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
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 09-01-2018 , and ending 08-31-2019
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 Rm 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 $ 6,613,657,518
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) ........ 3 181
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 142
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 27,954
6 Total number of volunteers (estimate if necessary) ............. 6 2,238
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 67,514,618
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 16,491,533
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 95,379,350 65,076,110
9 Program service revenue (Part VIII, line 2g) ......... 5,345,664,800 6,329,403,735
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 7,713,968 10,101,791
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 71,851,898 76,512,620
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 5,520,610,016 6,481,094,256
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 14,040,179 18,804,578
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) 2,137,868,779 2,509,249,050
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet12,419,337    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 3,036,943,488 3,622,025,759
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 5,188,852,446 6,150,079,387
19 Revenue less expenses. Subtract line 18 from line 12....... 331,757,570 331,014,869
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 9,984,226,689 11,000,741,502
21 Total liabilities (Part X, line 26)............. 2,725,172,406 3,142,226,688
22 Net assets or fund balances. Subtract line 21 from line 20..... 7,259,054,283 7,858,514,814
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2018)
Form 990 (2018)
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 $ 4,727,531,114 including grants of $ 18,804,578 ) (Revenue $ 6,351,851,876 )
THE NMHC GROUP RETURN REFLECTS THE COMBINED INFORMATION AND OPERATIONS OF TWENTY-FIVE TAX EXEMPT ORGANIZATIONS. THIS INCLUDES EIGHT HOSPITAL FACILITIES, TWO MEDICAL GROUPS, TWO FOUNDATIONS, 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 2,140 PHYSICIANS ON THE MEDICAL STAFF, THE MAJORITY OF WHOM 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 46,000 ADULTS ADMITTED AS INPATIENTS IN FISCAL YEAR 2019. AS AN ADULT LEVEL I TRAUMA CENTER IN DOWNTOWN CHICAGO WITH 24/7 SERVICE, NMH HAD MORE THAN 89,000 EMERGENCY DEPARTMENT (ED) VISITS IN FISCAL YEAR 2019. 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 11,800 DELIVERIES IN FISCAL YEAR 2019. 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. NEARLY 1,300 PHYSICIANS ARE ON THE MEDICAL STAFF AND ARE TRAINED IN MORE THAN 90 SPECIALTY AREAS. IN FISCAL YEAR 2019, CDH HAD MORE THAN 20,700 INPATIENT ADMISSIONS. CDH'S ED HAD NEARLY 72,000 VISITS IN FISCAL YEAR 2019. 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. THE CURRENT LAKE FOREST HOSPITAL 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, OPENED IN FISCAL YEAR 2018. 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 2019, LFH PROVIDED CARE FOR OVER 9,500 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 55,700 EMERGENCY VISITS IN FISCAL YEAR 2019. LAUNCHED IN 2015, LFH HAS WELCOMED ITS FIFTH CLASS OF RESIDENTS FROM THE NORTHWESTERN MCGAW FAMILY MEDICINE RESIDENCY PROGRAM IN FISCAL YEAR 2019 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. 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 NEARLY 700 PHYSICIANS IN 80 SPECIALTIES, PROVIDING COMPREHENSIVE MEDICAL CARE FOR ITS SURROUNDING COMMUNITIES. IN FISCAL YEAR 2019 DCH HAD MORE THAN 8,300 INPATIENT ADMISSIONS AND ITS ED HAD NEARLY 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 300 PHYSICIANS WHO TREATED MORE THAN 5,200 INPATIENT ADMISSIONS AND MORE THAN 34,500 ED VISITS IN FISCAL YEAR 2019. 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. NEARLY 170 PHYSICIANS ARE ON STAFF WITH VALLEY WEST, REPRESENTING A WIDE RANGE OF SPECIALTIES. DURING FISCAL YEAR 2019, VALLEY WEST HAD 729 INPATIENT ADMISSIONS AND MORE THAN 8,000 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 expensesMediumBullet4,727,531,114
Form 990 (2018)
Form 990 (2018)
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 VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part 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
 
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
 
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see attachment
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, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV........................Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..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
1,738
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 (2018)
Form 990 (2018)
Page 5
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
27,954
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
9a
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
 
No
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
 
No
Form 990 (2018)
Form 990 (2018)
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
181
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
142
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 (2018)
Form 990 (2018)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Jay Anderson
 
See Schedule O
 40.0
.................
0.0 		X   X       925,479 0 263,135
(2) Terrence Bugno MD
 
See Schedule O
 2.0
.................
0.0 		X   X       0 0 0
(3) JOHN A CANNING
 
See Schedule O
 2.0
.................
0.0 		X   X       0 0 0
(4) Howard B Chrisman MD
 
See Schedule O
 40.0
.................
0.0 		X   X       1,215,566 0 209,098
(5) Seamus Collins
 
See Schedule O
 40.0
.................
0.0 		X   X       315,348 0 72,027
(6) Julie L Creamer
 
See Schedule O
 40.0
.................
0.0 		X   X       2,014,345 0 205,253
(7) Kent Dauten
 
See Schedule O
 7.0
.................
0.0 		X   X       0 0 0
(8) Mike S Eesley
 
See Schedule O
 40.0
.................
0.0 		X   X       352,905 0 5,410
(9) Connie Falcone
 
See Schedule O
 40.0
.................
0.0 		X   X       571,031 0 81,463
(10) WILLIAM P FLESCH
 
See Schedule O
 6.0
.................
0.0 		X   X       0 0 0
(11) Matthew J Flynn
 
See Schedule O
 38.0
.................
2.0 		X   X       618,061 0 116,437
(12) Richard Franco
 
See Schedule O
 40.0
.................
0.0 		X   X       410,527 0 75,889
(13) Dean M Harrison
 
See Schedule O
 38.0
.................
2.0 		X   X       6,347,133 0 1,580,828
(14) Emily J Kozak
 
See Schedule O
 38.0
.................
2.0 		X   X       419,238 0 67,216
(15) DIANA KRAFT MD
 
See Schedule O
 40.0
.................
0.0 		X   X       114,668 0 0
(16) Brian J Lemon
 
See Schedule O
 38.0
.................
2.0 		X   X       1,023,598 0 159,855
(17) Thomas J McAfee
 
See Schedule O
 40.0
.................
0.0 		X   X       1,090,502 0 303,501
Form 990 (2018)
Form 990 (2018)
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) W James McNerney Jr
 
See Schedule O
 1.0
.......................0.0 		X   X       0 0 0
(19) LEE M MITCHELL
 
See Schedule O
 1.0
.......................0.0 		X   X       0 0 0
(20) Eric G Neilson MD
 
See Schedule O
 40.0
.......................0.0 		X   X       911,924 0 36,434
(21) John A Orsini
 
See Schedule O
 38.0
.......................2.0 		X   X       1,552,585 0 390,915
(22) William A Osborn
 
See Schedule O
 1.0
.......................0.0 		X   X       0 0 0
(23) HOMI B PATEL
 
See Schedule O
 2.0
.......................0.0 		X   X       0 0 0
(24) Kevin P Poorten
 
See Schedule O
 38.0
.......................2.0 		X   X       1,401,787 0 250,734
(25) James Thorpe
 
See Schedule O
 7.0
.......................0.0 		X   X       0 0 0
(26) Glenn F Tilton
 
See Schedule O
 2.0
.......................0.0 		X   X       0 0 0
(27) Patrick Towne MD
 
See Schedule O
 40.0
.......................0.0 		X   X       897,327 0 164,686
(28) Forrest R Whittaker
 
See Schedule O
 6.0
.......................0.0 		X   X       0 0 0
(29) Anthony Altimari MD
 
See Schedule O
 40.0
.......................0.0 		X           688,513 0 57,777
(30) Dean Barrett
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(31) Todd Barrowclift DO
 
See Schedule O
 40.0
.......................0.0 		X           228,762 0 50,921
(32) Roger L Benson
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(33) Carol Bernick
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(34) Peter Bernick
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(35) Kevin P Bethke
 
See Schedule O
 40.0
.......................0.0 		X           773,486 0 18,061
(36) Andrew Bluhm
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(37) CHARLES M BRENNAN
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(38) WILLIAM J BRODSKY
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(39) John Burkey MD
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(40) William Busse
 
See Schedule O
 5.0
.......................0.0 		X           0 0 0
(41) Tom Carey
 
See Schedule O
 5.0
.......................0.0 		X           0 0 0
(42) David R Casper
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(43) Nicholas D Chabraja
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(44) Michael-Dean Chorneyko
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(45) Craig T Collins
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(46) SEAN M CONNOLLY
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(47) Adam Cooper
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(48) Mark Cozzi
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(49) Stephen Crawford
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(50) KERMIT R CRAWFORD
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(51) PETER D CRIST
 
See Schedule O
 2.0
.......................0.0 		X           0 0 0
(52) Keating Crown
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(53) Michael A Cullen
 
See Schedule O
 8.0
.......................0.0 		X           0 0 0
(54) William Cunningham
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(55) Brett M Dale
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(56) William M Daley
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(57) WILLIAM G DALUGA
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(58) JOSEPH F DAMICO
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(59) Matthew S Darnall
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(60) Stephen Davis
 
See Schedule O
 5.0
.......................0.0 		X           0 0 0
(61) Anthony B Davis
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(62) Richard Davis
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(63) Dan DeCanniere
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(64) PEDRO DEJESUS
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(65) Michael F DeSantiago
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(66) JOHN H DICK
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(67) Shawn M Donnelly
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(68) Paula Dorion-Gray
 
See Schedule O
 5.0
.......................0.0 		X           0 0 0
(69) John R Ettelson
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(70) Gary Evans
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(71) Manny Favela
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(72) Michael W Ferro
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(73) Michael Fleck
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(74) Albert M Friedman
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(75) Justin Gent MD
 
See Schedule O
 40.0
.......................0.0 		X           404,086 0 7,982
(76) Lisa M Giles
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(77) Scott Gilleland
 
See Schedule O
 2.0
.......................0.0 		X           0 0 0
(78) Phillip Gilroy MD
 
See Schedule O
 2.0
.......................0.0 		X           0 0 0
(79) James T Glerum
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(80) William S Goldberg
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(81) JC Gonzalez-Mendez
 
See Schedule O
 5.0
.......................0.0 		X           0 0 0
(82) James A Gordon
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(83) Trina Gordon McCallister
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(84) Judy P Greffin
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(85) ROGER T HARRIS
 
See Schedule O
 5.0
.......................0.0 		X           0 0 0
(86) Brett J Hart
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(87) Timothy G Havenhill
 
See Schedule O
 40.0
.......................0.0 		X           178,523 0 20,618
(88) Scott Helm MD
 
See Schedule O
 40.0
.......................0.0 		X           239,162 0 0
(89) Sandra L Helton
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(90) Roberto R Herencia
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(91) Adam Hoeflich
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(92) Jill Holden MD
 
See Schedule O
 1.0
.......................0.0 		X           750 0 0
(93) WILLARD M HUNTER
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(94) Peter S Hurst BDS
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(95) Linda Johnson Rice
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(96) Michael J Kachmer
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(97) Christopher M Keogh
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(98) ANTHONY K KESMAN
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(99) John A Kessler MD
 
See Schedule O
 1.0
.......................0.0 		X           34,521 0 17,616
(100) Jay L Kloosterboer
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(101) Catherine Kozik
 
See Schedule O
 5.0
.......................0.0 		X           0 0 0
(102) Heather Kroencke
 
See Schedule O
 2.0
.......................0.0 		X           0 0 0
(103) William C Kunkler
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(104) Julie Lampert
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(105) Richard H Lenny
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(106) Lawrence F Levy
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(107) Timothy J Luby
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(108) Dee A Manire
 
See Schedule O
 5.0
.......................0.0 		X           0 0 0
(109) Joseph D Mansueto
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(110) Thomas Matya
 
See Schedule O
 6.0
.......................0.0 		X           0 0 0
(111) J Richard Maybury
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(112) PATRICK M MCCARTHY MD
 
See Schedule O
 40.0
.......................0.0 		X           1,835,724 0 74,067
(113) Richard Melman
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(114) Ricardo Meza
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(115) Becky Milliman
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(116) Karen Mills
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(117) CHARLES N MILLS
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(118) Timothy P Moen
 
See Schedule O
 6.0
.......................0.0 		X           0 0 0
(119) DENNIS MUILENBERG
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(120) James Murray III
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(121) Phebe N Novakovic
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(122) Michael G O'Grady
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(123) Amy S Paller MD
 
See Schedule O
 40.0
.......................0.0 		X           410,997 0 43,018
(124) Robert J Parkinson Jr
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(125) Jagdish Patel MD
 
PHYSICIAN
 40.0
.......................0.0 		X           65,367 0 0
(126) TERRANCE D PEABODY MD
 
See Schedule O
 40.0
.......................0.0 		X           804,099 0 40,734
(127) WILLIAM D PEREZ
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(128) Joseph M Persak MD
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(129) Jane D Pigott
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(130) Leonidas C Plantanias MD PhD
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(131) John Podjasek
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(132) ANNE PRAMAGGIORE
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(133) Richard S Price
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(134) Craig R Pryde
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(135) Thomas F Quinn
 
See Schedule O
 3.0
.......................0.0 		X           0 0 0
(136) Steve Rankins
 
See Schedule O
 2.0
.......................0.0 		X           0 0 0
(137) Andrea Redmond-Ferguson
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(138) J Christopher Reyes
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(139) LARRY D RICHMAN
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(140) Mary Beth Richmond MD
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(141) LEONETTA RIZZI
 
See Schedule O
 6.0
.......................0.0 		X           0 0 0
(142) Desiree Rogers
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(143) Matthew W Ross
 
See Schedule O
 1.0
.......................0.0 		X           250 0 0
(144) Eric Ruth
 
See Schedule O
 3.0
.......................0.0 		X           0 0 0
(145) CHARLES Ruth
 
See Schedule O
 5.0
.......................0.0 		X           0 0 0
(146) Debbie S Saran
 
See Schedule O
 2.0
.......................0.0 		X           0 0 0
(147) Ron Saslow
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(148) Muneer A Satter
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(149) Terry Savage
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(150) Morton O Schapiro
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(151) Marc S Schulman
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(152) Samuel C Scott III
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(153) Ronald J Severino MD
 
See Schedule O
 40.0
.......................0.0 		X           477,380 0 59,251
(154) Dean P Shoener MD
 
See Schedule O
 40.0
.......................0.0 		X           719,480 0 58,832
(155) Martin Smith
 
See Schedule O
 2.0
.......................0.0 		X           0 0 0
(156) Greg Smith
 
See Schedule O
 3.0
.......................0.0 		X           0 0 0
(157) Scott C Smith
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(158) NATHANIEL J SOPER MD
 
See Schedule O
 40.0
.......................0.0 		X           790,302 0 35,166
(159) Mark Steadman
 
See Schedule O
 2.0
.......................0.0 		X           0 0 0
(160) MARC STRAUSS
 
See Schedule O
 5.0
.......................0.0 		X           0 0 0
(161) ALEXANDER D STUART
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(162) Robert J Stucker
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(163) Timothy P Sullivan
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(164) Robert Sullivan
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(165) Shelia G Talton
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(166) DONALD L THOMPSON
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(167) Edward T Tilly
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(168) Jason Tyler
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(169) Michael Tyron
 
See Schedule O
 2.0
.......................0.0 		X           0 0 0
(170) Douglas E Vaughan
 
See Schedule O
 40.0
.......................0.0 		X           520,599 0 29,283
(171) Nicholas J Volpe MD
 
See Schedule O
 40.0
.......................0.0 		X           513,523 0 42,161
(172) WILLIAM A VONHOENE
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(173) FREDERICK H WADDELL
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(174) Reeve Waud
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(175) Gina Weldy
 
See Schedule O
 40.0
.......................0.0 		X           803,743 0 32,144
(176) Peter Whinfrey
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(177) ABRA PRENTICE WILKIN
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(178) Patricia A Woertz
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(179) Corinne J Wood
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(180) JAMES P ZALLIE
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(181) Charie A Zanck
 
See Schedule O
 6.0
.......................0.0 		X           0 0 0
(182) Andrea Zopp
 
See Schedule O
 1.0
.......................0.0 		X           0 0 0
(183) Maureen Bryant
 
See Schedule O
 40.0
.......................0.0 		    X       726,883 0 113,158
(184) Leah V Hobson
 
See Schedule O
 40.0
.......................0.0 		    X       335,337 0 58,816
(185) Danae K Prousis
 
See Schedule O
 40.0
.......................0.0 		    X       1,128,562 0 43,338
(186) Maureen A Taus
 
See Schedule O
 40.0
.......................0.0 		    X       533,908 0 78,406
(187) Edward J Wehmer
 
See Schedule O
 1.0
.......................0.0 		    X       0 0 0
(188) Aaron Bare
 
See Schedule O
 40.0
.......................0.0 		        X   1,348,299 0 58,632
(189) Gyu Il Gang
 
See Schedule O
 40.0
.......................0.0 		        X   1,122,100 0 26,421
(190) Harish Shownkeen
 
See Schedule O
 40.0
.......................0.0 		        X   1,679,883 0 52,665
(191) Dhaval N Thakkar
 
See Schedule O
 40.0
.......................0.0 		        X   1,099,081 0 33,615
(192) Gregory Witkowski
 
See Schedule O
 40.0
.......................0.0 		        X   1,086,722 0 42,326
(193) James Adams
 
See Schedule O
 40.0
.......................0.0 		          X 1,058,994 0 76,908
(194) Brad Copple
 
See Schedule O
 40.0
.......................0.0 		          X 208,600 0 0
(195) James C Dechene
 
See Schedule O
 40.0
.......................0.0 		          X 471,884 0 12,896
(196) Pamela Duffy
 
See Schedule O
 40.0
.......................0.0 		          X 189,083 0 0
(197) Francis Fraher
 
See Schedule O
 40.0
.......................0.0 		          X 464,368 0 52,868
(198) James Giblin
 
See Schedule O
 40.0
.......................0.0 		          X 898,468 0 248,906
(199) David Hensley
 
See Schedule O
 0.0
.......................0.0 		          X 356,668 0 45,796
(200) John Hubbe
 
See Schedule O
 40.0
.......................0.0 		          X 141,295 0 45,031
(201) Denise Majeski
 
See Schedule O
 40.0
.......................0.0 		          X 386,842 0 30,837
(202) Dean Manheimer
 
See Schedule O
 0
.......................0.0 		          X 575,897 0 23,757
(203) Gary Noskin MD
 
See Schedule O
 40.0
.......................0.0 		          X 808,350 0 127,511
(204) Elizabeth Rosenberg
 
See Schedule O
 40.0
.......................0.0 		          X 1,121,497 0 333,561
(205) Michael Vivoda
 
See Schedule O
 40.0
.......................0.0 		          X 1,601,043 0 473,265
(206) Jennifer Wooten Ierardi
 
See Schedule O
 40.0
.......................0.0 		          X 469,338 0 59,287
(207) Kathleen Yosko
 
See Schedule O
 40.0
.......................0.0 		          X 523,288 0 16,018
(208) Douglas Young
 
See Schedule O
 40.0
.......................0.0 		          X 666,124 0 68,385
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 48,673,803 0 6,692,915
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 MediumBullet3,798
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
SKENDER CONSTRUCTION

200 W MADISON SUITE 1300
CHICAGO,IL60606 		CONSTRUCTION 41,430,847
POWER CONSTRUCTION COMPANY LLC

225 W Washington Street Suite 1420
CHICAGO,IL60606 		CONSTRUCTION SERVICES 29,503,302
TURNER CONSTRUCTION COMPANY

55 E MONROE SUITE 1430
CHICAGO,IL60603 		CONSTRUCTION 29,341,450
LO DESTRO CONSTRUCTION COMPANY

211 E Ontario St 500
CHICAGO,IL60604 		CONSTRUCTION SERVICES 21,927,688
CB RICHARD ELLIS INC

205 W WACKER DRIVE
CHICAGO,IL60606 		PROPERTY MANAGEMENT 17,403,857
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet707
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 2,951,969
d Related organizations1d  
e Government grants (contributions)1e 2,815,758
f All other contributions, gifts, grants, and similar amounts not included above1f 59,308,383
g Noncash contributions included in lines 1a - 1f:$ 1,622,765
h Total. Add lines 1a-1f.......MediumBullet 65,076,110
Program Service RevenueAmt Business Code
2a NMH - Patient Service and Other Revenue 621990 2,129,273,621 2,127,453,155 1,820,466  
b CDH - Patient Service and Other Revenue 621990 1,121,989,980 1,063,684,823 58,305,157  
c NMG - Patient Service and Other Revenue 621110 1,020,850,853 1,020,850,853    
d NIMC - Patient Service and Other Revenue 621990 452,542,634 452,542,634    
e NLFH - Patient Service and Other Revenue 621990 396,547,451 396,545,375 2,076  
f All other program service revenue. 1,208,199,196 1,204,030,051 4,169,145 0
g Total. Add lines 2a–2f ....MediumBullet 6,329,403,735
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 9,656,671   1,278,269 8,378,402
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   52,351,663
b Less: rental expenses    
c Rental income or (loss) 0 52,351,663
d Net rental income or (loss)......MediumBullet 52,351,664   17,975 52,333,689
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   131,250,039
b Less: cost or other basis and sales expenses   130,804,919
c Gain or (loss) 0 445,120
d Net gain or (loss).....MediumBullet 445,120     445,120
8a Gross income from fundraising events (not including $ 2,951,969of contributions reported on line 1c). See Part IV, line 18 ....
a 561,096
b Less: direct expenses ...b 1,149,679
c Net income or (loss) from fundraising events..MediumBullet -588,583   -588,583
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 94,258
b Less: direct expenses ...b 47,580
c Net income or (loss) from gaming activities..MediumBullet 46,678     46,678
10a Gross sales of inventory, less
returns and allowances ..
a 894,274
b Less: cost of goods sold ..b 561,084
c Net income or (loss) from sales of inventory..MediumBullet 333,190     333,190
Business Code Miscellaneous Revenue
11a PROFESSIONAL SERVICE FEES 561000 8,724,308 8,724,308    
b PARKING REVENUE 812930 10,980,851 9,181,295 1,799,556  
c PROFESSIONAL SERVICES TO AFFILIATES 561000 2,774,954 2,774,954    
d All other revenue .... 1,889,558 1,767,584 121,974 0
e Total. Add lines 11a–11d ...... MediumBullet 24,369,671
12 Total revenue. See Instructions......MediumBullet 6,481,094,256 6,287,555,032 67,514,618 60,948,496
Form 990 (2018)
Form 990 (2018)
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 17,985,259 17,985,259
2 Grants and other assistance to domestic individuals. See Part IV, line 22 819,319 819,319
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 27,978,102 25,149,516 2,727,865 100,721
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 12,483,130 11,221,086 1,217,105 44,939
7 Other salaries and wages 2,053,808,142 1,846,168,139 200,246,294 7,393,709
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 82,796,031 74,425,352 8,072,613 298,066
9 Other employee benefits ....... 206,252,261 185,400,158 20,109,595 742,508
10 Payroll taxes ........... 125,931,384 113,199,721 12,278,310 453,353
11 Fees for services (non-employees):        
a Management ...... 932,000,037   932,000,037  
b Legal ......... 619,669   619,669  
c Accounting ........... 1,814,994   1,814,994  
d Lobbying ........... 349,838 349,838    
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) 305,344,810 229,772,585 74,103,018 1,469,207
12 Advertising and promotion .... 3,765,624 451,664 3,223,585 90,375
13 Office expenses ....... 53,292,343 42,736,390 10,289,491 266,462
14 Information technology ...... 6,176,423 1,266,428 4,576,468 333,527
15 Royalties ..        
16 Occupancy ........... 268,203,116 155,227,268 112,439,442 536,406
17 Travel ............ 6,047,702 4,653,494 1,333,731 60,477
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 7,669,041 2,809,813 4,445,100 414,128
20 Interest ........... 22,285,030 22,275,736 9,294 0
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 277,135,465 265,216,252 11,847,158 72,055
23 Insurance ... 117,650,798 111,901,809 5,727,812 21,177
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 1,182,768,686 1,182,768,686    
b MEDICAID TAX 154,116,690 154,116,690    
c BAD DEBT 262,092,444 262,092,444    
d INCOME TAXES 5,787,326 5,787,326    
e All other expenses 14,905,723 11,736,141 3,047,355 122,227
25 Total functional expenses. Add lines 1 through 24e 6,150,079,387 4,727,531,114 1,410,128,936 12,419,337
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 (2018)
Form 990 (2018)
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 ......... 1,028,958,393 2 1,517,486,157
3 Pledges and grants receivable, net ...... 48,062,765 3 47,663,590
4 Accounts receivable, net ............. 813,771,785 4 858,258,370
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
0 5 175,000
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
17,500 6 0
7 Notes and loans receivable, net .... 3,595,586 7 1,730,393
8 Inventories for sale or use ........ 71,476,227 8 89,053,889
9 Prepaid expenses and deferred charges ...... 206,219,525 9 94,285,383
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 5,744,317,716
b Less: accumulated depreciation 10b 2,132,678,515 3,242,480,069 10c 3,611,639,201
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 .. 50,437,021 13 50,191,970
14 Intangible assets ............... 28,450,908 14 33,305,177
15 Other assets. See Part IV, line 11 ........... 4,490,756,910 15 4,696,952,372
16 Total assets. Add lines 1 through 15 (must equal line 34)... 9,984,226,689 16 11,000,741,502
Liabilities 17 Accounts payable and accrued expenses ..... 387,645,226 17 401,578,003
18 Grants payable ... 72,565,233 18 60,378,158
19 Deferred revenue ......... 10,702,180 19 11,749,254
20 Tax-exempt bond liabilities ......... 541,864,829 20 595,428,068
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.. 0 22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 1,712,394,938 25 2,073,093,205
26 Total liabilities. Add lines 17 through 25.. 2,725,172,406 26 3,142,226,688
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 6,833,825,818 27 7,404,291,381
28 Temporarily restricted net assets ........... 242,596,234 28 260,465,129
29 Permanently restricted net assets 182,632,231 29 193,758,304
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 7,259,054,283 33 7,858,514,814
34 Total liabilities and net assets/fund balances ........ 9,984,226,689 34 11,000,741,502
Form 990 (2018)
Form 990 (2018)
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
6,481,094,256
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
6,150,079,387
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
331,014,869
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
7,259,054,283
5
Net unrealized gains (losses) on investments ...............
5
45,097,259
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
223,348,403
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
7,858,514,814
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 (2018)
Form 990 (2018)
Additional Data


Software ID: 18007697
Software Version: 2018v3.1
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 the latest information.
OMB No. 1545-0047
2018
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 ...............................21
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) DEKALB BEHAVIORAL HEALTH FOUNDATION INC
  		474579189 3   No 0 0
(F) DEKALB COUNTY HOSPICE
  		363164329 9   No 0 0
(G) KISHHEALTH SYSTEM HOME CARE
  		371703513 3   No 0 0
(H) CENTER FOR FAMILY HEALTH-MALTA
  		800869393 3   No 0 0
(I) MARIANJOY REHABILITATION HOSPITAL & CLINICS INC
  		362680776 3   No 0 0
(J) REHABILITATION MEDICINE CLINIC INC
  		363236791 3   No 0 0
(K) NORTHWESTERN MEDICAL FACULTY FOUNDATION
  		363097297 9 Yes   0 0
(L) NORTHWESTERN MEMORIAL HOSPITAL
  		370960170 3 Yes   0 0
(M) NORTHWESTERN LAKE FOREST HOSPITAL
  		362179779 3 Yes   0 0
(N) LAKE FOREST HEALTH & FITNESS INSTITUTE
  		363835030 9   No 0 0
(O) NORTHWESTERN MEMORIAL FOUNDATION
  		363155315 7   No 0 0
(P) CENTRAL DUPAGE PHYSICIAN GROUP
  		363149833 9   No 0 0
(Q) NORTHERN ILLINOIS MEDICAL CENTER
  		362338884 3 Yes   0 0
(R) MEMORIAL MEDICAL CENTER
  		362179764 3   No 0 0
(S) CENTEGRA HEALTH SYSTEM FOUNDATION
  		363726310 7   No 0 0
(T) CENTEGRA HEALTH SYSTEM
  		363196559 9   No 0 0
(U) HEALTH BRIDGE CORPORATION
  		363196550 9   No 0 0
Total
21
 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) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 25,212,380 28,919,061 48,893,913 83,043,128 58,729,397 244,797,879
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 25,212,380 28,919,061 48,893,913 83,043,128 58,729,397 244,797,879
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).. 24,533,717
6 Public support. Subtract line 5 from line 4. 220,264,162
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
7 Amounts from line 4.. 25,212,380 28,919,061 48,893,913 83,043,128 58,729,397 244,797,879
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 17,722,673 20,397,994 12,141,681 12,413,256 12,214,569 74,890,173
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.).. 0 0 0 0 0 0
11 Total support. Add lines 7 through 10 319,688,052
12
12
7,441,344
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
68.90 %
15
15
62.8 %
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) 2018

Schedule A (Form 990 or 990-EZ) 2018
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) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 8,129,452 5,938,157 5,565,947 4,985,684 4,875,214 29,494,454
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 787,115,693 1,054,631,080 1,098,936,793 1,141,764,470 1,316,978,610 5,399,426,646
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 5 795,245,145 1,060,569,237 1,104,502,740 1,146,750,154 1,321,853,824 5,428,921,100
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.) 5,428,921,100
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
9 Amounts from line 6... 795,245,145 1,060,569,237 1,104,502,740 1,146,750,154 1,321,853,824 5,428,921,100
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 319,784 5,530,886 589,616 1,949,628 2,393,948 10,783,862
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. 1,144,227 999,307 1,463,994 1,189,812 1,278,269 6,075,609
c Add lines 10a and 10b. 1,464,011 6,530,193 2,053,610 3,139,440 3,672,217 16,859,471
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.) .. 484,250 8,028,253 40,911,309 50,772,483 69,130,077 169,326,372
13 Total support. (Add lines 9, 10c, 11, and 12.).. 797,193,406 1,075,127,683 1,147,467,659 1,200,662,077 1,394,656,118 5,615,106,943
14
Section C. Computation of Public Support Percentage
15
15
96.68 %
16
16
97.46 %
Section D. Computation of Investment Income Percentage
17
17
0.30 %
18
18
0.51 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
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) 2018

Schedule A (Form 990 or 990-EZ) 2018
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) 2018

Schedule A (Form 990 or 990-EZ) 2018
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) 2018

Schedule A (Form 990 or 990-EZ) 2018
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 2018 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-2018 		(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2018:
a From 2013.......  
b From 2014.......  
c From 2015.......  
d From 2016.......  
e From 2017.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2018 distributable amount  
i Carryover from 2013 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2018 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2018, 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 2018. 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 2019. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2014......  
b Excess from 2015.....  
c Excess from 2016.....  
d Excess from 2017.....  
e Excess from 2018.....  
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
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 - NORTHERN ILLINOIS MEDICAL CENTER - MEMORIAL MEDICAL CENTER 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 - CENTEGRA HEALTH SYSTEM 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. - CENTEGRA HEALTH SYSTEM - HEALTH BRIDGE CORPORATION 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: - KISHHEALTH SYSTEM - NIMED CORP
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. KISHHEALTH FOUNDATION (36-3649077) WAS DISSOLVED AS OF 08/31/2018 AT THE CLOSE OF THE PRIOR TAX PERIOD FOLLOWING THE APPROVAL AND FILING OF ARTICLES OF MERGER WITH NORTHWESTERN MEMORIAL FOUNDATION. KISHWAUKEE PHYSICIAN GROUP, INC (65-1293967) DISSOLVED AS OF 08/31/2018 AT THE CLOSE OF THE PRIOR TAX PERIOD FOLLOWING THE APPROVAL AND FILING OF ARTICLES OF MERGER WITH CENTRAL DUPAGE PHYSICIAN GROUP. THE CENTEGRA HEALTH SYSTEM WAS AFFILIATED WITH NORTHWESTERN MEDICINE SYSTEM AS OF 09/01/2018 THROUGH THE APPROVAL AND FILING OF AMENDED BYLAWS OF CENTEGRA TO RECOGNIZE NORTHWESTERN MEMORIAL HEALTHCARE AS THE SOLE MEMBER OF THE SYSTEM. THE ENTITIES INCLUDED NORTHERN ILLINOIS MEDICAL CENTER (36-2338884), MEMORIAL MEDICAL CENTER (36-2179764), CENTEGRA HEALTH SYSTEM FOUNDATION (36-3726310), CENTEGRA HEALTH SYSTEM (36-3726310), HEALTH BRIDGE CORPORATION (36-3196550), AND CENTEGRA HOSPITAL HUNTLEY HOLDINGS (45-3449737)
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 - 484250.0, COLUMN B - 8028253.0, COLUMN C - 40911309.0, COLUMN D - 50772483.0, COLUMN E - 69130077.0, COLUMN F - XXX-XX-XXXX.0;
Schedule A (Form 990 or 990-EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
Name of organization
Northwestern Memorial HealthCare Group
  		Employer identification number
36-4724966
Part I
Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
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) (2018)

Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE C
(Form 990 or 990-EZ)

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

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
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) 2018

Schedule C (Form 990 or 990-EZ) 2018
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 0
b Total lobbying expenditures to influence a legislative body (direct lobbying) ............................... 365,840 455,640
c Total lobbying expenditures (add lines 1a and 1b) ................................................................... 365,840 455,640
d Other exempt purpose expenditures ........................................................................ 6,149,713,547 7,263,363,101
e Total exempt purpose expenditures (add lines 1c and 1d) ............................................... 6,150,079,387 7,263,818,741
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) 2015 (b) 2016 (c) 2017 (d) 2018 (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 412,411 394,401 376,949 455,640 1,639,401
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 0
Schedule C (Form 990 or 990-EZ) 2018


Schedule C (Form 990 or 990-EZ) 2018
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)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
 
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: 90,775 TOTAL LOBBYING EXPENDITURES: 90,775 OTHER EXEMPT PURPOSE EXPENDITURES: 2,116,938,780 TOTAL EXEMPT PURPOSE EXPENDITURES: 2,117,029,555 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: 36,982 TOTAL LOBBYING EXPENDITURES: 36,982 OTHER EXEMPT PURPOSE EXPENDITURES: 417,518,051 TOTAL EXEMPT PURPOSE EXPENDITURES: 417,555,033 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: 1,207,020,899 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,207,020,899 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: 6,161,412 TOTAL EXEMPT PURPOSE EXPENDITURES: 6,161,412 LOBBYING NONTAXABLE AMOUNT: 458,071 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 114,518 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: 14,880,099 TOTAL EXEMPT PURPOSE EXPENDITURES: 14,880,099 LOBBYING NONTAXABLE AMOUNT: 894,005 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 223,501 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C (Form 990 or 990EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1

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 the latest information.
OMB No. 1545-0047
2018
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) 200 1,424,787
3 Aggregate value of grants from (during year) 5,580 281,365
4 Aggregate value at end of year ........ 15,523 14,198,377
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 SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
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 SFAS 116 (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) 2018

Schedule D (Form 990) 2018
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 .... 182,631,978 175,079,702 161,910,261 160,775,409 154,047,947
b Contributions ... 9,784,570 6,403,092 5,608,930 1,930,836 8,113,774
c Net investment earnings, gains, and losses 1,341,756 1,149,184 7,560,511 -795,984 -1,386,312
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ...... 193,758,304 182,631,978 175,079,702 161,910,261 160,775,409
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
Temporarily restricted 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 .....   372,248,790 372,248,790
b Buildings ....   4,297,629,497 1,541,967,155 2,755,662,342
c Leasehold improvements        
d Equipment ....   949,964,974 572,737,621 377,227,353
e Other .....   124,474,455 17,973,739 106,500,716
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 3,611,639,201
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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 4,125,002,116
(2) INSURANCE RECOVERABLE 451,545,134
(3) OTHER ASSETS 21,044,757
(4) DUE FROM AFFILIATES 0
(5) SECTION 457-B PLAN ASSET 81,979,730
(6) BENEFICIAL INTEREST IN TRUSTS 16,986,732
(7) MEDICAID RECEIVABLE 0
(8) ARTWORK 393,903
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 4,696,952,372
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 749,563
ACCRUED BOND INTEREST 8,210,524
EST THIRD PARTY PAYOR SETTLEMENT 594,819,526
SELF INSURANCE RESERVES 1,042,417,086
INTEREST RATE SWAPS 80,712,115
SECTION 457-B AND PENSION PLAN 89,350,130
OTHER 32,533,557
DUE TO AFFILIATES 224,300,704
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 2,073,093,205
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) 2018

Schedule D (Form 990) 2018
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 - description of collections 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 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 $248,131,358 IN UNRESTRICTED NET ASSETS AS OF AUGUST 31, 2019. 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 $57,660,887 AS OF AUGUST 31, 2019. 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, Part X, Line 2 FIN 48 (ASC 740) footnote ASC 740, Income Taxes, requires that realization of an uncertain income tax position is more likely than not (i.e. greater than 50% likelihood of receiving a benefit) before it is recognized in the financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax-related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the years ended August 31, 2019 or 2018.
Schedule D (Form 990) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1




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
2018
Open to Public Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number

36-4724966
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Middle East and North Africa 0 0 Program Services SEND AGENTS TO SEMINAR 27,242
Europe (Including Iceland and Greenland) 0 0 Program Services SEND AGENTS TO SEMINAR 42,716
North America (Canada & Mexico only) 0 0 Program Services SEND AGENTS TO SEMINAR 11,709
Middle East and North Africa 0 1 Unrelated Business Activities   18,924
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 1 100,591
b Total from continuation sheets to Part I ...     0
c Totals (add lines 3a and 3b) 0 1 100,591
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
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) 2018
Schedule F (Form 990) 2018
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) 2018
Additional Data


Software ID: 18007697
Software Version: 2018v3.1



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" 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
2018
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 ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
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) 2018
Schedule G (Form 990 or 990-EZ) 2018
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

Medinah Golf Invitational
(event type) 		(b) Event #2

MBTI Minds Matter Gala
(event type) 		(c) Other events

13
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
699,705
687,521
2,125,839
3,513,065

2
Less: Contributions . . . .
536,075
618,107
1,797,787
2,951,969
3 Gross income (line 1 minus
line 2) . . . . . .
163,630
69,414
328,052
561,096



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . . 6,756   35,996 42,752
6 Rent/facility costs . . . . 151,800   18,596 170,396
7 Food and beverages . . . 13,085 153,694 222,538 389,317
8 Entertainment . . . . 350 6,600 102,243 109,193
9 Other direct expenses . . . 80,360 53,604 304,057 438,021
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 1,149,679
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -588,583
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 . . . . .
 
 
94,258
94,258
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
1,500
1,500

3
Noncash prizes . . . .
 
 
45,950
45,950

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
130
130


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) 2018
Schedule G (Form 990 or 990-EZ) 2018
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
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) 2018
Additional Data


Software ID: 18007697
Software Version: 2018v3.1
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
2018
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) . . . 		    72,573,568 4,238,622 68,334,946 1.16 %
b Medicaid (from Worksheet 3, column a) . . . . .     556,716,298 403,812,719 152,903,579 2.60 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .         0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 629,289,866 408,051,341 221,238,525 3.76 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     5,268,251   5,268,251 0.09 %
f Health professions education (from Worksheet 5) . . .     59,167,843 15,642,449 43,525,394 0.74 %
g Subsidized health services (from Worksheet 6) . . . .     21,136,520   21,136,520 0.36 %
h Research (from Worksheet 7) .     51,876,527   51,876,527 0.88 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     2,553,556   2,553,556 0.04 %
j Total. Other Benefits . . 0 0 140,002,697 15,642,449 124,360,248 2.11 %
k Total. Add lines 7d and 7j . 0 0 769,292,563 423,693,790 345,598,773 5.87 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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     3,236,218   3,236,218 0.05 %
9 Other         0 0 %
10 Total 0 0 3,236,218 0 3,236,218 0.05 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
59,785,393
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
1,369,989,829
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
2,019,187,038
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-649,197,209
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) 2018
Schedule H (Form 990) 2018
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?8Name, 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     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  
8 NORTHERN ILLINOIS MEDICAL CENTER
4201 MEDICAL CENTER DRIVE
MCHENRY,IL60050
WWW.NM.ORG
0003889 		X X   X     X      
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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 18
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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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) 2018
Schedule H (Form 990) 2018
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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) 2018
Schedule H (Form 990) 2018
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) 2018
Schedule H (Form 990) 2018
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 18
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 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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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) 2018
Schedule H (Form 990) 2018
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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) 2018
Schedule H (Form 990) 2018
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) 2018
Schedule H (Form 990) 2018
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 Yes  
a If "Yes" (list url): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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) 2018
Schedule H (Form 990) 2018
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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) 2018
Schedule H (Form 990) 2018
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) 2018
Schedule H (Form 990) 2018
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 Yes  
a If "Yes" (list url): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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) 2018
Schedule H (Form 990) 2018
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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) 2018
Schedule H (Form 990) 2018
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) 2018
Schedule H (Form 990) 2018
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 Yes  
a If "Yes" (list url): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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) 2018
Schedule H (Form 990) 2018
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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) 2018
Schedule H (Form 990) 2018
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) 2018
Schedule H (Form 990) 2018
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 Yes  
a If "Yes" (list url): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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) 2018
Schedule H (Form 990) 2018
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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) 2018
Schedule H (Form 990) 2018
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) 2018
Schedule H (Form 990) 2018
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 Yes  
a If "Yes" (list url): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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) 2018
Schedule H (Form 990) 2018
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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) 2018
Schedule H (Form 990) 2018
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) 2018
Schedule H (Form 990) 2018
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)
NORTHERN ILLINOIS MEDICAL CENTER
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): 		8
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 Yes  
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 18
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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
NORTHERN ILLINOIS MEDICAL CENTER
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
Please see Part VI
b
Please see Part VI
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
NORTHERN ILLINOIS MEDICAL CENTER
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) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
NORTHERN ILLINOIS MEDICAL CENTER
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) 2018
Schedule H (Form 990) 2018
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, 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. The hospital facility took into account input from persons who represent the community, including uninsured persons, low-income persons and minority groups, through community input surreys, community focus groups, healthcare and social service provider focus groups, and stakeholder assessments. Community input surveys collected input from 1,593 individuals 18 or older living in the NMH Community Service Area. Surveys were available on paper and online and were disseminated in four different languages. Questions assessed demographics, the health of the community, community strengths, opportunities for improvement and priority health needs. Surveys were targeted at priority populations, those typically underrepresented in assessment processes, including communities of color, immigrants, LGBTQ+ community members, individuals with disabilities and low-income communities. Community focus groups included 36 discussion sessions held within the NMH Community Service Area. Focus groups took place with priority populations, such as veterans, individuals living with mental illness, communities of color, older adults, caregivers, teens and young adults, LGBTQ+ community members, adults and teens experiencing homelessness, families with children, faith communities, adults with disabilities, and children and adults living with chronic conditions such as diabetes and asthma. Healthcare and social service provider focus groups assessed community leaders and healthcare providers, including faith leaders, immigrant service providers and hospitals. Stakeholder assessments evaluated trends, factors and events that currently affect or are anticipated to affect the public health system and included an assessment of the public health system's capacity to advance health equity. To ensure that organizations impacting health in the NMH community service area were meaningfully engaged in interpreting the findings of the CHNA, prioritizing the identified needs, and forming a collaborative plan to address priority needs, the Community Health Council was established and maintained, and the following community stakeholders were formally engaged: 1. Bright Star Community Outreach 2. Chicago Public Library 3. CommunityHealth 4. Erie Family Health Centers 5. Kelly Hall YMCA 6. Near North Health Services Corporation 7. Neighborhood Housing Services 8. Northwestern University's Alliance for Research in Chicagoland Communities 9. Salvation Army Freedom Center 10. West Humboldt Park Development Council
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMH worked in tandem with the Alliance for Health Equity (AHE) which is made up of 37 hospitals and local health departments. Collectively, this group of hospitals worked to collaboratively assess community needs. Specific needs of the NMH Community Service Area were identified and prioritized separately. Hospital facilities included: 1. Advocate Aurora Children's Hospital 2. Advocate Aurora Christ Medical Center 3. Advocate Aurora Illinois Masonic Medical Center 4. Advocate Aurora Lutheran General Hospital 5. Advocate Aurora South Suburban Hospital 6. Advocate Aurora Trinity Hospital 7. AMITA Adventist Medical Center La Grange 8. AMITA Alexian Brothers Medical Center, Elk Grove Village 9. AMITA Holy Family Medical Center 10. AMITA Resurrection Medical Center 11. AMITA St. Alexius Medical Center and Alexian Brothers Behavioral Health Hospital 12. AMITA Saint Francis Hospital 13. AMITA Saint Joseph Hospital 14. AMITA Saints Mary and Elizabeth Medical Center 15. Ann & Robert H. Lurie Children's Hospital of Chicago 16. The Loretto Hospital 17. Loyola Medicine- Gottlieb Memorial Hospital 18. Loyola Medicine- Loyola University Medical Center 19. Loyola Medicine- MacNeal Hospital 20. Mercy Hospital & Medical Center 21. Northwestern Memorial Hospital 22. Norwegian American Hospital 23. Palos Community Hospital 24. Roseland Community Hospital 25. Rush Oak Park 26. Rush University Medical Center 27. Sinai Health System- Holy Cross Hospital 28. Sinai Health System- Mount Sinai Hospital 29. Sinai Health System- Schwab Rehabilitation Hospital 30. South Shore Hospital 31. Swedish Covenant Hospital 32. University of Chicago Medicine 33. University of Chicago Medicine- Ingalls Memorial Hospital 34. Cook County Health- Stroger Hospital 35. Cook County Health- Provident Hospital 36. University of Illinois Hospital and Health Sciences System
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMH worked in tandem with the Alliance for Health Equity (AHE) which is made up of 37 hospitals and local health departments. Collectively, this group of hospitals worked to collaboratively assess community needs. Specific needs of the NMH Community Service Area were identified and prioritized separately. Other organizations included: 1. Chicago Department of Public Health 2. Cook County Department of Public Health 3. Evanston Health and Human Services Department 4. Village of Skokie Health Department
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 shared with the following: 1. Key community organizations 2. Northwestern University Institute of Public Health and Medicine 3. Northwestern Medicine Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. Through the tax year 2016-2019 prioritization process and implementation plan, 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: Priority Need 1: Access to Healthcare Services: 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. Each IMPACT program focuses on a different patient population with unique individual needs. 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. More than 9,900 patients have been connected with an IMPACT team since the start of the program. Patient demographics include: 1. Active patient: 1059 2. Overlapping patient: 335 3. Total patient: 9923 4. % Female: 45.1% 5. Average Age: 61 6. Average readmission risk score: .12 7. CMI: 2.50 8. Race- % Asian: 2.9% 9. Race- % Black 33.6% 10. Race- % Other: 9.3% 11. Race- % Unknown: 5.3% 12. Race- % White: 48.8% 13. Mortality rate: 13.2% Over the last year and a half, 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 2019 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 are provided with supportive housing, ongoing case management and additional support services. This pilot linked six IMPACT patients experiencing homelessness to bridge housing and, to date, four of those patients have been transitioned to permanents, supportive housing. Operation Warm Blanket (OWB) was a one-year, joint pilot program between NMH, Thresholds, and Lawson House. In addition to operating OWB, funding provided by NMH supports two beds at Lawson House which are managed by Thresholds. Through this pilot, willing patients are brought to NMH's Transitional Care clinic from the emergency department for an intake assessment, warm breakfast and an introduction to the clinic. Thresholds staff then screen patients for housing at the Lawson House and supplement or follow up on emergency department social work referrals to shelters, food pantries, soup kitchens, clothing outlets, substance use treatment programs and community mental health resources. Since the initiative launched in February of 2019, 107 patient encounters have occurred across 20 OWB sessions. This includes 51 unique patients (51 new visits and 56 return visits), with 32 males and 19 females with an average age of 49.53 years old (minimum age 21, maximum age 79). 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 2019, teams met to identify physicians, social workers and nurses from a variety of departments such as geriatrics, intensive case management, women's health, emergency department, transitional care, inpatient units and care coordination. These users completed a training and began to refer and track patients which included receiving confirmation of appointment completion with health partners such as CommunityHealth and Near North Health Services Corporation. 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. Through our collaborations with community health services providers, NMH 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. In FY18, there were 23,421 encounters from FQHC partners. 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. 1.4: Collaborate with external workgroups and agencies to support efforts that increase access to care. Together with 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. NMH participated on the AHE Access to Care committee to support efforts that reduce barriers and increase access to health care and community resources. Efforts focused on transportation as a barrier to care and strategies for MH to increase transportation to increase access.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - NORTHWESTERN MEMORIAL HOSPITAL. Priority Need 2: Chronic Disease (Diabetes, Heart Disease, Stroke, and Obesity): 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 direct access to board-certified vascular neurologists via dedicated telemedicine technology 24 hours per day, every day of the year. There are seven NM Telestroke Network hospitals in the Chicagoland area - NM LFH (Lake Forest and Grayslake), 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 2019 and beyond. 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. In June of 2018, a pragmatic evaluation was conducted of the reach, adoption, implementation, effectiveness and cost of the KYHH program. The evaluation found that from August 2013 through December 2016, KYHH reached 48,862 community residents through 1,534 screening events held in 27 Chicago community areas. 2.3: Continue to support and expand the Healthy Community Initiative. The Humboldt Park Healthy Community Initiative (HCI) was developed in collaboration with community organizations 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. In FY19, the HCI committee promoted healthy lifestyle behaviors through free nutrition programs, physical activity classes, and wellness events to the residents of Humboldt Park. A wide-range of complimentary fitness classes were available to all community members. Classes included Hip-Hop Aerobics, Line Dancing, Adult Fitness, Youth Fitness, Zumba, Chair Aerobics for Seniors and Stepping. Classes typically ran two times per week, and from January to September of 2019, there were 4,818 participants. In addition, in FY2019, there were 32 monthly nutrition programs and 12 class series that reached 592 participants; 3 health and resource fairs that reached approximately 400 participants at each even; and 15 farmers markets that reached approximately 711 attendees. Priority Need 3: Injury and Violence: 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. 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 five 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. 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. Over the last five years, NMH has played an active role in developing the TURN Model. In addition to providing over $900,000 in direct funding, NMH provided leadership and knowledge-transfer, convened community support, established governance and operational structures, and supported 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. Since BSCO successfully launched its Trauma Helpline in July 2017, there have been over 500 unique callers. In 2019, BSCO continued to build capacity, including training a second cohort of faith and community leaders capable of staffing the Trauma Helpline. Additionally, BSCO 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. Priority Need 4: Mental Health: 4.1: Implement behavioral healthcare services within the primary care setting. 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. 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, 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. New processes were developed for a more robust data collection and analysis system. This process is currently being implemented and will ultimately produce the following metrics: 1. Patients with Depression Diagnosis 2. Patients Referred to Program- Depression 3. Patient Enrolled in Program- Depression 4. Actively Engaged in Program- Depression 5. Length of Stay in CBHP- Graduated 6. Positive Response 7. Qualified for Graduation- Still in CBHP 8. Return CBHP Patients 9. Depression Screening and Follow-Up Plan for Primary Care 10. Appropriateness of Referral- PCP screened patient with PHQ-9 prior to referral 11. Monthly Outreach In FY2019, NM was the first academic medical center to bill for Collaborative Care Management. Billing for these services will allow CBHP to expand and increase access to behavioral health care.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - 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 2017, 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. In 2018, the team established operations, identified metrics, and secured necessary equipment such as exam tables, blood pressure cuffs, and other medical supplies. The pilot launched in January 2019 and focused on increased primary care coordination for individuals with serious mental illness. NMH anticipates 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. 4.3: Increase access to mental health services (such as counseling and education programs) through the TURN model, a Bright Star Community Outreach initiative. From the time of inception, TURN has assisted 573 callers on the helpline. This service includes successful discharges and 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. Through AHE's Mental Health and Substance Use Disorders committee, NMH worked with other community healthcare leaders to implement strategies to address the most pressing issues in the community. As part of the collaborative, NMH worked to identify gaps and opportunities to implement Mental health First Aid training, and engaged in the development of an awareness campaign to address stigma surrounding mental health. 4.5: Collaborate with external workgroups and agencies to support efforts that impact mental health NMH continued its partnership with Calm Classroom (CC) to provide mindfulness strategies to youth in our communities. NMH engaged CC, 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. CC offers accessible mindfulness techniques that help promote self-awareness, mental focus and emotional resilience in the classroom setting. In FY19, the collaboration between NMH, CC and CPS Network 9 served more than 5,000 CPS students and their teachers at eight schools and one community-based organization. Through their train-the-trainer model, CC 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. In FY19, 96 percent of teachers reported teaching CC techniques between 1-3 times per day; 90 percent reported their students seem calmer; 89 percent reported their students were more engaged and ready to learn; 76 percent reported that their students were better able to regulate emotions; 81 percent believed the culture and the climate in their classroom had improved; and 51percent practice CC techniques outside of school; 65 percent report that CC made them feel more engaged in teaching; 78 percent report that CC has helped them understand the importance of self-care; and 71 percent report that CC has given them tools to manage stress more effectively. Non-Priority Areas: 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. Northwestern Lake Forest Hospital took 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. Input was collected for the CHNA through a community survey and a focus group, both conducted by the Lake County Health Department and Community Health Center, and through conversations with key stakeholders between April 2018 and October 2018. The survey was randomly distributed to 5,000 Lake County households in early 2018. The focus group was conducted with the Lake County Community Health Worker Partnership, a partnership between Mano a Mano and the Waukegan Public Library. Fifteen community health workers who are trained to deliver health education on a myriad of topics ranging chronic disease to mental health to benefit navigation, were interviewed about community health strengths, weaknesses, and potential improvement opportunities in their communities. These community health workers are uniquely situated to provide input from a nuanced perspective, one as a resident of the community and one as a representative of the Partnership. In March 2019, NM LFH also developed a survey tool to formally solicit input from organizations who are representative of the assessed community area, including those who serve medically underserved, low income and minority populations, to begin the process of ranking priority health needs (defined as health needs that could be impacted the most by the work of NMLFH and partner organizations). The pairwise comparison survey was launched utilizing a process of comparing needs in pairs to judge which need is preferred.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Northwestern Lake Forest Hospital. A comprehensive CHNA was commissioned on behalf of Northwestern Lake Forest Hospital by the Lake County Health Department and Community Health Center. (LCHD/CHC). LCHD/CHC is a public health accredited, state-certified public health department and a Joint Commission accredited community health center. Specific needs of the NMLFH Community Service Area were identified and prioritized separately.
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 shared with the following: 1. Key community organizations 2. Northwestern University Institute of Public Health and Medicine 3. Northwestern Medicine and LFH Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. Through the tax year 2016-2019 prioritization process and implementation plan, Northwestern Medicine Lake Forest Hospital (NMLFH) identified three priority health to be addressed through collaborative planning and coordinated action with organizations that impact health services in our community. Priority 1: Access to Healthcare 1.1: Increase capacity to provide quality medical care to underserved communities through the construction of a new 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 drop to nearly 6%, 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. 1.2: Providing targeted, community centered vaccination clinics for school-aged youth. 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 (2018-2019), 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 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 FY2019 NMLFH began administering Tdap and MMR vaccinations to children in this school district. NMLFH administered 24 vaccinations, free of charge, in FY19, accounting for nearly 10 percent of the excluded population. Additionally, nearly 60 students received free school physicals. Continued expansion of the program is planned in FY20. 1.3: Provide transportation assistance to medically underserved patients. 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 a 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. NMLFH continues to seek innovative relationships with transportation partners to address this community need. A pilot project was launched with Kaizen Health, a healthcare logistics and non-emergency medical transportation (NEMT) platform, to provide transportation to patients who otherwise would not be able to receive needed medical care. In the two-month pilot, 35 patients received transportation to medical care. Expansion of this relationship is planned for FY20. Priority 2: Heart Disease and Stroke 2.1: Continuing to support and expand diagnostic and specialty care services related to stroke 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 FY19, our NMLFH conducted 212 telestroke consultations and the Northwestern Medicine Grayslake Outpatient Center conducted 62 telestroke consultations. 2.2: Supporting a legislative agenda to address health risk behaviors including tobacco use policies 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. * Between September 2018 and June 2019, four additional communities raised the minimum legal sales age of tobacco products from 18 to 21. o The total population covered by new tobacco 21 legislation was almost 150,000 people. o The total population under age 18 covered by new tobacco 21 legislation was almost 37,000 people. * In July 2019, the Lake County Tobacco Prevention and Cessation Action Team helped bring about Illinois legislative change with the passing of Illinois Tobacco 21, which raised the minimum legal sales age of tobacco products from 18-21 across all communities in Lake County. All 703,000 people in Lake County are now covered by this law.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - NORTHWESTERN LAKE FOREST HOSPITAL. 2.3: Promotion of physical activity through Go Lake County expansion 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 FY19, the number of communities with active Go Lake County park districts and partnerships grew to 22. * Nearly 100 community led walks were held across Lake County. * Over 4,100 people across those communities were able to attend free walking events increasing physical activity. Priority 3: Mental health disorders and substance abuse 3.1: Expansion of psychiatric services 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 FY19, 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 1 new psychiatrist * 23% increase in unique patient visits 3.2: Evaluate the feasibility of implementing 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, 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 FY20, 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: Drug education and prevention programming with students in our local schools, and with parents in our local community through Text-A-Tip 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. NON-PRIORITY AREAS 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: 1. Key community organizations and leaders 2. Central DuPage Hospital External Steering Committee 3. 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: Priority 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 Meier Clinic Foundation. The following outcomes were reported: NAMI DuPage Education and Resources Services grant outcomes: 1. Over 80% of participants reported a decrease in stigma and stated they felt more hopeful for recovery; 2. 99.5% of the participants report increased awareness of resources and knowledge to help themselves and their loved ones; 3. Over 90% of participants reported increased knowledge of mental illness and hope for recovery. Ecker Center grant outcomes: 1. Medication Possession Ratio: baseline is 0.89 and it was measured to be consistently a .92 over the grant period; 2. Clients' symptoms improvement baseline is 72% and it was measured that 90% of clients reports symptom improvement. Meier Clinics Foundation grant outcomes: 1. 100% of Naomi's House residents self-identified that healing has begun in their lives since participating in the program; 2. Utilization of Basis 2 pre- and post- clinical outcome testing: Percent Increase Overall: 67%, Substance Abuse: 0%, Psychosis: 100%, Self-Harm: 0%, Emotional Lability: 29%, Interpersonal Problems: 50%, Depression/Functioning: 73% Individuals impacted by funding from the Samara Care: Mental Health Access Program reported: (NMCDH/NMDH) 1. 87% of clients experienced an increase in their GAF scale score; 2. 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." 3. 95% of those who completed the client satisfaction survey indicated that they agree/strongly agree, "My counselor interventions and interactions were helpful." Outcomes reported as the result of NMCDH funding to the World Relief Refugee Wellness Program: (NMCDH/NMDH) 1. 8% of participants were able to identify symptoms of mental illness; 2. 75% were to identify at least 3 helpful mainstream community resources and report stronger connectedness to members of their own community; 3. 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. 1. 18 classes were held; 2. 271 individuals attended the programs; 3. 100% of MHFA participants scored a minimum of 85% on the MHFA course exam. Priority 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: 366 individuals were enrolled in the Community-Based Heart Failure program: (NMCDH/NMDH) 1. 30-day readmission rate for heart failure diagnosis: 1% (markedly below the national rate); 2. 99% of clients demonstrated the ability to identify appropriate action in the event of a worsening of their condition; 3. 96% of clients utilized an effective medication management system; 4. 89% 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: 1. A total of two educational seminars were offered in the areas of cardiovascular health. A total of 277 individuals attended these seminars. (NMCDH/NMDH combined data.) 2. Meeting space was provided at no charge for 20 support groups. (NMCDH/NMDH) 3. A total of three educational seminars were offered in the areas of cancer. A total of 210 individuals attended these seminars. (NMCDH/NMDH) 4. A total of eleven additional educational seminars were offered. 1,326 individuals attended these seminars. (NMCDH/NMDH) 5. Rehabilitation Services offered 1 community program. 7 individuals attended. (NMCDH/NMDH) 6. Diabetes Education Services offered 18 community programs. 229 individuals attended. (NMCDH/NMDH) 7. 104 individuals participated in the Northern Illinois Food Bank's Diabetes Prevention Education Programs. 8. 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. 9. 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. 10. The CATCH Program reached over 1,500 students and teachers. 91% of children were able to verbalize 6 out of 8 GO foods. 97% of children recognized the importance of consuming GO foods daily. 95% of schools/programs adjusted their snack lists to include healthy (GO) foods. 98% of teachers organized 20 minutes of moderate physical activity. 95% of teachers continued to reinforce the GO-WHOA healthy food message in the classroom. (NMCDH/NMDH) 11. A total of 10 community programs and 679 individuals participated in Community Stroke Education presentations. (NMCDH/NMDH) 12. A total of 91 Kits for Kids were disseminated in the areas hand washing, bicycle safety and healthy nutrition. (NMCDH/NMDH) 13. A total of 155 individuals participated in smoking cessation programs. 93% self-reported smoking cessation by the end of week 3. (NMCDH/NMDH) 14. The Think First Curriculum was offered in 469 presentations for children from kindergarten through high school and 21,527 individuals participating in community events (NMCDH/NMDH): a. A total of 6,836 children were fitted for and received bike helmets (NMCDH/NMDH); b. A total of 72 couples attended child safety classes (NMCDH/NMDH); c. A total of 994 car seats were checked / distributed (NMCDH/NMDH) Priority 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 50 vaccine clinics were provided in Tax Year 2018, as well as 989 individuals in need received breast cancer screening. Non-Priority Areas 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.
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: Priority 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: Tri City Family Services grant outcomes: 1. 98% reported "I feel hopeful that I can achieve my goals in therapy"; 2. 98% reported "the therapy I am receiving is helping me deal more effectively"; 3. 98% reported "I am functioning better at work" and "I am functioning better in my daily life"; Ecker Center grant outcomes: 1. Medication Possession Ratio: baseline is 0.89 and it was measured to be consistently a .92 over the grant period; 2. Clients' symptoms improvement baseline is 72% and it was measured that 90% of clients reports symptom improvement. Individuals impacted by funding from the Samara Care: Mental Health Access Program reported: (NMDH/NMCDH) 1. 87% of clients experienced an increase in their GAF scale score; 2. 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." 3. 95% of those who completed the client satisfaction survey indicated that they agree/strongly agree, "My counselor interventions and interactions were helpful." Outcomes reported as the result of NMDH funding to the World Relief Refugee Wellness Program: (NMDH/NMCDH) 1. 8% of participants were able to identify symptoms of mental illness; 2. 75% were to identify at least 3 helpful mainstream community resources and report stronger connectedness to members of their own community; 3. 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. 1. 18 classes were held; 2. 271 individuals attended the programs; 3. 100% of MHFA participants scored a minimum of 85% on the MHFA course exam. Priority 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: 366 individuals were enrolled in the Community-Based Heart Failure program: (NMCDH/NMDH) 1. 30-day readmission rate for heart failure diagnosis: 1% (markedly below the national rate); 2. 99% of clients demonstrated the ability to identify appropriate action in the event of a worsening of their condition; 3. 96% of clients utilized an effective medication management system; 4. 89% 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 be provided to agencies that provide programming related to the priority health need of chronic disease. Key outcomes of these interventions include: 1. A total of two educational seminars were offered in the areas of cardiovascular health. A total of 277 individuals attended these seminars. (NMCDH/NMDH combined data.) 2. Meeting space was provided at no charge for 20 support groups. (NMCDH/NMDH) 3. A total of three educational seminars were offered in the areas of cancer. A total of 210 individuals attended these seminars. (NMCDH/NMDH) 4. A total of eleven additional educational seminars were offered. 1,326 individuals attended these seminars. (NMCDH/NMDH) 5. Rehabilitation Services offered 1 community program. 7 individuals attended. (NMCDH/NMDH) 6. Diabetes Education Services offered 18 community programs. 229 individuals attended. (NMCDH/NMDH) 7. Making Kane County Fit for Kids a. Provided parents and children with information on physical activity and eating habits; b. Supported a culture of wellness and health promotion in schools, workplaces, and other institutions; c. Developed land use, planning and policies to support physical activity; d. Provide affordable and accessible fresh fruit and vegetables to all families. 8. 104 individuals participated in the Northern Illinois Food Bank's Diabetes Prevention Education Programs. 9. 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. 10. 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. 11. The CATCH Program reached over 1,500 students and teachers. 91% of children were able to verbalize 6 out of 8 GO foods. 97% of children recognized the importance of consuming GO foods daily. 95% of schools/programs adjusted their snack lists to include healthy (GO) foods. 98% of teachers organized 20 minutes of moderate physical activity. 95% of teachers continued to reinforce the GO-WHOA healthy food message in the classroom. (NMCDH/NMDH) 12. A total of 10 community programs and 679 individuals participated in Community Stroke Education presentations. (NMDH/NMCDH) 1. A total of 91 Kits for Kids were disseminated in the areas hand washing, bicycle safety and healthy nutrition. (NMCDH/NMDH) 2. A total of 155 individuals participated in smoking cessation programs. 93% self-reported smoking cessation by the end of week 3. (NMCDH/NMDH) 3. The Think First Curriculum was offered in 469 presentations for children from kindergarten through high school and 21,527 individuals participating in community events (NMCDH/NMDH): a. A total of 6,836 children were fitted for and received bike helmets (NMCDH/NMDH); b. A total of 72 couples attended child safety classes (NMCDH/NMDH); c. A total of 994 car seats were checked / distributed (NMCDH/NMDH) Well Child Center grant outcomes: 1. 73% of the children in the Pediatric Dental Program completed a preventive 6-month appointment; 2. 62% of the children have no decay; 3. 67% of the children followed up for 6-month preventive care; 4. 77% of the children have no new decay; 5. 97% of parents confidence levels increased in preventive dentistry and knowledge of how to practice good dental care., including understanding the ADA recommended guidelines. Priority 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 2018, 194 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 50 vaccine clinics were provided in Tax Year 2018, as well as 989 individuals in need received breast cancer screening. Non-Priority Areas 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.
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: 1. Key Community Organizations & Leaders 2. Internal & External Steering Committee Members 3. Kishwaukee Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY 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 four health priority needs; adolescent health, behavioral health/mental health, chronic disease (cardiovascular disease and cancer), and maternal child health. Specific ways in which NMKH is addressing the needs identified in the CHNA are defined as follows: Priority 1: Adolescent Health Adolescents (age 10 to 19) make up 16 percent of the DeKalb County population. The behavioral patterns established during these developmental periods can help determine young people's current health status and their risk for developing chronic disease during adulthood. Health and social problems that may start or peak during these years; including; mental disorders, substance use, smoking/nicotine use, nutrition and weight conditions, sexually transmitted infections, teen pregnancy, homelessness, homicide, suicide and motor vehicle collisions. Effective programs and policies that address these issues can provide protective factors during these important stages in a person's life. 1.1: Advocate for use of evidence based anti-bullying curriculum in schools. To decrease the percentage of adolescents reporting being bullied in the past 12 months, as related to name calling, physical threats, hitting, punching, kicking, pushing or cyber bullying. Adolescents who report another student has ever bullied (reported at least 1 type of bullying) in the past 12 months as identified by the IYS: 48 percent of 8th graders, 37 percent of 10th graders, and 33 percent of 12th graders. Discussions with the DeKalb County Health Department to consider requesting funding for money to support an evidence based anti-bullying curriculum. Youth prevention education is delivered to two school districts; DeKalb, and Genoa-Kingston. Skill development is the core of the evidence based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2019, 209 students in grade 6 at Clinton Rosette Middle School, DeKalb and 113 students in grade 7 at Genoa Kingston Middle School, Genoa received the curriculum. 1.2: Collaborate with schools to address depression and substance use among adolescents utilizing evidence based interventions and education. Youth prevention education is delivered to two school districts; DeKalb and Genoa-Kingston. Skill development is the core of the evidence based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2019, 209 students in grade 6 at Clinton Rosette Middle School, DeKalb and 113 students in grade 7 at Genoa Kingston Middle School, Genoa received the curriculum. 1.3: Deliver an evidence based Youth Prevention Program Education model program aimed at reducing alcohol use to an entire grade level of 6th - 12th grade students. Youth prevention education is delivered to two school districts; DeKalb and Genoa-Kingston. Skill development is the core of the evidence based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2019, 209 students in grade 6 at Clinton Rosette Middle School, DeKalb and 113 students in grade 7 at Genoa Kingston Middle School, Genoa received the curriculum. 1.4: Implement a communication campaign addressing the contributing factors related to past 30-day alcohol use. The Illinois Youth Survey (IYS) 2018 data reports past 30-dayuse of alcohol for DeKalb County as follows: 12% of 8th grade students, 28% of 10th grade students, and 43% of 12th grade students. In partnership DeKalb County High Schools including; Hiawatha, Genoa-Kingston, Indian Creek, Sandwich and Sycamore a nine-month communication campaign is delivered. During the nine-month campaign, primary messages must be changed every 6 weeks and reach a majority of the student population. Secondary messages are changed every 12 weeks during the campaign. Total number of students impacted by primary and secondary messages was 2879 students (unduplicated population). 1.5: Engage local school districts in DeKalb County to participate in the Illinois Youth Survey. During a non-survey year (current reporting year) engage the districts to review the latest IYS data. To continue to ensure at least an 80% participation rate in the IYS throughout DeKalb County Schools, presentations on the 2018 IYS data was given during a DeKalb County Superintendents Monthly Regional Office of Education meeting, seven school districts leaders were present. Additionally, all DeKalb County schools received communication about the importance of understanding the IYS data and an invitation to have NM staff meet with districts to discuss the findings. 1.6: Provide an evidence based curriculum focusing on causes and risk factors of brain and spinal cord injury, injury prevention measures and the use of safety habits at an early age. The Think First curriculum was offered to 1,298 children in 20 different schools throughout the county. The program fit and distributed 1,137 bike helmets to students. 1.7: Provide Kids Can Cook classes at the Leishman Center for Culinary Health to promote healthy cooking, using fresh ingredients, healthy eating and appropriate culinary skills to participants. Kids Can Cook classes were offered twelve times, reaching 91 youth. Additional adolescent and youth classes were offered six times, reaching 47 total students. These classes include programs and partnerships with the Girls Scouts of American and Behavioral Health DBT Teens support group. 1.8: Directly or indirectly support activities related to smoking prevention programs in school age children. Catch My Breath is a prevention program that provides students will skills to resist peer pressure and media influences to try E-Cigarettes. Locally, the program was taught 6 times (3 sessions per class) to 6th grade students in Genoa Kingston Middle School and 376 students were reached through the program. 1.9: Provide evidence based program for students in grades 6-8 to be safe when they are home alone or watching younger siblings. In an effort to increase knowledge and skills related to prevention of unsafe situations, what to do in an emergency, and manage behavior that helps students stay in control of themselves and other in their care the Safe Sitter program was presented six times and 59 students completed the program. 1.10: Provide the evidence based program Coordinated Approach to Child Health (CATCH) to students to create behavior changes in students to identify health foods and increase physical activity. CATCH is a program delivered in collaboration by the DeKalb County Health Department, Kishwaukee Family YMCA, Northern Illinois University (NIU), and NMKH. The program is delivered to Sycamore School District and Genoa Kingston School district. In Sycamore, three elementary school's grades K-5 received CATCH lessons (6 lessons per grade level) through the school year impacting 1120 students. In Genoa Kingston, grades K-6th receive CATCH lessons (6 lessons per grade level) throughout the school year, impacting 810 students.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL. Priority 2: Behavioral Health and Substance Abuse Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with others and the ability to adapt to change and to 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 among the most common and costly causes of disability. Mental and physical health are closely connected. Inpatient hospital admission data analysis found the most frequent Medicare Severity Diagnostic Related Groups (MS-DRGs) assigned to DeKalb County residents is psychoses; this is three times higher than the next most frequent MS-DRG. 2.1: Support policy and efforts in becoming Trauma Informed Community. Trauma is highly prevalent and can impact a person at any time during their lifespan and may present as mental health, substance use or physical health conditions. A trauma informed approach includes; realizing the widespread impact of trauma and understands potential paths for recovery, recognizing the signs and symptoms of trauma in clients, families, staff, and others involved with the system, responds by fully integrating knowledge about trauma into policies, procedures, and practices, resists re-traumatization. Identification of key departments and inquiry of education around trauma informed practices. Opportunity to create a team to discuss feasibility of project and project charter. 2.2: Support efforts to eliminate the stigma of mental health. To education the public on negative attitudes and beliefs regarding behavioral health by increasing the proportion of DeKalb County organizations to complete Mental Health First Aid course to increase awareness and decrease stigma related to mental health. Mental Health First Aid training for adults was offered four times and impacted 90 individuals. Mental Health Frist Aid for youth training was offered two times and served 47 people. A total of 137 participants who participated in trainings completed the course example with a passage rate of 100%. 2.3: Reduce high-risk opioid prescribing through provider education and guidelines. To reduce the number of prescribed opiate drugs as measured by the IDPH Opioid Dashboard. Opioid prescribing summary; total opioid prescriptions at NMKH 559. Average number of pills at discharge 11; percentage on target number of pills at discharge is 84.7%; percentage above target number of pills at discharge is 15.3%. 2.4: Implement a communication campaign addressing alcohol use by teens in local school districts. The Illinois Youth Survey (IYS) 2018 data reports past 30-dayuse of alcohol for DeKalb County as follows: 12% of 8th grade students, 28% of 10th grade students, and 43% of 12th grade students. In partnership DeKalb County High Schools including; Hiawatha, Genoa-Kingston, Indian Creek, Sandwich and Sycamore a nine-month communication campaign is delivered. During the nine-month campaign, primary messages must be changed every 6 weeks and reach a majority of the student population. Secondary messages are changed every 12 weeks during the campaign. Total number of students impacted by primary and secondary messages was 2879 students (unduplicated population). 2.5: Raise awareness of the drug take back programs in the service area. Working in partnership with the following local law enforcement offices: DeKalb Police Department, DeKalb County Sheriff's Office, Kingston Police Department, Sandwich Police Department and Sycamore Police Department to decrease the opportunity for diversion of non-prescribed prescription drugs and opioids. A total of 333 pounds of unwanted, unused, or expired medication was disposed of throughout DeKalb County in either permanent drug take back boxes or during National Drug Take Back Day. 2.6: Increase drug prevention programs in communities and schools targeted at opioid misuse and prescription drug abuse. To educate on the risks of opioid and prescription drug use a lesson specific to opioid misuse and abuse is delivered as part of the youth prevention education programming taking place at Clinton Rosette Middle School, Genoa Kingston Middle School, and Sandwich Middle School. At Clinton Rosette 209 students received the lesson, at Genoa Kingston 113 students received the lesson, and at Sandwich 141 students received the lesson. 2.7: Participate on the DeKalb County Overdose Prevention Program Taskforce. A group of government leaders, healthcare organizations, and law enforcement which gather to discuss strategies to reduce the number of fatal opioid related overdoses in DeKalb County. NMKH staff attended three task force scheduled meetings. Because of the taskforce over 50 people from various organizations have been trained using the train the trainer model on the use of Naloxone and provided a supply for their organization. PRIORITY 3: Chronic Disease - Cancer Cancer remains the second leading cause of mortality 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. 3.1: Educate the community on importance of screening for cancer and early detection. Promotion of Low Dose CT Lung Cancer Screening - screening promoted at community events and with worksite wellness organizations. 568 community members received the information promoting Low Dose CT Lung Screening. 3.2: Offer free or reduced cost mammograms for targeted populations. Women Matter program is designed to provide screening mammography services at no cost to women who do not have insurance coverage in DeKalb County. Efforts are made to promote tis free and reduced cost open for women with the following criteria; between the ages of 40-64 years of age, reside within DeKalb County, and no insurance/underinsured or high deductible plan. Information about this program is shared at various event throughout the community during the fiscal year. A total of 19 patients were screened through Women Matter and of these two patients required additional follow-up. 3.3: Offer educational programs on smoking cessation in the community. 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 five Courage to Quit classes and four completed referrals to the Illinois Quit Line. 3.4: Promote the availability of smoking cessation classes and the Illinois Quit Line. 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. Additionally, the Illinois Quit Line is an underutilized resource for smoking cessation support. NMKH community health services department worked with the respiratory therapy department to get information related to the IL Quit Line and current Courage to Quit classes in the hands of patients who need this information. During the fiscal year there were five Courage to Quit classes and four completed referrals to the Illinois Quit Line. There was also a team created for the standardization of smoking cessation effort led by Bluhm Cardiovascular and Community Health Services. 3.5: Directly or indirectly support activities related to smoking prevention programs in school age children. NMKH works to support activities related to smoking prevention programs in school age children through collaboration with local school districts. 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. Locally this program was taught six times (three lessons per class) to 376 sixth grade students.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL. 3.6: Partner with the DeKalb County Health Department staff to educate the Women, Infant, and Children (WIC) population on the effects of smoking during pregnancy and/or effects of secondhand smoke. 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 campaign material with designated messaging related to the effects of smoking during pregnancy and exposure to second hand smoke is given to clients at a WIC appointment. Reported numbers available from the health department indicated 248 women completing pregnancy, of which 14 identified as utilizing tobacco. Of those who reported smoking, 71 percent decreased of quit completely. PRIORITY 4: Cardiovascular Disease Cardiovascular Disease, principally heart disease is the leading cause of death in the United States, with stroke following as the third leading cause. Together, heart disease and stroke are among the most widespread and costly health problems facing our nation today, accounting for more than $500 billion in healthcare expenditures. Healthy People 2020 stresses that the risk of Americans developing and dying from cardiovascular disease would be substantially reduced if changes were made in diet, physical activity and management of high blood pressure, cholesterol and smoking. In planning to address this health priority within the community, hospitals can positively impact the health burdens of all chronic disease by addressing the disease across the continuum of lifespan. 4.1: Promote Know Your Numbers, an evidence based approach to community awareness of cardiovascular disease. 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. 112 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. 2009 people participated in blood pressure screenings during the fiscal year. Of those screened patients with a B/P greater than 120/80 is 78.5 percent. 4.2: Offer educational sessions for targeted populations to address prevention of cardiovascular disease through healthy diet and cooking programs at the Leishman Center for Culinary Health and through the DASH program to manage high blood pressure. 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 1,100 participants through 123 in house classes and external programs. 4.3: Identify and implement a community education program to increase awareness on sodium and promote sodium reduction in the diet. 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. The DASH program outcomes and metrics were developed during this fiscal year. The class continues to be offered on a quarterly basis. 4.4: Provide the evidence based program; Coordinated Approach to Child Health (CATCH) to students to create behavior changes in students to identify health foods and increase physical activity. CATCH is a program delivered in collaboration by the DeKalb County Health Department, Kishwaukee Family YMCA, Northern Illinois University (NIU), and NMKH. The program is delivered to Sycamore School District and Genoa Kingston School district. In Sycamore, three elementary school's grades K-5 received CATCH lessons (6 lessons per grade level) through the school year impacting 1120 students. In Genoa Kingston, grades K-6th receive CATCH lessons (6 lessons per grade level) throughout the school year, impacting 810 students. 4.5: Offer community based programs to increase awareness, educate and screen for hypertension and related health conditions. MyHealthMatters is a worksite wellness program offered to the businesses and organizations in our community. Several program options offer the tools, resources, and support employees need to meet health-related goals, such as losing weight, tobacco cessation, healthy eating, exercising regularly and reducing stress. During the fiscal year, 274 community members participated in worksite wellness screenings throughout the community. From those participants, the following results were obtained: 52% of participants presented with blood pressure values outside of the normal range, 39% of participants screened as either borderline high or high cholesterol levels, 24% of participants had ranges indicative of pre-diabetes or diabetes range. 16% of participants who had a lab range outside of normal, indicated no primary care physician and were provided with an NM Provider list. 4.6: Offer the American Heart Association CPR program. This American Heart Association course is designed for anyone who wants to learn basic CPR. Participants learn how to perform CPR on adults, children, and infants and how to help an adult, child, or infant who is choking. These classes were offered six times with 74 participants in attendance. 4.7: Provide resources and tools to patients diagnosed with heart failure to improve self-management skills and quality of life. Kishwaukee Hospital's Community Based Heart Failure Program started seeing patients in November 2018. Through May 2019, 46 patients were enrolled with 94% compliance with system tracker, 100% of patients able to identify action needed for worsening of symptoms, 83% of patients able to identify two cardiac medications, 100% of patients using a medication system, 95% of patients receiving a home visit within 7 days of hospital discharge and 73% of patients followed-up with their physician within 7 days. PRIORITY 5: 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. The number of births in DeKalb County for 2016 was 1,093. Notably, there has been a decrease in births over the past three years within DeKalb County. The overall teen birth rate in DeKalb County per 1,000 population is 15.7 5.1: To assess capacity to provide referral systems for smoking cessation among pregnant women and Offer Courage to Quit smoking cessation program. 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. From 1/1/2019 - 3/31/2019, 90 women completing pregnancy, 3 total smokers, 3 quit (100%) and from 4/1/2019 - 6/30/2019, 74 women completing pregnancy, 6 total smokers, 3 quit (50%) and an additional decreased, 66.7% decreased or quit this quarter.
Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL. 5.2: Support messaging related to The Basics of DeKalb County. Staff met with the Basics Coordinator, hired by DeKalb County to lead this initiative. The hospital will stay committed to supporting the mission of The Basics DeKalb County. The health department received funding from NMKH community benefit dollars to support messaging and the creation of a space dedicated to the work of The Basics within the health department waiting area. 5.3: Update childbirth education classes to include messaging on domestic violence and resources available for referral. Programmatic slides updated to include information related to domestic violence resources available in DeKalb County. Working with Safe Passage to have stickers provided to adhere to participants folders to ensure no class participants will miss the options of resources available. 5.4: Investigate opportunities to increase referrals to the Breastfeeding Center to WIC clients at the DeKalb County Health Department FY19 a total of 35 prenatal lactation consults. Of those 35 consults, 10 were WIC clients who had received a referral. Total of 380 initial lactation consults (1st visit to the center) and 584 follow-up lactation consults for a total of 965 one-on-one consults. Of these 965 consults, approximately 30% were WIC clients. 1,271 calls on the warm line. Of those, approximately 40% are WIC clients. Transportation challenges have always contributed to a higher propensity of call vs. in person visits. 5 walk-in consults - these are consults who most often come to the center without a scheduled appointment directly after being seen by the Peds. When there is availability to see walk-in patients in the center, the patient is marked as a "walk-in". 100% of walk-in clients were WIC clients. 5.5: Investigate the feasibility of offering a childbirth education class in Spanish. Continue to investigate the feasibility of offering childbirth education in Spanish. Online computer system does offer a program in Spanish. Need to assess need with additional input from the health department and women being seen through their Women, Infant and Children clinic. 5.6: Partner with the DeKalb County Health Department on a media campaign focused on the effects of secondhand smoke and/or smoke free homes and cars 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. 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: NON-PRIORITY: 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. NON-PRIORITY: Environmental Health There are programs and initiative available through other organizations within DeKalb County to address Environmental Health. NON-PRIORITY: Health Communication/HIT NMKH utilizes tools such as the Electronic Medical Record as a way to continue to assist patients and community members with Health Information Technology. NON-PRIORITY: Infectious Disease/STI There are programs and initiatives available through other organizations within DeKalb County to address infectious disease and STIs. NON-PRIORITY: Injury and Violence There are programs and initiatives available through other organizations within DeKalb County to address injury and violence. NON-PRIORITY: Social Determinants of Health Social Determinants of Health ranked as a concern that will be addressed 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: 1. Key Community Organizations & Leaders 2. NMVWH Internal & External Steering Committee Members 3. Northwestern Medicine Valley West Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - NORTHWESTERN MEDICINE 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 four health priority needs; adolescent health, behavioral health/mental health, chronic disease (cardiovascular disease and cancer), and maternal child health. Specific ways in which NMVW is addressing the needs identified in the CHNA are defined as follows: Priority 1: Adolescent Health Adolescents (age 10 to 19) make up 16 percent of the DeKalb County population. The behavioral patterns established during these developmental periods can help determine young people's current health status and their risk for developing chronic disease during adulthood. Health and social problems that may start or peak during these years include mental disorders, substance use, smoking/nicotine use, nutrition and weight conditions, sexually transmitted infections, teen pregnancy, homelessness, homicide, suicide and motor vehicle collisions. Effective programs and policies that address these issues can provide protective factors during these important stages in a person's life. 1.1: Advocate for use of evidence based anti-bullying curriculum in schools. To decrease the percentage of adolescents reporting being bullied in the past 12 months, as related to name calling, physical threats, hitting, punching, kicking, pushing or cyber bullying. Adolescents who report another student has ever bullied (reported at least 1 type of bullying) in the past 12 months as identified by the IYS: 48 percent of 8th graders, 37 percent of 10th graders, and 33 percent of 12th graders. Discussions with the DeKalb County Health Department to consider requesting funding for money to support an evidence based anti-bullying curriculum. Youth prevention education is delivered to Sandwich school district. Skill development is the core of the evidence based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2019, 118 students in grade 5 at Herman E Dummer Elementary School, Sandwich and 141 students in grade 6 at Sandwich Middle School, Sandwich received the curriculum. 1.2: Collaborate with schools to address depression and substance use among adolescents utilizing evidence based interventions and education. Youth prevention education is delivered to Sandwich school districts. Skill development is the core of the evidence based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2019, 118 students in grade 5 at Herman E Dummer Elementary School, Sandwich and 141 students in grade 6 at Sandwich Middle School, Sandwich received the curriculum. 1.3: Deliver an evidence based Youth Prevention Program Education model program aimed at reducing alcohol use to an entire grade level of 6th - 12th grade students. Youth prevention education is delivered to Sandwich school district. Skill development is the core of the evidence based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2019, 118 students in grade 5 at Herman E Dummer Elementary School, Sandwich and 141 students in grade 6 at Sandwich Middle School, Sandwich received the curriculum. 1.4: Implement a communication campaign addressing the contributing factors related to past 30-day alcohol use. The Illinois Youth Survey (IYS) 2018 data reports past 30-dayuse of alcohol for DeKalb County as follows: 12% of 8th grade students, 28% of 10th grade students, and 43% of 12th grade students. In partnership DeKalb County High Schools including; Hiawatha, Genoa-Kingston, Indian Creek, Sandwich and Sycamore a nine-month communication campaign is delivered. During the nine-month campaign, primary messages must be changed every 6 weeks and reach a majority of the student population. Secondary messages are changed every 12 weeks during the campaign. Total number of students impacted by primary and secondary messages was 2879 students (unduplicated population). 1.5: Engage local school districts in DeKalb County to participate in the Illinois Youth Survey. During a non-survey year (current reporting year) engage the districts to review the latest IYS data. To continue to ensure at least an 80% participation rate in the IYS throughout DeKalb County Schools, presentations on the 2018 IYS data was given during a DeKalb County Superintendents Monthly Regional Office of Education meeting, seven school districts leaders were present. Additionally, all DeKalb County schools received communication about the importance of understanding the IYS data and an invitation to have NM staff meet with districts to discuss the findings. 1.6: Provide an evidence based curriculum focusing on causes and risk factors of brain and spinal cord injury, injury prevention measures and the use of safety habits at an early age. The Think First curriculum was offered to 1,298 children in 20 different schools throughout the county. The program fit and distributed 1,137 bike helmets to students. 1.7: Provide Kids Can Cook classes at the Leishman Center for Culinary Health to promote healthy cooking, using fresh ingredients, healthy eating and appropriate culinary skills to participants. Kids Can Cook classes were offered twelve times, reaching 91 youth. Additional adolescent and youth classes were offered six times, reaching 47 total students. These classes include programs and partnerships with the Girls Scouts of American and Behavioral Health DBT Teens support group. 1.8: Directly or indirectly support activities related to smoking prevention programs in school age children. NMVW works to support activities related to smoking prevention programs in school age children through collaboration with local school districts. The 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 in Sandwich and Somonauk school districts and reached 229 students. 1.9: Provide evidence based program for students in grades 6-8 to be safe when they are home alone or watching younger siblings. In an effort to increase knowledge and skills related to prevention of unsafe situations, what to do in an emergency, and manage behavior that helps students stay in control of themselves and other in their care the Safe Sitter program was presented six times and 59 students completed the program.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. Priority 2: Behavioral Health and Substance Abuse Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with others and the ability to adapt to change and to 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 among the most common and costly causes of disability. Mental and physical health are closely connected. Inpatient hospital admission data analysis found the most frequent Medicare Severity Diagnostic Related Groups (MS-DRGs) assigned to DeKalb County residents is psychoses; this is three times higher than the next most frequent MS-DRG. 2.1: Support policy and efforts in becoming Trauma Informed Community. Trauma is highly prevalent, can impact a person at any time during their lifespan and may present as mental health, substance use or physical health conditions. A trauma informed approach includes realizing the widespread impact of trauma and understanding potential paths for recovery. It also includes recognizing the signs and symptoms of trauma in clients, families, staff, and others involved with the system, and responding by fully integrating knowledge about trauma into policies, procedures, and practices, resists re-traumatization. This strategy focused on identification of key departments, an inquiry of education around trauma informed practices, and the opportunity to create a team to discuss the feasibility of the project and project charter. 2.2: Support efforts to eliminate the stigma of mental health. The goal of this strategy is to educate the public on negative attitudes and beliefs regarding behavioral health by increasing the proportion of DeKalb County organizations that complete a Mental Health First Aid (MHFA) course. MHFA is designed to increase awareness and decrease stigma related to mental health. Within the NMVWH community service area, MHFA training for adults was offered four times and impacted 90 individuals. MHFA for youth training was offered two times and served 47 people. A total of 137 participants who participated in trainings completed the course example with a passage rate of 100%. 2.3: Reduce high-risk opioid prescribing through provider education and guidelines. To reduce the number of prescribed opiate drugs as measured by the IDPH Opioid Dashboard. Opioid prescribing summary; total opioid prescriptions at NMVW 63. Average number of pills at discharge 17; percentage on target number of pills at discharge is 62.1 percent. Percentage above target number of pills at discharge is 37.9 percent. 2.4: Implement a communication campaign addressing alcohol use by teens in local school districts. The Illinois Youth Survey (IYS) 2018 data reports past 30-dayuse of alcohol for DeKalb County as follows: 12% of 8th grade students, 28% of 10th grade students, and 43% of 12th grade students. In partnership DeKalb County High Schools including; Hiawatha, Genoa-Kingston, Indian Creek, Sandwich and Sycamore a nine-month communication campaign is delivered. During the nine-month campaign, primary messages must be changed every 6 weeks and reach a majority of the student population. Secondary messages are changed every 12 weeks during the campaign. Total number of students impacted by primary and secondary messages was 2879 students (unduplicated population). 2.5: Raise awareness of the drug take back programs in the service area. NMVWH worked in partnership with the local law enforcement offices, including DeKalb Police Department, DeKalb County Sheriff's Office, Kingston Police Department, Sandwich Police Department and Sycamore Police Department, to decrease the opportunity for diversion of non-prescribed prescription drugs and opioids. A total of 333 pounds of unwanted, unused, or expired medication was disposed of throughout DeKalb County in either permanent drug take back boxes or during National Drug Take Back Day. 2.6: Increase drug prevention programs in communities and schools targeted at opioid misuse and prescription drug abuse. This strategy focused on education of the risks of opioid and prescription drug use. A lesson specific to opioid misuse and abuse was delivered as part of the youth prevention education programming taking place at Clinton Rosette Middle School, Genoa Kingston Middle School, and Sandwich Middle School. At Clinton Rosette 209 students received the lesson, at Genoa Kingston 113 students received the lesson, and at Sandwich 141 students received the lesson. 2.7: Participate on the DeKalb County Overdose Prevention Program Taskforce. A group of government leaders, healthcare organizations, and law enforcement personnel gather to discuss strategies to reduce the number of fatal opioid related overdoses in DeKalb County. NM staff attended three task force scheduled meetings. Because of the taskforce efforts, over 50 people from various organizations have been trained on the proper use of Naloxone and have received a supply of Naloxone for their organization. PRIORITY 3: Chronic Disease - Cancer Cancer remains the second leading cause of mortality 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. 3.1: Educate the community on importance of screening for cancer and early detection. Low Dose CT Lung Cancer Screening were promoted at community events and worksite wellness organizations. 568 community members received the information promoting Low Dose CT Lung Screening. 3.2: Offer free or reduced cost mammograms for targeted populations. The Women Matter program is designed to provide screening mammography services at no cost to women who do not have insurance coverage in DeKalb County. Efforts are made to promote this program, which is open to women between the ages of 40-64 years, who reside within DeKalb County, and have no insurance, are underinsured or have high deductible plan. Information about this program is shared at various event throughout the community during the fiscal year. A total of 19 patients were screened through Women Matter, and of these, two patients required additional follow-up. 3.3: Offer educational programs on smoking cessation in the community. The American Respiratory Association's Courage to Quit smoking cessation programs are offered throughout the year to the community organizations 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 five Courage to Quit classes and four completed referrals to the Illinois Quit Line. 3.4: Promote the availability of smoking cessation classes and the Illinois Quit Line. The Illinois Quit Line is an underutilized resource for smoking cessation support. NMVW community health services department worked with the respiratory therapy department to get information related to the IL Quit Line and current Courage to Quit classes in the hands of patients who need this information. During the fiscal year there were five Courage to Quit classes and four completed referrals to the Illinois Quit Line. There was also a team created for the standardization of smoking cessation effort led by Bluhm Cardiovascular and Community Health Services. 3.5: Directly or indirectly support activities related to smoking prevention programs in school age children. NMVW works to support activities related to smoking prevention programs in school age children through collaboration with local school districts. The 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 in Sandwich and Somonauk school districts and reached 229 students.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. 3.6: Partner with the DeKalb County Health Department staff to educate the Women, Infant, and Children (WIC) population on the effects of smoking during pregnancy and/or effects of secondhand smoke. 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, campaign material with designated messaging related to the effects of smoking during pregnancy and exposure to second hand smoke is given to clients at a WIC appointment. Reported numbers available from the health department indicated 248 women completing pregnancy, of which 14 identified as utilizing tobacco. Of those who reported smoking, 71 percent decreased of quit completely. Priority 4: Cardiovascular Disease Cardiovascular Disease, principally heart disease, is the leading cause of death in the United States, with stroke following as the third leading cause. Together, heart disease and stroke are among the most widespread and costly health problems facing our nation today, accounting for more than $500 billion in healthcare expenditures. Healthy People 2020 stresses that the risk of Americans developing and dying from cardiovascular disease would be substantially reduced if changes were made in diet, physical activity and management of high blood pressure, cholesterol and smoking. In planning to address this health priority within the community, hospitals can positively impact the health burdens of all chronic disease by addressing the disease across the continuum of lifespan. 4.1: Promote Know Your Numbers, an evidence based approach to community awareness of cardiovascular disease. 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. 47 community members participated in the screening. Additionally, blood pressure checks are offered weekly free of charge for community members and patients at Valley West Hospital. 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. 631 people participated in blood pressure screenings during the fiscal year. Patients screened with a blood pressure greater than 120/80 was 74 percent. 4.2: Offer educational sessions for targeted populations to address prevention of cardiovascular disease through healthy diet and cooking programs at the Leishman Center for Culinary Health and through the DASH program to manage high blood pressure. 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 1,100 participants through 123 in house classes and external programs. 4.3: Identify and implement a community education program to increase awareness on sodium and promote sodium reduction in the diet. 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 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. The DASH program outcomes and metrics were developed during this fiscal year. The class continues to be offered on a quarterly basis. 4.4: Offer community based programs to increase awareness, educate and screen for hypertension and related health conditions. MyHealthMatters is a worksite wellness program offered to the businesses and organizations in our community. Several program options offer the tools, resources, and support employees need to meet health-related goals, such as losing weight, tobacco cessation, healthy eating, exercising regularly and reducing stress. During the fiscal year, 274 community members participated in worksite wellness screenings throughout the community. From those participants, the following results were obtained: 52% of participants presented with blood pressure values outside of the normal range, 39% of participants screened as either borderline high or high cholesterol levels, 24% of participants had ranges indicative of pre-diabetes or diabetes range. 16% of participants who had a lab range outside of normal, indicated no primary care physician and were provided with an NM Provider list. 4.5: Offer the American Heart Association CPR program This American Heart Association course is designed for anyone who wants to learn basic CPR. Participants learn how to perform CPR on adults, children, and infants and how to help an adult, child, or infant who is choking. These classes were offered six times with 74 participants in attendance. Priority 5: 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. The number of births in DeKalb County for 2016 was 1,093. Notably, there has been a decrease in births over the past three years within DeKalb County. The overall teen birth rate in DeKalb County per 1,000 population is 15.7 5.1: To assess capacity to provide referral systems for smoking cessation among pregnant women and Offer Courage to Quit smoking cessation program. NMVW 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. From 1/1/2019 - 3/31/2019, 90 women completing pregnancy, 3 total smokers, 3 quit (100%) and from 4/1/2019 - 6/30/2019, 74 women completing pregnancy, 6 total smokers, 3 quit (50%) and an additional decreased, 66.7% decreased or quit this quarter. 5.2: Support messaging related to The Basics of DeKalb County. Staff met with the Basics Coordinator, hired by DeKalb County to lead this initiative. The hospital will stay committed to supporting the mission of The Basics DeKalb County. The health department received funding from NM community benefit dollars to support messaging and the creation of a space dedicated to the work of The Basics within the health department waiting area. 5.3: Update childbirth education classes to include messaging on domestic violence and resources available for referral. Programmatic slides updated to include information related to domestic violence resources available in DeKalb County. Working with Safe Passage to have stickers provided to adhere to participants folders to ensure no class participants will miss the options of resources available. 5.4: Investigate the feasibility of offering a childbirth education class in Spanish. Continue to investigate the feasibility of offering childbirth education in Spanish. Online computer system does offer a program in Spanish. Need to assess need with additional input from the health department and women being seen through their Women, Infant and Children clinic.
Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. 5.5: Partner with the DeKalb County Health Department on a media campaign focused on the effects of secondhand smoke and/or smoke free homes and cars. 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. 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. The CHNA report identified area of opportunity for health improvement for which NMVW and its external committee determined it would not prepare an implementation plan and strategy. Identified areas and the reason for not addressing are listed below: NON-PRIORITY: 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. NON-PRIORITY: Environmental Health. There are programs and initiative available through other organizations within DeKalb County to address Environmental Health. NON-PRIORITY: Health Communication/HIT NMVW utilizes tools such as the Electronic Medical Record as a way to continue to assist patients and community members with Health Information Technology. NON-PRIORITY: Infectious Disease/STI There are programs and initiatives available through other organizations within DeKalb County to address infectious disease and STIs. NON-PRIORITY: Injury and Violence There are programs and initiatives available through other organizations within DeKalb County to address injury and violence. NON-PRIORITY: Social Determinants of Health Social Determinants of Health ranked as a concern that will be addressed 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: 1. KEY COMMUNITY ORGANIZATIONS & LEADERS 2. MARIANJOY REHABILITATION HOSPITAL INTERNAL & EXTERNAL STEERING COMMITTEE MEMBERS 3. 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 four 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. Priority Need 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. Marianjoy integrated the promotion and availability of the financial assistance program within registration, billing and all patient financial interactions. 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 FY19, 641 patients/services provided, in the amount of $3,430,067 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 FY19, 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 FY19, MRH continued coordination of monetary support of Access DuPage services. 1.5: MRH will provide low-cost transportation to outpatient appointments. In FY19, MRH provided 7,893 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 FY19, 641 patients/services provided, in the amount of $3,430,067 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 FY19 and maintained 99% approval rate of applications submitted. 1.8: MRH will provide trained professional healthcare interpreters and offer language assistance programs. In FY19, MRH provided a total of $457,622 in interpreter services for MRH patients, including $9,663 on phone interpretation and the remainder on in-person interpretation. Priority Need 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 FY19, MRH staff developed curriculum for the four courses listed below. Follow-up based on course content was tracked through the support groups. 1. Pediatric Oncology 2. Relaxation and Meditation 3. Balance and Fall Risks 4. Behavioral Coaching 2.2: MRH will provide access to the Emerging Fitness Center, including specialty group classes for individuals with specific exercise needs. In FY19, 3,500 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 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 FY19, MRH provided the following support groups: 1. Amputee (5 sessions; 54 participants) 2. Parkinson's (4 sessions; 28 participants) 3. Caregiver Support (10 sessions; 29 participants) 4. Stroke (6 sessions; 48 participants) 5. ALS (7 sessions; 142 participants) 6. Aphasia (7 sessions; 170 participants) 7. Connections-Peds (7 sessions; 102 participants) 8. High Hopes- BI (7 sessions; 140 participants) 9. Lives in Motion- SCI (7 sessions; 114 participants) 10. MS (5 sessions; 76 participants)
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - MARIANJOY REHABILITATION HOSPITAL. Priority Need 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, and DuPage Workforce Board. 3.1: MRH will provide aquatic programs in a group class setting for adults and children. In FY19, MRH provided 242 patient sessions (3,000 pool sessions provided). Individual goals were established, and PHI documented towards goal attainment. 3.2 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 FY19, MRH provided 4,573 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. 3.3: 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 FY19, MRH evaluated and/or provided drivers training to 128 students. In addition, a self-reported tracking process was implemented. 3.4: 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 FY19, 100 volunteers from the community participated in MRH's GoBabyGo program which served 23 children, 4 of which were new recipients. The program provided four car upgrades from existing participants. 3.5: 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 FY19, MRH staff developed curriculum for the four courses listed below. Follow-up based on course content was tracked through the support groups. 1. Pediatric Oncology 2. Relaxation and Meditation 3. Balance and fall risks 4. Behavioral Coaching 3.6: 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 FY19, MRH provided the following support groups: 1. Amputee (5 sessions; 54 participants) 2. Parkinson's (4 sessions; 28 participants) 3. Caregiver Support (10 sessions; 29 participants) 4. Stroke (6 sessions; 48 participants) 5. ALS (7 sessions; 142 participants) 6. Aphasia (7 sessions; 170 participants) 7. Connections-Peds (7 sessions; 102 participants) 8. High Hopes- BI (7 sessions; 140 participants) 9. Lives in Motion- SCI (7 sessions; 114 participants) 10. MS (5 sessions; 76 participants) Priority Need 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 Police Interaction Course for Drivers with Special Needs program, focusing on enhancing communication between autistic individuals and first responders. 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 FY19, MRH developed and implemented curriculum for three courses: 1. Yoga (10 five-week sessions were held; 100 participants) 2. Aging and Balance (2 courses; 68 participants) 3. Therapeutic Golf Program (12 adult sessions; 139 participants) 4.2: MRH will offer the Police Interaction Course for Driver with Special Needs program. Sessions will provide autistic individuals with the skills to respond calmly and communicate effectively during a traffic stop. In FY19, 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 reimplemented in FY20. 4.3: MRH will collaborate with Central DuPage Hospital (NMCDH) to offer evidence-based community-based injury prevention programming. In FY19, MRH collaborated with NMCDH and began to market programming in the shared NM program brochure. 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. Needs that are not being addressed together with the reasons why: 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.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - MARIANJOY REHABILITATION HOSPITAL. 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. Nutrition, physical activity and weight: The problems related to poor nutrition, inadequate physical activity and overweight/obesity are included within the broader category of chronic disease within our Implementation Plan. These factors are considered key root causes of chronic disease and were included in the causal analysis and response. 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, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Marianjoy Rehabilitation 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 2 On September 1, 2018, NMHC became the sole member of Centegra Health System and its subsidiaries. The health system is comprised of Centegra Health System, Northern Illinois Medical Center, Memorial Medical Center, Health Bridge Corporation, NIMED Corporation, and Centegra Health System Foundation. The Illinois Health Facilities and Services Review Board unanimously approved the application for Centegra to join NMHC in June 2018.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. The CHNA report also describes NIMC's CHNA goals, objectives, public dissemination plan, and development of the implementation plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. Northwestern Medicine commissioned Professional Research Consultants, Inc. (PRC) to conduct a comprehensive Community Health Needs Assessment (CHNA). PRC is a nationally recognized healthcare consulting firm with extensive experience in conducting CHNAs in hundreds of communities across the United States since 1994. The PRC CHNA framework consisted of a systematic, data-driven approach to determine the health status, behaviors and needs of residents in McHenry County. The assessment provided information to enable NM hospital leadership and key community stakeholders to identify health issues of greatest concern among all residents and decide how best to commit the hospital's resources to those areas, thereby achieving the greatest possible impact on the community's health status. The PRC assessment incorporated data from both quantitative and qualitative sources and was conducted from March 2019 through May 2019. Qualitative data included primary research gathered through an Online Key Informant Survey which was administered, analyzed and summarized by PRC. Key informants are those individuals who have a broad interest in the health of the community, and can advise healthcare organizations by providing a comprehensive biopsychosocial picture of community need. A list of recommended participants was provided by Northwestern Medicine and included the 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 McHenry County populations 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, 34 community stakeholders took part in the Online Key Informant Survey. The Key Informant Online Survey was made available April 18, 2019 through May 3, 2019. Final participation included representatives of the organizations outlined below: 1. American Cancer Society 2. Centegra Physician Care 3. City of Woodstock 4. Family Health Partnership Clinic 5. Fox River Grove Fire Protection Dist. 6. Home of the Sparrow 7. Huntley School District 158 8. McHenry County Department of Health 9. McHenry Division of Transportation 10. McHenry County Mental Health Board 11. McHenry County Sheriff's Office 12. McHenry County Substance Abuse Coalition 13. Northern Il. Special Recreation Assoc. 14. Northwestern Medicine 15. Options & Advocacy Program 16. PFLAG McHenry 17. The Positive Way 18. Thresholds 19. United Way of McHenry County 20. Village of Richmond 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 better be addressed.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also shared with the following: 1. Key community organizations 2. Northwestern Medicine Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. Through a systematic, data-driven approach, NM NWR has prioritized the below identified Significant Health Needs to address in accordance with IRS regulations. These needs will be referred to as the Priority Health Needs throughout the remainder of the document. NM NWR worked collaboratively to develop strategies, and to identify resources and areas for collaboration, where applicable, to impact each priority health need. 1. Access to Health Care 2. Chronic Disease (including a. cancer, b. diabetes, c. heart disease and stroke, and d. nutrition, physical activity and weight) 3. Mental Health and Substance Abuse Priority 1: Access to Healthcare Services. Access to comprehensive, quality healthcare services is important for the achievement of health equity and for increasing the quality of a healthy life for everyone. It impacts overall physical, social and mental health status; prevention of disease and disability; detection and treatment of health conditions; quality of life; preventable death; and life expectancy. Improving healthcare services 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). 1.1: Improve access to comprehensive, quality healthcare services. NM HH, NM MH and NM WH 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. 1. NM HH, NM MH and NM WH financial services assists patients in applying for government-sponsored healthcare coverage. 2. NM HH, NM MH and NM WH leadership will continue representation on various task forces and workgroups related to the collaborative work occurring on access-to-care issues. 3. NM HH, NM MH and NM WH will create and/or participate in programs and initiatives focused on Safety Net objectives to promote access to care. 4. NM HH, NM MH and NM WH will provide office space and support to the Senior Health Insurance Program (SHIP). The SHIP program will provide seniors Medicare counseling and support to facilitate their use of the healthcare system. During the time frame of September 1, 2018 to August 31, 2019, there were 850 Medicare beneficiaries that received information on insurance options and assistance with enrollment in various programs, with 80 individuals receiving assistance with enrollment into various programs. NM provide space for two individuals to meet with members of the community learn about and enroll in options. 1.2: NM Leadership participates in meetings that are focused on addressing access to care issues for patients that need assistance. Most patients are referred from Aunt Martha's FQHC and/or The Family Health Partnership Clinic. 1. NM HH, NM MH and NM WH will provide operational grants to Aunt Martha's and Family Health Partnership Clinic in support of their coordination of care for patients without insurance. Provision of an operational grant to Aunt Martha's and Family Health Partnership Clinic will enable low-income McHenry County residents to afford and receive needed care. 2. NM HH, NM MH and NM WH will provide low-cost or no-cost inpatient and outpatient care to clients from Aunt Martha's and/or Family Health Partnership Clinic in accordance with presumptive eligibility and existing NM financial assistance policies. Access to free inpatient and outpatient care will enable presumptively eligible, low-income residents to receive needed services in a timely, coordinated and efficient manner. Aunt Martha's received in kind space with a fair market value of $290,438 and the Family Health Partnership Clinic received an in-kind cash donation to support programs services in the amount of $30,000. Priority 2a: Chronic Disease (Cancer) Continued advances in cancer research, detection and treatment have resulted in a decline in both incidence and death rates for all cancers. Among people who develop cancer, more than half will be alive in five years. Yet, cancer remains a leading cause of death in the United States, second only to heart disease. In McHenry County, cancer is a leading and rising cause of death. Many cancers are preventable by reducing risk factors such as use of tobacco products, physical inactivity and poor nutrition, obesity, and ultraviolet light exposure. Other cancers can be prevented by getting vaccinated against human papillomavirus (HPV) and hepatitis B virus. In the past decade, overweight and obesity have emerged as new risk factors for developing certain cancers, including colorectal, breast, uterine corpus (endometrial) and kidney cancers. The impact of the current weight trends on cancer incidence will not be fully known for several decades. Continued focus on preventing weight gain will lead to lower rates of cancer and many chronic diseases. Priority 2b: Chronic Disease (Diabetes) The rate of diabetes mellitus continues to increase both in the United States and throughout the world. Due to the steady rise in the number of persons with diabetes mellitus, and possibly earlier onset of Type 2 diabetes mellitus, there is growing concern about the possibility that the increase in the number of persons with diabetes mellitus and the complexity of their care might overwhelm existing healthcare systems. Diabetes is a top 10 leading cause of death, and prevalence of the condition has risen over the past decade in McHenry County. Priority 2c: Chronic Disease (Cardiovascular Disease) Heart disease is the leading cause of death in the United States, with stroke following as the third leading cause. Together, heart disease and stroke are among the most widespread and costly health problems facing the nation today, accounting for more than $500 billion in healthcare expenditures and related expenses in 2010 alone. 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 U.S. population in diet and physical activity, control of high blood pressure and cholesterol, smoking cessation and appropriate aspirin use. The burden of cardiovascular disease is disproportionately distributed across the population. Significant disparities exist based on gender, age, race/ethnicity, geographic area and socioeconomic status. Priority 2d: Chronic Disease (Nutrition, Physical Activity and Weight) Strong science exists supporting the health benefits of eating a healthful diet and maintaining a healthy body weight. Efforts to change diet and weight should address individual behaviors, as well as the policies and environments that support these behaviors in settings such as schools, worksites, healthcare organizations, and communities. The goal of promoting healthful diets and healthy weight encompasses increasing household food security and eliminating hunger. Regular physical activity can improve the health and quality of life of Americans of all ages, regardless of the presence of a chronic disease or disability. Among adults, physical activity can lower the risk of: early death; coronary heart disease; stroke; high blood pressure; type 2 diabetes; breast and colon cancer; falls; and depression. Personal, social, economic, and environmental factors all play a role in physical activity levels among youth, adults, and older adults. Understanding the barriers to and facilitators of physical activity is important to ensure the effectiveness of interventions and other actions to improve levels of physical activity. 2.1: NM HH, NM MH and NM WH will strive to improve cardiovascular health and quality of life through prevention, detection and treatment of risk factors for heart attack and stroke. 2.2: NM HH, NM MH and NM WH will offer early identification and treatment of heart attacks and stroke, through heart age screenings and blood pressure screenings. In partnership with staff from McHenry County Department of Health, NM cardiovascular staff and RNs participated and provided 400 cardiovascular screenings during the reporting time. Monthly events were held for blood pressure events, which provided free screenings to 218 individuals in the community. 2.3: NM HH, NM MH and NM WH will offer education and prevention of repeat cardiovascular events, through education on lifestyle/measures to prevent heart disease. 2.4: NM HH, NM MH and NM WH Reduction in deaths from cardiovascular disease education in the community. A series of programs were offered on nutrition and cardiovascular health reaching 349 residents provided by nurses and dietitians for a total of 79 hours. Staff provided 85 hours to provide education to 111 people on CPR education and training.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - NORTHERN ILLINOIS MEDICAL CENTER. 2.5: NM HH, NM MH and NM WH will strive to reduce the disease burden of diabetes mellitus (DM) and improve the quality of life for all persons who are at risk for DM, through blood glucose screenings in the community. There were five community events that were offered, with over 75 staff hours provided reaching 81 individuals. 2.6: NM HH, NM MH and NM WH will host/offer evidence-based community health and wellness programming in skin cancer education and prevention. Cancer Center staff conducted educational activities on skin cancer prevention at outdoor recreational areas and provide free sunscreen SPF 15 or higher to adults and children. These four community events with which over 40 hours of staff time was devoted to skin cancer prevention and education, resulting in 78 people being served. 2.7: NM HH, NM MH and NM WH will support opportunities to promote physical activity in McHenry County residents including increased access to physical activity options in school-aged children and encouragement of physical activity to prevent childhood and adult obesity.) There were several events held locally that encouraged participation in activities to promote physical activity, such as walks, runs, gym memberships, etc. NM staff provided 48 hours of in-kind support to Girls on the Run, which impact 13 girls and encouraged running to maintain an active lifestyle. In addition, there were over 1,245 individuals that received charitable memberships to Health Bridge Fitness, which is owned by Northwestern Medicine. Priority 3: Mental Health/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 to cope with challenges. Mental health is essential to personal well-being, family and interpersonal relationships, and the ability to contribute to community or society. Mental health and physical health are closely connected. Mental health plays a major role in people's ability to maintain good physical health. Mental illnesses, such as depression and anxiety, affect people's ability to participate in health-promoting behaviors. In turn, problems with physical health, such as chronic diseases, can have a serious impact on mental health and decrease a person's ability to participate in treatment and recovery. In McHenry County in 2019, there were 176.3 mental health providers for every 100,000 population, below state and U.S rates. Substance abuse has a major impact on individuals, families and communities. The effects of substance abuse are cumulative, significantly contributing to costly social, physical, mental and public health problems. Advances in research have led to the development of evidence-based strategies to effectively address substance abuse. Improvements in brain-imaging technologies and the development of medications that assist in treatment have gradually shifted the research community's perspective on substance abuse. There is now a deeper understanding of substance abuse as a disorder that develops in adolescence and, for some individuals, will develop into a chronic illness that will require lifelong monitoring and care. Half of key informants taking part in the online survey characterized Substance Abuse as a "major problem" in the community. 3.1: Increase awareness of existing mental health and substance abuse services in McHenry County. There were four presentations with 26 people receiving education on the effects of opiate addiction in expecting mothers. The program provided sensitivity to treatment to OB nurses that may encounter pregnant women who may be affected by a substance abuse disorder. 3.2: Reduce the overall number of suicide deaths in McHenry County. (Provide PHQ-9 depression screening tool to patients with the primary care setting and increase in the number of support groups and attendees related to suicide and/or survivors of suicide.) Physicians in primary care settings utilized PHQ-2 and PHQ-9 for depression screening for their patients, with a 74.52% performance test rate, which was an increase from the previous year of 39.18% screening rates. 3.3: Increase in the number of support groups and attendees related to suicide and/or survivors of suicide. (Provide community education on Suicide Prevention to the community at-large to reduce the number of opioid-/heroin-related overdose deaths and adverse events.) The Behavioral Health Services team coordinated the Survivors of Suicide Grief Support Group which increased from a monthly session to twice monthly sessions. In addition, the same Behavioral Services Team provided leadership to the Suicide Prevention Task Force, which was an in-kind staff support of 50 hours. Significant Health Needs Not Addressed by NM NWR Through a systematic, data-driven approach, NM NWR has determined that it will not address the below identified Significant Health Needs over the next three years. Many of these needs are already being addressed through the comprehensive services and Community Benefits operations offered at the three NM NWR hospitals and throughout NMHC. Specific reasons explaining why an identified Significant Health Need will not be prioritized are outlined below. Oral Health: While the need for improved dental health and access to dental health providers exists, NM leadership does not feel that we possess the expertise to address this health concern. Rather, we will work collaboratively with existing community initiatives to promote programming that will expand access to dental care and improve dental health of community residents. Respiratory Disease: Asthma and chronic obstructive pulmonary disease (COPD) are significant public health burdens. Specific methods of detection, intervention and treatment exist that may reduce this burden and promote health. The prevalence of respiratory disease in McHenry County residents is lower than in Illinois and the U.S., so we have chosen not to focus on this Significant Health Need.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. IN ADDITION TO THE DOCUMENTED 200% OF FPG, WE ALSO PROVIDE A SLIDING SCALE DISCOUNT OF 80% FOR THOSE WHO HAVE FPG UP TO 350%. IN ADDITION WE HAVE PRESUMPTIVE CHARITY WHICH ALLOWS FOR CHARITY DISCOUNTS/FINANCIAL ASSISTANCE TO THOSE WHO CURRENTLY MEET MEDICAID ELIGIBILITY OR OTHER STATE PROGRAMS BASED ON FPG WHO MAY NOT HAVE HAD INSURANCE COVERAGE AT THE TIME OF THE SERVICE WE PROVIDED.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. 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 or underinsured. Those who do not qualify for free care will receive a sliding scale discount off the gross charges for their medically necessary services based on their family income as a percent of the Federal Poverty Guidelines. These patients are expected to pay their remaining balance for care, and may work with financial counselors to set up a payment plan based on their financial situation. Patients seeking assistance may first be asked to apply for other external programs (such as Medicaid or insurance through the public marketplace) as appropriate before eligibility under this policy is determined. Additionally, any uninsured patients who are believed to have the financial ability to purchase health insurance may be encouraged to do so to help ensure healthcare accessibility and overall well-being. NMHC will not bill patients who have been deemed eligible for financial assistance coverage for eligible care or services, including care or services that are emergent or medically necessary, more than the amounts generally billed to insured patients. Patients who are uninsured or underinsured and have a household income at or below the thresholds per Federal Poverty Guidelines will receive full or partial discount off their balance. The policy is updated on an annual basis to represent the most current federal poverty guideline levels and the appropriate sliding scale for full and partial discounts. To be considered eligible for financial assistance, patients may be required to cooperate with NMHC to explore alternative means of assistance if necessary, including Medicare and Medicaid. Patients will be required to provide necessary information and documentation when applying for hospital financial assistance or other private or public payment programs. NMHC may seek to determine eligibility for financial assistance prior to rendering non-emergent services. In certain non-emergent circumstances it may be necessary to provide care or evaluation to the patient before eligibility can be determined. When determining patients' eligibility, NMHC does not take into account race, gender, age, sexual orientation, religious affiliation, national origin or social or immigrant status. 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. Presumptive Homelessness; B. Presumptive Mental incapacitation with no one to act on the patient's behalf; C. Presumptive Scoring when NMHC can utilize publically available information as well as internal payment and documentation history to determine if a patient is eligible for presumptive financial assistance without completion of an application. D. Presumptive Deceased with no estate; E. Presumptive State Program: 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. F. Presumptive Out of State Program for patients who are eligible for out of state programs based on FPG where NMHC does not participate; G. Additional Presumptive Criteria may also be recommended, including the following: 1. Recent Personal Bankruptcy; 2. Incarceration; 3. Affiliation with a religious order which includes a vow of poverty; 4. Enrollment in temporary assistance for needy families (TANF); or 5. Enrollment in IHDA's Rental Housing Support Program. NMHC also partners with third-parties and other eligibility vendors, to help identify patients who may be eligible for financial assistance, presumptive financial assistance under this policy or through other public and private programs including identifying other sources of third party payment, i.e. health insurance coverage. NMHC may also use previous financial assistance eligibility determinations as a basis for determining eligibility in the event that the patient does not provide sufficient documentation to support an eligibility determination. Financial assistance applications on file at NMHC may be used for a time period of up to six months after the date of submission. All patients presumptively determined to be eligible for less than the most generous amount of assistance available under this policy (free care) will be informed about how the discount amount was calculated and given a reasonable amount of time to submit an application for further financial assistance.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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?216
Name and address Type of Facility (describe)
1 Lavin
259 E Erie Street
Chicago,IL60611 		MOB
2 Arkes
676 N St Clair
Chicago,IL60611 		Admin & clinical
3 541 Fairbanks
541 N Fairbanks
Chicago,IL60611 		Admin Bldg
4 Ambulatory Svc Pav
25 N Winfield Road
Winfield,IL60190 		MOB
5 211 Ontario
211 E Ontario
Chicago,IL60611 		Admin Bldg
6 Olson
710 N Fairbanks
Chicago,IL60611 		Clinical
7 Grayslake OutPt- BLDG A
1475 E Belvidere Rd
Grayslake,IL60030 		Admin & clinical
8 Patriot Bldg
2701 Patriot Boulevard
Glenview,IL60026 		Admin & clinical
9 Health Bridge Huntley
10450 Algonquin Road
Huntley,IL60142 		Fitness
10 Delnor 351 MOB
351 Delnor Rd
Geneva,IL60134 		MOB
11 Kish Wellness Center
626 Bethany Rd
Dekalb,IL60115 		Fitness
12 Worcester House
244 E Pearson
Chicago,IL60611 		Patient Housing
13 680 Bldg
680 N Lake Shore Drive
Chicago,IL60611 		Admin
14 NLFH Bays 900 N A Wing
900 N Westmoreland
Lake Forest,IL60045 		Admin & clinical
15 NHFI Lake Forest
1200 N Westmoreland
Lake Forest,IL60045 		Fitness
16 Delnor 302 MOB
302 Randall Rd
Geneva,IL60134 		MOB
17 Cantera Offices
27650 Ferry Road
Warrenville,IL60555 		MOB
18 Delnor Health & Wellness Ctr
296 Randall Rd
Geneva,IL60134 		Fitness
19 1475 E Belvidere (MOB)
1475 E Belvidere Rd
Grayslake,IL60030 		Clinical
20 River North MOB
636 Raymond Drive
Naperville,IL60563 		MOB
21 KPG Dekalb Clinic
1850 Gateway Dr
Sycamore,IL60178 		MOB
22 Keystone MOB
4525 Weaver Parkway
Warrenville,IL60555 		Admin Bldg
23 Huntley ACM
10350 Haligus Rd
Huntley,IL60142 		MOB
24 NLFH Westmoreland Bldg
600 N Westmoreland Road
Lake Forest,IL60045 		Clinical
25 1033 University Place
1033 University Place
Evanston,IL60201 		Admin Bldg
26 St Charles MOB
2900 Foxfield Road
St Charles,IL60174 		MOB
27 Danada MOB
7 Blanchard Circle
Wheaton,IL60187 		MOB
28 Behaviorial Health Bldg
27W350 High Lake Rd
Winfield,IL60190 		MOB
29 1880 Oak Avenue
1880 Oak Avenue
Evanston,IL60201 		Admin Bldg
30 Wheaton Med MOB
1800 N Main Street
Wheaton,IL60187 		MOB
31 Marianjoy MOB (leased)
26W 171 Roosevelt Road
Wheaton,IL60187 		MOB
32 Q CenterWoodlands Office Bldg
1405 North 5th Avenue
St Charles,IL60174 		Admin Bldg
33 446448 Ontario Bldg
446 E Ontario
Chicago,IL60611 		MOB
34 Glen Ellyn MOB
885 Roosevelt Road
Glen Ellyn,IL60137 		MOB
35 Aurora MOB
2635 Church Road
Aurora,IL60502 		MOB
36 MOB-B 4309 Medical Center Drive
4309 Medical Center Drive
McHenry,IL60050 		MOB
37 West Belmont
1325-41 West Belmont
Chicago,IL60657 		Clinical
38 Support Svc Building
371 Schmale Road
Carol Stream,IL60188 		Admin Bldg
39 Stratford South MOB
245 S Gary Avenue
Bloomingdale,IL60108 		MOB
40 360 Station Drive
360 Station Drive
Crystal Lake,IL60014 		MOB
41 Grayslake Prof Bldg
1275 E Belvidere Rd
Grayslake,IL60030 		Admin & clinical
42 NLFH McGaw 800 Bldg
800 N Westmoreland
Lake Forest,IL60045 		Admin & clinical
43 Woodstock MOB2 - 3707 Doty Rd
3707 Doty Road
Woodstock,IL60098 		MOB
44 2507 Richmond Road
2507 Richmond Road
McHenry,IL60050 		MOB
45 Mona Kea Medical Park
501/515/517 Thornhill
Carol Stream,IL60188 		MOB
46 SONO Blackhawk
1460 N Halsted
Chicago,IL60642 		Clinical
47 6155 Grand Ave
6155 Grand Avenue
Gurnee,IL60031 		MOB
48 Snyder Building
27W353 Jewell Road
Winfield,IL60190 		Admin Bldg
49 850 N Milwaukee
850 N Milwaukee
Vernon Hills,IL60061 		Clinical
50 Bartlett MOB
820 S Route 59
Bartlett,IL60103 		MOB
51 Delnor Family Residency Bldg
298 S Randall Rd
Geneva,IL60134 		MOB
52 South Loop
150 W Roosevelt/1135 S Delano Ct
Chicago,IL60605 		Clinical
53 Stratford North MOB
231 S Gary Avenue
Bloomingdale,IL60108 		MOB
54 213 Front Street
213 Front Street
McHenry,IL60050 		Admin Bldg
55 350 Waukegan
350 S Waukegan
Deerfield,IL60015 		Clinical
56 Cornerstone MOB
2001 Wiesbrook Road
Wheaton,IL60187 		MOB
57 Fargo MOB
2425 Fargo Blvd
Geneva,IL60134 		MOB
58 Kishwaukee Prof MOB
8 Health Services Dr
DeKalb,IL60115 		MOB
59 Oakbrook Outpatient (MJ)
17W682 Butterfield Rd
Oakbrook Terrace,IL60523 		MOB
60 South Naperville MOB
101 E 75th Street
Naperville,IL60565 		MOB
61 645 N Michigan
645 N Michigan Ave
Chicago,IL60611 		MOB
62 Valley West MOB
1310 N Main St
Sandwich,IL60548 		Hybrid
63 Church Street Plaza
1704 Maple Avenue
Evanston,IL60021 		Clinical
64 Stratford North 215-235 Gary Ave
215-235 Gary Ave
Bloomingdale,IL60108 		MOB
65 CNS Offices
690 North Avenue
Carol Stream,IL60188 		MOB
66 737 N Michigan
737 N Michigan
Chicago,IL60611 		Clinical
67 St Charles Medical Park
XXX-XX-XXXX N 5th Avenue
St Charles,IL60174 		MOB
68 260 E Congress Parkway
260 E Congress Pkwy
Crystal Lake,IL60014 		MOB
69 MSI building
2111 Midlands Court
Sycamore,IL60178 		MOB
70 Delnor Cancer Resource Ctr (Living Well)
442 Williamsburg Ave
Geneva,IL60134 		MOB
71 MOB A 4309 Medical Center Drive
4309 Medical Center Drive
McHenry,IL60050 		MOB
72 Bucktown
1776 N Milwaukee
Chicago,IL60647 		Clinical
73 Abbott Hall
710 N Lake Shore Drive
Chicago,IL60611 		Admin
74 IT Data Center
2200 Bussee Road
Elk Grove Village,IL60007 		Admin Bldg
75 Health Bridge Crystal Lake
200 Congress Parkway
Crystal Lake,IL60014 		Fitness
76 Plank Road Clinic
165 E Plank Rd
Sycamore,IL60178 		MOB
77 Winfield Town Center
50 Winfield Road
Winfield,IL60190 		Admin Bldg
78 20 S Clark St
20 S Clark St
Chicago,IL60603 		MOB
79 Two Transam Plaza
2 Transam Plaza Drive
Oakbrook Terrace,IL60181 		MOB
80 Gary Medical LLC
2001 Gary Avenue
Wheaton,IL60187 		MOB
81 NLFH Gurnee Tower Court
25 Tower Court
Gurnee,IL60031 		Grounds Building
82 Sage Cancer Center
4305 Medical Center Drive
McHenry,IL60050 		MOB
83 NLFH Dearhaven Bldg
1100 N Westmoreland
Lake Forest,IL60045 		Childcare Center
84 27272729 Sycamore
2727/2729 Sycamore Rd
DeKalb,IL60115 		MOB
85 Elburn MOB
905 N First Street
Elburn,IL60119 		MOB
86 329 W 18th St Archive
329 W 18th Street
Chicago,IL60611 		Storage
87 Rochelle Crossings
450 Coronado Dr
Rochelle,IL61068 		Hybrid
88 Healthtrack Offices
875 Roosevelt Road
Glen Ellyn,IL60137 		MOB
89 150 Bldg
150 E Huron
Chicago,IL60611 		MOB
90 Oak Brook Regency Towers
1415 West 22nd Street Ste 750E
Oak Brook,IL60523 		MOB
91 27332737 Sycamore
2731/2733/2737 Sycamore Rd
DeKalb,IL60115 		MOB
92 American Dental Assoc
211 E Chicago Ave
Chicago,IL60611 		Admin
93 South Elgin - Express Care
542-552 Randall Road
South Elgin,IL60177 		MOB
94 14 Health Services Drive
14 Health Services Dr
Sycamore,IL60115 		MOB
95 4201 Medical Center Drive
4201 Medical Center Drive
McHenry,IL60050 		Childcare Center
96 11650 S Route 47
11650 S Route 47
Huntley,IL60142 		MOB
97 Twin Dialysis Building
306 Randall Road
Geneva,IL60134 		MOB
98 Twin MOB
308 Randall Road
Geneva,IL60134 		MOB
99 NLFH East&West 700 Bldg
700 N Westmoreland
Lake Forest,IL60045 		Admin
100 360 Terra Cotta Road
360 Terra Cotta Road
Crystal Lake,IL60012 		MOB
101 Foxpointe
760 Foxpointe Dr
Sycamore,IL60178 		MOB
102 111 W Washington
111 W Washington
Chicago,IL60602 		MOB
103 25 North Third Street
25 North Third Street
Geneva,IL60134 		MOB
104 Port Clinton Square
600 Central Ave
Highland Park,IL60035 		Clinical
105 BHS Community Support
631 S First St
DeKalb,IL60115 		MOB
106 650 Dakota Street
650 Dakota Street
Crystal Lake,IL60012 		MOB
107 2127 Midland Court
2127 Midland Court
Sycamore,IL60178 		MOB
108 Elgin MOB
1600 Randall Road
Elgin,IL60123 		MOB
109 West Loop ICC
171 N Aberdeen
Chicago,IL60607 		Clinical
110 625 N Michigan
625 N Michigan Avenue Suite 1150
Chicago,IL60611 		Office
111 St Charles Executive Ctr
2570 Foxfield Dr
St Charles,IL60174 		MOB
112 385 Wirtz Drive
385 Wirtz Drive
Dekalb,IL60115 		MOB
113 Lisle MOB (CDPG)
1019 School Street
Lisle,IL60532 		MOB
114 Genoa
599 Pearson Dr
Genoa,IL60135 		MOB
115 635 N Dearborn
635 N Dearborn
Chicago,IL60654 		Clinical
116 527 South Street
527 South Street
Woodstock,IL60098 		MOB
117 KHS Office Annex
2475 Bethany Rd
Sycamore,IL60178 		Admin Bldg
118 Sugar Grove Bldg (The Landings)
414 Division Street
Sugar Grove,IL60554 		MOB
119 1465 Commerce Drive
1465 Commerce Drive
Algonquin,IL60102 		MOB
120 750 E Terra Cotta 60012
750 E Terra Cotta 60012
Crystal Lake,IL60012 		MOB
121 Cantera Medical Bldg
28375 Davis Parkway
Warrenville,IL60555 		MOB
122 Glenbard Medical
444 Park Blvd
Glen Ellyn,IL60137 		MOB
123 Healthcare Providers Bldg
471-473 Army Trail Rd
Bloomingdale,IL60108 		Lab
124 Malta
21193 Malta Rd
Malta,IL60150 		MOB
125 Streeterville ICC
635 Fairbanks Court
Chicago,IL60611 		Clinical
126 KPG Plano
12700 Route 34
Plano,IL60545 		MOB
127 Sycamore MOB
1830 Mediterranean Dr
Sycamore,IL60178 		MOB
128 Kishwaukee Warehouse
2445 W Bethany Rd
Sycamore,IL60178 		Admin Bldg
129 500 Coventry Lane
500 Coventry Lane
Crystal Lake,IL60014 		MOB
130 Woodstock MOB1 3703 Doty Rd
3703 Doty Road
Woodstock,IL60098 		MOB
131 KPG Waterman
10003 US Route 30
Waterman,IL60556 		MOB
132 South Elgin Briargate MOB
472 Briargate Drive
South Elgin,IL60177 		MOB
133 375 E Chicago (Rubloff)
375 E Chicago
Chicago,IL60611 		Clinical
134 NLFH Deerpath House
720 W Deerpath Rd
Lake Forest,IL60045 		Patient Housing
135 880 W Central Rd
880 W Central Rd
Arlington Heights,IL60005 		Storage
136 Silver Cross Hospital
1890 Silver Cross Blvd
New Lenox,IL60451 		MOB
137 Elmhurst Memorial Hosp
1200 York Road
Elmhurst,IL60126 		Clinical
138 KPG Englehart
224 E RailRoad St
Sandwich,IL60548 		MOB
139 BHS Discovery House
220 College Ave
DeKalb,IL60115 		MOB
140 385 Millennium Drive
385 Millennium Drive
Crystal Lake,IL60012 		Admin Bldg
141 NHFI Lindenhurst
3098 Fallingwaters Blvd
Lindenhurst,IL60046 		Fitness
142 3 9555 Gross Point Rd
9555 Gross Point Rd
Skokie,IL60076 		Clinical
143 Kish PT Hampshire
895 S State St
Hampshire,IL60140 		MOB
144 River Forest MOB
7411 Lake Street Suite 2210
River Forest,IL603051886 		MOB
145 Batavia East
1049 E Wilson
Batavia,IL60150 		MOB
146 Chesterton Timeshare
650 Dickinson Road
Chesterton,IN46304 		Clinical
147 4418 W Diversey
4418 W Diversey
Chicago,IL60639 		Office
148 616 35th Ave Healthlab
616 35th Ave
Moline,IL61265 		MOB
149 Hinsdale Lab Building
534 Chestnut
Hinsdale,IL60521 		Lab
150 16151 Weber Road
16151 Weber Road
Crest Hill,IL60403 		Clinical
151 111 N Wabash
111 N Wabash
Chicago,IL60602 		Clinical
152 - 7177 Crimson Ridge - Healthlab
7177 Crimson Ridge Drive Suite 8
Rockford,IL61107 		MOB
153 Rush Copley MOB
2020 Ogden Ave Suite 365
Aurora,IL60504 		MOB
154 KPG St Margarets Health (Baum Peru)
4040 Progress Blvd
Peru,IL61354 		MOB
155 - 555 W Pine - Healthlab
555 West Pine Street
Farmington,MO63640 		MOB
156 2425 W 22nd St
2425 West 22nd Street STE 203B
Oakbrook,IL60523 		Clinical
157 The Sheridan at Green Oaks
29330 N Waukegan Rd
Lake Bluff,IL60044 		Clinical
158 Urbana Timeshare
611 W Park
Urbana,IL61801 		Clinical
159 Evergreen Park MOB
9760 S Kedzie Ave
Evergreen Park,IL60805 		Lab
160 201 N Cummings
201 N Cummings
Washington,IL61571 		Clinical
161 Galleria
1030 N Clark
Chicago,IL60611 		Clinical
162 St John Timeshare
9615 Keilman Street
St John,IN46373 		Clinical
163 Delcom Billing Office
3755 E Main Street
St Charles,IL60174 		Admin Bldg
164 1935 N Capital Avenue
1935 N Capital Avenue
Indianapolis,IN46202 		Lab
165 4350 7th Street
4350 7th Street Suite B
Moline,IL61265 		MOB
166 420 Thatcher
420 Thatcher Avenue
River Forest,IL60305 		Clinical
167 201 E Walton
201 E Walton Place
Chicago,IL60611 		Patient Housing
168 2701 S Western Ave
2701 S Western Ave
Chicago,IL60608 		Storage
169 4732 N Lincoln Ave
4732 N Lincoln Ave
Chicago,IL60625 		MOB
170 2315 Campus Drive
2315 Campus Drive
Evanston,IL60208 		Office
171 10448 South Pulaski Rd
10448 South Pulaski Road Suite 10
Oak Lawn,IL60453 		Office
172 NLFH Grounds Building
660 N Westmoreland
Lake Forest,IL60045 		Grounds Building
173 13000 W Rt 176
13000 W Route 176
Lake Bluff,IL60044 		Office
174 10370 Haligus Road
10370 Haligus Road
Huntley,IL60142 		MOB
175 1122 N Main Street
1122 N Main Street Suite D
Algonquin,IL60102 		MOB
176 333 Front Street
333 Front Street
McHenry,IL60050 		MOB
177 394 Federal Drive
394 Federal Drive
Crystal Lake,IL60014 		MOB
178 201 Throop Street
201 Throop Street
Woodstock,IL60098 		MOB
179 420 N IL RT 31
420 N IL RT 31
Crystal Lake,IL60012 		MOB
180 1925 to 1947 Huntley Road
1925 to 1947 Huntley Road
Dundee,IL60118 		MOB
181 2615 Three Oaks Road
2615 Three Oaks Road Suite 1A
Cary,IL60013 		MOB
182 2615 Three Oaks Road Sub portion of Suite 1B
2615 Three Oaks Road Sub portion of
Suite 1B
Cary,IL60013 		MOB
183 3739 West Elm Street
3739 West Elm Street
McHenry,IL60050 		Thrift Shop
184 305 Front Street
305 Front Street
McHenry,IL60050 		Storage Unit
185 921 Tara Drive (Catulpa Lane)
921 Tara Drive Catulpa Lane
Woodstock,IL60098 		Storage Unit
186 3901 Mercy Drive
3901 Mercy Drive
McHenry,IL60050 		MOB
187 12920 Del Webb
12920 Del Webb
Huntley,IL60142 		Fitness
188 10210 Carrick Lane
1021 Carrick Lane
McHenry,IL60050 		MOB
189 585 Cimmaron Circle
585 Cimmaron Circle
Crystal Lake,IL60012 		Patient Housing
190 HealthLab Buffalo Grove
355 W Dundee Rd
Buffalo Grove,IL60089 		Lab
191 Lifetime Fitness Office
455 Scott Drive
Bloomingdale,IL60108 		Fitness
192 Mirshed Clinic
4255 W 63rd Street
Chicago,IL60629 		Lab
193 IRCC (Health Progress JV)
10 Health Services Dr
DeKalb,IL60115 		MOB
194 BHS Ben Gordon Cental Ofc
12 Health Services Dr
DeKalb,IL60115 		MOB
195 Kish Pavillion
5 Kish Hospital Dr
DeKalb,IL60115 		Hybrid
196 Decatur lab office
544 W Pershing Suite B
Decatur,IL62526 		Lab
197 Elmhurst Ortho MOB
300 W Butterfield Rd
Elmhurst,IL60126 		MOB
198 Atrium Professional Center
3100 45th Street
Highland,IN46322 		Lab
199 Soutlake Medical MOB
8127 Merrillville Raod
Merillville,IN46410 		Lab
200 2127 Midlands Court
2127 Midlands Court
Sycamore,IL60178 		MOB
201 Belvidere lab space
2188 N State Street
Belvidere,IL61008 		Lab
202 Rama Place Building
2060 N Shadeland Ave
Indianapolis,IN46219 		Lab
203 KPG Ottawa (Baum)
1209 Starfire Dr
Ottawa,IL61350 		MOB
204 15 W Pleasant Ave
15 W Pleasant Ave
Sandwich,IL60548 		MOB
205 Lab lease Schaumburg
129 S Roselle Rd
Schaumburg,IL60074 		Lab
206 St Louis Lab site
916 Olive Street
St Louis,IL63101 		Lab
207 Vernon Hills Lab Lease
175 E Hawthorn Pkwy
Vernon Hills,IL60061 		Lab
208 Vale Park Medical Ctr
401 Wall Street
Valparaiso,IN46383 		Lab
209 Obstetrical & Gynecological Assoc
85 East HU Hwy 6 Suite 330
Valparaiso,IN46383 		Lab
210 Wheaton Bible Church
27W500 North Ave
West Chicago,IL60185 		MOB
211 West Chicago Warehouse
245 W Roosevelt Rd Unit 70
West Chicago,IL60185 		Warehouse
212 27W405 High Lake Road
27W405 High Lake Road
Winfield,IL60190 		House
213 27W404-406 Jewell Road
27W404-406 Jewell Road
Winfield,IL60190 		House
214 27W375 Jewell Road
27W375 Jewell Road
Winfield,IL60190 		House
215 4885 Hoffman Blvd
4885 Hoffman Blvd
Hoffman Estates,IL60192 		MOB
216 Highland IN Healthlab 2213 Main St
2213 Main Street
Highland,IN46322 		MOB
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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), Rehabilitation Medicine Clinic d/b/a Marianjoy Medical Group (RMC or MMG), Northern Illinois Medical Center (NIMC) 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, Valley West Hospital, and Northern Illinois Medical Center 09/01/2018 - 08/31/2019 NMH, NLFH, CDH, Delnor, Kishwaukee, Valley West, and NIMC 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 Illinois Residents. The NIMC policy in place does not reflect a residency requirement. 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: 09/01/2018 - 08/31/2019 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.
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. Northern Illinois Medical Center: NIMC represents the three hospitals of the legacy Centegra Health System (CHS), including Northwestern Medicine McHenry Hospital, Northwestern Medicine Huntley Hospital and Northwestern Medicine Woodstock Hospital. McHeny Hospital works with the Chicago Medical School Internal Medicine Residency program to provide training to the next generation of caregivers. The Woodstock campus is home to Aunt Martha's Woodstock Community Health Center, a federally qualified health center, offering comprehensive primary care and mental health services to the uninsured and underinsured members of the broader McHenry Community.
Schedule H, Part V, Section B, Line 16 Northern Illinois Medical Center https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance/financial-assistance-in-the-northwest-suburbs
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 262092444
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). THE PHYSICIAN GROUPS, INCLUDING NMG, RMG, MMG, AND CPC/CMS ARE NOT REQUIRED TO FILE A MEDICARE COST REPORT. AN INTERNALLY CALCULATED COST-TO-CHARGE RATIO SPECIFIC TO THE PHYSICIAN GROUPS 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 2019 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, MARIANJOY'S, AND NIMC'S FISCAL YEAR 2019 MEDICARE COST REPORTS TO CHARGES FOREGONE FOR CHARITY CARE. THE FISCAL YEAR 2019 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, MARIANJOY'S, AND NIMC'S COST REPORTS FILED IN FEBRUARY OF 2020 FOR FISCAL YEAR 2019. 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 2019 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 HISTOTECHNOLOGY PROGRAM, POST-PRIMARY CT AND MRI PROGRAMS, AND A MEDICAL ASSISTANT 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. IN ADDITION TO TRAINING THE NATION'S FUTURE PHYSICIANS, FEINBERG HAS FURTHER RESPONDED TO THE ANTICIPATED SHORTAGE OF MEDICAL PROVIDERS BY OFFERING A MASTER'S-LEVEL PHYSICIAN ASSISTANT PROGRAM. PHYSICIAN ASSISTANTS ARE HIGHLY EFFECTIVE MEMBERS OF PRIMARY CARE TEAMS THAT INCLUDE MANY LEVELS OF PROVIDERS AND CAN EFFICIENTLY DELIVER THE HIGHEST QUALITY OF CARE TO EXTENDED GROUPS OF PATIENTS. THROUGH FEINBERG'S PROGRAM, PHYSICIAN ASSISTANTS ARE EDUCATED AND TRAINED WITHIN THE MEDICAL SCHOOL SETTING AND GAIN CLINICAL EXPERIENCE AT NMHC HOSPITALS. 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 THERAPISTS, OCCUPATIONAL THERAPISTS, SPEECH LANGUAGE PATHOLOGISTS, PHYSICAL THERAPIST ASSISTANTS AND OCCUPATIONAL THERAPY ASSISTANTS THROUGH A MASTER CLINICIAN PROGRAM - 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 RESEARCH ON THE SOCIAL DETERMINANTS OF HEALTH INDICATES THAT ACCESS TO EDUCATIONAL AND ECONOMIC OPPORTUNITIES IS A KEY FACTOR IMPACTING INDIVIDUALS' QUALITY OF LIFE. NMHC OFFERS A MULTITUDE OF OPPORTUNITIES TO EXPOSE STUDENTS TO POTENTIAL HEALTHCARE CAREERS AND TO FOSTER PROFESSIONAL DEVELOPMENT IN THE FIELD. ONGOING, COMPREHENSIVE, ON-THE-JOB TRAINING AND YOUTH PROGRAMS FOR HIGH SCHOOL, COLLEGE AND POST-GRADUATE STUDENTS ARE OFFERED AT EVERY HOSPITAL IN THE HEALTH SYSTEM IN BOTH CLINICAL AND ADMINISTRATIVE SETTINGS. NM HAS LONG INVESTED IN PROGRAMS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, INCLUDING PROVIDING EDUCATIONAL AND EMPLOYMENT OPPORTUNITIES FOR YOUTH. IN 2011, NMH EMBARKED ON AN EDUCATIONAL PARTNERSHIP WITH WESTINGHOUSE COLLEGE PREPARATORY HIGH SCHOOL (WESTINGHOUSE), A SELECTIVE-ENROLLMENT HIGH SCHOOL ON CHICAGO'S WEST SIDE, TO PROVIDE TALENTED HIGH SCHOOL STUDENTS WITH THE OPPORTUNITY TO LEARN ABOUT AND PURSUE POST-HIGH-SCHOOL EDUCATION IN HEALTHCARE CAREERS. STUDENTS MEET FEINBERG FACULTY AND HOSPITAL EMPLOYEES, AND ARE PROVIDED A BEHIND-THE-SCENES UNDERSTANDING OF CLINICAL AREAS AND POTENTIAL CAREERS. THE PROGRAM ALSO INCLUDES MENTORING, AN INTENSIVE SUMMER PROGRAM, DISTANCE LEARNING, ACT TEST PREPARATION, AND LEADERSHIP AND LIFE SKILLS DEVELOPMENT. THE PROGRAM HAD 19 PARTICIPANTS IN FY19. REFLECTING THE GEOGRAPHICAL EXPANSION OF THE HEALTH SYSTEM, THE NM DISCOVERY PROGRAM, FORMERLY KNOWN AS MEDICAL EXPLORERS, GREW TO THREE CHAPTERS IN FY19: NM DISCOVERY PROGRAM CENTRAL, NM DISCOVERY PROGRAM WEST AND NM DISCOVERY PROGRAM NORTH. 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, AND OFFERS MENTORSHIP AND NETWORKING OPPORTUNITIES. ONCE-MONTHLY ACTIVITIES INCLUDE TOURS, GUEST SPEAKERS, GROUP DISCUSSION AND HANDS-ON PROJECTS. IN FY19, 54 STUDENTS PARTICIPATED IN THE CENTRAL CHAPTER AND 60 PARTICIPATED IN THE WEST CHAPTER. THE INAUGURAL CLASS OF THE NORTH CHAPTER WELCOMED 24 STUDENTS. ADDITIONALLY, EACH SUMMER, A SELECT NUMBER OF THESE STUDENTS ARE OFFERED INTERNSHIPS IN VARIOUS DEPARTMENTS THROUGHOUT NMH; NMH HOSTED EIGHT SUMMER INTERNS IN FY19 FROM THE NM DISCOVERY PROGRAM. SINCE THE PROGRAM BEGAN, MANY PARTICIPANTS HAVE PURSUED CAREERS IN NURSING AND OTHER HEALTHCARE FIELDS, AND SEVERAL ARE NOW EMPLOYED AT NMH. IN FY19, THE HEALTH SYSTEM BEGAN PLANNING FOR THE NEXT CHAPTER OF THE NM DISCOVERY PROGRAM - NM DISCOVERY PROGRAM GREATER DEKALB CHAPTER - WHICH LAUNCHED IN THE FALL OF 2019. ADDITIONAL EXPANSION OF BOTH THE NM DISCOVERY PROGRAM AND THE NM DISCOVERY PROGRAM INTERNSHIP ARE EXPECTED IN COMING YEARS. SINCE 2016, NM HUNTLEY AND NM MCHENRY HOSPITALS HAVE OFFERED THE YOUTH RESIDENCY PROGRAM. WORKING WITH LOCAL HIGH SCHOOLS, THE PROGRAM PROVIDES INTENSIVE JOB SHADOWING AND MENTORSHIP WITH THE GOAL OF SPARKING STUDENTS' INTEREST IN HEALTH CAREERS AND ULTIMATELY RETURNING TO WORK IN THE LOCAL COMMUNITY. FROM LEARNING TO READ A MRI, TO INSPECTING CELL TISSUES FOR TUMORS, STUDENTS ARE IMMERSED IN A PROFESSIONAL MEDICAL ENVIRONMENT IN CONJUNCTION WITH THE HIGH-SCHOOL BASED CURRICULUM. EACH CHAPTER SERVES UP-TO 30 STUDENTS ANNUALLY. IN FY19, NM KISHWAUKEE BECAME THE NEWEST HOSPITAL IN THE HEALTH SYSTEM TO OFFER PROJECT SEARCH, A PROGRAM FOR STUDENT INTERNS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. THE HOSPITAL BECAME THE FIRST HOST SITE IN DEKALB, ILLINOIS, AND JOINS NM CDH AND NM DELNOR IN PARTICIPATING IN THE PROGRAM. PROJECT SEARCH IS AN EMPLOYABILITY SKILLS TRAINING PROGRAM THAT ASSISTS STUDENTS WHO HAVE INTELLECTUAL AND DEVELOPMENTAL DISABILITIES TRANSITION FROM HIGH SCHOOL TO PRODUCTIVE EMPLOYMENT. THE HALLMARK OF PROJECT SEARCH IS TOTAL WORKPLACE IMMERSION, WHICH FACILITATES A SEAMLESS COMBINATION OF CLASSROOM INSTRUCTION, CAREER EXPLORATION AND HANDS-ON TRAINING. DURING THE ONE-YEAR PROGRAM, STUDENTS WHO ARE IN THEIR LAST YEAR OF HIGH SCHOOL PARTICIPATE IN THREE 10-WEEK INTERNSHIPS WITHIN THE HOSPITAL TO EXPLORE THEIR VOCATIONAL SKILLS, ABILITIES AND POTENTIAL CAREER PATHS. THE INITIAL COHORT AT NM KISHWAUKEE INCLUDED 12 INTERNS FROM LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS. THE GOAL OF THE PROGRAM IS TO ACHIEVE 100% EMPLOYMENT AT THE END OF THE INTERNSHIP; PROJECT SEARCH PROGRAMS AT NM CDH AND NM DELNOR HAVE ACHIEVED MORE THAN 90% EMPLOYMENT FOR SEVERAL YEARS. COMMUNITY HEALTH EDUCATION COMMUNITY-BASED EDUCATION PROGRAMS ARE OFFERED ACROSS THE HEALTH SYSTEM AND IN COORDINATION WITH OUR COMMUNITY PARTNERS. THESE INITIATIVES RANGE FROM DISEASE-SPECIFIC INFORMATION PROGRAMS, TO MENTAL HEALTH AND SUBSTANCE ABUSE COMMUNITY EDUCATION, TO MINDFULNESS TRAINING, AMONG MANY MORE.
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 2019 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 2019 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 2019.
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: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHERN ILLINOIS MEDICAL CENTER: Line 16a URL: Please see Part VI;
Schedule H, Part V, Section B, Line 16b FAP Application website - Northwestern Memorial Hospital: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHERN ILLINOIS MEDICAL CENTER: Line 16b URL: Please see Part VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Northwestern Memorial Hospital: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHERN ILLINOIS MEDICAL CENTER: Line 16c URL: Please see Part VI;
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, ONE PATIENT AT A TIME. 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 EXTERNAL 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 PATIENT'S 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 PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA), EACH OF THE 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 ITS COMMUNITY. 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: - SEEKING ROOT CAUSES TO HEALTH CONDITIONS, AND COLLABORATING WITH SCIENTISTS AND CLINICIANS TO DEVELOP SOLUTIONS - ENHANCING ACCESS TO HEALTH CARE - IMPROVING CLINICAL QUALITY - ADVANCING MEDICAL INNOVATION - ENSURING THAT A HIGHLY SKILLED HEALTHCARE WORKFORCE IS IN PLACE FOR DECADES TO COME - ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH CHNAS PROVIDE INFORMATION THAT ENABLES HOSPITALS TO IDENTIFY HEALTH ISSUES OF GREATEST CONCERN AMONG RESIDENTS IN THEIR COMMUNITIES AND DECIDE HOW BEST TO COMMIT RESOURCES TO THOSE AREAS, THEREBY MAKING THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. NMHC EMPLOYS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINE THE HEALTH STATUS, BEHAVIORS AND NEEDS OF THE RESIDENTS OF EACH HOSPITAL'S COMMUNITY. EACH CHNA SERVES AS A TOOL TOWARD REACHING THREE GOALS: 1. 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. REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS. BY GATHERING DEMOGRAPHIC INFORMATION ALONG WITH HEALTH STATUS AND BEHAVIOR DATA, IT IS 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 SOCIOECONOMIC FACTORS THAT HAVE HISTORICALLY HAD A NEGATIVE IMPACT ON RESIDENTS' HEALTH. 3. INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. MORE ACCESSIBLE PREVENTIVE SERVICES ARE 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 STRATEGIES WERE DEVELOPED WITH FEEDBACK FROM COMMUNITY HEALTHCARE ORGANIZATIONS AND OTHER SOCIAL SERVICES AND PUBLIC ORGANIZATIONS THAT 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 AND FEINBERG FACULTY, 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 IN COMMUNITIES SERVED 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 social determinants of health that correspond to these demographics. NMHC is committed to providing care that takes into consideration the cultures and environments in which our patients live and is responsive to their needs. NMHC works closely with community partners, including health and social service partners, to identify priority health concerns and jointly develop community-based health initiatives designed to address healthcare disparities. Each NMHC hospital considers a variety of factors when defining its distinctive community. These factors include: geographic area served, principal functions of the hospital, areas of high hardship and the population served, the location of existing NM and community assets, and the service areas of other healthcare providers. By considering each of these factors, each NMHC hospital defined its own Community Service Area (CSA) and is working to meet the unique needs of the community it serves. 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. NMH defines its CSA as a seven-mile radius around the hospital, which includes 34 ZIP codes. 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. NM LFH defines its community as Lake County in order to facilitate alignment with the Lake County Health Department (LCHD). 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. NM CDH, NM Delnor, NM Kishwaukee and NM Valley West define their CSA based on their Primary Service Area (PSA). The PSA is a contiguous set of ZIP codes within a defined geographical area that accounts for a majority percentage 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. Due to the unique services offered by MRH, the hospital does not use a PSA to define its community. MRH considers DuPage County its CSA, but also serves as a destination hospital for surrounding counties. Patients often travel from Cook, Will, Kane, Kendall, DeKalb and LaSalle counties, among many more, to receive care at MRH. Northern Illinois Medical Center The hospitals comprising NIMC define their primary service area as McHenry County. The age distribution of the population was 29.5% aged 0-18, 56.5% aged 18-65, and 14.0% aged 65 and older as of the latest data available in 2017. McHenry County uninsured rates in 2017 were just 5.5% compared to the state uninsured rate of 7.8%. McHenry County also enjoys a relatively high socioeconomic status in comparison to the state at large, with median household income of $82,230 compared to the average $61,229. Together, the three NM hospitals in Chicago's northwest suburbs - NM McHenry, NM Huntley and NM Woodstock - serve the same CSA of McHenry County, which accounts for a majority of inpatient admissions.
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 FY19 was more than $29 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) 2018
Additional Data


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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
2018
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 11,460,892       Academic support
(2) Rosalind Franklin University
3333 Green Bay Rd
North Chicago,IL60064 		36-2181973 501(c)3 1,985,700       Healthcare education
(3) Erie Family Health Center
1701 W Superior St
Chicago,IL60622 		36-3088628 501(c)3 1,520,310       Access to healthcare
(4) DuPage Health Coalition
511 Thornhill
Carol Stream,IL60188 		36-4448208 501(c)3 582,695       Access to healthcare
(5) NEAR NORTH HEALTH SERVICE CORPORATION
1276 N Clybourn Ave
Chicago,IL60610 		36-3197647 501(c)3 366,663       Access to healthcare
(6) Winfield Fire Protection District
27W560 High Lake Rd
Winfield,IL60190 		36-2797572 Government 250,000       Safety and education
(7) Community Health
2611 W Chicago Ave
Chicago,IL60622 		36-3831793 501(c)3 165,000       Access to healthcare
(8) Acclivus Inc
1640 W Roosevelt Rd
Chicago,IL60608 		27-3108215 501(c)3 125,000       Violence prevention
(9) Ann & Robert H Lurie Children's Hospital of Chicago
225 E Chicago Ave
Chicago,IL60611 		36-2170833 501(c)3 110,155       Healthcare support
(10) Luster Learning Institute
1126 Hillcrest Ave
Highland Park,IL60035 		36-4604965 501(c)3 107,119       Education support
(11) Lazarus House
214 Walnut St
St Charles,IL60174 		36-4187609 501(c)3 75,000       Support for the homeless
(12) Winfield School District 34
0S150 Winfield Rd
Winfield,IL60190 		36-6004497 Government 72,805       Student health and safety
(13) Center for Housing and Health
200 W Jackson Blvd
Chicago,IL60606 		26-4287202 501(c)3 72,000       Homelessness and behavioral health
(14) Lake County Partnership for Economic Development Inc
1 Overlook Pt
Lincolnshire,IL60069 		36-4206288 501(c)3 60,000       Support economic development
(15) Connections for Abused Women and their Children
1116 N Kedzie
Chicago,IL60651 		36-2950380 501(c)3 55,000       Access to healthcare for victims of domestic violence
(16) Spectrios Institute for Low Vision
219 E Cole Ave
Wheaton,IL60187 		36-3083157 501(c)3 55,000       Homecare vision program support
(17) Chicago Cares
2 N Riverside Plz
Chicago,IL60606 		36-3777709 501(c)3 50,000       Community support
(18) Mano A Mano Family Resource Center
6 E Main St
Round Lake Park,IL60073 		36-4418084 501(c)3 40,000       Community health for low income and immigrant communities
(19) YMCA of Metropolitan Chicago
824 N Hamlin Ave
Chicago,IL60651 		36-2179782 501(c)3 36,890       Community health and education
(20) Kishwaukee Family YMCA
2500 W Bethany Rd
Sycamore,IL60178 		36-2379643 501(c)3 35,000       Community health and education
(21) DEKALB COUNTY COMMUNITY FOUNDATION
475 DeKalb Ave
Sycamore,IL60178 		36-3788167 501(c)3 27,500       Community support
(22) American Cancer Society
143 First St
Batavia,IL60510 		13-1788491 501(c)3 25,000       Research and education
(23) Family Service Agency of DeKalb County
14 Health Services Dr
DeKalb,IL60115 		36-2360012 501(c)3 25,000       Community health
(24) FAMILY HEALTH PARTNERSHIP
401 E Congress Pkwy
Crystal Lake,IL60014 		36-4277029 501(c)3 24,012       Community support
(25) COMMUNITY FOUNDATION OF THE FOX RIVER VALLEY
111 W Downer Pl
Aurora,IL60506 		36-6086742 501(c)3 22,811       Support community education
(26) KISHWAUKEE COLLEGE FOUNDATION
21193 Malta Rd
Malta,IL60150 		23-7433949 501(c)3 21,500       Community education and support
(27) Northern Illinois University Foundation
Altgeld Hall 134
DeKalb,IL60115 		36-6086819 501(c)3 20,868       Community support
(28) BRIGHT STAR COMMUNITY OUTREACH
4518 S Cottage Grove
Chicago,IL60653 		26-2007088 501(c)3 20,000       Access to healthcare
(29) Lester and Rosalie ANIXTER CENTER
6610 N Clark St
Chicago,IL60626 		36-2244895 501(c)3 18,520       Support for persons with disabilities
(30) THE SALVATION ARMY
5550 Prairie Stone Pkwy
Hoffman Estates,IL60192 		36-2167910 501(c)3 16,666       Social services for local communities
(31) CHICAGO FIRE DEPARTMENT FOUNDATION
35 W Wacker Dr
Chicago,IL60601 		45-5005192 501(c)3 16,000       Disaster preparedness
(32) Linking Efforts Against Drugs
400 E Illinois Rd
Lake Forest,IL60045 		31-1501805 501(c)3 15,500       Drug abuse prevention and education
(33) INNER-CITY MUSLIM ACTION NETWORK
2744 W 63rd St
Chicago,IL60629 		36-4167433 501(c)3 15,000       Community health
(34) AMERICAN COMMITTEE FOR THE WEIZMANN INST
180 N LaSalle St
Chicago,IL60601 		13-1623886 501(c)3 15,000       Research and education
(35) American Heart Association
205 N Michigan Ave
Chicago,IL60604 		13-5613797 501(c)3 15,000       Research and education
(36) Safe Passage
PO Box 621
DeKalb,IL60115 		36-3108372 501(c)3 15,000       Prevention of domestic violence
(37) DeKalb County Economic Development Corporation
421 N California St
Sycamore,IL60178 		36-3524353 501(c)3 15,000       Support economic development
(38) Fox Valley Older Adult Services
1406 Suydam Rd
Sandwich,IL60548 		36-2738669 501(c)3 15,000       Community support
(39) Ecker Center for Mental Health
1845 Grandstand Pl
Elgin,IL60123 		36-2312495 501(c)3 15,000       Mental health program for low income
(40) Meier Clinics Foundation
2100 Manchester Rd
Wheaton,IL60187 		75-2845878 501(c)3 15,000       Access to mental health services
(41) DuPage PADS
601 W Liberty
Wheaton,IL60187 		36-3675494 501(c)3 15,000       Support and meals for the homeless
(42) WINGS PROGRAM INC
PO Box 95615
Palatine,IL60095 		36-3456061 501(c)3 13,500       Support for victims of domestic violence
(43) Fox Valley Family YMCA
3875 Eldamain Rd
Plano,IL60545 		36-3028169 501(c)3 13,000       Community health and education
(44) Sandwich Park District
1001 N Latham Rd
Sandwich,IL60548 		36-2646087 Government 13,000       Community health
(45) CASA - DeKalb County
407 W State St
Sycamore,IL60178 		36-3903898 501(c)3 12,500       Well-being of abused and neglected children
(46) Sandwich Community Unit School District 430
720 S Wells St
Sandwich,IL60548 		36-6009067 Government 11,850       Community health and education
(47) JUNIOR ACHIEVEMENT OF CHICAGO
651 W Washington Blvd
Chicago,IL60661 		36-2170141 501(c)3 11,500       Community support
(48) KISHWAUKEE UNITED WAY
115 N First St
DeKalb,IL60115 		36-6158489 501(c)3 10,500       Community support
(49) B'NAI B'RITH
1120 20TH St NW
Washington,DC20036 		53-0179971 501(c)3 10,000       Community health and support
(50) DeKalb County Health Department
2550 N Annie Glidden Rd
DeKalb,IL60115 		36-6006548 Government 10,000       Community health and support
(51) DEKALB COUNTY YOUTH SERVICES BUREAU
330 Grove St
DeKalb,IL60115 		36-3034427 501(c)3 10,000       Support for youth programs
(52) HOPE HAVEN OF DEKALB COUNTY INC
1145 Rushmoore Dr
DeKalb,IL60115 		36-3537762 501(c)3 10,000       Support and meals for the homeless
(53) VOLUNTARY ACTION CENTER OF DEKALB COUNTY
1606 Bethany Rd
Sycamore,IL60178 		36-2798257 501(c)3 10,000       Community nutrition and transportation needs
(54) TriCity Family Services
1120 Randall Ct
Geneva,IL60134 		23-7310008 501(c)3 10,000       Mental health program for low income
(55) Well Child Conference of Elgin
620 Wing St
Elgin,IL60123 		23-7348349 501(c)3 10,000       Nutrition and oral health education
(56) EPILEPSY FOUNDATION OF GREATER CHICAGO
17 N State St
Chicago,IL60602 		36-2317619 501(c)3 10,000       Research and education
(57) CATHOLIC CHARITIES
721 N LaSalle
6th Fl
Chicago,IL60654 		36-2170821 501(c)3 9,500       Community support
(58) GOLDEN APPLE FOUNDATION FOR EXCELLENCE I
8 S Michigan Ave
Chicago,IL60603 		36-3392992 501(c)3 9,000       Education support
(59) HOLOCAUST MEMORIAL FOUNDATION OF ILLINOIS INC
9603 Woods Dr
Skokie,IL60077 		36-3156154 501(c)3 8,550       Community education and support
(60) KELLS PARK COMMUNITY COUNCIL
3601 W Chicago Ave
Chicago,IL60651 		81-1712741 501(c)3 8,448       Youth development programs
(61) CRISTO REY ST MARTIN COLLEGE PREP
3106 Belvidere Rd
Waukegan,IL60085 		42-1597059 501(c)3 8,400       Youth development programs
(62) DEKALB PARK DISTRICT
1403 Sycamore Rd
DeKalb,IL60115 		36-6005844 Government 8,400       Community health
(63) JDRF International
1 N LaSalle St
Chicago,IL60602 		23-1907729 501(c)3 8,340       Research and education
(64) ABRAHAM LINCOLN PRESIDENTIAL LIBRARY FOUNDATION
212 N Sixth St
Springfield,IL62701 		36-4385644 501(c)3 8,000       Community support
(65) Opportunity House
202 Lucas St
Sycamore,IL60178 		36-2476231 501(c)3 8,000       Services for adults with disabilities
(66) THE LOU MALNATI CANCER RESEARCH FUND
3685 Woodhead
Northbrook,IL60062 		23-7133606 501(c)3 7,000       Cancer research
(67) GENOA CHAMBER OF COMMERCE
113 N Genoa St
Genoa,IL60135 		36-2355846 501(c)6 6,300       Community support
(68) Sycamore Park District
940 E State St
Sycamore,IL60178 		36-6006122 Government 5,500       Community health
(69) Northern Illinois Food Bank
273 Dearborn
Geneva,IL60134 		36-3203648 501(c)3 5,300       Community health and nutrition
(70) CHICAGO UNITED
300 E Randolph St
Chicago,IL60601 		36-2770509 501(c)3 5,000       Community support
(71) AMERICAN JEWISH COMMITTEE
70 W Madison St
Chicago,IL60602 		13-5563393 501(c)3 5,000       Community support
(72) PHIL'S FRIENDS
1350 Lake St
Roselle,IL60172 		20-3087488 501(c)3 5,000       Support and hope to those affected by cancer
(73) AMERICAN WRITERS MUSEUM
180 N Michigan Ave
Chicago,IL60601 		27-1822749 501(c)3 5,000       Community education and support
(74) DEKALB COUNTY HISTORY CENTER
PO Box 502
Sycamore,IL60178 		36-4321529 501(c)3 5,000       Community education and support
(75) FEED MY STARVING CHILDREN
401 93rd Ave NW
Coon Rapids,MN55433 		41-1601449 501(c)3 5,000       Community health and nutrition
(76) ADVENTURE WORKS OF DEKALB CO
1211 Sycamore Rd
DeKalb,IL60115 		27-1897885 501(c)3 5,000       Programs for youth with disabilities
(77) DEKALB CORN FEST
1586 Barber Greene Rd
DeKalb,IL60115 		36-4028426 501(c)6 5,000       Community support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
75
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018

Schedule I (Form 990) 2018
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 138 294,339      
(2) EMPLOYEE CRISIS ASSISTANCE 195 290,021      
(3) PATIENT BILL ASSISTANCE 40 214,400      
(4) PATIENT TRANSPORTATION ASSISTANCE 57 2,172      
(5) FOOD AND MEDICINE FOR INDIVIDUALS 218 18,387      
(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, OTHER ORGANIZATION IN THE NORTHWESTERN MEDICINE HEALTHCARE GROUP 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) 2018



Additional Data


Software ID: 18007697
Software Version: 2018v3.1


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" 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
2018
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 in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed 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) 2018

Schedule J (Form 990) 2018
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)		 508,143
-------------
0 		303,720
-------------
0 		113,615
-------------
0 		222,193
-------------
0 		40,942
-------------
0 		1,188,614
-------------
0 		141,913
-------------
0
2Howard B Chrisman MD
 
See Schedule O 		(i)

(ii)		 808,642
-------------
0 		321,334
-------------
0 		85,590
-------------
0 		203,598
-------------
0 		5,500
-------------
0 		1,424,664
-------------
0 		73,920
-------------
0
3Seamus Collins
 
See Schedule O 		(i)

(ii)		 222,165
-------------
0 		86,350
-------------
0 		6,833
-------------
0 		30,000
-------------
0 		42,027
-------------
0 		387,374
-------------
0 		0
-------------
0
4Julie L Creamer
 
See Schedule O 		(i)

(ii)		 682,131
-------------
0 		465,825
-------------
0 		866,389
-------------
0 		163,008
-------------
0 		42,245
-------------
0 		2,219,598
-------------
0 		92,400
-------------
0
5Mike S Eesley
 
See Schedule O 		(i)

(ii)		 282,956
-------------
0 		0
-------------
0 		69,949
-------------
0 		0
-------------
0 		5,410
-------------
0 		358,314
-------------
0 		0
-------------
0
6Connie Falcone
 
See Schedule O 		(i)

(ii)		 395,384
-------------
0 		151,831
-------------
0 		23,815
-------------
0 		40,500
-------------
0 		40,963
-------------
0 		652,494
-------------
0 		0
-------------
0
7Matthew J Flynn
 
See Schedule O 		(i)

(ii)		 376,286
-------------
0 		169,098
-------------
0 		72,677
-------------
0 		73,500
-------------
0 		42,937
-------------
0 		734,498
-------------
0 		50,820
-------------
0
8Richard Franco
 
See Schedule O 		(i)

(ii)		 283,172
-------------
0 		113,903
-------------
0 		13,452
-------------
0 		34,062
-------------
0 		41,827
-------------
0 		486,416
-------------
0 		0
-------------
0
9Dean M Harrison
 
See Schedule O 		(i)

(ii)		 1,931,795
-------------
0 		3,703,686
-------------
0 		711,652
-------------
0 		1,546,774
-------------
0 		34,054
-------------
0 		7,927,960
-------------
0 		321,437
-------------
0
10Emily J Kozak
 
See Schedule O 		(i)

(ii)		 263,405
-------------
0 		139,384
-------------
0 		16,449
-------------
0 		29,065
-------------
0 		38,151
-------------
0 		486,454
-------------
0 		0
-------------
0
11Brian J Lemon
 
See Schedule O 		(i)

(ii)		 597,924
-------------
0 		335,415
-------------
0 		90,259
-------------
0 		113,696
-------------
0 		46,159
-------------
0 		1,183,453
-------------
0 		60,695
-------------
0
12Thomas J McAfee
 
See Schedule O 		(i)

(ii)		 584,880
-------------
0 		381,564
-------------
0 		124,058
-------------
0 		259,760
-------------
0 		43,741
-------------
0 		1,394,003
-------------
0 		181,484
-------------
0
13Eric G Neilson MD
 
See Schedule O 		(i)

(ii)		 573,173
-------------
0 		321,300
-------------
0 		17,451
-------------
0 		16,500
-------------
0 		19,934
-------------
0 		948,359
-------------
0 		0
-------------
0
14John A Orsini
 
See Schedule O 		(i)

(ii)		 870,195
-------------
0 		598,597
-------------
0 		83,793
-------------
0 		363,457
-------------
0 		27,458
-------------
0 		1,943,500
-------------
0 		111,283
-------------
0
15Kevin P Poorten
 
See Schedule O 		(i)

(ii)		 662,238
-------------
0 		308,959
-------------
0 		430,589
-------------
0 		206,913
-------------
0 		43,821
-------------
0 		1,652,521
-------------
0 		281,377
-------------
0
16Patrick Towne MD
 
See Schedule O 		(i)

(ii)		 506,910
-------------
0 		305,776
-------------
0 		84,641
-------------
0 		123,599
-------------
0 		41,087
-------------
0 		1,062,012
-------------
0 		43,809
-------------
0
17Anthony Altimari MD
 
See Schedule O 		(i)

(ii)		 655,421
-------------
0 		0
-------------
0 		33,092
-------------
0 		16,500
-------------
0 		41,277
-------------
0 		746,290
-------------
0 		0
-------------
0
18Todd Barrowclift DO
 
See Schedule O 		(i)

(ii)		 194,270
-------------
0 		33,167
-------------
0 		1,325
-------------
0 		11,879
-------------
0 		39,041
-------------
0 		279,682
-------------
0 		0
-------------
0
19Kevin P Bethke
 
See Schedule O 		(i)

(ii)		 674,905
-------------
0 		75,000
-------------
0 		23,580
-------------
0 		0
-------------
0 		18,061
-------------
0 		791,547
-------------
0 		0
-------------
0
20Justin Gent MD
 
See Schedule O 		(i)

(ii)		 242,404
-------------
0 		0
-------------
0 		161,682
-------------
0 		0
-------------
0 		7,982
-------------
0 		412,067
-------------
0 		0
-------------
0
21Timothy G Havenhill
 
See Schedule O 		(i)

(ii)		 174,559
-------------
0 		0
-------------
0 		3,964
-------------
0 		13,094
-------------
0 		7,524
-------------
0 		199,141
-------------
0 		0
-------------
0
22Scott Helm MD
 
See Schedule O 		(i)

(ii)		 239,162
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		239,162
-------------
0 		0
-------------
0
23PATRICK M MCCARTHY MD
 
See Schedule O 		(i)

(ii)		 1,340,260
-------------
0 		472,500
-------------
0 		22,964
-------------
0 		49,833
-------------
0 		24,234
-------------
0 		1,909,791
-------------
0 		0
-------------
0
24Amy S Paller MD
 
See Schedule O 		(i)

(ii)		 276,099
-------------
0 		118,608
-------------
0 		16,291
-------------
0 		16,500
-------------
0 		26,518
-------------
0 		454,015
-------------
0 		0
-------------
0
25TERRANCE D PEABODY MD
 
See Schedule O 		(i)

(ii)		 627,072
-------------
0 		174,451
-------------
0 		2,576
-------------
0 		16,500
-------------
0 		24,234
-------------
0 		844,832
-------------
0 		0
-------------
0
26Ronald J Severino MD
 
See Schedule O 		(i)

(ii)		 284,097
-------------
0 		0
-------------
0 		193,283
-------------
0 		16,500
-------------
0 		42,751
-------------
0 		536,631
-------------
0 		0
-------------
0
27Dean P Shoener MD
 
See Schedule O 		(i)

(ii)		 496,185
-------------
0 		0
-------------
0 		223,295
-------------
0 		16,500
-------------
0 		42,332
-------------
0 		778,312
-------------
0 		0
-------------
0
28NATHANIEL J SOPER MD
 
See Schedule O 		(i)

(ii)		 637,073
-------------
0 		130,910
-------------
0 		22,319
-------------
0 		16,500
-------------
0 		18,666
-------------
0 		825,468
-------------
0 		0
-------------
0
29Douglas E Vaughan
 
See Schedule O 		(i)

(ii)		 364,840
-------------
0 		142,888
-------------
0 		12,870
-------------
0 		16,500
-------------
0 		12,783
-------------
0 		549,881
-------------
0 		0
-------------
0
30Nicholas J Volpe MD
 
See Schedule O 		(i)

(ii)		 391,343
-------------
0 		101,662
-------------
0 		20,518
-------------
0 		16,500
-------------
0 		25,661
-------------
0 		555,683
-------------
0 		0
-------------
0
31Gina Weldy
 
See Schedule O 		(i)

(ii)		 464,688
-------------
0 		214,788
-------------
0 		124,267
-------------
0 		16,500
-------------
0 		15,644
-------------
0 		835,887
-------------
0 		0
-------------
0
32Maureen Bryant
 
See Schedule O 		(i)

(ii)		 423,399
-------------
0 		250,349
-------------
0 		53,135
-------------
0 		88,159
-------------
0 		24,999
-------------
0 		840,041
-------------
0 		46,246
-------------
0
33Leah V Hobson
 
See Schedule O 		(i)

(ii)		 235,913
-------------
0 		82,269
-------------
0 		17,155
-------------
0 		27,555
-------------
0 		31,261
-------------
0 		394,153
-------------
0 		0
-------------
0
34Danae K Prousis
 
See Schedule O 		(i)

(ii)		 628,671
-------------
0 		277,746
-------------
0 		222,145
-------------
0 		16,500
-------------
0 		26,838
-------------
0 		1,171,900
-------------
0 		0
-------------
0
35Maureen A Taus
 
See Schedule O 		(i)

(ii)		 347,920
-------------
0 		152,852
-------------
0 		33,136
-------------
0 		37,500
-------------
0 		40,906
-------------
0 		612,314
-------------
0 		0
-------------
0
36Aaron Bare
 
See Schedule O 		(i)

(ii)		 794,005
-------------
0 		0
-------------
0 		554,294
-------------
0 		16,500
-------------
0 		42,132
-------------
0 		1,406,931
-------------
0 		0
-------------
0
37Gyu Il Gang
 
See Schedule O 		(i)

(ii)		 997,123
-------------
0 		0
-------------
0 		124,977
-------------
0 		16,500
-------------
0 		9,921
-------------
0 		1,148,521
-------------
0 		0
-------------
0
38Harish Shownkeen
 
See Schedule O 		(i)

(ii)		 1,207,859
-------------
0 		0
-------------
0 		472,024
-------------
0 		16,500
-------------
0 		36,165
-------------
0 		1,732,548
-------------
0 		0
-------------
0
39Dhaval N Thakkar
 
See Schedule O 		(i)

(ii)		 842,858
-------------
0 		58,147
-------------
0 		198,076
-------------
0 		16,500
-------------
0 		17,115
-------------
0 		1,132,696
-------------
0 		0
-------------
0
40Gregory Witkowski
 
See Schedule O 		(i)

(ii)		 728,830
-------------
0 		0
-------------
0 		357,892
-------------
0 		16,500
-------------
0 		25,826
-------------
0 		1,129,048
-------------
0 		0
-------------
0
41James Adams
 
See Schedule O 		(i)

(ii)		 625,691
-------------
0 		304,493
-------------
0 		128,810
-------------
0 		60,840
-------------
0 		16,068
-------------
0 		1,135,903
-------------
0 		0
-------------
0
42Brad Copple
 
See Schedule O 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		208,600
-------------
0 		0
-------------
0 		0
-------------
0 		208,600
-------------
0 		0
-------------
0
43James C Dechene
 
See Schedule O 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		471,884
-------------
0 		0
-------------
0 		12,896
-------------
0 		484,780
-------------
0 		0
-------------
0
44Pamela Duffy
 
See Schedule O 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		189,083
-------------
0 		0
-------------
0 		0
-------------
0 		189,083
-------------
0 		0
-------------
0
45Francis Fraher
 
See Schedule O 		(i)

(ii)		 298,722
-------------
0 		111,879
-------------
0 		53,767
-------------
0 		16,500
-------------
0 		36,368
-------------
0 		517,236
-------------
0 		0
-------------
0
46James Giblin
 
See Schedule O 		(i)

(ii)		 530,929
-------------
0 		289,940
-------------
0 		77,599
-------------
0 		203,108
-------------
0 		45,798
-------------
0 		1,147,374
-------------
0 		0
-------------
0
47David Hensley
 
See Schedule O 		(i)

(ii)		 237,727
-------------
0 		92,275
-------------
0 		26,666
-------------
0 		13,883
-------------
0 		31,913
-------------
0 		402,464
-------------
0 		0
-------------
0
48John Hubbe
 
See Schedule O 		(i)

(ii)		 127,472
-------------
0 		4,841
-------------
0 		8,982
-------------
0 		9,032
-------------
0 		35,999
-------------
0 		186,326
-------------
0 		0
-------------
0
49Denise Majeski
 
See Schedule O 		(i)

(ii)		 245,106
-------------
0 		98,107
-------------
0 		43,629
-------------
0 		9,894
-------------
0 		20,943
-------------
0 		417,679
-------------
0 		0
-------------
0
50Dean Manheimer
 
See Schedule O 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		575,897
-------------
0 		0
-------------
0 		23,757
-------------
0 		599,654
-------------
0 		0
-------------
0
51Gary Noskin MD
 
See Schedule O 		(i)

(ii)		 480,641
-------------
0 		239,123
-------------
0 		88,586
-------------
0 		103,500
-------------
0 		24,011
-------------
0 		935,861
-------------
0 		0
-------------
0
52Elizabeth Rosenberg
 
See Schedule O 		(i)

(ii)		 667,058
-------------
0 		424,107
-------------
0 		30,331
-------------
0 		289,091
-------------
0 		44,470
-------------
0 		1,455,058
-------------
0 		88,550
-------------
0
53Michael Vivoda
 
See Schedule O 		(i)

(ii)		 939,683
-------------
0 		577,409
-------------
0 		83,951
-------------
0 		429,852
-------------
0 		43,413
-------------
0 		2,074,308
-------------
0 		0
-------------
0
54Jennifer Wooten Ierardi
 
See Schedule O 		(i)

(ii)		 321,381
-------------
0 		133,362
-------------
0 		14,595
-------------
0 		16,500
-------------
0 		42,787
-------------
0 		528,625
-------------
0 		0
-------------
0
55Kathleen Yosko
 
See Schedule O 		(i)

(ii)		 13,066
-------------
0 		51,500
-------------
0 		458,722
-------------
0 		4,041
-------------
0 		11,978
-------------
0 		539,306
-------------
0 		0
-------------
0
56Douglas Young
 
See Schedule O 		(i)

(ii)		 392,738
-------------
0 		151,831
-------------
0 		121,555
-------------
0 		16,500
-------------
0 		51,885
-------------
0 		734,509
-------------
0 		0
-------------
0
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
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: BRAD COPPLE, $208,600 DEAN MANHEIMER, $566,500 JAMES DECHENE, $467,006 KATHLEEN YOSKO, $396,154 PAMELA DUFFY, $189,083
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 $710,275. 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, $25,362 JULIA CREAMER, $81,180 MICHAEL EESLEY, $67,284 DEAN HARRISON, $375,000 BRIAN LEMON, $36,000 DENISE MAJESKI, $14,892 DANAE PROUSIS, $111,000 DOUGLAS YOUNG, $63,000 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, $44,340 JAY ANDERSON, $89,832 HOWARD CHRISMAN, $40,590 SEAMUS COLLINS, $13,500 CONNIE FALCONE, $24,000 MATTHEW FLYNN, $57,000 RICHARD FRANCO, $17,562 JAMES GIBLIN, $96,528 TIMOTHY HAVENHILL, $13,094 LEAH HOBSON, $11,055 EMILY KOZAK, $16,500 THOMAS MCAFEE, $109,272 GARY NOSKIN, $87,000 JOHN ORSINI, $171,000 KEVIN POORTEN, $125,616 ELIZABETH ROSENBERG, $127,800 MAUREEN TAUS, $21,000 PATRICK TOWNE, $30,000
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) 2018
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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 the latest information.
OMB No. 1545-0047
2018
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 45203HNF5 11-20-2012 207,317,217 CURRENT REFUNDING; PROJECT   X   X   X
D ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HZS4 06-11-2014 197,757,179 NEW HOSPITAL CONSTRUCTION   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 12,500,000 143,150,000 5,315,000 1,715,000
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 269,866,112 207,360,000 207,331,334 197,943,098
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............       13,770,879
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 1,871,062 1,985,000 2,279,595 2,235,438
8 Credit enhancement from proceeds .............   25,000    
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds .............     42,714,415 181,936,645
11 Other spent proceeds ............. 267,995,050 205,350,000 162,337,325  
12 Other unspent proceeds .............       136
13 Year of substantial completion ............. 2007 2007 2014 2016
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X   X     X
15 Were the bonds issued as part of an advance refunding issue? ..... X     X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X     X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 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 % 0 % 0 % 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
b Exception to rebate? ........     X     X   X
c No rebate due? .........       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) 2018

Schedule K (Form 990) 2018
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 Bond Total Proceeds The total proceeds of issues reported at Part II, Line 3, exceed the issue price of Part I due to interest earnings related to the issues.
Schedule K, Part IV, Line 2c COLUMN C Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 09/11/2017
Schedule K, Part IV, Line 2c COLUMN D Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 07/15/2019
Schedule K (Form 990) 2018

Additional Data


Software ID: 18007697
Software Version: 2018v3.1

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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 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 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) GYU GANG
  		HIGHEST COMPENSATED EMPLOYEE RETENTION   X 300,000 175,000   No   No Yes  
Total ...............Small Bullet $ 175,000
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) 2018
Schedule L (Form 990 or 990-EZ) 2018
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 277,893 EMPLOYEE   No
(2) WILLIAM TOWNE
  		WILLIAM TOWNE, EMPLOYEE OF THE ORG AND BROTHER OF PATRICK TOWNE, A DIRECTOR OF NMRMG 621,340 EMPLOYEE   No
(3) MEDLINE
  		CHARLES N. MILLS, A DIRECTOR NLFH, INDIRECTLY OWNS A GREATER THAN 35% INTEREST 130,459 MEDICAL PRODUCTS   No
(4) Hailey Orsini
  		HAILEY ORSINI, EMPLOYEE OF NMHC AND DAUGHTER OF JOHN ORSINI, CURRENT DIRECTOR OF NMHC 60,869 EMPLOYEE   No
(5) CAREY ELECTRIC CONTRACTING LLC
  		TOM CAREY, A DIRECTOR CHS, NIMC, MMC, CHHH, INDIRECTLY OWNS A GREATER THAN 35% INTEREST 109,311 ELECTRICAL SERVICES   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) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1




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
2018
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 .... X 1 3,000 Market value
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		X 30,418 Market value
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 39 1,526,772 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 .....        
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 ( Travel ) X 6 29,725 Market value
26 Other Right pointing arrow large image ( Tickets ) X 16 13,375 Market value
27 Other Right pointing arrow large image ( Dinner ) X 10 8,711 Market value
28 Other Right pointing arrow large image ( Golf & Memberships ) X 7 2,803 Market value
Other Right pointing arrow large image ( Giftcards ) X 5 1,426 Market value
Other Right pointing arrow large image ( Experiences ) X 16 6,535 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 is not required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any 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 did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2018)
Schedule M (Form 990) (2018)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
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) (2018)

Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE O
(Form 990 or 990-EZ)

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

Complete to provide information for responses to specific questions on
Form 990 or 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
2018
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 NEARLY $1.06 BILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2019 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 $95.4 MILLION IN FUNDING FOR RESEARCH AND MEDICAL EDUCATION IN FISCAL YEAR 2019, INCLUDING PARTICIPATING IN MORE THAN 4,150 CLINICAL RESEARCH STUDIES AND TRAINING MORE THAN 1,600 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 2019. 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 EIGHT HOSPITALS THROUGHOUT CHICAGO, ITS NORTH AND WEST SUBURBS AND NORTHERN ILLINOIS. THIS COUNT OF EIGHT HOSPITALS IS BASED ON THE NUMBER OF HOSPITAL FACILITY LICENSES FOR SCHEDULE H REPORTING - THERE ARE THREE HOSPITALS IN THE NORTHWEST REGION OPERATING UNDER A SINGLE LICENSE. MORE THAN 31,900 PHYSICIANS, NURSES, STAFF AND VOLUNTEERS PROVIDED CARE FOR MORE THAN 111,800 INPATIENT ADMISSIONS AND MORE THAN 2.9 MILLION OUTPATIENT ENCOUNTERS IN FISCAL YEAR 2019. 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 4,850 INCLUDES MORE THAN 860 RESIDENTS AND FELLOWS AND NEARLY 2,050 EMPLOYED PHYSICIANS WHO ARE PART OF NMG, RMG, 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 80 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 14 MEDICARE-LICENSED, SUBACUTE BEDS. FISCAL YEAR 2019 SAW NEARLY 2,900 INPATIENT ADMISSIONS AND MORE THAN 3,900 OUTPATIENT REGISTRATIONS. REHABILITATION MEDICINE CLINIC, INC (EIN: 36-3236791) ("RMC") REHABILITATION MEDICINE CLINIC, INC. d/b/a MARIANJOY MEDICAL GROUP 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. 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. AS OF JUNE 1, 2019, THE BUSINESS OPERATIONS OF THIS ENTITY WERE SOLD AND THE CORPORATION ENTERED INTO A WINDING-DOWN STAGE WITH DISSOLUTION TO OCCUR. 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. AS OF JUNE 1, 2019, THE BUSINESS OPERATIONS OF THIS ENTITY WERE SOLD AND THE CORPORATION ENTERED INTO A WINDING-DOWN STAGE WITH DISSOLUTION TO OCCUR. 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. THE OPERATIONS CONTINUE POST-MERGER WITH KISHWAUKEE COMMUNITY HOSPITAL AS OF MARCH 31, 2019. NORTHERN ILLINOIS MEDICAL CENTER ("NIMC") NORTHERN ILLINOIS MEDICAL CENTER INCORPORATES THE THREE HOSPITALS OF THE LEGACY CENTEGRA HEALTH SYSTEM AS AFFILIATED WITH NORTHWESTERN MEDICINE ON SEPTEMBER 1, 2018. THE HOSPITALS ARE NORTHWESTERN MEDICINE MCHENRY HOSPITAL ("NM MCHENRY"), NORTHWESTERN MEDICINE HUNTLEY HOSPITAL ("NM HUNTLEY") AND NORTHWESTERN MEDICINE WOODSTOCK HOSPITAL ("NM WOODSTOCK"). THE THREE HOSPITALS OPERATE THROUGH NIMC UNDER A SINGLE STATE HOSPITAL FACILITY LICENSE AND PROVIDE CARE ACROSS THE GREATER MCHENRY COUNTY AREA. OVER 600 PHYSICIANS SERVE THROUGH NIMC. NM MCHENRY IS A 179-BED, ACUTE-CARE TEACHING HOSPITAL WITH 26 RESIDENTS IN THE CHICAGO MEDICAL SCHOOL INTERNAL MEDICINE RESIDENCY PROGRAM DURING FISCAL YEAR 2019. NM MCHENRY PROVIDED CARE THROUGH MORE THAN 9,000 INPATIENT ADMISSIONS AND MORE THAN 34,300 ED VISITS IN THE FISCAL PERIOD. NM HUNTLEY IS A 128-BED HOSPITAL, OPENED IN 2016, AND TREATED AS AN EXTENSION OF THE SERVICE PROVIDED BY NM MCHENRY. THE FACILITY HAD MORE THAN 7,600 INPATIENT ADMISSIONS AND NEARLY 26,000 ED VISITS. NM WOODSTOCK OFFERS COMPREHENSIVE PRIMARY CARE AND MENTAL HEALTH SERVICES TO THE UNINSURED AND UNDERINSURED MEMBERS OF MCHENRY COUNTY. THE CAMPUS IS ALSO HOME TO AUNT MARTHA'S WOODSTOCK COMMUNITY HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER. CENTEGRA HEALTH SYSTEM (EIN: 36-3196559) ("CHS") CHS IS THE LEGACY PARENT ORGANIZATION OF CENTEGRA. OPERATIONS OF THE PARENT WILL BE CONSOLIDATED WITH NMHC AS THE NORTHWESTERN MEDICINE SYSTEM PARENT. MEMORIAL MEDICAL CENTER (EIN: 36-2179764) ("MMC") MMC IS PART OF THE LEGACY CENTEGRA HEALTH SYSTEM AND REPRESENTS THE FORMER WOODSTOCK HOSPITAL OPERATIONS, PRIOR TO AFFILIATION WITH NMHC AND CONSOLIDATION OF THE HOSPITAL LICENSE WITH NORTHERN ILLINOIS MEDICAL CENTER. CENTEGRA HOSPITAL HUNTLEY HOLDINGS (EIN: 45-3449737) ("CHHH") CHHH IS A LEGACY ENTITY ESTABLISHED BY CENTEGRA HEALTH SYSTEM TO SUPPORT NORTHERN ILLINOIS MEDICAL CENTER. CHHH WAS INVOLVED WITH THE DEVELOPMENT OF THE HUNTLEY HOSPITAL FACILITY AND HAS CEASED OPERATIONS FOLLOWING THE HOSPITAL CONSTRUCTION AND OPENING. CENTEGRA HEALTH SYSTEM FOUNDATION (EIN: 36-3726310) ("CHSF") CHSF WAS THE LEGACY CENTEGRA HEALTH SYSTEM FUNDRAISING AND PHILANTHROPY ORGANIZATION. AS OF MARCH 31, 2019, CHSF WAS MERGED WITH NORTHWESTERN MEMORIAL FOUNDATION TO CONSOLIDATE THE PHILANTHROPIC EFFORTS OF NM IN A SINGLE FOUNDATION ENTITY. HEALTH BRIDGE CORPORATION (EIN: 36-3196550) ("HB") LOCATED ON THE NORTHERN ILLINOIS MEDICAL CENTER CAMPUS AT CRYSTAL LAKE AND HUNTLEY, HB IS A FITNESS CENTER FACILITY OFFERS A PROFESSIONAL, CUSTOMER-FOCUSED COMMUNITY. THIS INCLUDES PATIENT REHABILITATION PROGRAMS AND HEALTH EDUCATION FOR THE COMMUNITY. NIMED CORPORATION (EIN: 36-3199111) ("NIMED CORP") NIMED CORP, A LEGACY CENTEGRA HEALTH SYSTEM ENTITY, FACILITATES THE DELIVERY OF HEALTH CARE SERVICES TO COMMUNITIES BY PROVIDING MEDICAL OFFICE BUILDINGS FOR RENT.
Form 990, Part III, Line 2 New program services AN AFFILIATION AGREEMENT BETWEEN NORTHWESTERN MEMORIAL HEALTHCARE AND CENTEGRA HEALTH SYSTEM WAS EFFECTIVE AS OF 9/1/2018.
Form 990, Part III, Line 3 Significant changes in program services ARTICLES OF MERGER WERE FILED ON BEHALF OF CENTEGRA HEALTH FOUNDATION AND CENTER FOR FAMILY HEALTH - MALTA AS OF 3/31/2019. THE MERGER OF THESE ENTITIES REPRESENTS A REALLOCATION OF RESOURCES RATHER THAN A CESSATION OF SERVICE. NORTHWESTERN MEMORIAL HEALTHCARE HAS CEASED TO OFFER HOME HEALTH AND HOSPICE CARE SERVICES AS OF A DIVESTMENT OF THESE BUSINESS LINES TO JOURNEYCARE AT 6/1/2019. THE RESPONSIBLE ENTITIES, KISHHEALTH SYSTEM HOME CARE AND DEKALB COUNTY HOSPICE REMAIN AS LEGAL ENTITIES INVOLVED IN A WIND-DOWN AND DISSOLUTION TO OCCUR IN THE FOLLOWING FISCAL PERIOD.
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, 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, BRETT J. HART AND GLENN F. TILTON - Business relationship, PHEBE N. NOVAKOVIC AND GLENN F. TILTON - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents THE ARTICLES OF NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) WERE AMENDED AS OF 8/31/2018 TO REFLECT THE AFFILIATION OF CENTEGRA HEALTH SYSTEM WITH NMHC AS OF 9/1/2018. CENTEGRA HEALTH FOUNDATION FILED ARTICLES OF MERGER AS OF 3/31/2019 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 CENTEGRA HEALTH FOUNDATION'S CONTINUED ROLE AS A DIVISION OF NMF AND THE NM HEALTH SYSTEM. NMF WILL USE PRIOR FUNDS TO SERVE THE CENTEGRA POPULATION. CENTER FOR FAMILY HEALTH - MALTA FILED ARTICLES OF MERGER AS OF 3/31/2019 WITH KISHWAUKEE COMMUNITY HOSPITAL. KCH NOW MAINTAINS THE PREVIOUSLY SEPARATE ACTIVITY OF MALTA.
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 - KISHHEALTH SYSTEM - MARIANJOY REHABILITATION HOSPITAL & CLINICS, INC. - REHABILITATION MEDICINE CLINIC, INC. - CENTRAL DUPAGE HOSPITAL ASSOCIATION - CENTRAL DUPAGE PHYSICIAN GROUP - DELNOR-COMMUNITY HOSPITAL - CENTEGRA HEALTH SYSTEM NORTHWESTERN LAKE FOREST HOSPITAL SERVES AS THE SOLE MEMBER OF NORTHWESTERN LAKE FOREST HEALTH AND FITNESS INSTITUTE. KISHHEALTH SYSTEM SERVES AS THE SOLE MEMBER OF THE FOLLOWING SUBSIDIARIES IN THE GROUP RETURN: - KISHWAUKEE COMMUNITY HOSPITAL - VALLEY WEST COMMUNITY HOSPITAL - DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. - DEKALB COUNTY HOSPICE - KISHHEALTH SYSTEM HOME CARE 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. CENTER FOR FAMILY HEALTH-MALTA WAS MERGED WITH KISHWAUKEE COMMUNITY HOSPITAL AS OF 3/31/2019. CENTEGRA HEALTH SYSTEM SERVES AS THE SOLE MEMBER OF THE LEGACY CENTEGRA HEALTH SYSTEM ENTITIES, INCLUDING: - NORTHERN ILLINOIS MEDICAL CENTER - MEMORIAL MEDICAL CENTER - NIMED, CORPORATION - CENTEGRA HEALTH SYSTEM FOUNDATION (MERGED WITH NORTHWESTERN MEMORIAL FOUNDATION AS OF 3/31/2019) - CENTEGRA-HOSPITAL HUNTLEY HOLDINGS - HEALTH BRIDGE CORPORATION
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 COMPENSATION 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), CENTRAL DUPAGE HOSPITAL ASSOCIATION (CDH), DELNOR-COMMUNITY HOSPITAL (DCH), MARIANJOY REHABILITATION HOSPITAL AND CLINICS (MJRH), CENTRAL DUPAGE PHYSICIAN GROUP (CDPG), REHABILITATION MEDICINE CLINIC (RMC), KISHHEALTH SYSTEM (KHS), AND CENTEGRA HEALTH SYSTEM (CHS). NMHC IS ALSO THE INDIRECT PARENT FOR LAKE FOREST HEALTH AND FITNESS INSTITUTE (HFI), MARIANJOY REHABILITATION CENTER AUXILIARY (MJAUX), KISHWAUKEE COMMUNITY HOSPITAL (KCH), VALLEY WEST COMMUNITY HOSPITAL (VW), DEKALB BEHAVIORAL HEALTH FOUNDATION (DBHF), DEKALB COUNTY HOSPICE (KHH), KISHHEALTH SYSTEM HOME CARE (KHHC), NORTHERN ILLINOIS MEDICAL CENTER (NIMC), MEMORIAL MEDICAL CENTER (MMC), CENTEGRA HOSPITAL HUNTLEY HOLDINGS (CHHH), HEALTH BRIDGE CORPORATION (HB), AND CENTEGRA HEALTH SYSTEM FOUNDATION (CHSF), AND NIMED CORPORATION (NIMED). THESE 25 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 8/31/2019. 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 25 CORPORATIONS. THE DETAIL IS HIGHLIGHTED BY INDIVIDUAL WITHIN SCHEDULE O.
Form 990, Part VII, Section A Anderson, Jay ADDITIONAL POSITIONS HELD Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: Chair & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , Title: President, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: President, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Bugno, Terrence, MD ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System Foundation, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Health Bridge Corporation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CANNING, JOHN A. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Hospital, Title: 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: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Director (06/01/19-present), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: Director (06/01/19-present), AverageHours: 1.000; IndividualTrusteeOrDirector 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: Central Dupage Physician Group, Title: Chair & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Chair & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee 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
Form 990, Part VII, Section A Eesley, Mike S. ADDITIONAL POSITIONS HELD Organization Name: NIMED Corporation, Title: Officer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Health System Foundation, Title: President & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Health System, Title: President, Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northern Illinois Medical Center, Title: President, Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center, Title: President, Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Hospital Huntley Holdings , Title: President, 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: Northwestern Memorial HealthCare, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Delnor-Community Hospital, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , 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
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 Harrison, Dean M. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: President, 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: KishHealth System Home Care, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Chair & CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: Chair & CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Lake Forest Hospital, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Health System, Title: CEO &Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northern Illinois Medical Center, Title: CEO &Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center, Title: CEO &Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Hospital Huntley Holdings , Title: CEO &Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Physician Group, Title: CEO & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: CEO & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Delnor-Community Hospital, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , 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: Northwestern Memorial Foundation, Title: CEO, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Kozak, Emily J. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Assistant Secretary, AverageHours: 1.000; Officer Organization Name: Center for Family Health-Malta, Title: Secretary & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Centegra Health System, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: NIMED Corporation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Memorial Medical Center, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Centegra Hospital Huntley Holdings , Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: Assistant Secretary , AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Assistant Secretary , AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, 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: Secretary & Director , 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 Hospital and Clinics, Inc, Title: President & DIRECTOR (5/1/18-8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: President & DIRECTOR (5/1/18-8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Hospital Association, Title: President, AverageHours: 1.000; Officer
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, Jr. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A MITCHELL, LEE M. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: Chair & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Neilson, Eric G., MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Medical Faculty Foundation, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Orsini, John A. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, 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: 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 Hospital and Clinics, Inc, Title: Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Medical Faculty Foundation, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Centegra Health System, Title: Treasurer, AverageHours: 1.000; Officer Organization Name: Northern Illinois Medical Center, Title: Treasurer, AverageHours: 1.000; Officer Organization Name: Memorial Medical Center, Title: Treasurer, AverageHours: 1.000; Officer Organization Name: Centegra Hospital Huntley Holdings , Title: Treasurer, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, 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 Lake Forest Hospital, Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
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 Behavioral Health Foundation, Inc., Title: DIRECTOR (09/01/18-02/03/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR & PRESIDENT, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Delnor-Community Hospital, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee 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
Form 990, Part VII, Section A Thorpe, James ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Health Bridge Corporation, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
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 Organization Name: Rehabilitation Medicine Clinic, Inc, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Whittaker, Forrest R. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Health System, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northern Illinois Medical Center, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Hospital Huntley Holdings , Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Altimari, Anthony, MD ADDITIONAL POSITIONS HELD Organization Name: KishHealth System, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR (7/17/19-8/31/19), 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, Carol ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, 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 Bethke, Kevin P. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, 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 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 Burkey, John, MD ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Busse, William ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Carey, Tom ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , 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 Chorneyko, Michael-Dean 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: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector 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: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee 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
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 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 (09/01/18 to 09/17/18), 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, Stephen ADDITIONAL POSITIONS HELD Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee 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
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 (09/1/18-11/28/18), 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 Dorion-Gray, Paula ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , 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 Evans, Gary ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial 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 Ferro, Michael W. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Fleck, Michael ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System 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 Gent, Justin, MD ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, 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 Gilleland, Scott ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gilroy, Phillip, MD ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System 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 Goldberg, William S. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gonzalez-Mendez, J.C. ADDITIONAL POSITIONS HELD Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee 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
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 McCallister, Trina ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Greffin, Judy P. 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: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee 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
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 Havenhill, Timothy G. ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Helm, Scott, MD ADDITIONAL POSITIONS HELD Organization Name: KishHealth System, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial HealthCare, Title: PHYSICIAN, AverageHours: 1.000;
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 Hoeflich, Adam ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Holden, Jill, MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, 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 Keogh, Christopher M. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR (9/1/18 to 12/31/18), 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 Kloosterboer, Jay L. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kozik, Catherine ADDITIONAL POSITIONS HELD Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee 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
Form 990, Part VII, Section A Kroencke, Heather ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System Foundation, 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 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: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , 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: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee 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
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 Moen, Timothy P. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, 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 O'Grady, Michael G. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, Title: Director (1/1/19-present), 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: Kishwaukee Community Hospital , Title: DIRECTOR , 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 Price, Richard S. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, 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 Quinn, Thomas F. ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR (effective 4/1/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Rankins, Steve ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System 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 RIZZI, LEONETTA ADDITIONAL POSITIONS HELD Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee 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
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: PHYSICIAN, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ruth, Eric ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Health Bridge Corporation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ruth, CHARLES ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Saran, Debbie S. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial Foundation, 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 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: Central Dupage Hospital Association, Title: DIRECTOR (09/1/18-7/16/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Shoener, Dean P., MD ADDITIONAL POSITIONS HELD Organization Name: Delnor-Community Hospital, Title: DIRECTOR (9/1/18-7/16/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Martin ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System 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
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 SOPER, NATHANIEL J., MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Steadman, Mark ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A STRAUSS, MARC ADDITIONAL POSITIONS HELD Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee 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
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, Timothy P. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, 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 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 Tilly, Edward T. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation, 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 Tyron, Michael ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System 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 Waud, Reeve ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Weldy, Gina ADDITIONAL POSITIONS HELD Organization Name: NIMED Corporation, 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 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 Zanck, Charie A. ADDITIONAL POSITIONS HELD Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , 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 Hobson, Leah V. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Assistant Treasurer, AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: ASSISTANT TREASURER (2/4/19-present), AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: Assistant Treasurer (10/28/18-present), AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: Assistant Treasurer (10/23/18 -present), AverageHours: 1.000; Officer Organization Name: Centegra Health System, Title: Assistant Treasurer, AverageHours: 1.000; Officer Organization Name: Northern Illinois Medical Center, Title: Assistant Treasurer, AverageHours: 1.000; Officer Organization Name: Memorial Medical Center, Title: Assistant Treasurer, AverageHours: 1.000; Officer Organization Name: Centegra Hospital Huntley Holdings , Title: Assistant Treasurer, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: Assistant Treasurer (10/2/18-present), AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Assistant Treasurer (10/2/18-present), AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: Assistant Treasurer (10/16/18-present), AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: Assistant Treasurer (10/16/18-present), AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: Assistant Treasurer (10/16/18-present), AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: Assistant Treasurer (10/16/18-present), AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: Assistant Treasurer (10/16/18-present), AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: Assistant Treasurer (10/5/18 - Present), AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: ASSISTANT TREASURER (10/9/18 - present), AverageHours: 1.000; Officer
Form 990, Part VII, Section A Prousis, Danae K. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: Secretary, AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Centegra Health System, Title: Secretary, AverageHours: 1.000; Officer Organization Name: Northern Illinois Medical Center, Title: Secretary, AverageHours: 1.000; Officer Organization Name: Memorial Medical Center, Title: Secretary, AverageHours: 1.000; Officer Organization Name: Centegra Hospital Huntley Holdings , Title: Secretary, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: Secretary, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Taus, Maureen A. ADDITIONAL POSITIONS HELD Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: ASSISTANT TREASURER (09/1/18-10/22/18), AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: ASSISTANT TREASURER (09/1/18-10/28/18), AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: ASSISTANT TREASURER (9/1/18-10/23/18), AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: Assistant Treasurer (9/1/18-10/2/18), AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Assistant Treasurer (9/1/18-10/2/18), AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: ASSISTANT TREASURER (9/1/18-10/16/18), AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: ASSISTANT TREASURER (9/1/18-10/16/18), AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: ASSISTANT TREASURER (9/1/18-10/16/18), AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: ASSISTANT TREASURER (9/1/18-10/16/18), AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: ASSISTANT TREASURER (9/1/18-10/16/18), AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: ASSISTANT TREASURER (9/1/18-10/5/18), AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: ASSISTANT TREASURER (9/1/18 to 10/09/18), AverageHours: 1.000; Officer
Form 990, Part VII, Section A Wehmer, Edward J. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation, Title: Chair, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Gang, Gyu Il ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital, Title: PHYSICIAN, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Shownkeen, Harish ADDITIONAL POSITIONS HELD Organization Name: Central Dupage Physician Group, Title: Physician, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Thakkar, Dhaval N ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial HealthCare, Title: PHYSICIAN, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Witkowski, Gregory ADDITIONAL POSITIONS HELD Organization Name: Central Dupage Physician Group, Title: Physician, AverageHours: 40.000;
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 Copple, Brad ADDITIONAL POSITIONS HELD Organization Name: Kishwaukee Community Hospital (Former), Title: Former President, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Dechene, James C. ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital(Former), Title: Former Secretary, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Duffy, Pamela ADDITIONAL POSITIONS HELD Organization Name: KishHealth System Home Care(Former), Title: Former President, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Fraher, Francis ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital(Former), Title: VP & CFO, NMH & NM Marianjoy, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Hensley, David ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Foundation(Former), Title: Former President, AverageHours: 0.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hubbe, John ADDITIONAL POSITIONS HELD Organization Name: Kishwaukee Community Hospital (Former), Title: Fmr General Counsel, AverageHours: 40.000; 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: 0.000; Officer
Form 990, Part VII, Section A Noskin, Gary, MD ADDITIONAL POSITIONS HELD Organization Name: Northwestern Medical Faculty Foundation(Former), Title: SVP, Quality and CMO, NMH, AverageHours: 40.000; 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; Officer
Form 990, Part VII, Section A Vivoda, Michael ADDITIONAL POSITIONS HELD Organization Name: Central Dupage Physician Group(Former), Title: Former Chair, 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: 40.000; Officer
Form 990, Part VII, Section A Yosko, Kathleen ADDITIONAL POSITIONS HELD Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc(Former), Title: Former PRESIDENT, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Young, Douglas ADDITIONAL POSITIONS HELD Organization Name: Northwestern Memorial Hospital(Former), Title: Former Asst. Treasurer, AverageHours: 40.000; Officer
Form 990, Part VIII, Line 2f Other Program Service Revenue All other - Total Revenue: 1208199196, Related or Exempt Function Revenue: 1204030051, Unrelated Business Revenue: 4169145, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other - Total Revenue: 1889558, Related or Exempt Function Revenue: 1767584, Unrelated Business Revenue: 121974, 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 - -31341258; CHANGE IN FV OF SPLIT-INTEREST AGREEMENT - -244463; CHANGE IN PENSION - -XXX-XX-XXXX; TRANSFERS TO/FROM NMHC - XXX-XX-XXXX; CONTRIBUTION OF CENTEGRA - 83269561; TRANSFER OF CONTROL - 13464236; Other changes in net assets - -1477077;
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: 75,442 TOTAL LOBBYING EXPENDITURES: 75,442 OTHER EXEMPT PURPOSE EXPENDITURES: 961,353,238 TOTAL EXEMPT PURPOSE EXPENDITURES: 961,428,680 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: 38,984 TOTAL LOBBYING EXPENDITURES: 38,984 OTHER EXEMPT PURPOSE EXPENDITURES: 352,711,034 TOTAL EXEMPT PURPOSE EXPENDITURES: 352,750,018 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: 380,766,987 TOTAL EXEMPT PURPOSE EXPENDITURES: 380,766,987 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: 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: 40,305 TOTAL EXEMPT PURPOSE EXPENDITURES: 40,305 LOBBYING NONTAXABLE AMOUNT: 8,061 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 2,015 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: 2,316,022 TOTAL EXEMPT PURPOSE EXPENDITURES: 2,316,022 LOBBYING NONTAXABLE AMOUNT: 265,801 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 66,450 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: 31,519 TOTAL LOBBYING EXPENDITURES: 31,519 OTHER EXEMPT PURPOSE EXPENDITURES: 209,333,045 TOTAL EXEMPT PURPOSE EXPENDITURES: 209,364,564 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: 15,544 TOTAL LOBBYING EXPENDITURES: 15,544 OTHER EXEMPT PURPOSE EXPENDITURES: 47,433,494 TOTAL EXEMPT PURPOSE EXPENDITURES: 47, 449,038 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: 10,601 TOTAL LOBBYING EXPENDITURES: 10,601 OTHER EXEMPT PURPOSE EXPENDITURES: 77,088,789 TOTAL EXEMPT PURPOSE EXPENDITURES: 77,099,390 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: 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: 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: 6,507,890 TOTAL EXEMPT PURPOSE EXPENDITURES: 6,507,890 LOBBYING NONTAXABLE AMOUNT: 475,395 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 118,849 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: 10,212 TOTAL EXEMPT PURPOSE EXPENDITURES: 10,212 LOBBYING NONTAXABLE AMOUNT: 2,042 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 511 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: 1,842,841 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,842,841 LOBBYING NONTAXABLE AMOUNT: 242,142 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 60,536 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: 13,488,332 TOTAL EXEMPT PURPOSE EXPENDITURES: 13,488,332 LOBBYING NONTAXABLE AMOUNT: 824,417 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 206,104 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:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: NORTHERN ILLINOIS MEDICAL CENTER ADDRESS: 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 EIN: 36-2338884 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 65,993 TOTAL LOBBYING EXPENDITURES: 65,993 OTHER EXEMPT PURPOSE EXPENDITURES: 475,393,406 TOTAL EXEMPT PURPOSE EXPENDITURES: 475,459,399 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: MEMORIAL MEDICAL CENTER ADDRESS: 3703 DOTY RD WOODSTOCK, IL 60098 EIN: 36-2179764 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 56,110,799 TOTAL EXEMPT PURPOSE EXPENDITURES: 56,110,799 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: CENTEGRA HEALTH SYSTEM ADDRESS: 10350 HALIGUS RD HUNTLEY, IL 60142 EIN: 36-3196559 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 95,536,736 TOTAL EXEMPT PURPOSE EXPENDITURES: 95,536,736 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: CENTEGRA HEALTH AND WELLNESS NETWORK ADDRESS: 10350 HALIGUS RD HUNTLEY, IL 60142 EIN: 36-4740459 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 9,952,770 TOTAL EXEMPT PURPOSE EXPENDITURES: 9,952,770 LOBBYING NONTAXABLE AMOUNT: 647,639 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 161,909 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: HEALTH BRIDGE CORPORATION ADDRESS: 200 CONGRESS PKWY CRYSTAL LAKE, IL 60014 EIN: 36-3196550 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 4,630,853 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,630,853 LOBBYING NONTAXABLE AMOUNT: 381,543 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 95,386 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: NIMED CORPORATION ADDRESS: 10350 HALIGUS RD HUNTLEY, IL 60142 EIN: 36-3199111 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 942,117 TOTAL EXEMPT PURPOSE EXPENDITURES: 942,117 LOBBYING NONTAXABLE AMOUNT: 166,318 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 41,579 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 COUNTY ADDRESS: 690 E NORTH AVE CAROL STREAM, IL 60188 EIN: 36-6080833 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 17,394,737 TOTAL EXEMPT PURPOSE EXPENDITURES: 17,394,737 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 ASSOCIATION ADDRESS: 27W353 JEWELL ROAD WINFIELD, IL 60190 EIN: 36-4310557 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 4,444,779 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,444,779 LOBBYING NONTAXABLE AMOUNT: 372,239 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 93,060 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS ORGANIZATION NAME: CENTEGRA HOSPITAL HUNTLEY HOLDINGS ADDRESS: 10350 HALIGUS RD HUNTLEY, IL 60142 EIN: 45-3449737 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 0 TOTAL EXEMPT PURPOSE EXPENDITURES: 0 LOBBYING NONTAXABLE AMOUNT: 0 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 0 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) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
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 9,975,673 24,484,848 CENTRAL DUPAGE HOSPITAL
 
(2) NORTHWESTERN MEDICINE PHYSICIAN NETWORK LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
90-0917479 		HEALTHCARE IL     NORTHWESTERN MEMORIAL HEALTHCARE
 
(3) CADENCE HEALTH ACO
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
35-2507700 		HEALTHCARE IL     NORTHWESTERN MEDICINE PHYSICIAN NETWORK LLC
 
(4) ILLINOIS PROTON CENTER LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
26-0876468 		HEALTHCARE DE 25,192,427 87,390,553 CENTRAL DUPAGE HOSPITAL
 
(5) ILLINOIS PROTON CENTER HOLDING LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
26-0876420 		HEALTHCARE DE 14,166,915 0 CENTRAL DUPAGE HOSPITAL
 
(6) FVFPDELNOR PROPERTIES LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
45-1147062 		MANAGEMENT IL     DELCOM CORPORATION
 
(7) CENTEGRA PRIMARY CARE LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
36-4085398 		HEALTHCARE DE 35,969,595 4,731,917 CENTEGRA HEALTH SYSTEM
 
(8) CENTEGRA CLINICAL LABORATORIES LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
36-4706465 		HEALTHCARE DE 0 0 CENTEGRA HEALTH SYSTEM
 
(9) CENTEGRA HEALTH & WELLNESS NETWORK LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
36-4740459 		HEALTHCARE DE 10,699,296 2,776,481 CENTEGRA HEALTH SYSTEM
 
(10) CENTEGRA HEALTH & WELLNESS NETWORK ACO LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
38-3936176 		HEALTHCARE DE 0 0 CENTEGRA HEALTH AND WELLNESS NETWORK LLC
 
(11) CENTEGRA HEALTH BRIDGE FITNESS CENTER LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
26-1277524 		HEALTHCARE DE 5,977,516 292,773 HEALTH BRIDGE CORPORATION
 
(12) NORTHWESTERN MEDICINE INNOVATION LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
84-1833690 		INVESTING IL     NORTHWESTERN MEDICINE HOLDINGS CO
 
(13) NORTHWESTERN HOSPITALITY LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO,IL60611
84-2302820 		MANAGEMENT IL     NORTHWESTERN MEDICINE HOLDINGS CO
 
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)KISHWAUKEE COMMUNITY HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
23-7087041 		HOSPITAL IL 501(c)(3) 3 KISHHEALTH SYSTEM
 
Yes
 
(2)MEMORIAL MEDICAL CENTER-WOODSTOCK
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-2179764 		HOSPITAL IL 501(c)(3) 3 CENTEGRA HEALTH SYSTEM
 
Yes
 
(3)NORTHWESTERN LAKE FOREST HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-2179779 		HOSPITAL IL 501(c)(3) 3 NMHC
 
Yes
 
(4)NORTHERN ILLINOIS MEDICAL CENTER
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-2338884 		HOSPITAL IL 501(c)(3) 3 CENTEGRA HEALTH SYSTEM
 
Yes
 
(5)CENTRAL DUPAGE HOSPITAL ASSOCIATION
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-2513909 		HOSPITAL IL 501(c)(3) 3 NMHC
 
Yes
 
(6)MCGAW MEDICAL CENTER NORTHWESTERN UNIV
645 N MICHIGAN

CHICAGO,IL60611
36-2656113 		SUPPORTING IL 501(c)(3) Type I NA
 
 
No
(7)MARIANJOY REHABILITATION HOSPITAL & CLINICS INC
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-2680776 		HOSPITAL IL 501(c)(3) 3 NMHC
 
Yes
 
(8)NORTHWESTERN MEDICAL FACULTY FOUNDATION
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3097297 		HEALTHCARE IL 501(c)(3) 3 NMHC
 
Yes
 
(9)CENTRAL DUPAGE PHYSICIAN GROUP
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3149833 		HEALTHCARE IL 501(c)(3) 10 NMHC
 
Yes
 
(10)NORTHWESTERN MEMORIAL HEALTHCARE
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3152959 		MANAGEMENT IL 501(c)(3) Type III-FI NA
 
 
No
(11)NORTHWESTERN MEMORIAL FOUNDATION
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3155315 		FUNDRAISING IL 501(c)(3) 7 NMHC
 
Yes
 
(12)DEKALB COUNTY HOSPICE INC
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3164329 		HOSPICE IL 501(c)(3) 7 KISHHEALTH SYSTEM
 
Yes
 
(13)HEALTH BRIDGE CORPORATION
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3196550 		HEALTH IL 501(c)(3) 10 CENTEGRA HEALTH SYSTEM
 
Yes
 
(14)CENTEGRA HEALTH SYSTEM
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3196559 		MANAGEMENT IL 501(c)(3) 10 NMHC
 
Yes
 
(15)NIMED CORPORATION
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3199111 		MANAGEMENT IL 501(c)(3) Type II CENTEGRA HEALTH SYSTEM
 
Yes
 
(16)REHABILITATION MEDICINE CLINIC INC
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3236791 		HOSPITAL IL 501(c)(3) 3 NMHC
 
Yes
 
(17)DELNOR-COMMUNITY HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3484281 		HOSPITAL IL 501(c)(3) 3 NMHC
 
Yes
 
(18)KISHHEALTH SYSTEM
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3649080 		MANAGEMENT IL 501(c)(3) Type II NMHC
 
Yes
 
(19)CENTEGRA HEALTH SYSTEM FOUNDATION
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3726310 		FUNDRAISING IL 501(c)(3) 7 CENTEGRA HEALTH SYSTEM
 
Yes
 
(20)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
 
(21)PAHCS II
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3887234 		OCCUPATIONAL HEALTH IL 501(c)(3) 10 NMHC
 
Yes
 
(22)MARIANJOY REHABILITATION CENTER AUXILIARY
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-3896976 		SUPPORTING IL 501(c)(3) Type I NMHC
 
Yes
 
(23)FRIENDS OF PRENTICE
251 E HURON

CHICAGO,IL60611
36-3930139 		SUPPORTING IL 501(c)(3) Type III-O NA
 
 
No
(24)VALLEY WEST COMMUNITY HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-4244337 		HOSPITAL IL 501(c)(3) 3 KISHHEALTH SYSTEM
 
Yes
 
(25)CENTRAL DUPAGE SPECIAL HEALTH ASSOC
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-4310557 		PHARMACY IL 501(c)(3) 10 NMHC
 
Yes
 
(26)COMMUNITY NURSING SERVICE OF DUPAGE COUNTY
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-6080833 		HOME HEALTH IL 501(c)(3) 10 NMHC
 
Yes
 
(27)NORTHWESTERN MEMORIAL HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
37-0960170 		HOSPITAL IL 501(c)(3) 3 NMHC
 
Yes
 
(28)KISHHEALTH SYSTEM HOME CARE
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
37-1703513 		HOME HEALTH IL 501(c)(3) 3 KISHHEALTH SYSTEM
 
Yes
 
(29)CENTEGRA HOSPITAL HUNTLEY HOLDINGS
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
45-3449737 		SUPPORTING IL 501(c)(3) Type I CENTEGRA HEALTH SYSTEM
 
Yes
 
(30)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
 
(31)CENTER FOR FAMILY HEALTH - MALTA
541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
80-0869393 		HEALTHCARE IL 501(c)(3) 3 KISHHEALTH SYSTEM
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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) KISHWAUKEE AREA PHYSICIAN HOSPITAL ORGANIZATION LLC

541 N FAIRBANKS CT
RM 1630
CHICAGO,IL60611
36-4205273 		HEALTHCARE IL KISHWAUKEE COMM HOSP
  		Related -28,162 12,748   No 0   No 67 %
(2) ILLINOIS REGIONAL CANCER CENTER LLP

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

541 N FAIRBANKS CT
RM 1630
CHICAGO,IL60611
46-2159685 		HEALTHCARE DE NMFF
  		Related 2,800,917 5,522,963   No 0   No 80 %
(4) MIDLAND SURGICAL CENTER LLC

3085 WOLF CT
DEKALB,IL60115
35-2194610 		HEALTHCARE IL KISHWAUKEE COMM HOSP
  		Related -31,453 462,249   No 0   No 75 %






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 478,553 743,097 100 % Yes  
(2) NORTHWESTERN MEMORIAL INSURANCE COMPANY

 
 
98-0384611 		RISK TRANSFER CJ NORTHWESTERN MEMORIAL HEALTHCARE
  		C Corporation          
(3) DUPAGE HEALTH SERVICES INC

541 N FAIRBANKS CT
SUITE 1630
CHICAGO,IL60611
36-3270521 		HEALTHCARE IL HEALTH PROGRESS INC
  		C Corporation          
(4) DELCOM CORPORATION

541 N FAIRBANKS CT
SUITE 1630
CHICAGO,IL60611
36-3334711 		HEALTH MGMT IL HEALTH PROGRESS INC
  		C Corporation          
(5) HEALTH PROGRESS INC

541 N FAIRBANKS CT
SUITE 1630
CHICAGO,IL60611
36-3824138 		HEALTHCARE IL KISH HEALTH SYSTEM
  		C Corporation 5,863,915 52,026,195 100 % Yes  
(6) CENTEGRA MANAGEMENT SERVICES

541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
36-4028114 		MANAGEMENT IL CENTEGRA HEALTH SYSTEM
  		C Corporation 10,082,546 0 100 % Yes  
(7) NORTHWESTERN MEDICINE HOLDINGS CO

541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
83-4687208 		MANAGEMENT IL NORTHWESTERN MEMORIAL HEALTHCARE
  		C Corporation          
(8) CENTEGRA INSURANCE SERVICES LTD

541 N FAIRBANKS CT
Rm 1630
CHICAGO,IL60611
98-0525109 		RISK TRANSFER CJ CENTEGRA HEALTH SYSTEM
  		C Corporation 743,713 27,220,103 100 % Yes  
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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) Community Nursing Services of DuPage County

 L 99,658 Cost
(2) Central DuPage Special Health Association

 L 279,596 Cost




Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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) 2018
Schedule R (Form 990) 2018
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) 2018

Additional Data


Software ID: 18007697
Software Version: 2018v3.1






TY 2018 AffiliatedGroupSchedule
Name:
Northwestern Memorial HealthCare Group
EIN:
36-4724966
Software ID:
18007697
Software Version:
2018v3.1
Affiliated Group Business Name:
Northwestern Memorial HealthCare Group
Address. Either US or Foreign Type:
541 N Fairbanks Ct Rm 1630
Chicago, IL606113319    
EIN:
36-4724966
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
365,840
Total Lobbying Expenditures:
365,840
Other Exempt Purpose Expenditures:
6,149,713,547
Total Exempt Purpose Expenditures:
6,150,079,387
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:
1,113,649,554
Total Exempt Purpose Expenditures:
1,113,739,354
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