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
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2022 , and ending 12-31-2022
BCheck if applicable:
CName of organization
Naperville Psychiatric Ventures
 
 
Doing business as
Linden Oaks Hospital
 
Number and street (or P.O. box if mail is not delivered to street address)
801 South Washington Street
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Naperville, IL60540
D Employer identification number

36-3965251
E Telephone number

G Gross receipts $ 56,497,885
F Name and address of principal officer:
Gerald P Gallagher
1301 CENTRAL STREET
EVANSTON,IL60201
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.EEHEALTH.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1986
M State of legal domicile: IL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: NAPERVILLE PSYCHIATRIC VENTURES FOLLOWS THE MISSION OF NORTHSHORE - EDWARD-ELMHURST HEALTH TO "HELP EVERYONE IN OUR COMMUNITIES BE THEIR BEST."
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 17
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 10
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 752
6 Total number of volunteers (estimate if necessary) ............. 6 10
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 13,486 50,400
9 Program service revenue (Part VIII, line 2g) ......... 28,475,167 56,429,639
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 4,718 17,846
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)   0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 28,493,371 56,497,885
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...   0
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) 20,414,690 41,841,052
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 11,351,194 22,601,849
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 31,765,884 64,442,901
19 Revenue less expenses. Subtract line 18 from line 12....... -3,272,513 -7,945,016
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 28,089,963 25,516,881
21 Total liabilities (Part X, line 26)............. 16,296,659 9,796,790
22 Net assets or fund balances. Subtract line 21 from line 20..... 11,793,304 15,720,091
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
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
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: See Schedule O
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 $ 57,398,422 including grants of $   ) (Revenue $ 56,429,639 )
See Schedule O
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 expensesMediumBullet57,398,422
Form 990 (2021)
Form 990 (2021)
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
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
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
List of Attached Documents:
// Content
.........
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 Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment
List of Attached Documents:
// Content
......
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
List of Attached Documents:
// Content
...................
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
List of Attached Documents:
// Content
............
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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.....
21
 
No
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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 on 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
23
b
Enter the number of Forms W-2G included on 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 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
752
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
 
No
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
 
 
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
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
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 the 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
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
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
17
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
10
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
 
No
b
Describe on 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 on 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
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process on 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
 
No
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
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
IL
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 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:
MediumBulletChristine E Erdmann3040 Salt Creek Lane   Arlington Heights,IL60005 (847) 618-4606
Form 990 (2021)
Form 990 (2021)
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 the 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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

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

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

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(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) Joseph Dant
 
Pres,Edward Hosp&Sth Institute
 1.0
.................
39.0 		X   X       0 1,323,340 84,206
(2) Margaret Harrell
 
Trustee/Vice Chair
 1.0
.................
5.0 		X   X       0 0 0
(3) Mary L Mastro
 
CEO, South Region/Trustee
 1.0
.................
39.0 		X   X       0 2,046,561 43,780
(4) Sean Chou
 
Trustee/Chair
 1.0
.................
5.0 		X   X       0 0 0
(5) Adam Schriedel MD
 
Chief Medical Officer/Trustee
 1.0
.................
39.0 		X           0 470,265 36,953
(6) Christine Jeffries
 
Trustee
 1.0
.................
5.0 		X           0 0 0
(7) David Morrissey
 
Trustee Starting 7/1/2022
 1.0
.................
5.0 		X           0 0 0
(8) Lekshmi Venugopal MD
 
Trustee
 1.0
.................
39.0 		X           0 379,204 19,155
(9) Liz Aquino
 
Trustee
 1.0
.................
5.0 		X           0 0 0
(10) Mark Gomez MD
 
Physician/Trustee
 1.0
.................
39.0 		X           0 429,813 47,655
(11) Michael Hoffman MD
 
Trustee
 1.0
.................
39.0 		X           0 311,134 17,710
(12) Ram Shivakumar
 
Trustee
 1.0
.................
5.0 		X           0 0 0
(13) Ravi Nemivant
 
Trustee
 1.0
.................
5.0 		X           0 0 0
(14) Robert Platt
 
Trustee
 1.0
.................
5.0 		X           0 0 0
(15) Tom Lee
 
Trustee
 1.0
.................
5.0 		X           0 0 0
(16) Valerie Cahill
 
Trustee
 1.0
.................
6.0 		X           0 0 0
(17) Walter Whang MD
 
Trustee
 1.0
.................
39.0 		X           0 584,280 45,413
Form 990 (2021)
Form 990 (2021)
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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(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) Chris J Mollet
 
System Chief Legal Officer/Corp Secretary
 1.0
.......................39.0 		    X       0 1,045,918 46,129
(19) Denise Chamberlain
 
CFO, South Region/Treasurer
 1.0
.......................39.0 		    X       0 892,466 147,746
(20) Douglas D Welday
 
System Chief Financial Officer
 1.0
.......................39.0 		    X       0 1,217,510 425,841
(21) Gerald P Gallagher
 
System President and CEO
 1.0
.......................39.0 		    X       0 3,655,300 1,103,973
(22) Jason Ogden
 
AVP, Corp Control & Treas Mgmt/Assistant Treasurer
 1.0
.......................39.0 		    X       0 387,866 45,572
(23) Jeffrey D Friant
 
VP, Finance/ Assistant Treasurer
 1.0
.......................40.0 		    X       0 525,623 101,894
(24) Gina M Sharp
 
Pres, LOH Behav Hlth Institute
 1.0
.......................39.0 		      X     0 515,949 50,700
(25) Maureen Kunz
 
AVP, CNO LOH
 39.0
.......................1.0 		      X     278,322 0 44,411
(26) Carrie Esposito
 
RN Administrative Supv NE
 40.0
.......................0 		        X   167,840 0 7,265
(27) Isabel Cothran
 
RN
 40.0
.......................0 		        X   164,337 0 26,700
(28) Joseph A Malesich
 
Dir, Pharmacy
 40.0
.......................0 		        X   209,382 0 39,429
(29) Kelly Bryant
 
Dir, Clin Excellence&Gero Svs LOH
 40.0
.......................0 		        X   165,046 0 18,555
(30) Sheryl Bates
 
Dir, Admissions & Utiliz Mgmt
 40.0
.......................0 		        X   158,571 0 26,218
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 1,143,498 13,785,229 2,379,307
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 MediumBullet41
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
US FOODS

800 SUPREME DR
BENSENVILLE,IL60106 		FOOD SERVICE 436,229
CUNNINGHAM HOLDING LLC

318 W ADAMS STREET
SUITE 1611
CHICAGO,IL60606 		MARKETING 178,300
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet2
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 50,400
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 50,400
Program Service RevenueAmt Business Code
2a Program Service Revenue 621300 48,387,087 48,387,087    
b Medicare Assessment Program 900099 3,860,200 3,860,200    
c Resource Referral Center 621990 1,998,979 1,998,979    
d Tutoring 611710 815,150 815,150    
e Rental Income from Affliliates 532000 48,998 48,998    
f All other program service revenue. 1,319,225 1,319,225 0 0
g Total. Add lines 2a–2f .....MediumBullet 56,429,639
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 17,846     17,846
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss) 0 0 6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss) 0 0 7c
d Net gain or (loss).........MediumBullet        
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 0
12 Total revenue. See instructions.....MediumBullet 56,497,885 56,429,639 0 17,846
Form 990 (2021)
Form 990 (2021)
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 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 322,733 322,733    
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 34,161,914 30,713,449 3,448,465  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 1,029,488 926,539 102,949  
9 Other employee benefits ....... 3,864,906 3,478,415 386,491  
10 Payroll taxes ........... 2,462,011 2,215,810 246,201  
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ........... 6,710   6,710  
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) 10,396,496 8,970,425 1,426,071 0
12 Advertising and promotion .... 219,588 175,670 43,918  
13 Office expenses ....... 1,331,126 1,308,584 22,542  
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 2,441,994 2,422,682 19,312  
17 Travel ............ 109,553 106,735 2,818  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 47,975 46,740 1,235  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 1,392,043 1,286,059 105,984  
23 Insurance ... 424,200 339,360 84,840  
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 Medicaid tax 5,577,234 4,461,787 1,115,447  
b Repairs & maintenance 380,614 380,556 58  
c
d
e All other expenses 274,316 242,878 31,438 0
25 Total functional expenses. Add lines 1 through 24e 64,442,901 57,398,422 7,044,479 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
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 ........ -7,923 1 456
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 3,872,863 4 3,078,629
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 87,070 8 85,045
9 Prepaid expenses and deferred charges ...... 282,012 9 234,224
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 36,733,814
b Less: accumulated depreciation 10b 20,880,704 16,023,663 10c 15,853,110
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 .. 0 13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 7,832,278 15 6,265,417
16 Total assets. Add lines 1 through 15 (must equal line 33)... 28,089,963 16 25,516,881
Liabilities 17 Accounts payable and accrued expenses ..... 4,117,782 17 3,446,922
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 12,178,877 25 6,349,868
26 Total liabilities. Add lines 17 through 25.. 16,296,659 26 9,796,790
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 11,458,215 27 15,583,072
28 Net assets with donor restrictions ........... 335,089 28 137,019
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 11,793,304 32 15,720,091
33 Total liabilities and net assets/fund balances ........ 28,089,963 33 25,516,881
Form 990 (2021)
Form 990 (2021)
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
56,497,885
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
64,442,901
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-7,945,016
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
11,793,304
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
11,871,803
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
15,720,091
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 on
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 (2021)
Form 990 (2021)
Additional Data


Software ID: 22016089
Software Version: 2022v5.0
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
Naperville Psychiatric Ventures
 
Employer identification number

36-3965251
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 ...............................  
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
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 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
 
15
15
 
16a
33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
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) 2022

Schedule A (Form 990) 2022
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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 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
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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
 
 
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
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
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 box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
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 lines 5b and 5c 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
 
 
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
 
 
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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
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
 
 
b
Did one or more disqualified persons (as defined on 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
 
 
c
Did a disqualified person (as defined on 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
 
 
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
 
 
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) 2022

Schedule A (Form 990) 2022
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 on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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
 
 
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
 
 
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
 
 
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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2022

Schedule A (Form 990) 2022
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 0.015 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 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2022 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2022 		(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2022:
a From 2017.......  
b From 2018.......  
c From 2019.......  
d From 2020.......  
e From 2021.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2022 distributable amount  
i Carryover from 2017 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2022 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2022, 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 2022. 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 2023. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2018.....  
b Excess from 2019.....  
c Excess from 2020.....  
d Excess from 2021.....  
e Excess from 2022.....  
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2022


Additional Data


Software ID: 22016089
Software Version: 2022v5.0
Schedule B
(Form 990)
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
2022
Name of the organization
Naperville Psychiatric Ventures
 
Employer identification number

36-3965251
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) (2022)
Schedule B (Form 990) (2022) Page 2
Name of organization
Naperville Psychiatric Ventures
  		Employer identification number
36-3965251
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
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) (2022)
Schedule B (Form 990) (2022)
Page 3
Name of organization
Naperville Psychiatric Ventures
  		Employer identification number

36-3965251
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) (2022)
Schedule B (Form 990) (2022)
Page 4
Name of organization
Naperville Psychiatric Ventures
  		Employer identification number

36-3965251
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) (2022)
Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE C
(Form 990)

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
2021
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
Naperville Psychiatric Ventures
 
Employer identification number

36-3965251
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.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990) 2021


Schedule C (Form 990) 2021
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
6,710
j
Total. Add lines 1c through 1i ....................................................................................................
6,710
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, 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-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY NAPERVILLE PSYCHIATRIC VENTURES HOSPITAL PAYS DUE TO CERTAIN HOPITAL ASSOCIATIONS WHICH USE A PORTION OF THESE DUES FOR LOBBYING.
Schedule C (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
Naperville Psychiatric Ventures
 
Employer identification number

36-3965251
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
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 .... 335,089 333,488 287,016 280,042 236,770
b Contributions ... 9,161 4,440 46,722 20,854 101,402
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		207,231 2,839 250 13,880 58,130
f Administrative expenses ....          
g End of year balance ...... 137,019 335,089 333,488 287,016 280,042
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 Bullet0 %
c
Term endowment SchDMd Bullet100 %
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)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
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 .....   1,262,229 1,262,229
b Buildings ....   29,004,476 16,985,976 12,018,500
c Leasehold improvements        
d Equipment ....   5,451,019 3,894,728 1,556,291
e Other .....   1,016,090   1,016,090
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 15,853,110
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
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)Other Current Assets 137,019
(2)OPERATING LEASE RIGHT-OF-USE ASSET 6,128,398
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 6,265,417
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  
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 6,349,868
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) 2021

Schedule D (Form 990) 2021
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 56,497,885
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 0
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1.................. 3 56,497,885
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 0
c Add lines 4a and 4b.................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 56,497,885
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 64,442,901
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 0
e Add lines 2a through 2d.................... 2e 0
3 Subtract line 2e from line 1................... 3 64,442,901
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 0
c Add lines 4a and 4b..................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 64,442,901
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part V, Line 4 Intended uses of endowment funds FUNDS ARE USED FOR VARIOUS PROGRAMS THROUGHOUT THE HOSPITAL SUCH AS MINOR EQUIPMENT AND PROGRAMMING MATERIAL.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The affiliates and subsidiaries of the System are primarily tax-exempt organizations under Internal Revenue Code Section 501(c)(3), and their related income is exempt from federal income tax. Accordingly, there is no material provision for income tax for these entities. Some of the income generated by certain exempt entities is subject to taxation as unrelated business income. The System files federal income tax returns and returns for various states in the U.S. ASC 740-10, 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 can be recognized in the consolidated financial statements. Furthermore, this interpretation prescribes the benefit to be recorded in the consolidated 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 year ended December 31, 2022. At year-end December 31, 2022, the System had a net operating loss carryforward of $340,271, which generated deferred tax assets of $96,228. These assets are offset by a valuation allowance of $94,373.
Schedule D (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0




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 20a.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
Naperville Psychiatric Ventures
 
Employer identification number

36-3965251
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) . . . 		    400,543   400,543 0.62 %
b Medicaid (from Worksheet 3, column a) . . . . .     6,336,597 3,806,687 2,529,910 3.93 %
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 6,737,140 3,806,687 2,930,453 4.55 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     3,992,148 41,956 3,950,192 6.13 %
f Health professions education (from Worksheet 5) . . .     134,698   134,698 0.21 %
g Subsidized health services (from Worksheet 6) . . . .         0 0 %
h Research (from Worksheet 7) .     98   98 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     40,233   40,233 0.06 %
j Total. Other Benefits . . 0 0 4,167,177 41,956 4,125,221 6.40 %
k Total. Add lines 7d and 7j . 0 0 10,904,317 3,848,643 7,055,674 10.95 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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 1 346 27,171   27,171 0.04 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building 1   17,032   17,032 0.03 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 2 346 44,203 0 44,203 0.07 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
1,214,344
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
0
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
4,465,943
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
6,773,062
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-2,307,119
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 %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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?1Name, 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 and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 LINDEN OAKS HOSPITAL
801 SOUTH WASHINGTON STREET
NAPERVILLE,IL60540
EEHealth.org/locations/naperville/linden-oaks-behavioral-health
0005058 		X                  
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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)
LINDEN OAKS 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 22
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 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): eehealth.org/community
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) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
LINDEN OAKS 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
eehealth.org/patients-visitors/manage-my-costs-and-billing/billing/financial-assistance
b
eehealth.org/patients-visitors/manage-my-costs-and-billing/billing/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
LINDEN OAKS 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) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
LINDEN OAKS 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) 2022
Schedule H (Form 990) 2022
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3E During March and April 2022, EEH hosted a series of internal and community stakeholder forums to review essential county level CHNA information and to establish recommendations for the joint CHNA and Implementation Strategy for EH, EMH, and LOH. Throughout this process, forum participants, which included representation from county health departments and medically underserved, low-income, and minority populations, prioritized issues and opportunities based on an assessment of: - Overlap between DuPage and Will Counties: The fact that a health need was identified in both the DuPage and Will County CHNAs as an area of opportunity - Magnitude: the size of the population affected and the degree of variance from benchmarks and trends - Impact/Seriousness: the degree to which the issue affects or exacerbates other quality of life and health-related issues - Feasibility: the ability for EEH to reasonably impact the issue given available resources - Consequences of inaction: the risk of not addressing the problem at the earliest opportunity The result of this process was the identification of the following significant health needs for the 2022 CHNA: - Access to Healthcare - Chronic Disease (Obesity, Diabetes, Heart Disease (including hypertension), and Cancer) - Behavioral Health (Mental Health and Substance Use) - Addressing social determinants and connections to community resources
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Linden Oaks Hospital. Edward Elmhurst Health (EEH) collaborated with DuPage and Will Counties in the development of the counties' most recent CHNAs and implementation strategies and ultimately incorporated these CHNAs into this joint CHNA report. County-specific CHNAs for Will and DuPage counties were developed through "Mobilizing for Action through Planning and Partnerships" (MAPP) collaborative forums, which allowed for each county, along with community leaders, to identify and prioritize the most pressing health issues within the region. This comprehensive approach considers cross-sector input to ensure creation of outcome-driven county plans that are relevant and responsive to community need. The framework incorporated the following qualitative and quantitative collection methods: - Community Themes and Strengths Assessment: a community survey distributed to residents in which feedback is requested about the health of the county. The survey is often used by public health systems to evaluate community health by answering questions such as: What is important to our community? How is quality of life perceived in our community? What assets do we have that can be used to improve community health? - Local Public Health Assessment: focused on community stakeholder input to assess how well the system works together to provide the 10 Essential Public Health Services . The Assessment is designed to answer two key questions, "What are the components, activities, competencies, and capacities of our local service provider system? "How are the 10 Essential Services being provided to our community?" - Community Health Status Assessment: presents quantitative data about each respective county. The information is designed to give a thorough snapshot of the current health status. - Forces of Change Assessment: aims to solicit wide-ranging input from community leaders to identify forces such as trends, factors or events that influence the health of the community. The goal is to better understand the current state in an effort to influence the outcomes of the future. The collaborative process to develop the EEH CHNA involved participation across many internal and community stakeholders throughout a series of forums. These forums were designed to review EEH service area demographics, Will and DuPage County CHNA findings and areas of focus, finalize the selection of significant health needs for this 2022 joint CHNA report, prioritize these health needs, and identify resources potentially available to impact and prioritize. Discussions generated from these forums also laid the groundwork for the establishment of community benefit initiatives to support the FY2022-2024 Implementation Strategy. The following criteria were used to identify and prioritize the most significant health needs: - Overlap between DuPage and Will Counties: The fact that a health need was identified in both the DuPage and Will County CHNAs as an area of opportunity through the MAPP process - Magnitude: the size of the population affected and the degree of variance from benchmarks and trend - Impact/Seriousness: the degree to which the issue affects or exacerbates other quality of life and health-related issues - Feasibility: the ability for EEH to reasonably impact the issue given available resources - Consequences of inaction: the risk of not addressing the problem at the earliest opportunity Further, participants were asked to consider the following questions: - What current EEH initiatives are effective and should continue or be enhanced/expanded? - What new initiatives should EEH consider to advance the health of the community within the identified priorities? - Are there specific population segments that require focused initiatives not already established by EEH? - As a health care provider, where can EEH have the greatest impact when addressing health equity - What are key community partnerships we should explore, continue and/or enhance? - If EEH were to commit to ONE meaningful new initiative to support the health of our community, what do you suggest? Two additional meetings with external community stakeholders were held: - EEH hosted a Health Equity Roundtable event with DuPage and Will County representatives on March 2, 2022. At this event, cross sector leadership came together to discuss the most pressing issues, learn from one another, and ultimately discuss ways to strengthen strategies for engagement between EEH/CBOs to effectively serve DuPage and Will County residents. - On March 22, 2022, members of the Edward-Elmhurst Community Advisory Council, which includes representatives of organizations serving and representing the interests of medically underserved, low-income, and minority populations provided input to guide the EEH FY2022 - 2024 Plan. The attendees and populations represented are listed in Appendix C. This group provided their perspective of the most pressing needs of the community, confirmed and refined EEH's preliminary priorities, and provided valuable input around opportunities and initiatives to address these priorities. A final meeting was held on April 13, 2022, where key EEH internal stakeholders joined together to confirm the prioritized strategic areas of focus and further brainstorm relevant initiatives to develop the implementation strategy.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Linden Oaks Hospital. The Community Health Needs Assessment (CHNA) conducted by Edward-Elmhurst Health (EEH) included three hospitals: Edward Hospital, Elmhurst Memorial Hospital, and Linden Oaks Hospital.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Linden Oaks Hospital. Edward-Elmhurst Health (EEH) collaborated with DuPage and Will Counties in the development of the counties' most recent CHNAs and implementation strategies and incorporated those CHNAs into a joint CHNA report.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Linden Oaks Hospital. Synergistic with broader and ongoing initiatives around community education and advocacy, EEH will be focused over the next three years on the following initiatives to address the significant health needs identified in this 2022 CHNA report. EEH will be carrying on these activities on behalf of Edward Hospital, Elmhurst Memorial Hospital, and Linden Oaks Hospital. Access to Healthcare - Expand public education about the availability of cost effective ambulatory access points - Optimize virtual triage program to enhance connection and include live chat access - Expand EEMG integrated primary care provider and urgent care network, including identification of specialty care gaps - Develop expanded virtual care options and 24/7 virtual access to key services - Explore partnerships with Community partners to expand outreach, reduce transportation barriers, reach vulnerable and underserved populations - Connect with Hispanic organizations to understand deficits in healthcare literacy/ navigation and support program development assessments - Promote and offer financial assistance to eligible patients - Identify and assist uninsured patients in ED in obtaining coverage through counseling and related assistance - Partner with DuPage Health Coalition, Will County MAPP collaborative, Impact DuPage to ensure access for low income residents Chronic Disease (Obesity/Diabetes/Heart disease (including hypertension)) - Continue to grow EEH System AWARE programs and connect 'at risk' patients (weight, diabetes, stroke, heart, breast, colon) - Expand UltraFast Heartscan (UFHS) programs and connect 'at risk' patients to appropriate resources - Conduct community Peripheral vascular screenings and connect 'at risk' patients to appropriate resources - Support "Young Hearts for Life" to provide EKG testing in high schools - Increase cancer screening rates through EEMG primary care providers; Increase colon and breast cancer screenings for underserved populations - Increase EEMG provider education on culturally appropriate pre-diabetic care planning (community resources, lifestyle modification training) - Expand Hispanic diabetic pilot program - Expand EEH adult and pediatric weight management programming - Enhance and further develop school relationships to specifically address childhood obesity; consider potential for regional initiative - Explore expansion options for Jump Start Your health through funding - Expand and streamline EEH transitional care clinic/specialty care clinic concepts; evaluate chronic care management model - Explore opportunities to expand diseases specific navigation and integration programs Mental Health/Substance Abuse - Expand the local supply of LOMG psychiatrists and APPs Number of new psychiatrists and APC's. - Volume of new patients EEH System recruitment team support for LOH physicians and APCs - Engage academic organizations to partner with recruitment (nursing, therapists, BHAs) - Continue to grow and expand integration and navigation programs (ambulatory/hospital settings) - Adopt new Mental Health First Aid (MHFA) curricula focused on teens and seniors (incorporate substance use disorder) - Partner to produce a Healthy Driven podcast focused on mental health and substance use disorders - Grow local community partnerships as a vehicle for continued education/awareness - Expand Haymarket/Gateway partnership to the ambulatory environment to reach vulnerable populations - Develop tools to monitor improvement efforts for ED protocols and provider prescribing patterns Addressing Social Determinants and Connections to Community Resources - Enhance provider awareness/education on Epic SDOH platform and referral resources - Expand EPIC SDOH module to all patient care areas at acute care hospitals (ambulatory/inpatient) - Utilize FIndhelp.org and other community based relationships to enhance partnerships to reduce housing and transportation deficits; reduce food insecurity - Improve data collection and utilize dashboards to analyze areas of health disparities - Develop scorecard to measure progress against goals and improvement benchmarks Actions taken during 2022 to address the needs identified in the CHNA include the following programs and services: Addressing Access to Healthcare - EEH's Physician Services Department recruited over 100 providers (physicians and advanced practice providers) which allowed for growth in the local employed/affiliated provider network from 631 to 665 (+5%), thus increasing access throughout the community. Further, the primary care provider network conducted more than 400,000 Medicaid and Medicare visits which represented nearly one third of total primary care visit volume. EEH continues to recruit into specialties where access and service gaps have been prioritized within the community including psychiatry, primary care, endocrinology and rheumatology. - Informing under and uninsured patients that financial assistance is available is an important part of EEH's plan to increase patient access to essential health care services. EEH proactively screens patients, identifies those in need of assistance and guides them to appropriate next steps based on their unique financial circumstances. - EEH's ongoing partnership with DuPage Health Coalition is an important component of the Access to Healthcare strategy. Chronic Disease (Improving Early Detection, Prevention and Wellness) Obesity - The Endeavor Program is a comprehensive and multidisciplinary approach to weight loss including surgical, medical and lifestyle modifications for individuals aged 16 and older. During the planning cycle, EEH expanded access to two new locations, Plainfield and Lombard, expanding beyond the existing clinics in Naperville, Elmhurst and Hinsdale. In addition, EEH established a new pediatric weight loss clinic for children 15 and younger. During the last few years, over 30,000 patient weight loss visits were completed and over 300 bariatric surgical procedures were performed. - Led by a registered dietitian and trained lifestyle coach, Jump Start your Health is a year-long lifestyle change program accredited by the Centers for Disease Control and Prevention (CDC) to help people lose weight, increase activity, and prevent disease. The research-based curriculum helps individuals make lasting lifestyle changes and adopt healthy lifestyle habits aimed to prevent diabetes and cardiovascular disease. Over the course of the FY20-22 planning cycle, the program was expanded to include participants by adding a virtual component to improve access for community members. - The Healthy Driven Families robust resource is automatically included in the patients After Visit Summary (AVS) for all at-risk pediatric patients, which provides families with important guidance on available resources. - In collaboration with community partners, EEH sponsored a community Take a Hike challenge for the second consecutive year to encourage the community to rediscover the health benefits of being active and spending time outdoors. During the past few years, over 2,000 community residents participated in the Challenge. Diabetes - Given the positive patient outcomes and demand for services, EEH expanded Diabetes Center access points over the past few years - collectively services are now offered in Elmhurst, Naperville, Bolingbrook, Plainfield and Yorkville. - Internal EEH data revealed racial and ethnic disparities (Hispanic and African American) associated with prevalence of diabetes across certain geographies. To that end, a pilot program was launched in Addison which embeds a diabetic educator and utilizes a diabetes equity navigator aimed to identify patients and further improve diabetic-related health outcomes. Cardiovascular Care - EEH continued to support and participate in the Young Hearts for Life program. - EEH continues to provide many community education programs focused on heart health and stroke prevention. These webinars reached hundreds of community members annually, providing education on awareness, prevention, and symptom identification. - Regular news, email, blog, and newsletter content is provided to the community by EEH on variety of topics associated with heart disease and stroke prevention. The monthly Healthy Driven Newsletter, with a distribution of over 300,000, covered various heart healthy lifestyle topics.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Linden Oaks Hospital. Cancer Care - EEH enhanced its website allowing for streamlined patient navigation based on individual diagnosis. The dedicated Breast Cancer page was launched, and work began to expand content to include lung, colorectal, prostate and urology. - Virtual navigation service - In collaboration with Impact Advisors, EEH established a virtual navigation program to ensure timely follow-up post-diagnosis. - EEH continues to offer free online screening tools (BreastAware, ColonAware and LungAware) to identify 'at risk' individuals and connect them to appropriate resources for early detection and treatment. - Regular news, email, blog and newsletter content is provided to the community by EEH on variety of topics associated with cancer prevention. The monthly Healthy Driven Newsletter, with a distribution of over 300,000, included prevention lifestyle and informative articles, including topics on cancer care. Addressing Social Determinants of Health (SDOH) - During the most recent CHNA and Implementation Strategy planning process, EEH identified an opportunity to improve the systematic identification of patients with underlying social determinants of health (SDOH) aimed to enhance the referral process to community-based organizations (CBO). An Epic module was implemented to identify patients in need of community resources such as food banks and other social support. Connections to Community Resources - EEH partnered with findhelp.org (formerly known as Aunt Bertha), a social care network that connects people with social services in their communities to ensure they receive the care they need to improve their overall health status. Mental Health/Substance Use Access to Behavioral Health Services - Recruitment continues in a very competitive market with a limited supply of providers. Over the FY20-22 Community Benefit planning cycle, Linden Oaks Medical Group (LOMG) successfully added over 10 psychiatry providers and 14 counselors to expand access to critical counseling and medication management services. - Driven initially by the impact of COVID-19, LOMG counselors and psychiatrists continue to offer virtual visits to ensure access to counseling and telepsychiatry/medication management treatment. - Behavioral Health Integration has proven to be successful through the EEH network. This care delivery model embeds behavioral health therapists within the physician office as an immediate resource for community members ensuring appropriate follow-up care. Linden Oaks continues to expand this care delivery model to additional primary care and specialty clinic locations. - Care coordination within ED and medical floors of acute care hospitals has been re-engineered. The number of patients seeking psychiatric care in the emergency departments (EDs) and medical floors has risen both nationally and locally, creating barriers to appropriate patient access. In response, Linden Oaks enhanced processes to ensure optimal throughput across the units. Key modifications included: increased discharge planners, expanded virtual telepsychiatry, and Medical Director rounding. Community Outreach to Support Behavioral Health Linden Oaks leadership and staff routinely gather input from the broader community to proactively address key imperatives. Below are examples of community events intended to bring front line leaders together to address mental health services within the community: - Linden Oaks continues a collaborative partnership with clinical providers of traditional outpatient counseling and therapy services. To improve engagement and dialogue with community providers, Linden Oaks provided an opportunity to solicit feedback via Community Provider Think Tank events; topics included COVID reactivation plans and the newly formed Centralized Admission Inpatient Unit. - The Linden Oaks Patient Family Advisory Council (PFAC) seeks to enhance the delivery of health care at Linden Oaks by providing a forum for patients and families to work in partnership with hospital staff in the development and implementation of programs, policies, and practice standards. The PFAC members are encouraged to bring forward suggestions and recommendations that may influence the patient care experience to ensure all patients receive, Safe, Seamless, and Personal Care. - As a part of the Linden Oaks Mental Health First Aid (MHFA) program, a pilot program was launched to expand the Program focused specifically on adolescents (Teen MHFA). EEH Opioid Initiative EEH continues to take a leadership role in fighting the opioid epidemic. Led by a task force launched in 2016, the health system has implemented a series of programs and projects, including standardized initiatives and accomplishments are summarized below: - The Midwest Alternative to Opioids Project (ALTO) is a collaboration between the Illinois, Michigan and Wisconsin Hospital Associations and represents a unique opportunity to impact emergency department prescribing across the region. EEH participated in the Illinois Hospital Associate ALTO cohort study and adopted performance metrics considered best practices to measure outcomes associated with opioid reduction efforts. - EEH Emergency Department partnered with DuPage County to distribute Narcan (provided to EEH free of charge from the County) for home use as part of an initiative to prevent overdose related deaths. - New standardized, evidence-based pain management protocols and order sets were piloted at Edward Hospital to reduce opioid use among mothers experiencing cesarean deliveries. As a result of this project, during the first phase opioid use during a hospital stay was reduced from 92% to 68% and opioid prescriptions at discharge were reduced from 92% to 60%. Given the success of this pilot project, the protocols were expanded to Elmhurst Hospital. - EEH partnered with third party addiction treatment centers to provide services to Emergency Department patients in need of follow-up care associated with chemical dependency or substance abuse.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - Linden Oaks Hospital. Summarized below is a list of health priorities by Will and DuPage County that will not be directly addressed by the FY2022-2024 EEH Implementation Strategy. Note that, while not directly driving initiatives around these priorities, EEH will support many of them by participating in task forces, community collaborative forums, coalition building activities, and distributions through the EEH Community Investment Program. - Education: This was identified as a priority area within both Counties as higher education has been linked to positive health outcomes. Specifically, disparities are noted among certain races/ethnicities. As EEH's core competency is health care delivery and not education, support will be provided through community partnerships and collaboration around job training and other initiatives as appropriate. Funding for educational programs related to workforce development focused on disadvantaged populations is within the scope of the EEH Community Investment Fund and may be supported through that vehicle. - Transportation: Within the Counties there is consensus around lack of a true transportation system, limited public transit routes and long commutes to work. Support from EEH will be provided through collaborative partnerships and involvement with community coalitions. Further, as EEH aims to address transportation barriers for patients, the System already provides transportation vouchers to low-income individuals on an as-needed basis, as well as a discounted ride services in the Elmhurst region. - Food Access: Food access, both insecurity and uncertainty, was identified in the most recent CHNAs of both Will and DuPage Counties. As EEH's core competency is healthcare delivery, support will continue to be provided through community partnerships and collaboration. - Workforce Development: This was identified within Will County and the County Investment Board has targeted seven key industry sectors: Healthcare and Social Assistance, Wholesale Trade, Professional and Technical Services, Finance and Insurance, Information Technology, Manufacturing, and Transportation and Warehouse. As one of the largest employers in the region, EEH is a major provider of jobs and attracts a diverse workforce. Continued growth of the organization and active involvement in regional economic development coalitions will ensure an ongoing positive contribution. Funding for educational programs related to workforce development focused on disadvantaged populations is within the scope of the EEH Community Investment Fund and may be supported through that vehicle. - Oral Health: This was identified within Will County, which they aim to address through expansion of telehealth/mobile response (mobile dental van). As EEH does not provide dental care services, this is out of scope and will be addressed at the county level. - Maternal/Child Health: This was identified within Will County during the CHNA assessment process. While not directly prioritized in the FY2022-2024 EEH implementation strategy, the Hospital is a major contributor to Maternal and Child Health through its obstetrics and pediatric service lines, which provide a full range of preventive and treatment services for women and children in the region.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - .
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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?0
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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 prepared by related organization A single community benefit report was prepared for Edward Hospital, Elmhurst Memorial Hospital and Naperville Psychiatric Ventures (d/b/a Linden Oaks Hospital).
Schedule H, Part I, Line 7g Subsidized Health Services THE ORGANIZATION DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS ON LINE 7G.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COSTS ENTERED FOR LINES 7A AND 7B WERE CALCULATED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THE COSTS ENTERED IN THE SUBSIDIZED HEALTH SERVICES (7G) SECTION WERE CALCULATED USING A COST ACCOUNTING SYSTEM AND ADDRESSED ALL PATIENT SEGMENTS. THE COSTS ENTERED IN LINES 7E, 7F, 7H AND 7I WERE CALCULATED USING A COST ACCOUNTING SYSTEM OR WERE THE ACTUAL COSTS.
Schedule H, Part II Community Building Activities Employees are encouraged to serve on community boards and participate in programs and on committees that address economic development, training, community health needs, advocacy and workforce development. Examples of these programs and the benefit they provide are highlighted below. Community support includes educational and mentoring programs for vulnerable populations, neighborhood support groups, violence prevention programs, disaster readiness and public health emergency activities such as community disease surveillance and readiness training beyond what is required by accrediting bodies or government entities. Coalition building incudes participation in community coalitions and collaborative efforts to address health and safety issues. This includes programs such as the DuPage health coalition which includes a set of interconnected organizations, program and facilities that work together to provide coordinated medical care and other health related services to DuPage county's low-income residents and the rotary club of Naperville which helped support the fight against human trafficking with their fundraising event this year.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE AMOUNT OF BAD DEBT EXPENSE IS OBTAINED BY TAKING THE NET AMOUNT PLACED IN BAD DEBT LESS THE PAYMENTS AND ADJUSTMENTS RECEIVED. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS REDUCE THE ORGNIZATION'S BAD DEBT EXPENSE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE HOSPITAL IS UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote See pages 9 and 14-18 of the audited financial statements for footnotes describing accounts receivable and bad debt expense.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs IF NAPERVILLE PSYCHIATRIC VENTURES DISCONTINUED UNPROFITABLE SERVICES, IT WOULD BECOME THE RESPONSIBILITY OF ANOTHER PROVIDER OR THE GOVERNMENT TO CARE FOR THE MEDICARE PATIENT POPULATION. THIS WOULD, ULTIMATELY, RESULT IN ACCESS ISSUES AND NEGATIVELY IMPACT QUALITY OF CARE AND HEALTH OUTCOMES. THEREFORE THE SHORTFALL INCURRED BY CONTINUING TO PROVIDE THESE SERVICES IS CONSIDERED A COMMUNITY BENEFIT. A COST-TO-CHARGE RATIO WAS USED TO DETERMINE THE REPORTED AMOUNT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IF THE PATIENT HAS NO INSURANCE COVERAGE, NAPERVILLE PSYCHIATRIC VENTURES WILL PROVIDE FINANCIAL COUNSELING SERVICES TO ASSIST THE PATIENT OR GUARANTOR (PARENT OR GUARDIAN RESPONSIBLE FOR PAYMENT OF SERVICES) IN APPLYING FOR VARIOUS PROGRAMS THAT MAY HELP RESOLVE THE PATIENT OR GUARANTOR'S BILL. FINANCIAL COUNSELORS ASSIST PATIENTS IN APPLYING FOR GOVERNMENT-SPONSORED HEALTH INSURANCE OR OTHER THIRD-PARTY INSURANCE (SUCH AS ADDING BABY TO POLICY), ESTABLISHING A PAYMENT ARRANGEMENT, AND APPLYING FOR FINANCIAL ASSISTANCE. BEFORE RECEIVING A BILL, PATIENTS WITHOUT INSURANCE COVERAGE WILL RECEIVE A LETTER INFORMING THEM OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE OPTION OF PAYMENT PLANS. IF A PATIENT IS APPROVED FOR FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNTS ARE DISCOUNTED BY THE % APPROVED. IN CASES WHERE A BALANCE REMAINS, NORMAL COLLECTION PRACTICES ARE FOLLOWED.
Schedule H, Part V, Section B, Line 16a FAP website - LINDEN OAKS HOSPITAL: Line 16a URL: eehealth.org/patients-visitors/manage-my-costs-and-billing/billing/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website - LINDEN OAKS HOSPITAL: Line 16b URL: eehealth.org/patients-visitors/manage-my-costs-and-billing/billing/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - LINDEN OAKS HOSPITAL: Line 16c URL: eehealth.org/patients-visitors/manage-my-costs-and-billing/billing/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment See the information reported in Part V Section B regarding the most recently completed Community Health Needs Assessment (CHNA).
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Informing our patients that financial assistance is available is an important part of EEH's financial assistance program. Financial assistance is available to the under-insured as well as the uninsured. Information about our financial assistance program and the application is available on EEH website in English and Spanish. Patient statements also include information on how to obtain a financial assistance application. Uninsured inpatients are screened for eligibility for governmental programs. Patients who do not qualify for such programs are given a financial assistance application. Signage is posted at all registration areas including the emergency department. A notice on our consent to treat highlights that financial assistance is available. Also, our customer service department and financial counselors are available to assist patients who are having difficulty paying their bill and the need for financial assistance. Lastly, EEH leverages a presumptive eligibility tool that provides additional screening for financial assistance prior to the statements being sent. For uninsured patients the statement reflects any discounts the patient was eligible for under our financial assistance policy. EEH continues its partnership with Change Healthcare with the goal to provide under- and uninsured patients with insurance coverage through various Medicaid programs. The service is offered to patients receiving care as an inpatient, in the emergency department and in various outpatient departments, and is tailored to guide the patient through a complex application process for applicable federal, state, and community benefit programs.
Schedule H, Part VI, Line 4 Community information The Edward-Elmhurst Health System (EEH) is comprised of three hospital facilities: Edward Hospital (EH), Elmhurst Memorial Hospital (EMH) and Linden Oaks Hospital (LOH). The primary service area (PSA) of EH, EMH, and LOH together - defined as the area from which these three hospital facilities draw roughly seventy-five percent (75%) of inpatient admissions - has a population of nearly one million residents and stretches approximately 42 contiguous miles from Yorkville (southwest corner of EH PSA) to Bensenville (northeast corner of EMH PSA). EH, EMH, and LOH also serve a secondary service area (SSA)-representing approximately 15% of IP discharges-of approximately 1 million additional residents. While nearly 70% of EEH System patients reside in DuPage (47%) or Will (22%) county. The hospitals also see patients from Cook (20%), Kane (4%), Kendall (3%), and other (4%) counties. Cook County has a disproportionately high level of minority population at 31%, compared to Will and DuPage Counties combined at 18%. Cook County also has poverty rate of 10%, which is double that of Will and DuPage Counties combined at 5%. When considering median age, EEH PSA and Will County are nearly the same (38.3 and 38.6 years respectively) as the state of Illinois (38.9 years) while DuPage County is slightly older (40.1 years). By 2026, it is projected that 18% of DuPage and Will County residents will be 65 years or older, compared to approximately 16% in 2021. Within the EEH region, about 43% of residents have a bachelor's, master's, professional or doctorate degree compared to the Illinois rate of 35%. The EEH region is relatively affluent compared with the state of Illinois, as depicted below. However, areas of low income residents do exist. Specifically, while reviewing DuPage and Will Counties collectively, nearly 5% or 19,019 families were below the poverty line. The average household income for the community served by EEH was as follows: - EEH Primary Service Area - $131,298 - DuPage County - $137,243 - Will County - $121,308 Over 50% of patients receiving inpatient services at EEH are Medicare or Medicaid recipients. Other hospitals serving the EEH community include: - Rush-Copley medical center - Adventist Bolingbrook hospital - Advocate Good Samaritan hospital - Northwestern Central DuPage hospital - Presence saint joseph medical center - Advocate good Samaritan hospital - Loyola university medical center - Amita health Alexian brothers medical center - Gottlieb memorial hospital - Westlake hospital - Amita health Adventist Glenoaks - Amita health Adventist Hinsdale hospital
Schedule H, Part VI, Line 5 Promotion of community health The majority of EEH's governing body is comprised of persons who reside in the primary service area and are neither employees nor independent contractors of the organization, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in its community for all departments. As a Not-For-Profit Organization, EEH re-invests earnings in the organization to maintain and enhance services that benefit the community served by the hospitals. The organization develops and updates a strategic plan on a regular basis to identify needs and opportunities to deploy excess funds. Projects are evaluated based on organizational objectives and community needs, and are prioritized by senior management and the board of trustees. Edward-Elmhurst Health actively promotes the health of its community by integrating community benefit planning into its strategic planning process, which ensures resources are allocated to supporting activities. Also, EEH promotes the health of its community by participating in a range of committees, coalitions, panels, advisory groups, commissions, and boards. In addition, members of senior management participate in coalitions to strengthen partnerships with other organizations for the development of programs for the health of the community. An example is Will County Mobilizing for Action through Planning and Partnerships (MAPP), which represents a unique partnership of hospitals, physicians, local government, human services agencies and community groups working together locally to address the national healthcare crisis. Another example is a statewide coalition focused on obesity prevention, Illinois Alliance to Prevent Obesity which drives legislative change to combat obesity and promote equity in health outcomes. EEH actively engages with local and national non-profit partners to advance health equity, with a premier example being the American Heart Association. EEH staff organize a walk every year with hundreds of community participants in cooperation with the AHA to fundraise for the organization. We also actively participate in their Health Equity Task Force, where we learn and share best practices to advance health equity along with guiding the advocacy efforts for the organization to advance health equity in the region. As a not-for-profit, community-based healthcare system, Edward-Elmhurst Health (EEH) applies surplus funds to a number of initiatives aimed at providing enhanced patient care to the residents of the communities served, including, but not limited to, improvements in facilities and equipment, patient care, medical training, and education. On an annual basis, the EEH Board of Trustees and EEH Finance Committee approve a capital budget as presented by EEH management. The annual capital expenditures are designed to fund the facility and equipment requirements of various strategic patient-care initiatives, as well as to replace or modernize existing equipment. The annual budget is set based on the operational needs of the organization to provide patient care, taking into account available surplus funds. EEH's senior executive leadership team regularly evaluate opportunities to invest in improved patient care across the system, as well as medical training/education across employees. In addition to these ongoing efforts, the EEH Board of Trustees approved the establishment of a $100 Million Community Investment Program in August 2021. The purpose of the Program is to establish EEH as a community anchor institution committed to partnering with organizations to meaningfully advance the health and well-being of the communities it serves. The Program will provide annual grant funding to community organizations aligned with the following goals: - Advancing Health (health equity and social determinants of health) - Local economic growth (supply chain diversity and job creating prioritizing DEI principles). The Program will be guided by input from the EEH Regional Board and the EEH Community Advisory Council, which will support ongoing engagement around community need. Community Education is provided free of charge to the community at large with the aim of promoting wellness, enhancing understanding of disease prevention and management, to minimize related complications and improve quality of life. Monthly webinars, presented by primary care physicians, specialists, dietitians and advanced practice clinicians are provided free of charge to promote prevention, awareness, education and overall wellness. Key health areas include nutrition, fitness, diabetes, cardiology, cancer prevention, arthritis, pain management, sleep and integrative medicine. The hospital system also funds access to an application/database of area resources for "in need" individuals and families call "Find Help". Finally, we partner with area non-profits to encourage physical activity through our annual "Take a Hike! Challenge". The system provides the coordination and structure of the program as well as an award incentive for participants, which takes place for 8 weeks in the Fall. Additional community education is provided through in-person lecture events to smaller audiences, as well as a vast database of online education, primarily in the form of blog articles, authored by experts in their fields, which can be accessed through the website: EEHealth.org. These are also featured on social media such as Facebook, Instagram and Twitter. Additional blog content is regularly added. Education is also pushed out through our monthly newsletters. EEH provides a speakers bureau, free of charge, to a wide array of community organizations including senior centers, churches, cultural organizations, school STEM programs, living communities, newcomers organizations, libraries and school districts throughout the year. EEH staff provide screenings, such as blood pressure, and stroke awareness education, at a variety of community health fairs. The ED also provides education at many community fairs on trauma prevention, dog bite safety, and bicycle safety.
Schedule H, Part VI, Line 6 Affiliated health care system Edward Hospital is part of NorthShore - Edward-Elmhurst Health. NorthShore-Edward-Elmhurst Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights), Skokie, and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Located in Naperville, Linden Oaks Behavioral Health provides for the mental health needs of area residents. NorthShore - Edward-Elmhurst Health desires to continue providing clinical programs and services to meet community health needs, while also pursuing continuous improvement in existing and future programs to improve the overall health of individuals in the communities it serves. As such, hospitals within the NorthShore-Edward-Elmhurst Health system conduct Community Health Needs Assessments (CHNA's) every three years, using primary and secondary data, to ensure community benefit programs and resources are focused on significant health needs as perceived by the community at large, as well as alignment with NorthShore-Edward-Elmhurst Health's mission, services, and strategic priorities.
Schedule H, Part VI, Line 7 State filing of community benefit report IL
Schedule H (Form 990) 2022
Additional Data


Software ID: 22016089
Software Version: 2022v5.0
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
2022
Open to Public Inspection
Name of the organization
Naperville Psychiatric Ventures
 
Employer identification number

36-3965251
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
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) 2022

Schedule J (Form 990) 2022
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, 1099-MISC compensation, and/or 1099-NEC (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
1Joseph Dant
 
Pres,Edward Hosp&Sth Institute 		(i)

(ii)		 0
-------------
558,267 		0
-------------
240,522 		0
-------------
524,551 		0
-------------
52,299 		0
-------------
31,907 		0
-------------
1,407,546 		0
-------------
423,090
2Mary L Mastro
 
CEO, South Region/Trustee 		(i)

(ii)		 0
-------------
1,042,997 		0
-------------
616,915 		0
-------------
386,649 		0
-------------
16,704 		0
-------------
27,076 		0
-------------
2,090,341 		0
-------------
0
3Mark Gomez MD
 
Physician/Trustee 		(i)

(ii)		 0
-------------
425,199 		0
-------------
2,430 		0
-------------
2,184 		0
-------------
16,332 		0
-------------
31,323 		0
-------------
477,468 		0
-------------
0
4Michael Hoffman MD
 
Trustee 		(i)

(ii)		 0
-------------
207,440 		0
-------------
100,000 		0
-------------
3,694 		0
-------------
6,292 		0
-------------
11,418 		0
-------------
328,844 		0
-------------
0
5Adam Schriedel MD
 
Chief Medical Officer/Trustee 		(i)

(ii)		 0
-------------
431,630 		0
-------------
37,043 		0
-------------
1,592 		0
-------------
16,424 		0
-------------
20,529 		0
-------------
507,218 		0
-------------
0
6Lekshmi Venugopal MD
 
Trustee 		(i)

(ii)		 0
-------------
376,899 		0
-------------
0 		0
-------------
2,306 		0
-------------
16,762 		0
-------------
2,393 		0
-------------
398,360 		0
-------------
0
7Walter Whang MD
 
Trustee 		(i)

(ii)		 0
-------------
580,382 		0
-------------
0 		0
-------------
3,898 		0
-------------
9,846 		0
-------------
35,567 		0
-------------
629,693 		0
-------------
0
8Denise Chamberlain
 
CFO, South Region/Treasurer 		(i)

(ii)		 0
-------------
567,333 		0
-------------
253,881 		0
-------------
71,252 		0
-------------
134,245 		0
-------------
13,502 		0
-------------
1,040,212 		0
-------------
0
9Jeffrey D Friant
 
VP, Finance/ Assistant Treasurer 		(i)

(ii)		 0
-------------
327,035 		0
-------------
113,606 		0
-------------
84,982 		0
-------------
88,616 		0
-------------
13,278 		0
-------------
627,518 		0
-------------
0
10Chris J Mollet
 
System Chief Legal Officer/Corp Secretary 		(i)

(ii)		 0
-------------
581,419 		0
-------------
262,665 		0
-------------
201,835 		0
-------------
16,207 		0
-------------
29,922 		0
-------------
1,092,048 		0
-------------
0
11Jason Ogden
 
AVP, Corp Control & Treas Mgmt/Assistant Treasurer 		(i)

(ii)		 0
-------------
290,302 		0
-------------
73,620 		0
-------------
23,945 		0
-------------
16,456 		0
-------------
29,115 		0
-------------
433,438 		0
-------------
0
12Gerald P Gallagher
 
System President and CEO 		(i)

(ii)		 0
-------------
1,588,674 		0
-------------
0 		0
-------------
2,066,626 		0
-------------
1,068,475 		0
-------------
35,498 		0
-------------
4,759,273 		0
-------------
2,057,902
13Douglas D Welday
 
System Chief Financial Officer 		(i)

(ii)		 0
-------------
837,005 		0
-------------
0 		0
-------------
380,505 		0
-------------
392,300 		0
-------------
33,541 		0
-------------
1,643,351 		0
-------------
327,145
14Maureen Kunz
 
AVP, CNO LOH 		(i)

(ii)		 200,243
-------------
0 		61,004
-------------
0 		17,075
-------------
0 		12,587
-------------
0 		31,824
-------------
0 		322,733
-------------
0 		0
-------------
0
15Gina M Sharp
 
Pres, LOH Behav Hlth Institute 		(i)

(ii)		 0
-------------
306,190 		0
-------------
131,767 		0
-------------
77,992 		0
-------------
16,360 		0
-------------
34,341 		0
-------------
566,649 		0
-------------
0
16Sheryl Bates
 
Dir, Admissions & Utiliz Mgmt 		(i)

(ii)		 126,872
-------------
0 		14,402
-------------
0 		17,297
-------------
0 		8,285
-------------
0 		17,933
-------------
0 		184,790
-------------
0 		0
-------------
0
17Kelly Bryant
 
Dir, Clin Excellence&Gero Svs LOH 		(i)

(ii)		 146,197
-------------
0 		16,274
-------------
0 		2,574
-------------
0 		9,730
-------------
0 		8,825
-------------
0 		183,601
-------------
0 		0
-------------
0
18Isabel Cothran
 
RN 		(i)

(ii)		 141,775
-------------
0 		12,583
-------------
0 		9,979
-------------
0 		7,015
-------------
0 		19,685
-------------
0 		191,037
-------------
0 		0
-------------
0
19Carrie Esposito
 
RN Administrative Supv NE 		(i)

(ii)		 156,609
-------------
0 		9,037
-------------
0 		2,194
-------------
0 		6,631
-------------
0 		634
-------------
0 		175,105
-------------
0 		0
-------------
0
20Joseph A Malesich
 
Dir, Pharmacy 		(i)

(ii)		 186,511
-------------
0 		21,523
-------------
0 		1,348
-------------
0 		9,825
-------------
0 		29,605
-------------
0 		248,812
-------------
0 		0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments The organization's officers and certain key employees are offered life insurance and long-term disability benefits. A transition bonus is paid to certain executives that no longer receive a gross-up payment to cover the tax impacts for life insurance and long-term disability.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees ALL EMPLOYEES ARE OFFERED A MEMBERSHIP AT THE EDWARD HEALTH & FITNESS CENTER, AN AFFILIATE OF EDWARD-ELMHURST HEALTHCARE, AS A TAXABLE EMPLOYEE BENEFIT. THE VALUE OF THIS BENEFIT IS DETERMINED BASED UPON THE FAIR MARKET VALUE OF THESE MEMBERSHIPS, WHICH IS IN TURN DETERMINED BASED UPON THE ACTUAL AMOUNT THAT THE EDWARD HEALTH & FITNESS CENTER CHARGES TO OTHER CORPORATE CUSTOMERS. MEMBERS OF SENIOR MANAGEMENT (THE PRESIDENT AND VICE PRESIDENTS) ARE ALSO PROVIDED THIS BENEFIT FOR THEIR SPOUSE AND CHILDREN, ALSO AS A TAXABLE BENEFIT.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A detailed compensation review of the top executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with NS-EE Holdings' Board-retained legal counsel. Market data for base and variable compensation is assessed annually for integrated delivery systems and academic medical centers that are similar in size and complexity. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the NS-EE Holdings Compensation Committee, in session with legal counsel present, in advance of implementation.
Schedule J, Part I, Line 4a Severance or change-of-control payment As of December 31, 2022, an executive signed a change-of-control arrangement. No payments were made under these arrangements in 2022.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan INDIVIDUALS WHO HAVE THE TITLE OF VICE PRESIDENT OR HIGHER ARE ELIGIBLE TO PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP); ANY ELIGIBLE PARTICIPANTS MUST BE APPROVED BY THE EDWARD-ELMHURST HEALTHCARE BOARD OF TRUSTEES. THE SERP WAS ESTABLISHED TO RECOGNIZE THE VALUABLE CONTRIBUTIONS THAT EACH OF THE PARTICIPANTS MAKES TO THE OPERATIONS OF EDWARD-ELMHURST HEALTHCARE AND TO REWARD CERTAIN EXECUTIVE EMPLOYEES FOR THEIR LONG-TERM SERVICE AND COMMITMENT TO EDWARD-ELMHURST HEALTHCARE. THE SERP IS DESIGNED TO SUPPLEMENT THESE PARTICIPANTS' INCOME IF THEY REMAIN WITH EDWARD-ELMHURST HEALTHCARE UNTIL AGE 65. IN EXCHANGE FOR THIS LONG-TERM SERVICE, EDWARD-ELMHURST HEALTHCARE WANTS TO SUPPLEMENT THESE PARTICIPANTS' RETIREMENT INCOME WITH ADDITIONAL ANNUAL COMPENSATION THAT IS INVESTED IN AN ANNUITY CONTRACT OR A LIFE INSURANCE VEHICLE; CONTRIBUTIONS VEST AFTER FIVE YEARS. THE FOLLOWING INTERESTED PERSONS RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022; THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). Chamberlain, Denise 126,125 Dant, Joseph C 31,531 Gallagher, Gerald P. 400,558 Welday, Douglas D. 109,254 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022; THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. Dant, Joseph C 503,579 Friant, Jeffrey 73,286 Mastro, Mary J 293,825 Mollet, Chris J 130,925 Sharp, Gina 69,591 Sullivan, Daniel 127,325 Gallagher, Gerald P. 2,057,902 Welday, Douglas D. 360,309
Schedule J, Part I, Line 7 Non-fixed payments SCHEDULE J, PART 1, LINE 7 IS ANSWERED YES BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, RECEIVED A NONFIXED PAYMENT (BONUS) DURING THE YEAR. THE NON-FIXED PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) AS BONUSES. THE BONUS AMOUNTS DETERMINED ARE BASED ON A FIXED PERCENTAGE OF BASE COMPENSATION, HOWEVER THEY ARE DISCRETIONARY IN NATURE, IN THAT DISCRETION IS GIVEN AS TO WHETHER OR NOT A BONUS WILL BE PAID FOR THE REPORTING PERIOD.
Schedule J (Form 990) 2022

Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE O
(Form 990)

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
2021
Open to Public
Inspection
Name of the organization
Naperville Psychiatric Ventures
 
Employer identification number

36-3965251
Return Reference Explanation
Form 990, Part I, Line 6 VOLUNTEERS OUR VOLUNTEERS WORK IN A LARGE MAJORITY OF AREAS THROUGHOUT THE EDWARD-ELMHURST HEALTHCARE SYSTEM. THE RESPONSIBILITIES OF THE VOLUNTEERS VARY, DEPENDENT ON THE AREA THEY ARE VOLUNTEERING IN AND THE PROJECTS TO BE COMPLETED. VOLUNTEERS HAVE ASSISTED WITH CLERICAL WORK, DATA ENTRY, MEETING AND GREETING, FRIENDLY VISITS, ESCORTING AND PROVIDING GENERAL INFORMATION TO PATIENTS AND VISITORS. WE TRACK OUR VOLUNTEER HOURS MONTHLY. ALL OF THE VOLUNTEERS SIGN IN AND OUT EACH SHIFT AND WE COLLECT THE SIGN IN SHEETS AT THE END OF THE MONTH. THROUGHOUT THE SYSTEM, FOR 2022, OUR VOLUNTEERS GAVE 60,000 HOURS OF SERVICE.
Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS LINDEN OAKS HOSPITAL IS A 106-BED, FULL-SERVICE BEHAVIORAL HEALTH FACILITY WITH MORE THAN 20 PSYCHIATRISTS, 30 ADVANCED PRACTICE CLINICIANS ON ITS MEDICAL STAFF, AND OVER 700 EMPLOYEES. LINDEN OAKS SERVES RESIDENTS OF THE WEST AND SOUTHWEST SUBURBS OF CHICAGO. LINDEN OAKS IS ACCREDITED BY THE JOINT COMMISSION AND HAS EARNED A REPUTATION AS A LEADER IN BEHAVIORAL HEALTH SERVICES AND INNOVATIVE PROGRAMMING. LINDEN OAKS USES A COMBINATION OF INPATIENT, PARTIAL HOSPITALIZATION, INTENSIVE OUTPATIENT AND TRADITIONAL OUTPATIENT PROGRAMS TO TREAT ADOLESCENTS, ADULTS AND OLDER ADULTS. LINDEN OAKS HAS PROGRAMS FOR ANXIETY DISORDERS, CHEMICAL DEPENDENCY, DEPRESSION, EATING DISORDERS, GERIATRIC CONDITIONS AND SELF INJURY. THE ASSESSMENT AND REFERRAL CENTER (ARC) PROVIDES INDIVIDUALS NEEDING MENTAL HEALTH SERVICES AN ASSESSMENT BY A LICENSED ASSESSMENT SPECIALISTS, AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK. IN 2022, OVER 14,000 ASSESSMENTS WERE PROVIDED WITH OVER 70,000 CALLS TO THE HELP LINE. INPATIENT ADULT MENTAL HEALTH FOR AGES 18 AND OLDER OFFERS PROGRAMMING FOR THOSE STRUGGLING WITH BEHAVIORAL HEALTH DISORDERS OR EMOTIONAL PROBLEMS. LINDEN OAKS STRIVES TO TEACH NEW SKILLS TO COPE WITH LIFE'S PROBLEMS, REDUCE CONFLICT, HAVE FULFILLING RELATIONSHIPS, AND LIVE A NORMAL DAILY LIFE. THIS PROGRAM USED DIALECTIAL BEHAVIOR THERAPY (DBT) AND SAFETY PLANNNING AS PART OF ITS DAILY SERVICES. SPECIAL INTENSITY UNIT IS A SAFE, STRUCTURED ENVIRONMENT DESIGNED TO HELP REDUCE EXTERNAL STIMULATION FOR THOSE EXPERIENCING ACUTE AND SEVERE PSYCHIATRIC SYMPTOMS. INPATIENT ADOLESCENT MENTAL HEALTH FOR AGES 11 THROUGH 17 OFFERS TREATMENT FOR ANXIETY, BIPOLAR DISORDER, CHEMICAL DEPENDENCY, DEPRESSION, EATING DISORDERS, PSYCHOSIS, AND SELF-INJURY. OUR PRIMARY TREATMENT MODEL IS GROUNDED IN DIALECTICAL BEHAVIOR THERAPY AND FOCUSES ON CRISIS STABILIZATION TO MITIGATE THE RISK OF HARM TO SELF AND/OR OTHERS. PATIENTS ARE EDUCATED ON SAFETY PLANNING AND WORK COLLABORATIVELY WITH THEIR FAMILIES TO DEVELOP A SAFETY PLAN TO IMPLEMENT POST HOSPITALIZATION. ADOLESCENTS ARE PROVIDED WITH TUTORING SERVICES TO STAY CURRENT WITH THEIR SCHOOL WORK/ACTIVITIES. OUTPATIENT PROGRAMS OFFER A HIGH LEVEL OF SUPPORTIVE, FOCUSED AND STRUCTURED CARE. A VARIETY OF PROGRAM TIMES ARE AVAILABLE FOR FULL DAY, HALF DAY, AND AFTER WORK OR SCHOOL. PARTIAL PROGRAMS ARE DESIGNED AS AN ALTERNATIVE TO OR A FOLLOW-UP AFTER INPATIENT TREATMENT. THIS LEVEL OF CARE PROVIDES A HIGHER LEVEL OF STRUCTURED CARE THAN THE TRADITIONAL OUTPATIENT SETTING. OUTPATIENT PROGRAMS ARE OFFERED AT SEVERAL LOCATIONS INCLUDING, NAPERVILLE, PLAINFIELD, ST. CHARLES, HINSDALE, MOKENA AND WOODRIDGE. EATING DISORDERS PROGRAMS OFFER BOTH INPATIENT AND OUTPATIENT SERVICES TO CARE FOR ADULTS AND ADOLESCENTS AGES 12 AND OVER UTILIZING, COGNITIVE THERAPIES, EXPRESSIVE THERAPY, YOGA AND THERAPEUTIC EXERCISE, AND NUTRITION RESTORATION. USING A MULTI-DISCPLINARY APPROACH, THE EATING DISORDER PROGRAM INCORPORATES A PATIENT-CENTERED MODEL BASED ON SELF-REGULATION THEORY AND IS DESIGNED TO SUPPORT HEALTH AT EVERY SIZE AND EMPOWER PATIENTS TO TAKE OWNERSHIP OF THEIR RECOVERY. CHEMICAL DEPENDENCY PROVIDES DIALECTICAL BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, 12 STEP RECOVERY GROUPS AND EVIDENCED BASED TREATMENT PRINICIPLES AS TREATMENT MODALITIES. THE DETOXIFICATION UNIT OFFERS MEDICAL STABILIZATION FOR ADDICTIONS. ADULT OUTPATIENT CHEMICAL DEPENDENCY SERVICES ARE PROVIDED APPROXIMATELY THREE MILES AWAY FROM THE MAIN CAMPUS; GENERATIONS PROGRAM PROVIDES MEN AND WOMEN AGES 55 AND OLDER WITH INPATIENT TREATMENT. OPPORTUNITIES TO ADDRESS MENTAL HEALTH PROBLEMS OCCUR IN SMALL AND INTIMATE GROUP SETTINGS; GERIATRIC PROGRAM FOR ADULTS 60 AND OLDER EXPERIENCING A RANGE OF MENTAL HEALTH ISSUES USES MEDICATION STABILIZATION AND THERAPEUTIC THEMATIC ARTS PROGRAMMING MODEL (TTAP) AS TREATMENT MODALITIES; ANXIETY PROGRAM TREATS ADULTS WITH A VARIETY OF ANXIETY ISSUES INCLUDING POST TRAUMATIC STRESS DISORDER USING THE ACCEPTANCE BASED BEHAVIORAL THERAPY (ABBT). THERE ARE ALSO TRACKS DESIGNED FOR SCHOOL REFUSAL TREATMENT FOR ADOLESCENTS WITH ASPERGER'S. LINDEN OAKS COLLABORATES WITH EDWARD HOSPITAL, ELMHURST HOSPITAL, OB/GYN PRACTICES AND PERINATOLOGIST PRACTICES TO OFFER POST PARTUM DEPRESSION SCREENINGS WHICH CONNECT MOMS NEEDING MENTAL HEALTH SERVICES TO PROGRAMS WITHIN LINDEN OAKS AND PSYCHIATRISTS IN THE COMMUNITY. LINDEN OAKS ALSO COLLABORATES WITH THE COMMUNITY ON SEVERAL INITIATIVES TO HELP EDUCATE AND PREVENT MENTAL HEALTH CRISES. OVER 1,040 COMMUNITY MEMBERS HAVE BEEN TRAINED IN MENTAL HEALTH FIRST AID (MHFA) IN FISCAL YEAR 2022. THIS IS AN 8 HOUR PROGRAM DESIGNED TO TEACH LAYMAN THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS AND HOW TO OBTAIN HELP. LINDEN OAKS HAS A CRISIS RESPONSE TEAM WHICH PROVIDES IMMEDIATE AND PRACTICAL RESOURCES FOR THOSE IMPACTED BY TRAUMA AND SERIOUS LOSS. BY OFFERING ASSESSMENTS, INFORMATION, REFERRAL, EDUCATION, AND SUPPORT DURING A TIME OF NEED, THE TEAM DELIVERS FRONTLINE MENTAL HEALTH CARE WITH COMPASSION, DIGNITY, AND EXCELLENCE. MEMBERS REPRESENT VARIOUS DISCIPLINES, INCLUDING COUNSELING, PSYCHOLOGY, SOCIAL WORK, EDUCATION, NURSING, AND OTHER RELATED AREAS. THE CRISIS RESPONSE TEAM JOINS MENTAL HEALTH FIRST AID AND THE STUDENT INTERVENTION PROGRAM IN THE ARRAY OF PREVENTION PROGRAMS AVAILABLE THROUGH LINDEN OAKS. LINDEN OAKS ALSO OFFERS SCREENING TOOLS INCLUDING "DEPRESSION AWARE", "ADDICTION AWARE "ANXIETY AWARE" ACCESSIBLE TO THE COMMUNITY VIA THE HOSPITAL'S WEBSITE AND LINKED TO THEIR INTAKE LINE. THESE TOOLS UTILIZE EVIDENCE-BASED SURVEYS SUCH AS PHQ9 FOR DEPRESSION AND GAD7 FOR ANXIETY.
Form 990, Part III, Line 1 Organization's Mission NAPERVILLE PSYCHIATRIC VENTURES FOLLOWS THE MISSION OF NORTHSHORE - EDWARD-ELMHURST HEALTH (NS-EEH). ON JANUARY 1, 2022, NS-EE HOLDINGS (NS-EE) BECAME THE SOLE CORPORATE MEMBER OF NORTHSHORE AND EDWARD-ELMHURST HEALTHCARE (EEH). THE MISSION OF NS-EEH IS TO "HELP EVERYONE IN OUR COMMUNITIES BE THEIR BEST." CENTRAL TO THIS MISSION IS A COMMITMENT TO PROVIDING CLINICAL PROGRAMS AND SERVICES THAT MEET COMMUNITY HEALTH NEEDS, WHILE ALSO PURSUING CONTINUOUS IMPROVEMENT TO IDENTIFY AND UNDERSTAND FUTURE NEEDS.
Form 990, Part VI, Line 15a Process to Establish Compensation of CEO and Other Employees A detailed compensation review of the top executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with NS-EE Holdings' Board-retained legal counsel. Market data for base and variable compensation is assessed annually for integrated delivery systems and academic medical centers that are similar in size and complexity. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the NS-EE Holdings Compensation Committee, in session with legal counsel present, in advance of implementation.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons SEAN CHOU, MARGARET DIXON HARRELL, ELIZABETH AQUINO, VALERIE CAHILL, MARK GOMEZ, MICHAEL HOFFMAN, CHRISTINE JEFFRIES, TOM LEE, MARY Lou MASTRO, David Morrissey, RAVI NEMIVANT, ROBERT PLATT, ADAM SCHRIEDEL, RAM SHIVAKUMAR, LEKSHMI VENUGOPAL, WALTER WHANG - Business relationship, Mary Lou Mastro and Jeff Friant - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents On January 1, 2022, NS-EE Holdings became the sole corporate member of NorthShore University HealthSystem (NorthShore) and Edward-Elmhurst Healthcare (EEH). Accordingly, the bylaws were amended on January 1, 2022 to transfer the rights and powers that used to be held by EEH to NS-EE Holdings. NS-EE Holdings has the right to appoint and remove board members and make amendments to the bylaws.
Form 990, Part VI, Line 6 Classes of members or stockholders NAPERVILLE PSYCHIATRIC VENTURES D/B/A LINDEN OAKS HOSPITAL IS AN ILLINOIS GENERAL PARTNERSHIP THE PARTNERS OF WHICH ARE EDWARD HEALTH VENTURES, AN ILLINOIS NOT FOR PROFIT CORPORATION (WHICH OWNS A 99% EQUITY INTEREST) AND EDWARD-ELMHURST HEALTHCARE, AN ILLINOIS NOT FOR PROFIT CORPORATION (WHICH OWNS A 1% EQUITY INTEREST).
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The Board of Directors is identical to the number and composition of the Board of Trustees for Edward-Elmhurst Healthcare. The Board of Trustees of the system parent, NS-EE Holdings, elects individuals to fill the offices of the directors whose terms of office are due to expire at the end of the fiscal year during their annual meeting.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders NS-EE Holdings, through action of the NS-EE Holdings Board of Trustees or President & CEO, holds the following reserved powers over Naperville Psychiatric Ventures: - Develop, approve and modify annual operating and capital budgets and strategic plans for the Corporation and its Affiliate Entities - Determine all material changes in the clinical programs and services to be provided by the Corporation and its Affiliate Entities, including the establishment, expansion, reconfiguration, reduction or discontinuation of clinical programs and services - Any discontinuation of a "category of service" (as defined by the Illinois Health Facilities Services Review Board) and any closure or permanent repurposing of any material licensed health care facility owned or operated by the Corporation and its Affiliate Entities - Initiate and/or approve amendments or restatements of the governing documents of the Corporation and its Affiliate Entities - Establish or change existing medical education programs - Approve indebtedness and unbudgeted capital expenditures above a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time - Establish, amend or terminate third-party payor relationships of the Corporation and its Affiliate Entities - Approve ordinary course of business contractual relationships between the Corporation and/or its Affiliate Entities and a third party involving: (1) consideration in excess of a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time, (2) a restrictive covenant applicable to the Corporation and/or its Affiliate Entities; or (3) a term in excess of three (3) years that cannot be terminated without cause - Approve any changes to any of the Corporation's or Affiliate Entities' employee benefit or compensation plans or executive agreements - Approve any agreement involving the licensing of trademarks or intellectual property to or from a third party - Hire, terminate and evaluate the terms of employment for the Corporation's President and Chief Executive Officer and the President and Chief Executive Officer of the Affiliate Entities, as applicable - Approve any real property acquisitions, dispositions or lease transactions of the Corporation and its Affiliate Entities above a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time, as well as any mortgage or encumbrance of real property of the Corporation and its Affiliate Entities above a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time - Evaluate and approve any acquisition, affiliation, joint venture, merger, corporate consolidation or restructuring, sale of all or substantially all of the assets or similar transaction by or involving the Corporation and/or its Affiliate Entities, as well as any dissolution, liquidation or termination of any affiliation or joint venture by or involving the Corporation and/or its Affiliate Entities - Select the auditor for, and approval of all audits of, the Corporation and its Affiliate Entities - Select outside legal counsel and approve any waiver, settlement or compromise of any legal proceeding, suit, claim, regulatory or other action involving the Corporation and/or its Affiliate Entities if the amount in controversy is in excess of a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time - Approve the filing of any petition for bankruptcy of the Corporation and/or any of its Affiliate Entities. - Approve the nomination and/or remove with cause any member of the board of directors of the Corporation or its Affiliate Entities - Establish and ensure implementation of system-wide quality standards that protect and enhance the Corporation's and Affiliate Entities' brands - Establish and ensure implementation of financial goals and standards that protect and enhance the operations of the Corporation and its Affiliate Entities, and - Determine the extent to which and the manner in which the powers described in this section which are reserved to the System Parent with respect to the Corporation and its Affiliate Entities are to be exercised by the System Parent.
Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 was reviewed by executive management and an outside accounting firm. The Form 990 was then provided to the NS-EE Holdings' Board of Trustees for review for the ability to ask questions of management prior to filing.
Form 990, Part VI, Line 12c Conflict of interest policy All officers, directors and employees are required to report potential conflicts of interest to the Compliance Officer when his/her circumstances could create a conflict of interest, or prior to their arising, so that the health system can proactively review the report to identify actual and potential Conflicts of Interest. In addition, on an annual basis, members of the Board of Directors, Corporate Officers, and other key employees will be provided with a Conflict of Interest Questionnaire, which is used for purposes of reporting potential Conflicts of Interest. Subsequent to reporting, and depending on the nature of the matter, the Compliance Officer will review the reported information and arrive at a determination regarding the matter based upon his/her knowledge of the organization and/or in consultation with other members of management. Determinations will be reviewed with the Executive Leadership Team or designee for members of management, all categories of physicians, and the Board of Directors. Determinations will be reviewed with the Board of Directors for senior management and members of the Board of Directors. If it is determined that a Conflict of Interest exists, appropriate mitigating or remedial measures may be taken through a management plan. If a management plan has yet to be developed and the individual is involved in discussion related to his/her conflict, the individual must disclose the Conflict of Interest to those involved in the conversation and must recuse him/herself from participating in the conversation and making a decision on behalf of the health system. If this conversation takes place at a Board meeting, the minutes of the meeting should reflect the fact that the Conflict of Interest has been disclosed and the individual has recused him/herself. If the issue or circumstances cannot be adequately addressed through a management plan or if the proposed or actual arrangement is inconsistent with the health system's Guiding Principles for Conflicts of Interest, the conflict will be eliminated. Disclosure of the management plan may be made to appropriate individuals or committees, which may include patients, students, a department, group, or others as necessary. Monitoring and oversight of Conflicts of Interest and management plans will be conducted by the Executive Leadership Team. In the event that an individual engages in prohibited activities or does not provide prompt or transparent Reporting in compliance with this policy or does not comply with a determination and/or management plan, a review will be performed and appropriate corrective action may be taken, including retraining, referral for further action, termination of employment, termination of the agreement with the health system, or removal from the Board of Directors.
Form 990, Part VI, Line 19 Required documents available to the public CURRENTLY, THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. IF A REQUEST IS RECEIVED FOR THIS INFORMATION, IT IS FORWARDED ON TO EITHER THE LEGAL DEPARTMENT OR THE FINANCE DEPARTMENT, AND THE MATERIALS WOULD THEN BE PROVIDED TO THE REQUESTOR. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE EMMA (ELECTRONIC MUNICIPAL MARKET ACCESS) WEBSITE AT WWW.EMMA.MSRB.ORG.
Form 990, Part VIII, Line 2f Other Program Service Revenue Other Revenue - Total Revenue: 1319225, Related or Exempt Function Revenue: 1319225, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees Purchased Services - Total Expense: 1102250, Program Service Expense: 992463, Management and General Expenses: 109787, Fundraising Expenses: ; Shared Services Fee - Total Expense: 3868602, Program Service Expense: 3094882, Management and General Expenses: 773720, Fundraising Expenses: ; Management Fees - Total Expense: 5425644, Program Service Expense: 4883080, Management and General Expenses: 542564, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN INTEREST IN EF TEMPORARILY RESTRICTED ASSETS - 9161; TRANSFERS TO AFFILIATES - 11862642;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0
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
2021
Open to Public Inspection
Name of the organization
Naperville Psychiatric Ventures
 
Employer identification number

36-3965251
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










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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


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

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)EDWARD-ELMHURST HEALTHCARE
4201 Winfield Road

Warrenville,IL60555
36-3513954 		PARENT CORPORATION IL 501(c)(3) Type II NS-EE HOLDINGS
 
 
No
(2)EDWARD HOSPITAL
801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
36-3297173 		HOSPITAL IL 501(c)(3) 3 EDWARD ELMHURST HEALTH
 
Yes
 
(3)EDWARD FOUNDATION
801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
36-3723705 		FUNDRAISING IL 501(c)(3) 7 EDWARD ELMHURST HEALTHCARE
 
Yes
 
(4)EDWARD HEALTH & FITNESS CENTER
801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
36-3555528 		HEALTH CARE IL 501(c)(3) 10 EDWARD HEALTH VENTURES
 
Yes
 
(5)EDWARD HEALTH VENTURES
801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
58-1672987 		SUPPORTING ORG IL 501(c)(3) Type II EDWARD ELMHURST HEALTHCARE
 
 
No
(6)EDWARD AMBULANCE SERVICES LLC
801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
45-2389060 		HEALTH CARE IL 501(c)(3) 10 EDWARD HOSPITAL
 
Yes
 
(7)ELMHURST MEMORIAL HOSPITAL
155 E BRUSH HILL ROAD

ELMHURST,IL60126
36-2167784 		HOSPITAL IL 501(c)(3) 3 ELMHURST MEMORIAL HEALTHCARE
 
Yes
 
(8)ELMHURST MEMORIAL HOSPITAL FOUNDATION
155 E BRUSH HILL ROAD

ELMHURST,IL60126
36-3083197 		FUNDRAISING IL 501(c)(3) 7 ELMHURST MEMORIAL HOSPITAL
 
Yes
 
(9)ELMHURST MEMORIAL HEALTHCARE
155 E BRUSH HILL ROAD

ELMHURST,IL60126
36-4037473 		SUPPORTING IL 501(c)(3) Type II EEH
 
Yes
 
(10)RADIATION MEDICINE INSTITUTE
1301 CENTRAL STREET

EVANSTON,IL60201
36-3815543 		HEALTHCARE IL 501(c)(3) Type I NORTHSHORE UNIVERSITY HEALTHSYSTEM
 
Yes
 
(11)NorthShore University HealthSystem
1301 CENTRAL STREET

EVANSTON,IL60201
36-2167060 		HEALTHCARE IL 501(c)(3) 3 NE-EE HOLDINGS
 
Yes
 
(12)NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES
1301 CENTRAL STREET

EVANSTON,IL60201
36-3738206 		HEALTHCARE IL 501(c)(3) Type I NORTHSHORE UNIVERSITY HEALTHSYSTEM
 
Yes
 
(13)SWEDISH COVENANT HEALTH
5145 N CALIFORNIA AVENUE

CHICAGO,IL60625
36-2179813 		HOSPITAL IL 501(c)(3) 3 NORTHSHORE UNIVERSITY HEALTHSYSTEM
 
Yes
 
(14)SWEDISH COVENANT HOSPITAL FOUNDATION
5145 N CALIFORNIA AVENUE

CHICAGO,IL60625
20-5055155 		SUPPORT OF SWEDISH COVENANT HOSPITAL IL 501(c)(3) 7 SWEDISH COVENANT HEALTH
 
Yes
 
(15)NORTHWEST COMMUNITY HEALTHCARE
3040 SALT CREEK LAKE

ARLINGTON HEIGHTS,IL60005
36-3125209 		SUPPORT OF NORTHWEST COMMUNITY HEALTHCARE IL 501(c)(3) Type II NORTHSHORE UNIVERSITY HEALTHSYSTEM
 
Yes
 
(16)NORTHWEST COMMUNITY HOSPITAL
3040 SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
36-2340313 		HOSPITAL IL 501(c)(3) 3 NORTHWEST COMMUNITY HEALTHCARE
 
Yes
 
(17)NORTHWEST COMMUNITY HOSPITAL FOUNDATION
3040 SALT CREEK LANE

ARLINGTON HEIGHTS,IL60005
36-3125193 		FUNDRAISING IL 501(c)(3) 7 NORTHWEST COMMUNITY HEALTHCARE
 
Yes
 
(18)NS-EE HOLDINGS
1301 CENTRAL STREET

EVANSTON,IL60201
87-4520691 		HEALTHCARE SYSTEM PARENT IL 501(c)(3) Type III-FI NA
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




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



 		(k)
Percentage
ownership
Yes No Yes No
(1) ELMHURST OUTPATIENT SURGERY CENTER LLC

1200 S YORK ROAD SUIT 1400
ELMHURST,IL60126
36-4150045 		SURGERY CENTER IL Elmhurst Memorial Healthcare
  		N/A                
(2) INSIGHT MEDICAL IMAGING LLC

8930 WAUKEGAN RD STE 130
MORTON GROVE,IL60053
82-2352016 		HEALTHCARE IL Edward Health Ventures
  		N/A                
(3) MIDWEST ENDOSCOPY LLC

1243 RICKERT DRIVE
NAPERVILLE,IL60540
20-8292570 		HEALTHCARE IL Edward Health Ventures
  		N/A                
(4) RESIDENTIAL HOME HEALTH ILLINOIS LLC

5440 CORPORATE DRIVE SUITE 400
TROY,MI48098
27-0179825 		HEALTHCARE IL RHHI Holdco LLC
  		N/A                
(5) RAVINE WAY SURGERY CENTER LLC

2401 RAVINE WAY
GLENVIEW,IL60025
20-1245279 		HEALTHCARE IL NORTHSHORE UNIVERSITY HEALTHSYSTEM
  		N/A                
(6) NPC CYBERKNIFE LLC

3040 SALT CREEK LANE
ARLINGTON HEIGHTS,IL60005
20-4462828 		EQUIPMENT LEASING IL NORTHWEST COMMUNITY HEALTHCARE
  		N/A                
(7) NWC DAY SURGERY CENTER II LLC

3040 SALT CREEK LANE
ARLINGTON HEIGHTS,IL60005
30-0798249 		OUTPATIENT CARE IL NORTHWEST COMMUNITY HEALTHCARE
  		N/A                
(8) NORTHWEST ENDO CENTER LLC

3040 SALT CREEK LANE
ARLINGTON HEIGHTS,IL60005
81-2338623 		SURGICAL CARE IL NWC HEALTH SERVICES INC
  		N/A                
(9) ENVISION MEDICAL IMAGING

8930 WAUKEGAN ROAD
MORTON GROVE,IL60053
82-2067179 		IMAGING SERVICES IL NWC HEALTH SERVICES INC
  		N/A                
(10) RHHI Holdco LLC

400 Northpoint Circle
Suite 203
Seven Fields,PA16046
87-3745286 		Healthcare IL NA
  		N/A                
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) IHP ACO

1100 W 31st Street
Suite 300
Downers Grove,IL60515
46-2848987 		HEALTH CARE IL Edward-Elmhurst Healthcare
  		C Corporation         No
(2) ELMHURST MEMORIAL HEALTH TECHNOLOGIES LLC

855 NORTH CHURCH COURT
ELMHURST,IL60126
36-3229839 		PRACTICE MANAGEMENT IL Elmhurst Memorial Healthcare
  		C Corporation       Yes  
(3) EEH SPC - SEGREGATED PORTFOLIO A

GOVERNORS SQUARE BLDG 4 FLOOR 2
LIME TREE BAY,GRAND CAYMANKY11002
CJ
98-1238485 		INSURANCE CJ Edward-Elmhurst Healthcare
  		C Corporation       Yes  
(4) EEH SPC - SEGREGATED PORTFOLIO B

GOVERNORS SQUARE BLDG 4 FLOOR 2
LIME TREE BAY,GRAND CAYMANKY11002
CJ
98-1185160 		INSURANCE CJ Edward-Elmhurst Healthcare
  		C Corporation       Yes  
(5) NORTHSHORE LEGACY NPA INC

1301 CENTRAL STREET
EVANSTON,IL60201
36-3648026 		HEALTHCARE IL NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES
  		C Corporation       Yes  
(6) NORTHSHORE PHYSICIAN ASSOCIATES VALUE BASED CARE LLC

1301 CENTRAL STREET
EVANSTON,IL60201
82-2268872 		HEALTHCARE IL NORTHSHORE LEGACY NPA INC
  		C Corporation       Yes  
(7) NORTHSHORE UNIVERSITY HEALTHSYSTEM INSURANCE INTERNATIONAL

GOVERNORS SQ
BLDG 4
  GRAND CAYMAN  
CJ
98-0419452 		INSURANCE CJ NORTHSHORE UNIVERSITY HEALTHSYSTEM
  		C Corporation       Yes  
(8) SWEDISH COVENANT MANAGEMENT SERVICES INC

5145 N CALIFORNIA AVENUE
CHICAGO,IL60625
36-4073303 		PHYSICIAN PRACTICE MANAGEMENT IL SWEDISH COVENANT HEALTH
  		C Corporation       Yes  
(9) SWEDISH COVENANT PHYSICIAN PARTNERS LTD

5145 N CALIFORNIA AVE
CHICAGO,IL60625
36-3120220 		PHYSICIAN PRACTICE MANAGEMENT IL SWEDISH COVENANT HEALTH
  		C Corporation       Yes  
(10) CENTRAL INSURANCE COMPANY LTD

PO BOX 10233 GRAND
  GRAND CAYMANKY11002
CJ
98-1109518 		INSURANCE CJ NORTHWEST COMMUNITY HEALTHCARE
  		C Corporation       Yes  
(11) NORTHWEST COMMUNITY HEALTH SERVICES INC

800 WEST CENTRAL ROAD
ARLINGTON HEIGHTS,IL60005
36-3312906 		HEALTHCARE IL NORTHWEST COMMUNITY HEALTHCARE
  		C Corporation       Yes  
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
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
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Edward Foundation

 C 50,400 FMV





Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021
Schedule R (Form 990) 2021
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) 2021

Additional Data


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