS AND MORE THAN 4,000 OUTPATIENT REGISTRATIONS. REHABILITATION MEDICINE CLINIC, INC (EIN: 36-3236791) ("RMC") REHABILITATION MEDICINE CLINIC, INC. IS A MEDICAL GROUP THAT HAS 6 PRACTICE MEDICAL OFFICES LOCATED IN 5 GEOGRAPHIC LOCATIONS. THERE ARE 37 HEALTH CARE PROVIDERS, SPECIALIZING IN PHYSICAL MEDICINE AND REHABILITATION. MARIANJOY REHABILITATION CENTER AUXILIARY (36-3896976) ("MJRCA") THE MARIANJOY AUXILIARY SUPPORTS THE EFFORTS OF THE MARIANJOY REHABILITATION HOSPITAL AND CLINICS. THIS GROUP OF DEVOTED INDIVIDUALS ORGANIZES AND HOSTS SEVERAL FUNDRAISING EVENTS, INCLUDING SPRING AND FALL LUNCHEONS, AND RUNS THE MARIANJOY GIFT SHOP. KISHHEALTH SYSTEM (EIN: 36-3649080) ("KHS") FORMERLY KISHWAUKEE HEALTH SYSTEM, KISHHEALTH SYSTEM OPERATES TWO COMMUNITY HOSPITALS, KISHWAUKEE AND VALLEY WEST, WHICH HAVE A COMBINED 125 STAFFED BEDS, AS WELL AS SEVERAL CANCER CENTERS, IMAGING FACILITIES, AND AN EYE INSTITUTE THAT SERVE DEKALB COUNTY AND SURROUNDING AREAS IN NORTHERN ILLINOIS. SPECIALTY SERVICES INCLUDE CARDIOLOGY, EMERGENCY CARE, NEUROSURGERY, OBSTETRICS, AND ORTHOPEDICS. KISHHEALTH BECAME PART OF NMHC IN LATE 2015. KISHHEALTH FOUNDATION (EIN: 36-3649077) ("KHF") KISHHEALTH FOUNDATION, PART OF NORTHWESTERN MEDICINE SUPPORTS THE CARING MISSION OF NORTHWESTERN MEDICINE HOSPICE-DEKALB (FORMERLY KISHHEALTH HOSPICE). FUNDS RAISED THROUGH DEKALB COUNTY WILL BENEFIT DONOR SUPPORTED PROGRAMS AND SERVICES SUCH AS MUSIC THERAPY, BEREAVEMENT PROGRAMS AND VOLUNTEER TRAINING. BECAUSE OF GENEROUS COMMUNITY SUPPORT, THE HOSPICE IS ABLE TO TOUCH THE LIVES OF MANY AS THEY JOURNEY WITH LOVED ONES DEALING WITH END-OF-LIFE ISSUES. ALL DONATIONS STAY LOCAL AND ARE USED TO HELP ALL FAMILIES IN NEED OF HOSPICE SERVICES REGARDLESS OF THEIR ABILITY TO PAY. DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. (EIN: 47-4579189) ("DBHF") DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. PROVIDES A VARIETY OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES. PROFESSIONAL MENTAL HEALTH COUNSELING FOR ADULTS INCLUDES MARITAL, INDIVIDUAL, GROUP AND FAMILY COUNSELING AS WELL AS THERAPY GROUPS. DEKALB COUNTY HOSPICE (EIN: 36-3164329) ("DKCH") LOCATED IN DEKALB, IL, DEKALB COUNTY HOSPICE IS A COMMUNITY BASED HOSPICE PROGRAM THAT HAS BEEN PROVIDING QUALITY END-OF-LIFE CARE AND BEREAVEMENT SUPPORT TO THE COMMUNITY SINCE 1982. KISHHEALTH SYSTEM HOME CARE (EIN: 37-1703513) ("KSHC") KISHHEALTH SYSTEM HOME CARE PROVIDES HOME HEALTH SERVICES TO DEKALB COUNTY AND NORTHERN ILLINOIS AREA RESIDENTS WHO PREFER TO RECEIVE CARE IN THE COMFORT OF THEIR HOME. KISHWAUKEE PHYSICIAN GROUP (EIN: 65-1293967) ("KPG") KISHWAUKEE PHYSICIAN GROUP IS A BRANCH OF KISHHEALTH SYSTEM, EMPLOYING PRIMARY CARE AND SPECIALIST PHYSICIANS IN THE NORTHERN ILLINOIS COMMUNITIES THAT IT SERVES. CENTER FOR FAMILY HEALTH-MALTA (EIN: 80-0869393) ("CFHM") CENTER FOR FAMILY HEALTH-MALTA IS DESIGNED TO PROVIDE COMPASSIONATE, INNOVATIVE, AND AFFORDABLE MEDICAL CARE AND TO COLLABORATE WITH PARTNERS TO SERVE THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. CFHM OFFERS CARE TO ADULTS AND CHILDREN OF ALL AGES AND INCLUDES AN ON-SITE LABORATORY.
Form 990, Part III, Line 3 Significant changes in program services ARTICLES OF MERGER WERE FILED ON BEHALF OF MARIANJOY, INC, MARIANJOY FOUNDATION AND NORTHWESTERN FOUNDATION FOR RESEARCH AND EDUCATION AS OF 8/31/2017. ADDITIONALLY, CDH-DELNOR HEALTH SYSTEM, KISHWAUKEE PHYSICIAN GROUP, INC, AND KISHHEALTH FOUNDATION FILED ARTICLES OF MERGER AS OF 8/31/2018. THE MERGER OF THESE ENTITIES REPRESENTS A REALLOCATION OF RESOURCES RATHER THAN A CESSATION OF SERVICE.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons ANNE R. PRAMAGGIORE AND WILLIAM A. VON HOENE - Business relationship, DONALD THOMPSON, FREDERICK H. WADDELL, AND DEAN M. HARRISON - Business relationship, TERRY SAVAGE AND DENNIS CHOOKASZIAN - Business relationship, DEAN M. HARRISON, JOHN ORSINI AND EMILY KOZAK - Business relationship, ALBERT FRIEDMAN AND RICHARD MELMAN - Business relationship, DEAN M. HARRISON AND JOHN CANNING, JR - Business relationship, JAMES MURRAY III AND BRETT DALE - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents THE ARTICLES OF NORTHWESTERN MEDICAL FACULTY FOUNDATION (NMFF) WERE AMENDED AS OF 8/30/2017 TO REFLECT THE MERGER OF NORTHWESTERN FOUNDATION FOR RESEARCH AND EDUCATION (NFRE) INTO NMFF. THE ARTICLES OF NORTHWESTERN MEMORIAL HEALTHCARE WERE AMENDED AS OF 8/30/2017 TO RECORD THE MERGER OF MARIANJOY, INC. WITH NMHC. ARTICLES OF MERGER WERE FILED AS OF 8/31/2018 ON BEHALF OF CDH-DELNOR HEALTH SYSTEM AND KISHWAUKEE PHYSICIAN GROUP, INC, BOTH HAVE MERGED INTO NMHC. KISHWAUKEE FOUNDATION FILED ARTICLES OF MERGER AS OF 8/31/2018 WITH NORTHWESTERN MEMORIAL FOUNDATION. NMF NOW ACTS AS ADMINISTRATOR FOR PURPOSES OF FUNDRAISING, GRANTMAKING, PROPERTY AND REAL ESTATE, CONTRACTING AND OTHER ACTIVITIES NECESSARY TO THE KISHWAUKEE FOUNDATION'S CONTINUED ROLE AS A DIVISION OF NMF AND THE NM HEALTH SYSTEM. NMF WILL USE PRIOR FUNDS TO SERVE THE KISHWAUKEE POPULATION.
Form 990, Part VI, Line 6 Classes of members or stockholders NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) SERVES AS THE SOLE MEMBER OF THE FOLLOWING ENTITIES IN THE GROUP RETURN: - NORTHWESTERN MEMORIAL HOSPITAL - NORTHWESTERN LAKE FOREST HOSPITAL - NORTHWESTERN MEMORIAL FOUNDATION - NORTHWESTERN MEDICAL GROUP - CDH-DELNOR HEALTH SYSTEM - KISHHEALTH SYSTEM - MARIANJOY REHABILITATION HOSPITAL & CLINICS, INC. - REHABILITATION MEDICINE CLINIC, INC. NORTHWESTERN LAKE FOREST HOSPITAL SERVES AS THE SOLE MEMBER OF NORTHWESTERN LAKE FOREST HEALTH AND FITNESS INSTITUTE. CDH-DELNOR HEALTH SYSTEM SERVES AS THE SOLE MEMBER OF THE FOLLOWING SUBSIDIARIES IN THE GROUP RETURN: - CENTRAL DUPAGE HOSPITAL ASSOCIATION - CENTRAL DUPAGE PHYSICIAN GROUP - DELNOR-COMMUNITY HOSPITAL KISHHEALTH SYSTEM SERVES AS THE SOLE MEMBER OF THE FOLLOWING SUBSIDIARIES IN THE GROUP RETURN: - KISHWAUKEE COMMUNITY HOSPITAL - VALLEY WEST COMMUNITY HOSPITAL - KISHHEALTH FOUNDATION - DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. - DEKALB COUNTY HOSPICE - KISHHEALTH SYSTEM HOME CARE - KISHWAUKEE PHYSICIAN GROUP Marianjoy Rehabilitation Hospital & Clinics, Inc. serves as the sole member of Marianjoy Rehabilitation Center Auxiliary. Kishwaukee Community Hospital serves as the sole member of Center for Family Health-Malta.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), AS THE ULTIMATE PARENT OF THE HEALTH SYSTEM, HAS THE AUTHORITY TO DIRECTLY OR INDIRECTLY APPOINT THE DIRECTORS OF ALL ENTITIES IN THE GROUP. OTHER THAN EX-OFFICIO DIRECTORS, NMHC APOINTS THE DIRECTORS FOR ALL ENTITIES FOR WHICH IT SERVES AS SOLE MEMBER, AS IDENTIFIED ABOVE. THE DIRECTORS OF CERTAIN OTHER ENTITIES IN THE SYSTEM IDENTIFIED ABOVE WHICH HAVE SOLE MEMBERS OTHER THAN NMHC MAY BE APPOINTED BY THEIR INTERMEDIARY MEMBERS, HOWEVER CONTROL OVER THOSE MEMBERS' BOARDS ULTIMATELY RESTS IN NMHC. MANY OF THE ENTITIES IN THE GROUP ALSO HAVE DIRECTORS WHO SERVE EX OFFICIO IN THEIR CAPACITY AS OFFICERS OR ADMINISTRATORS OF THEIR RESPECTIVE CORPORATIONS, OR IN THEIR CAPACITY AS OFFICERS OR ADMINISTRATORS OF RELATED ORGANIZATIONS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), AS THE ULTIMATE PARENT OF ALL ENTITIES IN THIS GROUP RETURN HAS BROAD RESERVED POWERS. FOR ENTITIES WHICH NMHC DOES NOT SERVE AS SOLE MEMBER, THESE RESERVED POWERS ARE DELEGATED TO THE INTERMEDIARY CORPORATE MEMBER OF EACH AFFILIATE INCLUDED IN THIS GROUP, AND NMHC IS ULTIMATELY THE MEMBER OF THOSE INTERMEDIARIES. THE METHOD OF EXERCISING SUCH POWERS CAN OCCUR THROUGH VARIOUS PROCESSES AS DELINEATED IN THE BYLAWS OF NMHC'S AFFILIATES, ALL OF WHICH MUST BE SUPPORTED BY RESOLUTIONS COMMUNICATED TO THE AFFILIATE. NMHC, AS THE ULTIMATE SOLE MEMBER OF THE ENTITIES IN THIS GROUP RETURN, SHALL HAVE THE EXCLUSIVE POWER AND AUTHORITY TO GOVERN, DIRECT, AND OVERSEE THE PROPERTY, FUNDS, BUSINESS, AND AFFAIRS OF EVERY NMHC SUBSIDIARY, FOR THOSE POWERS THAT ARE SPECIFICALLY DELEGATED TO THE BOARD OF DIRECTORS IN EACH SUBSIDIARY'S BYLAWS. THESE RESERVED POWERS MAY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: - REMOVE DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - ADOPT AN AMENDMENT TO THE ARTICLES OF INCORPORATION OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - AMEND THE BYLAWS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - ADOPT A PLAN OF MERGER OR CONSOLIDATION OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION WITH ANOTHER CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - AUTHORIZE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS RECOMMENDED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; AND - ADOPT A PLAN PROVIDING FOR THE DISTRIBUTION OF ASSETS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS RECOMMENDED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION. - REMOVE DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; - ADOPT AN AMENDMENT TO THE ARTICLES OF INCORPORATION OF THE SUBSIDIARY BUSINESS CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; - AMEND THE BYLAWS OF THE SUBSIDIARY BUSINESS CORPORATION; - AUTHORIZE A BUSINESS COMBINATION AS SUCH TERM IS DEFINED IN 805 ILCS 5/7.85(D)(10); - ADOPT A PLAN OF MERGER, CONSOLIDATION, OR SHARE EXCHANGE OF THE SUBSIDIARY BUSINESS CORPORATION WITH ANOTHER CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; - AUTHORIZE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE SUBSIDIARY BUSINESS CORPORATION AS RECOMMENDED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; AND - AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE SUBSIDIARY BUSINESS CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 (FORM) IS GENERATED INTERNALLY BY THE FINANCE DEPARTMENT WITH SUPPORT FROM VARIOUS DEPARTMENTS WITHIN THE ORGANIZATION. VARIOUS SECTIONS OF THE FORM ARE REVIEWED BY SENIOR MANAGEMENT OF NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), AS THE PARENT ORGANIZATION, AND VARIOUS COMMITTEES. AS EXAMPLES, THE CHIEF INTEGRITY EXECUTIVE REVIEWS DISCLOSURES FOR RELATED PARTY TRANSACTIONS, THE TAX AND REGULATORY REVIEW COMMITTEE REVIEWS THE COMMUNITY BENEFIT REPORT THAT DESCRIBES THE EXEMPT PURPOSE ACHIEVEMENTS, AND LOBBYING EXPENDITURES ARE REVIEWED BY THE SVP EXTERNAL AFFAIRS. THE EXECUTIVE COMPENSATION SUBCOMMITTEE OF THE BOARD OF DIRECTORS OF NMHC IS PROVIDED THE COMPENSATION DISCLOSURES. THE ORGANIZATION THEN WORKS WITH A NATIONAL, INDEPENDENT PUBLIC ACCOUNTING FIRM AS THE PAID PREPARER OF THE FORM 990 FILING. THE FINAL FORM IS REVIEWED BY MEMBERS OF THE FINANCE DEPARTMENT PRIOR TO REVIEW BY THE NMHC VICE PRESIDENT, FINANCE AND BY THE SENIOR VICE PRESIDENT & CHIEF FINANCIAL OFFICER. PRIOR TO FILING, THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS THROUGH A SECURE WEBSITE.
Form 990, Part VI, Line 12c Conflict of interest policy NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) MAINTAINS BOTH A CONFLICT OF INTEREST POLICY AND AN INTERMEDIATE SANCTIONS POLICY. THESE POLICIES HAVE BEEN APPROVED BY ITS BOARD OF DIRECTORS AND APPLY TO ALL ENTITIES, DIRECTORS, OFFICERS, EMPLOYEES AND TRANSACTIONS WHICH TAKE PLACE WITHIN THE NMHC SYSTEM. THE POLICIES WERE WRITTEN TO ASSIST BOARD MEMBERS AND MANAGEMENT WITH THE IDENTIFICATION OF THOSE TRANSACTIONS THAT WARRANT ATTENTION AND CONSIDERATION TO ENSURE PROPER ADHERENCE TO THE TAX LAWS IMPACTING TAX-EXEMPT ORGANIZATIONS. THE CONFLICT OF INTEREST POLICY REQUIRES COMPLETION OF AN ANNUAL CERTIFICATION WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED, READ AND UNDERSTANDS THE CONFLICT OF INTEREST POLICY, HAS AGREED TO COMPLY, HAS DISCLOSED ANY MATTERS REQUIRED TO BE DISCLOSED UNDER THE POLICY, AND AGREES TO REPORT ANY CHANGES PROMPTLY TO THE CHIEF INTEGRITY EXECUTIVE. ONCE THE ANNUAL CERTIFICATIONS ARE COMPLETE, THE CHIEF INTEGRITY EXECUTIVE REVIEWS THE DISCLOSURES FOR COMPLIANCE WITH THE POLICY.
Form 990, Part VI, Line 15a Process to establish compensation of top management official NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) HAS ESTABLISHED A BOARD-LED EXECUTIVE COMPENSATION REVIEW AND APPROVAL PROCESS FOR NMHC AND ALL AFFILIATES. THIS PROCESS FOR REVIEWING AND APPROVING EXECUTIVE COMPENSATION: (1) IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL TAX LAW INTERMEDIATE SANCTIONS RULES AND OTHERWISE COMPLIES WITH IRS GUIDELINES FOR TAX-EXEMPT ORGANIZATIONS; (2)IS CONDUCTED BY A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS WHOSE MEMBERS ARE ALL DISINTERESTED, INDEPENDENT AND UNPAID; (3) EVALUATES THE REASONABLENESS OF COMPENSATION ANNUALLY BASED ON COMPENSATION DATA GATHERED BY EXTERNAL CONSULTANTS FROM A PEER GROUP COMPRISED OF SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS; AND (4) ALL COMPENSATION DECISIONS AND SUPPORT ARE RECORDED IN THE MINUTES OF THE COMMITTEE'S MEETINGS. IN ADDITION, A SIGNIFICANT PORTION OF COMPENSATION IS AT RISK AND IS PAYABLE ONLY UPON ACHIEVEMENT OF A BROAD ARRAY OF DIFFICULT PERFORMANCE GOALS TIED TO THE STRATEGIC VISION OF NORTHWESTERN MEDICINE AND ACHIEVEMENT OF ITS TAX-EXEMPT PURPOSES. THE BOARD PLACES A HIGH PRIORITY ON ITS ABILITY TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM TO ENSURE WE SERVE OUR MISSION AND ACHIEVE OUR GOALS. THE OFFICERS OF NORTHWESTERN MEMORIAL HEALTHCARE ALSO FULFILL SUBSTANTIAL OFFICER AND EXECUTIVE FUNCTIONS FOR NMHC'S SUBSIDIARIES.
Form 990, Part VI, Line 15b Process to establish compensation of other employees SEE RESPONSE TO 15A.
Form 990, Part VI, Line 19 Required documents available to the public THE CORPORATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE CONSOLIDATED FINANCIAL STATEMENTS OF NORTHWESTERN MEMORIAL HEALTHCARE AND SUBSIDIARIES ARE AVAILABLE ON THE HEALTH SYSTEM WEBSITE, NM.ORG. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE FROM THE ILLINOIS ATTORNEY GENERAL'S OFFICE AS PART OF ITS ANNUAL COMMUNITY BENEFITS REPORT AND THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM OF THE MUNICIPAL SECURITIES RULEMAKING BOARD.
Form 990, Part VII, Section A, Line 1a GROUP TITLES AND COMPENASTION PRESENTATION NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), IS THE DIRECT PARENT ORGANIZATION FOR NORTHWESTERN MEMORIAL HOSPITAL (NMH), NORTHWESTERN MEMORIAL FOUNDATION (NMF), NORTHWESTERN MEDICAL FACULTY FOUNDATION, DOING BUSINESS AS NORTHWESTERN MEDICAL GROUP (NMG), NORTHWESTERN LAKE FOREST HOSPITAL (NLFH), CDH-DELNOR HEALTH SYSTEM (CDHS), AND KISHHEALTH SYSTEM (KHS). NMHC IS ALSO THE INDIRECT PARENT FOR LAKE FOREST HEALTH AND FITNESS INSTITUTE (HFI), CENTRAL DUPAGE HOSPITAL ASSOCIATION (CDHA), CENTRAL DUPAGE PHYSICIAN GROUP (CDPG), DELNOR -COMMUNITY HOSPITAL (DCH), MARIANJOY REHABILITATION HOSPITAL AND CLINICS (MJRH), MARIANJOY REHABILITATION CENTER AUXILIARY (MJAUX), REHABILITATION MEDICINE CLINIC (RMC), KISHWAUKEE COMMUNITY HOSPITAL (KCH), CENTER FOR FAMILY HEALTH-MALTA (CFHM), VALLEY WEST COMMUNITY HOSPITAL (VW), KISHHEALTH FOUNDATION (KHF), DEKALB BEHAVIORAL HEALTH FOUNDATION (DBHF), DEKALB COUNTY HOSPICE (KHH), KISHHEALTH SYSTEM HOME CARE (KHHC), AND KISHWAUKEE PHYSICIANS GROUP (KPG). THESE 21 CORPORATIONS HAVE COMBINED THROUGH THE ELECTION UNDER REGULATION 1.6033-2 (D) (5) TO REPORT THE DIRECTORS, OFFICERS, KEY EMPLOYEES AND FIVE HIGHLY COMPENSATED EMPLOYEES UNDER THE GROUP RETURN REQUIREMENTS FOR FORM 990 FOR THE FISCAL YEAR ENDED 8/31/2018. NO ORGANIZATION IN THIS GROUP RETURN COMPENSATES ITS DIRECTORS FOR SERVICES PERFORMED AS DIRECTORS. WHERE COMPENSATION IS REPORTED FOR A DIRECTOR, THE COMPENSATION IS ASSOCIATED WITH ANOTHER POSITION HELD WITHIN THE CORPORATIONS. CERTAIN INDIVIDUALS HOLD MULTIPLE POSITIONS THROUGHOUT THESE 21 CORPORATIONS. THE DETAIL IS HIGHLIGHTED BY INDIVIDUAL WITHIN SCHEDULE O.
Form 990, Part VII, Section A ANDERSON, JAY ADDITIONAL POSITIONS HELD Organization Name: Valley West Community Hospital, Title: PRESIDENT , AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: PRESIDENT , AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: DIRECTOR (1/17/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Barnes, Marvin ADDITIONAL POSITIONS HELD Organization Name: Dekalb County Hospice, Title: Chair & Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Bruch, Tonda ADDITIONAL POSITIONS HELD Organization Name: KishHealth Foundation, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A CANNING, JOHN A. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: CHAIR & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial HealthCare, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Chrisman, Howard B., MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Collins, Seamus ADDITIONAL POSITIONS HELD Organization Name: Lake Forest Health and Fitness Institute, Title: Secretary & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A CREAMER, JULIE L. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: PRESIDENT & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Dauten, Kent ADDITIONAL POSITIONS HELD Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Physician Group, Title: Chair & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Chair and Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Physician Group, Inc., Title: Chair & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Evans, Gary ADDITIONAL POSITIONS HELD Organization Name: KishHealth Foundation, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Falcone, Connie ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A FLESCH, WILLIAM P. ADDITIONAL POSITIONS HELD Organization Name: Delnor-Community Hospital, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CDH-Delnor Health System, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Valley West Community Hospital, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Hospital Association, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial HealthCare, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Flynn, Matthew J. ADDITIONAL POSITIONS HELD Organization Name: Center for Family Health-Malta, Title: Vice Chair & Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Franco, Richard ADDITIONAL POSITIONS HELD Organization Name: Lake Forest Health and Fitness Institute, Title: Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Giblin, James, MD ADDITIONAL POSITIONS HELD Organization Name: Dekalb County Hospice, Title: Secretary and Director (1/1/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Illinois Proton Center Holdings, LLC , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: PRESIDENT & Director (2/1/18-4/30/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System Home Care, Title: Secretary & DIRECTOR (9/1/17 to 4/30/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: PRESIDENT & Director (2/1/18-4/30/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Harrison, Dean M. ADDITIONAL POSITIONS HELD Organization Name: Delnor-Community Hospital, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Hospital, Title: CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Dekalb County Hospice, Title: Chair & Director (1/1/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CDH-Delnor Health System, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Valley West Community Hospital, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Hospital Association, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Physician Group, Title: CEO & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Chair & CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: CEO and Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial HealthCare, Title: President, CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Lake Forest Hospital, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System Home Care, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Foundation, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: Chair & CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Physician Group, Inc., Title: CEO & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hoste, Staci ADDITIONAL POSITIONS HELD Organization Name: Dekalb County Hospice, Title: Vice Chair & Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Johnson, Christine ADDITIONAL POSITIONS HELD Organization Name: KishHealth Foundation, Title: Secretary & Director (9/1/17 to 1/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Kozak, Emily J. ADDITIONAL POSITIONS HELD Organization Name: Delnor-Community Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Center for Family Health-Malta, Title: Secretary & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: CDH-Delnor Health System, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: Assistant Secretary , AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Asst. Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial HealthCare, Title: Assistant Secretary, AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Kishwaukee Physician Group, Inc., Title: Assistant Secretary , AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer
Form 990, Part VII, Section A KRAFT, DIANA, MD ADDITIONAL POSITIONS HELD Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Lemon, Brian J. ADDITIONAL POSITIONS HELD Organization Name: Dekalb County Hospice, Title: DIRECTOR (5/1/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Illinois Proton Center Holdings, LLC , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: PRESIDENT , AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: President & DIRECTOR (5/1/18-8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System Home Care, Title: Secretary & DIRECTOR (5/1/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: President & DIRECTOR (5/1/18-8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Mason, Karen ADDITIONAL POSITIONS HELD Organization Name: Dekalb County Hospice, Title: Secretary/Treasurer & Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A McAfee, Thomas J. ADDITIONAL POSITIONS HELD Organization Name: Lake Forest Health and Fitness Institute, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Lake Forest Hospital, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A McNerney, W. James ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Neilson, Eric G., MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Medical Faculty Foundation, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Orsini, John A. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Dekalb County Hospice, Title: Vice Chair, Treasurer, Director (1/1/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Illinois Proton Center Holdings, LLC , Title: Secretary & Treasurer, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: CDH-Delnor Health System, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Delnor-Community Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial HealthCare, Title: Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: TREASURER, AverageHours: 1.000; Officer Organization Name: KishHealth System Home Care, Title: Vice Chair & Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Kishwaukee Physician Group, Inc., Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: TREASURER, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Osborn, William A. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A PATEL, HOMI B. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Lake Forest Hospital, Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Poorten, Kevin P. ADDITIONAL POSITIONS HELD Organization Name: Center for Family Health-Malta, Title: Chair & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Dekalb County Hospice, Title: President & Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Illinois Proton Center Holdings, LLC , Title: President & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CDH-Delnor Health System, Title: DIRECTOR & PRESIDENT, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Valley West Community Hospital, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: CHAIR (9/1/17 to 2/4/18) & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: DIRECTOR & PRESIDENT, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth Foundation, Title: President & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Physician Group, Inc., Title: President , AverageHours: 1.000; Officer
Form 990, Part VII, Section A Pritzker, M.K. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR AND CHAIR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Tilton, Glenn F. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Medical Faculty Foundation, Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A TOWNE, PATRICK, MD ADDITIONAL POSITIONS HELD Organization Name: Central Dupage Physician Group, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A WEHMER, EDWARD J. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A ALCORN-KELL, NANCY ADDITIONAL POSITIONS HELD Organization Name: Illinois Proton Center Holdings, LLC , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Barrett, Dean ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BARROWCLIFT, TODD, DO ADDITIONAL POSITIONS HELD Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Benson, Roger L. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bernick, Peter ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bernick, Carol ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bickner, Joan ADDITIONAL POSITIONS HELD Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bluhm, Andrew ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Boies, John ADDITIONAL POSITIONS HELD Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BRENNAN, CHARLES M. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BRODSKY, WILLIAM J. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BROWN, DAVID ADDITIONAL POSITIONS HELD Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Capek, Cindy ADDITIONAL POSITIONS HELD Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Casper, David R. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Chabraja, Nicholas D. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Chookaszian, Dennis S. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Collins, Craig T. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CONNOLLY, SEAN M . ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cooper, Adam ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cozzi, Mark ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Crawford, Stephen ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CRAWFORD, KERMIT R. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CRIST, PETER D. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Crown, Keating ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cullen, Michael A. ADDITIONAL POSITIONS HELD Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Physician Group, Title: Director (11/8/17 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Physician Group, Inc., Title: Director (11/8/17 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cunningham, William ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Curren, Denise ADDITIONAL POSITIONS HELD Organization Name: Dekalb County Hospice, Title: Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Dale, Brett M. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Daley, William M. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DALUGA, WILLIAM G. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DAMICO, JOSEPH F. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Darnall, Matthew S. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Davis, Anthony B. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Davis, Richard ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DeCanniere, Dan ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DEJESUS, PEDRO ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DeSantiago, Michael F. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DICK, JOHN H. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Donnelly, Shawn M. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Elliott, Stephen W. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ettelson, John R. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Favela, Manny ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Feldmann, Ronald, MD ADDITIONAL POSITIONS HELD Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ferro, Michael W. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Friedman, Albert M. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Furlong, Mark ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR (9/1/17 to 6/30/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Giles, Lisa M. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Glerum, James T. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gobeli, Teresa ADDITIONAL POSITIONS HELD Organization Name: Dekalb County Hospice, Title: Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Goldberg, William ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gordon, James A. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A GORDON, ILENE S. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gordon McCallister, Trina ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Greffin, Judy ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HARRIS, ROGER T. ADDITIONAL POSITIONS HELD Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hart, Brett J. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Helton, Sandra L. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Herencia, Roberto R. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hilde, Mark ADDITIONAL POSITIONS HELD Organization Name: Dekalb County Hospice, Title: Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hoeflich, Adam ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HUNTER, WILLARD M. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hurst, Peter S., BDS ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Johnson Rice, Linda ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kachmer, Michael J. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kash, Rick H. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Keane, Dennis, MD ADDITIONAL POSITIONS HELD Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A KESMAN, ANTHONY K. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kessler, John A., MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Keswani, Sushil ADDITIONAL POSITIONS HELD Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Klein, Ron ADDITIONAL POSITIONS HELD Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A KLOOSTERBOER, JAY ADDITIONAL POSITIONS HELD Organization Name: Delnor-Community Hospital, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A KOZIK, CATHERINE ADDITIONAL POSITIONS HELD Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kulisz, Michael, DO ADDITIONAL POSITIONS HELD Organization Name: Kishwaukee Physician Group, Inc., Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kunkler, William C. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Lampert, Julie ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Lenny, Richard H. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Levy, Lawrence F. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Livingston, Robert A. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Luby, Timothy J. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Manire, Dee A. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Mansueto, Joseph D. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Matya, Thomas ADDITIONAL POSITIONS HELD Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Maybury, J. Richard ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MCCARTHY, PATRICK M., MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Melman, Richard ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Meza, Ricardo ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Milliman, Becky ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Mills, Karen ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MILLS, CHARLES N. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MITCHELL, LEE M. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Moen, Timothy P. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Moyer, Lou Jean ADDITIONAL POSITIONS HELD Organization Name: KishHealth Foundation, Title: Director (9/1/17 to 2/15/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MUILENBERG, DENNIS ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Murray, James, III ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Novakovic, Phebe N. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A OLEKSYN, ANDREW, DO ADDITIONAL POSITIONS HELD Organization Name: Valley West Community Hospital, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Paller, Amy S., MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Parkinson, Robert J., Jr. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PATEL, JAGDISH, MD ADDITIONAL POSITIONS HELD Organization Name: CDH-Delnor Health System, Title: DIRECTOR (7/18/18 TO 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR (7/18/18 TO 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR (7/18/18 TO 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR (7/18/18 TO 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR (7/18/18 TO 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR (7/18/18 TO 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PEABODY, TERRANCE D., MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PEREZ, WILLIAM D. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Persak, Joseph M., MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Pigott, Jane D. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Plantanias, Leonidas C., MD, PhD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Podjasek, John ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PRAMAGGIORE, ANNE ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Pryde, Craig R. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Redmond-Ferguson, Andrea ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Reyes, J. Christopher ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A RICHMAN, LARRY D. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Richmond, Mary Beth, MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Richter, Sue ADDITIONAL POSITIONS HELD Organization Name: Dekalb County Hospice, Title: Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A RIZZI, LEONETTA ADDITIONAL POSITIONS HELD Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: DIRECTOR (1/17/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Rogers, Desiree ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ross, Matthew W. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Saran, Debbie S. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Saslow, Ron ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Satter, Muneer A. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Savage, Terry ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schapiro, Morton O. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schmidt, John, MD ADDITIONAL POSITIONS HELD Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schulman, Marc S. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Scott, Samuel C., III ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SEVERINO, RONALD J., MD ADDITIONAL POSITIONS HELD Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SHOENER, DEAN P., MD ADDITIONAL POSITIONS HELD Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Scott C. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Greg ADDITIONAL POSITIONS HELD Organization Name: Central Dupage Physician Group, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Physician Group, Inc., Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SOPER, NATHANIEL J., MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A STRAUSS, MARC ADDITIONAL POSITIONS HELD Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A STUART, ALEXANDER D. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Stucker, Robert J. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Sullivan, Robert ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Sullivan, Timothy P. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Talton, Shelia G. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A THOMPSON, DONALD L. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Thornton, Michael, MD ADDITIONAL POSITIONS HELD Organization Name: Dekalb County Hospice, Title: Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Tilly, Edward T. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A TSARWHAS, DEAN G., MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Tyler, Jason ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Vaughan, Douglas E. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Volpe, Nicholas J., MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A VONHOENE, WILLIAM A. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WADDELL, FREDERICK H. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WALKER, Ruth ADDITIONAL POSITIONS HELD Organization Name: Dekalb County Hospice, Title: Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Waud, Reeve ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WAYNE, JEFFREY D., MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A West, Ann, MD ADDITIONAL POSITIONS HELD Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Whinfrey, Peter ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Whittaker, Forrest ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WILKIN, ABRA PRENTICE ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Woertz, Patricia A. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Wood, Corinne J. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ZALLIE, JAMES P . ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Zopp, Andrea ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BRYANT, MAUREEN ADDITIONAL POSITIONS HELD Organization Name: Delnor-Community Hospital, Title: PRESIDENT , AverageHours: 1.000; Officer
Form 990, Part VII, Section A Prousis, Danae K. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: CDH-Delnor Health System, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Memorial HealthCare, Title: Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Secretary, AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: SECRETARY, AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Kishwaukee Physician Group, Inc., Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: SECRETARY , AverageHours: 1.000; Officer
Form 990, Part VII, Section A Savaiano, Mary ADDITIONAL POSITIONS HELD Organization Name: Illinois Proton Center Holdings, LLC , Title: Assistant Secretary, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Taus, Maureen A. ADDITIONAL POSITIONS HELD Organization Name: Illinois Proton Center Holdings, LLC , Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: ASSISTANT TREASURER , AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: CDH-Delnor Health System, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial HealthCare, Title: Assistant Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Kishwaukee Physician Group, Inc., Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer
Form 990, Part VII, Section A YOSKO, KATHLEEN ADDITIONAL POSITIONS HELD Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: PRESIDENT (9/1/17-12/31/17), AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: President, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: PRESIDENT (9/1/17-12/31/17), AverageHours: 1.000; Officer
Form 990, Part VII, Section A Bare, Aaron ADDITIONAL POSITIONS HELD Organization Name: Central Dupage Physician Group, Title: Physician, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Lee, Michael, MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Physician, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Shownkeen, Harish, MD ADDITIONAL POSITIONS HELD Organization Name: Central Dupage Physician Group, Title: Physician, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Stein, Regina, MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Physician, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Tellez, Claudia, MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Physician, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Adams, James ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former CMO, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Bell, Roger ADDITIONAL POSITIONS HELD Organization Name: Kishwaukee Community Hospital (Former), Title: Former CIO, AverageHours: 1.000; Officer Organization Name: Kishwaukee Physician Group, Inc.(Former), Title: Former CIO, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Burandt, Steven, MD ADDITIONAL POSITIONS HELD Organization Name: CDH-Delnor Health System(Former), Title: Former Secretary and Treasurer, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Christensen, Carl ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former CIO, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Copple, Brad ADDITIONAL POSITIONS HELD Organization Name: Kishwaukee Community Hospital (Former), Title: Former President, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Daniels, Mark, MD ADDITIONAL POSITIONS HELD Organization Name: CDH-Delnor Health System(Former), Title: Former Secretary, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Dant, Joseph ADDITIONAL POSITIONS HELD Organization Name: Center for Family Health-Malta(Former), Title: Former Chair/Secretary, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Dechene, James C. ADDITIONAL POSITIONS HELD Organization Name: Delnor-Community Hospital(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: CDH-Delnor Health System(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Lake Forest Health and Fitness Institute(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital (Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: KishHealth System(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Kishwaukee Physician Group, Inc.(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former Secretary, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Duffy, Pamela ADDITIONAL POSITIONS HELD Organization Name: KishHealth System Home Care(Former), Title: Former President, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Englehart, Erik, MD ADDITIONAL POSITIONS HELD Organization Name: Kishwaukee Physician Group, Inc.(Former), Title: Former Vice Chair, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Falk, Stephen ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation(Former), Title: Former President, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Foelske, Loren ADDITIONAL POSITIONS HELD Organization Name: Kishwaukee Community Hospital (Former), Title: Former VP Finance, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Fraher, Francis ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital(Former), Title: Former Asst Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital(Former), Title: Former Asst Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation(Former), Title: Former Asst Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former Asst Treasurer, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Hensley, David ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation(Former), Title: Former President, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Hubbe, John ADDITIONAL POSITIONS HELD Organization Name: Kishwaukee Community Hospital (Former), Title: Fmr General Counsel, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Majeski, Denise ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital(Former), Title: Former CNO, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Manheimer, Dean ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former Sr VP HR, AverageHours: 1.000; Officer
Form 990, Part VII, Section A McCanna, Peter ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital(Former), Title: Former Chair, AverageHours: 1.000; Officer
Form 990, Part VII, Section A McClelland, Michele ADDITIONAL POSITIONS HELD Organization Name: Kishwaukee Community Hospital (Former), Title: Former VP HR, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Noskin, Gary, MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital(Former), Title: Former CMO, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation(Former), Title: SVP, Quality and CMO, NMH, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Rosenberg, Elizabeth ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former Key Employee, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Vivoda, Michael ADDITIONAL POSITIONS HELD Organization Name: CDH-Delnor Health System(Former), Title: Former President, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group(Former), Title: Former Chair, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Walsh, Brian ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former CFO, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Wooten Ierardi, Jennifer ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital(Former), Title: Former Asst. Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital(Former), Title: Former Asst. Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former Asst. Secretary, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Young, Douglas M. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: CDH-Delnor Health System(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital (Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: KishHealth System(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer
Form 990, Part VIII, Line 2f Other Program Service Revenue all other program service - Total Revenue: XXX-XX-XXXX, Related or Exempt Function Revenue: XXX-XX-XXXX, Unrelated Business Revenue: 1859737, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Misc Revenue - Total Revenue: 25967, Related or Exempt Function Revenue: 23075, Unrelated Business Revenue: 2892, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN INTEREST RATE SWAPS - 31265133; TRANSFER TO/FROM AFFILIATES - XXX-XX-XXXX; NET ASSET RELEASE FROM RESTRICTION - -31457018; CHANGE IN FV OF SPLIT-INTEREST AGREEMENT - 936151; PURCHASE OF PROTON CENTER INTEREST - -5686476; CHANGE IN PENSION - 33822508; DISTRIBUTION OF NCI-NMH & KISH - -1242859; MSC DEFERRED RENT ADJUSTMENT - -635812; OTHER - -3732059; Investment in CORNERSTONE MEDICAL GROUP - -11778727;
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: CDH-DELNOR HEALTH SYSTEM ADDRESS: 25 N WINFIELD ROAD WINFIELD, Illinois 60190 EIN: 36-3099698 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 52,040,624 TOTAL EXEMPT PURPOSE EXPENDITURES: 52,040,624 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: CENTRAL DUPAGE HOSPITAL ASSOCIATION ADDRESS: 25 N WINFIELD ROAD WINFIELD, Illinois 60190 EIN: 36-2513909 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 72,325 TOTAL LOBBYING EXPENDITURES: 72,325 OTHER EXEMPT PURPOSE EXPENDITURES: 936,731,348 TOTAL EXEMPT PURPOSE EXPENDITURES: 936,803,673 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: DELNOR-COMMUNITY HOSPITAL ADDRESS: 300 RANDALL ROAD GENEVA, Illinois 60134 EIN: 36-3484281 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 37,334 TOTAL LOBBYING EXPENDITURES: 37,334 OTHER EXEMPT PURPOSE EXPENDITURES: 339,639,455 TOTAL EXEMPT PURPOSE EXPENDITURES: 339,639,455 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: CENTRAL DUPAGE PHYSICIAN GROUP ADDRESS: 25 N WINFIELD ROAD WINFIELD, Illinois 60190 EIN: 36-3149833 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 268,377,840 TOTAL EXEMPT PURPOSE EXPENDITURES: 268,377,840 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: COMMUNITY NURSING SERVICES OF DUPAGE ADDRESS: 690 E NORTH AVE CAROL STREAM, Illinois 60188 EIN: 36-6080833 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 24,567,454 TOTAL EXEMPT PURPOSE EXPENDITURES: 24,567,454 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: CENTRAL DUPAGE SPECIAL HEALTH ASSOC ADDRESS: 27W353 JEWELL RD WINFIELD, Illinois 60190 EIN: 36-4310557 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 4,570,046 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,570,046 LOBBYING NONTAXABLE AMOUNT: 378,502 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 94,626 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: PAHCS II ADDRESS: 27W353 JEWELL RD WINFIELD, Illinois 60190 EIN: 36-3887234 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 10,279,875 TOTAL EXEMPT PURPOSE EXPENDITURES: 10,279,875 LOBBYING NONTAXABLE AMOUNT: 663,994 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 663,994 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: KISHHEALTH SYSTEM HOMECARE ADDRESS: 100 E WASHINGTON ST SPRINGFIELD, Illinois 62701 EIN: 37-1703513 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 2,914,216 TOTAL EXEMPT PURPOSE EXPENDITURES: 2,914,216 LOBBYING NONTAXABLE AMOUNT: 295,711 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 73,928 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: KISHWAUKEE COMMUNITY HOSPITAL ADDRESS: ONE KISH HOSPITAL DR DEKALB, Illinois 60115 EIN: 23-7087041 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 30,131 TOTAL LOBBYING EXPENDITURES: 30,131 OTHER EXEMPT PURPOSE EXPENDITURES: 194,793,250 TOTAL EXEMPT PURPOSE EXPENDITURES: 194,823,381 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: VALLEY WEST COMMUNITY HOSPITAL ADDRESS: ONE KISH HOSPITAL DR DEKALB, Illinois 60115 EIN: 36-4244337 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 14,833 TOTAL LOBBYING EXPENDITURES: 14,833 OTHER EXEMPT PURPOSE EXPENDITURES: 46,068,823 TOTAL EXEMPT PURPOSE EXPENDITURES: 46,068,823 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: MARIANJOY REHAB HOSPITAL & CLINICS, INC. ADDRESS: 26W171 ROOSEVELT RD WHEATON, Illinois 60187 EIN: 36-2680776 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 10,217 TOTAL LOBBYING EXPENDITURES: 10,217 OTHER EXEMPT PURPOSE EXPENDITURES: 88,570,062 TOTAL EXEMPT PURPOSE EXPENDITURES: 88,580,279 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: KISHHEALTH SYSTEM FOUNDATION ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3649077 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: TOTAL EXEMPT PURPOSE EXPENDITURES: LOBBYING NONTAXABLE AMOUNT: TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: KISHHEALTH PHYSICIAN GROUP ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 65-1293967 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 33,043,574 TOTAL EXEMPT PURPOSE EXPENDITURES: 33,043,574 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: DEKALB BEHAVIORAL HEALTH FOUNDATION ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 47-4579189 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 7,403,428 TOTAL EXEMPT PURPOSE EXPENDITURES: 7,403,428 LOBBYING NONTAXABLE AMOUNT: 520,171 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 130,043 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: CENTER FOR FAMILY HEALTH - MALTA ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 80-0869393 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 437,695 TOTAL EXEMPT PURPOSE EXPENDITURES: 437,695 LOBBYING NONTAXABLE AMOUNT: 87,539 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 21,885 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: KISHHEALTH SYSTEM HOSPICE ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3164329 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 2,420,792 TOTAL EXEMPT PURPOSE EXPENDITURES: 2,420,792 LOBBYING NONTAXABLE AMOUNT: 271,040 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 67,760 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: REHABILITATION MEDICINE CLINIC ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3236791 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 14,914,029 TOTAL EXEMPT PURPOSE EXPENDITURES: 14,914,029 LOBBYING NONTAXABLE AMOUNT: 895,701 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 223,925 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: MARIANJOY AUXILIARY ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3896976 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: TOTAL EXEMPT PURPOSE EXPENDITURES: LOBBYING NONTAXABLE AMOUNT: TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number

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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) CADENCE AMBULATORY SURGERY CENTER LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
80-0838376 		HEALTHCARE IL 10,524,164 23,395,272 CDH-DELNOR HEALTH SYSTEM
 
(2) CADENCE MEDICAL PARTNERS LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
90-0917479 		HEALTHCARE IL 27,214,301 16,935,370 CDH-DELNOR HEALTH SYSTEM
 
(3) CADENCE HEALTH ACO
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
35-2507700 		HEALTHCARE IL 0 0 CDH-DELNOR HEALTH SYSTEM
 
(4) ILLINOIS PROTON CENTER LLC
4455 Weaver Pkwy
WARRENVILLE,IL60555
26-0876468 		HEALTHCARE DE 16,520,453 91,475,578 ILLINOIS PROTON CENTER HOLDINGS LLC
 
(5) ILLINOIS PROTON CENTER HOLDINGS LLC
4455 Weaver Pkwy
WARRENVILLE,IL60555
26-0876420 		HEALTHCARE DE 16,520,453 91,475,578 CENTRAL DUPAGE HOSPITAL
 


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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


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

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)NORTHWESTERN MEMORIAL HEALTHCARE
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3152959 		MANAGEMENT IL 501(c)(3) Type III-FI NA
 
 
No
(2)NORTHWESTERN MEMORIAL HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
37-0960170 		HOSPITAL IL 501(c)(3) 3 NMHC
 
Yes
 
(3)NORTHWESTERN MEMORIAL FOUNDATION
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3155315 		FUNDRAISING IL 501(c)(3) 7 NMHC
 
Yes
 
(4)NORTHWESTERN LAKE FOREST HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-2179779 		HOSPITAL IL 501(c)(3) 3 NMHC
 
Yes
 
(5)LAKE FOREST HEALTH & FITNESS INST
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3835030 		HEALTH IL 501(c)(3) 10 NORTHWESTERN LAKE FOREST HOSP
 
Yes
 
(6)NORTHWESTERN MEDICAL FACULTY FOUNDATION
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3097297 		HEALTHCARE IL 501(c)(3) 3 NMHC
 
Yes
 
(7)CDH-DELNOR HEALTH SYSTEM
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3099698 		MANAGEMENT IL 501(c)(3) Type II NMHC
 
Yes
 
(8)CENTRAL DUPAGE HOSPITAL ASSOCIATION
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-2513909 		HOSPITAL IL 501(c)(3) 3 CDH-DELNOR HLTH SYSTEM
 
Yes
 
(9)DELNOR-COMMUNITY HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3484281 		HOSPITAL IL 501(c)(3) 3 CDH-DELNOR HLTH SYSTEM
 
Yes
 
(10)CENTRAL DUPAGE PHYSICIAN GROUP
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3149833 		HEALTHCARE IL 501(c)(3) 10 CDH-DELNOR HLTH SYSTEM
 
Yes
 
(11)CENTRAL DUPAGE SPECIAL HEALTH ASSOC
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-4310557 		PHARMACY IL 501(c)(3) 10 CDH-DELNOR HLTH SYSTEM
 
Yes
 
(12)COMMUNITY NURSING SERVICE OF DUPAGE COUNTY
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-6080833 		HOME HEALTH IL 501(c)(3) 10 CDH-DELNOR HLTH SYSTEM
 
Yes
 
(13)PAHCS II
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3887234 		OCCUPATIONAL HEALTH IL 501(c)(3) 10 CDH-DELNOR HLTH SYSTEM
 
Yes
 
(14)KISHHEALTH SYSTEM
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3649080 		MANAGEMENT IL 501(c)(3) Type II NMHC
 
Yes
 
(15)KISHWAUKEE COMMUNITY HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
23-7087041 		HOSPITAL IL 501(c)(3) 3 KISHHEALTH SYSTEM
 
Yes
 
(16)VALLEY WEST COMMUNITY HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-4244337 		HOSPITAL IL 501(c)(3) 3 KISHHEALTH SYSTEM
 
Yes
 
(17)KISHHEALTH FOUNDATION
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3649077 		FUNDRAISING IL 501(c)(3) 7 KISHHEALTH SYSTEM
 
Yes
 
(18)KISHWAUKEE PHYSICIAN GROUP INC
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
65-1293967 		HEALTHCARE IL 501(c)(3) 3 KISHHEALTH SYSTEM
 
Yes
 
(19)KISHHEALTH SYSTEM HOME CARE
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
37-1703513 		HOME HEALTH IL 501(c)(3) 3 KISHHEALTH SYSTEM
 
Yes
 
(20)DEKALB COUNTY HOSPICE INC
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3164329 		HOSPICE IL 501(c)(3) 7 KISHHEALTH SYSTEM
 
Yes
 
(21)DEKALB BEHAVIORAL HEALTH FOUNDATION INC
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
47-4579189 		BEHAVIORAL HEALTH IL 501(c)(3) 3 KISHHEALTH SYSTEM
 
Yes
 
(22)CENTER FOR FAMILY HEALTH - MALTA
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
80-0869393 		HEALTHCARE IL 501(c)(3) 3 KISHHEALTH SYSTEM
 
Yes
 
(23)MARIANJOY REHABILITATION HOSPITAL & CLINICS INC
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-2680776 		HOSPITAL IL 501(c)(3) 3 NMHC
 
Yes
 
(24)REHABILITATION MEDICINE CLINIC INC
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3236791 		HOSPITAL IL 501(c)(3) 3 NMHC
 
Yes
 
(25)MARIANJOY REHABILITATION CENTER AUXILIARY
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3896976 		SUPPORTING IL 501(c)(3) Type I NMHC
 
Yes
 
(26)FRIENDS OF PRENTICE
251 E HURON

CHICAGO,IL60611
36-3930139 		SUPPORTING IL 501(c)(3) Type III-O NA
 
 
No
(27)MCGAW MEDICAL CENTER NORTHWESTERN UNIV
645 N MICHIGAN

CHICAGO,IL60611
36-2656113 		SUPPORTING IL 501(c)(3) Type I NA
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




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



 		(k)
Percentage
ownership
Yes No Yes No
(1) GROSVENOR ALTERNATIVE INVESTMENTS LP

900 NORTH MICHIGAN AVE SUITE 1
CHICAGO,IL60611
80-0833919 		INVESTMENTS DE CDH-DELNOR HEALTH SYSTEM
  		Excluded 0 0   No 0   No 100 %
(2) KISHWAUKEE AREA PHYSICIAN HOSPITAL ORGANIZATION LLC

541 N FAIRBANKS CT
RM 1630
CHICAGO,IL60611
36-4205273 		HEALTHCARE IL KISHWAUKEE COMM HOSP
  		Related -40,648 -41,043   No 0   No 66.67 %
(3) ILLINOIS REGIONAL CANCER CENTER LLP

10 HEALTH SERVICES DR
DEKALB,IL60115
36-3847273 		HEALTHCARE IL NA
  		N/A       No     No  
(4) NORTHWESTERN MEDICAL FACULTY FOUNDATION DIALYSIS CENTER

541 N FAIRBANKS CT
RM 1630
CHICAGO,IL60611
46-2159685 		HEALTHCARE DE NMFF
  		Related 1,996,176 3,354,923   No 0   No 80 %
(5) MIDLAND SURGICAL CENTER LLC

3085 WOLF CT
DEKALB,IL60115
35-2194610 		HEALTHCARE IL KISHWAUKEE COMM HOSP
  		Related 450,853 639,872   No 0   No 74.5 %




Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) NORTHWESTERN HEALTHCARE CORPORATION

541 N FAIRBANKS CT
SUITE 1630
CHICAGO,IL60611
36-3382383 		HEALTHCARE IL NMH
  		C Corporation 973,540 2,239,634 100 % Yes  
(2) NORTHWESTERN MEMORIAL INSURANCE COMPANY

 
 
98-0384611 		RISK TRANSFER CJ NMHC
  		C Corporation     100 %    
(3) DUPAGE HEALTH SERVICES INC

541 N FAIRBANKS CT
SUITE 1630
CHICAGO,IL60611
36-3270521 		HEALTHCARE IL CDH-DELNOR HEALTH SYS
  		C Corporation -532 994,118 100 % Yes  
(4) DELCOM CORPORATION

541 N FAIRBANKS CT
SUITE 1630
CHICAGO,IL60611
36-3334711 		HEALTH MGMT IL CDH-DELNOR HEALTH SYS
  		C Corporation 5,242,070 13,893,506 100 % Yes  
(5) CORNERSTONE MEDICAL GROUP

541 N FAIRBANKS CT
SUITE 1630
CHICAGO,IL60611
36-4345453 		HEALTHCARE IL CDPG
  		C Corporation 5,369,139 0 100 % Yes  
(6) HEALTH PROGRESS INC

541 N FAIRBANKS CT
SUITE 1630
CHICAGO,IL60611
36-3824138 		HEALTHCARE IL KISH HEALTH SYSTEM
  		C Corporation 3,121,619 22,778,341 100 % Yes  


Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
Yes
 
h Purchase of assets from related organization(s) ............................
1h
Yes
 
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Northwestern Healthcare Corporation

 M 299,192 Cost
(2) Community Nursing Services of DuPage County

 L 469,732 Cost
(3) Central DuPage Special Health Association

 L 95,638 Cost
(4) PAHCS II

 L 182,089 Cost
(5) Northwestern Healthcare Corporation

 A 65,077 Cost

Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

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




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2






TY 2017 AffiliatedGroupSchedule
Name:
Northwestern Memorial HealthCare Group
EIN:
36-4724966
Software ID:
17005876
Software Version:
2017v2.2
Affiliated Group Business Name:
Northwestern Memorial HealthCare Group
Address. Either US or Foreign Type:
541 N Fairbanks Ct 1630
Chicago, IL606113319    
EIN:
36-4724966
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
287,149
Total Lobbying Expenditures:
287,149
Other Exempt Purpose Expenditures:
5,188,565,297
Total Exempt Purpose Expenditures:
5,188,852,446
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
NORTHWESTERN MEMORIAL HEALTHCARE
Address. Either US or Foreign Type:
251 E HURON
CHICAGO, IL60611    
EIN:
36-3152959
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
89,800
Total Lobbying Expenditures:
89,800
Other Exempt Purpose Expenditures:
985,483,920
Total Exempt Purpose Expenditures:
985,573,720
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0