TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) Gerald P Gallagher...................................................................... System President and CEO	1.0 ................. 55.0	X	X	0	3,559,263	1,632,363
(2) Guy W Eisenhuth...................................................................... Chairperson	1.0 ................. 1.0	X	X	0	0	0
(3) John L Gatta...................................................................... Vice Chairperson	1.0 ................. 1.0	X	X	0	0	0
(4) Michael C Hartke...................................................................... President, NCH	40.0 ................. 2.0	X	X	938,015	0	221,413
(5) Anita Alleman...................................................................... Director	1.0 ................. 1.0	X		0	0	0
(6) Ann K Ford...................................................................... Director	1.0 ................. 2.0	X		0	0	0
(7) Daniel Reaven...................................................................... Director	1.0 ................. 1.0	X		0	0	0
(8) Kevin Chen...................................................................... Director	1.0 ................. 41.0	X		0	628,853	44,110
(9) Leah Montoya...................................................................... Director (until 12/31/24)	1.0 ................. 1.0	X		0	0	0
(10) Mahalakshmi Halasyamani...................................................................... Director	1.0 ................. 43.0	X		0	1,276,588	504,066
(11) Maria Thompson...................................................................... Director	1.0 ................. 1.0	X		0	0	0
(12) Marla F Glabe...................................................................... Director	1.0 ................. 1.0	X		0	0	0
(13) Mary R Sheahen...................................................................... Director (until 12/31/24)	1.0 ................. 3.0	X		0	0	0
(14) Michael D Levon...................................................................... Director	1.0 ................. 1.0	X		0	0	0
(15) Michael Tutty...................................................................... Director	1.0 ................. 1.0	X		0	0	0
(16) Mukesh Gangwal...................................................................... Director	1.0 ................. 1.0	X		0	0	0
(17) Nimesh S Jhaveri...................................................................... Director	1.0 ................. 1.0	X		0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
MEDICUS ANESTHESIA SERVICES LLC 22 Roulston Rd Windham,NH03087	Anesthesia Services	37,134,286
INTENT MEDICAL GROUP PLLC 765 West Westleigh Rd Lake Forest,IL60045	Healthcare Services	8,137,933
LEOPARDO COMPANIES INC 5200 Prairie Stone Pkwy Hoffman Estates,IL60192	Construction	7,752,043
TRAPANI CONSTRUCTION COMPANY 1800 East Northwest Highway Arlington Heights,IL60005	Construction	5,217,645
MIDWEST ANESTHESIA PARTNERS LLC 387 Shuman Blvd Naperville,IL60563	Anesthesia Services	2,884,589
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 69

- TIN:

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

2024

Open to Public
Inspection

Name of the organization

Northwest Community Hospital

Employer identification number

36-2340313

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.)

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

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

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

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

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

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

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

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

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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

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

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

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

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

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2024

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)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024
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	0	0	0	0	0
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024
7	Amounts from line 4..	0	0	0	0	0
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.)..	0	0	0	0	0
11	Total support. Add lines 7 through 10

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

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

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

0 %

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. 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—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

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)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024
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	0	0	0	0	0
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons	0	0	0	0	0
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.	0	0	0	0	0
c	Add lines 7a and 7b..	0	0	0	0	0
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024
9	Amounts from line 6...	0	0	0	0	0
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.	0	0	0	0	0
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.) ..	0	0	0	0	0
13	Total support. (Add lines 9, 10c, 11, and 12.)..	0	0	0	0	0

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

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

0 %

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

0 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

0 %

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

0 %

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

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

Schedule A (Form 990) 2024

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

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

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

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

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

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

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

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

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

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer 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).

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

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

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

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

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).

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

Did one or more disqualified persons (as defined 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.

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.

10a

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

10a

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

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

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

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.

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

Section C. Type II Supporting Organizations

Yes

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

Section D. All Type III Supporting Organizations

Yes

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

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

By reason of the relationship described in 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.

Section E. Type III Functionally-Integrated Supporting Organizations

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

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

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

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

Activities Test. Answer lines 2a and 2b below.

Yes

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

Did the activities described 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.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

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

Schedule A (Form 990) 2024

Page 6

Part V

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

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

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

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 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	0
2	Enter 85% of line 1	2	0
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3	0
4	Enter greater of line 2 or line 3	4	0
5	Income tax imposed in prior year	5	0
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6	0

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

Schedule A (Form 990) 2024

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 2024 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-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Northwest Community Hospital

Employer identification number

36-2340313

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

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

Number of states where property subject to conservation easement is located right arrow

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

Yes No

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

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

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under 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.

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

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

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

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

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

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

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

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

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

1a	Beginning of year balance ....	25,052,618	22,211,765	25,990,930	25,360,609	4,796,665
b	Contributions ...	152,629	100,000	250,000	3,000	20,252,500
c	Net investment earnings, gains, and losses	2,710,072	2,985,255	-2,879,165	795,191	468,276
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	206,618	244,402	1,150,000	167,870	156,832
f	Administrative expenses ....
g	End of year balance ......	27,708,701	25,052,618	22,211,765	25,990,930	25,360,609

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

Board designated or quasi-endowment right arrow

85.2 %

Permanent endowment right arrow

9.81 %

Term endowment right arrow

4.99 %

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

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

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

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

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	13,393,682		13,393,682
b	Buildings ....	167,028,815	22,249,048	144,779,767
c	Leasehold improvements	1,842,193	1,607,937	234,256
d	Equipment ....	266,909,315	109,380,809	157,528,506
e	Other .....	85,070,530	19,366,661	65,703,869
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				381,640,080

Schedule D (Form 990) (Rev. 1-2025)

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.)

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)INTEREST NET ASSETS - FND	49,958,951	F
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	49,958,951

Part IX

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

(a) Description				(b) Book value

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

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Federal Income Taxes
DUE TO THIRD-PARTY PAYORS
ASSET RETIREMENT OBLIGATION	9,874,750
PENSION OBLIGATION
SERP
DUE TO AFFILIATES	229,370,241
MALPRACTICE LOSSES	243,685
OPERATING LEASE LIABILITIES	2,167,732
OTHER LONG TERM LIABLITY
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	241,656,408
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) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1..................			3	0
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	0

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	0
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	0

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	ENDOWMENT FUNDS ARE CREATED ACCORDING TO HOSPITAL NEEDS AND DESIGNATION OR PREFERENCES OF THE DONOR(S) SUPPORTING THE ENDOWMENT FUND. SCHOLARSHIP FUNDS, CONTINUED EDUCATION, OR FUNDS FOR PATIENT CARE IN A HOSPITAL DEPARTMENT DESIGNATED BY THE ENDOWMENT FUND ARE EXAMPLES OF FUND USES. THE ENDOWMENT FUNDS REPORTED ON THE HOSPITAL'S 990 ARE ALSO REPORTED ON NORTHWEST COMMUNITY HOSPITAL FOUNDATION'S FORM 990, SCHEDULE D.
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 - Overall, requires that realization of an uncertain income tax position be 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 years ended December 31, 2024 or 2023. At year-end December 31, 2024 and 2023, the System had a net operating loss carryforward of $416,494 and $371,890, which generated deferred tax assets of $121,678 and $107,621, respectively. The assets are offset by valuation allowances of $112,623 and $101,354, respectively.

Return Reference

Explanation

Schedule D, Part V, Line 4 Intended uses of endowment funds

ENDOWMENT FUNDS ARE CREATED ACCORDING TO HOSPITAL NEEDS AND DESIGNATION OR PREFERENCES OF THE DONOR(S) SUPPORTING THE ENDOWMENT FUND. SCHOLARSHIP FUNDS, CONTINUED EDUCATION, OR FUNDS FOR PATIENT CARE IN A HOSPITAL DEPARTMENT DESIGNATED BY THE ENDOWMENT FUND ARE EXAMPLES OF FUND USES. THE ENDOWMENT FUNDS REPORTED ON THE HOSPITAL'S 990 ARE ALSO REPORTED ON NORTHWEST COMMUNITY HOSPITAL FOUNDATION'S FORM 990, SCHEDULE D.

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 - Overall, requires that realization of an uncertain income tax position be 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 years ended December 31, 2024 or 2023. At year-end December 31, 2024 and 2023, the System had a net operating loss carryforward of $416,494 and $371,890, which generated deferred tax assets of $121,678 and $107,621, respectively. The assets are offset by valuation allowances of $112,623 and $101,354, respectively.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

Northwest Community Hospital

Employer identification number

36-2340313

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

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

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 60000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

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

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

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

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

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

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .		0	8,927,862	0	8,927,862	1.443 %
b	Medicaid (from Worksheet 3, column a) . . . . .		0	79,593,728	50,158,577	29,435,151	4.757 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .		0	0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	88,521,590	50,158,577	38,363,013	6.199 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	43	43	1,528,082	259,959	1,268,123	0.205 %
f	Health professions education (from Worksheet 5) . . .	15	15	4,048,876	554,880	3,493,996	0.565 %
g	Subsidized health services (from Worksheet 6) . . . .	6	6	47,400,640	23,735,786	23,664,854	3.824 %
h	Research (from Worksheet 7) .	1	1	520,790	0	520,790	0.084 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	8	8	259,307	0	259,307	0.042 %
j	Total. Other Benefits . .	73	73	53,757,695	24,550,625	29,207,070	4.720 %
k	Total. Add lines 7d and 7j .	73	73	142,279,285	74,709,202	67,570,083	10.919 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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	0	0	0	0 %
2	Economic development	2	0	2,450	0	2,450	0 %
3	Community support	1	13	1,465	0	1,465	0 %
4	Environmental improvements	0	0	0	0	0	0 %
5	Leadership development and training for community members	0	0	0	0	0	0 %
6	Coalition building	0	0	0	0	0	0 %
7	Community health improvement advocacy	1	0	10,038	0	10,038	0.002 %
8	Workforce development	1	0	307	0	307	0 %
9	Other	0	0	0	0	0	0 %
10	Total	5	13	14,260	0	14,260	0.002 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

5,312,483

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

169,570,827

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

189,571,745

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

-20,000,918

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(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) 2024

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)
1	NORTHWEST COMMUNITY HOSPITAL 800 W CENTRAL ROAD ARLINGTON HEIGHTS,IL60005 NCH.ORG 0001701	X	X	X

Schedule H (Form 990) 2024

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)

	NORTHWEST COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 24

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

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

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

Yes

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

Hospital facility’s website (list url): VORHEALTH.ORG/COMMUNITY

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24

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

Yes

If "Yes" (list url): VORHEALTH.ORG/COMMUNITY

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

10b

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

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

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

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	NORTHWEST COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0%
and FPG family income limit for eligibility for discounted care of 600.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

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

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

HTTPS://WWW.NCH.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/

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

HTTPS://WWW.NCH.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.NCH.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/

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

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

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

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	NORTHWEST COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

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

	NORTHWEST COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

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	The significant health needs of our patients and community are identified through prioritized descriptions reflected in the CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - NORTHWEST COMMUNITY HOSPITAL. Community Health Survey NCH developed a comprehensive online community health survey to accept input from people who represent the broad interests of the community served by the hospital. The survey, available in English and Spanish, asked participants to share their beliefs and perceptions about access to care, behavioral health, chronic disease/health issues, modifiable risk factors/behaviors and social determinants of health and other concerns. It also asked the participants to rank their top health concern for the community. Community members who live in the hospital's service area were invited to participate in the online survey through social media, an Endeavor Health leader newsletter, and various emails to NCH's donors, volunteers, employees and patients. The survey link, located on Endeavor Health's website (endeavorhealth.org/survey), was open March 25 - April 8, 2024 and 1,963 people from the NCH service area responded. Key Informant Survey An additional online survey was implemented as part of the CHNA process specifically to solicit input from key informants. Key informants are defined as individuals who are considered experts in public health. Potential participants were chosen because of their ability to identify primary concerns of the community, including the medically underserved, low-income and minority populations served by the hospital. The following organizations were invited to participate in the key informant survey: -All Saints Lutheran Church -Maryville Academy -Cook County Department of Public Health -Illinois Department of Public Health -Arlington Heights Health Center -ACCESS Northwest Family Health Center -Community Consolidated School District 15 -Heartland Alliance -Village of Arlington Heights -Arlington Heights School District 25 -Arlington Heights Chamber of Commerce -Community Consolidated School District 25 -Harper College -Village of Mt. Prospect -Village of Palatine -Access Community Health Network -Cook County Health and Hospital System -Greater Family Health -Arlington Heights Senior Citizens Center -Bridge Youth and Family Services -Center for Teaching and Learning -City of Rolling Meadows -Connections to Care -Elk Grove Township -Family Forward -Hopeful Beginnings -Journeys The Road Home -Kenneth Young Center -Northwest Compass -NW Casa -Palatine High School -Palatine Township Senior Citizens Center -Partners for our Communities -Schaumburg Township -Shelter Inc. -Wheeling Township -WINGS On March 4, 2024, the hospital President sent an email to the key informants to explain the purpose of the survey and invite them to participate. A direct link to the survey, which remained open until March 18, 2024, was also included. A reminder email was sent on March 14, 2024 to encourage participation. The key informants were asked the same questions as the community which focused on access to care, behavioral health, chronic disease/health issues, modifiable risk factors/behaviors and social determinants of health and other concerns. It also asked them to rank their "top health concern" for the community. A total of 44 surveys were completed at NCH's invitation. The key informant survey was modeled off the community survey with minimal variations. Through this process, input was gathered from individuals whose organizations work with low-income populations, minority populations or other medically underserved populations (including the disabled, the elderly, the homeless, Medicaid/Medicare beneficiaries, the mentally ill, pregnant teens, substance abusers, undocumented individuals, veterans, and uninsured/underinsured residents). Focus Groups NCH recognized the importance of gathering opinions and feedback from under-resourced populations in the community who have some of the greatest healthcare needs. An independent moderator was identified to conduct two focus groups, one with Spanish- speaking under-resourced community members and one with English-speaking under-resourced community members. These focus groups were held at the Community Resource Center in Palatine, located within the hospital's primary service area. Potential participants were given a short screening questionnaire to verify they lived in the hospital's service area and to ensure that participants selected would vary in age, gender, insurance status, income and educational levels to the extent possible. The focus groups followed a guideline which mirrored questions included in the community and key informant surveys so that the information gathered could be used to compare with the survey results. The moderator summarized the results of the focus groups which were used as one of the tools in identifying the most predominant community needs.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NORTHWEST COMMUNITY HOSPITAL. In consideration of the top health priorities identified through the CHNA process - and taking into account hospital resources and overall alignment with the hospital's mission, goals and strategic priorities - it was determined that NCH would focus the majority of its efforts on developing and/or supporting strategies and initiatives that address the following priority areas (in no particular order), with health equity and SDOH woven throughout: 1. Behavioral Health (includes mental health, substance abuse and access to care) 2. Community Health and Wellness (includes nutrition, physical activity, healthy body weight and food security) 3. Chronic Diseases (includes heart disease/high blood pressure/stroke and diabetes) 4. Cancer (includes smoking/tobacco cessation) 5. Access to Care (includes primary, specialty, screenings, diagnostics and prescription medication) Based on relationships with community partners, clinical expertise, strategic priorities and an ongoing commitment to community engagement, NCH believes it is best equipped to make an impact in the above priority needs, including focused attention within communities of greatest need. The corresponding Implementation Strategies describe programs NCH is undertaking over the coming years to address the prioritized health needs within our surrounding community, as follows: Behavioral Health -Provide standardized behavioral health inpatient placement for individuals in crisis via the ED Crisis Teams and Care Management Center. -Offer free, confidential 24/7 telephone support to individuals needing behavioral health support and referrals (1-847-HEALING). -In-person and virtual behavioral health assessments for community members via Behavioral Health Assessment and Referral Center -Patients referred by primary care physicians that receive health referrals and resources via Behavioral Health Navigation. Community Health and Wellness -Offer free wellness webinars focused on health education and living a healthy lifestyle. -Low-cost 60-day guided customized exercise program for individuals referred by physicians (MedFit Program). -Persons receiving workplace health and wellness preventative screenings to identify obesity and chronic disease risk factors -Offer physician-supervised medical weight loss program for adults. Chronic Diseases -Support controlled hypertension (HTN) levels among Endeavor Health Medical Group (MG) patients. -Support controlled levels of diabetes/A1C among MG patients. -Use the Lens of Equity Tool to identify populations and develop targeted interventions around chronic disease management. -A comprehensive program which includes rehab exercising and education to improve heart health and reduce cardiovascular risk (Cardiac Rehab Program). -Support group for stroke survivors to promote emotional healing and community-based risk factor assessments and education to identify and prevent strokes. Cancer -Utilize FIT Tests (fecal immunochemical test) for Endeavor Health Medical Group (MG) patients who have been recommended a colonoscopy screening and declined. -Use Lens of Equity Tool to identify populations and develop targeted interventions around cancer screenings. -Lung cancer screenings for early detection and treatment. -Provide free mammograms for uninsured women over 40. -Provide financial assistance for cancer patients struggling to pay their rent, utilities, and other living expenses. Access to Care -Deploy a team of Community Health Workers (CHW) to provide patient support which may include finding medical homes, scheduling appointments and screenings, addressing social determinants of health and referrals to other community resources. -Community nurses provide health education, screenings, assistance with chronic disease management and referrals to medical homes and other community resources. -Atherton Heart Failure Clinic supports individuals with congestive heart failure regardless of ability to pay. -NCH Foundation subsidized OB visits for under-resourced women at Greater Family Health, a local Federally Qualified Health Center (FQHC). NCH focused on five priority health issues as a result of the previous 2023 CHNA: 1. Behavioral Health 2. Diabetes (includes obesity, nutrition, food insecurity, and physical activity) 3. Cancer 4. Chronic Disease (heart disease, stroke and high blood pressure) 5. Access to Care In acknowledging the wide range of priority health issues that emerged from the CHNA process, NCH determined that it could only effectively focus on those which it deemed most pressing, most under-addressed and most within its ability to influence. NCH worked with key stakeholders to develop strategies, tactics and metrics for the majority of the top 50% prioritized needs identified in the CHNA. The remaining needs in the top 50% are addressed as noted below. -Homelessness and Housing (adequate, affordable, safe) - NCH works closely with Journey's the Road Home, a local not-for-profit organization that has extensive experience and expertise with homelessness and is located in the hospitals service area. NCH provides Journeys with an annual financial contribution. NCH Social Workers have direct linkages with organizations that address affordable housing. -Older Adults Aging in Place - NCH recognizes that its service area is comprised of many older adults and wants to work collaboratively with other organizations to address their unique health and wellness needs. NCH has a dedicated Senior Services Specialist and is a member of the "Community Wrap Around Committee" facilitated by Catholic Charities, which is dedicated to supporting older adults. -Racism/Other Discrimination - NCH has a Diversity, Equity and Inclusion (DEI) Steering Committee focused on ensuring equitable policies and practices for employees, patients, visitors and community members. There is also an internal DEI Council comprised of NCH employees that focus on internal employee-focused priorities. In addition, Endeavor Health has a system-wide Health Equity Team that is focused on broader issues. -Community Violence - NCH partners and provides financial support to a number of not-for-profit organizations that address community violence including: The Children's Advocacy Center, Northwest Center Against Sexual Assault, Women In Need Growing Stronger. In addition, Endeavor Health is a member of the Northwell Collaborative Gun Violence Prevention Learning Collaborative for Health Systems and Hospitals. During 2024, the hospital took the following actions to address the key priority areas identified in the 2023 Community Health Needs Assessment: 1.Behavioral Health -Free in-person behavioral health assessments and referrals for community members. In 2024, the hospital provided 514 assessments. -Free behavioral health assessments and care coordination for patients hospitalized with medical issues. In 2024, the hospital provided 894 assessments. -Confidential 24/7 phone line for individuals needing support and referrals to behavioral health services. In 2024, the hospital received 1,142 calls. -Navigation services for patients referred by primary care physicians for referrals and resources. In 2024, the 2,871 patients received navigation services. 2. Diabetes (Nutrition, Obesity, Food Insecurity, Physical Activity) -Inpatient screening for food insecurity with emergency food and resources provided to any patient screening positive. In 2024, 389 patients screened positive and received support. -Workplace preventive health and wellness screenings to identify diabesity/obesity risk factors. In 2024, 680 screenings were provided. -Medfit customized 60-day guided exercise program for individuals referred by physicians. In 2024, 808 individuals participated in Medfit. -Outpatient nutrition counseling by registered dietician for weight management. In 2024, 161 individuals received counseling. -Physician supervised medical weight loss clinic for adults. In 2024, 1,043 patients participated in the weight loss program.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - NORTHWEST COMMUNITY HOSPITAL. In addition to individuals that can demonstrate that they are below 200% of the federal poverty guidelines, presumed eligible patients receive 100% financial assistance for the account balance. Presumptive Eligibility Criteria is demonstrated by enrollment in one of the following programs: a) Women, Infants and Children Nutrition Program (WIC) b) Supplemental Nutrition Assistance Program (SNAP) c) Illinois Free Lunch and Breakfast Program d) Low Income Home Energy Assistance Program (LIHEAP) e) Temporary Assistance for Needy Families (TANF) f) Illinois Housing Development Authority's Rental Housing Support Program g) Organized community-based program or charitable health program providing medical care that assesses and documents low income financial status as criteria h) Medicaid eligibility, but not eligible on date of service or for non-covered service Presumptive Eligibility Criteria can also be demonstrated by the following life circumstances: a) Receipt of grant assistance for medical services b) Homelessness c) Deceased with no estate d) Mental incapacitation with no one to act on patient's behalf e) Recent personal bankruptcy f) Incarceration in a penal institution g) Affiliation with a religious order and vow of poverty h) Evidence from an independent third-party reporting agency indicating family income is less than two times FPL For patients with income between 200% and 600% of Federal poverty guidelines discounted care is available on a sliding scale. The financial assistance program looks at the current income and then calculates the potential benefit. Certain discounts are only available to Illinois residents.

Schedule H (Form 990) 2024

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?12
Name and address		Type of Facility (describe)
1	NCH OUTPATIENT CENTER 3300 KIRCHOFF ROAD ROLLING MEADOWS,IL60008	PHYSICAL, OCCUPATIONAL, & SPEECH THERAPY SERVICES
2	NCH IMMEDIATE CARE & IMAGING CENTER 21481 N RAND ROAD KILDEER,IL60049	WALK IN URGENT CARE CENTER, LAB, IMAGING, PHYSICAL THERAPY SERVICES
3	NCH IMMEDIATE CARE & IMAGING CENTER 15 S MCHENRY ROAD BUFFALO GROVE,IL60089	WALK IN URGENT CARE CENTER, LAB, IMAGING, PHYSICAL THERAPY SERVICES
4	NCH IMMEDIATE CARE & IMAGING CENTER 519 S ROSELLE ROAD SCHAUMBURG,IL60193	WALK IN URGENT CARE CENTER LAB, IMAGING, PHYSICAL THERAPY SERVICES
5	NCH HOME HEALTH 3040 SALT CREEK LANE ARLINGTON HEIGHTS,IL60005	HOME HEALTHCARE SERVICES
6	NCH PHYSICAL REHABILITATION 1200 W ALGONQUIN RD BLDG M PALATINE,IL60067	PHYSICAL THERAPY SERVICES
7	NCH BREAST VEIN CARE WEIGHT MANAGEMENT 1410 N ARLINGTON HEIGHTS ROAD ARLINGTON HEIGHTS,IL60004	BREAST CENTER, VEIN CARE & COMPREHENSIVE WEIGHT MANAGEMENT SERVICES
8	NCH IMMEDIATE CARE & IMAGING CENTER 199 W RAND ROAD MOUNT PROSPECT,IL60056	WALK IN URGENT CARE CENTER, LAB,IMAGING,PHYSICAL THERAPY & HEART CARE SERVICES
9	NCH BEHAVIORAL HEALTH 901 W KIRCHOFF ROAD ARLINGTON HEIGHTS,IL60005	BEHAVIORAL HEALTH SERVICES
10	NCH IMAGING CENTER 880 W CENTRAL ROAD ARLINGTON HEIGHTS,IL60005	IMAGING SERVICES
11	NCH CARDIAC PHYSICAL REHABILITATION 900 W CENTRAL ROAD ARLINGTON HEIGHTS,IL60005	CARDIAC & PHYSICAL REHABILITATION SERVICES
12	NCH IMAGING CENTER 1632 W CENTRAL ROAD ARLINGTON HEIGHTS,IL60005	IMAGING, CARDIAC DIAGNOSTIC SERVICES

Schedule H (Form 990) 2024

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 3c CHARITY CARE POLICY	In addition to the Federal Poverty Guidelines, the hospital uses the following factors to determine eligibility for financial assistance: medical indigency, insurance status, underinsurance status, and residency. Please see Schedule H Part V, Section B, Line 13h narrative for more detail.
Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT	THE HOSPITAL ANNUALLY PRODUCES A COMMUNITY IMPACT REPORT WHICH HIGHLIGHTS THE COMMUNITY BENEFIT DOLLARS REPORTED IN THE ILLINOIS ATTORNEY GENERAL ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT. THIS INCLUDES CHARITY CARE, LANGUAGE ASSISTANT SERVICES, GOVERNMENT SPONSORED INDIGENT HEALTH CARE, DONATIONS, VOLUNTEER SERVICES, EDUCATION, RESEARCH, SUBSIDIZED HEALTH SERVICES AND OTHER COMMUNITY BENEFITS. THE REPORT IS SHARED WITH KEY STAKEHOLDERS INCLUDING LOCAL GOVERNMENT, SOCIAL SERVICE AGENCIES, HOSPITAL SUPPORTERS AND MORE. THE REPORT IS POSTED ON THE HOSPITAL WEBSITE (ENDEAVORHEALTH.ORG/COMMUNITY#REPORTS) AND IS AVAILABLE IN HARD COPY TO ANYONE WHO REQUESTS ONE.
Schedule H, Part VI, Line 5 Promotion of community health (continued)	12. The hospital also dedicates resources to enhance its health and wellness offerings for older adults in the community. A senior services specialist coordinates and promotes health and wellness programs held on the hospital's campus, the Arlington Heights senior center and other locations in the hospital's service area. The senior services specialist sits on the board of the palatine township senior citizens council and participates in various committees, all which assist in contributing to the improvement of services and relationships with seniors. 13. More than sixty years ago the hospital was founded by a group of business and civic leaders that recognized the need for a hospital in their growing community. The hospital was built "by the community, for the community its members have always played an active role in supporting "their" hospital through volunteering and making generous financial gifts. The community has grown and changed, so has the hospital to meet the evolving needs. Over the years these needs included a new patient tower, an expanded and updated neonatal department, behavioral health center, state-of-the-art emergency department, heart failure clinic, inpatient rehab unit, changing technology, and multiple community outreach initiatives. The community has continually stepped forward to help through its philanthropic gifts to the hospital's foundation. Grateful patients, families, employees, physicians, businesses and private foundations continue to support the hospitals Foundation. 318 volunteers contributed 45,794 hours of service in 2024.
Schedule H, Part II, Line 2 ECONOMIC DEVELOPMENT	THE HOSPITAL'S VICE PRESIDENT OF OPERATIONS REPRESENTS THE ORGANIZATION THROUGH PARTICIPATION IN THE ARLINGTON HEIGHTS ECONOMIC ALLIANCE COMMISSION. THE COMMISSION IS MADE UP OF 13 LOCAL BUSINESS OWNERS AND REPRESENTATIVES WHO ARE TASKED WITH IMPROVING THE COMMUNITY'S ECONOMIC CLIMATE BY ADVISING THE VILLAGE BOARD AND STAFF THROUGH A BUSINESS PERSPECTIVE. THE ORGANIZATION ALSO IS A MEMBER OF AND SUPPORTS THE ARLINGTON HEIGHTS CHAMBER OF COMMERCE (AHCC). THE AHCC IS DEDICATED TO FOSTERING BUSINESS GROWTH AND STRENGTHENING THE LOCAL ECONOMY AND COMMUNITY.
Schedule H, Part II, Line 8 WORKFORCE DEVELOPMENT	The hospital's chief nursing officer represented the organization for the Harper College Certified Nursing Assistant Program which provides students to earn their certification and begin a career in healthcare.
Schedule H, Part I, Line 7 COSTING METHODOLOGY	The following methodologies were used to determine the amounts reported in the table for Line 7. Lines 7a - 7d Ratio of cost to charges was determined using Worksheet 2 in the Form 990, Schedule H instructions. Lines 7e-7j Costs were determined using the direct and indirect costs for specific programs or services. These costs were maintained/identified in the hospital's "community benefit inventory for social accountability software" (CBISA). The indirect portion of these costs was calculated utilizing the indirect cost ratio from the hospital's latest available Medicare cost report. The "indirect" ratios were entered into CBISA for the calculation of indirect costs.
Schedule H, Part II, Line 3 COMMUNITY SUPPORT	The hospital's emergency department offers Stop the Bleed classes and conducted an active threat community training exercise to prepare the community for external community threats such as a mass shooting. All education is provided free of charge by leaders and educators from the department.
Schedule H, Part II, Line 7 ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT/SAFETY	The hospital supported the American Heart Association through hospital wide participation in the annual heart walk held on September 20, 2024. More than 100 employees and hospital leaders walked to support the work of the AHA who is committed to driving equitable health impact in Illinois through five key priority areas: women, readiness, tobacco and vaping, patients, and healthy living. Through their focus on these key impact areas, and with collaboration among local organizations they are working to improve the health and well-being of Illinois citizens while saving and improving countless lives.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BAD DEBT EXPENSE WAS REPORTED AT COST USING A COST-TO-CHARGE METHODOLOGY. THE SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES CALCULATED TO REPORT CHARITY CARE ON PART 1, LINE 7A WAS MULTIPLIED BY THE COST-TO-CHARGE RATIO TO DETERMINE THE BAD DEBT EXPENSE AT COST. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE EXCLUDED FROM BAD DEBT EXPENSE IN ORDER TO REFLECT THE EXPECTED AMOUNT TO BE PAID.
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	THE MEDICARE SHORTFALL REPORTED IN PART III, LINE 7 REPRESENTS THE EXCESS COST OF PROVIDING SERVICES TO MEDICARE BENEFICIARIES OVER THE PAYMENTS RECEIVED FROM THE MEDICARE PROGRAM. ACCESS TO QUALITY HEALTHCARE IS IMPERATIVE FOR ALL MEDICARE RECIPIENTS, MANY OF WHOM ARE LIVING ON A FIXED INCOME. AS SUCH, THE COSTS ABSORBED BY THE HOSPITAL IN PROVIDING THESE SERVICES IS A BENEFIT TO THE MEMBERS OF THE COMMUNITY WE SERVE.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IT IS THE POLICY OF THE HOSPITAL TO OFFER PATIENTS A PAYMENT PLAN OR FINANCIAL ASSISTANCE WHEN IT BECOMES KNOWN OR SUSPECTED THAT A PATIENT NEEDS SUCH ASSISTANCE. FINANCIAL COUNSELORS CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP DETERMINE IF THERE ARE ANY THIRD PARTY PAYERS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS, SUCH AS MEDICAID, COBRA, WORKERS COMPENSATION, OR SPECIALIZED GRANT PROGRAMS. IF NO THIRD PARTY PROGRAMS ARE IDENTIFIED, THE FINANCIAL COUNSELORS WORK WITH THE PATIENT TO HELP THEM APPLY FOR CHARITY DISCOUNTS OR PAYMENT PLANS. FORMS ARE AVAILABLE IN ENGLISH, SPANISH, RUSSIAN, POLISH, GERMAN, JAPANESE AND TRANSLATION SERVICES ARE PROVIDED IN MANY LANGUAGES. IN ADDITION, ALL PATIENT BILLS AND STATEMENTS INCLUDE INFORMATION ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE AND THE INFORMATION IS ALSO POSTED ON THE HOSPITAL'S WEBSITE (NCH.ORG). COLLECTION ACTIVITY WILL BE SUSPENDED DURING THE CONSIDERATION OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION OR AN APPLICATION FOR OTHER HEALTHCARE BRACKET (I.E., MEDICARE, MEDICAID, ETC.) UNTIL FINANCIAL ASSISTANCE CAN BE DETERMINED. ACCOUNTS IN THE FINANCIAL ASSISTANCE PROCESS WILL BE MONITORED AND, UPON THE DECISION TO APPROVE OR DENY FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT WILL BE UPDATED. IF THE FINANCIAL ASSISTANCE APPLICATION IS APPROVED WITH A PERCENTAGE LESS THAN 100% OR DENIED, THE PATIENT'S ACCOUNT WILL BE NOTED AND THE HOSPITAL WILL RESUME THE SELF-PAY COLLECTION ACTIVITY IN COMPLIANCE WITH ITSELF PAY FOLLOW-UP PROCEDURES.
Schedule H, Part V, Section B, Line 16a FAP website	- NORTHWEST COMMUNITY HOSPITAL: Line 16a URL: HTTPS://WWW.NCH.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- NORTHWEST COMMUNITY HOSPITAL: Line 16b URL: HTTPS://WWW.NCH.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- NORTHWEST COMMUNITY HOSPITAL: Line 16c URL: HTTPS://WWW.NCH.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/;
Schedule H, Part VI, Line 2 Needs assessment	Endeavor Health screens adult patients in many care settings for social drivers of health (SDOH) to identify patients in need and connect them to resources. Collecting SDOH information deepens our understanding of the challenges patients face and guides navigation to critical services. EndeavorHealth screens for five key areas: food insecurity, housing instability, transportation barriers, interpersonal safety and utility difficulties. This data helps us understand patient needs and connect them to essential resources like food pantries. We have launched a Community Health Worker Program to address gaps in cancer screening rates, 30-day readmissions, and chronic disease outcomes, while also strengthening SDOH navigation and connections to community resources. Endeavor Health has a dedicated Community Impact and Engagement team made up of professionals across the system who are committed to strengthening our community's health and wellbeing. Strategic priorities and commitments include: - Community Health Needs Assessment - Identifying and addressing community health needs. - Community Engagement - Convening and connecting people for collective impact. - Community Health and Wellness - Promoting health and wellness through education and outreach. - Community Investment Fund - Investing in local organizations committed to community health and wellbeing. - Anchor Strategy - Leveraging organizational resources to support community health and economic growth. - Community Benefit - Demonstrating community impact. The hospital has a local Community Services department made up of community health workers, community nurses and a senior services specialist which is overseen by a System Community Impact and Engagement Director. This team works closely with community members including local not for profit organizations, social service agencies, schools and faith- based organizations to identify and address unmet needs. They also work closely internally with other hospital staff including physicians, nurses and other key leaders to identify and address the healthcare needs and social drivers of health concerns of its patients. The System Director of Community Impact and Engagement is on the board of directors of Partners for our Communities (POC), a local not for profit that helps the hospital run a community resource center in the hospitals primary service area. The resource center houses fourteen not for profit agencies including a food and clothing pantry for under-resourced members of the community. Providers at this center meet with the hospital regularly to review community needs and explore collaborative strategies to address them.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	The financial assistance program at the hospital is communicated widely to patients and visitors in English and Spanish using the following methods: Signage in English and Spanish is posted throughout the organization at all access points, including the emergency department and outpatient registration areas. These areas also stock and make available a brochure, printed in English and Spanish, describing the hospital's policy. The hospital provides a comprehensive language assistance program which includes video remote and in-person translators who can assist those who need additional information on financial assistance. The information below was posted on the hospital website. "Financial Assistance other related terms can also be searched for from any page of the hospital website taking users to the information including applications for financial assistance (available in English, Spanish, German, polish, Japanese, and Russian), financial assistance policies, and ways to reach the NCH financial counselor by email, phone or in person. Patient financial assistance page: to apply for patient financial assistance at NCH, please print the financial assistance application (tambien disponible en espanol) and complete all necessary fields. Please be sure to provide all requested documentation to be considered for financial assistance. The patient's can apply on MyChart and submit the necessary financial assistance forms electronically to the financial counseling team. Northwest community hospital is a charitable organization and provides financial assistance to those who are eligible. The day surgery center is a for-profit organization and also provides financial assistance to those who are eligible. Main fees and bill payment page: for families without insurance who need help with medical bills, we accept Illinois public aid. In addition, you may qualify for financial assistance for medical bills through northwest community hospital. Northwest community hospital is a charitable organization and provides financial assistance to those who are eligible. The day surgery center is a for-profit organization and also provides financial assistance to those who are eligible. Each patient invoice or other summary of charges to a patient includes with it or on it a statement regarding how a patient may apply for consideration under the hospital's financial assistance policy. The patient is provided a contact number for financial assistance and our webpage to download an application or submit electronically via MyChart. Financial counselors provide financial assistance information to patients during their registration and work with patients identified at registration or after admission to help them get the assistance they need, answer questions, set up payment plans and facilitate applications for government programs such as Medicaid. NCH partners with Great Lakes Medicaid with the goal to provide under insured 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. In addition to the formal application process for Financial Assistance, NCH may also grant Financial Assistance on a presumptive basis. Presumptive Financial Assistance approvals are based upon individual life circumstances such as enrollment in low-income government programs with income eligibility below 200 percent of federal poverty level income guidelines or verification of financial indigence through a credit rating agency and their calculated healthcare credit score.
Schedule H, Part VI, Line 4 Community information	NCH holds a vast geographical position, extending across multiple counties and encompassing a diverse range or socioeconomic profiles. The population of the NCH service area is nearly 700,000 and is projected to decrease slightly over the next five years. The highest utilizers of heath care services are patients 65 and over, and this age group is expected to grow 10.9% over the next five years. The number of residents in all other age groups is expected to decrease 2.4% to 5.2%. The female population in the NCH service area is slightly higher than the male population and is projected to decline slightly along with the male population over the next five years. The NCH service area is primarily Non- Hispanic/Latino White (59.6%) but also has substantial Hispanic/Latino population (17.0%). The Hispanic/Latino population is projected to grow 10.6%% over the next five years, while Non-Hispanic/Latinos will decrease 2.9% driven by White Alone Non Hispanic/Latinos. There is a slight projected decline in Bachelor's Degree and above in the NCH service area over the next five years. The unemployment rate in the NCH service area is 1.9% less than Illinois and .8% below the Endeavor Health service area. Unemployment rates are projected to grow .9% by 2027 in the NCH service area, The number of households in upper income brackets ($100,000+ annual income) are projected to increase while all lower income brackets are projected to decrease. The average household income in the NCH service area is $137,110 while the median household income is $99,734. Household income levels in the NCH service area are exceeding Illinois for households making $100,000 or more and are projected to continue to exceed Illinois over the next five years. Although the overall poverty level for the NCH service area is less than the Endeavor Health service area and Illinois, a Palatine ZIP code has a poverty level of 29.6%. The percentage of uninsured residents in the NCH service area is higher than the Illinois average and ranges from 2.4% to 15.6%, an indicator of the disparities that exist within the communities we serve. The percentage of residents in the NCH service area with limited English proficiency is higher than both the Endeavor Health service area and the Illinois average and ranges from 1.9% to 14.2%, an indicator of the disparities that exist within the communities we serve. Other hospitals serving the NCH community include: - Advocate Good Shepard - Ascension Alexian Brothers Medical Center - Ascension St. Alexius Medical Center Federally Qualified Health Centers and Other Safety Net Providers serving the NCH community include: - ACCESS Northwest Family Health Center/FQHC (Arlington Heights) - ACCESS Genesis Health Center/FQHC (Des Plaines) - Arlington Heights Health Center/Cook County (Arlington Heights) - Greater Family Health/FQHC (Palatine) - Greater Family Health/FQHC (Wheeling)
Schedule H, Part VI, Line 5 Promotion of community health	The hospital furthers its exempt purpose by promoting the health of its community in many ways as follows: 1. A majority of the governing body of the hospital 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 Organizations, the hospital reinvests earnings in the organization to maintain and enhance services that benefit the community served by the hospital. 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. 2. The Endeavor Health Community Investment Fund is a dedicated resource aimed at fostering health and wellness, addressing social drivers of health (SDOH) and improving access to quality healthcare within our community. By strategically allocating these funds, we support local initiatives, partnerships and non-profit organizations that respond to priority community health needs. Whether it's funding for preventive health programs, grants for community health education or resources for mental health initiatives, our goal is to provide the supportive framework that helps community members thrive. During 2024, CIF partnerships in the communities served by the hospital included: - Partners for Our Communities - Increased access to vital resources for new immigrants and low-income residents, serving more than one thousand people monthly. Conducted intake for 78% of new clients to the Community Resource Center and referred 54% of intakes to the case manager, where a comprehensive assessment was performed 100% of the time. Case manager assisted 81% of individuals in navigation of health and human services. - Kenneth Young Center - Enhanced mobile behavioral health crisis response, providing safe, accessible and 24/7 mental health services, navigation and follow-up. Received 450+ crisis line support calls, with mobile crisis team providing in-person to 50+ individuals experiencing crisis. Outfitted two vans to support mobile crisis response, provide client transportation to hospitals, temporary living rooms and shelter, and for follow-up and outreach with existing clients. - Shelter Inc. - Removes critical transportation-based barriers to community-based services for at-risk and in need young women housed in the first Illinois DCFS approved home for victims of trafficking. Services include healthcare, counseling, job training and support groups. 3. The System Office of Community Health Equity & Engagement (SOCHEE) is the governing body that provides thought leadership and shares best practices to inspire and drive equity and inclusion internally and externally. The hospitals senior executives are part of SOCHEE and help support this important work. The three key components of SOCHEE are Community Impact and Engagement (focused on our community), Health Equity (focused on our patients) and Diversity, Equity and Inclusion (focused on our team members). 4. Endeavor Health is a member of the Healthcare Anchor Network which catalyzes health systems individually and collectively to leverage their hiring, purchasing, investing, and other key institutional assets to create stronger local economies that sustain healthy communities. This intentional commitment creates partnership with the community for mutual benefit. 5. The hospitals competent and committed professional nursing staff provides their time and expertise to serve as clinical preceptors for nursing students who come to the organization to complete their clinical practicum requirements. The hospital remains committed to these efforts and strategic programs because they are inextricably linked to supporting the ever-growing need for nurses, which in turn improves access to healthcare for the patients and families served. The hospital is also a clinical rotation site for interns in many other healthcare areas such as radiology, lab, physical therapy, pharmacy and more. Clinical preceptors provide one-on-one teaching with student(s) assigned to them during the clinical practicum. The preceptors develop plans and teaching techniques for each student to achieve an environment conducive for learning. 6. The hospital operates an emergency department that is open 24 hours a day, seven days a week and serves all persons regardless of their ability to pay. 7. One of hospital's most significant contributions is that it serves as the Illinois department of public health (IDPH) designated resource hospital for the northwest community EMS system. In compliance with the Illinois EMS systems act and administrative rules, the EMS medical director (EMS MD) is responsible for all aspects of EMS operation within the system. In collaboration with the EMS administrative director and the system shared governance committees, leadership provides oversight for EMS strategic planning, licensure/re-licensure, clinical credentialing and awarding of practice privileges, creation/ maintenance of EMS practice standards; educational programs, quality management and data reporting, research, vehicle inventory, electronic patient care report design, and fiscal management for the hospital, five associate hospitals, 24 provider agencies that employ over 1,400 EMS personnel, and seven emergency medical dispatch agencies. Members serve a 300-square-mile area and responded to all EMS calls in that area. Online medical control is provided by over 225 emergency communications registered nurses (ECRNs) who are educated, licensed, credentialed, and relicensed by NCH. 8. A standing Community Health and Outreach Committee of the hospital board reviews the community health needs assessment and ensures the implementation plan addresses identified needs. The committee, comprised of board members, senior executives, physicians, community members and staff, provides oversight in monitoring and evaluating the effectiveness of strategies and initiatives included in the implementation plan. The committee monitors the amount of dollars invested in community benefit including charity care, community health education, and other community health improvement initiatives. 9. Collaborative partnerships are the foundation to many of the hospital's community health initiatives aimed to improve the health and well-being of the community. These partnerships include a collaboration with Greater Family Health to bring primary care services for the uninsured and underinsured to the community. The hospital also partners with Elk Grove, Palatine, Schaumburg, and Wheeling townships on a mobile dental clinic program which provides oral health care services to community members who lack access due to financial challenges. Northwest community healthcare, an affiliate of the hospital, also partners with partners for our communities (POC), a local 501(c) (3) organization, to operate and run the community resource center which provides direct services, referrals, and other assistance to the under-resourced. The hospital owns and maintains the building and provides free or low-cost rent to local not for profit agencies, including: the bridge youth and family services, the center-resources for teaching and learning (ECDEC/find program), community consolidated school district 15, faith feeds food pantry, harper college, HIAS Chicago, Palatine Township Senior Citizens Council, Palatine Park District, Palatine Public Library, Shelter Inc., Trellus, and Wings (Women in Need Growing Stronger). Some of the many programs and services offered at the resource center include GED and citizenship classes, healthcare services, computer literacy, after-school youth program, bilingual counseling, parenting classes, job placement, career education, recreation and a food and clothing pantry. 10. In addition to the community resource center, the hospital works with POC on many collaborative health initiatives including the Community Health Worker (CHW) program which provides health education and support for the Latino population. This program identifies Latina women who demonstrate the potential to become leaders in the community who then receive leadership training and education on specific health topics. The CHW meets patient's bedside and then provides post discharge support to help them understand and comply with discharge instructions which can often be difficult due to economic and language barriers. 11. The hospital, POC and Schaumburg township also collaboratively provide the services of two community health nurses; one of which is bilingual in Spanish. These outreach professionals focus on helping vulnerable populations (under-resourced and seniors)
Schedule H, Part VI, Line 6 Affiliated health care system	Northwest Community Hospital (NCH) is part of Endeavor Health. The core mission of Endeavor Health is to "help everyone in our communities be their best." Endeavor Health is a Chicagoland-based integrated health system driven by our mission to help everyone in our communities be their best. As Illinois' third-largest health system and third-largest medical group, we proudly serve an area of more than 4.2 million residents across seven northeast Illinois counties. Our more than 27,600 team members, including more than 1,700 employed physicians, are the heart of our organization, delivering seamless access to personalized, pioneering, world-class patient care across more than 300 ambulatory locations and nine hospitals, including eight Magnet-recognized acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights), Skokie and NorthShore (Chicago) and Linden Oaks Behavioral Health Hospital (Naperville). The Endeavor Health service area is composed of 171 ZIP codes across nearly 75 miles, with a total population of nearly 4.2 million. In 2024, Endeavor Health/Northwest Community Hospital (NCH) conducted a comprehensive Community Health Needs Assessment (CHNA) to identify and prioritize key health issues of the surrounding communities. Endeavor Health conducted this CHNA as part of a simultaneous, system-wide approach to our four CHNAs across the Endeavor Health service area. The insights gained through this assessment guide the development of an implementation strategy to address priority concerns from 2025-2027. The 2024 CHNA serves as a tool toward reaching three basic goals: - To improve residents' health status, increase their life spans and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. - To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at prioritizing these individuals may then be developed to address some of the socio-economic factors which have historically had a negative impact on residents' health. - To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL

Schedule H (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

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

Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
Northwest Community Hospital

Employer identification number
36-2340313

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MCHC Service Corporation 1151 E Warrenville Rd Naperville,IL60563	36-2167008	501(c)(3)	35,017	General Support
(2) Bridge Youth and Family Services 721 S QUENTIN RD STE 103 Palatine,IL60067	23-7093615	501(c)(3)	10,000	Support of Therapy and Counseling Program for newcomers, communities responding to violence and those with grief or loss.
(3) St Mary's Services 510 N PLUM GROVE RD Palatine,IL60067	36-2167889	501(c)(3)	10,000	Counseling for low-income, primarily minority clents
(4) Journeys-The Road Home 1140 EAST NORTHWEST HWY Palatine,IL60074	36-3919018	501(c)(3)	10,000	Support of Hope Day Center-counseling, healthcare, food, clothing, showers, housing assistance
(5) Lemons of Love Inc 433 E GOLF RD Des Plaines,IL60016	47-1308073	501(c)(3)	10,000	Committed to 25 care packages for NCH oncology patients receiving chemotherapy, programming and referrals.
(6) Northwest Center Against Sexual Assault 415 W Golf RD Arlington Heights,IL60005	36-2897300	501(c)(3)	10,000	Crisis intervention, counseling and ED response for victims of sexual assault
(7) WINGS Program Inc PO BOX 95615 Palatine,IL60095	36-3456061	501(c)(3)	10,000	Domestic violence housing, counseling and support services for victims and their children.
(8) Little City Foundation 1760 W ALGONQUIN RD Palatine,IL60067	36-4436695	501(c)(3)	7,790	Behavioral Health Service/Continuum of Care Program for children with autism and high intesity behavioral challenges
(9) Palatine Township Senior Citizens Council 505 S QUENTIN RD Palatine,IL60067	36-2781764	501(c)(3)	5,500	Support seniors applying for Medicare/Medicaid and RX assistance. Provide nutritious home delivered meals

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

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) CANCER ASSISTANCE FUND	86	84,500	0
(2) family meal catering	300	60,000	0
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds

GRANTS IN SUPPORT OF NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) MISSION ARE MONITORED BY NORTHWEST COMMUNITY'S FINANCE COMMITTEE AND BOARD OF DIRECTORS AS PART OF THE MONTHLY REVIEW OF HOSPITAL'S FINANCIAL RESULTS. SIGNIFICANT GRANTS TO UNRELATED 501(C)(3) OR GOVERNMENTAL ORGANIZATIONS ARE APPROVED BY HOSPITAL'S COMMUNITY SERVICES DEPARTMENT AND ARE MONITORED THROUGH ONGOING INTERACTIONS WITH OFFICIALS OF THOSE RECIPIENTS REGARDING PROGRAM SERVICES PROVIDED IN HOSPITAL'S SERVICE AREA.

Schedule I (Form 990) Rev. 1-2025

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Northwest Community Hospital

Employer identification number

36-2340313

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

If any of the boxes 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 .....

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? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

Yes

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

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

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

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

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

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

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

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

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

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

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

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Gerald P Gallagher System President and CEO	(i) (ii)	0 ------------- 2,140,745	0 ------------- 1,368,001	0 ------------- 50,517	0 ------------- 1,594,714	0 ------------- 37,649	0 ------------- 5,191,626	0 ------------- 823,637
2Michael C Hartke President, NCH	(i) (ii)	681,438 ------------- 0	251,371 ------------- 0	5,206 ------------- 0	193,017 ------------- 0	28,396 ------------- 0	1,159,428 ------------- 0	0 ------------- 0
3Kevin Chen Director	(i) (ii)	0 ------------- 472,721	0 ------------- 149,550	0 ------------- 6,582	0 ------------- 20,700	0 ------------- 23,410	0 ------------- 672,963	0 ------------- 0
4Mahalakshmi Halasyamani Director	(i) (ii)	0 ------------- 884,812	0 ------------- 383,356	0 ------------- 8,420	0 ------------- 494,592	0 ------------- 9,474	0 ------------- 1,780,654	0 ------------- 352,072
5Sean O'Grady Director	(i) (ii)	0 ------------- 1,133,163	0 ------------- 466,653	0 ------------- 11,886	0 ------------- 827,332	0 ------------- 40,075	0 ------------- 2,479,109	0 ------------- 465,153
6Shivani Bautista System Chief Legal Officer/Secretary	(i) (ii)	0 ------------- 571,083	0 ------------- 230,380	0 ------------- 1,561	0 ------------- 388,155	0 ------------- 33,444	0 ------------- 1,224,623	0 ------------- 0
7Douglas D Welday System Treasurer and CFO	(i) (ii)	0 ------------- 976,106	0 ------------- 398,335	0 ------------- 479,793	0 ------------- 303,146	0 ------------- 27,240	0 ------------- 2,184,620	0 ------------- 367,572
8Kimberly Maguire Chief Nursing Officer, NCH	(i) (ii)	115,737 ------------- 0	86,889 ------------- 0	18,343 ------------- 0	13,258 ------------- 0	6,421 ------------- 0	240,648 ------------- 0	0 ------------- 0
9Thomas Oryszczak Chief Medical Officer, NCH	(i) (ii)	538,822 ------------- 0	141,414 ------------- 0	1,737 ------------- 0	20,700 ------------- 0	28,196 ------------- 0	730,869 ------------- 0	0 ------------- 0
10Christine Erdmann Vice President and Controller	(i) (ii)	343,088 ------------- 0	95,476 ------------- 0	1,759 ------------- 0	20,700 ------------- 0	10,425 ------------- 0	471,448 ------------- 0	0 ------------- 0
11Glen J Malan VP, Chief Technology Officer	(i) (ii)	374,059 ------------- 0	127,769 ------------- 0	4,996 ------------- 0	20,700 ------------- 0	24,378 ------------- 0	551,902 ------------- 0	0 ------------- 0
12Susan E Nelson President, Primary Care EHMG	(i) (ii)	558,171 ------------- 0	170,568 ------------- 0	148,767 ------------- 0	20,700 ------------- 0	19,426 ------------- 0	917,632 ------------- 0	129,471 ------------- 0
13Willis Parsons Medical Director, NCH GI Center	(i) (ii)	1,654,286 ------------- 0	0 ------------- 0	7,524 ------------- 0	20,700 ------------- 0	22,878 ------------- 0	1,705,388 ------------- 0	0 ------------- 0
14John L Skeans Vice President, Revenue Cycle	(i) (ii)	125,150 ------------- 0	126,408 ------------- 0	299,432 ------------- 0	20,700 ------------- 0	5,911 ------------- 0	577,601 ------------- 0	201,374 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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 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 Endeavor Health 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 Endeavor Health Compensation Committee, in session with legal counsel present, in advance of implementation.
Schedule J, Part I, Line 4a Severance or change-of-control payment	The following individual received a severance payment based upon mutually agreed-upon separation agreement entered into with the organization: John Skeans - $75,000
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	An NCH SERP plan was created and was effective on January 1, 2014. Benefits under the SERP vest in the amount credited to his or her account balance on January 1 of the fifth plan year following the year for which a contribution was credited to the participant's account. However, participant will automatically vest in his or her account balance in the event of involuntary separation from service or his or her attainment of age 65 while still employed by NCH. Participants who voluntarily resign or are terminated with cause before the vesting period are no longer eligible for the amount accrued. The following individuals participated in the supplemental nonqualified retirement plan and received payments reported as taxable compensation: John Skeans - $201,374 Susan Nelson - $138,669 An Endeavor Health Defined Contribution supplemental executive retirement plan (SERP) was created and effective in 2024. The following individuals participated in the supplemental nonqualified retirement plan and accrued the following benefits: Michael C. Hartke - $123,276 Shivani Bautista - $248,338 The following individuals participated in a supplemental nonqualified retirement plan and below are the increases to the plan balances during 2024: Gerald P. Gallagher - $757,674 Mahalakshmi Halasyamani - $222,465 Sean O'Grady - $470,529 The following individuals received payments from a supplemental nonqualified retirement plan reported as taxable compensation: Douglas D. Welday - $465,005
Schedule J, Part I, Line 7 Non-fixed payments	The CEO and vice presidents of the hospital are eligible for an annual incentive compensation payment that is aligned with the strategic, financial and operational goals of the organization. Threshold measures, which constitute the minimum requirements, must be achieved in order to have an incentive payout. Award opportunity levels vary as a percent of base salary. Actual amounts awarded are based on a combination of defined targets. Maximum payable is 150% of the target. Amounts to be paid are subject to approval of the compensation committee of northwest community healthcare, the sole member of the hospital. The compensation committee retains the discretion to recommend for board approval adjustments to payouts (either higher or lower) at plan cycle end, to reflect extraordinary performance or unanticipated circumstances.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

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

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
Northwest Community Hospital

Employer identification number
36-2340313

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	ILLINOIS FINANCE AUTHORITY	86-1091967		01-31-2020	90,070,000	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	30,570,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	93,070,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	434,279
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............	93,070,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2020
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

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

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........	X
c No rebate due? .........		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........	0 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........	0 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........		X
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
Schedule K, Part I, Column (c) CUSIP	NO NEW CUSIPS WERE ASSIGNED TO THE REISSUANCE: SERIES 2011 (NO CUSIPS ASSIGNED); SERIES 2008B (45200FNU9); SERIES 2008C (45200FNV7)
Schedule K, Part I, Column (f) REISSUANCE	THE PURPOSE OF THE ISSUE WAS THE REISSUANCE OF SERIES 2011, ISSUED ON 12/01/2011, AND SERIES 2008B&C, ISSUED ON 10/17/2008.
Schedule K, Part I, Column (f) REISSUANCE	THE PURPOSE OF THE ISSUE WAS TO REPAY A TERM LOAN WITH NORTHERN TRUST COMPANY THE PROCEEDS OF WHICH WERE USED TO REFUND SERIES 2002 ISSUED ON 2/13/2002
Schedule K, Part II, Line 11 BOND A	THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS NO LONGER IN ESCROW
Schedule K, Part III BOND A & B	THE REISSUED SERIES 2011 AND SERIES 2008BC SOLE PURPOSES TIE TO REFUNDING, DIRECTLY OR INDIRECTLY, BONDS ISSUED PRIOR TO 12/31/2002 AND THEREFORE THIS ISSUE IS EXEMPT FROM PART III OF SCHEDULE K.
Schedule K, Part IV, Line 2b EXCEPTION TO REBATE	THE REISSUED BOND MEETS AN EXCEPTION TO REBATE BUT A CALCULATION WAS COMPLETED FOR THE ORIGINAL ISSUES ON 12/1/2021 (2011) AND 11/29/2018 (2008BC) WITH NO REBATE LIABILITY BEING DUE

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

Northwest Community Hospital

Employer identification number

36-2340313

Return Reference	Explanation
Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION OF CEO AND OTHERS	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 Endeavor Health 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 Endeavor Health Compensation Committee, in session with legal counsel present, in advance of implementation.
Form 990, Part VI, Line 6 Classes of members or stockholders	Northwest Community Healthcare is the sole corporate member of Northwest Community Hospital.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Endeavor Health Clinical Operations, as the sole corporate member of Northwest Community Healthcare, has the power to appoint and approve board members.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Certain powers reserved to the Member shall be exercised by Endeavor Health Clinical Operations (EHCO), in its capacity as the sole corporate member of the Member. EHCO may exercise any of its reserved powers through authority delegated to the officers or management of EHCO or the board of directors or officers of the Member pursuant to corporate resolutions and policies which may be adopted by EHCO, provided that the exercise of such reserved powers remains the ultimate responsibility of EHCO. The following matters shall be submitted to EHCO for approval and shall not be authorized unless approved by EHCO: -To develop, approve and modify annual operating and capital budgets, financial plans and strategic plans for the Corporation and its Affiliates -To determine all substantive changes in the clinical programs and services to be provided by the Corporation and its Affiliates, including the establishment, expansion, reconfiguration, reduction or discontinuation of clinical programs and services, subject to the commitments set forth in the Definitive Agreement and taking into account the input and recommendations of the Member's Board of Directors and the Transaction Rationale and Vision; -To establish or change existing medical education programs; -To approve indebtedness and unbudgeted capital or operating expenditures above a designated dollar threshold set for the Corporation by EHCO from time to time; -To establish, amend or terminate third-party payor relationships; -To approve contractual relationships between the Corporation or an Affiliate of the Corporation and a third party involving: (i) consideration in excess of a designated dollar threshold set for the Corporation by EHCO from time to time, (ii) a restrictive covenant applicable to the Corporation or an Affiliate of the Corporation; or (iii) a term in excess of three (3) years that cannot be terminated without cause; -To approve any changes to employee benefit or compensation plans; -To approve any agreement involving the licensing of trademarks or intellectual property to or from a third party; -To hire, terminate and evaluate the terms of employment for the Corporation's President & CEO and, with input from the Corporation's President & CEO, other key Corporation managers; -To approve of any acquisitions or lease transactions of the Corporation or an Affiliate of the Corporation, as well as any termination, liquidation, mortgage or encumbrance of assets or real property of the Corporation or an Affiliate of the Corporation above a designated dollar threshold set for the Corporation by EHCO from time to time; -To evaluate and approve of any affiliation, joint venture, merger, corporate consolidation or restructuring or similar transaction by or involving the Corporation or its Affiliates, as well as any dissolution or termination of any affiliation or joint venture; -To select the auditor for, and approval of all audits of, the Corporation and its Affiliates; -To select outside legal counsel and approve any waiver, settlement or compromise of any legal proceeding, suit, claim or action against or brought by or on behalf of the Corporation or its Affiliates if the uninsured portion of the amount in controversy is in excess of the threshold amount designated in the EHCO system policy as requiring EHCO approval; -To initiate and approve amendments and restatements of the governing documents of the Corporation and its Affiliates, including without limitation the Corporation's Articles of Incorporation and these Bylaws, subject to the commitments made in the Definitive Agreement; -To establish and ensure implementation of system-wide quality standards that protect and enhance EHCO's, the Member's and Corporation's brands; -To establish and ensure implementation of financial goals and standards that protect and enhance the operations of EHCO, the Member and the Corporation; and -To determine the extent to which and the manner in which the powers described in this section which are reserved to EHCO with respect to the Corporation are to be included in the governing documents of any Affiliate of the Corporation and exercised with respect to any Affiliate of the Corporation for which the Corporation holds the aforementioned powers or similar reserved powers. -To develop, approve and modify annual operating and capital budgets, financial plans and strategic plans for the Corporation and its Affiliates -To determine all substantive changes in the clinical programs and services to be provided by the Corporation and its Affiliates, including the establishment, expansion, reconfiguration, reduction or discontinuation of clinical programs and services, subject to the commitments set forth in the Definitive Agreement and taking into account the input and recommendations of the Member's Board of Directors and the Transaction Rationale and Vision; -To establish or change existing medical education programs; -To approve indebtedness and unbudgeted capital or operating expenditures above a designated dollar threshold set for the Corporation by EHCO from time to time; -To establish, amend or terminate third-party payor relationships; -To approve contractual relationships between the Corporation or an Affiliate of the Corporation and a third party involving: (i) consideration in excess of a designated dollar threshold set for the Corporation by EHCO from time to time, (ii) a restrictive covenant applicable to the Corporation or an Affiliate of the Corporation; or (iii) a term in excess of three (3) years that cannot be terminated without cause; -To approve any changes to employee benefit or compensation plans; -To approve any agreement involving the licensing of trademarks or intellectual property to or from a third party; -To hire, terminate and evaluate the terms of employment for the Corporation's President & CEO and, with input from the Corporation's President & CEO, other key Corporation managers; -To approve of any acquisitions or lease transactions of the Corporation or an Affiliate of the Corporation, as well as any termination, liquidation, mortgage or encumbrance of assets or real property of the Corporation or an Affiliate of the Corporation above a designated dollar threshold set for the Corporation by EHCO from time to time; -To evaluate and approve of any affiliation, joint venture, merger, corporate consolidation or restructuring or similar transaction by or involving the Corporation or its Affiliates, as well as any dissolution or termination of any affiliation or joint venture; -To select the auditor for, and approval of all audits of, the Corporation and its Affiliates; -To select outside legal counsel and approve any waiver, settlement or compromise of any legal proceeding, suit, claim or action against or brought by or on behalf of the Corporation or its Affiliates if the uninsured portion of the amount in controversy is in excess of the threshold amount designated in the EHCO system policy as requiring EHCO approval; -To initiate and approve amendments and restatements of the governing documents of the Corporation and its Affiliates, including without limitation the Corporation's Articles of Incorporation and these Bylaws, subject to the commitments made in the Definitive Agreement; -To establish and ensure implementation of system-wide quality standards that protect and enhance EHCO's, the Member's and Corporation's brands; -To establish and ensure implementation of financial goals and standards that protect and enhance the operations of EHCO, the Member and the Corporation; and -To determine the extent to which and the manner in which the powers described in this section which are reserved to EHCO with respect to the Corporation are to be included in the governing documents of any Affiliate of the Corporation and exercised with respect to any Affiliate of the Corporation for which the Corporation holds the aforementioned powers or similar reserved powers.
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 Board of Trustees of the health system parent, Endeavor Health for review and 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	Northwest Community Hospital governing documents, conflict of interest policy, and financial statements are available to the public upon request. The Endeavor Health annual audit report and financial statements are also available to the public through GuideStar as part of the Form 990 filings. The Endeavor Health quarterly and annual financial statements and annual audit are also made available to the public through the Electronic Municipal Market Access (EMMA) website as part of the tax-exempt bond offerings.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Research Grant Revenue - Total Revenue: 130177, Related or Exempt Function Revenue: 130177, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Miscellaneous Revenue - Total Revenue: 219401, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 219401;
Form 990, Part IX, Line 11g Other Fees	PURCHASED SERVICES - Total Expense: 66705198, Program Service Expense: 60618709, Management and General Expenses: 6086489, Fundraising Expenses: ; PHYSICIAN PROFESSIONAL FEES - Total Expense: 7228940, Program Service Expense: 4623600, Management and General Expenses: 2605340, Fundraising Expenses: ; FOOD SERVICES - Total Expense: 5463075, Program Service Expense: , Management and General Expenses: 5463075, Fundraising Expenses: ; NURSING STAFF - Total Expense: 3313917, Program Service Expense: 3313917, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Nonoperating pension adjustment - -5092398; Net asset transfers to affiliates - -694244; Other changes in net assets - 0; Pension related equity changes - -845639; Increase in temporary net assets of foundation - 5861187; Net assets released from temporary restricted - 1135403; Total - 364309;

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Northwest Community Hospital

Employer identification number

36-2340313

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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Endeavor Health Medical Group 3040 SALT CREEK LANE ARLINGTON HEIGHTS,IL60625 36-3738206	Heathcare	IL	501(c)(3)	10	Endeavor Health Clinical Operations	Yes
(2)Radiation Medicine Institute 3041 SALT CREEK LANE ARLINGTON HEIGHTS,IL60005 36-3815543	Heathcare	IL	501(c)(3)	Type I	Endeavor Health Clinical Operations	Yes
(3)Swedish Covenant Health 5145 N California Avenue Chicago,IL60625 36-2179813	Hospital	IL	501(c)(3)	3	Endeavor Health Clinical Operations	Yes
(4)Swedish Covenant Hospital Foundation 5145 N California Avenue Chicago,IL60625 20-5055155	Support of Swedish Covenant Health	IL	501(c)(3)	7	Swedish Covenant Health	Yes
(5)Edward-Elmhurst Healthcare 801 South Washington Street Naperville,IL60540 36-3513954	Healthcare	IL	501(c)(3)	Type II	Endeavor Health	Yes
(6)Northwest Community Healthcare 3041 SALT CREEK LANE ARLINGTON HEIGHTS,IL60005 36-3125209	Support of Northwest Community Hospital	IL	501(c)(3)	Type II	Endeavor Health Clinical Operations	Yes
(7)Northwest Community Hospital Foundation 3041 SALT CREEK LANE Arlington Heights,IL60005 36-3125193	Fundraising	IL	501(c)(3)	7	Northwest Community Healthcare	Yes
(8)Endeavor Health 3041 SALT CREEK LANE ARLINGTON HEIGHTS,IL60005 87-4520691	Healthcare System Parent	IL	501(c)(3)	Type III-FI	NA		No
(9)Naperville Psychiatric Ventures 801 South Washington Street Naperville,IL60540 36-3965251	Hospital	IL	501(c)(3)	3	Edward Health Ventures	Yes
(10)Endeavor Health Clinical Operations 3040 Salt Creek Lane ARLINGTON HEIGHTS,IL60005 36-2167060	Heathcare	IL	501(c)(3)		Endeavor Health	Yes
(11)Edward Hospital 801 South Washington Street Naperville,IL60540 36-3297173	Hospital	IL	501(c)(3)	3	Edward-Elmhurst Healthcare	Yes
(12)Edward Foundation 801 South Washington Street Naperville,IL60540 36-3723705	Fundraising	IL	501(c)(3)	7	Edward-Elmhurst Healthcare	Yes
(13)Edward Health Ventures 801 South Washington Street Naperville,IL60540 58-1672987	Supporting Org	IL	501(c)(3)	Type II	Edward-Elmhurst Healthcare	Yes
(14)Edward Health and Fitness Center 801 South Washington Street Naperville,IL60540 36-3555528	Healthcare	IL	501(c)(3)	10	Edward Health Ventures	Yes
(15)Edward Ambulance Services LLC 801 South Washington Street Naperville,IL60540 45-2389060	Healthcare	IL	501(c)(3)	10	Edward Hospital	Yes
(16)Elmhurst Memorial Healthcare 155 East Brush Hill Road Elmhurst,IL60126 36-4037473	Supporting Org	IL	501(c)(3)	Type II	Edward-Elmhurst Healthcare	Yes
(17)Elmhurst Memorial Hospital 155 East Brush Hill Road Elmhurst,IL60126 36-2167784	Hospital	IL	501(c)(3)	3	Elmhurst Memorial Healthcare	Yes
(18)Elmhurst Memorial Hospital Foundation 155 East Brush Hill Road Elmhurst,IL60126 36-3083197	Fundraising	IL	501(c)(3)	7	Elmhurst Memorial Hospital	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) Ravine Way Surgery Center LLC 2401 Ravine Way Glenview,IL60025 20-1245279	Healthcare	IL	Endeavor Health Clinical Operations	N/A	0	0
(2) Northwest Community Day Surgery Center II LLC 3040 Salt Creek Lane Arlington Heights,IL60005 30-0798249	Outpatient Care	IL	Northwest Community Healthcare	N/A	0	0
(3) Northwest Endo Center LLC 3040 Salt Creek Lane Arlington Heights,IL60005 81-2338623	Surgical Care	IL	Northwest Community Health Services Inc	N/A	0	0
(4) EnVision Medical Imaging LLC 8930 Waukegan Road Suite 130 Morton Grove,IL60053 82-2067179	Imaging Services	IL	Northwest Community Health Services Inc	N/A	0	0
(5) Elmhurst Outpatient Surgery Center LLC 1200 South York Road Suite 1400 Elmhurst,IL60126 36-4150045	Surgery Center	IL	Elmhurst Memorial Hospital	N/A	0	0
(6) Midwest Endoscopy LLC 1243 Rickert Drive Naperville,IL60585 20-8292570	Healthcare	IL	Edward Health Ventures	N/A	0	0
(7) RHHI Holdco LLC 400 Northpoint Circle Suite 203 Seven Fields,PA16046 87-3745286	Healthcare	IL	NA	N/A	0	0
(8) Residential Home Health Illinois LLC 5440 Corporate Drive Suite 400 Troy,MI48098 27-0179825	Healthcare	IL	NA	N/A	0	0

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?
(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	Yes	No
(1) NorthShore Legacy NPA Inc 3040 Salt Creek Lane Arlington Heights,IL60005 36-3648026	Heathcare	IL	Endeavor Health Medical Group	C Corporation				Yes
(2) NorthShore Physician Associates Value Based Care LLC 3040 Salt Creek Lane Arlington Heights,IL60005 82-2268872	Heathcare	IL	Endeavor Health Physician Partners LLC	C Corporation				Yes
(3) NorthShore University HealthSystem Insurance International Governors Sq Bldg 4 Grand Cayman CJ 98-0419452	Insurance	CJ	Endeavor Health Clinical Operations	C Corporation				Yes
(4) Swedish Covenant Management Services Inc 5145 N California Avenue Chicago,IL60625 36-4073303	Physician Practice Management	IL	Swedish Covenant Health	C Corporation				Yes
(5) Swedish Covenant Physician Partners Ltd 5145 N California Avenue Chicago,IL60625 36-3120220	Managed Healthcare Provider	IL	Swedish Covenant Health	C Corporation				Yes
(6) Northwest Community Health Services Inc 800 West Central Road Arlington Heights,IL60005 36-3312906	Healthcare	IL	Northwest Community Healthcare	C Corporation				Yes
(7) EEH SPC - Segregated Portfolio A Governors Square 23 Lime Tree Bay Building 4 Floor 2 Grand Cayman CJ 98-1238485	Insurance	CJ	Edward-Elmhurst Healthcare	C Corporation				Yes
(8) EEH SPC - Segregated Portfolio B Governors Square 23 Lime Tree Bay Building 4 Floor 2 Grand Cayman CJ 98-1185160	Insurance	CJ	Edward-Elmhurst Healthcare	C Corporation				Yes
(9) EEH SPC - Segregated Portfolio D Governors Square 23 Lime Tree Bay Building 4 Floor 2 Grand Cayman CJ	Insurance	CJ	Edward-Elmhurst Healthcare	C Corporation				Yes
(10) DuPage Medical Group Portfolio Insurance Company PO Box 1051 Grand Cayman KY1102 CJ	Insurance	CJ	Edward-Elmhurst Healthcare	C Corporation				Yes
(11) Elmhurst Memorial Health Technologies LLC 855 North Church Court Elmhurst,IL60126 36-3229839	Practice Management	IL	Elmhurst Memorial Healthcare	C Corporation				Yes

Schedule R (Form 990) (Rev. 1-2025)

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

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

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

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

Schedule R (Form 990) (Rev. 1-2025)

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

Schedule R (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

1	Briefly describe the organization’s mission or most significant activities: NORTHWEST COMMUNITY HOSPITAL follows the mission of Endeavor Health to "help everyone in our communities be their best."
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	5,005
6	Total number of volunteers (estimate if necessary) .............	6	318
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	5,338,172
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	505,629

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,793,439	1,372,223
9	Program service revenue (Part VIII, line 2g) .........	609,881,418	628,576,751
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....		27,175
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,335,911	3,833,260
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	616,010,768	633,809,409
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	226,633	310,221
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)	286,706,372	293,020,961
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	287,571,540	325,493,706
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	574,504,545	618,824,888
19	Revenue less expenses. Subtract line 18 from line 12.......	41,506,223	14,984,521
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	553,316,449	521,703,883
21	Total liabilities (Part X, line 26).............	399,511,524	352,550,128
22	Net assets or fund balances. Subtract line 21 from line 20.....	153,804,925	169,153,755

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 536,093,297 including grants of $ 310,221 ) (Revenue $ 623,906,612 )
	Northwest Community Hospital (NCH) is part of Endeavor Health, an integrated, healthcare delivery system. Endeavor Health is a Chicagoland-based integrated health system driven by our mission to help everyone in our communities be their best. As Illinois' third-largest health system and third-largest medical group, we proudly serve an area of more than 4.1 million residents across seven northeast Illinois counties. NCH has served Chicago's northwest suburbs since 1959. NCH houses a Level III NICU, Level II Trauma Center and a dedicated pediatric emergency department. It is also a DNV-certified Comprehensive Stroke Center. In addition, the John M. Boler Center for Rehabilitation at NCH provides a comprehensive, 33-bed acute inpatient rehab unit with all private rooms. The center offers award winning, personalized care aimed at ensuring a safe and independent transition back to the community. The NCH campus is home to the Wellness Center, a premier health and fitness center and spa, as well as a full-service, retail pharmacy. During 2024, NCH total admissions were 22,228, and total inpatient days were 92,667. NCH has a proud and longstanding tradition of outreach to the medically underserved within its northwest suburban Chicago service area. NCH is dedicated to addressing the needs of not only its patients, but of everyone who lives and works in the northwest Chicago suburbs. NCH's Community Services Department utilizes the hospital's strengths alongside those of the wider Endeavor Health system and other well established community partners to identify unmet health needs of the community and to develop strategic initiatives to address them. Working collaboratively allows NCH to better understand and reach the most vulnerable populations, with the ultimate goal of improving the community's health status by ensuring everyone has access to care and by empowering individuals to make healthy life choices.

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 expenses536,093,297

(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
(A) Name and title
(18) Ricardo Knight........................................................................ Director	1.0 .......................1.0	X				0	0	0
(19) Sean O'Grady........................................................................ Director	1.0 .......................42.0	X				0	1,611,702	867,407
(20) Douglas D Welday........................................................................ System Treasurer and CFO	1.0 .......................55.0		X			0	1,854,234	330,386
(21) Shivani Bautista........................................................................ System Chief Legal Officer/Secretary	1.0 .......................54.0		X			0	803,024	421,599
(22) Kimberly Maguire........................................................................ Chief Nursing Officer, NCH	40.0 .......................0			X		220,969	0	19,679
(23) Thomas Oryszczak........................................................................ Chief Medical Officer, NCH	40.0 .......................0			X		681,973	0	48,896
(24) Christine Erdmann........................................................................ Vice President and Controller	40.0 .......................0.0				X	440,323	0	31,125
(25) Glen J Malan........................................................................ VP, Chief Technology Officer	40.0 .......................0				X	506,824	0	45,078
(26) John L Skeans........................................................................ Vice President, Revenue Cycle	40.0 .......................0.0				X	550,990	0	26,611
(27) Susan E Nelson........................................................................ President, Primary Care EHMG	40.0 .......................1.0				X	877,506	0	40,126
(28) Willis Parsons........................................................................ Medical Director, NCH GI Center	40.0 .......................0				X	1,661,810	0	43,578

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	5,878,410	9,733,664	4,276,437

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	1,372,223

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

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,372,223

		Business Code
2a	Net patient services	622110	597,531,610	597,531,610
b	Reference Lab	621511	16,622,162	12,117,651	4,504,511
c	Outpatient Pharmacy	440000	12,357,435	12,191,807	165,628
d	Hospice Revenue	622110	1,750,663	1,750,663
e	Intercompany Rent Revenue	532000	184,704	184,704
f	All other program service revenue.		130,177	130,177	0	0
g	Total. Add lines 2a–2f .....		628,576,751

3 Investment income (including dividends, interest, and othersimilar amounts) ......
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	1,164,108
b	Less: rental expenses	6b	518,702
c	Rental income or (loss)	6c	645,406	0
d	Net rental income or (loss).......			645,406			645,406
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a		27,175
b	Less: cost or other basis and sales expenses	7b
c	Gain or (loss)	7c	0	27,175
d	Net gain or (loss).........			27,175			27,175
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..
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..
10a	Gross sales of inventory, less returns and allowances ..
			10a	255,343
b	Less: cost of goods sold ..		10b	225,671
c	Net income or (loss) from sales of inventory..			29,672			29,672

Business Code
11a	CAFETERIA		722212	1,721,737			1,721,737
b	MANAGEMENT FEE		541611	1,217,044		668,033	549,011
c
d	All other revenue ....			219,401	0	0	219,401
e	Total. Add lines 11a–11d ......			3,158,182
12	Total revenue. See instructions.....			633,809,409	623,906,612	5,338,172	3,192,402

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	225,721	225,721
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	84,500	84,500
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 ...........	2,024,761		2,024,761
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........	240,582,744	214,602,323	25,980,421
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	12,137		12,137
9	Other employee benefits .......	33,081,814	30,667,979	2,413,835
10	Payroll taxes ...........	17,319,505	15,395,538	1,923,967
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
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)	82,711,130	68,556,226	14,154,904	0
12	Advertising and promotion ....	243,865	27,085	216,780
13	Office expenses .......	5,205,480	4,126,857	1,078,623
14	Information technology ......	2,811,579	2,487,877	323,702
15	Royalties ..
16	Occupancy ...........	6,293,015	1,511,309	4,781,706
17	Travel ............	673,649	436,969	236,680
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	8,403,865	8,403,865
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	43,090,628	42,692,172	398,456
23	Insurance ...	19,094,808		19,094,808
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	115,170,290	115,170,290
b	MEDICAID ASSESSMENT TAX	30,663,204	30,663,204
c	REPAIRS AND MAINTENANCE	9,988,679	656,959	9,331,720
d	DUES, SUBSCRIPTIONS AND LICENSES	1,044,751	384,084	660,667
e	All other expenses	98,763	339	98,424	0
25	Total functional expenses. Add lines 1 through 24e	618,824,888	536,093,297	82,731,591	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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			11,086,891	1	2,869,967
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			62,262,373	4	59,661,914
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 ............			9,125,092	8	9,560,743
9	Prepaid expenses and deferred charges ......			2,804,561	9	1,020,819
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	534,244,535
b	Less: accumulated depreciation	10b	152,604,455	384,621,562	10c	381,640,080
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 ..			45,109,896	13	49,958,951
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			38,306,074	15	16,991,409
16	Total assets. Add lines 1 through 15 (must equal line 33)...			553,316,449	16	521,703,883

17	Accounts payable and accrued expenses .....	65,455,939	17	44,515,940
18	Grants payable ...		18
19	Deferred revenue .........	220,057	19	314,457
20	Tax-exempt bond liabilities .........	73,528,764	20	66,063,323
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	260,306,764	25	241,656,408
26	Total liabilities. Add lines 17 through 25..	399,511,524	26	352,550,128

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	125,526,252	27	135,013,895
28	Net assets with donor restrictions ...........	28,278,673	28	34,139,860
	Organizations that do not follow FASB ASC 958, check here 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 ...........	153,804,925	32	169,153,755
33	Total liabilities and net assets/fund balances ........	553,316,449	33	521,703,883