2020-07-13T18:04:59-05:00 2019-08-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2018-09-01 366080833 Community Nursing Service of DuPage County COMM 3129269495 541 N Fairbanks Court Room 1630 Chicago IL 60611 John Orsini SVP/CFO 2020-07-13 true Jennifer Burke P01342224 3128997000 2018 2020-09-22 18:59:49Z Northwestern Medicine Home Health & Hospice Dean Harrison 541 N Fairbanks Court Room 1630 Chicago IL 60611 20143187 false X www.nm.org X 1958 IL Community Nursing Service of DuPage County (CNS) provides comprehensive, full-service home health care and hospice services to patients and families. 3 0 0 30 0 0 0 0 17699546 12705844 0 -1278 308255 7437343 18007801 20141909 0 0 0 0 0 0 0 0 24567455 17393459 24567455 17393459 -6559654 2748450 27518517 28054679 29623778 27378796 -2105261 675883 X Community Nursing Service of DuPage County (CNS) provides comprehensive, full-service home health and hospice services to patients and families. These services are provided to patients regardless of their ability to pay. false true 9591341 0 12712083 Community Nursing Service of DuPage County (CNS) (dba Northwestern Medicine Home Health & Hospice) provides comprehensive, full-service home health and hospice services to patients in a home setting, regardless of the patient's ability to pay. Effective June 1, 2019, the business operations of CNS were sold to JourneyCare, a 501(c)3 organization located in the same geographic area. CNS entered into a winding-down stage. Prior to June 1, 2019, CNS offered the following services: HOME HEALTH Home Health services are available to individuals considered homebound. Our home health team is dedicated to helping patients improve their quality of life after leaving the hospital or any other time assessment, education and skilled intermittent care are required. Services offered include: Skilled nursing, Home health infusion, Home health aides, Medical social workers, Physical therapy, Occupational therapy, Speech therapy. HOSPICE Hospice is a philosophy of care that accepts death as the final stage of life. The goal of hospice is to enable patients to continue an alert, pain-free life and to manage other symptoms so that their last days may be spent with dignity and quality, surrounded by their loved ones. Hospice is designed to offer comfort and care, helping relieve issues that occur in the final phases of an end stage disease process, and is designed for people whose illnesses no longer respond to curative treatment but focuses on treating symptoms while increasing quality of life. Hospice care includes not only support for the patient, but also the family and loved ones. Northwestern Medicine Home Health & Hospice provides a caring hospice team that works with you to develop a care plan with goals to: improve quality of life; relieve pain, control symptoms and offer comfort and dignity; and, provide physical, emotional, social and spiritual support. As experienced providers of end-of-life care, the staff and volunteers at Northwestern Medicine Home Health & Hospice recognize that grief is a powerful force-one that can leave you feeling alone, uncertain, frightened and sorrowful. Our trained staff provides support during this difficult period. 9591341 true false false false false false false false false false false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 4 0 true 0 false false false false false false true false false false false false X 3 0 false true true false true true true true true false false true true true true true true false false false IL X Rob Gerecke Director Finance 3129269495 541 N Fairbanks Court Rm 1639 Chicago IL 60611 Dean M Harrison Chair 1.0 39.0 X X 0 6347133 1580828 Brian J Lemon Secretary 1.0 39.0 X X 0 1023598 159855 John A Orsini Vice Chair & Treasurer 1.0 39.0 X X 0 1552585 390915 Jacqueline Anderson Manager, Clinical Ops/Former HCE 40.0 0 X 0 111147 15094 Donna Dulkowski Registered Nurse/Former HCE 40.0 0 X 0 105498 13559 Marcia Musgrove Director, Prof Prac, Quality & Educ/Former HCE 40.0 0 X 0 151089 14984 Mary K Pendleton Advanced Practice Nurse/Former HCE 40.0 0 X 0 164017 16780 Teresa Jacobsen Director of Operations/Former KE 40.0 0 X 0 120457 10613 0 9575524 2202628 0 true true false Northwestern Memorial HealthCare 251 E Huron 541 Fairbanks Ct Rm 1639 Chicago IL 60611 Shared services and contracted personnel 14686410 Central DuPage Hospital Association 25 N Winfield Rd Winfield IL 60190 Hospice inpatient services 372390 CDH-Delnor Health System 541 N Fairbanks Ct Rm 1630 Chicago IL 60611 Shared services 315807 3 X 0 Net Patient Care Revenue 621610 12705844 12705844 0 0 0 0 12705844 0 0 0 1278 0 -1278 -1278 -1278 Proceeds from sale of business operations 900099 7431104 7431104 Other Revenue 900099 6239 6239 0 0 0 0 7437343 20141909 12712083 0 7429826 X 16034210 8512411 7521799 0 117307 84498 32809 637 510 127 359558 125845 233713 232131 225167 6964 2416 725 1691 120 120 Patient care 637540 637540 Dues and fees 8286 4143 4143 1254 502 752 0 17393459 9591341 7802118 0 0 0 17988142 19356241 2483899 700210 0 0 0 1018502 0 0 600 0 7045876 6979726 0 0 0 0 27518517 28054679 2083183 763974 474994 11356 0 27065601 26603466 29623778 27378796 X -2105261 675883 -2105261 675883 27518517 28054679 X 2748450 32694 X false true X true false X 94621 0 0 0 0 94621 22110669 19208217 18368909 17699546 12705844 90093185 0 0 0 22205290 19208217 18368909 17699546 12705844 90187806 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90187806 186065 0 0 0 0 186065 0 186065 0 0 0 0 186065 0 604964 397835 382719 308255 6239 1700012 22996319 19606052 18751628 18007801 12712083 92073883 0.9795 0.9746 0.0020 0.0035 X Schedule A, Part III column (a) for 2014 In 2014, as a result of the acquisition of the filing organization's sole member, CDH-Delnor Health System, by Northwestern Memorial HealthCare, the tax year-end of the sole member and its affiliates changed from June 30th to August 31st. As a result of this change in accounting period, the filing organization filed two 2014 tax returns for the periods July 1- August 31, 2014 and September 1 - August 31, 2015. Schedule A, Part III, Column (a) represents amounts reported on both the 2014 tax form used for the two-month short tax year, as well as on the 2014 tax form for the tax period of September 1, 2014 - August 31, 2015. Schedule A, Part III, Line 12 Other income In FY2019, the other income reported is the amount received from governmental and private insurance payers that represents interest due on late payments. Schedule A, Part III, Line 12 Other income Income reported in Part VIII on line 11a is the proceeds from the sale of the business operations. This amount is not included in Schedule A, Part III. Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER REVENUE, COLUMN A - 8218.0, COLUMN B - 3527.0, COLUMN C - 6171.0, COLUMN D - 5050.0, COLUMN E - 6239.0, COLUMN F - 29205.0; DESCRIPTION - SHARED SERVICES FEE REVENUE, COLUMN A - 596746.0, COLUMN B - 394308.0, COLUMN C - 376548.0, COLUMN D - 303205.0, COLUMN E - 0.0, COLUMN F - 1670807.0; Due to related organizations 26603466 26603466 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote ASC 740, Income Taxes, requires that realization of an uncertain income tax position is more likely than not (i.e. greater than 50% likelihood of receiving a benefit) before it is recognized in the financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax-related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the years ended August 31, 2019 or 2018. false true false false false false false false false Dean M Harrison Chair 0 1931795 0 3703686 0 711652 0 1546774 0 34054 0 7927960 0 321437 Brian J Lemon Secretary 0 597924 0 335415 0 90259 0 113696 0 46159 0 1183453 0 60695 John A Orsini Vice Chair & Treasurer 0 870195 0 598597 0 83793 0 363457 0 27458 0 1943500 0 111283 Teresa Jacobsen Director of Operations/Former KE 0 61518 0 0 0 58939 0 3309 0 7304 0 131070 0 0 Jacqueline Anderson Manager, Clinical Ops/Former HCE 0 101122 0 8396 0 1629 0 6773 0 8321 0 126241 0 0 Donna Dulkowski Registered Nurse/Former HCE 0 65270 0 4367 0 35861 0 5315 0 8244 0 119057 0 0 Marcia Musgrove Director, Prof Prac, Quality & Educ/Former HCE 0 129101 0 20838 0 1150 0 6224 0 8760 0 166073 0 0 Mary K Pendleton Advanced Practice Nurse/Former HCE 0 157526 0 6093 0 398 0 8383 0 8397 0 180797 0 0 Schedule J, Part II, Column (B)(ii) BONUS & INCENTIVE COMPENSATION The bonus and incentive compensation amounts listed in Column b(ii) for all listed individuals were determined using a specified formula. This formula and the calculation of their annual bonus is based on two components: the employee's title/position (staff, manager, director, VP, etc.) and the degree to which established performance goals were achieved. Incentive compensation amounts are at risk and are not paid unless there is exceptional individual and organizational performance in accordance with substantial pre-approved goals. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The filing organization relied on Northwestern Memorial HealthCare, a related tax exempt organization, which used a compensation committee, comparability data, independent compensation consultant, and approval by the board or compensation committee, to determine the compensation of the President of Northwestern Medicine West Region, who is an employee of Northwestern Memorial HealthCare and who also serves as the Chairperson of the filing organization's Board of Directors. See the narrative for Form 990, Part VI, line 15a in Schedule O for more information. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THERE IS ONE NONQUALIFIED DEFERRED COMPENSATION PLAN SPONSORED BY NORTHWESTERN MEMORIAL HEALTHCARE, WHICH PROVIDES SUPPLEMENTAL, COMPETITIVE RETIREMENT BENEFITS. THE EMPLOYER PAYS THE COST OF PARTICIPATION, AND THE BENEFITS AND CONTRIBUTIONS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE BASED ON THE COMPLETION OF SUBSTANTIAL FUTURE SERVICE REQUIREMENTS. THE AMOUNTS EARNED BY PARTICIPANTS FLUCTUATE FROM YEAR TO YEAR BASED ON A VARIETY OF FACTORS INCLUDING CHANGES IN MARKET INTEREST RATES. THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE THE CURRENT YEAR CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: DEAN HARRISON, $375,000 BRIAN LEMON, $36,000 THE FOLLOWING EMPLOYEE IS NOT VESTED IN THE PLAN, AND FOR THIS EMPLOYEE THE CURRENT YEAR EARNED AMOUNT (WHICH REMAINS AT RISK BECAUSE OF THE REQUIREMENT OF SUBSTANTIAL FUTURE SERVICES) WAS: JOHN ORSINI, $171,000 Form 990, Part III, Line 3 Significant changes in program services On June 1, 2019 the business operations of Community Nursing Service of DuPage County (CNS) were sold to JourneyCare, a 501(c)3 exempt organization and CNS entered into a winding-down stage. Form 990, Part VI, Line 1a Delegating broad authority As the sole member of Community Nursing Service of DuPage County, Northwestern Memorial HealthCare, a related tax-exempt organization, has broad authority to act on behalf of the governing body. Please see the narratives for Part VI, Lines 6, 7a and 7b for a description of such authority. Form 990, Part VI, Line 15a 15b - PROCESS TO ESTABLISH COMPENSATION Northwestern Memorial Heath Care (NMHC) is the parent organization and the sole corporate member of the filing organization. Interested persons of the filing organization are subject to the policies and procedures of NMHC. Northwestern Memorial HealthCare, NMHC, has established a Board-led executive compensation review and approval process for NMHC and all affiliates. This process for determining executive compensation: (1) is designed to qualify for the rebuttable presumption of reasonableness under the federal tax law intermediate sanctions rules and otherwise complies with IRS guidelines for tax-exempt organizations; (2) is conducted by a separate subcommittee of the Board of Directors whose members are all disinterested, independent and non-paid; (3) evaluates the reasonableness of compensation annually based on compensation data gathered by external consultants from a peer group comprised of similarly situated healthcare organizations; and (4) compensation decisions and support are recorded in the compensation committee meeting minutes. In addition, a significant portion of compensation is at risk and is payable only upon achievement of substantial goals. The Board places a high priority on its ability to recruit and retain a strong leadership team to ensure we serve our mission and achieve our goals. The officers of Northwestern Memorial HealthCare also fulfill substantial officer and executive functions for NMHC's subsidiaries. The compensation determination process described above also applies for the other officers of the filing organization. The compensation of the former key employee is determined by the parent organization's Human Resources department using a market-based analysis. Form 990, Part VI, Line 3 Delegation of management duties The parent organization of Community Nursing Service of DuPage County (CNS) is Northwestern Memorial HealthCare (NMHC). Beginning in 2017, all employees of CNS, the filing organization, became employees of NMHC and contracted back to CNS. Management services provided through NMHC by the former CNS employees include the hiring, firing and supervising personnel; planning and executing budgets and financial operations; and, supervising the exempt operations of the organization. The individuals listed as 'former key employee' and 'former highest compensated employees' in Part VII-A are the former CNS employees who are now NMHC employees but continued to provide services to CNS as contracted personnel. Form 990, Part VI, Line 4 Significant changes to organizational documents Effective 9/1/18, CDH-Delnor Health System, the former sole member of the filing organization, merged into its sole member, Northwestern Memorial HealthCare (NMHC). NMHC became the sole member of the filing organization. Form 990, Part VI, Line 6 Classes of members or stockholders The sole member of Community Nursing Service of DuPage County (CNS) is Northwestern Memorial HealthCare (NMHC), a related tax-exempt organization. Management duties performed by NMHC include: operational, strategic, budgeting, and long-range planning duties, as well as finance, internal audit, human resources, treasury and marketing services. The individuals providing these services, including the CEO, CFO and other senior management, are employees of and compensated by NMHC. CNS pays a shared services fee to NMHC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Northwestern Memorial HealthCare, the sole member and parent organization, has the power to elect or remove all of the directors of Community Nursing Service of DuPage County. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Certain decisions of the Community Nursing Service of DuPage County (CNS) governing body are subject to approval by Northwestern Memorial HealthCare, as the sole member of CNS. The member's authority includes the power to amend, alter, restate or repeal the Bylaws of the Corporation; to negotiate and execute contracts on behalf of the Corporation; to adopt a plan of merger, consolidation or corporate reorganization involving the Corporation; to adopt a plan of dissolution or liquidation of the Corporation and distribution of its assets; and, to amend, alter, restate or repeal the Articles of Incorporation of the Corporation. Actions by the Board of Directors requiring the approval of the Sole Member include: adoption of capital and operating budgets; adoption and execution of a strategic plan; and, authorization of a capital expenditure in excess of the limits established by the Sole Member from time to time. Form 990, Part VI, Line 11b Review of form 990 by governing body PRIOR TO FILING, A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY OUTSIDE TAX ADVISERS AND INTERNAL MANAGEMENT. AFTER THAT REVIEW IS COMPLETE, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS OF NORTHWESTERN MEMORIAL HEALTHCARE FOR ADDITIONAL REVIEW AND COMMENT. Form 990, Part VI, Line 12c Conflict of interest policy Northwestern Memorial Heath Care (NMHC) is the parent organization and the sole corporate member of the filing organization. In accordance with this organizational structure, interested persons of the filing organization are subject to the policies, processes and procedures of NMHC. Northwestern Memorial HealthCare (NMHC) maintains both a Conflict of Interest Policy and an Intermediate Sanctions Policy. These policies have been approved by its Board of Directors and apply to all entities, directors, officers, employees and transactions which take place within the NMHC system. The policies were written to assist board members and management with the identification of those transactions that warrant attention and consideration to ensure proper adherence to the tax laws impacting tax-exempt organizations. The conflict of interest policy requires completion of an annual certification which affirms that such person has received, read and understands the conflict of interest policy, has agreed to comply, has disclosed any matters required to be disclosed under the policy, and agrees to report any changes promptly to the Corporate Compliance & Integrity (CCI) department. Once the annual certifications are complete, the CCI department reviews the disclosures for compliance with the policy and escalates any that are of a nature that require potential further remediation to manage or eliminate the disclosed conflict. Form 990, Part VI, Line 19 Required documents available to the public The corporation's governing documents, conflict of interest policy and financial statements are available upon request. The consolidated financial statements of Northwestern Memorial HealthCare and Subsidiaries are available on the Northwestern Medicine website. The financial statements are also available from the Illinois Attorney General's office as part of its Annual Community Benefits Report and through Electronic Municipal Market Access System of the Municipal Securities Rulemaking Board. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 5 10 and 11g - Contracted Personnel The parent organization of Community Nursing Service of DuPage County (CNS) is Northwestern Memorial HealthCare (NMHC). Beginning in 2017, all employees of CNS, the filing organization, became employees of NMHC and contracted back CNS. The total staffing costs paid to NMHC is reported on line 11g as Contracted Personnel. Form 990, Part IX, Line 11g Other Fees Shared services fees - Total Expense: 4910118, Program Service Expense: , Management and General Expenses: 4910118, Fundraising Expenses: ; Contracted personnel - Total Expense: 9995695, Program Service Expense: 7996556, Management and General Expenses: 1999139, Fundraising Expenses: ; Professional fees - Total Expense: 510759, Program Service Expense: 510759, Management and General Expenses: , Fundraising Expenses: ; Temporary staffing - Total Expense: 6370, Program Service Expense: 5096, Management and General Expenses: 1274, Fundraising Expenses: ; Other purchased services - Total Expense: 611268, Program Service Expense: , Management and General Expenses: 611268, Fundraising Expenses: ; Form 990, Part X, Line 11 INVESTMENTS THE ORGANIZATION'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT MAINTAINED BY NORTHWESTERN MEMORIAL HEALTHCARE. THE POOLED ACCOUNT CONSISTS OF CASH, EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE FAIR VALUES AND ALL INVESTMENTS IN DEBT SECURITIES ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET OF THE FILING ORGANIZATION. HOWEVER, INTEREST INCOME AND BOTH REALIZED AND UNREALIZED GAINS AND LOSSES FROM THE POOLED INVESTMENTS ARE NOT REPORTED ON THE STATEMENT OF REVENUE OR RECONCILIATION OF NET ASSETS OF THE FILING ORGANIZATION. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Asset Transfer, Northwestern Memorial Foundation - 32694; NORTHWESTERN MEMORIAL HEALTHCARE 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363152959 MANAGEMENT IL 501(c)(3) Type III-FI NA false NORTHWESTERN MEMORIAL HOSPITAL 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 370960170 HOSPITAL IL 501(c)(3) 3 NMHC false NORTHWESTERN MEMORIAL FOUNDATION 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363155315 FUNDRAISING IL 501(c)(3) 7 NMHC false NORTHWESTERN LAKE FOREST HOSPITAL 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 362179779 HOSPITAL IL 501(c)(3) 3 NMHC false LAKE FOREST HEALTH & FITNESS INST 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363835030 HEALTH IL 501(c)(3) 10 NORTHWESTERN LAKE FOREST HOSP false NORTHWESTERN MEDICAL FACULTY FOUNDATION 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363097297 HEALTHCARE IL 501(c)(3) 3 NMHC false CENTRAL DUPAGE HOSPITAL ASSOCIATION 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 362513909 HOSPITAL IL 501(c)(3) 3 NMHC false DELNOR-COMMUNITY HOSPITAL 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363484281 HOSPITAL IL 501(c)(3) 3 NMHC false CENTRAL DUPAGE PHYSICIAN GROUP 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363149833 HEALTHCARE IL 501(c)(3) 10 NMHC false CENTRAL DUPAGE SPECIAL HEALTH ASSOCIATION 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 364310557 PHARMACY IL 501(c)(3) 10 NMHC false PAHCS II 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363887234 OCCUPATIONAL HEALTH IL 501(c)(3) 10 NMHC false KISHHEALTH SYSTEM 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363649080 MANAGEMENT IL 501(c)(3) Type II NMHC false KISHWAUKEE COMMUNITY HOSPITAL 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 237087041 HOSPITAL IL 501(c)(3) 3 KISHHEALTH SYSTEM false VALLEY WEST COMMUNITY HOSPITAL 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 364244337 HOSPITAL IL 501(c)(3) 3 KISHHEALTH SYSTEM false KISHHEALTH SYSTEM HOME CARE 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 371703513 HOME HEALTH IL 501(c)(3) 3 KISHHEALTH SYSTEM false DEKALB COUNTY HOSPICE INC 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363164329 HOSPICE IL 501(c)(3) 7 KISHHEALTH SYSTEM false DEKALB BEHAVIORAL HEALTH FOUNDATION INC 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 474579189 BEHAVIORAL HEALTH IL 501(c)(3) 3 KISHHEALTH SYSTEM false CENTER FOR FAMILY HEALTH - 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