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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>John Erwin III</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Director and Clinical Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Kevin Willer</BusinessNameLine1Txt>
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        <TitleTxt>Director/Prior Board Secretary</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Lester B Knight III</BusinessNameLine1Txt>
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        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Mark S Talamonti</BusinessNameLine1Txt>
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        <TitleTxt>Director and Clinical Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Michael Reinsdorf</BusinessNameLine1Txt>
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        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Samuel M Mencoff</BusinessNameLine1Txt>
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        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Samuel M Parnass</BusinessNameLine1Txt>
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        <TitleTxt>Director and Physician</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Scott C Schweighauser</BusinessNameLine1Txt>
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        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Theodore Mazzone</BusinessNameLine1Txt>
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        <TitleTxt>Director and Clinical Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Thomas S Ricketts</BusinessNameLine1Txt>
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        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Toure S Claiborne</BusinessNameLine1Txt>
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        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>William M Farrow III</BusinessNameLine1Txt>
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        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Douglas D Welday</BusinessNameLine1Txt>
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        <TitleTxt>Board Treasurer and Chief Financial Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Kristen Murtos</BusinessNameLine1Txt>
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        <TitleTxt>Chief Administrative and Strategy Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Sean O'Grady</BusinessNameLine1Txt>
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        <TitleTxt>Chief Clinical Operations Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Bernard G Ewigman</BusinessNameLine1Txt>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Brian Washa</BusinessNameLine1Txt>
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        <TitleTxt>Senior Vice President, Business Services and Purchasing</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>David Rahija</BusinessNameLine1Txt>
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        <TitleTxt>President, Skokie Hospital</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Douglas M Silverstein</BusinessNameLine1Txt>
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        <TitleTxt>President, Evanston Hospital</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Frederick E Miller</BusinessNameLine1Txt>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Gabrielle Cummings</BusinessNameLine1Txt>
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        <TitleTxt>President, Highland Park Hospital</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Jesse Peterson Hall</BusinessNameLine1Txt>
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        <TitleTxt>President, Glenbrook Park Hospital</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Joseph Szokol</BusinessNameLine1Txt>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Julian E Bailes</BusinessNameLine1Txt>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Karen L Kaul</BusinessNameLine1Txt>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Mahalakshmi Halasyamani</BusinessNameLine1Txt>
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        <TitleTxt>Chief Quality and Transformation Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Mary Keegan</BusinessNameLine1Txt>
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        <TitleTxt>Chief Nursing Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Michael S Caplan</BusinessNameLine1Txt>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Richard K Silver</BusinessNameLine1Txt>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Robert R Edelman</BusinessNameLine1Txt>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Scott Kenagy</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Steven Smith</BusinessNameLine1Txt>
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        <TitleTxt>Chief Information Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Susan Rubin</BusinessNameLine1Txt>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>William D Bloomer</BusinessNameLine1Txt>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>William R Luehrs</BusinessNameLine1Txt>
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        <TitleTxt>Chief Human Resources Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Harry L Jones</BusinessNameLine1Txt>
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        <TitleTxt>Chief Compliance Officer</TitleTxt>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part I, Line 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) provides cash grants to sub-recipients of grant awards. NorthShore requires all sub-recipients to sign a consortium agreement stating that the sub-recipient understands and agrees to all applicable compliance requirements. NorthShore meets with the sub-recipients on a regular basis and reviews the sub-recipients' A-133 reports.</ExplanationTxt>
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        <ExplanationTxt>Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital NorthShore University HealthSystem (NorthShore) contracted with Crowe LLP (Crowe) to facilitate and conduct the Community Health Needs Assessment (CHNA). Crowe has significant healthcare experience including providing services to hundreds of large healthcare organizations across the country. NorthShore has conducted a CHNA using primary and secondary data, to ensure community benefit programs and resources are focused on significant health needs as perceived by the community at large, as well as alignment with NorthShore's mission, services and strategic priorities. NorthShore obtained input from 44 leaders representing public health, major employers, public schools, social services, NorthShore leaders and the community at-large through two focus groups and one-on-one interviews. Primary input was also obtained by conducting an online community health survey distributed to members of the community. Additionally, health needs assessments prepared by four local health departments serving the NorthShore community were also reviewed and considered. Secondary data was assessed including: Demographics (population, age, sex, race), Socioeconomic indicators (household income, poverty, unemployment, educational attainment), Health access indicators, Community health status indicators (causes of death, chronic conditions, health behaviors, etc.), and Availability of health care facilities and resources. Community input was obtained through two focus groups and seven interviews with key stakeholders. The first focus group was conducted with members of NorthShore's community advisory committees representing twenty-eight organizations. The attendees included health care providers, social service providers, public health agency representatives, local government agency leaders, and small business organizations working throughout the NorthShore service area. The organizations represented included the City of Evanston-Department of Health, Moraine Township, CJE Senior Life, NAMI Cook County North Suburban, Deerfield Parent Network, Niles Township High School District 219, Erie Family Health Center, Northbrook Chamber of Commerce, Evanston Fire Department, Northfield Township, Evanston/Skokie School District 65, Northwest Suburban United Way, Faith in Action, Peer Services, Family Services of Glencoe, Skokie Police Department, Frisbie Senior Center, St. Philip Lutheran Church, Glenbrook South High School, Terry Performance Group, Glenview Chamber of Commerce, Tri-Con Child Care Center, Great Lakes Adaptive Sports Association, Turning Point Behavioral Health, Lake County Health Department, Village of Glenview, McGaw YMCA, and Village of Skokie, Health Department. Participants provided input on behalf of public health, medically underserved and minority populations and the community as a whole. A second focus group was conducted with leaders from NorthShore's staff representing a wide range of departments, including Emergency Medicine, Kellogg Cancer Center, Nursing, Cardiology, Psychiatry and Behavioral Health, Neurology, Managed Care, and Infection Control. The group discussed prominent health and wellness issues, barriers and assets to health in the communities NorthShore serves, and potential strategies to address barriers to community health and well-being. Community input was also obtained through an electronic survey distributed to the community. Identified health needs were then prioritized taking into account community perception regarding the significance of each identified need as well as the ability for NorthShore to impact overall health based on alignment with NorthShore's mission and services provided. NorthShore's leadership participated in identifying and prioritizing significant health needs.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The Community Health Needs Assessment (CHNA) conducted by NorthShore University HealthSystem (NorthShore) included all four NorthShore hospitals: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital NorthShore University HealthSystem (NorthShore) has implemented a three-fold strategy to address the identified health needs of the communities it serves, which includes: 1) Community benefits programs and partnerships will address a need identified in the Community Health Needs Assessment (CHNA), with a rationale provided for any identified health needs not addressed by NorthShore, 2) Community benefits programs, initiatives, and partnerships will address a need identified by the community, and 3) Community benefits programs, initiatives, and partnerships will be aligned with the guiding principles outlined in Advancing the State of the Art of Community Benefits for Nonprofit Hospitals. The guiding principles are: Disproportionate Unmet Health-Related Needs, Primary Prevention, Seamless Continuum of Care, Build Community Capacity, and Community Collaboration. NorthShore places priority on providing community benefits and services in the communities located nearest to its hospitals, where NorthShore believes it has the greatest capacity and responsibility to serve. NorthShore evaluates the impact of the initiatives developed to address the identified needs by collecting data on how many individuals utilize components of the initiative. Measurement of the impact was also assessed by gathering ongoing feedback from the hospitals' Community Advisory Committees, along with feedback from senior and physician leadership. The needs identified in the most recently conducted CHNA were: Access to Behavioral Health, Health Literacy and Navigating the Healthcare Environment, Access and Coordination of Care (affordability, education, transportation, specialty care, cultural competency), Substance Abuse, Behavioral Health (mental health and substance abuse, psychiatry and community based services), Chronic Risk Factors (prevention and management of obesity, tobacco use, hypertension), Alzheimer's/Dementia (prevention, management, caregiver support, long-term care), Oral Health, Diabetes, Cardiovascular Disease and Stroke, Cancer, Lung Health, and Maternal and Child Health (infant mortality, low birth weight). NorthShore plans to address all the needs identified in the CHNA, although the following needs have been addressed in a limited capacity through existing services and financial contributions to outside organizations: Violence Prevention. Actions taken during fiscal year 2020 to address the needs identified in the CHNA include the following NorthShore programs and services by hospital facility:</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 2 - A, 1 Evanston Hospital. The NorthShore Evanston Hospital Community Health Center provides medical care to adults who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopaedics, diabetes education, and podiatry. In fiscal year 2020, the clinic treated 3,884 adult patients at 10,730 visits. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level One trauma services. During fiscal year 2020, the NorthShore Emergency Departments had 106,555 patient visits. The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided discounted care for adult patients making 2,781 visits during fiscal year 2020. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. During fiscal year 2020, NorthShore hospitals had a total of 139,559 cardiology patient visits. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During fiscal year 2020, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 90,045 patient visits. The Maternal Health Department at Evanston Hospital offers comfortable, high-tech birthing facilities. Evanston Hospital also serves as a Regional Perinatal Network hospital for northeastern Illinois. Both high-risk mothers and high-risk babies are transferred to Evanston Hospital for access to the latest technology and highly trained staff. During fiscal year 2020, the Evanston Hospital Maternal Health Department had a total of 41,533 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During fiscal year 2020, the Pediatric Rehabilitation Clinic had a total of 6,196 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2020, NorthShore physicians conducted 7,530 screenings to identify at-risk patients, and the hotline received 866 calls. Free psychological support and referrals were provided for 551 women identified as at-risk for perinatal mood disorders. NorthShore's Medication Assistance Program helps with the cost of prescriptions for patients of the Evanston Hospital Community Health Center. The Medication Assistance Program provided 32,625 prescriptions to 2,003 low-income patients during fiscal year 2020. NorthShore Mental Health Services for adults, adolescents and children offers along with a continuum of care including group, individual and family outpatient services, intensive outpatient, partial hospital programs, inpatient centers for both adults and adolescents, and crisis call center. The Access/Crisis Center offers 24-hour crisis intervention and triage over the phone and in the emergency department. During fiscal 2020, the Mental Health Services Departments at Evanston and Highland Park Hospitals had a total of 31,362 patient visits. The Evanston Township High School Health Center is a school-based health clinic that provides physical exams, immunizations, treatment of acute and chronic illnesses, individual counseling, health education, gynecological care, and support groups to students whose parents allow them to enroll in the health center. For the 2019-2020 academic year, 863 students made 2,398 visits.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 3 - A, 2 Glenbrook Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level One trauma services. During fiscal year 2020, the NorthShore Emergency Departments had 106,555 patient visits. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. During fiscal year 2020, NorthShore hospitals had a total of 139,559 cardiology patient visits. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During fiscal year 2020, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 90,045 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During fiscal year 2020, the Pediatric Rehabilitation Clinic had a total of 6,196 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2020, NorthShore physicians conducted 7,530 screenings to identify at-risk patients, and the hotline received 866 calls. Free psychological support and referrals were provided for 551 women identified as at-risk for perinatal mood disorders.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 4 - A, 3 Highland Park Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level One trauma services. During fiscal year 2020, the NorthShore Emergency Departments had 106,555 patient visits. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. During fiscal year 2020, NorthShore hospitals had a total of 139,559 cardiology patient visits. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During fiscal year 2020, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 90,045 patient visits. The Maternal Health Department at Highland Park Hospital is committed to providing the best in family care and strives to provide individualized care for each family. The Center's state-of-the-art birthing center rooms were designed to achieve the labor-delivery-recovery-postpartum, or single-room care experience with the latest technology. During fiscal year 2020, the Highland Park Hospital Maternal Health Department has a total of 3,013 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During fiscal year 2020, the Pediatric Rehabilitation Clinic had a total of 6,196 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2020, NorthShore physicians conducted 7,530 screenings to identify at-risk patients, and the hotline received 866 calls. Free psychological support and referrals were provided for 551 women identified as at-risk for perinatal mood disorders. NorthShore Mental Health Services for adults, adolescents and children offers along with a continuum of care including group, individual and family outpatient services, intensive outpatient, partial hospital programs, inpatient centers for both adults and adolescents, and crisis call center. The Access/Crisis Center offers 24-hour crisis intervention and triage over the phone and in the emergency department. During fiscal 2020, the Mental Health Services Departments at Evanston and Highland Park Hospitals had a total of 31,362 patient visits.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 5 - A, 4 Skokie Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level One trauma services. During fiscal year 2020, the NorthShore Emergency Departments had 106,555 patient visits. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. During fiscal year 2020, NorthShore hospitals had a total of 139,559 cardiology patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During fiscal year 2020, the Pediatric Rehabilitation Clinic had a total of 6,196 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2020, NorthShore physicians conducted 7,530 screenings to identify at-risk patients, and the hotline received 866 calls. Free psychological support and referrals were provided for 551 women identified as at-risk for perinatal mood disorders.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital Per the Billing and Collections Policy of NorthShore University HealthSystem (NorthShore), NorthShore does not engage in Extraordinary Collection Actions (ECAs), nor does it permit its collections vendors to engage in ECAs.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>45</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Glenbrook Ambulatory Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2180 Pfingsten Road</AddressLine1Txt>
            <CityNm>Glenview</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60026</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Skokie Ambulatory Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9650 Gross Point Road</AddressLine1Txt>
            <CityNm>Skokie</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60076</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Graham Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1000 Central Street</AddressLine1Txt>
            <CityNm>Evanston</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60201</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Highland Park Ambulatory Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>757 Park Avenue West</AddressLine1Txt>
            <CityNm>Highland Park</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60035</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Gurnee Ambulatory Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7900 Rollins Road</AddressLine1Txt>
            <CityNm>Gurnee</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60031</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Old Orchard Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9977 Woods Drive</AddressLine1Txt>
            <CityNm>Skokie</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60077</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Highland Park Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>767 Park Avenue West</AddressLine1Txt>
            <CityNm>Highland Park</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60035</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Glenbrook Medical Office Building North</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2150 Pfingsten Road</AddressLine1Txt>
            <CityNm>Glenview</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60026</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Glenbrook Medical Office Building South</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2050 Pfingsten Road</AddressLine1Txt>
            <CityNm>Glenview</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60026</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vernon Hills Specialty Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>225 N Milwaukee Avenue</AddressLine1Txt>
            <CityNm>Vernon Hills</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60061</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Lab Services - Evanston</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2500 Ridge Avenue</AddressLine1Txt>
            <CityNm>Evanston</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60201</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Bannockburn Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2151 Waukegan Road</AddressLine1Txt>
            <CityNm>Bannockburn</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60015</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Lincolnshire Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>920 N Milwaukee Avenue</AddressLine1Txt>
            <CityNm>Lincolnshire</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60048</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Pediatric Outpatient Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3232 Lake Avenue</AddressLine1Txt>
            <CityNm>Wilmette</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60091</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Fetal Diagnostic Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>71 Waukegan Road</AddressLine1Txt>
            <CityNm>Lake Bluff</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60044</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Niles Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6450 W Touhy Avenue</AddressLine1Txt>
            <CityNm>Niles</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60714</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Lakeshore Imaging</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>680 N Lake Shore Drive</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60611</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Ravinia X-Ray and GI Lab</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1777 Green Bay Road</AddressLine1Txt>
            <CityNm>Highland Park</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60035</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Medical Group - Round Lake Beach</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1000 Rollins Road</AddressLine1Txt>
            <CityNm>Round Lake Beach</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60073</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Gurnee Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15 Tower Court</AddressLine1Txt>
            <CityNm>Gurnee</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60031</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mount Prospect Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1329 N Wolf Road</AddressLine1Txt>
            <CityNm>Mount Prospect</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60056</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Glenview Park Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2400 Chestnut Avenue</AddressLine1Txt>
            <CityNm>Glenview</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60026</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PM&amp;R Fitness Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1501 Busch Parkway</AddressLine1Txt>
            <CityNm>Buffalo Grove</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60089</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Bucktown</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1942 W Fullerton Avenue</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60647</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Des Plaines</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1535 Ellinwood</AddressLine1Txt>
            <CityNm>Des Plaines</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60016</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PM&amp;R Benson Avenue</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1729 Benson Avenue</AddressLine1Txt>
            <CityNm>Evanston</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60201</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northbrook Court Imaging</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1182 Northbrook Court</AddressLine1Txt>
            <CityNm>Northbrook</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60062</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Broadway Square</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5238 N Broadway Avenue</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60640</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Andersonville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4914 N Clark Street</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60640</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Evanston</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>524 Main Street</AddressLine1Txt>
            <CityNm>Evanston</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60201</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Arlington Heights</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>206 W Rand Road</AddressLine1Txt>
            <CityNm>Arlington Heights</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60004</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Jefferson Park</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5211 W Lawrence Avenue</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60630</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Belle Plaine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4070 N Milwaukee Avenue</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60641</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Skokie Commons</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3304 W Touhy Ave</AddressLine1Txt>
            <CityNm>Skokie</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60076</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Mayfair Commons</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5240 N Pulaski</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60630</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Lincoln Village</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6071 N Lincoln Ave</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60659</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Lincoln Square</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2323 W Lawrence</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60625</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Fetal Diagnostic Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>890 Garfield Avenue</AddressLine1Txt>
            <CityNm>Libertyville</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60048</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Fetal Diagnostic Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>800 W Central Road</AddressLine1Txt>
            <CityNm>Arlington Heights</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60005</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Breast Health and Mammography Program</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>71 Old Orchard Shopping Center</AddressLine1Txt>
            <CityNm>Skokie</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60077</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Ravine Way Surgery Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2350 Ravine Way</AddressLine1Txt>
            <CityNm>Glenview</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60025</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>River North Same Day Surgery</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>One East Erie Street</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60611</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>North Shore Same Day Surgery</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3725 W Touhy Avenue</AddressLine1Txt>
            <CityNm>Lincolnwood</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60712</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>25 East Same Day Surgery Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25 E Washington Street</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60602</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Morton Grove Medical Imaging</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9000 Waukegan Road</AddressLine1Txt>
            <CityNm>Morton Grove</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60053</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c Other Factors Used to Determine Eligibility for Financial Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the Federal Poverty Guidelines, NorthShore University HealthSystem uses the following factors to determine eligibility for financial assistance: asset level, medical indigency, insurance status, underinsurance status, and residency.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem calculated the cost of charity care and means-tested government programs using the cost-to-charge ratio derived from Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges. Amounts in the other benefits section of Line 7 were calculated using costs charged directly to the individual programs from the financial accounting system. An indirect cost allocation factor for hospital shared services was also calculated and included for each program indicated in other benefits.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) employees are involved in numerous community building activities which promote the health of the communities it serves. NorthShore encourages its employees to serve on community collaboration boards and participate in health advocacy programs to promote the health of the communities served.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt expense was reported at cost using a cost-to-charge methodology. The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges calculated to report charity care on Part I, Line 7a was multiplied by the bad debt expense to determine the bad debt expense at cost. Discounts and payments on patient accounts are excluded from bad debt expense in order to reflect the expected amount to be paid.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient Accounts Receivable Financial Statement Footnote - Patient service revenue and patient accounts receivable are reported at the amount that reflects the consideration to which the Corporation expects to be entitled in exchange for providing care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges was used to determine the Medicare costs reported on Part III, Line 6. NorthShore University HealthSystem (NorthShore) believes that all of the $101,253,405 Medicare shortfall should be considered as community benefit. The Internal Revenue Service Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by NorthShore in order to continue treating the elderly in our community. During fiscal year 2020, Medicare accounted for approximately 51% of hospital gross patient revenues. The hospital provides care regardless of this shortfall and thereby relieves the government of the burden of paying the full cost of care for Medicare beneficiaries.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) follows the Illinois Fair Patient Billing Act. The collection policy is the same for all patients. Patients are screened for eligibility for financial assistance before collection procedures begin. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off. Any remaining balance would be collected under the existing debt collection policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - Evanston Hospital: Line 16a URL: northshore.org/about-us/billing/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - Evanston Hospital: Line 16b URL: northshore.org/about-us/billing/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - Evanston Hospital: Line 16c URL: northshore.org/about-us/billing/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>See the information reported in Part V Section B regarding the most recently completed Community Health Needs Assessment (CHNA). NorthShore University HealthSystem (NorthShore) contracted with Crowe LLP (Crowe) to compile and analyze existing data which led to the collection of community input data for the CHNA. The CHNA process included community input data collection including a focus group with NorthShore staff, as well as a focus group with community advisory committees representing twenty-eight organizations. The assessment process also included the development of a Community Health Profile using secondary data from local health department, federal, and state data sources.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) informs and educates low-income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describes the Financial Assistance program and necessary contact information. Our collection agencies and billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately 16 full-time financial counselors and 38 Customer Service agents representing our hospitals, clinics, and physician offices. These counselors and representatives are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. NorthShore has also earned Certified Application Counselor Organization (CACO) status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance will have their case reviewed by calling our centralized Customer Service billing department. Our Customer Service department responds to approximately 1,400 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for Financial Assistance, NorthShore may also grant Financial Assistance on a presumptive basis. Presumptive Financial Assistance approvals are based upon individual life circumstances such as enrollment in low-income government programs with income eligibility below 200 percent of federal poverty level income guidelines or verification of financial indigence through a credit rating agency and their calculated healthcare credit score.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) has four hospital facilities located in the northern suburbs of Chicago, Illinois. The NorthShore service area has a total population size of approximately 1.6 million. The median household income is approximately $92,000. During fiscal year 2020, approximately 3% of NorthShore's patients had no insurance and 7% qualified for Medicaid. Within NorthShore's service area, there are four federally-designated medically underserved areas. NorthShore's service area also includes 10 other hospitals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) extends medical staff privileges to all qualified physicians in the NorthShore community. A majority of the NorthShore Board members also reside in NorthShore's service area and are not employees, independent contractors, or family members thereof. NorthShore also uses surplus funds to add new buildings and renovate existing facilities to better serve patients and the community. Additional programs conducted by NorthShore to help promote the health of the community include: Residency and Education Programs - NorthShore is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at its teaching and research facilities. During fiscal year 2020, 220 resident and fellow full-time equivalents (FTEs) participated in NorthShore and affiliate-based programs. The NorthShore residency program areas include: Dentistry, Family Medicine, Internal Medicine (Categorical, Preliminary, and Transitional), and Pathology. The NorthShore fellowship program areas include: Cardiology, Endocrine Surgery, Family Medicine-Sports Medicine, Gastroenterology, Maternal-Fetal Medicine, Musculoskeletal Imaging, Simulation-Emergency Medicine, and Urogynecology. The affiliate-based residency program areas include: Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Obstetrics and Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry, Radiology, and Urology. The affiliate-based fellowship program areas include: Cardiothoracic Surgery, Child Psychiatry, Colon Rectal Surgery, Gynecology-Oncology, Hematology-Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Molecular Genetics Pathology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient and ambulatory practice. The program also includes specialty residencies in oncology, pharmacy informatics, and pharmacy administration. The program consists of a multitude of experiences that reinforce residents' knowledge and skills and help them advance into well-rounded practitioners. During fiscal year 2020, 19 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital and is affiliated with DePaul University. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the school is to prepare qualified professional registered nurses for the advanced practice of nurse anesthesia in a variety of practice settings. The graduate nurse anesthetist demonstrates the knowledge, skills, and attitude necessary to take on leadership roles in the practice of nurse anesthesia. During fiscal year 2020, 72 students participated in the program. NorthShore also provided clinical training and internships during the 2020 academic year for 117 high school and college students. Students interned in various areas including Nursing, Physical Therapy, Laboratory, Radiology, Occupational Therapy, Medical Social Work, and Speech Pathology. Community Advisory Committees - The Community Advisory Committees' (CAC) role is to advise hospital administration on services and initiatives from a community perspective. The CACs are structured to ensure NorthShore's accountability to the community and to assist in the fulfillment of the community relations vision, to be the most trusted and indispensable heath partner throughout the communities we serve. The CACs are primarily comprised of community members, along with hospital administrative and professional staff. NorthShore strives for diverse membership to include business, faith community, social services, civic organizations, government officials, elected officials, as well as interested citizens. The CACs meet quarterly and help to identify gaps in healthcare services within the community and seek opportunities for partnerships between the hospitals and community organizations. In addition, the CACs assist NorthShore with the community health needs assessment process. NorthShore Community Health Center - The NorthShore Evanston Hospital Community Health Center provides medical care to adults who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopaedics, diabetes education, and podiatry. In fiscal year 2020, the clinic treated 3,884 adult patients at 10,730 visits. Dental Center - The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided discounted care for adult patients making 2,781 visits during fiscal year 2020. Erie Evanston/Skokie Health Center - NorthShore partners with this Federally Qualified Health Center to provide services to the underserved. During fiscal year 2020, NorthShore provided services to 1,780 Erie patients. Evanston Township High School Health Center - The Evanston Township High School Health Center is a school-based health clinic that provides physical exams, immunizations, treatment of acute and chronic illnesses, individual counseling, health education, gynecological care, and support groups to students whose parents allow them to enroll in the health center. For the 2019-2020 academic year, 863 students made 2,398 visits. NorthShore's Medication Assistance Program helps with the cost of prescriptions for patients of the Evanston Hospital Community Health Center. The Medication Assistance Program provided 32,625 prescriptions to 2,003 low-income patients during fiscal year 2020. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2020, NorthShore physicians conducted 7,530 screenings to identify at-risk patients, and the hotline received 866 calls. Free psychological support and referrals were provided for 551 women identified as at-risk for perinatal mood disorders. Employee Volunteerism - NorthShore employees participate in various volunteer activities that meet community needs and promote goodwill. Several NorthShore publications include information about volunteer organizations and employee volunteer opportunities. NorthShore also recognizes and rewards employees for community service and volunteerism through the annual Sharing Spirit Volunteer Award. Home and Hospice Services - NorthShore Home and Hospice Services offers the full spectrum of home and hospice care, including skilled nursing, physical and occupational therapy, and home medical equipment. The Home and Hospice caregivers represent a wide range of medical specialties and work with the patient, family, and physician to tailor home care to meet the individual needs of each patient. During fiscal year 2020, there were 82,588 patient visits and 6,048 admissions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) is a comprehensive, fully integrated, healthcare delivery system that includes four hospitals, as well as numerous outpatient departments and clinics. In addition to the hospital organization, there are the following affiliates that help to meet the needs of the community: NorthShore University HealthSystem Foundation - The NorthShore University HealthSystem Foundation (Foundation) seeks to obtain the philanthropic support required to ensure that NorthShore can provide medical care, advanced research, and state-of-the-art facilities and equipment. The Foundation builds relationships with individuals and the community to increase awareness of NorthShore's high-quality services and giving opportunities. NorthShore University HealthSystem Research Institute - The NorthShore University HealthSystem Research Institute (Research Institute) was organized in 1996 to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute now houses more than 250 principal investigators who currently occupy 95,000 net square feet of research space and work on 1,000 active research protocols. The Research Institute builds on NorthShore's promise to deliver excellence in all aspects of patient care. Efforts are directed to research initiatives that make a difference across multiple disciplines. From oncology and neurology to orthopaedics and cardiovascular care, the Research Institute focuses on areas of inquiry that have the potential to make the greatest impact on improving and saving lives. NorthShore offers some 1,000 active clinical trials of various types, from innovative surgical procedures to the latest drug therapies. NorthShore's clinical research portfolio focuses on a range of conditions, including cancer, neurologic disorders and stroke, cardiovascular disorders, and a wide range of pediatric and gynecologic conditions. Additionally, major clinical trial programs in advanced imaging and medical genetics are also offered. The Research Institute is also a member of the Illinois Precision Medicine Consortium (IPMC), which is part of a national landmark longitudinal All of Us Research Program (AoURP) cohort program to improve the ability to prevent and treat disease based on individual lifestyle, environment, and genetics. NorthShore will enroll over 9,000 NorthShore patients in the study, and participants in NorthShore's AoURP will be asked to share a wide-range of health, environmental, and lifestyle information. The NorthShore Program for Personalized Cancer Care (PPCC) is pioneering new strategies in cancer care. The PPCC uniquely focuses on the genetic pattern of an individual's hereditary DNA to derive a personalized cancer risk assessment profile. Based on the inherited risk of developing a given cancer, the PPCC is beginning to implement personalized cancer care strategies that encompass the entire spectrum of disease. The PPCC believes this approach will lead to more efficient use of health care resources by targeting prevention and screenings toward individuals at greater risk of developing cancer, earlier cancer detection, and, ultimately and most importantly, reduced cancer deaths and suffering. NorthShore University Health System Home and Hospice Services - NorthShore University HealthSystem Home and Hospice Services (Home and Hospice) offers the full spectrum of home and hospice care, including skilled nursing, physical and occupational therapy, and home medical equipment. The Home and Hospice caregivers represent a wide range of medical specialties and work with the patient, family, and physician to tailor home care to meet the individual needs of each patient. NorthShore University HealthSystem Faculty Practice Associates -NorthShore University HealthSystem Faculty Practice Associates (FPA) represents about 900 physicians with over 140 offices in virtually every specialty all on staff at NorthShore hospitals. The primary function and activity of FPA is to employ, supervise, and conduct employment-related activities with respect to physicians who provide professional health care services directly for NorthShore patients. FPA physicians also conduct medical education and research activities on behalf of NorthShore. Radiation Medicine Institute - Radiation Medicine Institute (RMI) employs, supervises, and conducts employment-related activities with respect to physicians who provide professional health care services directly for NorthShore patients. RMI physicians also conduct medical education and research activities on behalf of NorthShore.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>IL</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>American Cancer Society</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>225 N Michigan Ave</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60601</ZIPCd>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) provides cash and non-cash assistance to organizations that help support NorthShore's mission to preserve and improve human life. Requests to support an outside organization must be reviewed and approved by the Community Relations department and NorthShore management to ensure the organization is aligned with NorthShore's mission and charitable purpose. NorthShore also provides cash grants to sub-recipients of grant awards. NorthShore requires all sub-recipients to sign a consortium agreement stating that the sub-recipient understands and agrees to all applicable compliance requirements. NorthShore meets with the sub-recipients on a regular basis and reviews the sub-recipients' A-133 reports. In addition, NorthShore provides cash support to related organizations. Support to related organizations is monitored through the NorthShore budget and reporting procedures for the consolidated financial statements. NorthShore also provides nursing scholarships to individuals. The scholarship amount depends on the degree sought, and the number of scholarships awarded depends on the available funds for each year. Scholarships are awarded on an annual basis to applicants that meet the eligibility criteria. Applicants must be current employees of NorthShore as a staff nurse or other related clinical position. Applicants must also be currently enrolled in a nursing degree program, and enrollment must be maintained for the year the scholarship is received. In addition, applicants must sign a Scholarship Agreement to work for NorthShore as a staff nurse or in a related clinical position for one year following receipt of the scholarship.</ExplanationTxt>
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          <BusinessNameLine1Txt>Karen L Kaul</BusinessNameLine1Txt>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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          <BusinessNameLine1Txt>Mary Keegan</BusinessNameLine1Txt>
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        <TitleTxt>Chief Nursing Officer</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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          <BusinessNameLine1Txt>Scott Kenagy</BusinessNameLine1Txt>
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        <TitleTxt>Chief Investment Officer</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>Chief Human Resources Officer</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>President, Glenbrook Park Hospital</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        </BusinessName>
        <TitleTxt>President, Skokie Hospital</TitleTxt>
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        <TotalCompensationFilingOrgAmt>757022</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>164881</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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        <TitleTxt>President, Evanston Hospital</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>Chief Information Officer</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>28808</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>Clinical Chairman</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>Senior Vice President, Business Services and Purchasing</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>Vice President, Genomic Research</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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          <BusinessNameLine1Txt>Harry L Jones</BusinessNameLine1Txt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19880</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28798</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>516484</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Janardan D Khandekar</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Medical Director, Molecular Medical Center</TitleTxt>
        <BaseCompensationFilingOrgAmt>321008</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>31968</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>5000</BonusRelatedOrganizationsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>1537</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>458256</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>40305</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Sharon L Walcott</BusinessNameLine1Txt>
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        <TitleTxt>Vice President, Talent Management &amp; Organizational Development</TitleTxt>
        <BaseCompensationFilingOrgAmt>285072</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>316131</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19880</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15262</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>636345</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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          <BusinessNameLine1Txt>Jianfeng Xu</BusinessNameLine1Txt>
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        <TitleTxt>Vice President, Translational Research</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>576364</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Mark R Neaman</BusinessNameLine1Txt>
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        <TitleTxt>Former Executive Chairman</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <TotalCompensationFilingOrgAmt>482000</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Gary E Weiss</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Former Board Treasurer and Chief Financial Officer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>381800</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>24500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>406300</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>32249</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 2 Substantiation Prior to Reimbursement for Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>A prepaid airline mileage account was purchased for the travel of the Chief Executive Officer. At the time of the purchase, it was not known what specific travel would occur and therefore the travel could not be substantiated at purchase. The business purpose of each trip was substantiated at the time of travel.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part III Compensation from Unrelated Organizations</FormAndLineReferenceDesc>
        <ExplanationTxt>The salary and benefits reported on Schedule J included $284,796 for Dr. Bernard G Ewigman that were paid by the University of Chicago Medical Center for services provided to NorthShore University HealthSystem as the Chairman of the Department of Family Medicine.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a First-class or charter travel</FormAndLineReferenceDesc>
        <ExplanationTxt>First-class airfare was provided to the Chief Executive Officer during calendar year 2019 for business travel purposes and was not treated as taxable compensation. The first-class airfare was purchased through a prepaid airline mileage account, which provided discounted airline fare rates.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individual received a severance payment based upon a mutually agreed-upon separation agreement entered into with the organization: Sharon L Walcott, Vice President, Talent Management &amp; Organizational Development - $285,346. The following individual received a change-of-control payment resulting from a change in control of the organization: Mark R. Neaman, Former Executive Chairman - $482,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals participated in a supplemental nonqualified retirement plan and accrued the following benefits: Gerald P Gallagher, President and Chief Executive Officer - $682,421, Mahalakshmi Halasyamani, Chief Quality and Transformation Officer - $90,496, William R Luehrs, Chief Human Resources Officer - $294, Kristen Murtos, Chief Administrative and Strategy Officer - $224,243, Sean O'Grady, Chief Clinical Operations Officer - $281,462, Douglas M Silverstein, President, Evanston Hospital - $174,910, Steven Smith, Chief Information Officer - $278,371, and Douglas D Welday, Chief Financial Officer - $196,438.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the Compensation Committee of the Board of Directors.</ExplanationTxt>
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    </IRS990ScheduleJ>
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          <BusinessNameLine1Txt>Illinois Finance Authority</BusinessNameLine1Txt>
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        <BondIssuerEIN>861091967</BondIssuerEIN>
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        <BondIssuedDt>2020-04-30</BondIssuedDt>
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        <PurposeDesc>See Part VI</PurposeDesc>
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        <CapitalExpendituresAmt>242130000</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>314308421</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2020</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.005</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.005</TotalPrivateBusinessUsePct>
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        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column (c) Bond A - CUSIP #</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the CUSIP number shown here, Form 8038 lists the following CUSIP numbers: 45204FAG0 and 45204FAH8.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column (f) Bond A - Description of Purpose</FormAndLineReferenceDesc>
        <ExplanationTxt>The 2020 ABC issue refinanced NorthShore University HealthSystem issues dated 7/7/1995, 8/28/1996, 7/3/2001, 12/11/2008, and 7/14/2010, acquired assets of Swedish Covenant Health, and financed new capital projects of the health system.</ExplanationTxt>
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        <TransactionDesc>Property Management</TransactionDesc>
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      <BusTrInvolveInterestedPrsnGrp>
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        <RelationshipDescriptionTxt>Substantial Contributor</RelationshipDescriptionTxt>
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        <TransactionDesc>Investments Management</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
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            <BusinessNameLine1Txt>Jamie Dohnalek</BusinessNameLine1Txt>
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        <RelationshipDescriptionTxt>Family Member - David Dohnalek</RelationshipDescriptionTxt>
        <TransactionAmt>53501</TransactionAmt>
        <TransactionDesc>Employment</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>785</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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      <BooksAndPublicationsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>14500</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </BooksAndPublicationsGrp>
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>67092</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>27</ContributionCnt>
        <NoncashContributionsRptF990Amt>1284163</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Other - Sales Proceeds</MethodOfDeterminingRevenuesTxt>
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      <CollectiblesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>975</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Other - Comparables</MethodOfDeterminingRevenuesTxt>
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        <ContributionCnt>50</ContributionCnt>
        <NoncashContributionsRptF990Amt>445052</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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      <DrugsAndMedicalSuppliesGrp>
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        <ContributionCnt>44</ContributionCnt>
        <NoncashContributionsRptF990Amt>586675</NoncashContributionsRptF990Amt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Gift Cards/Certificates</Desc>
        <ContributionCnt>182</ContributionCnt>
        <NoncashContributionsRptF990Amt>97306</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Vacation/Property</Desc>
        <ContributionCnt>27</ContributionCnt>
        <NoncashContributionsRptF990Amt>27922</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Other - Comparables</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Events/Entertainment</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>1200</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Column (b) - Number of Contributions or Items Contributed</FormAndLineReferenceDesc>
        <ExplanationTxt>The amounts reported on Part I, Column (b) represent the number of contributions.</ExplanationTxt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="19010655" softwareVersionNum="2019v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1 Organization's Mission</FormAndLineReferenceDesc>
        <ExplanationTxt>The core mission of NorthShore University HealthSystem (NorthShore) is to "preserve and improve human life." This mission will be achieved through the provision of superior clinical care, academic excellence and innovative research. NorthShore is a not-for-profit organization principally formed to provide quality healthcare services for the communities it serves. The delivery of healthcare services is provided in a wide range of inpatient and ambulatory healthcare settings, community-wide, employing modern technology and expertise. Support for qualified patients who may not be able to pay the entire cost of their care is a part of the organization's commitment. In support of its primary mission of patient care, the organization engages in a wide range of academic activities in medical education and research. This statement recognizes the Board of Directors' responsibility to maintain the organization's viability to meet its long-term commitment to the communities it serves. It further recognizes the responsibility to maintain technologically current assets for this purpose. This includes the cultivation and development of our physicians, graduate medical students, employees, physical plant, equipment and other resources to assure orderly growth of our services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Program Service Description - Patient Care</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) is an integrated, healthcare delivery system. NorthShore, headquartered in Evanston, Illinois, includes five hospitals - Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, Skokie Hospital, and Swedish Hospital. NorthShore also includes a 900 physician multispecialty group practice, NorthShore University HealthSystem Faculty Practice Associates, with more than 140 locations in the Chicagoland area. NorthShore is a Magnet-recognized organization, the first in Illinois to receive this prestigious honor as an entire system that demonstrates excellence in nursing and high standards in patient care. NorthShore also is a national leader in the implementation of innovative technologies, including an Electronic Medical Record (EMR) system. In 2003, NorthShore was among the first in the country to successfully implement a system-wide EMR with demonstrable benefits in quality, safety, efficiency and service to patients. NorthShore has been recognized by multiple national organizations for this notable achievement. As the principal teaching affiliate for the University of Chicago Pritzker School of Medicine, NorthShore is dedicated to excellence in medical education and research. Combined with NorthShore's established reputation for advanced information technology and its strong clinical environment, this affiliation represents an exciting advancement in patient care for the Chicagoland area. NorthShore's health system includes significant capabilities in a wide spectrum of leading clinical programs, including Kellogg Cancer Center, NorthShore Neurological Institute, NorthShore Orthopaedic Institute, NorthShore Cardiovascular Institute, Neaman Center for Personalized Medicine and High-Risk Maternity. All four NorthShore hospitals receive "A" grades in new ratings from The Leapfrog Group, a national organization that focuses on quality and safety in American health care. The Leapfrog Hospital Safety Grade uses 28 measures of publicly available hospital safety data to assign grades to more than 2,600 U.S. hospitals twice per year. NorthShore achieves Magnet recognition, the highest honor in nursing, for the third time in a decade. In March 2010, NorthShore became the first in Illinois designated as a system to receive Magnet recognition and then re-designation in 2015. Once awarded Magnet status, organizations must reapply every four years. The Magnet honor is determined by the American Nurses Credentialing Center's Magnet Recognition Program, which recognizes health care organizations that demonstrate excellence in nursing and the highest standards in patient care. NorthShore hospitals are named to the Healthgrades America's Best Hospitals list for 2020. NorthShore is among the 250 Best Hospitals in the U.S., and among 14 in Illinois for clinical excellence. NorthShore is recognized for being in the top 5% of hospitals nationwide demonstrating superior clinical outcomes across the majority of common inpatient conditions and procedures, according to Healthgrades. NorthShore is recognized in the 2020 edition of Becker's Healthcare list of "100 great hospitals in America." The list includes nationally recognized and industry leading healthcare institutions for their excellence in clinical care, patient outcomes, and staff and physician satisfaction. The list also includes industry innovators that have sparked trends in healthcare technology, hospital management and patient satisfaction. NorthShore is named to the 2020 Fortune/IBM Watson Health 100 Top Hospitals list for a record 21st time, more than any other hospital or health system in the United States during the award's 27-year history. NorthShore is also listed among the Top 15 Major Teaching Hospitals in the country. The annual list recognizes excellence in clinical outcomes, operational efficiency, patient experience and financial health. The Health Information and Management Systems Society (HIMSS) awards NorthShore Stage 7 status for the Adoption Model for Analytics Maturity - the apex of leveraging data driven platforms such as CAPE and CART to provide better care and operational performance. Also, HIMSS revalidates NorthShore's Stage 7 status on the EMR Adoption Model and Outpatient EMR Adoption Model. Both models are used to improve patient care while reducing costs in case studies on predicting medical spend; and also developing an inpatient antibiotic stewardship assistance program using real-time EMR data. NorthShore is one of only five organizations worldwide that has achieved Stage 7 status on these three maturity models. NorthShore is ranked as the #6 hospital in both the Chicago metro area and the State of Illinois in the 2020-21 U.S. News &amp; World Report's Annual Best Hospitals survey. NorthShore also receives "high-performing" marks in six clinical specialties: Gastroenterology and GI surgery, Geriatrics, Nephrology, Neurology and Neurosurgery, Orthopedics, and Urology - and in eight complex procedures and conditions. The annual Best Hospitals rankings recognize hospitals that excel in treating patients with the most challenging medical conditions. Nearly 5,000 hospitals nationwide are analyzed and ranked in 25 different adult specialties, procedures and conditions. NorthShore recognizes and embraces its responsibility to ensure that it fulfills its charitable obligations in the most cost-effective and sustainable manner. In order to achieve this goal, NorthShore has aligned its community benefits program with the guiding principles outlined in Advancing the State of the Art of Community Benefit for nonprofit hospitals, which provides a set of uniform standards to increase accountability and align governance, management, and operations to return benefit to local communities. NorthShore is guided and its initiatives measured by five guiding principles, including: 1) Disproportionate Unmet Health-Related Needs, 2) Primary Prevention, 3) Seamless Continuum of Care, 4) Build Community Capacity, and 5) Community Collaboration. NorthShore informs and educates low-income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describes the Financial Assistance program and necessary contact information. Our collection agencies and billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately 16 full-time financial counselors and 38 Customer Service agents representing our hospitals, clinics, and physician offices. These counselors and representatives are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. NorthShore has also earned Certified Application Counselor Organization (CACO) status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance will have their case reviewed by calling our centralized Customer Service billing department. Our Customer Service department responds to approximately 1,400 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for Financial Assistance, NorthShore may also grant Financial Assistance on a presumptive basis. Presumptive Financial Assistance approvals are based upon individual life circumstances such as enrollment in low-income government programs with income eligibility below 200 percent of federal poverty level income guidelines or verification of financial indigence through a credit rating agency and their calculated healthcare credit score.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Program Service Description - Patient Care (continued)</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore Evanston Hospital - Evanston Hospital continues to serve the community as a comprehensive acute-care facility and the nucleus of NorthShore. Principal home to NorthShore Cardiovascular Institute and Kellogg Cancer Center, Evanston Hospital also offers a variety of surgical specialties: neurosurgery, gynecological surgery, robot-assisted surgery, surgical oncology and urology surgery. Evanston Hospital is certified by the Joint Commission in palliative care and as a Primary Stroke Center - providing an acute stroke team 24 hours a day, seven days a week for rapid diagnosis and treatment. Evanston Hospital also is a premier Level I Trauma Center in the northern suburbs with a recently renovated and expanded Emergency Department. Physicians work alongside leading researchers to translate the latest technology, treatment and research into improved patient care. As the regional center for high-risk obstetrics, the Infant Special Care Unit and the Women's Hospital offer a comfortable birthing environment where high-risk mothers and their babies have access to the latest technology and a highly trained staff. Evanston Hospital also offers leading-edge lab capabilities and serves as a home base for NorthShore's pioneering Neaman Center for Personalized Medicine, which customizes a patient's care and treatment plan based on the individual's unique genetic characteristics and health history. It also houses the Grainger Center for Simulation and Innovation, which provides nurses, physicians, residents, paramedics, firefighters and police with simulated clinical care, trauma and emergency preparedness training in a controlled environment. During fiscal year 2020, Evanston Hospital total admissions were 21,087, and total patient days were 105,050. NorthShore Glenbrook Hospital - Glenbrook Hospital is well known in the northern suburbs as a comprehensive medical center providing advanced diagnostic and therapeutic interventions - particularly focused on advanced ophthalmology and outpatient surgery, and the specialized needs of geriatric patients. In addition to being a Level II Trauma Center, Glenbrook Hospital is certified by the Joint Commission as a Primary Stroke Center - providing an acute stroke team 24 hours a day, seven days a week for rapid diagnosis and treatment. Glenbrook Hospital provides advanced medical and surgical care in a beautiful healing environment. Notable specialties include NorthShore Kellogg Cancer Center, NorthShore Neurological Institute, NorthShore Cardiovascular Institute, the John and Carol Walter Center for Urological Health, Patricia Nolan Center for Breast Health, Simms Family GI Lab, and the Eye and Vision Center. In addition, the hospital offers leading-edge interventional radiology and diagnostic radiology services. During fiscal year 2020, Glenbrook Hospital total admissions were 8,064, and total patient days were 43,865. NorthShore Highland Park Hospital - Highland Park Hospital includes an updated surgical pavilion offering the latest technology and leading-edge operating rooms. Construction of the Women's Hospital was completed in 2017, providing the only dedicated Labor, Delivery and Post-Partum Unit in Lake County. Highland Park Hospital is the site of the first open-heart surgery in Lake County and continues to provide a full range of cardiac diagnosis and intervention services. Highland Park Hospital's Kellogg Cancer Center offers the most comprehensive subspecialty care in the northern suburbs including: thoracic and lung, hematology, breast, ovarian, head and neck, melanoma and sarcoma, gastrointestinal, prostate and stomach. Highland Park Hospital is a Joint Commission-certified Primary Stroke Center - providing an acute stroke team 24/7 for rapid diagnosis and treatment. Highland Park Hospital's Emergency Department also is the region's "pod" hospital for disaster-response activities across Lake County. During fiscal year 2020, Highland Park Hospital total admissions were 9,200, and total patient days were 41,243. NorthShore Skokie Hospital - Skokie Hospital is not only home to Illinois' only destination hospital dedicated to orthopaedic and spine care, but it also offers emergency and outpatient services to meet the needs of the local community. The Orthopaedic &amp; Spine Institute provides advanced care and is designed for both outpatient and inpatient procedures, including joint replacement, fracture care and complex spine surgeries. The Institute's team is comprised of trained experts, from orthopaedic surgeons, neurosurgeons and anesthesiologists, to nurses, physical and occupational therapists. Each member of the team is highly experienced in using the latest innovations and leading-edge techniques, including Enhanced Recovery After Surgery (ERAS) protocols to minimize opioid use and achieve a higher level of patient satisfaction pre- and post-surgery. Established in 1963, Skokie Hospital also provides patients access to a vast network of outpatient clinical resources as well, from multispecialty physician offices to cardiac imaging, radiology and gastrointestinal services - and a Level II Trauma Center and Emergency Department. During fiscal year 2020, Skokie Hospital total admissions were 2,834, and total patient days were 10,355. Swedish Hospital - Part of NorthShore - Swedish Hospital has served the diverse communities of Chicago's North Side for more than 130 years, and on January 1, 2020, Swedish Hospital and its various clinical entities became part of NorthShore University. Swedish Hospital provides the full range of comprehensive health and wellness services including an acute care 312-bed hospital, a talented team of primary and specialty care physicians in the Swedish Medical Group, strong community outreach programs, and Chicago's only certified medical fitness center - Galter LifeCenter. Swedish Hospital offers advanced clinical care in more than 50 academic-level medical specialties. This includes the Mayora Rosenberg Women's Health Center, which offers 3-D mammography and is home to the region's top midwifery program. Swedish Hospital also is certified by the Joint Commission as a Primary Stroke Center. NorthShore University HealthSystem Faculty Practice Associates - NorthShore University HealthSystem Faculty Practice Associates (FPA) is comprised of about 900 primary and specialty care physicians located in Chicago and many of the northern suburbs. With more than 140 locations, the primary care team includes experts in internal medicine, family medicine, pediatrics and obstetrics and gynecology. Our primary care team works in close collaboration with physicians in over 50 specialty services in every field of medicine, including cancer, orthopaedics, neurological and cardiovascular care. Additionally, in late 2017, NorthShore advanced primary care by integrating genetics into patient care plans to more precisely guide medical management. Patients who see a FPA primary care physician, now receive a Genetic and Wellness Assessment as part of a patient's annual physical. This personalized medicine tool helps the doctor better identify risk factors and detect diseases at their earliest, most treatable stages. Through NorthShore's teaching affiliation with the University of Chicago Pritzker School of Medicine, FPA physicians hold academic appointments at the Pritzker School of Medicine, helping to teach and train the physicians of tomorrow. NorthShore University HealthSystem Foundation - NorthShore University HealthSystem Foundation (Foundation) is dedicated to attracting and stewarding philanthropy in support of the integrated healthcare delivery system's mission to "preserve and improve human life." Generous donations of time, talent and treasure - from individuals, foundations and corporations - help to ensure that world-class healthcare is available close to home. Philanthropy was integral to the founding of NorthShore in 1891, and is simply a part of NorthShore - past, present and future. NorthShore University HealthSystem Home and Hospice Services - NorthShore University HealthSystem Home and Hospice Services (Home and Hospice) offers the full spectrum of home and hospice care, including skilled nursing, physical and occupational therapy and home medical equipment. Home and Hospice caregivers represent a wide range of medical specialties and work with the patient, family and physician to tailor home care to meet the individual needs of each patient.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4b Program Service Description - Education</FormAndLineReferenceDesc>
        <ExplanationTxt>As a primary teaching affiliate for University of Chicago Pritzker School of Medicine, NorthShore University HealthSystem (NorthShore) is dedicated to excellence in medical education and research. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore physician-educators connect and innovate with the next generation of medical specialists to help shape the future of healthcare. Combined with NorthShore's established reputation for advanced information technology and its strong clinical environment, this affiliation represents an exciting advancement in academic medicine for the Chicagoland area and for future physician leaders. NorthShore has an extensive selection of training programs and fellowships to offer physicians at its teaching and research facilities. During fiscal year 2020, 220 resident and fellow full-time equivalents (FTEs) participated in NorthShore and affiliate-based programs. The NorthShore residency program areas include: Dentistry, Family Medicine, Internal Medicine (Categorical, Preliminary, and Transitional), and Pathology. The NorthShore fellowship program areas include: Cardiology, Endocrine Surgery, Family Medicine-Sports Medicine, Gastroenterology, Maternal-Fetal Medicine, Musculoskeletal Imaging, Simulation-Emergency Medicine, and Urogynecology. The affiliate-based residency program areas include: Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Obstetrics and Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry, Radiology, and Urology. The affiliate-based fellowship program areas include: Cardiothoracic Surgery, Child Psychiatry, Colon Rectal Surgery, Gynecology-Oncology, Hematology-Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Molecular Genetics Pathology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient and ambulatory practice. The program also includes specialty residencies in oncology, pharmacy informatics, and pharmacy administration. The program consists of a multitude of experiences that reinforce residents' knowledge and skills and help them advance into well-rounded practitioners. In fiscal year 2020, 19 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital and is affiliated with DePaul University. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the school is to prepare qualified professional registered nurses for the advanced practice of nurse anesthesia in a variety of practice settings. The graduate nurse anesthetist demonstrates the knowledge, skills, and attitude necessary to take on leadership roles in the practice of nurse anesthesia. In fiscal year 2020, 72 students participated in the program. NorthShore also provided clinical training and internships during the 2020 academic year for 117 high school and college students. Students interned in the following areas: Nursing, Physical Therapy, Laboratory, Radiology, Occupational Therapy, Medical Social Work and Speech Pathology.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4c Program Service Description - Research</FormAndLineReferenceDesc>
        <ExplanationTxt>The NorthShore University HealthSystem Research Institute (Research Institute) was organized in 1996 to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute now houses more than 250 principal investigators who currently occupy 95,000 net square feet of research space and work on 1,000 active research protocols. The Research Institute builds on NorthShore's promise to deliver excellence in all aspects of patient care. Efforts are directed to research initiatives that make a difference across multiple disciplines. From oncology and neurology to orthopaedics and cardiovascular care, the Research Institute focuses on areas of inquiry that have the potential to make the greatest impact on improving and saving lives. NorthShore offers some 1,000 active clinical trials of various types, from innovative surgical procedures to the latest drug therapies. NorthShore's clinical research portfolio focuses on a range of conditions, including cancer, neurologic disorders and stroke, cardiovascular disorders, and a wide range of pediatric and gynecologic conditions. Additionally, major clinical trial programs in advanced imaging and medical genetics are also offered. The Research Institute is also a member of the Illinois Precision Medicine Consortium (IPMC), which is part of a national landmark longitudinal All of Us Research Program (AoURP) cohort program to improve the ability to prevent and treat disease based on individual lifestyle, environment, and genetics. NorthShore will enroll over 9,000 NorthShore patients in the study, and participants in NorthShore's AoURP will be asked to share a wide-range of health, environmental, and lifestyle information. The NorthShore Program for Personalized Cancer Care (PPCC) is pioneering new strategies in cancer care. The PPCC uniquely focuses on the genetic pattern of an individual's hereditary DNA to derive a personalized cancer risk assessment profile. Based on the inherited risk of developing a given cancer, the PPCC is beginning to implement personalized cancer care strategies that encompass the entire spectrum of disease. The PPCC believes this approach will lead to more efficient use of health care resources by targeting prevention and screenings toward individuals at greater risk of developing cancer, earlier cancer detection, and, ultimately and most importantly, reduced cancer deaths and suffering.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 Process to Establish Compensation of Top Official and Other Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>A detailed compensation review of the top 17 executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market data for base and variable compensation is assessed annually for local, regional and national hospitals, integrated delivery systems, and academic medical centers. A detailed total compensation market review is conducted every two years. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation. A detailed compensation review of the 13 Clinical Chairs is also conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting for physicians within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market compensation data for each physician's specialized area of training is assessed annually. A detailed total compensation and Fair Market Value review is conducted every two years. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>Toure S Claiborne, A Steven Crown, David A Dohnalek, Connie K Duckworth, William M Farrow III, Gerald P Gallagher, Catherine Guthrie, Gregory K Jones, Jason L Koh, Harry M Jansen Kraemer Jr, Theodore Mazzone, Samuel M Mencoff, Kristen Murtos,Christopher J Olson, Bea Reyna-Hickey, Scott C Schweighauser, Susan B Sentell, Mark S Talamonti, Gregory Wallman, Kevin Willer, John G Zern, David F Zucker - Business relationship, Harry M Jansen Kraemer Jr and Samuel M Mencoff - Business relationship, Gerald P Gallagher, Mahalakshmi Halasyamani, Harry L Jones - Business relationship, Kristen Murtos and David Rahija - Business relationship, Kristen Murtos and Sean O'Grady - Business relationship, Mahalakshmi Halasyamani, Karen L Kaul, Kristen Murtos, Gregory A Wallman - Business relationship, Gerald P Gallagher and Douglas Welday - Business relationship</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The NorthShore University HealthSystem (NorthShore) Form 990 was reviewed by executive management and an outside accounting firm. The NorthShore Form 990 was then provided to each member of the Board of Directors via email for their review and ability to ask questions of management prior to filing.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>All officers, directors and employees are required to report any potential or actual conflicts of interest as they arise, promptly and in writing, to the Chief Compliance Officer. In addition, on an annual basis, the Chief Compliance officer requires all officers, directors, and key employees to complete, sign and return a Conflict of Interest Disclosure Statement requiring information about any and all potential or actual conflicts. Timely and accurate completion of the Statement is mandatory, and completed Statements must be returned to the Chief Compliance Officer within 15 days. Any disclosures included on the Statements are reviewed and acted upon as necessary by the Chief Compliance Officer and the Corporate Compliance Committee.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The NorthShore University HealthSystem (NorthShore) governing documents, conflict of interest policy, and financial statements are available to the public upon request. The NorthShore annual audit report and financial statements are also available to the public through GuideStar and the Illinois Attorney General's Office websites as part of the federal and state tax return filings. The NorthShore quarterly and annual financial statements and annual audit are also made available to the public through the Electronic Municipal Market Access (EMMA) website as part of the tax-exempt bond offerings.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Grant Income - Total Revenue: 6190767, Related or Exempt Function Revenue: 6190767, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Tuition Revenue - Total Revenue: 1435476, Related or Exempt Function Revenue: 1435476, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>NCSI Fees - Total Revenue: 580366, Related or Exempt Function Revenue: 48769, Unrelated Business Revenue: 531597, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Wellness Shop - Total Revenue: 533308, Related or Exempt Function Revenue: , Unrelated Business Revenue: 533308, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Growth Initiatives - Total Revenue: 452398, Related or Exempt Function Revenue: 452398, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Computer Services - Total Revenue: 173815, Related or Exempt Function Revenue: , Unrelated Business Revenue: 173815, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Noncompete Amortization - Total Revenue: 107309, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 107309; Application Fees - Total Revenue: 59850, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 59850; Other - Total Revenue: 236546, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 236546;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Equity adjustments for the Pension Plan - -9497121; Equity adjustments for the Supplemental Executive Retirement Plans - -272530; Cumulative fair value adjustments for investments - XXX-XX-XXXX; Inherent contribution - Swedish Hospital acquisition - 78490742; Inherent gain - Swedish Hospital acquisition - -XXX-XX-XXXX; Loss on debt refinancing - -12839052; Net Assets Transferred - 99834799;</ExplanationTxt>
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