NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: NORTHWESTERN MEMORIAL HEALTHCARE (EIN 36-4724966)
Tax period: 2018-09-01 to 2019-08-31
Filed: 2020-07-15
IRS object ID: 202011979349302981
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-15T11:05:22-05:00	ReturnTs
Tax Period End	2019-08-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	155 N WACKER DRIVE	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-09-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	364724966	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Northwestern Memorial HealthCare Group	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	3129264237	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	541 N Fairbanks Ct Rm 1630	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606113319	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John A Orsini	PersonNm
Person Title	SVP/CFO	PersonTitleTxt
Signature	2020-07-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JACOB ZEHNDER	PreparerPersonNm
PTIN	P01564049	PTIN
Phone	3128792000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Dean M Harrison	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	251 E Huron	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606112908	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$6,613,657,518	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	5878	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.NM.Org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	THE PRIMARY MISSION OF THE NORTHWESTERN AFFILIATES INCLUDED IN THIS GROUP RETURN IS TO BE THE DESTINATION OF CHOICE FOR (CONTINUED IN SCHEDULE O)	ActivityOrMissionDesc
Voting Members Governing Body	181	VotingMembersGoverningBodyCnt
Voting Members Independent	142	VotingMembersIndependentCnt
Total Employee	27954	TotalEmployeeCnt
Total Volunteers	2238	TotalVolunteersCnt
Total Gross UBI	$67,514,618	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$16,491,533	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$95,379,350	PYContributionsGrantsAmt
CY Contributions Grants	$65,076,110	CYContributionsGrantsAmt
PY Program Service Revenue	$5,345,664,800	PYProgramServiceRevenueAmt
CY Program Service Revenue	$6,329,403,735	CYProgramServiceRevenueAmt
PY Investment Income	$7,713,968	PYInvestmentIncomeAmt
CY Investment Income	$10,101,791	CYInvestmentIncomeAmt
PY Other Revenue	$71,851,898	PYOtherRevenueAmt
CY Other Revenue	$76,512,620	CYOtherRevenueAmt
PY Total Revenue	$5,520,610,016	PYTotalRevenueAmt
CY Total Revenue	$6,481,094,256	CYTotalRevenueAmt
PY Grants And Similar Paid	$14,040,179	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$18,804,578	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,137,868,779	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,509,249,050	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$12,419,337	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,036,943,488	PYOtherExpensesAmt
CY Other Expenses	$3,622,025,759	CYOtherExpensesAmt
PY Total Expenses	$5,188,852,446	PYTotalExpensesAmt
CY Total Expenses	$6,150,079,387	CYTotalExpensesAmt
PY Revenues Less Expenses	$331,757,570	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$331,014,869	CYRevenuesLessExpensesAmt
Total Assets BOY	$9,984,226,689	TotalAssetsBOYAmt
Total Assets EOY	$11,000,741,502	TotalAssetsEOYAmt
Total Liabilities BOY	$2,725,172,406	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,142,226,688	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,259,054,283	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$7,858,514,814	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	NORTHWESTERN MEMORIAL HEALTHCARE IS AN INTEGRATED HEALTHCARE SYSTEM, CONSISTING OF MULTIPLE HOSPITALS (INCLUDING NORTHWESTERN MEMORIAL HOSPITAL, AN ACADEMIC MEDICAL CENTER) AND NETWORKS OF PHYSICIANS AND HEALTHCARE PROFESSIONALS, WHERE THE PATIENT COMES FIRST. WE ARE AN ORGANIZATION OF CAREGIVERS WHO ASPIRE TO CONSISTENTLY HIGH STANDARDS OF QUALITY, COST-EFFECTIVENESS AND PATIENT SATISFACTION. WE SEEK TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY DELIVERING A BROAD RANGE OF SERVICES WITH SENSITIVITY TO THE INDIVIDUAL NEEDS OF OUR PATIENTS AND THEIR FAMILIES. WE ARE BONDED IN AN ESSENTIAL ACADEMIC AND SERVICE RELATIONSHIP WITH FEINBERG SCHOOL OF MEDICINE OF NORTHWESTERN UNIVERSITY. THE QUALITY OF OUR SERVICES IS ENHANCED THROUGH THEIR INTEGRATION WITH EDUCATION AND RESEARCH IN AN ENVIRONMENT THAT ENCOURAGES EXCELLENCE OF PRACTICE, CRITICAL INQUIRY AND LEARNING.	MissionDesc
Significant New Program Srvc	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	Yes (true)	SignificantChangeInd
Expense	$4,727,531,114	ExpenseAmt
Grant	$18,804,578	GrantAmt
Revenue	$6,351,851,876	RevenueAmt
Desc	THE NMHC GROUP RETURN REFLECTS THE COMBINED INFORMATION AND OPERATIONS OF TWENTY-FIVE TAX EXEMPT ORGANIZATIONS. THIS INCLUDES EIGHT HOSPITAL FACILITIES, TWO MEDICAL GROUPS, TWO FOUNDATIONS, AND VARIOUS OTHER RELATED ENTITIES SUPPORTING THE HEALTHCARE MISSION OF THE SYSTEM. NORTHWESTERN MEMORIAL HOSPITAL (EIN: 37-0960170) ("NMH") FOR MORE THAN 150 YEARS, NMH AND ITS PREDECESSOR INSTITUTIONS, PASSAVANT MEMORIAL AND WESLEY MEMORIAL HOSPITALS, HAVE SERVED THE RESIDENTS OF CHICAGO. THE COMMITMENT TO PROVIDE HEALTHCARE, REGARDLESS OF THE PATIENTS' ABILITY TO PAY, REACHES BACK TO THE FOUNDING PRINCIPLES OF PASSAVANT AND WESLEY AND CONTINUES TO BE INTEGRAL TO OUR MISSION TO PUT PATIENTS FIRST. NMH IS AN ACADEMIC MEDICAL CENTER (AMC) HOSPITAL AND SERVES AS THE PRIMARY TEACHING HOSPITAL FOR THE NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE ("FEINBERG"), WITH MORE THAN 2,140 PHYSICIANS ON THE MEDICAL STAFF, THE MAJORITY OF WHOM HAVE FACULTY APPOINTMENTS AT FEINBERG. NMH IS AMONG THE LIMITED NUMBER OF HOSPITALS IN THE UNITED STATES TO BE DESIGNATED AS A MAJOR TEACHING HOSPITAL BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC). ACCORDING TO THE AAMC, WHILE MAJOR TEACHING HOSPITALS REPRESENT ONLY 5 PERCENT OF ALL HOSPITALS, THEY ACCOUNT FOR 25 PERCENT AND 20 PERCENT OF ALL MEDICAID AND MEDICARE DISCHARGES, RESPECTIVELY, AS WELL AS PROVIDE 35 PERCENT OF THE COUNTRY'S CHARITY CARE. IN AGGREGATE, MAJOR TEACHING HOSPITALS SERVE A HIGHER PROPORTION OF LOW-INCOME, DUAL-ELIGIBLE, DISABLED AND MINORITY PATIENTS THAN OTHER HOSPITALS. AS AMCS SERVE AS MAJOR REFERRAL CENTERS AND HAVE VERY SPECIALIZED EXPERTISE, THEY PROVIDE CARE TO THOSE PATIENTS WHO ARE UNABLE TO SEEK NECESSARY CARE ELSEWHERE AND THEREFORE HAVE A PATIENT POPULATION THAT IS OFTEN MORE COMPLEX, SICKER AND MORE VULNERABLE THAN THE GENERAL PATIENT POPULATION. NMH IS AN 894-BED, ADULT ACUTE CARE HOSPITAL LOCATED IN CHICAGO'S GROWING DOWNTOWN AREA AND SAW MORE THAN 46,000 ADULTS ADMITTED AS INPATIENTS IN FISCAL YEAR 2019. AS AN ADULT LEVEL I TRAUMA CENTER IN DOWNTOWN CHICAGO WITH 24/7 SERVICE, NMH HAD MORE THAN 89,000 EMERGENCY DEPARTMENT (ED) VISITS IN FISCAL YEAR 2019. NMH IS ALSO THE ONLY AMC HOSPITAL IN CHICAGO PARTICIPATING IN BOTH CITY AND STATE LEVEL I TRAUMA NETWORKS AND AS A LEVEL III NEONATAL INTENSIVE CARE UNIT, ALLOWING US TO PROVIDE LIFESAVING CARE AND TREATMENT TO THE MOST SERIOUSLY INJURED ADULTS AND PREMATURE AND SICK INFANTS. NMH HAS THE LARGEST BIRTHING CENTER IN ILLINOIS, WITH MORE THAN 11,800 DELIVERIES IN FISCAL YEAR 2019. NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL (EIN: 36-2513909) ("CDH") CDH HAS A RICH HISTORY OF CARING FOR ITS COMMUNITY. THE 392-BED, TERTIARY-CARE FACILITY LOCATED IN WINFIELD, ILLINOIS OFFERS EMERGENCY, INPATIENT AND OUTPATIENT CARE IN MEDICAL AND SURGICAL SERVICES, OBSTETRICS, PEDIATRICS, BEHAVIORAL HEALTH, CARDIOLOGY, NEUROLOGY AND ONCOLOGY TO RESIDENTS OF DUPAGE COUNTY AND SURROUNDING AREAS. CDH IS DESIGNATED AS A LEVEL II TRAUMA CENTER AND PROVIDES LEVEL III NEONATAL INTENSIVE CARE; CDH EMS SERVES AS A STATE-DESIGNATED RESOURCE HOSPITAL. IT IS ALSO A REGIONAL DESTINATION FOR ONCOLOGY, ORTHOPEDIC, PEDIATRIC AND CARDIOLOGY CARE. CANCER PATIENTS ARE OFFERED HIGHLY ADVANCED TREATMENT AT THE STATE'S FIRST AND ONLY PROTON THERAPY CENTER. NEARLY 1,300 PHYSICIANS ARE ON THE MEDICAL STAFF AND ARE TRAINED IN MORE THAN 90 SPECIALTY AREAS. IN FISCAL YEAR 2019, CDH HAD MORE THAN 20,700 INPATIENT ADMISSIONS. CDH'S ED HAD NEARLY 72,000 VISITS IN FISCAL YEAR 2019. NORTHWESTERN LAKE FOREST HOSPITAL (EIN: 36-2179779) ("LFH") WITH ROOTS IN THE NORTHERN CHICAGO REGION, LFH WAS FOUNDED IN 1899 AS ALICE HOME ON THE CAMPUS OF LAKE FOREST COLLEGE. SINCE ITS FOUNDING, LFH HAS UPHELD THE PROMISE TO PROVIDE LAKE COUNTY RESIDENTS WITH CONVENIENT ACCESS TO QUALITY CARE SUPPORTED BY ADVANCED DIAGNOSTICS AND TECHNOLOGY. THE CURRENT LAKE FOREST HOSPITAL INCLUDES 114 PRIVATE INPATIENT ROOMS, 72 OUTPATIENT CARE SPACES, EIGHT OPERATING ROOMS AND 483,500 SQUARE FEET OF NEW CONSTRUCTION ON ITS 160-ACRE CAMPUS, OPENED IN FISCAL YEAR 2018. LFH SERVES THE LAKE COUNTY, ILLLINOIS AND KENOSHA COUNTY, WISCONSIN AREA. MORE THAN 700 PHYSICIANS OFFER LAKE COUNTY RESIDENTS CONVENIENT ACCESS TO ADVANCED DIAGNOSTIC AND SPECIALTY SERVICES. CARE IS PROVIDED THROUGH THE MAIN HOSPITAL CAMPUS IN SUBURBAN LAKE FOREST, ABOUT 30 MILES NORTH OF DOWNTOWN CHICAGO, AT LARGE OUTPATIENT FACILITIES IN GRAYSLAKE, ILLINOIS AND GLENVIEW, ILLINOIS AND AT FOUR IMMEDIATE CARE CENTERS. IN FISCAL YEAR 2019, LFH PROVIDED CARE FOR OVER 9,500 INPATIENT ADMISSIONS. LFH'S BOARD-CERTIFIED EMERGENCY PHYSICIANS AND TRAUMA-TRAINED NURSES PROVIDE TRAUMA AND EMERGENCY CARE TO PATIENTS THROUGH THE LEVEL II TRAUMA CENTER AT LFH AND A FREE-STANDING EMERGENCY ROOM AT THE GRAYSLAKE OUTPATIENT CENTER, WHICH TOGETHER HAD MORE THAN 55,700 EMERGENCY VISITS IN FISCAL YEAR 2019. LAUNCHED IN 2015, LFH HAS WELCOMED ITS FIFTH CLASS OF RESIDENTS FROM THE NORTHWESTERN MCGAW FAMILY MEDICINE RESIDENCY PROGRAM IN FISCAL YEAR 2019 AND SERVES AS THE PROGRAM'S HOME SITE. LAKE FOREST HEALTH & FITNESS INSTITUTE (EIN: 36-3835030) ("LFHFI") LOCATED ON THE NORTHWESTERN MEDICINE LAKE FOREST HOSPITAL CAMPUS, LFHFI OFFERS MORE THAN 130 INTERACTIVE GROUP FITNESS CLASSES WEEKLY, HOLISTIC TOTAL-BODY FITNESS PROGRAMS, INDIVIDUALIZED PERSONAL TRAINING AND A WIDE VARIETY OF HEALTH AND WELLNESS PROGRAMMING. ADDITIONALLY, LFHFI ALSO IMPLEMENTS MEDICAL FITNESS PROGRAMS DESIGNED TO HELP MEMBERS WHO ARE LIVING WITH CANCER, ARTHRITIS, OSTEOPOROSIS, FIBROMYALGIA AND CARDIOVASCULAR DISEASE TO BETTER COPE WITH THE SIDE EFFECTS OF THEIR ILLNESS. NORTHWESTERN MEMORIAL FOUNDATION (EIN: 36-3155315) ("NMF") NMF RAISES FUNDS TO SUSTAIN THE MISSION AND STRATEGIC GOALS OF NORTHWESTERN MEMORIAL HEALTHCARE. NMF SUPPORTS THE SYSTEM'S DEDICATION TO CLINICAL INNOVATION, SCIENTIFIC DISCOVERY AND IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. NORTHWESTERN MEDICAL FACULTY FOUNDATION D/B/A NORTHWESTERN MEDICAL GROUP (EIN: 36-3097297) ("NMG") NORTHWESTERN MEDICAL GROUP IS A MULTISPECIALTY AND PRIMARY CARE PHYSICIAN PRACTICE WITH MORE THAN 1,360 PHYSICIANS AND 360 ADVANCED PRACTICE PROVIDERS WITH EXPERTISE IN 40 MEDICAL SPECIALTIES. SERVING ON THE FACULTY OF FEINBERG, PHYSICIANS CONTRIBUTE TO RESEARCH AND EDUCATION, AS WELL AS PROVIDE CLINICAL CARE. CENTRAL DUPAGE PHYSICIAN GROUP D/B/A NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP (EIN: 36-3149833) ("RMG" or "CDPG") CENTRAL DUPAGE PHYSICIAN GROUP IS A MULTI-SPECIALTY AND PRIMARY CARE NETWORK WITH MORE THAN 425 PHYSICIANS, INCLUDING 335 SPECIALISTS, WITH EXPERTISE IN 30 SPECIALTIES. RMG OFFERS MORE THAN 90 PRACTICES IN 36 LOCATIONS THROUGHOUT CHICAGO'S WESTERN SUBURBS. DELNOR-COMMUNITY HOSPITAL (EIN: 36-3484281) ("DCH") DCH OPENED 75 YEARS AGO AS THE RESULT OF A COMMUNITY-LED EFFORT TO BUILD A FACILITY TO MEET THE GROWING HEALTHCARE NEEDS OF RESIDENTS OF KANE COUNTY. NOW A 159-BED ACUTE CARE FACILITY, DCH IS A RECOGNIZED LEADER IN CLINICAL QUALITY AND PATIENT-CENTERED CARE LOCATED 37 MILES WEST OF DOWNTOWN CHICAGO IN GENEVA, ILLINOIS. THE DCH MEDICAL STAFF INCLUDES NEARLY 700 PHYSICIANS IN 80 SPECIALTIES, PROVIDING COMPREHENSIVE MEDICAL CARE FOR ITS SURROUNDING COMMUNITIES. IN FISCAL YEAR 2019 DCH HAD MORE THAN 8,300 INPATIENT ADMISSIONS AND ITS ED HAD NEARLY 42,000 VISITS. KISHWAUKEE COMMUNITY HOSPITAL (EIN: 23-7087041) ("KCH") KCH IS LOCATED IN DEKALB, ILLINOIS AND SERVES AS AN ACUTE-CARE, 98-BED COMMUNITY HOSPITAL WITH AN ENDURING COMMITMENT TO THE RESIDENTS OF DEKALB COUNTY. THE HOSPITAL PROVIDES CARE THROUGH A BROAD RANGE OF SPECIALTIES AND UNIQUE SERVICES, INCLUDING THROUGH ITS INNOVATIVE BREASTFEEDING CENTER AND ITS NEW, STATE-OF-THE-ART HEALTH AND WELLNESS CENTER THAT OPENED IN 2018. THE KISHWAUKEE MEDICAL STAFF IS COMPOSED OF MORE THAN 300 PHYSICIANS WHO TREATED MORE THAN 5,200 INPATIENT ADMISSIONS AND MORE THAN 34,500 ED VISITS IN FISCAL YEAR 2019. VALLEY WEST COMMUNITY HOSPITAL (EIN: 36-4244337) ("VWCH") VWCH IS A CRITICAL-ACCESS, 25-BED HOSPITAL IN SANDWICH, ILLINOIS, SERVING THE FOX VALLEY COMMUNITY FOR MORE THAN 70 YEARS. NEARLY 170 PHYSICIANS ARE ON STAFF WITH VALLEY WEST, REPRESENTING A WIDE RANGE OF SPECIALTIES. DURING FISCAL YEAR 2019, VALLEY WEST HAD 729 INPATIENT ADMISSIONS AND MORE THAN 8,000 ED VISITS. AS A CRITICAL-ACCESS HOSPITAL WITHIN THE NORTHWESTERN MEDICINE SYSTEM, VALLEY WEST CREATES A SEAMLESS PATHWAY TO SPECIALTY CARE ACROSS THE SYSTEM AND GREATLY EXPANDING ACCESS TO CARE FOR THE RURAL COMMUNITY.	Desc
Total Program Service Expenses	$4,727,531,114	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	Yes (true)	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	Yes (true)	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1738	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	27954	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	181	GoverningBodyVotingMembersCnt
Independent Voting Member	142	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Robert Gerecke	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3129269495	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	541 N Fairbanks Rm 1639	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606113319	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (208 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jay Anderson
See Schedule O	40.0	0.0	Yes (X)	Yes (X)	$925,479	$0	$263,135
Terrence Bugno MD
See Schedule O	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN A CANNING
See Schedule O	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Howard B Chrisman MD
See Schedule O	40.0	0.0	Yes (X)	Yes (X)	$1,215,566	$0	$209,098
Seamus Collins
See Schedule O	40.0	0.0	Yes (X)	Yes (X)	$315,348	$0	$72,027
Julie L Creamer
See Schedule O	40.0	0.0	Yes (X)	Yes (X)	$2,014,345	$0	$205,253
Kent Dauten
See Schedule O	7.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Mike S Eesley
See Schedule O	40.0	0.0	Yes (X)	Yes (X)	$352,905	$0	$5,410
Connie Falcone
See Schedule O	40.0	0.0	Yes (X)	Yes (X)	$571,031	$0	$81,463
WILLIAM P FLESCH
See Schedule O	6.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Matthew J Flynn
See Schedule O	38.0	2.0	Yes (X)	Yes (X)	$618,061	$0	$116,437
Richard Franco
See Schedule O	40.0	0.0	Yes (X)	Yes (X)	$410,527	$0	$75,889
Dean M Harrison
See Schedule O	38.0	2.0	Yes (X)	Yes (X)	$6,347,133	$0	$1,580,828
Emily J Kozak
See Schedule O	38.0	2.0	Yes (X)	Yes (X)	$419,238	$0	$67,216
DIANA KRAFT MD
See Schedule O	40.0	0.0	Yes (X)	Yes (X)	$114,668	$0	$0
Brian J Lemon
See Schedule O	38.0	2.0	Yes (X)	Yes (X)	$1,023,598	$0	$159,855
Thomas J McAfee
See Schedule O	40.0	0.0	Yes (X)	Yes (X)	$1,090,502	$0	$303,501
W James McNerney Jr
See Schedule O	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
LEE M MITCHELL
See Schedule O	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Eric G Neilson MD
See Schedule O	40.0	0.0	Yes (X)	Yes (X)	$911,924	$0	$36,434
John A Orsini
See Schedule O	38.0	2.0	Yes (X)	Yes (X)	$1,552,585	$0	$390,915
William A Osborn
See Schedule O	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
HOMI B PATEL
See Schedule O	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Kevin P Poorten
See Schedule O	38.0	2.0	Yes (X)	Yes (X)	$1,401,787	$0	$250,734
James Thorpe
See Schedule O	7.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Glenn F Tilton
See Schedule O	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Patrick Towne MD
See Schedule O	40.0	0.0	Yes (X)	Yes (X)	$897,327	$0	$164,686
Forrest R Whittaker
See Schedule O	6.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Anthony Altimari MD
See Schedule O	40.0	0.0	Yes (X)		$688,513	$0	$57,777
Dean Barrett
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Todd Barrowclift DO
See Schedule O	40.0	0.0	Yes (X)		$228,762	$0	$50,921
Roger L Benson
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Carol Bernick
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Peter Bernick
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Kevin P Bethke
See Schedule O	40.0	0.0	Yes (X)		$773,486	$0	$18,061
Andrew Bluhm
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
CHARLES M BRENNAN
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
WILLIAM J BRODSKY
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
John Burkey MD
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
William Busse
See Schedule O	5.0	0.0	Yes (X)		$0	$0	$0
Tom Carey
See Schedule O	5.0	0.0	Yes (X)		$0	$0	$0
David R Casper
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Nicholas D Chabraja
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Michael-Dean Chorneyko
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Craig T Collins
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
SEAN M CONNOLLY
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Adam Cooper
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Mark Cozzi
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Stephen Crawford
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
KERMIT R CRAWFORD
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
PETER D CRIST
See Schedule O	2.0	0.0	Yes (X)		$0	$0	$0
Keating Crown
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Michael A Cullen
See Schedule O	8.0	0.0	Yes (X)		$0	$0	$0
William Cunningham
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Brett M Dale
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
William M Daley
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
WILLIAM G DALUGA
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
JOSEPH F DAMICO
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Matthew S Darnall
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Stephen Davis
See Schedule O	5.0	0.0	Yes (X)		$0	$0	$0
Anthony B Davis
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Richard Davis
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Dan DeCanniere
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
PEDRO DEJESUS
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Michael F DeSantiago
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
JOHN H DICK
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Shawn M Donnelly
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Paula Dorion-Gray
See Schedule O	5.0	0.0	Yes (X)		$0	$0	$0
John R Ettelson
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Gary Evans
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Manny Favela
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Michael W Ferro
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Michael Fleck
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Albert M Friedman
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Justin Gent MD
See Schedule O	40.0	0.0	Yes (X)		$404,086	$0	$7,982
Lisa M Giles
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Scott Gilleland
See Schedule O	2.0	0.0	Yes (X)		$0	$0	$0
Phillip Gilroy MD
See Schedule O	2.0	0.0	Yes (X)		$0	$0	$0
James T Glerum
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
William S Goldberg
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
JC Gonzalez-Mendez
See Schedule O	5.0	0.0	Yes (X)		$0	$0	$0
James A Gordon
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Trina Gordon McCallister
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Judy P Greffin
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
ROGER T HARRIS
See Schedule O	5.0	0.0	Yes (X)		$0	$0	$0
Brett J Hart
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Timothy G Havenhill
See Schedule O	40.0	0.0	Yes (X)		$178,523	$0	$20,618
Scott Helm MD
See Schedule O	40.0	0.0	Yes (X)		$239,162	$0	$0
Sandra L Helton
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Roberto R Herencia
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Adam Hoeflich
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Jill Holden MD
See Schedule O	1.0	0.0	Yes (X)		$750	$0	$0
WILLARD M HUNTER
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Peter S Hurst BDS
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Linda Johnson Rice
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Michael J Kachmer
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Christopher M Keogh
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
ANTHONY K KESMAN
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
John A Kessler MD
See Schedule O	1.0	0.0	Yes (X)		$34,521	$0	$17,616
Jay L Kloosterboer
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Catherine Kozik
See Schedule O	5.0	0.0	Yes (X)		$0	$0	$0
Heather Kroencke
See Schedule O	2.0	0.0	Yes (X)		$0	$0	$0
William C Kunkler
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Julie Lampert
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Richard H Lenny
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Lawrence F Levy
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Timothy J Luby
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Dee A Manire
See Schedule O	5.0	0.0	Yes (X)		$0	$0	$0
Joseph D Mansueto
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Thomas Matya
See Schedule O	6.0	0.0	Yes (X)		$0	$0	$0
J Richard Maybury
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
PATRICK M MCCARTHY MD
See Schedule O	40.0	0.0	Yes (X)		$1,835,724	$0	$74,067
Richard Melman
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Ricardo Meza
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Becky Milliman
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Karen Mills
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
CHARLES N MILLS
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Timothy P Moen
See Schedule O	6.0	0.0	Yes (X)		$0	$0	$0
DENNIS MUILENBERG
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
James Murray III
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Phebe N Novakovic
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Michael G O'Grady
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Amy S Paller MD
See Schedule O	40.0	0.0	Yes (X)		$410,997	$0	$43,018
Robert J Parkinson Jr
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Jagdish Patel MD
PHYSICIAN	40.0	0.0	Yes (X)		$65,367	$0	$0
TERRANCE D PEABODY MD
See Schedule O	40.0	0.0	Yes (X)		$804,099	$0	$40,734
WILLIAM D PEREZ
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Joseph M Persak MD
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Jane D Pigott
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Leonidas C Plantanias MD PhD
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
John Podjasek
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
ANNE PRAMAGGIORE
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Richard S Price
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Craig R Pryde
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Thomas F Quinn
See Schedule O	3.0	0.0	Yes (X)		$0	$0	$0
Steve Rankins
See Schedule O	2.0	0.0	Yes (X)		$0	$0	$0
Andrea Redmond-Ferguson
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
J Christopher Reyes
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
LARRY D RICHMAN
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Mary Beth Richmond MD
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
LEONETTA RIZZI
See Schedule O	6.0	0.0	Yes (X)		$0	$0	$0
Desiree Rogers
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Matthew W Ross
See Schedule O	1.0	0.0	Yes (X)		$250	$0	$0
Eric Ruth
See Schedule O	3.0	0.0	Yes (X)		$0	$0	$0
CHARLES Ruth
See Schedule O	5.0	0.0	Yes (X)		$0	$0	$0
Debbie S Saran
See Schedule O	2.0	0.0	Yes (X)		$0	$0	$0
Ron Saslow
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Muneer A Satter
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Terry Savage
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Morton O Schapiro
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Marc S Schulman
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Samuel C Scott III
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Ronald J Severino MD
See Schedule O	40.0	0.0	Yes (X)		$477,380	$0	$59,251
Dean P Shoener MD
See Schedule O	40.0	0.0	Yes (X)		$719,480	$0	$58,832
Martin Smith
See Schedule O	2.0	0.0	Yes (X)		$0	$0	$0
Greg Smith
See Schedule O	3.0	0.0	Yes (X)		$0	$0	$0
Scott C Smith
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
NATHANIEL J SOPER MD
See Schedule O	40.0	0.0	Yes (X)		$790,302	$0	$35,166
Mark Steadman
See Schedule O	2.0	0.0	Yes (X)		$0	$0	$0
MARC STRAUSS
See Schedule O	5.0	0.0	Yes (X)		$0	$0	$0
ALEXANDER D STUART
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Robert J Stucker
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Timothy P Sullivan
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Robert Sullivan
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Shelia G Talton
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
DONALD L THOMPSON
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Edward T Tilly
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Jason Tyler
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Michael Tyron
See Schedule O	2.0	0.0	Yes (X)		$0	$0	$0
Douglas E Vaughan
See Schedule O	40.0	0.0	Yes (X)		$520,599	$0	$29,283
Nicholas J Volpe MD
See Schedule O	40.0	0.0	Yes (X)		$513,523	$0	$42,161
WILLIAM A VONHOENE
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
FREDERICK H WADDELL
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Reeve Waud
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Gina Weldy
See Schedule O	40.0	0.0	Yes (X)		$803,743	$0	$32,144
Peter Whinfrey
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
ABRA PRENTICE WILKIN
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Patricia A Woertz
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Corinne J Wood
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
JAMES P ZALLIE
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Charie A Zanck
See Schedule O	6.0	0.0	Yes (X)		$0	$0	$0
Andrea Zopp
See Schedule O	1.0	0.0	Yes (X)		$0	$0	$0
Maureen Bryant
See Schedule O	40.0	0.0		Yes (X)	$726,883	$0	$113,158
Leah V Hobson
See Schedule O	40.0	0.0		Yes (X)	$335,337	$0	$58,816
Danae K Prousis
See Schedule O	40.0	0.0		Yes (X)	$1,128,562	$0	$43,338
Maureen A Taus
See Schedule O	40.0	0.0		Yes (X)	$533,908	$0	$78,406
Edward J Wehmer
See Schedule O	1.0	0.0		Yes (X)	$0	$0	$0
Aaron Bare
See Schedule O	40.0	0.0			$1,348,299	$0	$58,632	Yes (X)
Gyu Il Gang
See Schedule O	40.0	0.0			$1,122,100	$0	$26,421	Yes (X)
Harish Shownkeen
See Schedule O	40.0	0.0			$1,679,883	$0	$52,665	Yes (X)
Dhaval N Thakkar
See Schedule O	40.0	0.0			$1,099,081	$0	$33,615	Yes (X)
Gregory Witkowski
See Schedule O	40.0	0.0			$1,086,722	$0	$42,326	Yes (X)
James Adams
See Schedule O	40.0	0.0			$1,058,994	$0	$76,908		Yes (X)
Brad Copple
See Schedule O	40.0	0.0			$208,600	$0	$0		Yes (X)
James C Dechene
See Schedule O	40.0	0.0			$471,884	$0	$12,896		Yes (X)
Pamela Duffy
See Schedule O	40.0	0.0			$189,083	$0	$0		Yes (X)
Francis Fraher
See Schedule O	40.0	0.0			$464,368	$0	$52,868		Yes (X)
James Giblin
See Schedule O	40.0	0.0			$898,468	$0	$248,906		Yes (X)
David Hensley
See Schedule O	0.0	0.0			$356,668	$0	$45,796		Yes (X)
John Hubbe
See Schedule O	40.0	0.0			$141,295	$0	$45,031		Yes (X)
Denise Majeski
See Schedule O	40.0	0.0			$386,842	$0	$30,837		Yes (X)
Dean Manheimer
See Schedule O	0	0.0			$575,897	$0	$23,757		Yes (X)
Gary Noskin MD
See Schedule O	40.0	0.0			$808,350	$0	$127,511		Yes (X)
Elizabeth Rosenberg
See Schedule O	40.0	0.0			$1,121,497	$0	$333,561		Yes (X)
Michael Vivoda
See Schedule O	40.0	0.0			$1,601,043	$0	$473,265		Yes (X)
Jennifer Wooten Ierardi
See Schedule O	40.0	0.0			$469,338	$0	$59,287		Yes (X)
Kathleen Yosko
See Schedule O	40.0	0.0			$523,288	$0	$16,018		Yes (X)
Douglas Young
See Schedule O	40.0	0.0			$666,124	$0	$68,385		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$48,673,803	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,692,915	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3798	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SKENDER CONSTRUCTION
200 W MADISON SUITE 1300	CHICAGO	IL	60606	CONSTRUCTION	$41,430,847
POWER CONSTRUCTION COMPANY LLC
225 W Washington Street Suite 1420	CHICAGO	IL	60606	CONSTRUCTION SERVICES	$29,503,302
TURNER CONSTRUCTION COMPANY
55 E MONROE SUITE 1430	CHICAGO	IL	60603	CONSTRUCTION	$29,341,450
LO DESTRO CONSTRUCTION COMPANY
211 E Ontario St 500	CHICAGO	IL	60604	CONSTRUCTION SERVICES	$21,927,688
CB RICHARD ELLIS INC
205 W WACKER DRIVE	CHICAGO	IL	60606	PROPERTY MANAGEMENT	$17,403,857

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	707	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Fundraising	$2,951,969	FundraisingAmt
Government Grants	$2,815,758	GovernmentGrantsAmt
All Other Contributions	$59,308,383	AllOtherContributionsAmt
Noncash Contributions	$1,622,765	NoncashContributionsAmt
Total Contributions	$65,076,110	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NMH - Patient Service and Other Revenue	621990	$2,129,273,621	$2,127,453,155	$1,820,466
CDH - Patient Service and Other Revenue	621990	$1,121,989,980	$1,063,684,823	$58,305,157
NMG - Patient Service and Other Revenue	621110	$1,020,850,853	$1,020,850,853
NIMC - Patient Service and Other Revenue	621990	$452,542,634	$452,542,634
NLFH - Patient Service and Other Revenue	621990	$396,547,451	$396,545,375	$2,076

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,208,199,196	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,204,030,051	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,169,145	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$6,329,403,735	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,656,671	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,278,269	UnrelatedBusinessRevenueAmt
Exclusion	$8,378,402	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$52,351,663	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$52,351,663	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$52,351,664	TotalRevenueColumnAmt
Unrelated Business Revenue	$17,975	UnrelatedBusinessRevenueAmt
Exclusion	$52,333,689	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$131,250,039	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$130,804,919	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$445,120	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$445,120	TotalRevenueColumnAmt
Exclusion	$445,120	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$561,096	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,951,969	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,149,679	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$588,583	TotalRevenueColumnAmt
Exclusion	-$588,583	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$94,258	GamingGrossIncomeAmt
Gaming Direct Expenses	$47,580	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$46,678	TotalRevenueColumnAmt
Exclusion	$46,678	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$894,274	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$561,084	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$333,190	TotalRevenueColumnAmt
Exclusion	$333,190	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PROFESSIONAL SERVICE FEES	561000	$8,724,308	$8,724,308
PARKING REVENUE	812930	$10,980,851	$9,181,295	$1,799,556
PROFESSIONAL SERVICES TO AFFILIATES	561000	$2,774,954	$2,774,954

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,889,558	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,767,584	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$121,974	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$24,369,671	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,481,094,256	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,287,555,032	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$67,514,618	UnrelatedBusinessRevenueAmt
Exclusion	$60,948,496	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$17,985,259	TotalAmt
Program Services	$17,985,259	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$819,319	TotalAmt
Program Services	$819,319	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$27,978,102	TotalAmt
Program Services	$25,149,516	ProgramServicesAmt
Management And General	$2,727,865	ManagementAndGeneralAmt
Fundraising	$100,721	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$12,483,130	TotalAmt
Program Services	$11,221,086	ProgramServicesAmt
Management And General	$1,217,105	ManagementAndGeneralAmt
Fundraising	$44,939	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,053,808,142	TotalAmt
Program Services	$1,846,168,139	ProgramServicesAmt
Management And General	$200,246,294	ManagementAndGeneralAmt
Fundraising	$7,393,709	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$82,796,031	TotalAmt
Program Services	$74,425,352	ProgramServicesAmt
Management And General	$8,072,613	ManagementAndGeneralAmt
Fundraising	$298,066	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$206,252,261	TotalAmt
Program Services	$185,400,158	ProgramServicesAmt
Management And General	$20,109,595	ManagementAndGeneralAmt
Fundraising	$742,508	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$125,931,384	TotalAmt
Program Services	$113,199,721	ProgramServicesAmt
Management And General	$12,278,310	ManagementAndGeneralAmt
Fundraising	$453,353	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$932,000,037	TotalAmt
Management And General	$932,000,037	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$619,669	TotalAmt
Management And General	$619,669	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,814,994	TotalAmt
Management And General	$1,814,994	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$349,838	TotalAmt
Program Services	$349,838	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$305,344,810	TotalAmt
Program Services	$229,772,585	ProgramServicesAmt
Management And General	$74,103,018	ManagementAndGeneralAmt
Fundraising	$1,469,207	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,765,624	TotalAmt
Program Services	$451,664	ProgramServicesAmt
Management And General	$3,223,585	ManagementAndGeneralAmt
Fundraising	$90,375	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$53,292,343	TotalAmt
Program Services	$42,736,390	ProgramServicesAmt
Management And General	$10,289,491	ManagementAndGeneralAmt
Fundraising	$266,462	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,176,423	TotalAmt
Program Services	$1,266,428	ProgramServicesAmt
Management And General	$4,576,468	ManagementAndGeneralAmt
Fundraising	$333,527	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$268,203,116	TotalAmt
Program Services	$155,227,268	ProgramServicesAmt
Management And General	$112,439,442	ManagementAndGeneralAmt
Fundraising	$536,406	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,047,702	TotalAmt
Program Services	$4,653,494	ProgramServicesAmt
Management And General	$1,333,731	ManagementAndGeneralAmt
Fundraising	$60,477	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$7,669,041	TotalAmt
Program Services	$2,809,813	ProgramServicesAmt
Management And General	$4,445,100	ManagementAndGeneralAmt
Fundraising	$414,128	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$22,285,030	TotalAmt
Program Services	$22,275,736	ProgramServicesAmt
Management And General	$9,294	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$277,135,465	TotalAmt
Program Services	$265,216,252	ProgramServicesAmt
Management And General	$11,847,158	ManagementAndGeneralAmt
Fundraising	$72,055	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$117,650,798	TotalAmt
Program Services	$111,901,809	ProgramServicesAmt
Management And General	$5,727,812	ManagementAndGeneralAmt
Fundraising	$21,177	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$1,182,768,686	$1,182,768,686
MEDICAID TAX	$154,116,690	$154,116,690
BAD DEBT	$262,092,444	$262,092,444
INCOME TAXES	$5,787,326	$5,787,326

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,905,723	TotalAmt
Program Services	$11,736,141	ProgramServicesAmt
Management And General	$3,047,355	ManagementAndGeneralAmt
Fundraising	$122,227	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,150,079,387	TotalAmt
Program Services	$4,727,531,114	ProgramServicesAmt
Management And General	$1,410,128,936	ManagementAndGeneralAmt
Fundraising	$12,419,337	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,028,958,393	BOYAmt
EOY	$1,517,486,157	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$48,062,765	BOYAmt
EOY	$47,663,590	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$813,771,785	BOYAmt
EOY	$858,258,370	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$175,000	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$17,500	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,595,586	BOYAmt
EOY	$1,730,393	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$71,476,227	BOYAmt
EOY	$89,053,889	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$206,219,525	BOYAmt
EOY	$94,285,383	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$5,744,317,716	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,132,678,515	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,242,480,069	BOYAmt
EOY	$3,611,639,201	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$50,437,021	BOYAmt
EOY	$50,191,970	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,450,908	BOYAmt
EOY	$33,305,177	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,490,756,910	BOYAmt
EOY	$4,696,952,372	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,984,226,689	BOYAmt
EOY	$11,000,741,502	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$387,645,226	BOYAmt
EOY	$401,578,003	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$72,565,233	BOYAmt
EOY	$60,378,158	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$10,702,180	BOYAmt
EOY	$11,749,254	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$541,864,829	BOYAmt
EOY	$595,428,068	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,712,394,938	BOYAmt
EOY	$2,073,093,205	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,725,172,406	BOYAmt
EOY	$3,142,226,688	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,833,825,818	BOYAmt
EOY	$7,404,291,381	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$242,596,234	BOYAmt
EOY	$260,465,129	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$182,632,231	BOYAmt
EOY	$193,758,304	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,259,054,283	BOYAmt
EOY	$7,858,514,814	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,984,226,689	BOYAmt
EOY	$11,000,741,502	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$331,014,869	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$45,097,259	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$223,348,403	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd
Supported Organizations	21	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (21 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
CENTRAL DUPAGE HOSPITAL ASSOCIATION
362513909	3	false	$0	$0
DELNOR-COMMUNITY HOSPITAL
363484281	3	false	$0	$0
KISHWAUKEE COMMUNITY HOSPITAL
237087041	3	false	$0	$0
VALLEY WEST COMMUNITY HOSPITAL
364244337	3	false	$0	$0
DEKALB BEHAVIORAL HEALTH FOUNDATION INC
474579189	3	false	$0	$0
DEKALB COUNTY HOSPICE
363164329	9	false	$0	$0
KISHHEALTH SYSTEM HOME CARE
371703513	3	false	$0	$0
CENTER FOR FAMILY HEALTH-MALTA
800869393	3	false	$0	$0
MARIANJOY REHABILITATION HOSPITAL & CLINICS INC
362680776	3	false	$0	$0
REHABILITATION MEDICINE CLINIC INC
363236791	3	false	$0	$0
NORTHWESTERN MEDICAL FACULTY FOUNDATION
363097297	9	Yes (true)	$0	$0
NORTHWESTERN MEMORIAL HOSPITAL
370960170	3	Yes (true)	$0	$0
NORTHWESTERN LAKE FOREST HOSPITAL
362179779	3	Yes (true)	$0	$0
LAKE FOREST HEALTH & FITNESS INSTITUTE
363835030	9	false	$0	$0
NORTHWESTERN MEMORIAL FOUNDATION
363155315	7	false	$0	$0
CENTRAL DUPAGE PHYSICIAN GROUP
363149833	9	false	$0	$0
NORTHERN ILLINOIS MEDICAL CENTER
362338884	3	Yes (true)	$0	$0
MEMORIAL MEDICAL CENTER
362179764	3	false	$0	$0
CENTEGRA HEALTH SYSTEM FOUNDATION
363726310	7	false	$0	$0
CENTEGRA HEALTH SYSTEM
363196559	9	false	$0	$0
HEALTH BRIDGE CORPORATION
363196550	9	false	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	21	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$25,212,380	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$28,919,061	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$48,893,913	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$83,043,128	CurrentTaxYearMinus1YearAmt
Current Tax Year	$58,729,397	CurrentTaxYearAmt
Total	$244,797,879	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$25,212,380	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$28,919,061	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$48,893,913	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$83,043,128	CurrentTaxYearMinus1YearAmt
Current Tax Year	$58,729,397	CurrentTaxYearAmt
Total	$244,797,879	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$24,533,717	SubstantialContributorsTotAmt
Public Support Total170	$220,264,162	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$17,722,673	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$20,397,994	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$12,141,681	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,413,256	CurrentTaxYearMinus1YearAmt
Current Tax Year	$12,214,569	CurrentTaxYearAmt
Total	$74,890,173	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$319,688,052	TotalSupportAmt
Gross Receipts Rltd Activities	$7,441,344	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.6890	PublicSupportCY170Pct
Public Support PY170	0.628	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,129,452	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,938,157	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,565,947	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,985,684	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,875,214	CurrentTaxYearAmt
Total	$29,494,454	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$787,115,693	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,054,631,080	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,098,936,793	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,141,764,470	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,316,978,610	CurrentTaxYearAmt
Total	$5,399,426,646	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$795,245,145	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,060,569,237	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,104,502,740	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,146,750,154	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,321,853,824	CurrentTaxYearAmt
Total	$5,428,921,100	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$5,428,921,100	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$319,784	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,530,886	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$589,616	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,949,628	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,393,948	CurrentTaxYearAmt
Total	$10,783,862	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,144,227	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$999,307	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,463,994	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,189,812	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,278,269	CurrentTaxYearAmt
Total	$6,075,609	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,464,011	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,530,193	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,053,610	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,139,440	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,672,217	CurrentTaxYearAmt
Total	$16,859,471	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$484,250	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,028,253	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$40,911,309	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$50,772,483	CurrentTaxYearMinus1YearAmt
Current Tax Year	$69,130,077	CurrentTaxYearAmt
Total	$169,326,372	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$797,193,406	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,075,127,683	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,147,467,659	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,200,662,077	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,394,656,118	CurrentTaxYearAmt
Total	$5,615,106,943	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.9668	PublicSupportCY509Pct
Public Support PY509	0.9746	PublicSupportPY509Pct
Investment Income CY	0.0030	InvestmentIncomeCYPct
Investment Income PY	0.0051	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	false	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	Yes (true)	OrganizationChangeSuprtOrgInd
Support Non Supported Org	Yes (true)	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (true)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	Yes (true)	OperateBenefitNonSuprtOrgInd

Field	Value	IRS element (for citing)
Majority Dir Trst Supported Org	Yes (true)	MajorityDirTrstSupportedOrgInd

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
CY Adj Net Income Distributable	$0	CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income	$0	CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable	$0	CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum	$0	CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY	$0	CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part I PUBLIC CHARITY STATUS	THIS SCHEDULE A IS BEING FILED ON BEHALF OF A GROUP EXEMPTION AND INCLUDES MULTIPLE ENTITIES. THEY ARE GROUPED AS FOLLOWS: THE PRIMARY RESPONSE FOR SCHEDULE A REPRESENTS THOSE ORGANIZATIONS LISTED AS TYPE 3, HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATIONS AS DESCRIBED IN SECTION 170(B)(1)(A)(III). - CENTER FOR FAMILY HEALTH-MALTA - CENTRAL DUPAGE HOSPITAL ASSOCIATION - DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. - DELNOR-COMMUNITY HOSPITAL - KISHHEALTH SYSTEM HOMECARE - KISHWAUKEE COMMUNITY HOSPITAL - KISHWAUKEE PHYSICIAN GROUP, INC. - MARIANJOY REHABILITATION HOSPITAL & CLINICS, INC. - NORTHWESTERN LAKE FOREST HOSPITAL - NORTHWESTERN MEMORIAL HOSPITAL - REHABILITATION MEDICINE CLINIC, INC. - VALLEY WEST COMMUNITY HOSPITAL - NORTHERN ILLINOIS MEDICAL CENTER - MEMORIAL MEDICAL CENTER THE FOLLOWING ORGANIZATIONS ARE GROUPED AS TYPE 7, ORGANIZATIONS THAT NORMALLY RECEIVE A SUBSTANTIAL PART OF THEIR SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). - NORTHWESTERN MEMORIAL FOUNDATION - CENTEGRA HEALTH SYSTEM FOUNDATION THEY ARE REPRESENTED IN TOTAL BY PART II OF THE SCHEDULE A. THE FOLLOWING ORGANIZATIONS ARE GROUPED AS TYPE 10, ORGANIZATIONS THAT NORMALLY RECEIVE: (1) MORE THAN 33 1/3% OF THEIR SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO THEIR EXEMPT FUNCTIONS-SUBJECT TO CERTAIN EXCEPTIONS, AND (2) NO MORE THAN 33 1/3% OF THEIR SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME (LESS SECTION 511 TAX) FROM BUSINESSES ACQUIRED BY THE ORGANIZATIONS AFTER JUNE 30, 1975. SEE SECTION 509(A)(2). - LAKE FOREST HEALTH & FITNESS INSTITUTE - NORTHWESTERN MEDICAL FACULTY FOUNDATION (NMG) - CENTRAL DUPAGE PHYSICIAN GROUP - DEKALB COUNTY HOSPICE, INC. - CENTEGRA HEALTH SYSTEM - HEALTH BRIDGE CORPORATION THEY ARE REPRESENTED IN TOTAL BY PART III OF THE SCHEDULE A. TYPE I SUPPORTING ORGANIZATION UNDER SECTION 509(A)(3) INCLUDE: - MARIANJOY REHABILITATION CENTER AUXILIARY TYPE II SUPPORTING ORGANIZATIONS UNDER SECTION 509(A)(3) INCLUDE: - KISHHEALTH SYSTEM - NIMED CORP
Schedule A, Part I, Line 12g(v) AMOUNT OF MONETARY AND OTHER SUPPORT TO SUPPORTED ORGANIZATIONS	THE ORGANIZATION DOES NOT BREAK OUT THE SPECIFIC MONETARY VALUE OF THE SUPPORT PROVIDED TO EACH ENTITY, AS THE ORGANIZATION EXISTS SOLELY TO SUPPORT THE MISSION AND OPERATIONS OF ITS SUPPORTED ORGANIZATIONS AND THEIR AFFILIATES, WHICH ARE ALL PART OF THE SAME INTEGRATED HEALTH CARE SYSTEM. AS A RESULT, ALL OF ITS ACTIVITIES AND EXPENSES DIRECTLY OR INDIRECTLY SUPPORT ITS SUPPORTED ORGANIZATIONS.
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name	ALL SUPPORTED ORGANIZATIONS OF THE TYPE II SUPPORTING ORGANIZATIONS ARE DESIGNATED BY CLASS IN THE RESPECTIVE ARTICLES OF INCORPORATION, WHICH STATE THAT THE CORPORATION'S PURPOSES SHALL BE LIMITED TO OPERATING EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR THE CARRY OUT THE PURPOSES OF THOSE ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY NORTHWESTERN MEMORIAL HEALTHCARE, PROVIDED THAT SUCH ORGANIZATIONS ARE EXEMPT FROM TAX UNDER SECTION 501(A) OF THE CODE AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND ARE CLASSIFIED AS OTHER THAN PRIVATE FOUNDATIONS UNDER SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE CODE (COLLECTIVELY, THE "SUPPORTED ORGANIZATIONS"). THE SUPPORTED ORGANIZATIONS LISTED IN THIS SCHEDULE ARE THOSE ORGANIZATIONS WHICH THE SUPPORTING ORGANIZATIONS HAVE HISTORICALLY AND CONTINUALLY SUPPORTED WITHIN THE NORTHWESTERN MEMORIAL HEALTHCARE SYSTEM.
Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org.	KISHHEALTH FOUNDATION (36-3649077) WAS DISSOLVED AS OF 08/31/2018 AT THE CLOSE OF THE PRIOR TAX PERIOD FOLLOWING THE APPROVAL AND FILING OF ARTICLES OF MERGER WITH NORTHWESTERN MEMORIAL FOUNDATION. KISHWAUKEE PHYSICIAN GROUP, INC (65-1293967) DISSOLVED AS OF 08/31/2018 AT THE CLOSE OF THE PRIOR TAX PERIOD FOLLOWING THE APPROVAL AND FILING OF ARTICLES OF MERGER WITH CENTRAL DUPAGE PHYSICIAN GROUP. THE CENTEGRA HEALTH SYSTEM WAS AFFILIATED WITH NORTHWESTERN MEDICINE SYSTEM AS OF 09/01/2018 THROUGH THE APPROVAL AND FILING OF AMENDED BYLAWS OF CENTEGRA TO RECOGNIZE NORTHWESTERN MEMORIAL HEALTHCARE AS THE SOLE MEMBER OF THE SYSTEM. THE ENTITIES INCLUDED NORTHERN ILLINOIS MEDICAL CENTER (36-2338884), MEMORIAL MEDICAL CENTER (36-2179764), CENTEGRA HEALTH SYSTEM FOUNDATION (36-3726310), CENTEGRA HEALTH SYSTEM (36-3726310), HEALTH BRIDGE CORPORATION (36-3196550), AND CENTEGRA HOSPITAL HUNTLEY HOLDINGS (45-3449737)
Schedule A, Part IV, Section A, Line 6 Support to other supported orgs	THE SUPPORTING ORGANIZATIONS WITHIN THE SYSTEM PROVIDED GRANT FUNDS TO NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE AS INDICATED ON SCHEDULE I.
Schedule A, Part IV, Section B, Line 2 Benefit Of Supp. Org. Other Than The One Operating The Org.	MARIANJOY REHABILITATION CENTER AUXILIARY'S BOARD OF DIRECTORS IS APPOINTED BY MARIANJOY REHABILITATION HOSPITAL & CLINICS, PURSUANT TO CRITERIA ESTABLISHED BY NORTHWESTERN MEMORIAL HEALTHCARE, THE SOLE MEMBER OF THE REMAINING SUPPORTED ORGANIZATIONS LISTED IN THIS SCHEDULE A, PART I, LINE 12G. THE ORGANIZATION PROVIDES SUPPORT TO ALL OF ITS SUPPORTED ORGANIZATIONS, WHICH OPERATE FOR THE BENEFIT AND TO CARRY OUT THE MISSION OF INTEGRATED HEALTH CARE SYSTEM.
Schedule A, Part III, Line 12 Other Income	DESCRIPTION - SHARED SERVICES, COLUMN A - 484250.0, COLUMN B - 8028253.0, COLUMN C - 40911309.0, COLUMN D - 50772483.0, COLUMN E - 69130077.0, COLUMN F - XXX-XX-XXXX.0;

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$365,840	FilingOrganizationsTotalAmt
Affiliated Group Total	$455,640	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$365,840	FilingOrganizationsTotalAmt
Affiliated Group Total	$455,640	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$6,149,713,547	FilingOrganizationsTotalAmt
Affiliated Group Total	$7,263,363,101	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$6,150,079,387	FilingOrganizationsTotalAmt
Affiliated Group Total	$7,263,818,741	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$412,411	CurrentYearMinus3Amt
Current Year Minus2	$394,401	CurrentYearMinus2Amt
Current Year Minus1	$376,949	CurrentYearMinus1Amt
Current Year	$455,640	CurrentYearAmt
Total	$1,639,401	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NORTHWESTERN MEMORIAL HOSPITAL ADDRESS: 251 E HURON CHICAGO, Illinois 60611 EIN: 37-0960170 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 90,775 TOTAL LOBBYING EXPENDITURES: 90,775 OTHER EXEMPT PURPOSE EXPENDITURES: 2,116,938,780 TOTAL EXEMPT PURPOSE EXPENDITURES: 2,117,029,555 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NORTHWESTERN LAKE FOREST HOSPITAL ADDRESS: 1000 N WESTMORELAND ROAD LAKE FOREST, Illinois 60645 EIN: 36-2179779 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 36,982 TOTAL LOBBYING EXPENDITURES: 36,982 OTHER EXEMPT PURPOSE EXPENDITURES: 417,518,051 TOTAL EXEMPT PURPOSE EXPENDITURES: 417,555,033 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NORTHWESTERN MEDICAL FACULTY FOUNDATION ADDRESS: 251 E HURON CHICAGO, Illinois 60611 EIN: 36-3097297 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 1,207,020,899 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,207,020,899 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: LAKE FOREST HEALTH & FITNESS INSTITUTE ADDRESS: 1200 N WESTMORELAND ROAD LAKE FOREST, Illinois 60645 EIN: 36-3835030 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 6,161,412 TOTAL EXEMPT PURPOSE EXPENDITURES: 6,161,412 LOBBYING NONTAXABLE AMOUNT: 458,071 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 114,518 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NORTHWESTERN MEMORIAL FOUNDATION ADDRESS: 251 E HURON CHICAGO, Illinois 60611 EIN: 36-3155315 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 14,880,099 TOTAL EXEMPT PURPOSE EXPENDITURES: 14,880,099 LOBBYING NONTAXABLE AMOUNT: 894,005 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 223,501 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Donor Advised Funds Held	1	DonorAdvisedFundsHeldCnt
Funds And Other Accounts Held	1	FundsAndOtherAccountsHeldCnt
Donor Advised Funds Contri	$200	DonorAdvisedFundsContriAmt
Funds And Other Accounts Contri	$1,424,787	FundsAndOtherAccountsContriAmt
Donor Advised Funds Grants	$5,580	DonorAdvisedFundsGrantsAmt
Funds And Other Accounts Grants	$281,365	FundsAndOtherAccountsGrantsAmt
Donor Advised Funds Vl EOY	$15,523	DonorAdvisedFundsVlEOYAmt
Funds And Other Accounts Vl EOY	$14,198,377	FundsAndOtherAccountsVlEOYAmt
Disclosed Org Leg Ctrl	Yes (true)	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	Yes (true)	DisclosedForCharitablePrpsInd
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Coll Used Scholarly Rsrch	Yes (X)	CollUsedScholarlyRsrchInd
Collection Used Preservation	Yes (X)	CollectionUsedPreservationInd
Solicited Assets Sale	false	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$182,631,978	BeginningYearBalanceAmt
Contributions	$9,784,570	ContributionsAmt
Investment Earnings Or Losses	$1,341,756	InvestmentEarningsOrLossesAmt
End Year Balance	$193,758,304	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$175,079,702	BeginningYearBalanceAmt
Contributions	$6,403,092	ContributionsAmt
Investment Earnings Or Losses	$1,149,184	InvestmentEarningsOrLossesAmt
End Year Balance	$182,631,978	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$161,910,261	BeginningYearBalanceAmt
Contributions	$5,608,930	ContributionsAmt
Investment Earnings Or Losses	$7,560,511	InvestmentEarningsOrLossesAmt
End Year Balance	$175,079,702	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$160,775,409	BeginningYearBalanceAmt
Contributions	$1,930,836	ContributionsAmt
Investment Earnings Or Losses	-$795,984	InvestmentEarningsOrLossesAmt
End Year Balance	$161,910,261	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$154,047,947	BeginningYearBalanceAmt
Contributions	$8,113,774	ContributionsAmt
Investment Earnings Or Losses	-$1,386,312	InvestmentEarningsOrLossesAmt
End Year Balance	$160,775,409	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$372,248,790	OtherCostOrOtherBasisAmt
Book Value	$372,248,790	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,297,629,497	OtherCostOrOtherBasisAmt
Depreciation	$1,541,967,155	DepreciationAmt
Book Value	$2,755,662,342	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$949,964,974	OtherCostOrOtherBasisAmt
Depreciation	$572,737,621	DepreciationAmt
Book Value	$377,227,353	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$124,474,455	OtherCostOrOtherBasisAmt
Depreciation	$17,973,739	DepreciationAmt
Book Value	$106,500,716	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,611,639,201	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
I/C RECEIVABLE	$4,125,002,116
INSURANCE RECOVERABLE	$451,545,134
OTHER ASSETS	$21,044,757
DUE FROM AFFILIATES	$0
SECTION 457-B PLAN ASSET	$81,979,730
BENEFICIAL INTEREST IN TRUSTS	$16,986,732
MEDICAID RECEIVABLE	$0
ARTWORK	$393,903

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$4,696,952,372	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$749,563	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ACCRUED BOND INTEREST	$8,210,524
EST THIRD PARTY PAYOR SETTLEMENT	$594,819,526
SELF INSURANCE RESERVES	$1,042,417,086
INTEREST RATE SWAPS	$80,712,115
SECTION 457-B AND PENSION PLAN	$89,350,130
OTHER	$32,533,557
DUE TO AFFILIATES	$224,300,704

Field	Value	IRS element (for citing)
Total Liability	$2,073,093,205	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part III, Line 1a Collections of Art	DUE TO IMMATERIALITY THERE IS NO SEPARATE FOOTNOTE IN THE FINANCIAL STATEMENTS REGARDING SFAS 116 (ASC 958) CONTRIBUTED ART.
Schedule D, Part III, Line 4 Collections of art - description of collections	NORTHWESTERN MEMORIAL HOSPITAL MAINTAINS ARTWORK THAT IS ON PUBLIC DISPLAY. THE ARTS PROGRAM WAS DEVELOPED IN RESPONSE TO RESEARCH THAT DEMONSTRATES THE HEALING VALUE OF REPRESENTATIONAL ART DEPICTING NATURAL LANDSCAPES AND POSITIVE HUMAN INTERACTIONS. OUR ART COLLECTION PROVIDES COMFORT, EVOKES POSITIVE EMOTIONS AND CAN HELP PROMOTE HEALING FOR OUR PATIENTS. THE HOSPITAL ALSO MAINTAINS HISTORICAL ITEMS THAT RELATE TO CARE SUCH AS HISTORICAL MEDICAL INSTRUMENTS AND NURSING UNIFORMS.
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE NORTHWESTERN GROUP DISCLOSED THE ENDOWMENT FUNDS IN PART V IN ACCORDANCE WITH SFAS 117 (ASC 958). THE GROUP REPORTS BOARD DESIGNATED FUNDS OF $248,131,358 IN UNRESTRICTED NET ASSETS AS OF AUGUST 31, 2019. THESE AMOUNTS WERE NOT INCLUDED IN PART V SO THAT THE ENDOWMENT FUNDS MATCH THE FINANCIAL STATEMENTS. THE GROUP ALSO HAS TEMPORARILY RESTRICTED ASSETS GENERATED FROM ENDOWMENT FUNDS OF $57,660,887 AS OF AUGUST 31, 2019. IN ACCORDANCE WITH SFAS 117 (ASC 958) THESE AMOUNTS ARE NOT CONSIDERED ENDOWMENTS AND HAVE NOT BEEN INCLUDED IN PART V. THE 4 PRIOR YEARS ARE THE COMBINED GROUP MEMBERS ENDOWMENT INFORMATION.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	ASC 740, Income Taxes, requires that realization of an uncertain income tax position is more likely than not (i.e. greater than 50% likelihood of receiving a benefit) before it is recognized in the financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax-related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the years ended August 31, 2019 or 2018.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Middle East and North Africa	0	Program Services	SEND AGENTS TO SEMINAR	$27,242
Europe (Including Iceland and Greenland)	0	Program Services	SEND AGENTS TO SEMINAR	$42,716
North America (Canada & Mexico only)	0	Program Services	SEND AGENTS TO SEMINAR	$11,709
Middle East and North Africa	1	Unrelated Business Activities		$18,924

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$100,591	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$100,591	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	Yes (true)	BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Medinah Golf Invitational	Event1Nm
Gross Receipts Event1	$699,705	GrossReceiptsEvent1Amt
Charitable Contri Event1	$536,075	CharitableContriEvent1Amt
Gross Revenue Event1	$163,630	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$6,756	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$151,800	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$13,085	FoodAndBeverageEvent1Amt
Entertainment Event1	$350	EntertainmentEvent1Amt
Other Direct Expenses Event1	$80,360	OtherDirectExpensesEvent1Amt
Event2	MBTI Minds Matter Gala	Event2Nm
Gross Receipts Event2	$687,521	GrossReceiptsEvent2Amt
Charitable Contri Event2	$618,107	CharitableContriEvent2Amt
Gross Revenue Event2	$69,414	GrossRevenueEvent2Amt
Food And Beverage Event2	$153,694	FoodAndBeverageEvent2Amt
Entertainment Event2	$6,600	EntertainmentEvent2Amt
Other Direct Expenses Event2	$53,604	OtherDirectExpensesEvent2Amt
Other Events Total	13	OtherEventsTotalCnt
Gross Receipts Other Events	$2,125,839	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,797,787	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$328,052	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$35,996	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$18,596	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$222,538	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$102,243	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$304,057	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$3,513,065	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,951,969	CharitableContributionsTotAmt
Gross Revenue Total Events	$561,096	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$42,752	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$170,396	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$389,317	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$109,193	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$438,021	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,149,679	DirectExpenseSummaryEventsAmt
Net Income Summary	-$588,583	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$94,258	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$1,500	CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming	$45,950	NonCashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming	$130	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	Yes (true)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.0	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$94,258	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$1,500	CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming	$45,950	NonCashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming	$130	OthDirectExpnssTotalGamingAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	IL	StatesWhereGamingConductedCd
Member Of Other Entity	false	MemberOfOtherEntityInd
Gaming Other Facility	1.0	GamingOtherFacilityPct
Individual With Books	NORTHWESTERN MEMORIAL FOUNDATION	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	0S050 WINFIELD ROAD	AddressLine1Txt
City	WINFIELD	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60190	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd

Gaming Manager Business Name GamingManagerBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHWESTERN MEMORIAL FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gaming Manager Compensation	$0	GamingManagerCompensationAmt
Gaming Manager Services Prov	ASSIST VOLUNTEERS	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Distributed	$0	DistributedAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule G, Part III, Line 14 Special Events - Books and Records	THESE WERE SMALL RAFFLES, NO SPECIFIC PERSON WAS IN CHARGE OF THE ACTIVITIES. BOOKS AND RECORDS ARE HELD BY NORTHWESTERN MEMORIAL FOUNDATION.
Schedule G, Part III, Line 9a Part III, Line 9a	ILLINOIS DOES NOT REQUIRE LICENSING TO CONDUCT GAMING ACTIVITIES.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,573,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,238,622	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,334,946	NetCommunityBenefitExpnsAmt
Total Expense	0.0116	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$556,716,298	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$403,812,719	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$152,903,579	NetCommunityBenefitExpnsAmt
Total Expense	0.0260	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$629,289,866	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$408,051,341	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$221,238,525	NetCommunityBenefitExpnsAmt
Total Expense	0.0376	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,268,251	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,268,251	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,167,843	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,642,449	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,525,394	NetCommunityBenefitExpnsAmt
Total Expense	0.0074	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,136,520	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,136,520	NetCommunityBenefitExpnsAmt
Total Expense	0.0036	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,876,527	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$51,876,527	NetCommunityBenefitExpnsAmt
Total Expense	0.0088	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,553,556	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,553,556	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$140,002,697	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,642,449	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$124,360,248	NetCommunityBenefitExpnsAmt
Total Expense	0.0211	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$769,292,563	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$423,693,790	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$345,598,773	NetCommunityBenefitExpnsAmt
Total Expense	0.0587	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,236,218	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,236,218	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,236,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,236,218	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$59,785,393	BadDebtExpenseAmt
Reimbursed By Medicare	$1,369,989,829	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,019,187,038	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$649,197,209	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Kishwaukee Area PHO
Credentialing & Managed Care	0.6667	0.3333
Midland Surgical Center
Surgery Center	0.745	0.255
Lake Forest Managed Care Association
Credentialing & Managed Care	0.5	0.5

Field	Value	IRS element (for citing)
Hospital Facilities	8	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (8 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Critical Access HospitalCriticalAccessHospitalInd	OtherOtherDesc
Northwestern Memorial Hospital
1	251 E Huron	Chicago	IL	60611	www.nmh.org	0003251	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
NORTHWESTERN LAKE FOREST HOSPITAL
2	1000 N WESTMORELAND ROAD	LAKE FOREST	IL	60045	WWW.LFH.ORG	0005660	Yes (X)	Yes (X)	Yes (X)		Yes (X)
CENTRAL DUPAGE HOSPITAL ASSOCIATION
3	25 N WINFIELD ROAD	WINFIELD	IL	60190	WWW.CADENCEHEALTH.ORG	0005744	Yes (X)	Yes (X)	Yes (X)		Yes (X)
DELNOR-COMMUNITY HOSPITAL
4	300 RANDALL ROAD	GENEVA	IL	60134	WWW.CADENCEHEALTH.ORG	0005736	Yes (X)	Yes (X)	Yes (X)		Yes (X)
NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
5	1 KISH HOSPITAL DR	DEKALB	IL	60115		0005470	Yes (X)	Yes (X)			Yes (X)
Northwestern Medicine Valley West Hospital
6	1302 N Main Street	Sandwich	IL	60548	www.kishhealth.org	0004690	Yes (X)	Yes (X)			Yes (X)	Yes (X)
Marianjoy Rehabilitation Hospital
7	26 W 171 Roosevelt Rd	Wheaton	IL	60187	www.marianjoy.org	0003228	Yes (X)		Yes (X)				Rehabilitation Svcs
NORTHERN ILLINOIS MEDICAL CENTER
8	4201 MEDICAL CENTER DRIVE	MCHENRY	IL	60050	WWW.NM.ORG	0003889	Yes (X)	Yes (X)	Yes (X)		Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (8 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	OtherOtherInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Other MethodOtherMethodInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Provided Nonprofit ContactProvidedNonprofitContactInd	Income Level CriteriaIncomeLevelCriteriaInd
Northwestern Memorial Hospital
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	19	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
NORTHWESTERN LAKE FOREST HOSPITAL
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	false	Yes (true)	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	19	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
CENTRAL DUPAGE HOSPITAL ASSOCIATION
3	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	17	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	18	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
DELNOR-COMMUNITY HOSPITAL
4	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	17	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	18	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
5	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	17	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	18	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Northwestern Medicine Valley West Hospital
6	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	17	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	18	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Marianjoy Rehabilitation Hospital
7	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	17	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	18	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)		Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	Yes (X)	http://Marianjoy.org/about-marianjoy/community-benefit.aspx	Yes (X)
NORTHERN ILLINOIS MEDICAL CENTER
8	false	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	19	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)		Yes (true)	Yes (X)	Please see Part VI	Yes (X)	Please see Part VI	Yes (X)	Please see Part VI	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false			Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (69 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - Northwestern Memorial Hospital. The CHNA report also describes Northwestern Memorial Hospital's CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. The hospital facility took into account input from persons who represent the community, including uninsured persons, low-income persons and minority groups, through community input surreys, community focus groups, healthcare and social service provider focus groups, and stakeholder assessments. Community input surveys collected input from 1,593 individuals 18 or older living in the NMH Community Service Area. Surveys were available on paper and online and were disseminated in four different languages. Questions assessed demographics, the health of the community, community strengths, opportunities for improvement and priority health needs. Surveys were targeted at priority populations, those typically underrepresented in assessment processes, including communities of color, immigrants, LGBTQ+ community members, individuals with disabilities and low-income communities. Community focus groups included 36 discussion sessions held within the NMH Community Service Area. Focus groups took place with priority populations, such as veterans, individuals living with mental illness, communities of color, older adults, caregivers, teens and young adults, LGBTQ+ community members, adults and teens experiencing homelessness, families with children, faith communities, adults with disabilities, and children and adults living with chronic conditions such as diabetes and asthma. Healthcare and social service provider focus groups assessed community leaders and healthcare providers, including faith leaders, immigrant service providers and hospitals. Stakeholder assessments evaluated trends, factors and events that currently affect or are anticipated to affect the public health system and included an assessment of the public health system's capacity to advance health equity. To ensure that organizations impacting health in the NMH community service area were meaningfully engaged in interpreting the findings of the CHNA, prioritizing the identified needs, and forming a collaborative plan to address priority needs, the Community Health Council was established and maintained, and the following community stakeholders were formally engaged: 1. Bright Star Community Outreach 2. Chicago Public Library 3. CommunityHealth 4. Erie Family Health Centers 5. Kelly Hall YMCA 6. Near North Health Services Corporation 7. Neighborhood Housing Services 8. Northwestern University's Alliance for Research in Chicagoland Communities 9. Salvation Army Freedom Center 10. West Humboldt Park Development Council
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMH worked in tandem with the Alliance for Health Equity (AHE) which is made up of 37 hospitals and local health departments. Collectively, this group of hospitals worked to collaboratively assess community needs. Specific needs of the NMH Community Service Area were identified and prioritized separately. Hospital facilities included: 1. Advocate Aurora Children's Hospital 2. Advocate Aurora Christ Medical Center 3. Advocate Aurora Illinois Masonic Medical Center 4. Advocate Aurora Lutheran General Hospital 5. Advocate Aurora South Suburban Hospital 6. Advocate Aurora Trinity Hospital 7. AMITA Adventist Medical Center La Grange 8. AMITA Alexian Brothers Medical Center, Elk Grove Village 9. AMITA Holy Family Medical Center 10. AMITA Resurrection Medical Center 11. AMITA St. Alexius Medical Center and Alexian Brothers Behavioral Health Hospital 12. AMITA Saint Francis Hospital 13. AMITA Saint Joseph Hospital 14. AMITA Saints Mary and Elizabeth Medical Center 15. Ann & Robert H. Lurie Children's Hospital of Chicago 16. The Loretto Hospital 17. Loyola Medicine- Gottlieb Memorial Hospital 18. Loyola Medicine- Loyola University Medical Center 19. Loyola Medicine- MacNeal Hospital 20. Mercy Hospital & Medical Center 21. Northwestern Memorial Hospital 22. Norwegian American Hospital 23. Palos Community Hospital 24. Roseland Community Hospital 25. Rush Oak Park 26. Rush University Medical Center 27. Sinai Health System- Holy Cross Hospital 28. Sinai Health System- Mount Sinai Hospital 29. Sinai Health System- Schwab Rehabilitation Hospital 30. South Shore Hospital 31. Swedish Covenant Hospital 32. University of Chicago Medicine 33. University of Chicago Medicine- Ingalls Memorial Hospital 34. Cook County Health- Stroger Hospital 35. Cook County Health- Provident Hospital 36. University of Illinois Hospital and Health Sciences System
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMH worked in tandem with the Alliance for Health Equity (AHE) which is made up of 37 hospitals and local health departments. Collectively, this group of hospitals worked to collaboratively assess community needs. Specific needs of the NMH Community Service Area were identified and prioritized separately. Other organizations included: 1. Chicago Department of Public Health 2. Cook County Department of Public Health 3. Evanston Health and Human Services Department 4. Village of Skokie Health Department
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also shared with the following: 1. Key community organizations 2. Northwestern University Institute of Public Health and Medicine 3. Northwestern Medicine Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. Through the tax year 2016-2019 prioritization process and implementation plan, NMH identified four Priority Health Needs: Access to Healthcare Services, Chronic Disease, Injury and Violence, and Mental Health. NMH identified health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which NMH is addressing the significant needs identified in its most recently conducted CHNA are defined as follows: Priority Need 1: Access to Healthcare Services: 1.1: Improve alignment of current NMH care coordination programs. Transitioning between care settings or providers can be especially difficult for medically complex and vulnerable patients. Recognizing the need to improve care coordination for our vulnerable populations, NMH developed the Innovations in Managing Patients Across Care Transitions (IMPACT) initiative in FY17. Aligned with our mission to put patients first, IMPACT is a collaboration of care transition programs that address the needs of our most medically and psychosocially complex patients. The collaboration is composed of seven distinct programs focused on managing patients across care transitions. Each IMPACT program focuses on a different patient population with unique individual needs. By building trusting relationships, identifying and addressing barriers, providing patient-centered comprehensive care, and connecting with community resources, IMPACT is able to sustain partnerships with our patients across the healthcare continuum. More than 9,900 patients have been connected with an IMPACT team since the start of the program. Patient demographics include: 1. Active patient: 1059 2. Overlapping patient: 335 3. Total patient: 9923 4. % Female: 45.1% 5. Average Age: 61 6. Average readmission risk score: .12 7. CMI: 2.50 8. Race- % Asian: 2.9% 9. Race- % Black 33.6% 10. Race- % Other: 9.3% 11. Race- % Unknown: 5.3% 12. Race- % White: 48.8% 13. Mortality rate: 13.2% Over the last year and a half, IMPACT collaborated with community-based organizations in Chicago in an effort to address the underlying social determinants of health that impact care coordination and to improve the health of our patients. One basic and powerful social determinant of health is access to safe, quality housing and the supports necessary to maintain that housing. To help address this need, in 2019 IMPACT collaborated on two housing pilots with the Center for Housing and Health (CHH) and Thresholds, which are Chicago-based social, mental health and housing service providers. Through these pilots, eligible patients in IMPACT are provided with supportive housing, ongoing case management and additional support services. This pilot linked six IMPACT patients experiencing homelessness to bridge housing and, to date, four of those patients have been transitioned to permanents, supportive housing. Operation Warm Blanket (OWB) was a one-year, joint pilot program between NMH, Thresholds, and Lawson House. In addition to operating OWB, funding provided by NMH supports two beds at Lawson House which are managed by Thresholds. Through this pilot, willing patients are brought to NMH's Transitional Care clinic from the emergency department for an intake assessment, warm breakfast and an introduction to the clinic. Thresholds staff then screen patients for housing at the Lawson House and supplement or follow up on emergency department social work referrals to shelters, food pantries, soup kitchens, clothing outlets, substance use treatment programs and community mental health resources. Since the initiative launched in February of 2019, 107 patient encounters have occurred across 20 OWB sessions. This includes 51 unique patients (51 new visits and 56 return visits), with 32 males and 19 females with an average age of 49.53 years old (minimum age 21, maximum age 79). 1.2: Assess and implement information technology (IT) solutions to improve care coordination for Medicaid patients through the Emergency Department (ED). Vulnerable populations required a diverse set of clinical and social services. The inability to address these needs has proven to lead to unnecessary emergency department utilization and preventable readmissions for patients. NMH identified the need for an easy-to-use, standardized, and measureable solution to increase access to social services and improve care coordination. In FY17, NowPow was selected as NMH's IT solution to improve care coordination and connect patients to reliable community resources. NowPow has the ability to identify and assess patients at high-risk for social needs, keep an accurate, accessible list of community and system-based resources, develop a process through the EMR to facilitate bidirectional referrals with community-based organizations, and analyze the effectiveness of these referrals and their impact on patient outcomes. In 2019, teams met to identify physicians, social workers and nurses from a variety of departments such as geriatrics, intensive case management, women's health, emergency department, transitional care, inpatient units and care coordination. These users completed a training and began to refer and track patients which included receiving confirmation of appointment completion with health partners such as CommunityHealth and Near North Health Services Corporation. 1.3: Continued innovation and process improvement to reduce barriers (such as office hours) relating to access to care for medically underserved populations. NMH has longstanding relationships with major federally qualified health centers (FQHC) and a free health clinic within the City of Chicago: Erie Family Health Centers (Erie), Near North Health Services Corporation (Near North) and CommunityHealth. NMH provides grant funding and care coordination to each of these organizations to support expanded access to health services for underserved patients in Chicago and the surrounding areas. Through support from NMH, Erie, Near North and CommmunityHealth are able to enhance their efforts to provide quality care in a local and culturally competent setting. This includes expanded access to clinical care, improved care coordination, and Education-Centered Medical Home (ECMH) student clinics. An ECMH embeds teams of medical students into primary care, community-based clinics to care for a panel of complex patients over time. The ECMH model serves the dual purpose of increasing the capacity of community clinics as well as providing early and comprehensive educational exposure to team-based medicine in an authentic outpatient environment. In collaboration with Northwestern University's Feinberg School of Medicine, NMH underwrote the cost of ECMHs at Erie, Near North and CommunityHealth. Through our collaborations with community health services providers, NMH learned that the greatest need of patients receiving care in the community setting is often access to subspecialty care and diagnostic services. To help address this need, much of the care provided to our patients who have been referred from a community partner is now provided by our physician groups. By building capacity for community organizations to provide primary care, while simultaneously increasing access to subspecialty care and diagnostic services at our physician groups, these collaborations ensure that the patient receives quality, efficient care in the most appropriate setting. Many patients who are referred to NMH for care from our community affiliations receive free or substantially discounted services. In FY18, there were 23,421 encounters from FQHC partners. To enhance access to this care, NMHC continues to refine processes to make the transition of patients from community organizations to NMHC entities more efficient and to continue to incorporate presumptive eligibility requirements. 1.4: Collaborate with external workgroups and agencies to support efforts that increase access to care. Together with AHE, NMH partnered with external organizations to advance health equity and wellness through strategies that address pressing issues in our communities to achieve greater collective impact. NMH participated on the AHE Access to Care committee to support efforts that reduce barriers and increase access to health care and community resources. Efforts focused on transportation as a barrier to care and strategies for MH to increase transportation to increase access.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - NORTHWESTERN MEMORIAL HOSPITAL. Priority Need 2: Chronic Disease (Diabetes, Heart Disease, Stroke, and Obesity): 2.1: Continue to support and expand diagnostic and specialty care services related to stroke. Launched in 2013, the Northwestern Medicine Telestroke Network now provides direct access to board-certified vascular neurologists via dedicated telemedicine technology 24 hours per day, every day of the year. There are seven NM Telestroke Network hospitals in the Chicagoland area - NM LFH (Lake Forest and Grayslake), Northwest Community Hospital, CGH Medical Center, Weiss Memorial Hospital, Swedish Covenant Hospital, Loretto Hospital and Saint Anthony Hospital. Expansion of the NM Telestroke Network is planned for 2019 and beyond. 2.2: Continue to support community health partner efforts to reduce the rate of heart disease, diabetes and obesity. NMH continued work to improve coordination of care for heart disease and stroke through strengthened high-quality, patient-centered medical homes. Programs such as the Keep Your Heart Healthy (KYHH) initiative were designed to identify Chicago residents most at risk for developing heart disease and work on an individual basis to empower those individuals to make lifestyle changes to reduce their health risks. This free program links individuals with healthcare services and medical homes through referrals in an effort to control health risk factors. Northwestern University's Institute for Public Health and Medicine (IPHAM) led the program, which was funded in part by grant funding from NMH. In June of 2018, a pragmatic evaluation was conducted of the reach, adoption, implementation, effectiveness and cost of the KYHH program. The evaluation found that from August 2013 through December 2016, KYHH reached 48,862 community residents through 1,534 screening events held in 27 Chicago community areas. 2.3: Continue to support and expand the Healthy Community Initiative. The Humboldt Park Healthy Community Initiative (HCI) was developed in collaboration with community organizations to improve the health of the residents of Humboldt Park based on the specific needs and challenges of the community, which include limited health literacy, violence, cultural beliefs and language barriers. The model was grounded in improved access to health information as well as safe, convenient and affordable options for learning about nutrition and engaging in physical activity in an effort to impact chronic disease. In FY19, the HCI committee promoted healthy lifestyle behaviors through free nutrition programs, physical activity classes, and wellness events to the residents of Humboldt Park. A wide-range of complimentary fitness classes were available to all community members. Classes included Hip-Hop Aerobics, Line Dancing, Adult Fitness, Youth Fitness, Zumba, Chair Aerobics for Seniors and Stepping. Classes typically ran two times per week, and from January to September of 2019, there were 4,818 participants. In addition, in FY2019, there were 32 monthly nutrition programs and 12 class series that reached 592 participants; 3 health and resource fairs that reached approximately 400 participants at each even; and 15 farmers markets that reached approximately 711 attendees. Priority Need 3: Injury and Violence: 3.1: Continue to utilize and seek effective models for ensuring victims of violent trauma have clinical and mental health support following ED or inpatient hospital-based care. NMH continued to partner with Cure Violence, previously known as CeaseFire, an organization founded in Chicago, to reduce retaliatory actions following violent trauma. As one of only five level I trauma centers in Chicago, NMH provides care to hundreds of Chicago residents who have violence-related traumatic injuries each year. NMH pays an annual fee to Cure Violence and integrates its intervention services into the treatment protocol for appropriate violent trauma cases. Trained "violence interrupters" meet with violent trauma victims and their families at NMH and attempt to defuse feelings of anger as well as discourage victims and their families from retaliating. The violence interrupters work in tandem with violence interrupters in the victim's home community. 3.2: Participate in community-led efforts to address violence. The Urban Resilience Network (TURN) Model (formerly known as the Bronzeville Dream Center) offers a bridge to mental health services and focuses on the five core competencies of counseling, workforce, parenting, mentorship and advocacy, which collectively focus on reducing violence and providing opportunities to the residents of Greater Bronzeville. TURN utilizes local faith leaders to implement evidence-based programs based on the NATAL-Israel Trauma model and the Communities That Care (CTC) model. Over the last five years, NMH has played an active role in developing the TURN Model. In addition to providing over $900,000 in direct funding, NMH provided leadership and knowledge-transfer, convened community support, established governance and operational structures, and supported fundraising efforts, including the development of grant applications. The TURN Model Trauma Counseling Program offers a bridge to mental health services. TURN utilizes local faith and community leaders to implement evidence-based programs based on the NATAL-Israel Trauma model and the Communities That Care (CTC) model. Since BSCO successfully launched its Trauma Helpline in July 2017, there have been over 500 unique callers. In 2019, BSCO continued to build capacity, including training a second cohort of faith and community leaders capable of staffing the Trauma Helpline. Additionally, BSCO worked with CPS Network 9, Chicago Police Department (CPD) and funeral staff, and other neighborhood entities to build resilience and trauma-informed counseling within the community. Priority Need 4: Mental Health: 4.1: Implement behavioral healthcare services within the primary care setting. NMH implemented a pilot program, based on the Collaborative Care Model, to strengthen the linkage between primary care and mental health in an effort to improve access and reduce obstacles to receiving mental health services. The program brings psychiatric care to patients by embedding behavioral health screenings and services within the primary care setting. If the patient is a fit for the program based on depression screening scores and symptoms, the primary care physician (PCP) refers the patient to the behavioral health care manager (BHCM) who coordinates treatment with the consulting psychiatrist and communicates the plan to both the PCP and the patient. The team is in constant communication to address the patients' symptoms, medications, and progress. The goal for the program's patients is to get to remission which is defined as having minimal to no symptoms of depression. Success of the program was defined as an increase in access to depression treatment within the primary care setting, as well as a reduced wait-time to be seen by a behavioral health resource. In FY18, NMH branded the collaborative care model as the Collaborative Behavioral Health Program (CBHP), and prepared to expand the program to additional sites throughout the health system. New processes were developed for a more robust data collection and analysis system. This process is currently being implemented and will ultimately produce the following metrics: 1. Patients with Depression Diagnosis 2. Patients Referred to Program- Depression 3. Patient Enrolled in Program- Depression 4. Actively Engaged in Program- Depression 5. Length of Stay in CBHP- Graduated 6. Positive Response 7. Qualified for Graduation- Still in CBHP 8. Return CBHP Patients 9. Depression Screening and Follow-Up Plan for Primary Care 10. Appropriateness of Referral- PCP screened patient with PHQ-9 prior to referral 11. Monthly Outreach In FY2019, NM was the first academic medical center to bill for Collaborative Care Management. Billing for these services will allow CBHP to expand and increase access to behavioral health care.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - NORTHWESTERN MEMORIAL HOSPITAL. 4.2: Evaluate the feasibility of co-locating primary care and mental health services within the outpatient psychiatry clinic to increase alignment with best practices in mental health care. In 2017, NMH provided funding and began work to evaluate the feasibility of offering primary care services within the Norman and Ida Stone Institute of Psychiatry outpatient clinic. The goal of this initiative was to improve access to primary care and care coordination for individuals with serious and persistent mental illness; to promote healthy lifestyles including counseling on healthy eating, exercise, and tobacco cessation; and to implement guideline-based screening for common medical disorders in a chronically mentally ill population. In 2018, the team established operations, identified metrics, and secured necessary equipment such as exam tables, blood pressure cuffs, and other medical supplies. The pilot launched in January 2019 and focused on increased primary care coordination for individuals with serious mental illness. NMH anticipates increased access and engagement around preventable cardiac disease risk factors such as weight reduction, tobacco cessation and lipid control will enhance the overall health and well-being among this patient population. 4.3: Increase access to mental health services (such as counseling and education programs) through the TURN model, a Bright Star Community Outreach initiative. From the time of inception, TURN has assisted 573 callers on the helpline. This service includes successful discharges and referrals to additional mental health services. In addition, BSCO continued to break down related barriers and de-stigmatize trauma and counseling through education and advocacy work. Continued growth and expansion of services offered by BSCO is expected over the next few years. NMH is committed to BSCO's mission and the TURN Model initiative. We will continue to support BSCO with dedicated funding, public health and mental health resources, and administrative support, and will continue to help plan for the delivery of mental health services. 4.4: Advocate for adequate mental health services and reimbursement. NMH engages in advocacy efforts aimed at increasing access to behavioral health services. Through AHE's Mental Health and Substance Use Disorders committee, NMH worked with other community healthcare leaders to implement strategies to address the most pressing issues in the community. As part of the collaborative, NMH worked to identify gaps and opportunities to implement Mental health First Aid training, and engaged in the development of an awareness campaign to address stigma surrounding mental health. 4.5: Collaborate with external workgroups and agencies to support efforts that impact mental health NMH continued its partnership with Calm Classroom (CC) to provide mindfulness strategies to youth in our communities. NMH engaged CC, the largest provider of school-wide mindfulness programming in the U.S., to teach mindfulness practices to students in Chicago Public Schools (CPS) Network 9. Network 9 schools are primarily located in Bronzeville, a neighborhood on Chicago's South Side that is plagued by persistent, high rates of violence. CC offers accessible mindfulness techniques that help promote self-awareness, mental focus and emotional resilience in the classroom setting. In FY19, the collaboration between NMH, CC and CPS Network 9 served more than 5,000 CPS students and their teachers at eight schools and one community-based organization. Through their train-the-trainer model, CC equipped CPS teachers with mindfulness techniques that can be taught in three minutes in the classroom. These practices supplement CPS's trauma-informed approach to creating supportive schools. Following implementation of the mindfulness practices, teachers who engaged in the program were surveyed and reported a positive impact on their students. In FY19, 96 percent of teachers reported teaching CC techniques between 1-3 times per day; 90 percent reported their students seem calmer; 89 percent reported their students were more engaged and ready to learn; 76 percent reported that their students were better able to regulate emotions; 81 percent believed the culture and the climate in their classroom had improved; and 51percent practice CC techniques outside of school; 65 percent report that CC made them feel more engaged in teaching; 78 percent report that CC has helped them understand the importance of self-care; and 71 percent report that CC has given them tools to manage stress more effectively. Non-Priority Areas: The CHNA report identified areas of opportunity for health improvement for which NMH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Cancer: NMH provides a comprehensive range of clinical services to treat and screen for cancer. NMH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Chronic Kidney Disease (Kidney Disease Deaths): NMH provides clinical services to treat chronic kidney disease and will continue to sustain these services. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Hearing and Vision Problems: NMH Supports access to vision screenings in medically underserved communities through its community health partners. The ESC recommended that NMH focus on strengthening and improving access to medical homes, where primary vision screenings can be effectively and conveniently provided. HIV (HIV Prevalence): NMH provides clinical services to treat chronic HIV/AIDS and collaborates with Feinberg in conducting research to better prevent, detect and treat HIV/AIDS. The ESC recommended focusing efforts on improving access to medical homes, where access to these services can be effectively coordinated. Immunization and Infectious Disease: NMH provides clinical services to treat pneumonia, asthma and tuberculosis. The ESC recommended that NMH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Infant Health and Family Planning: NMH provides a comprehensive range of outpatient and inpatient services to expectant women and teens, including family planning services. NMH will continue to sustain these services and work to strengthen community-based medical homes where family planning services can be conveniently accessed. The ESC recommended that NMH focus on strengthening and improving access to medical homes, where access to these services and other prenatal care can be effectively coordinated. Oral Health (Regular Dental Care): NMH does not provide office-based dental care services. Potentially Disabling Conditions: NMH provides comprehensive rehabilitation services including physical, speech, and occupational therapy for patients. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Sexually Transmitted Diseases: The ESC recommended that NMH focus on strengthening and improving access to medical homes, where counseling on prevention and screening for disease can be effectively coordinated and access to medically necessary specialty care can be facilitated. Sickle-Cell Anemia: The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Substance Abuse: NMH provides inpatient and outpatient substance abuse counseling. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Tobacco Use: NMH supports public policies aimed at reducing tobacco use. NMH also offers a comprehensive Smoking Cessation Program, facilitated by an American Lung Association certified instructor. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1.Women, Infants and Children Nutrition Program (WIC); 2.Supplemental Nutrition Assistance Program (SNAP); 3.Illinois Free Lunch and Breakfast Program; 4.Low Income Home Energy Assistance Program (LIHEAP); 5.Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. The CHNA report also describes Northwestern Lake Forest Hospital's CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. Northwestern Lake Forest Hospital took into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health. Input was collected for the CHNA through a community survey and a focus group, both conducted by the Lake County Health Department and Community Health Center, and through conversations with key stakeholders between April 2018 and October 2018. The survey was randomly distributed to 5,000 Lake County households in early 2018. The focus group was conducted with the Lake County Community Health Worker Partnership, a partnership between Mano a Mano and the Waukegan Public Library. Fifteen community health workers who are trained to deliver health education on a myriad of topics ranging chronic disease to mental health to benefit navigation, were interviewed about community health strengths, weaknesses, and potential improvement opportunities in their communities. These community health workers are uniquely situated to provide input from a nuanced perspective, one as a resident of the community and one as a representative of the Partnership. In March 2019, NM LFH also developed a survey tool to formally solicit input from organizations who are representative of the assessed community area, including those who serve medically underserved, low income and minority populations, to begin the process of ranking priority health needs (defined as health needs that could be impacted the most by the work of NMLFH and partner organizations). The pairwise comparison survey was launched utilizing a process of comparing needs in pairs to judge which need is preferred.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Northwestern Lake Forest Hospital. A comprehensive CHNA was commissioned on behalf of Northwestern Lake Forest Hospital by the Lake County Health Department and Community Health Center. (LCHD/CHC). LCHD/CHC is a public health accredited, state-certified public health department and a Joint Commission accredited community health center. Specific needs of the NMLFH Community Service Area were identified and prioritized separately.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also shared with the following: 1. Key community organizations 2. Northwestern University Institute of Public Health and Medicine 3. Northwestern Medicine and LFH Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. Through the tax year 2016-2019 prioritization process and implementation plan, Northwestern Medicine Lake Forest Hospital (NMLFH) identified three priority health to be addressed through collaborative planning and coordinated action with organizations that impact health services in our community. Priority 1: Access to Healthcare 1.1: Increase capacity to provide quality medical care to underserved communities through the construction of a new hospital NMLFH is committed to improving the health of Lake County. By emphasizing healthy lifestyles and primary and preventative care at a medical home, we can reduce overall healthcare expenditures and improve the health of our communities. Since the implementation of the Affordable Care Act, the uninsured rate in Lake County has drop to nearly 6%, with many of the newly insured coming through Illinois's Medicaid expansion. However, despite becoming insured, many barriers to care continue to exist including appointment availability, phantom provider networks, and lack of specialty and sub-specialty care. 1.2: Providing targeted, community centered vaccination clinics for school-aged youth. Immunizations are one of our greatest defense against many serious illnesses. In the state of Illinois, all students entering, transferring, or advancing into kindergarten through 12th grades are required to show proof of receipt of 2 doses of mumps and 2 doses of rubella vaccine. In addition, students entering, transferring, or advancing into kindergarten, 6th, or 9th grades are required to show proof of receipt of 2 doses of varicella vaccine. If students cannot are not vaccinated or do not show proof or exemption, they are excluded from school until they are able to meet the requirements. According to the Illinois State Board of Education's most recent statistics (2018-2019), in the North Chicago School District 187, over 6 percent of the student population was excluded from school due to lack of vaccination compliance. NMLFH is helping address the need for access to vaccines for school-aged children North Chicago. Working in collaboration with The Grainger Foundation, North Chicago Community Partners, and the North Chicago School District 187, NMLFH provided funding for, and has worked to develop, an efficient way to administer vaccines to elementary age children to ensure they are prepared to start the new school year. In FY2019 NMLFH began administering Tdap and MMR vaccinations to children in this school district. NMLFH administered 24 vaccinations, free of charge, in FY19, accounting for nearly 10 percent of the excluded population. Additionally, nearly 60 students received free school physicals. Continued expansion of the program is planned in FY20. 1.3: Provide transportation assistance to medically underserved patients. Transportation barriers are often cited in northern Lake County as a barrier to accessing quality and timely medical care. This barrier may lead to missed appointments, delayed care, or people not seeking care in the first place, and often forces people to wait hours for a bus that may not run routinely in order to get around. Consequences of lack of transportation can manifest in poorer management of chronic disease and poorer health outcomes. This social determinant of health mainly affects the poorer population in northern Lake County who may face additional barrier to care including access to insurance, language barriers, and cost. Because these patients are often seeking care at a local clinics, NMLFH partnered with a local federally qualified health center (FQHC), Erie HealthCenter Waukegan, and Lyft, the ride share transportation company, to provide transportation vouchers to patients without access to a vehicle. NMLFH continues to seek innovative relationships with transportation partners to address this community need. A pilot project was launched with Kaizen Health, a healthcare logistics and non-emergency medical transportation (NEMT) platform, to provide transportation to patients who otherwise would not be able to receive needed medical care. In the two-month pilot, 35 patients received transportation to medical care. Expansion of this relationship is planned for FY20. Priority 2: Heart Disease and Stroke 2.1: Continuing to support and expand diagnostic and specialty care services related to stroke Stroke is the leading cause of disability and the fifth-leading cause of death in the United States according to the American Stroke Association. When a patient is suffering a stroke, every minute counts. Thanks to advances in technology, patients with stroke symptoms can now be rapidly assessed by a neurologist 24/7, even if the specialist is physically located many miles away. The Northwestern Medicine telestroke program features a two-way video and audio system that allows a board-certified neurologist from the comprehensive stroke centers at Northwestern Memorial Hospital and Northwestern Medicine Central DuPage Hospital to conduct a virtual physical exam and to collaborate with the emergency medicine teams at area hospitals. The Northwestern Medicine telestroke program is offered to several hospitals in Illinois, including Northwestern Medicine Lake Forest Hospital. The videoconferencing system connects the neurologist and patient through a secure internet connection. Using the camera, the neurologist can perform observational tests, such as gauging how a patient's pupils respond to light sources and monitoring how well the patient can move and speak. Simultaneously, through the electronic medical record, the neurologist has instant access to the patient's medical information, including vital signs, CT scans and lab results. In FY19, our NMLFH conducted 212 telestroke consultations and the Northwestern Medicine Grayslake Outpatient Center conducted 62 telestroke consultations. 2.2: Supporting a legislative agenda to address health risk behaviors including tobacco use policies Tobacco kills over 480,000 people each year, more than automobile crashes, gun violence and opiate overdoses combined and the developing teenage brain is particularly vulnerable to the effects of nicotine. In Lake County, 14 percent of residents are considered smokers. However, according to the most recent Illinois Youth Survey, youth tobacco use has doubled since 2010 with 31 percent of 12th graders having used an e-cigarette in the past 12 months. Medical efforts to address youth tobacco use have not been effective as rates continue to climb. Literature shows that the most effective interventions to curb youth tobacco use have been to raise the minimum legal sales age of tobacco products from 18 to 21. More than 95% of addicted smokers start before age 21. This intervention has been shown to decrease youth tobacco use in other communities and so it was adopted as a course of action by the Tobacco Prevention and Cessation Action Team as part of the Live Well Lake County Steering Committee. Through this action team, NMLFH has worked with local home-rule communities within Lake County to pass legislation raising the minimum legal sales age of tobacco products from 18 to 21. * Between September 2018 and June 2019, four additional communities raised the minimum legal sales age of tobacco products from 18 to 21. o The total population covered by new tobacco 21 legislation was almost 150,000 people. o The total population under age 18 covered by new tobacco 21 legislation was almost 37,000 people. * In July 2019, the Lake County Tobacco Prevention and Cessation Action Team helped bring about Illinois legislative change with the passing of Illinois Tobacco 21, which raised the minimum legal sales age of tobacco products from 18-21 across all communities in Lake County. All 703,000 people in Lake County are now covered by this law.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - NORTHWESTERN LAKE FOREST HOSPITAL. 2.3: Promotion of physical activity through Go Lake County expansion The benefits of physical activity are well known: increased cardiovascular fitness; reduced risk of heart disease and stroke; improved management of conditions such as hypertension, high cholesterol and, diabetes; increased muscle strength; and reduced body fat. Joining a gym is a barrier for many that makes staying active difficult, especially through long winter months. In FY17, through the Be Active: Walking Action Team as part of the Live Well Lake County Steering Committee, NMLFH worked to create the Go Lake County initiative. GO Lake County is a walking initiative that promotes healthy and active living through programing and events within Lake County communities. GO enables everyone in Lake County to increase their level of daily physical activity and foster community engagement. GO events or programs are open to everyone in Lake County and are intended to be free. In FY18, NMLFH supported expansion of Go Lake County programming. * In FY19, the number of communities with active Go Lake County park districts and partnerships grew to 22. * Nearly 100 community led walks were held across Lake County. * Over 4,100 people across those communities were able to attend free walking events increasing physical activity. Priority 3: Mental health disorders and substance abuse 3.1: Expansion of psychiatric services Since FY16, NMLFH has seen a significant increase in behavioral health inpatient and emergency department patient volume. NMLFH seeks solutions that can be implemented in parallel to system planning, thereby offering these patients treatment in the appropriate care settings based on their diagnosis. After discharge from the hospital, outpatient care was needed to close the loop on referral visits. In FY19, NMLFH added additional psychiatric staff to provide behavioral health services, increasing capacity in our community. New outpatient and consultation clinic visits have increased with the onboarding of new providers. * Hired 1 new psychiatrist * 23% increase in unique patient visits 3.2: Evaluate the feasibility of implementing behavioral healthcare services within the primary care setting. Due to insurance limitations, a nationwide shortage of psychiatrists, and a tendency for patients to see their primary care physician for mood disorders, psychiatric care may not be pursued as often as it should be. In response, NMLFH began work to evaluate the feasibility of offering behavioral healthcare services within the primary care setting, based on the Collaborative Care Model, to strengthen the linkage between primary care and mental health in an effort to improve access and reduce obstacles to receiving mental health services. The program brings psychiatric care to patients by embedding behavioral health screenings and services within the primary care setting. If the patient is a fit for the program based on depression screening scores and symptoms, the primary care physician (PCP) refers the patient to the behavioral health care manager (BHCM) who coordinates treatment with the consulting psychiatrist and communicates the plan to both the PCP and the patient. The team is in constant communication to address the patients' symptoms, medications, and progress. Treatment provided in the program is outcomes-oriented. The goal for the program's patients is to get to remission which is defined as having minimal to no symptoms of depression. Success of the program was defined as an increase in access to depression treatment within the primary care setting, as well as a reduced wait-time to be seen by a behavioral health resource. The pilot will launch in FY20, and will focus on increased behavioral health care coordination for individuals within the primary care setting. We anticipate that increased access and engagement will enhance the overall health and well-being among this patient population. If the pilot proves successful, NMLFH will seek to roll this clinical intervention out to its various outpatient primary care clinics. 3.3: Drug education and prevention programming with students in our local schools, and with parents in our local community through Text-A-Tip NMLFH supports Lake Forest LEAD, a local non-profit organization dedicated to the promotion of healthy family relationships and the prevention of alcohol, drug use, and other risky behavior by youth. LEAD has served the Lake Forest, Lake Bluff, and Knollwood, IL communities for nearly 30 years. There are a variety of long-term issues that LEAD is seeking to address, including underage drinking and drug abuse; prevention of prescription, over-the-counter and illegal drug abuse by youth and adults; promotion of mental health and wellness; reducing stigma related to depression and other mental health issues; and the prevention of suicide. A significant and successful strategy in the NMFLH and LEAD partnership has been the 24/7 anonymous text crisis line, Text-A-Tip. LEAD has seen a dramatic increase in the number of people who benefit from its programming, both in our local Lake Forest and Lake Bluff community and across the nation. LEAD has conducted trainings, programs and workshops in nearly 20 states over the past two years, and our Text-A-Tip hotline is now accessible to over 7 million people, almost doubling in scope since this time last year, and including the entirety of Lake and McHenry Counties in Illinois. Finally, LEAD's online and social media presence has seen an increase of over 500% in the past 3 years. Text-A-Tip is now available to over 7 million people nationwide. Text-A-Tip has been able to deliver wellness checks and emergency personnel to teens in crisis, and has led to interventions in suicide and self-harm situations, violence situations, and situations of drug overdose. Aside from the actual lives saved to date, the resource allows students a 24/7 place to turn when they are in need of emotional support. It is safe, anonymous, and always available. NON-PRIORITY AREAS The CHNA report identified areas of opportunity for health improvement for which NMLFH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Cancer: NMLFH provides a comprehensive range of clinical services to treat and screen for cancer. NMLFH will continue to sustain these services and work to strengthen community-based outreach both through the internal oncology department and through community partners. The ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact. Diabetes: NMLFH provides clinical services to treat diabetes and will continue to sustain these services. While there is a lot of crossover between the preventable conditions that cause Diabetes and those that cause Heart Disease and Stroke, the ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact. Community work will continue through participation on the Diabetes Prevention and Management Action Team as part of the Live Well Lake County Steering Committee. Immunization & Infectious Diseases: NMLHH provides clinical services to treat pneumonia, asthma, and tuberculosis, as well as other infectious diseases. The ESC recommended that NMLHH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Injury & Violence: NMLFH will work to strengthen community-based outreach both through community partnerships to affect injury and violence. The ESC recommended focusing efforts on other determinants for which NMLFH could have a greater impact. Nutrition, Physical Activity & Weight: NMLFH provides clinical services, nutritional counseling, and weight loss programming for patients and will continue to sustain these services. While there is a lot of crossover between these behaviors and those that cause Heart Disease and Stroke, the ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact. Community work will continue through participation on the various Action Teams as part of the Live Well Lake County Steering Committee. Potentially Disabling Conditions: NMLFH provides comprehensive rehabilitation services including physical, speech, and occupational therapy for patients. The ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact. Tobacco Use: NMLFH supports public policies aimed at reducing tobacco use. NMLFH also offers a comprehensive Smoking Cessation Program, facilitated by an American Lung Association certified instructor. The ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. The CHNA report also describes Central DuPage Hospital's CHNA goals and objectives, public dissemination plan, and the process for the development of the implementation plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was implemented as part of the CHNA process. A list of recommended participants was provided by NMCDH; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the population with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. In all, 41 community stakeholders took part in the Online Key Informant Survey including representatives of the organizations below: 1. DuPage County Health Department 2. DuPage Federation on Human Services Reform 3. DuPagePads 4. American Cancer Society 5. B.R. Ryall YMCA of Northwestern DuPage County 6. Bartlett Park District 7. Benedictine Public Health Department 8. Breaking Free 9. Catholic Charities Diocese of Joliet 10. DuPage Foundation 11. DuPage Senior Citizens Council 12. DuPage United 13. Educare West DuPage 14. Fox Valley Special Recreation Association 15. NAMI DuPage 16. Northern Illinois Food Bank 17. People's Resource Center 18. Public School District, DuPage County 19. SamaraCare 20. Senior Services Associates, Inc. 21. Warrenville Park District 22. Western DuPage Special Recreation Association 23. West Chicago Public Library District 24. Winfield Park District 25. World Relief DuPage Aurora Through this process, input was gathered from several individuals whose organizations work with low-income, minority populations, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might be better addressed. Findings represent qualitative rather than quantitative data. The Online Key Informant Survey was designed to gather input from participants regarding their opinions and perceptions of the health of the residents in the area. Therefore, these findings are based on perceptions, not facts. To ensure that organizations impacting health in DuPage County were meaningfully engaged in reviewing and interpreting the findings of the CHNA, developing priorities among the identified needs and forming a collaborative plan to address the top priority needs, the External Steering Committee (ESC) was established and maintained.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: 1. Key community organizations and leaders 2. Central DuPage Hospital External Steering Committee 3. Central DuPage Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Central DuPage Hospital Association. Through the prioritization process, NMCDH identified three Priority Health Needs: Access to Healthcare Services, Chronic Disease, and Mental Health. NMCDH identified health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which NMCDH is addressing the significant needs identified in its most recently conducted CHNA are defined as follows: Priority 1: Mental Health Mental health and physical health are closely connected. Mental health plays an integral role in the ability to maintain physical health. Mental illnesses, such as depression, anxiety and addiction, affect people's ability to participate in health promoting behaviors. Subsequently, the presence of mental health problems can have a serious impact on chronic disease and decrease the ability to participate in treatment and recovery. To address the identified health needs related to Mental Health and Substance Abuse, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 1.1 Continue strategic planning efforts to evaluate the demand for hospital-based mental health services and identify appropriate NMCDH resources to address those needs. A comprehensive strategic plan is being developed to properly address the mental health needs of the NMCDH and Northwestern Medicine Delnor Hospital service areas. The plan continued to identify the needs and develop strategies to address those needs, including but not limited to expansion of inpatient behavioral health and addiction services and additional capacity in the outpatient mental health service line. 1.2 Provide Community Benefit Grant funding and further solidify relationships with community agencies that can provide outpatient mental health services to the medically underserved residents within the service area. Grants were provided to NAMI DuPage, Ecker Center, Samara Care and World Relief Meier Clinic Foundation. The following outcomes were reported: NAMI DuPage Education and Resources Services grant outcomes: 1. Over 80% of participants reported a decrease in stigma and stated they felt more hopeful for recovery; 2. 99.5% of the participants report increased awareness of resources and knowledge to help themselves and their loved ones; 3. Over 90% of participants reported increased knowledge of mental illness and hope for recovery. Ecker Center grant outcomes: 1. Medication Possession Ratio: baseline is 0.89 and it was measured to be consistently a .92 over the grant period; 2. Clients' symptoms improvement baseline is 72% and it was measured that 90% of clients reports symptom improvement. Meier Clinics Foundation grant outcomes: 1. 100% of Naomi's House residents self-identified that healing has begun in their lives since participating in the program; 2. Utilization of Basis 2 pre- and post- clinical outcome testing: Percent Increase Overall: 67%, Substance Abuse: 0%, Psychosis: 100%, Self-Harm: 0%, Emotional Lability: 29%, Interpersonal Problems: 50%, Depression/Functioning: 73% Individuals impacted by funding from the Samara Care: Mental Health Access Program reported: (NMCDH/NMDH) 1. 87% of clients experienced an increase in their GAF scale score; 2. 90% of those who completed the client satisfaction survey indicated that they agree/strongly agree, "I feel I was able to accomplish what I set out to do," "I am better able to handle conflict and stress." 3. 95% of those who completed the client satisfaction survey indicated that they agree/strongly agree, "My counselor interventions and interactions were helpful." Outcomes reported as the result of NMCDH funding to the World Relief Refugee Wellness Program: (NMCDH/NMDH) 1. 8% of participants were able to identify symptoms of mental illness; 2. 75% were to identify at least 3 helpful mainstream community resources and report stronger connectedness to members of their own community; 3. 68% of refugees receiving mental health treatment demonstrated an increased level of functioning, decreased symptoms and completed treatment goals 1.3: Participate in and support initiatives within Kane County that are focused on Mental Health. The Kane County Health Department is currently developing a Community Health Improvement Plan (CHIP) in collaboration with the hospitals and community agencies within the county. One of the identified priorities to be addressed is Mental Health and Substance Abuse. NMCDH will continue to participate in the CHIP Executive Committee and the Mental Health Subgroup to develop and implement the action plan to address the health priority of Mental Health and Substance Abuse. 1.4: Complete the planning phase and implement the Mental Health First Aid Program in the NMCDH service area. The Mental Health First Aid (MHFA) program is designed to teach residents of the community how to take action when a mental illness is suspected or identified. The intent is to reduce the wide reach and economic toll that mental health disorders and crises have on the community. Individuals within NMCDH are currently completing training and the certification process and will begin providing educational sessions to teach parents, family members, caregivers, teachers, school staff, peers and community members how to help an adolescent or adult experiencing a mental health or addiction challenge or crisis. These individuals can then intervene and direct the individual to appropriate resources. The overall goal is to increase awareness and early intervention to those in need of behavioral health services. One NMCDH/NMDH staff was trained to offer the nationally recognized evidence-based Mental Health First Aid program. 1. 18 classes were held; 2. 271 individuals attended the programs; 3. 100% of MHFA participants scored a minimum of 85% on the MHFA course exam. Priority 2: Chronic Disease Chronic conditions are responsible for 70% of deaths and 75% of healthcare spending. Chronic disease is a leading cause of disability and lost income. Chronic disease disproportionally affects low-income and minority populations. In the NMCDH service area, 35% of adults have been told that they have high blood pressure; 30% have been told they have a high cholesterol reading; 23% are obese; and chronic diseases of the heart are the second leading cause of death. To address the identified deficiencies in Chronic Disease, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 2.1: Provide resources and tools to patients diagnosed with heart failure in order to improve self-management skills and quality of life. NMCDH continued to provide a post-discharge community-based heart failure program designed to improve the quality of life and decrease readmission rates for patients diagnosed with heart failure. Efforts to improve the coordination of care for heart failure patients were expanded, and a system of referrals for specialty care and social service needs were implemented. A retrospective study of outcomes related to the program was completed to ensure maximum quality is achieved. Key outcomes of this program were: 366 individuals were enrolled in the Community-Based Heart Failure program: (NMCDH/NMDH) 1. 30-day readmission rate for heart failure diagnosis: 1% (markedly below the national rate); 2. 99% of clients demonstrated the ability to identify appropriate action in the event of a worsening of their condition; 3. 96% of clients utilized an effective medication management system; 4. 89% of clients demonstrated compliance with symptom tracking.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Central DuPage Hospital Association. 2.2: Continue to provide, participate and partner in community-based health education, nutrition and activity programs focused on reducing the risk of obesity and chronic disease. NMCDH provided community education related to chronic disease in the areas of evidence-based primary interventions (disease prevention, health promotion), evidence-based secondary interventions (screening) and evidence-based tertiary interventions (education to individuals affected with a chronic disease in an effort to promote an optimum state of individual wellness). Programmatic venues included the CATCH (Coordinated Approach to Child Health) program, the Dinner with the Doc series, clinician-led educational offerings, self-help groups, rehabilitation service programs and support programs. A comprehensive plan to increase patient compliance with physician and ancillary staff referrals to smoking cessation resources was also investigated and developed. Community Benefit Grants were also be provided to agencies that provide programming related to the priority health need of chronic disease. Key outcomes of these interventions include: 1. A total of two educational seminars were offered in the areas of cardiovascular health. A total of 277 individuals attended these seminars. (NMCDH/NMDH combined data.) 2. Meeting space was provided at no charge for 20 support groups. (NMCDH/NMDH) 3. A total of three educational seminars were offered in the areas of cancer. A total of 210 individuals attended these seminars. (NMCDH/NMDH) 4. A total of eleven additional educational seminars were offered. 1,326 individuals attended these seminars. (NMCDH/NMDH) 5. Rehabilitation Services offered 1 community program. 7 individuals attended. (NMCDH/NMDH) 6. Diabetes Education Services offered 18 community programs. 229 individuals attended. (NMCDH/NMDH) 7. 104 individuals participated in the Northern Illinois Food Bank's Diabetes Prevention Education Programs. 8. Saint Charles Park District CATCH Kids Club utilized their new CATCH Early Childhood equipment set and curriculum to impact the health and wellness of the students and families that attended Baker Station. 9. Fox Valley Food for Health built a network of adult and teen volunteers who helped in providing nutrient rich meals, nutrition education and personal caring support to individuals and families dealing with serious illness such as cancer. 10. The CATCH Program reached over 1,500 students and teachers. 91% of children were able to verbalize 6 out of 8 GO foods. 97% of children recognized the importance of consuming GO foods daily. 95% of schools/programs adjusted their snack lists to include healthy (GO) foods. 98% of teachers organized 20 minutes of moderate physical activity. 95% of teachers continued to reinforce the GO-WHOA healthy food message in the classroom. (NMCDH/NMDH) 11. A total of 10 community programs and 679 individuals participated in Community Stroke Education presentations. (NMCDH/NMDH) 12. A total of 91 Kits for Kids were disseminated in the areas hand washing, bicycle safety and healthy nutrition. (NMCDH/NMDH) 13. A total of 155 individuals participated in smoking cessation programs. 93% self-reported smoking cessation by the end of week 3. (NMCDH/NMDH) 14. The Think First Curriculum was offered in 469 presentations for children from kindergarten through high school and 21,527 individuals participating in community events (NMCDH/NMDH): a. A total of 6,836 children were fitted for and received bike helmets (NMCDH/NMDH); b. A total of 72 couples attended child safety classes (NMCDH/NMDH); c. A total of 994 car seats were checked / distributed (NMCDH/NMDH) Priority 3: Access to Care An aging population, coupled with a challenging economy and an increasing prevalence of chronic disease, create access-to-care issues relating to both the affordability and availability of care. NMCDH seeks to promote access through a variety of initiatives identified below. NMCDH will continue to work with individuals and families to promote access to medically necessary services by maintaining an accessible financial assistance program. Additionally, staff and leadership will work collaboratively with key community partners to promote a seamless continuum of care into local medical home settings. To improve Access to Health Services, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 3.1: Strengthen and increase patient affiliation with high-quality patient-centered medical homes. NMCDH and its partners from the External Steering Committee focused efforts on strengthening the care coordination, availability, cultural competency and offerings available at the patient-centered medical homes operated by the Federally Qualified Health Centers and healthcare organizations that are closely aligned with Northwestern Medicine Delnor Hospital. By concentrating efforts on improving the most essential community-based component of the healthcare system - the patient-centered medical home - NMCDH focused on ensuring patients receive timely and appropriate care. NMCDH will implement evidence-based practices to address the health concern related to members of the community receiving age and gender-appropriate screenings and other preventive services, including recommended routine immunizations. 3.2: Investigate innovative ways to connect uninsured members of the community with applicable entitlement programs and available healthcare and social services to improve access to medical care. Patients in need of financial assistance were connected with appropriate resources and assisted in the completion of applications for government assistance programs. 3.3: Improve access to evidence-based preventive services, including age and gender-appropriate screenings and routine immunizations. A total of 50 vaccine clinics were provided in Tax Year 2018, as well as 989 individuals in need received breast cancer screening. Non-Priority Areas The CHNA report identified areas of opportunity for health improvement for which NMCDH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Cancer: NMCDH provides a comprehensive range of clinical services to treat and screen for cancer. NMCDH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMCDH could have a greater impact (heart failure and nutrition and weight). Immunization and Infectious Disease in Adults: NMCDH provides clinical services to treat pneumonia, asthma and tuberculosis. The ESC recommended that NMCDH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Vaccine services are provided to children as part of the access to care strategies. Tobacco Use: Tobacco use was incorporated into the strategies around chronic disease.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - DELNOR-COMMUNITY HOSPITAL. The CHNA report also describes Delnor Hospital's CHNA goals and objectives, public dissemination plan, and the process for the development of the implementation plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - DENOR-COMMUNITY HOSPITAL. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY NMDH; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 157 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY INCLUDING REPRESENTATIVES OF THE ORGANIZATIONS BELOW: 1. ADVOCATE SHERMAN HOSPITAL 2. AGENCY ON AGING NORTHEASTERN ILLINOIS 3. ASSOCIATION FOR INDIVIDUAL DEVELOPMENT 4. BATAVIA INTERFAITH FOOD PANTRY AND CLOTHES CLOSET 5. BATAVIA UNITED WAY 6. BENEDICTINE UNIVERSITY 7. BLACKBERRY TOWNSHIP 8. BATAVIA PUBLIC SCHOOL DISTRICT #101 9. CASA KANE COUNTY 10. CATHOLIC SOCIAL SERVICES (CATHOLIC CHARITIES) 11. CENTRO DE INFORMACION 12. CITY OF AURORA 13. COMMUNITY CONTACTS, INC. 14. COMMUNITY FOUNDATION OF THE FOX RIVER VALLEY 15. CONLEY OUTREACH COMMUNITY SERVICES 16. DAYONEPACT 17. ELDERDAY CENTER, INC. 18. ELGIN AREA CHAMBER OF COMMERCE 19. ELGIN PARTNERSHIP FOR EARLY LEARNING 20. ENVIRONMENTAL PROTECTION AGENCY 21. FAMILY SERVICE ASSOCIATION OF GREATER ELGIN AREA 22. FOX VALLEY SPECIAL RECREATION ASSOCIATION 23. GAIL BORDEN LIBRARY 24. GATEWAY FOUNDATION 25. GENEVA PARK DISTRICT 26. GREATER ELGIN FAMILY CARE CENTER 27. HERGET MIDDLE SCHOOL 28. HESED HOUSE 29. HIGHLAND AVENUE CHURCH OF THE BRETHREN 30. HOPE FOR TOMORROW, INC. 31. INC BOARD NFP 32. KANE COUNTY BOARD 33. KANE COUNTY DEVELOPMENT AND COMMUNITY SERVICES DEPARTMENT 34. KANE COUNTY DIVISION OF TRANSPORTATION 35. KANE COUNTY FARM BUREAU 36. KANE COUNTY HEALTH DEPARTMENT 37. KANE COUNTY MEDICAL SOCIETY 38. KANE COUNTY REGIONAL OFFICE OF EDUCATION 39. KANE COUNTY SHERIFF'S OFFICE 40. KANELAND COMMUNITY SCHOOL DISTRICT #302 41. LAO-AMERICAN ORGANIZATION OF ELGIN 42. LAZARUS HOUSE 43. LUTHERAN SOCIAL SERVICES (ELGIN) 44. MARIE WILKINSON FOOD PANTRY 45. MARKLUND HYDE CENTER 46. MUTUAL GROUND 47. NAMI - KANE, DEKALB AND KENDALL COUNTIES 48. NORTHEASTERN ILLINOIS AREA AGENCY ON AGING 49. OPEN DOOR CLINIC OF GREATER ELGIN 50. PADS AT HESED HOUSE 51. PR STRATEGIES AND COMMUNICATIONS/PMS ADVERTISING, INC. 52. PRESENCE MERCY MEDICAL CENTER (AURORA) 53. PRESENCE ST. JOSEPH HOSPITAL (ELGIN) 54. REBUILDING TOGETHER AURORA 55. RENZ ADDICTION COUNSELING CENTER 56. RUSH COPLEY MEDICAL CENTER 57. ST. CHARLES PARK DISTRICT 58. STC UNDERGROUND TEEN CENTER 59. SUICIDE PREVENTION SERVICES 60. SALVATION ARMY OF AURORA 61. TRI CITY FAMILY SERVICES 62. TRI CITY HEALTH PARTNERSHIP 63. U-46 SCHOOL DISTRICT (ELGIN) 64. UNIVERSITY OF ILLINOIS EXTENSION 65. VALLEY INDUSTRIAL ASSOCIATION 66. VILLAGE OF ALGONQUIN 67. VNA HEALTHCARE 68. WAUBONSEE COMMUNITY COLLEGE 69. WAYSIDE CROSS MINISTRIES 70. WELL CHILD CENTER 71. WELLBATAVIA INITIATIVE 72. WEST AURORA SCHOOL DISTRICT #129 73. YWCA ELGIN INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WITH SPECIAL EMPHASIS ON PERSONS WHO WORK WITH OR HAVE SPECIAL KNOWLEDGE ABOUT VULNERABLE POPULATIONS IN CENTRAL KANE COUNTY INCLUDING LOW-INCOME INDIVIDUALS, MINORITY POPULATIONS, THOSE WITH CHRONIC CONDITIONS AND OTHER MEDICALLY UNDERSERVED RESIDENTS. To ensure that organizations impacting health in central Kane County were meaningfully engaged in reviewing and interpreting the findings of the CHNA, developing priorities among the identified needs and forming a collaborative plan to address the top priority needs, the External Steering Committee (ESC) was established and maintained. This multidisciplinary committee was made up of key stakeholders who were selected based on strong collaborative efforts to improve the health of the community, including the medically underserved, minority and low-income populations.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - DELNOR-COMMUNITY HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: 1. Key community organizations and leaders 2. Delnor External Steering Committee 3. Delnor Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - DELNOR-COMMUNITY HOSPITAL. Through the prioritization process, NMDH identified three Priority Health Needs: Access to Healthcare Services, Chronic Disease, and Mental Health. NMDH identified health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which NMDH is addressing the significant needs identified in its most recently conducted CHNA are defined as follows: Priority 1: Mental Health Mental health and physical health are closely connected. Mental health plays an integral role in the ability to maintain physical health. Mental illnesses, such as depression, anxiety and addiction, affect people's ability to participate in health promoting behaviors. Subsequently, the presence of mental health problems can have a serious impact on chronic disease and decrease the ability to participate in treatment and recovery. To address the identified health needs related to Mental Health and Substance Abuse, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 1.1: Continue strategic planning efforts to evaluate the demand for hospital-based mental health services and identify appropriate NMDH resources to address those needs. A comprehensive strategic plan is being developed to properly address the mental health needs of the NMDH and Northwestern Medicine Central DuPage service areas. The plan will identify the needs and develop strategies to address those needs, including but not limited to expansion of inpatient behavioral health and addiction services and additional capacity in the outpatient mental health service line. 1.2: Provide Community Benefit Grant funding and further solidify relationships with community agencies that can provide outpatient mental health services to the medically underserved residents within the service area. Grants were provided to Tri City Family Services, Ecker Center, Samara Care and World Relief. The following outcomes were reported: Tri City Family Services grant outcomes: 1. 98% reported "I feel hopeful that I can achieve my goals in therapy"; 2. 98% reported "the therapy I am receiving is helping me deal more effectively"; 3. 98% reported "I am functioning better at work" and "I am functioning better in my daily life"; Ecker Center grant outcomes: 1. Medication Possession Ratio: baseline is 0.89 and it was measured to be consistently a .92 over the grant period; 2. Clients' symptoms improvement baseline is 72% and it was measured that 90% of clients reports symptom improvement. Individuals impacted by funding from the Samara Care: Mental Health Access Program reported: (NMDH/NMCDH) 1. 87% of clients experienced an increase in their GAF scale score; 2. 90% of those who completed the client satisfaction survey indicated that they agree/strongly agree, "I feel I was able to accomplish what I set out to do," "I am better able to handle conflict and stress." 3. 95% of those who completed the client satisfaction survey indicated that they agree/strongly agree, "My counselor interventions and interactions were helpful." Outcomes reported as the result of NMDH funding to the World Relief Refugee Wellness Program: (NMDH/NMCDH) 1. 8% of participants were able to identify symptoms of mental illness; 2. 75% were to identify at least 3 helpful mainstream community resources and report stronger connectedness to members of their own community; 3. 68% of refugees receiving mental health treatment demonstrated an increased level of functioning, decreased symptoms and completed treatment goals. 1.3: Participate in and support initiatives within Kane County that are focused on Mental Health. The Kane County Health Department is currently developing a Community Health Improvement Plan (CHIP) in collaboration with the hospitals and community agencies within the county. One of the identified priorities to be addressed is Mental Health and Substance Abuse. NMDH will continue to participate in the CHIP Executive Committee and the Mental Health Subgroup to develop and implement the action plan to address the health priority of Mental Health and Substance Abuse. 1.4: Complete the planning phase and implement the Mental Health First Aid Program in the NMDH service area. The Mental Health First Aid (MHFA) program is designed to teach residents of the community how to take action when a mental illness is suspected or identified. The intent is to reduce the wide reach and economic toll that mental health disorders and crises have on the community. Individuals within NMDH are currently completing training and the certification process and will begin providing educational sessions to teach parents, family members, caregivers, teachers, school staff, peers and community members how to help an adolescent or adult experiencing a mental health or addiction challenge or crisis. These individuals can then intervene and direct the individual to appropriate resources. The overall goal is to increase awareness and early intervention to those in need of behavioral health services. One NMCDH/NMDH staff was trained to offer the nationally recognized evidence-based Mental Health First Aid program. 1. 18 classes were held; 2. 271 individuals attended the programs; 3. 100% of MHFA participants scored a minimum of 85% on the MHFA course exam. Priority 2: Chronic Disease: Chronic conditions are responsible for 70% of deaths and 75% of healthcare spending. Chronic disease is a leading cause of disability and lost income. Chronic disease disproportionally affects low-income and minority populations. In the NMDH service area, 35% of adults have been told that they have high blood pressure; 30% have been told they have a high cholesterol reading; 23% are obese; and chronic diseases of the heart are the second leading cause of death. To address the identified deficiencies in Chronic Disease, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 2.1: Provide resources and tools to patients diagnosed with heart failure in order to improve self-management skills and quality of life. NMDH continued to provide a post-discharge community-based heart failure program designed to improve the quality of life and decrease readmission rates for patients diagnosed with heart failure. Efforts to improve the coordination of care for heart failure patients were expanded, and a system of referrals for specialty care and social service needs were implemented. A retrospective study of outcomes related to the program was completed to ensure maximum quality is achieved. Key outcomes of this program were: 366 individuals were enrolled in the Community-Based Heart Failure program: (NMCDH/NMDH) 1. 30-day readmission rate for heart failure diagnosis: 1% (markedly below the national rate); 2. 99% of clients demonstrated the ability to identify appropriate action in the event of a worsening of their condition; 3. 96% of clients utilized an effective medication management system; 4. 89% of clients demonstrated compliance with symptom tracking.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - DELNOR-COMMUNITY HOSPITAL. 2.2: Continue to provide, participate and partner in community-based health education, nutrition and activity programs focused on reducing the risk of obesity and chronic disease. NMDH provided community education related to chronic disease in the areas of evidence-based primary interventions (disease prevention, health promotion), evidence-based secondary interventions (screening) and evidence-based tertiary interventions (education to individuals affected with a chronic disease in an effort to promote an optimum state of individual wellness). Programmatic venues included the CATCH (Coordinated Approach to Child Health) program, the Dinner with the Doc series, clinician-led educational offerings, self-help groups, rehabilitation service programs and support programs. A comprehensive plan to increase patient compliance with physician and ancillary staff referrals to smoking cessation resources was also investigated and developed. Community Benefit Grants were also be provided to agencies that provide programming related to the priority health need of chronic disease. Key outcomes of these interventions include: 1. A total of two educational seminars were offered in the areas of cardiovascular health. A total of 277 individuals attended these seminars. (NMCDH/NMDH combined data.) 2. Meeting space was provided at no charge for 20 support groups. (NMCDH/NMDH) 3. A total of three educational seminars were offered in the areas of cancer. A total of 210 individuals attended these seminars. (NMCDH/NMDH) 4. A total of eleven additional educational seminars were offered. 1,326 individuals attended these seminars. (NMCDH/NMDH) 5. Rehabilitation Services offered 1 community program. 7 individuals attended. (NMCDH/NMDH) 6. Diabetes Education Services offered 18 community programs. 229 individuals attended. (NMCDH/NMDH) 7. Making Kane County Fit for Kids a. Provided parents and children with information on physical activity and eating habits; b. Supported a culture of wellness and health promotion in schools, workplaces, and other institutions; c. Developed land use, planning and policies to support physical activity; d. Provide affordable and accessible fresh fruit and vegetables to all families. 8. 104 individuals participated in the Northern Illinois Food Bank's Diabetes Prevention Education Programs. 9. Saint Charles Park District CATCH Kids Club utilized their new CATCH Early Childhood equipment set and curriculum to impact the health and wellness of the students and families that attended Baker Station. 10. Fox Valley Food for Health built a network of adult and teen volunteers who helped in providing nutrient rich meals, nutrition education and personal caring support to individuals and families dealing with serious illness such as cancer. 11. The CATCH Program reached over 1,500 students and teachers. 91% of children were able to verbalize 6 out of 8 GO foods. 97% of children recognized the importance of consuming GO foods daily. 95% of schools/programs adjusted their snack lists to include healthy (GO) foods. 98% of teachers organized 20 minutes of moderate physical activity. 95% of teachers continued to reinforce the GO-WHOA healthy food message in the classroom. (NMCDH/NMDH) 12. A total of 10 community programs and 679 individuals participated in Community Stroke Education presentations. (NMDH/NMCDH) 1. A total of 91 Kits for Kids were disseminated in the areas hand washing, bicycle safety and healthy nutrition. (NMCDH/NMDH) 2. A total of 155 individuals participated in smoking cessation programs. 93% self-reported smoking cessation by the end of week 3. (NMCDH/NMDH) 3. The Think First Curriculum was offered in 469 presentations for children from kindergarten through high school and 21,527 individuals participating in community events (NMCDH/NMDH): a. A total of 6,836 children were fitted for and received bike helmets (NMCDH/NMDH); b. A total of 72 couples attended child safety classes (NMCDH/NMDH); c. A total of 994 car seats were checked / distributed (NMCDH/NMDH) Well Child Center grant outcomes: 1. 73% of the children in the Pediatric Dental Program completed a preventive 6-month appointment; 2. 62% of the children have no decay; 3. 67% of the children followed up for 6-month preventive care; 4. 77% of the children have no new decay; 5. 97% of parents confidence levels increased in preventive dentistry and knowledge of how to practice good dental care., including understanding the ADA recommended guidelines. Priority 3: Access to Care: An aging population, coupled with a challenging economy and an increasing prevalence of chronic disease, create access-to-care issues relating to both the affordability and availability of care. NMDH seeks to promote access through a variety of initiatives identified below. NMDH will continue to work with individuals and families to promote access to medically necessary services by maintaining an accessible financial assistance program. Additionally, staff and leadership will work collaboratively with key community partners to promote a seamless continuum of care into local medical home settings. To improve Access to Health Services, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 3.1: Strengthen and increase patient affiliation with high-quality patient-centered medical homes. NMDH and its partners from the External Steering Committee focused efforts on strengthening the care coordination, availability, cultural competency and offerings available at the patient-centered medical homes operated by the Federally Qualified Health Centers and healthcare organizations that are closely aligned with Northwestern Medicine Delnor Hospital. By concentrating efforts on improving the most essential community-based component of the healthcare system - the patient-centered medical home - NMDH focused on ensuring patients receive timely and appropriate care. NMDH continued its long-established partnership with Tri City Health Partnership looked for ways to strengthen the patient-centered medical home. NMDH supported this partnership through grant funding, knowledge sharing efforts and streamlined access to medically appropriate diagnostic and specialty services at NMDH and within the Northwestern Medicine Regional Medical Group. In Tax Year 2018, 194 patients from TCHP received care at no charge at Northwestern Medicine facilities. NMDH will implement evidence-based practices to address the health concern related to members of the community receiving age and gender-appropriate screenings and other preventive services, including recommended routine immunizations. 3.2: Investigate innovative ways to connect uninsured members of the community with applicable entitlement programs and available healthcare and social services to improve access to medical care. Patients in need of financial assistance were connected with appropriate resources and assisted in the completion of applications for government assistance programs. 3.3: Improve access to evidence-based preventive services, including age and gender-appropriate screenings and routine immunizations. A total of 50 vaccine clinics were provided in Tax Year 2018, as well as 989 individuals in need received breast cancer screening. Non-Priority Areas The CHNA report identified areas of opportunity for health improvement for which NMDH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Cancer: NMDH provides a comprehensive range of clinical services to treat and screen for cancer. NMDH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMDH could have a greater impact (heart failure and nutrition and weight). Immunization and Infectious Disease in Adults: NMDH provides clinical services to treat pneumonia, asthma and tuberculosis. The ESC recommended that NMDH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Vaccine services are provided to children as part of the access to care strategies. Tobacco Use: Tobacco use was incorporated into the strategies around chronic disease.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - DELNOR-COMMUNITY HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - DELNOR-COMMUNITY HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. The CHNA report also describes Kishwaukee Hospital background, charity care, the mission, CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. PARTNERING WITH DEKALB COUNTY HEALTH DEPARTMENT, THE CHNA PROCESS INCLUDED A SURVEY ADMINISTERED TO COMMUNITY PARTNERS, THEIR EMPLOYEES, AND CLIENTS, TO ALLOW RESPONSES FROM LOW-INCOME AREAS, MENTAL HEALTH CLINICS, YOUTH ORGANIZATIONS AND FOOD PANTRIES. REPRESENTATIVES OF THE COMMUNITY INCLUDED: 1. ADVENTURE WORKS DEKALB 2. CITY OF DEKALB 3. CITY OF SYCAMORE 4. DEKALB COUNTY NON-PROFIT PARTNERSHIP 5. DEKALB COUNTY BOARD OF HEALTH 6. DEKALB COUNTY COMMUNITY DEVELOPMENT 7. DEKALB COUNTY COMMUNITY FOUNDATION 8. DEKALB COUNTY HEALTH DEPARTMENT 9. DEKALB COUNTY MENTAL HEALTH BOARD AND COMMUNITY ACTION 10. DEKALB CUSD 428 11. FAMILY FIRST PHYSICIANS 12. FOX VALLEY YMCA 13. KISHWAUKEE YMCA FINDINGS REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS. AN EXTERNAL STEERING COMMITTEE WAS CONVENED TO PROVIDE OVERSIGHT TO THE DEVELOPMENT OF THE CHNA AND ENGAGE THE COMMUNITY THROUGHOUT THE PROCESS UNDER THE LEADERSHIP AND DIRECTION OF MEMBERS FROM DEKALB COUNTY HEALTH DEPARTMENT, KISHWAUKEE HOSPITAL, AND NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. KISHWAUKEE HOSPITAL WORKED IN TANDEM WITH VALLEY WEST HOSPITAL AND SHARED RESPONSIBILITIES ON A JOINT STEERING COMMITTEE. SPECIFIC NEEDS AND CONCERNS OF KISHWAUKEE COMMUNITY HOSPITAL WERE IDENTIFIED AND ADDRESSED SEPARATELY.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. KISHWAUKEE HOSPITAL COMPLETED A CHNA IN PARTNERSHIP WITH DEKALB COUNTY HEALTH DEPARTMENT. THE TWO ORGANIZATIONS COLLABORATED UNDER THE NAME "TOGETHER FOR A HEALTHIER DEKALB COUNTY" FOR THE PURPOSE OF THE CHNA. THE TOGETHER FOR A HEALTHIER DEKALB COUNTY STEERING COMMITTEE, MADE UP OF EMPLOYEES FROM BOTH ORGANIZATIONS, UTILIZED THE ASSESSMENT TOOL OF MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) IN JANUARY 2018. MAPP IS A COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: 1. Key Community Organizations & Leaders 2. Internal & External Steering Committee Members 3. Kishwaukee Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL. Northwestern Medicine Kishwaukee Hospital (NMKH) completed a comprehensive Community Health Needs Assessment (CHNA) to identify the highest priority health needs of residents within our community, and use this information to guide new and existing efforts to improve the overall health of the populations served. The goals of the CHNA was to implement a structured data driven approach to determine health status, behaviors, and needs of all residents in the NMKH service area. Through this assessment and prioritization process NMKH identified four health priority needs; adolescent health, behavioral health/mental health, chronic disease (cardiovascular disease and cancer), and maternal child health. Specific ways in which NMKH is addressing the needs identified in the CHNA are defined as follows: Priority 1: Adolescent Health Adolescents (age 10 to 19) make up 16 percent of the DeKalb County population. The behavioral patterns established during these developmental periods can help determine young people's current health status and their risk for developing chronic disease during adulthood. Health and social problems that may start or peak during these years; including; mental disorders, substance use, smoking/nicotine use, nutrition and weight conditions, sexually transmitted infections, teen pregnancy, homelessness, homicide, suicide and motor vehicle collisions. Effective programs and policies that address these issues can provide protective factors during these important stages in a person's life. 1.1: Advocate for use of evidence based anti-bullying curriculum in schools. To decrease the percentage of adolescents reporting being bullied in the past 12 months, as related to name calling, physical threats, hitting, punching, kicking, pushing or cyber bullying. Adolescents who report another student has ever bullied (reported at least 1 type of bullying) in the past 12 months as identified by the IYS: 48 percent of 8th graders, 37 percent of 10th graders, and 33 percent of 12th graders. Discussions with the DeKalb County Health Department to consider requesting funding for money to support an evidence based anti-bullying curriculum. Youth prevention education is delivered to two school districts; DeKalb, and Genoa-Kingston. Skill development is the core of the evidence based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2019, 209 students in grade 6 at Clinton Rosette Middle School, DeKalb and 113 students in grade 7 at Genoa Kingston Middle School, Genoa received the curriculum. 1.2: Collaborate with schools to address depression and substance use among adolescents utilizing evidence based interventions and education. Youth prevention education is delivered to two school districts; DeKalb and Genoa-Kingston. Skill development is the core of the evidence based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2019, 209 students in grade 6 at Clinton Rosette Middle School, DeKalb and 113 students in grade 7 at Genoa Kingston Middle School, Genoa received the curriculum. 1.3: Deliver an evidence based Youth Prevention Program Education model program aimed at reducing alcohol use to an entire grade level of 6th - 12th grade students. Youth prevention education is delivered to two school districts; DeKalb and Genoa-Kingston. Skill development is the core of the evidence based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2019, 209 students in grade 6 at Clinton Rosette Middle School, DeKalb and 113 students in grade 7 at Genoa Kingston Middle School, Genoa received the curriculum. 1.4: Implement a communication campaign addressing the contributing factors related to past 30-day alcohol use. The Illinois Youth Survey (IYS) 2018 data reports past 30-dayuse of alcohol for DeKalb County as follows: 12% of 8th grade students, 28% of 10th grade students, and 43% of 12th grade students. In partnership DeKalb County High Schools including; Hiawatha, Genoa-Kingston, Indian Creek, Sandwich and Sycamore a nine-month communication campaign is delivered. During the nine-month campaign, primary messages must be changed every 6 weeks and reach a majority of the student population. Secondary messages are changed every 12 weeks during the campaign. Total number of students impacted by primary and secondary messages was 2879 students (unduplicated population). 1.5: Engage local school districts in DeKalb County to participate in the Illinois Youth Survey. During a non-survey year (current reporting year) engage the districts to review the latest IYS data. To continue to ensure at least an 80% participation rate in the IYS throughout DeKalb County Schools, presentations on the 2018 IYS data was given during a DeKalb County Superintendents Monthly Regional Office of Education meeting, seven school districts leaders were present. Additionally, all DeKalb County schools received communication about the importance of understanding the IYS data and an invitation to have NM staff meet with districts to discuss the findings. 1.6: Provide an evidence based curriculum focusing on causes and risk factors of brain and spinal cord injury, injury prevention measures and the use of safety habits at an early age. The Think First curriculum was offered to 1,298 children in 20 different schools throughout the county. The program fit and distributed 1,137 bike helmets to students. 1.7: Provide Kids Can Cook classes at the Leishman Center for Culinary Health to promote healthy cooking, using fresh ingredients, healthy eating and appropriate culinary skills to participants. Kids Can Cook classes were offered twelve times, reaching 91 youth. Additional adolescent and youth classes were offered six times, reaching 47 total students. These classes include programs and partnerships with the Girls Scouts of American and Behavioral Health DBT Teens support group. 1.8: Directly or indirectly support activities related to smoking prevention programs in school age children. Catch My Breath is a prevention program that provides students will skills to resist peer pressure and media influences to try E-Cigarettes. Locally, the program was taught 6 times (3 sessions per class) to 6th grade students in Genoa Kingston Middle School and 376 students were reached through the program. 1.9: Provide evidence based program for students in grades 6-8 to be safe when they are home alone or watching younger siblings. In an effort to increase knowledge and skills related to prevention of unsafe situations, what to do in an emergency, and manage behavior that helps students stay in control of themselves and other in their care the Safe Sitter program was presented six times and 59 students completed the program. 1.10: Provide the evidence based program Coordinated Approach to Child Health (CATCH) to students to create behavior changes in students to identify health foods and increase physical activity. CATCH is a program delivered in collaboration by the DeKalb County Health Department, Kishwaukee Family YMCA, Northern Illinois University (NIU), and NMKH. The program is delivered to Sycamore School District and Genoa Kingston School district. In Sycamore, three elementary school's grades K-5 received CATCH lessons (6 lessons per grade level) through the school year impacting 1120 students. In Genoa Kingston, grades K-6th receive CATCH lessons (6 lessons per grade level) throughout the school year, impacting 810 students.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL. Priority 2: Behavioral Health and Substance Abuse Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with others and the ability to adapt to change and to cope with challenges. Mental health is essential to personal well-being, family and interpersonal relationships and the ability to contribute to society. Mental disorders are among the most common and costly causes of disability. Mental and physical health are closely connected. Inpatient hospital admission data analysis found the most frequent Medicare Severity Diagnostic Related Groups (MS-DRGs) assigned to DeKalb County residents is psychoses; this is three times higher than the next most frequent MS-DRG. 2.1: Support policy and efforts in becoming Trauma Informed Community. Trauma is highly prevalent and can impact a person at any time during their lifespan and may present as mental health, substance use or physical health conditions. A trauma informed approach includes; realizing the widespread impact of trauma and understands potential paths for recovery, recognizing the signs and symptoms of trauma in clients, families, staff, and others involved with the system, responds by fully integrating knowledge about trauma into policies, procedures, and practices, resists re-traumatization. Identification of key departments and inquiry of education around trauma informed practices. Opportunity to create a team to discuss feasibility of project and project charter. 2.2: Support efforts to eliminate the stigma of mental health. To education the public on negative attitudes and beliefs regarding behavioral health by increasing the proportion of DeKalb County organizations to complete Mental Health First Aid course to increase awareness and decrease stigma related to mental health. Mental Health First Aid training for adults was offered four times and impacted 90 individuals. Mental Health Frist Aid for youth training was offered two times and served 47 people. A total of 137 participants who participated in trainings completed the course example with a passage rate of 100%. 2.3: Reduce high-risk opioid prescribing through provider education and guidelines. To reduce the number of prescribed opiate drugs as measured by the IDPH Opioid Dashboard. Opioid prescribing summary; total opioid prescriptions at NMKH 559. Average number of pills at discharge 11; percentage on target number of pills at discharge is 84.7%; percentage above target number of pills at discharge is 15.3%. 2.4: Implement a communication campaign addressing alcohol use by teens in local school districts. The Illinois Youth Survey (IYS) 2018 data reports past 30-dayuse of alcohol for DeKalb County as follows: 12% of 8th grade students, 28% of 10th grade students, and 43% of 12th grade students. In partnership DeKalb County High Schools including; Hiawatha, Genoa-Kingston, Indian Creek, Sandwich and Sycamore a nine-month communication campaign is delivered. During the nine-month campaign, primary messages must be changed every 6 weeks and reach a majority of the student population. Secondary messages are changed every 12 weeks during the campaign. Total number of students impacted by primary and secondary messages was 2879 students (unduplicated population). 2.5: Raise awareness of the drug take back programs in the service area. Working in partnership with the following local law enforcement offices: DeKalb Police Department, DeKalb County Sheriff's Office, Kingston Police Department, Sandwich Police Department and Sycamore Police Department to decrease the opportunity for diversion of non-prescribed prescription drugs and opioids. A total of 333 pounds of unwanted, unused, or expired medication was disposed of throughout DeKalb County in either permanent drug take back boxes or during National Drug Take Back Day. 2.6: Increase drug prevention programs in communities and schools targeted at opioid misuse and prescription drug abuse. To educate on the risks of opioid and prescription drug use a lesson specific to opioid misuse and abuse is delivered as part of the youth prevention education programming taking place at Clinton Rosette Middle School, Genoa Kingston Middle School, and Sandwich Middle School. At Clinton Rosette 209 students received the lesson, at Genoa Kingston 113 students received the lesson, and at Sandwich 141 students received the lesson. 2.7: Participate on the DeKalb County Overdose Prevention Program Taskforce. A group of government leaders, healthcare organizations, and law enforcement which gather to discuss strategies to reduce the number of fatal opioid related overdoses in DeKalb County. NMKH staff attended three task force scheduled meetings. Because of the taskforce over 50 people from various organizations have been trained using the train the trainer model on the use of Naloxone and provided a supply for their organization. PRIORITY 3: Chronic Disease - Cancer Cancer remains the second leading cause of mortality in the United States (Center for Disease Control and Prevention, 2012) and of DeKalb County residents. By cancer site, lung cancer is the most common site for both genders. The leading male cancer site deaths are lung, colorectal, and prostate, while the leading female cancer site deaths are lung, breast, and colorectal. 3.1: Educate the community on importance of screening for cancer and early detection. Promotion of Low Dose CT Lung Cancer Screening - screening promoted at community events and with worksite wellness organizations. 568 community members received the information promoting Low Dose CT Lung Screening. 3.2: Offer free or reduced cost mammograms for targeted populations. Women Matter program is designed to provide screening mammography services at no cost to women who do not have insurance coverage in DeKalb County. Efforts are made to promote tis free and reduced cost open for women with the following criteria; between the ages of 40-64 years of age, reside within DeKalb County, and no insurance/underinsured or high deductible plan. Information about this program is shared at various event throughout the community during the fiscal year. A total of 19 patients were screened through Women Matter and of these two patients required additional follow-up. 3.3: Offer educational programs on smoking cessation in the community. The American Respiratory Associations, Courage to Quit smoking cessation programs are offered throughout the year to the community and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. During the fiscal year there were five Courage to Quit classes and four completed referrals to the Illinois Quit Line. 3.4: Promote the availability of smoking cessation classes and the Illinois Quit Line. The American Respiratory Associations, Courage to Quit smoking cessation programs are offered throughout the year to the community and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. Additionally, the Illinois Quit Line is an underutilized resource for smoking cessation support. NMKH community health services department worked with the respiratory therapy department to get information related to the IL Quit Line and current Courage to Quit classes in the hands of patients who need this information. During the fiscal year there were five Courage to Quit classes and four completed referrals to the Illinois Quit Line. There was also a team created for the standardization of smoking cessation effort led by Bluhm Cardiovascular and Community Health Services. 3.5: Directly or indirectly support activities related to smoking prevention programs in school age children. NMKH works to support activities related to smoking prevention programs in school age children through collaboration with local school districts. CATCH My Breath is a prevention program that provides students with skills to resist peer pressure and media influences to try electronic nicotine delivery systems, commonly known as e-cigarettes. Locally this program was taught six times (three lessons per class) to 376 sixth grade students.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL. 3.6: Partner with the DeKalb County Health Department staff to educate the Women, Infant, and Children (WIC) population on the effects of smoking during pregnancy and/or effects of secondhand smoke. NMKH supports the work of DeKalb county Health Department's Women, Infants and Children (WIC) population on the effects of smoking during pregnancy. In partnership with the DeKalb County Health Department campaign material with designated messaging related to the effects of smoking during pregnancy and exposure to second hand smoke is given to clients at a WIC appointment. Reported numbers available from the health department indicated 248 women completing pregnancy, of which 14 identified as utilizing tobacco. Of those who reported smoking, 71 percent decreased of quit completely. PRIORITY 4: Cardiovascular Disease Cardiovascular Disease, principally heart disease is the leading cause of death in the United States, with stroke following as the third leading cause. Together, heart disease and stroke are among the most widespread and costly health problems facing our nation today, accounting for more than $500 billion in healthcare expenditures. Healthy People 2020 stresses that the risk of Americans developing and dying from cardiovascular disease would be substantially reduced if changes were made in diet, physical activity and management of high blood pressure, cholesterol and smoking. In planning to address this health priority within the community, hospitals can positively impact the health burdens of all chronic disease by addressing the disease across the continuum of lifespan. 4.1: Promote Know Your Numbers, an evidence based approach to community awareness of cardiovascular disease. Better prevention of and the management of high cholesterol, high blood pressure or diabetes to help lower the risk for heart disease is a key component to the Know Your Numbers biometric screening appointments. A screening designed to provide a participant with their individual cardiovascular risk factors including fasting glucose, total cholesterol, Body Mass Index (BMI), blood pressure and waist measurement. Lifestyle changes such as quitting or never smoking, limiting alcohol use, exercising and eating healthy all lower risk for cardiovascular disease and are thoroughly discussed during the screening appointments. Community members have access to this complimentary screening and appointments are available monthly. 112 community members participated in the screening. Additionally, blood pressure checks are offered weekly free of charge for community members and patients at two locations; Kishwaukee Hospital and NM Genoa clinic. The goal of offering the blood pressure checks is to improve awareness of one's own blood pressure number, an indicator used for heart disease risk factors. 2009 people participated in blood pressure screenings during the fiscal year. Of those screened patients with a B/P greater than 120/80 is 78.5 percent. 4.2: Offer educational sessions for targeted populations to address prevention of cardiovascular disease through healthy diet and cooking programs at the Leishman Center for Culinary Health and through the DASH program to manage high blood pressure. The Leishman Center for Culinary Health offers a variety of natural, whole foods cooking classes designed to help participants make simple changes for a healthier lifestyle. Classes offered in the center include disease specific offerings such as Eat to Beat: Cancer and Eat to Beat: Heart Disease. The philosophy of the Leishman Center is focused around eating real food, which support the mission of the department in tackling chronic illness, disease and obesity. The Leishman Center for Culinary Health reached more than 1,100 participants through 123 in house classes and external programs. 4.3: Identify and implement a community education program to increase awareness on sodium and promote sodium reduction in the diet. Increase awareness on the daily consumption of sodium and its impact on high blood pressure, which is a leading risk factor for cardiovascular disease. As part of larger community events, NMKH participated in seven community opportunities to share information related to sodium consumption, reading a nutrition label to identify sodium on the label, and helpful tips for reducing sodium in the diet, this evidence based information is from the American Heart Association. The development and implementation of the program called Managing your Blood Pressure with the DASH (Dietary Approaches to Stop Hypertension) Diet was also implemented. The DASH program outcomes and metrics were developed during this fiscal year. The class continues to be offered on a quarterly basis. 4.4: Provide the evidence based program; Coordinated Approach to Child Health (CATCH) to students to create behavior changes in students to identify health foods and increase physical activity. CATCH is a program delivered in collaboration by the DeKalb County Health Department, Kishwaukee Family YMCA, Northern Illinois University (NIU), and NMKH. The program is delivered to Sycamore School District and Genoa Kingston School district. In Sycamore, three elementary school's grades K-5 received CATCH lessons (6 lessons per grade level) through the school year impacting 1120 students. In Genoa Kingston, grades K-6th receive CATCH lessons (6 lessons per grade level) throughout the school year, impacting 810 students. 4.5: Offer community based programs to increase awareness, educate and screen for hypertension and related health conditions. MyHealthMatters is a worksite wellness program offered to the businesses and organizations in our community. Several program options offer the tools, resources, and support employees need to meet health-related goals, such as losing weight, tobacco cessation, healthy eating, exercising regularly and reducing stress. During the fiscal year, 274 community members participated in worksite wellness screenings throughout the community. From those participants, the following results were obtained: 52% of participants presented with blood pressure values outside of the normal range, 39% of participants screened as either borderline high or high cholesterol levels, 24% of participants had ranges indicative of pre-diabetes or diabetes range. 16% of participants who had a lab range outside of normal, indicated no primary care physician and were provided with an NM Provider list. 4.6: Offer the American Heart Association CPR program. This American Heart Association course is designed for anyone who wants to learn basic CPR. Participants learn how to perform CPR on adults, children, and infants and how to help an adult, child, or infant who is choking. These classes were offered six times with 74 participants in attendance. 4.7: Provide resources and tools to patients diagnosed with heart failure to improve self-management skills and quality of life. Kishwaukee Hospital's Community Based Heart Failure Program started seeing patients in November 2018. Through May 2019, 46 patients were enrolled with 94% compliance with system tracker, 100% of patients able to identify action needed for worsening of symptoms, 83% of patients able to identify two cardiac medications, 100% of patients using a medication system, 95% of patients receiving a home visit within 7 days of hospital discharge and 73% of patients followed-up with their physician within 7 days. PRIORITY 5: Maternal Child Health According to the Centers for Disease Control and Prevention, safe motherhood begins before conception with good nutrition and a healthy lifestyle. It continues with appropriate prenatal care with the ideal result being a full-term pregnancy without unnecessary interventions and the delivery of a healthy baby. In addition, it includes a healthy postpartum period in a positive environment that supports the physical and emotional needs of the mother, baby and family. The number of births in DeKalb County for 2016 was 1,093. Notably, there has been a decrease in births over the past three years within DeKalb County. The overall teen birth rate in DeKalb County per 1,000 population is 15.7 5.1: To assess capacity to provide referral systems for smoking cessation among pregnant women and Offer Courage to Quit smoking cessation program. NMKH community wellness continued to offer ongoing sessions of the Respiratory Health Association's Courage to Quit smoking cessation programs to women who are receiving services at the DeKalb County Health Department. From 1/1/2019 - 3/31/2019, 90 women completing pregnancy, 3 total smokers, 3 quit (100%) and from 4/1/2019 - 6/30/2019, 74 women completing pregnancy, 6 total smokers, 3 quit (50%) and an additional decreased, 66.7% decreased or quit this quarter.
Schedule H, Part V, Section B, Line 11 Facility , 4	Facility , 4 - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL. 5.2: Support messaging related to The Basics of DeKalb County. Staff met with the Basics Coordinator, hired by DeKalb County to lead this initiative. The hospital will stay committed to supporting the mission of The Basics DeKalb County. The health department received funding from NMKH community benefit dollars to support messaging and the creation of a space dedicated to the work of The Basics within the health department waiting area. 5.3: Update childbirth education classes to include messaging on domestic violence and resources available for referral. Programmatic slides updated to include information related to domestic violence resources available in DeKalb County. Working with Safe Passage to have stickers provided to adhere to participants folders to ensure no class participants will miss the options of resources available. 5.4: Investigate opportunities to increase referrals to the Breastfeeding Center to WIC clients at the DeKalb County Health Department FY19 a total of 35 prenatal lactation consults. Of those 35 consults, 10 were WIC clients who had received a referral. Total of 380 initial lactation consults (1st visit to the center) and 584 follow-up lactation consults for a total of 965 one-on-one consults. Of these 965 consults, approximately 30% were WIC clients. 1,271 calls on the warm line. Of those, approximately 40% are WIC clients. Transportation challenges have always contributed to a higher propensity of call vs. in person visits. 5 walk-in consults - these are consults who most often come to the center without a scheduled appointment directly after being seen by the Peds. When there is availability to see walk-in patients in the center, the patient is marked as a "walk-in". 100% of walk-in clients were WIC clients. 5.5: Investigate the feasibility of offering a childbirth education class in Spanish. Continue to investigate the feasibility of offering childbirth education in Spanish. Online computer system does offer a program in Spanish. Need to assess need with additional input from the health department and women being seen through their Women, Infant and Children clinic. 5.6: Partner with the DeKalb County Health Department on a media campaign focused on the effects of secondhand smoke and/or smoke free homes and cars NMKH supports the work of DeKalb county Health Department's Women, Infants and Children (WIC) population on the effects of smoking during pregnancy. In partnership with the DeKalb County Health Department meetings were held and campaign material designed with messaging related to the effects of smoking during pregnancy and exposure to second hand smoking. This material is given to Clients of the health department at each visit to discuss the harmful effects of smoking, secondhand smoke, and the benefits of smoke free living spaces and vehicles. Approximately 400 clients in the WIC program received information. The CHNA report identified area of opportunity for health improvement for which NMKH and its external committee determined it would not prepare an implementation plan and strategy. These identified areas and the reason for not addressing are listed below: NON-PRIORITY: Access to Health Services Access to health services ranked as a concern that will be addressed within the health priorities selected through the MAPP process. NON-PRIORITY: Environmental Health There are programs and initiative available through other organizations within DeKalb County to address Environmental Health. NON-PRIORITY: Health Communication/HIT NMKH utilizes tools such as the Electronic Medical Record as a way to continue to assist patients and community members with Health Information Technology. NON-PRIORITY: Infectious Disease/STI There are programs and initiatives available through other organizations within DeKalb County to address infectious disease and STIs. NON-PRIORITY: Injury and Violence There are programs and initiatives available through other organizations within DeKalb County to address injury and violence. NON-PRIORITY: Social Determinants of Health Social Determinants of Health ranked as a concern that will be addressed within the health priorities selected through the MAPP process.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - KISHWAUKEE COMMUNITY HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - KISHWAUKEE COMMUNITY HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. The CHNA report also describes Valley West Hospital background, charity care, the mission, CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. PARTNERING WITH DEKALB COUNTY HEALTH DEPARTMENT, THE CHNA PROCESS INCLUDED A SURVEY ADMINISTERED TO COMMUNITY PARTNERS, THEIR EMPLOYEES, AND CLIENTS, TO ALLOW RESPONSES FROM LOW-INCOME AREAS, MENTAL HEALTH CLINICS, YOUTH ORGANIZATIONS AND FOOD PANTRIES. REPRESENTATIVES OF THE COMMUNITY INCLUDED: 1. ADVENTURE WORKS DEKALB 2. CITY OF DEKALB 3. CITY OF SYCAMORE 4. DEKALB COUNTY NON-PROFIT PARTNERSHIP 5. DEKALB COUNTY BOARD OF HEALTH 6. DEKALB COUNTY COMMUNITY DEVELOPMENT 7. DEKALB COUNTY COMMUNITY FOUNDATION 8. DEKALB COUNTY HEALTH DEPARTMENT 9. DEKALB COUNTY MENTAL HEALTH BOARD AND COMMUNITY ACTION 10. DEKALB CUSD 428 11. FAMILY FIRST PHYSICIANS 12. FOX VALLEY YMCA 13. KISHWAUKEE YMCA FINDINGS REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS. AN EXTERNAL STEERING COMMITTEE WAS CONVENED TO PROVIDE OVERSIGHT TO THE DEVELOPMENT OF THE CHNA AND ENGAGE THE COMMUNITY THROUGHOUT THE PROCESS UNDER THE LEADERSHIP AND DIRECTION OF MEMBERS FROM DEKALB COUNTY HEALTH DEPARTMENT, KISHWAUKEE HOSPITAL, AND NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. VALLEY WEST HOSPITAL WORKED IN TANDEM WITH KISHWAUKEE HOSPITAL AND SHARED RESPONSIBILITIES ON A JOINT STEERING COMMITTEE. SPECIFIC NEEDS AND CONCERNS OF VALLEY WEST HOSPITAL WERE IDENTIFIED AND ADDRESSED SEPARATELY.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. VALLEY WEST HOSPITAL PARTNERED WITH DEKALB COUNTY HEALTH DEPARTMENT UNDER THE NAME "TOGETHER FOR A HEALTHIER DEKALB COUNTY" AND UTILIZED THE ASSESSMENT TOOL OF MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP). THIS COLLABORATION ENGENDERED BROADER THINKING ABOUT COMMUNITY NEEDS FOR THE VALLEY WEST COMMUNITY.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: 1. Key Community Organizations & Leaders 2. NMVWH Internal & External Steering Committee Members 3. Northwestern Medicine Valley West Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. Northwestern Medicine Valley West Hospital (NMVW) completed a comprehensive Community Health Needs Assessment (CHNA) to identify the highest priority health needs of residents within our community, and use this information to guide new and existing efforts to improve the overall health of the populations served. The goals of the CHNA was to implement a structured data driven approach to determine health status, behaviors, and needs of all residents in the NMVW service area. Through this assessment and prioritization process NMVW identified four health priority needs; adolescent health, behavioral health/mental health, chronic disease (cardiovascular disease and cancer), and maternal child health. Specific ways in which NMVW is addressing the needs identified in the CHNA are defined as follows: Priority 1: Adolescent Health Adolescents (age 10 to 19) make up 16 percent of the DeKalb County population. The behavioral patterns established during these developmental periods can help determine young people's current health status and their risk for developing chronic disease during adulthood. Health and social problems that may start or peak during these years include mental disorders, substance use, smoking/nicotine use, nutrition and weight conditions, sexually transmitted infections, teen pregnancy, homelessness, homicide, suicide and motor vehicle collisions. Effective programs and policies that address these issues can provide protective factors during these important stages in a person's life. 1.1: Advocate for use of evidence based anti-bullying curriculum in schools. To decrease the percentage of adolescents reporting being bullied in the past 12 months, as related to name calling, physical threats, hitting, punching, kicking, pushing or cyber bullying. Adolescents who report another student has ever bullied (reported at least 1 type of bullying) in the past 12 months as identified by the IYS: 48 percent of 8th graders, 37 percent of 10th graders, and 33 percent of 12th graders. Discussions with the DeKalb County Health Department to consider requesting funding for money to support an evidence based anti-bullying curriculum. Youth prevention education is delivered to Sandwich school district. Skill development is the core of the evidence based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2019, 118 students in grade 5 at Herman E Dummer Elementary School, Sandwich and 141 students in grade 6 at Sandwich Middle School, Sandwich received the curriculum. 1.2: Collaborate with schools to address depression and substance use among adolescents utilizing evidence based interventions and education. Youth prevention education is delivered to Sandwich school districts. Skill development is the core of the evidence based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2019, 118 students in grade 5 at Herman E Dummer Elementary School, Sandwich and 141 students in grade 6 at Sandwich Middle School, Sandwich received the curriculum. 1.3: Deliver an evidence based Youth Prevention Program Education model program aimed at reducing alcohol use to an entire grade level of 6th - 12th grade students. Youth prevention education is delivered to Sandwich school district. Skill development is the core of the evidence based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2019, 118 students in grade 5 at Herman E Dummer Elementary School, Sandwich and 141 students in grade 6 at Sandwich Middle School, Sandwich received the curriculum. 1.4: Implement a communication campaign addressing the contributing factors related to past 30-day alcohol use. The Illinois Youth Survey (IYS) 2018 data reports past 30-dayuse of alcohol for DeKalb County as follows: 12% of 8th grade students, 28% of 10th grade students, and 43% of 12th grade students. In partnership DeKalb County High Schools including; Hiawatha, Genoa-Kingston, Indian Creek, Sandwich and Sycamore a nine-month communication campaign is delivered. During the nine-month campaign, primary messages must be changed every 6 weeks and reach a majority of the student population. Secondary messages are changed every 12 weeks during the campaign. Total number of students impacted by primary and secondary messages was 2879 students (unduplicated population). 1.5: Engage local school districts in DeKalb County to participate in the Illinois Youth Survey. During a non-survey year (current reporting year) engage the districts to review the latest IYS data. To continue to ensure at least an 80% participation rate in the IYS throughout DeKalb County Schools, presentations on the 2018 IYS data was given during a DeKalb County Superintendents Monthly Regional Office of Education meeting, seven school districts leaders were present. Additionally, all DeKalb County schools received communication about the importance of understanding the IYS data and an invitation to have NM staff meet with districts to discuss the findings. 1.6: Provide an evidence based curriculum focusing on causes and risk factors of brain and spinal cord injury, injury prevention measures and the use of safety habits at an early age. The Think First curriculum was offered to 1,298 children in 20 different schools throughout the county. The program fit and distributed 1,137 bike helmets to students. 1.7: Provide Kids Can Cook classes at the Leishman Center for Culinary Health to promote healthy cooking, using fresh ingredients, healthy eating and appropriate culinary skills to participants. Kids Can Cook classes were offered twelve times, reaching 91 youth. Additional adolescent and youth classes were offered six times, reaching 47 total students. These classes include programs and partnerships with the Girls Scouts of American and Behavioral Health DBT Teens support group. 1.8: Directly or indirectly support activities related to smoking prevention programs in school age children. NMVW works to support activities related to smoking prevention programs in school age children through collaboration with local school districts. The prevention program provides students with skills to resist peer pressure and media influences to try nicotine delivery systems, commonly known as E-Cigarettes. This program was offered in Sandwich and Somonauk school districts and reached 229 students. 1.9: Provide evidence based program for students in grades 6-8 to be safe when they are home alone or watching younger siblings. In an effort to increase knowledge and skills related to prevention of unsafe situations, what to do in an emergency, and manage behavior that helps students stay in control of themselves and other in their care the Safe Sitter program was presented six times and 59 students completed the program.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. Priority 2: Behavioral Health and Substance Abuse Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with others and the ability to adapt to change and to cope with challenges. Mental health is essential to personal well-being, family and interpersonal relationships and the ability to contribute to society. Mental disorders are among the most common and costly causes of disability. Mental and physical health are closely connected. Inpatient hospital admission data analysis found the most frequent Medicare Severity Diagnostic Related Groups (MS-DRGs) assigned to DeKalb County residents is psychoses; this is three times higher than the next most frequent MS-DRG. 2.1: Support policy and efforts in becoming Trauma Informed Community. Trauma is highly prevalent, can impact a person at any time during their lifespan and may present as mental health, substance use or physical health conditions. A trauma informed approach includes realizing the widespread impact of trauma and understanding potential paths for recovery. It also includes recognizing the signs and symptoms of trauma in clients, families, staff, and others involved with the system, and responding by fully integrating knowledge about trauma into policies, procedures, and practices, resists re-traumatization. This strategy focused on identification of key departments, an inquiry of education around trauma informed practices, and the opportunity to create a team to discuss the feasibility of the project and project charter. 2.2: Support efforts to eliminate the stigma of mental health. The goal of this strategy is to educate the public on negative attitudes and beliefs regarding behavioral health by increasing the proportion of DeKalb County organizations that complete a Mental Health First Aid (MHFA) course. MHFA is designed to increase awareness and decrease stigma related to mental health. Within the NMVWH community service area, MHFA training for adults was offered four times and impacted 90 individuals. MHFA for youth training was offered two times and served 47 people. A total of 137 participants who participated in trainings completed the course example with a passage rate of 100%. 2.3: Reduce high-risk opioid prescribing through provider education and guidelines. To reduce the number of prescribed opiate drugs as measured by the IDPH Opioid Dashboard. Opioid prescribing summary; total opioid prescriptions at NMVW 63. Average number of pills at discharge 17; percentage on target number of pills at discharge is 62.1 percent. Percentage above target number of pills at discharge is 37.9 percent. 2.4: Implement a communication campaign addressing alcohol use by teens in local school districts. The Illinois Youth Survey (IYS) 2018 data reports past 30-dayuse of alcohol for DeKalb County as follows: 12% of 8th grade students, 28% of 10th grade students, and 43% of 12th grade students. In partnership DeKalb County High Schools including; Hiawatha, Genoa-Kingston, Indian Creek, Sandwich and Sycamore a nine-month communication campaign is delivered. During the nine-month campaign, primary messages must be changed every 6 weeks and reach a majority of the student population. Secondary messages are changed every 12 weeks during the campaign. Total number of students impacted by primary and secondary messages was 2879 students (unduplicated population). 2.5: Raise awareness of the drug take back programs in the service area. NMVWH worked in partnership with the local law enforcement offices, including DeKalb Police Department, DeKalb County Sheriff's Office, Kingston Police Department, Sandwich Police Department and Sycamore Police Department, to decrease the opportunity for diversion of non-prescribed prescription drugs and opioids. A total of 333 pounds of unwanted, unused, or expired medication was disposed of throughout DeKalb County in either permanent drug take back boxes or during National Drug Take Back Day. 2.6: Increase drug prevention programs in communities and schools targeted at opioid misuse and prescription drug abuse. This strategy focused on education of the risks of opioid and prescription drug use. A lesson specific to opioid misuse and abuse was delivered as part of the youth prevention education programming taking place at Clinton Rosette Middle School, Genoa Kingston Middle School, and Sandwich Middle School. At Clinton Rosette 209 students received the lesson, at Genoa Kingston 113 students received the lesson, and at Sandwich 141 students received the lesson. 2.7: Participate on the DeKalb County Overdose Prevention Program Taskforce. A group of government leaders, healthcare organizations, and law enforcement personnel gather to discuss strategies to reduce the number of fatal opioid related overdoses in DeKalb County. NM staff attended three task force scheduled meetings. Because of the taskforce efforts, over 50 people from various organizations have been trained on the proper use of Naloxone and have received a supply of Naloxone for their organization. PRIORITY 3: Chronic Disease - Cancer Cancer remains the second leading cause of mortality in the United States (Center for Disease Control and Prevention, 2012) and of DeKalb County residents. By cancer site, lung cancer is the most common site for both genders. The leading male cancer site deaths are lung, colorectal, and prostate, while the leading female cancer site deaths are lung, breast, and colorectal. 3.1: Educate the community on importance of screening for cancer and early detection. Low Dose CT Lung Cancer Screening were promoted at community events and worksite wellness organizations. 568 community members received the information promoting Low Dose CT Lung Screening. 3.2: Offer free or reduced cost mammograms for targeted populations. The Women Matter program is designed to provide screening mammography services at no cost to women who do not have insurance coverage in DeKalb County. Efforts are made to promote this program, which is open to women between the ages of 40-64 years, who reside within DeKalb County, and have no insurance, are underinsured or have high deductible plan. Information about this program is shared at various event throughout the community during the fiscal year. A total of 19 patients were screened through Women Matter, and of these, two patients required additional follow-up. 3.3: Offer educational programs on smoking cessation in the community. The American Respiratory Association's Courage to Quit smoking cessation programs are offered throughout the year to the community organizations and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. During the fiscal year there were five Courage to Quit classes and four completed referrals to the Illinois Quit Line. 3.4: Promote the availability of smoking cessation classes and the Illinois Quit Line. The Illinois Quit Line is an underutilized resource for smoking cessation support. NMVW community health services department worked with the respiratory therapy department to get information related to the IL Quit Line and current Courage to Quit classes in the hands of patients who need this information. During the fiscal year there were five Courage to Quit classes and four completed referrals to the Illinois Quit Line. There was also a team created for the standardization of smoking cessation effort led by Bluhm Cardiovascular and Community Health Services. 3.5: Directly or indirectly support activities related to smoking prevention programs in school age children. NMVW works to support activities related to smoking prevention programs in school age children through collaboration with local school districts. The prevention program provides students with skills to resist peer pressure and media influences to try nicotine delivery systems, commonly known as E-Cigarettes. This program was offered in Sandwich and Somonauk school districts and reached 229 students.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. 3.6: Partner with the DeKalb County Health Department staff to educate the Women, Infant, and Children (WIC) population on the effects of smoking during pregnancy and/or effects of secondhand smoke. NMVW supports the work of DeKalb county Health Department's Women, Infants and Children (WIC) population on the effects of smoking during pregnancy. In partnership with the DeKalb County Health Department, campaign material with designated messaging related to the effects of smoking during pregnancy and exposure to second hand smoke is given to clients at a WIC appointment. Reported numbers available from the health department indicated 248 women completing pregnancy, of which 14 identified as utilizing tobacco. Of those who reported smoking, 71 percent decreased of quit completely. Priority 4: Cardiovascular Disease Cardiovascular Disease, principally heart disease, is the leading cause of death in the United States, with stroke following as the third leading cause. Together, heart disease and stroke are among the most widespread and costly health problems facing our nation today, accounting for more than $500 billion in healthcare expenditures. Healthy People 2020 stresses that the risk of Americans developing and dying from cardiovascular disease would be substantially reduced if changes were made in diet, physical activity and management of high blood pressure, cholesterol and smoking. In planning to address this health priority within the community, hospitals can positively impact the health burdens of all chronic disease by addressing the disease across the continuum of lifespan. 4.1: Promote Know Your Numbers, an evidence based approach to community awareness of cardiovascular disease. Better prevention of and the management of high cholesterol, high blood pressure or diabetes to help lower the risk for heart disease is a key component to the Know Your Numbers biometric screening appointments. A screening designed to provide a participant with their individual cardiovascular risk factors including fasting glucose, total cholesterol, Body Mass Index (BMI), blood pressure and waist measurement. Lifestyle changes such as quitting or never smoking, limiting alcohol use, exercising and eating healthy all lower risk for cardiovascular disease and are thoroughly discussed during the screening appointments. Community members have access to this complimentary screening and appointments are available monthly. 47 community members participated in the screening. Additionally, blood pressure checks are offered weekly free of charge for community members and patients at Valley West Hospital. The goal of offering the blood pressure checks is to improve awareness of one's own blood pressure number, an indicator used for heart disease risk factors. 631 people participated in blood pressure screenings during the fiscal year. Patients screened with a blood pressure greater than 120/80 was 74 percent. 4.2: Offer educational sessions for targeted populations to address prevention of cardiovascular disease through healthy diet and cooking programs at the Leishman Center for Culinary Health and through the DASH program to manage high blood pressure. The Leishman Center for Culinary Health offers a variety of natural, whole foods cooking classes designed to help participants make simple changes for a healthier lifestyle. Classes offered in the center include disease specific offerings such as Eat to Beat: Cancer and Eat to Beat: Heart Disease. The philosophy of the Leishman Center is focused around eating real food, which support the mission of the department in tackling chronic illness, disease and obesity. The Leishman Center for Culinary Health reached more than 1,100 participants through 123 in house classes and external programs. 4.3: Identify and implement a community education program to increase awareness on sodium and promote sodium reduction in the diet. Increase awareness on the daily consumption of sodium and its impact on high blood pressure, which is a leading risk factor for cardiovascular disease. As part of larger community events, NMVW participated in seven community opportunities to share information related to sodium consumption, reading a nutrition label to identify sodium on the label, and helpful tips for reducing sodium in the diet, this evidence based information is from the American Heart Association. The development and implementation of the program called Managing your Blood Pressure with the DASH (Dietary Approaches to Stop Hypertension) Diet was also implemented. The DASH program outcomes and metrics were developed during this fiscal year. The class continues to be offered on a quarterly basis. 4.4: Offer community based programs to increase awareness, educate and screen for hypertension and related health conditions. MyHealthMatters is a worksite wellness program offered to the businesses and organizations in our community. Several program options offer the tools, resources, and support employees need to meet health-related goals, such as losing weight, tobacco cessation, healthy eating, exercising regularly and reducing stress. During the fiscal year, 274 community members participated in worksite wellness screenings throughout the community. From those participants, the following results were obtained: 52% of participants presented with blood pressure values outside of the normal range, 39% of participants screened as either borderline high or high cholesterol levels, 24% of participants had ranges indicative of pre-diabetes or diabetes range. 16% of participants who had a lab range outside of normal, indicated no primary care physician and were provided with an NM Provider list. 4.5: Offer the American Heart Association CPR program This American Heart Association course is designed for anyone who wants to learn basic CPR. Participants learn how to perform CPR on adults, children, and infants and how to help an adult, child, or infant who is choking. These classes were offered six times with 74 participants in attendance. Priority 5: Maternal Child Health According to the Centers for Disease Control and Prevention, safe motherhood begins before conception with good nutrition and a healthy lifestyle. It continues with appropriate prenatal care with the ideal result being a full-term pregnancy without unnecessary interventions and the delivery of a healthy baby. In addition, it includes a healthy postpartum period in a positive environment that supports the physical and emotional needs of the mother, baby and family. The number of births in DeKalb County for 2016 was 1,093. Notably, there has been a decrease in births over the past three years within DeKalb County. The overall teen birth rate in DeKalb County per 1,000 population is 15.7 5.1: To assess capacity to provide referral systems for smoking cessation among pregnant women and Offer Courage to Quit smoking cessation program. NMVW community wellness continued to offer ongoing sessions of the Respiratory Health Association's Courage to Quit smoking cessation programs to women who are receiving services at the DeKalb County Health Department. From 1/1/2019 - 3/31/2019, 90 women completing pregnancy, 3 total smokers, 3 quit (100%) and from 4/1/2019 - 6/30/2019, 74 women completing pregnancy, 6 total smokers, 3 quit (50%) and an additional decreased, 66.7% decreased or quit this quarter. 5.2: Support messaging related to The Basics of DeKalb County. Staff met with the Basics Coordinator, hired by DeKalb County to lead this initiative. The hospital will stay committed to supporting the mission of The Basics DeKalb County. The health department received funding from NM community benefit dollars to support messaging and the creation of a space dedicated to the work of The Basics within the health department waiting area. 5.3: Update childbirth education classes to include messaging on domestic violence and resources available for referral. Programmatic slides updated to include information related to domestic violence resources available in DeKalb County. Working with Safe Passage to have stickers provided to adhere to participants folders to ensure no class participants will miss the options of resources available. 5.4: Investigate the feasibility of offering a childbirth education class in Spanish. Continue to investigate the feasibility of offering childbirth education in Spanish. Online computer system does offer a program in Spanish. Need to assess need with additional input from the health department and women being seen through their Women, Infant and Children clinic.
Schedule H, Part V, Section B, Line 11 Facility , 4	Facility , 4 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. 5.5: Partner with the DeKalb County Health Department on a media campaign focused on the effects of secondhand smoke and/or smoke free homes and cars. NMVW supports the work of DeKalb county Health Department's Women, Infants and Children (WIC) population on the effects of smoking during pregnancy. In partnership with the DeKalb County Health Department meetings were held and campaign material designed with messaging related to the effects of smoking during pregnancy and exposure to second hand smoking. This material is given to Clients of the health department at each visit to discuss the harmful effects of smoking, secondhand smoke, and the benefits of smoke free living spaces and vehicles. Approximately 400 clients in the WIC program received information. The CHNA report identified area of opportunity for health improvement for which NMVW and its external committee determined it would not prepare an implementation plan and strategy. Identified areas and the reason for not addressing are listed below: NON-PRIORITY: Access to Health Services. Access to health services ranked as a concern that will be addressed within the health priorities selected through the MAPP process. NON-PRIORITY: Environmental Health. There are programs and initiative available through other organizations within DeKalb County to address Environmental Health. NON-PRIORITY: Health Communication/HIT NMVW utilizes tools such as the Electronic Medical Record as a way to continue to assist patients and community members with Health Information Technology. NON-PRIORITY: Infectious Disease/STI There are programs and initiatives available through other organizations within DeKalb County to address infectious disease and STIs. NON-PRIORITY: Injury and Violence There are programs and initiatives available through other organizations within DeKalb County to address injury and violence. NON-PRIORITY: Social Determinants of Health Social Determinants of Health ranked as a concern that will be addressed within the health priorities selected through the MAPP process.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. THE CHNA REPORT ALSO DESCRIBES MARIANJOY REHABILITATION HOSPITAL BACKGROUND, CHARITY CARE, THE MISSION, CHNA GOALS AND OBJECTIVES, PUBLIC DISSEMINATION PLAN, AND DEVELOPMENT OF THE IMPLEMENTATION PLAN.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS. THE LIST OF PARTICIPANTS WAS PROVIDED BY MARIANJOY REHABILITATION HOSPITAL AND INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 41 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY INCLUDING REPRESENTATIVES OF THE ORGANIZATIONS BELOW: 1. DUPAGE FOUNDATION 2. DUPAGE SENIOR CITIZENS COUNCIL 3. DUPAGE UNITED 4. EDUCARE WEST DUPAGE 5. FOX VALLEY SPECIAL RECREATION ASSOCIATION 6. NAMI DUPAGE 7. NORTHERN ILLINOIS FOOD BANK 8. PEOPLE'S RESOURCE CENTER 9. SAMARACARE 10. SENIOR SERVICES ASSOCIATES, INC. 11. WARRENVILLE PARK DISTRICT 12. WESTERN DUPAGE SPECIAL RECREATION ASSOCIATION 13. WEST CHICAGO PUBLIC LIBRARY DISTRICT 14. WINFIELD PARK DISTRICT THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFIED PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BE BETTER ADDRESSED. FINDING REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE ONLINE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FORM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. IN ADDITION TO PROVIDING THE CHNA REPORT ON THE WEBSITE AND MAKING IT AVAILABLE TO THE PUBLIC UPON REQUEST, THE CHNA REPORT WAS ALSO DISTRIBUTED TO THE FOLLOWING: 1. KEY COMMUNITY ORGANIZATIONS & LEADERS 2. MARIANJOY REHABILITATION HOSPITAL INTERNAL & EXTERNAL STEERING COMMITTEE MEMBERS 3. MARIANJOY REHABILITATION HOSPITAL LEADERSHIP
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. Through the prioritization process, Marianjoy Rehabilitation Hospital (MRH) identified four priority health needs: 1. Access to healthcare services 2. Chronic disease management and rehabilitation 3. Promoting Independence in Individuals with Disabilities 4. Injury Prevention MRH identified priority health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which MRH is addressing the significant needs identified in its most recently conducted CHNA are below. Priority Need 1: Access to healthcare services: MRH ensures that residents of our community have access to high quality medically necessary healthcare services in the most appropriate setting. Dedicated to the delivery of physical medicine and rehabilitation, MRH offers specialty programs for adult and pediatric patients recovering from injury or illness in both the inpatient and outpatient settings. MRH is committed to developing and maintaining programs that address the affordability of and accessibility to healthcare services. Additionally, MRH offers a comprehensive financial assistance program to patients who are unable to afford the cost of necessary medical care. MRH seeks to engage and maintain a multicultural workforce of primary care providers, specialists, midlevel practitioners, registered professional nurses and other specialties committed to working in an evidence-based practice setting by providing a clinical site for educational experiences. The development and implementation of the DuPage County Access to Health Services Action Plan is led by the DuPage Health Coalition. Formerly known as Access DuPage, the Coalition is a collaborative effort by thousands of individuals and hundreds of organizations in DuPage County to provide access to medical services to the county's low-income, medically uninsured residents. The DuPage Health Coalition also operates the Silver Access Program, which provides financial help to lower income families purchasing Health Insurance through the Affordable Care Act's Healthcare Marketplace. In early 2017, the DuPage Health Coalition will open the DuPage Dispensary of Hope, a new free pharmacy program in Wheaton, offered in partnership with DuPage County. MRH leadership and staff work collaboratively with the DuPage Coalition to promote affordable access to care for all residents of DuPage County. MRH will continue to support national and local efforts to increase access to care by providing leadership, investing resources and working collaboratively with other community organizations throughout the county. In conjunction with DuPage Health Coalition's Access DuPage program and independent medical providers, MRH will support the maintenance of an efficient and effective continuum of care for individuals with disabilities, offering inpatient and outpatient rehabilitation services to those in need. 1.1: MRH will offer financial assistance policies that are easily accessible, user-friendly, respectful, and meet all regulatory requirements. Marianjoy integrated the promotion and availability of the financial assistance program within registration, billing and all patient financial interactions. 1.2: MRH will continue to provide medically necessary inpatient and outpatient hospital services to uninsured and underinsured patients in accordance with the hospital's financial assistance policies. MRH tracked the number of individuals and the amount of rendered financial assistance annually. In FY19, 641 patients/services provided, in the amount of $3,430,067 of community care provided. 1.3: MRH will continue to address the needs of individuals identified as potentially eligible for public health insurance by facilitating their application for government-sponsored healthcare coverage via a trained in-person staff who will assist in facilitating enrollment. In FY19, MRH maintained 99% approval rate of applications submitted. 1.4: MRH leadership will continue representation on various task forces and work groups related to the collaborative work occurring on access to care issues. In FY19, MRH continued coordination of monetary support of Access DuPage services. 1.5: MRH will provide low-cost transportation to outpatient appointments. In FY19, MRH provided 7,893 rides through MRH transport services. 1.6: MRH will continue to provide free inpatient and outpatient care to all Access DuPage clients in accordance with presumptive eligibility and existing MRH financial assistance policies. Opportunities to promote coordinated care to needed services for Access DuPage will be evaluated. In FY19, 641 patients/services provided, in the amount of $3,430,067 of community care provided. 1.7: MRH will serve as a training center for physicians, nursing and other allied health professions. Quantitative data, such as the number and types of internships and staff time commitment, was tracked throughout FY19 and maintained 99% approval rate of applications submitted. 1.8: MRH will provide trained professional healthcare interpreters and offer language assistance programs. In FY19, MRH provided a total of $457,622 in interpreter services for MRH patients, including $9,663 on phone interpretation and the remainder on in-person interpretation. Priority Need 2: Chronic disease management and rehabilitation: In general, individuals with disabilities tend to experience higher percentages of health disparities than the larger population. These added challenges can result in further impaired mobility, nutritional deficits and an increased susceptibility to chronic medical conditions. Common precursors of chronic diseases, including physical inactivity, obesity, hypertension and high cholesterol, are more prevalent among persons with disabilities than those without. Despite increased health risks, people with disabilities are rarely targeted by specific health-promotion and disease-prevention efforts. Given the increasing prevalence of disability as the population ages, the need for community health services focusing on the rehabilitation needs of those served will likely increase at a proportional rate. A broad range of intervention exists to address the issue of chronic disease including health education, health screenings, supporting linkages to medical homes, and chronic disease management programs. MRH utilizes a collaborative, evidence-based approach to prevention, screening and chronic disease management aimed at reducing and eliminating many of the prominent contributors to mortality in the United States. Programs such as Access DuPage and Engage DuPage ensure access to routine healthcare, screening, primary care providers, specialists, medications and medical homes. MRH offers a comprehensive financial assistance program to individuals unable to afford the cost of their acute medical care. In addition, the hospital offers a comprehensive array of community education programing and services to support both primary and tertiary interventions. 2.1: MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities. In FY19, MRH staff developed curriculum for the four courses listed below. Follow-up based on course content was tracked through the support groups. 1. Pediatric Oncology 2. Relaxation and Meditation 3. Balance and Fall Risks 4. Behavioral Coaching 2.2: MRH will provide access to the Emerging Fitness Center, including specialty group classes for individuals with specific exercise needs. In FY19, 3,500 sessions were held in the MRH Fitness Center for individuals with disabilities. Many of the participants were prior MRH patients or family members. 2.3: MRH will offer evidence-based support programs in the areas of chronic disease management programmatic venues including but not limited to, self-help and support groups. In FY19, MRH provided the following support groups: 1. Amputee (5 sessions; 54 participants) 2. Parkinson's (4 sessions; 28 participants) 3. Caregiver Support (10 sessions; 29 participants) 4. Stroke (6 sessions; 48 participants) 5. ALS (7 sessions; 142 participants) 6. Aphasia (7 sessions; 170 participants) 7. Connections-Peds (7 sessions; 102 participants) 8. High Hopes- BI (7 sessions; 140 participants) 9. Lives in Motion- SCI (7 sessions; 114 participants) 10. MS (5 sessions; 76 participants)
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - MARIANJOY REHABILITATION HOSPITAL. Priority Need 3: Promoting Independence in Individuals with Disabilities: The physicians and clinicians at MRH are trained in the provision of specialty treatments and rehabilitation for individuals with disabilities resulting from injuries, accidents, illnesses, or congenital defects. Fitness and wellness programs tailored to people with disabilities and other health issues help ensure these vulnerable populations are engaged in moderate physical activity designed to improve strength and increase flexibility, to protect against further disability and enhance functional independence. The addition of the Marianjoy Fitness Center has opened new opportunities for individuals who may not have felt physically able or comfortable in other exercise settings. Throughout the year, MRH offers a variety of free and public classes and lectures (focused on health and wellness) to support and promote the independence of disabled individuals. Additionally, MRH sponsors a variety of support groups at no cost and open to the public including: amputation, aphasia, brain injury, chronic pain, and stroke. MRH works closely with its community partners to promote independence of disabled individuals. Partners include, but are not limited to the DuPage County Health Department, DuPage Federation on Human Service Reform, local school districts, Office of the Secretary of State, and DuPage Workforce Board. 3.1: MRH will provide aquatic programs in a group class setting for adults and children. In FY19, MRH provided 242 patient sessions (3,000 pool sessions provided). Individual goals were established, and PHI documented towards goal attainment. 3.2 MRH will provide services through the Tellabs Center for Neurorehabilitation and Neuroplasticity, an innovative rehab technology designed to support a wide range of patient conditions which benefit from the creation of lasting neuro-pathway changes derived through repetition. In FY19, MRH provided 4,573 sessions using the mobility and upper extremity robotic equipment available in the TCNN. In addition, patients were assessed by therapy experts and individual goals were established. 3.3: The Marianjoy Driver Rehabilitation Program will work with clients utilizing specialized equipment to promote the ability to drive for individuals with disabilities. Participants are provided with a comprehensive appraisal of a person's ability to drive safely. The Driver Rehabilitation Program also provides behind-the-wheel training for students that qualify, and will assist in obtaining the requirements for a driver's license. In FY19, MRH evaluated and/or provided drivers training to 128 students. In addition, a self-reported tracking process was implemented. 3.4: MRH will provide the GoBabyGo program, where therapists and engineers collaborate to retrofit powered toy vehicles to meet the needs of children with disabilities. In FY19, 100 volunteers from the community participated in MRH's GoBabyGo program which served 23 children, 4 of which were new recipients. The program provided four car upgrades from existing participants. 3.5: MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities, including but not limited to the following topic: Life after an amputation. In FY19, MRH staff developed curriculum for the four courses listed below. Follow-up based on course content was tracked through the support groups. 1. Pediatric Oncology 2. Relaxation and Meditation 3. Balance and fall risks 4. Behavioral Coaching 3.6: MRH will offer evidence-based support programs in the areas of promoting independence in programmatic venues including but not limited to, self-help and support groups. In FY19, MRH provided the following support groups: 1. Amputee (5 sessions; 54 participants) 2. Parkinson's (4 sessions; 28 participants) 3. Caregiver Support (10 sessions; 29 participants) 4. Stroke (6 sessions; 48 participants) 5. ALS (7 sessions; 142 participants) 6. Aphasia (7 sessions; 170 participants) 7. Connections-Peds (7 sessions; 102 participants) 8. High Hopes- BI (7 sessions; 140 participants) 9. Lives in Motion- SCI (7 sessions; 114 participants) 10. MS (5 sessions; 76 participants) Priority Need 4: Injury Prevention: MRH offers a variety of programs, both through inpatient and outpatient services, to address injury prevention. Evidence-based, community health and wellness programming are offered by MRH in the areas of chronic disease management and rehabilitation and overcoming the limitations of chronic disabilities. Some topics include: Core Yoga to increase strength and balance in individuals with disabilities; Understanding, identifying and preventing running injuries; and how aging affects your balance. These programs address the prevention of injury for both persons with or without disabilities. MRH offers the Police Interaction Course for Drivers with Special Needs program, focusing on enhancing communication between autistic individuals and first responders. MRH works closely with its community partners to address the issue of injury prevention. Partners include, but are not limited to the DuPage County Health Department, Northwestern Memorial Central DuPage Hospital and local school districts. 4.1: MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities. In FY19, MRH developed and implemented curriculum for three courses: 1. Yoga (10 five-week sessions were held; 100 participants) 2. Aging and Balance (2 courses; 68 participants) 3. Therapeutic Golf Program (12 adult sessions; 139 participants) 4.2: MRH will offer the Police Interaction Course for Driver with Special Needs program. Sessions will provide autistic individuals with the skills to respond calmly and communicate effectively during a traffic stop. In FY19, MRH staff will be able to monitor and track program outcomes, as well as the number of programs offered and individuals attending when the program is reimplemented in FY20. 4.3: MRH will collaborate with Central DuPage Hospital (NMCDH) to offer evidence-based community-based injury prevention programming. In FY19, MRH collaborated with NMCDH and began to market programming in the shared NM program brochure. To increase efficiency, course registration was transitioned to the general NM registration line, and data will be collected in FY19 to measure the impact of this program. Needs that are not being addressed together with the reasons why: The CHNA report identified areas of opportunity for health improvement for which Marianjoy Rehabilitation Hospital and the external steering committee determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Mental health and substance abuse: The DuPage behavioral health collaborative was formed in response to the mental health findings and needs noted in the DuPage county IPLAN. The mission of the group is to work collaboratively to identify and implement data-driven strategies that improve access and quality of behavioral health services for all DuPage county residents, advocate for aligning resources and funding, and to educate the community about the signs and symptoms of mental health issues. The collaborative is composed of two teams: the treatment leadership team (behavioral health) and the prevention leadership team (substance abuse). Northwestern Medicine Central DuPage Hospital (NMCDH) leadership and staff serve as integral members of both teams working both independently and collaboratively to address mental health and substance abuse issues in DuPage County. Both teams are comprised of members from local hospitals, public health, private and community sectors and represent a broad cross-section of the community united to respond to both issues. Additionally, the DuPage county health department crisis intervention unit is a mental health support system that deals with mental health emergencies on a 24-hour basis. This unit deals with urgent mental health issues that require immediate attention such as suicidal thoughts, homicidal threats, and symptoms of serious mental illness including depression, schizophrenia, bipolar disorder, anxiety and other issues that may require hospitalization. Individuals can contact the unit at any time and set up an appointment either by phone or in person. The crisis program also has a ten-bed respite unit available for short term stabilization. Psychiatric evaluations and short-term crisis counseling intervention are also available on a scheduled basis as needed.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - MARIANJOY REHABILITATION HOSPITAL. In the area of inpatient care, NMCDH offers immediate help, providing short-term psychiatric care for adults and teens (13 years of age and older) in a hospital setting. Short term inpatient care is provided in three secure hospital psychiatric units to help people who pose a risk to themselves or others and those who are unable to care for themselves. Following stabilization, NMCDH offers a full range of treatment including outpatient partial hospitalization, individual and family therapy, group therapy and follow-up services in the community. NMCDH also offers a full range of substance abuse services including inpatient detoxification, residential treatment and rehabilitation services, along with continued counseling to support long-term recovery. Immunization and infectious disease: The DuPage County Health Department is responsible for monitoring the incidence of infectious diseases and providing childhood and adult immunizations. Immunization services are offered at the CPHC (Wheaton), SEPHC (Westmont), and EPHC (Lombard) offices. Childhood immunizations are available for all children who do not have insurance, or have insurance that does not cover immunizations, through the state of Illinois' Vaccines for Children (VFC) program. Additionally, immunizations and selected testing are also offered by the county's Federally Qualified Health Centers (FQHC), thereby assuring multiple opportunities for residents to receive screening and immunizations. Access to health promotion activities: MRH works collaboratively to support the provision of health promotion and health education sessions to clients residing in the community. It is widely recognized that the most effective way to address chronic disease is to address the problem across its lifespan in a coordinated effort. Health education programs are offered by NMCDH and MRH in an effort to focus on health promotion and disease prevention. Local primary care providers and FQHCs provide medical homes and routine care aimed at screening, early detection and prompt treatment of disease and other health concerns. Local hospitals provide immediate and emergently needed acute care. Programs such as access DuPage and engage DuPage ensure access to routine healthcare, screening, primary care providers, specialists, medications and medical homes. Nutrition, physical activity and weight: The problems related to poor nutrition, inadequate physical activity and overweight/obesity are included within the broader category of chronic disease within our Implementation Plan. These factors are considered key root causes of chronic disease and were included in the causal analysis and response. Guided by the ESC, MRH will continue to support and work collaboratively with existing local organizations who are providing affordable primary healthcare to individuals experiencing the remaining healthcare issues noted above as we believe they are best positioned to lead the provision of these services.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - Marianjoy Rehabilitation Hospital. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 2	On September 1, 2018, NMHC became the sole member of Centegra Health System and its subsidiaries. The health system is comprised of Centegra Health System, Northern Illinois Medical Center, Memorial Medical Center, Health Bridge Corporation, NIMED Corporation, and Centegra Health System Foundation. The Illinois Health Facilities and Services Review Board unanimously approved the application for Centegra to join NMHC in June 2018.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. The CHNA report also describes NIMC's CHNA goals, objectives, public dissemination plan, and development of the implementation plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. Northwestern Medicine commissioned Professional Research Consultants, Inc. (PRC) to conduct a comprehensive Community Health Needs Assessment (CHNA). PRC is a nationally recognized healthcare consulting firm with extensive experience in conducting CHNAs in hundreds of communities across the United States since 1994. The PRC CHNA framework consisted of a systematic, data-driven approach to determine the health status, behaviors and needs of residents in McHenry County. The assessment provided information to enable NM hospital leadership and key community stakeholders to identify health issues of greatest concern among all residents and decide how best to commit the hospital's resources to those areas, thereby achieving the greatest possible impact on the community's health status. The PRC assessment incorporated data from both quantitative and qualitative sources and was conducted from March 2019 through May 2019. Qualitative data included primary research gathered through an Online Key Informant Survey which was administered, analyzed and summarized by PRC. Key informants are those individuals who have a broad interest in the health of the community, and can advise healthcare organizations by providing a comprehensive biopsychosocial picture of community need. A list of recommended participants was provided by Northwestern Medicine and included the names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the McHenry County populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. In all, 34 community stakeholders took part in the Online Key Informant Survey. The Key Informant Online Survey was made available April 18, 2019 through May 3, 2019. Final participation included representatives of the organizations outlined below: 1. American Cancer Society 2. Centegra Physician Care 3. City of Woodstock 4. Family Health Partnership Clinic 5. Fox River Grove Fire Protection Dist. 6. Home of the Sparrow 7. Huntley School District 158 8. McHenry County Department of Health 9. McHenry Division of Transportation 10. McHenry County Mental Health Board 11. McHenry County Sheriff's Office 12. McHenry County Substance Abuse Coalition 13. Northern Il. Special Recreation Assoc. 14. Northwestern Medicine 15. Options & Advocacy Program 16. PFLAG McHenry 17. The Positive Way 18. Thresholds 19. United Way of McHenry County 20. Village of Richmond Through this process, input was gathered from several individuals whose organizations work with low-income, minority, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might better be addressed.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also shared with the following: 1. Key community organizations 2. Northwestern Medicine Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. Through a systematic, data-driven approach, NM NWR has prioritized the below identified Significant Health Needs to address in accordance with IRS regulations. These needs will be referred to as the Priority Health Needs throughout the remainder of the document. NM NWR worked collaboratively to develop strategies, and to identify resources and areas for collaboration, where applicable, to impact each priority health need. 1. Access to Health Care 2. Chronic Disease (including a. cancer, b. diabetes, c. heart disease and stroke, and d. nutrition, physical activity and weight) 3. Mental Health and Substance Abuse Priority 1: Access to Healthcare Services. Access to comprehensive, quality healthcare services is important for the achievement of health equity and for increasing the quality of a healthy life for everyone. It impacts overall physical, social and mental health status; prevention of disease and disability; detection and treatment of health conditions; quality of life; preventable death; and life expectancy. Improving healthcare services includes increasing access to and use of evidence-based preventive services. Clinical preventive services are services that prevent illness by detecting early warning signs or symptoms before they develop into a disease (primary prevention) or detect a disease at an earlier, and often more treatable, stage (secondary prevention). 1.1: Improve access to comprehensive, quality healthcare services. NM HH, NM MH and NM WH will continue to address the needs of individuals identified as potentially eligible for public health insurance by facilitating their application for government-sponsored healthcare coverage. 1. NM HH, NM MH and NM WH financial services assists patients in applying for government-sponsored healthcare coverage. 2. NM HH, NM MH and NM WH leadership will continue representation on various task forces and workgroups related to the collaborative work occurring on access-to-care issues. 3. NM HH, NM MH and NM WH will create and/or participate in programs and initiatives focused on Safety Net objectives to promote access to care. 4. NM HH, NM MH and NM WH will provide office space and support to the Senior Health Insurance Program (SHIP). The SHIP program will provide seniors Medicare counseling and support to facilitate their use of the healthcare system. During the time frame of September 1, 2018 to August 31, 2019, there were 850 Medicare beneficiaries that received information on insurance options and assistance with enrollment in various programs, with 80 individuals receiving assistance with enrollment into various programs. NM provide space for two individuals to meet with members of the community learn about and enroll in options. 1.2: NM Leadership participates in meetings that are focused on addressing access to care issues for patients that need assistance. Most patients are referred from Aunt Martha's FQHC and/or The Family Health Partnership Clinic. 1. NM HH, NM MH and NM WH will provide operational grants to Aunt Martha's and Family Health Partnership Clinic in support of their coordination of care for patients without insurance. Provision of an operational grant to Aunt Martha's and Family Health Partnership Clinic will enable low-income McHenry County residents to afford and receive needed care. 2. NM HH, NM MH and NM WH will provide low-cost or no-cost inpatient and outpatient care to clients from Aunt Martha's and/or Family Health Partnership Clinic in accordance with presumptive eligibility and existing NM financial assistance policies. Access to free inpatient and outpatient care will enable presumptively eligible, low-income residents to receive needed services in a timely, coordinated and efficient manner. Aunt Martha's received in kind space with a fair market value of $290,438 and the Family Health Partnership Clinic received an in-kind cash donation to support programs services in the amount of $30,000. Priority 2a: Chronic Disease (Cancer) Continued advances in cancer research, detection and treatment have resulted in a decline in both incidence and death rates for all cancers. Among people who develop cancer, more than half will be alive in five years. Yet, cancer remains a leading cause of death in the United States, second only to heart disease. In McHenry County, cancer is a leading and rising cause of death. Many cancers are preventable by reducing risk factors such as use of tobacco products, physical inactivity and poor nutrition, obesity, and ultraviolet light exposure. Other cancers can be prevented by getting vaccinated against human papillomavirus (HPV) and hepatitis B virus. In the past decade, overweight and obesity have emerged as new risk factors for developing certain cancers, including colorectal, breast, uterine corpus (endometrial) and kidney cancers. The impact of the current weight trends on cancer incidence will not be fully known for several decades. Continued focus on preventing weight gain will lead to lower rates of cancer and many chronic diseases. Priority 2b: Chronic Disease (Diabetes) The rate of diabetes mellitus continues to increase both in the United States and throughout the world. Due to the steady rise in the number of persons with diabetes mellitus, and possibly earlier onset of Type 2 diabetes mellitus, there is growing concern about the possibility that the increase in the number of persons with diabetes mellitus and the complexity of their care might overwhelm existing healthcare systems. Diabetes is a top 10 leading cause of death, and prevalence of the condition has risen over the past decade in McHenry County. Priority 2c: Chronic Disease (Cardiovascular Disease) Heart disease is the leading cause of death in the United States, with stroke following as the third leading cause. Together, heart disease and stroke are among the most widespread and costly health problems facing the nation today, accounting for more than $500 billion in healthcare expenditures and related expenses in 2010 alone. Fortunately, they are also among the most preventable. The risk of Americans developing and dying from cardiovascular disease would be substantially reduced if major improvements were made across the U.S. population in diet and physical activity, control of high blood pressure and cholesterol, smoking cessation and appropriate aspirin use. The burden of cardiovascular disease is disproportionately distributed across the population. Significant disparities exist based on gender, age, race/ethnicity, geographic area and socioeconomic status. Priority 2d: Chronic Disease (Nutrition, Physical Activity and Weight) Strong science exists supporting the health benefits of eating a healthful diet and maintaining a healthy body weight. Efforts to change diet and weight should address individual behaviors, as well as the policies and environments that support these behaviors in settings such as schools, worksites, healthcare organizations, and communities. The goal of promoting healthful diets and healthy weight encompasses increasing household food security and eliminating hunger. Regular physical activity can improve the health and quality of life of Americans of all ages, regardless of the presence of a chronic disease or disability. Among adults, physical activity can lower the risk of: early death; coronary heart disease; stroke; high blood pressure; type 2 diabetes; breast and colon cancer; falls; and depression. Personal, social, economic, and environmental factors all play a role in physical activity levels among youth, adults, and older adults. Understanding the barriers to and facilitators of physical activity is important to ensure the effectiveness of interventions and other actions to improve levels of physical activity. 2.1: NM HH, NM MH and NM WH will strive to improve cardiovascular health and quality of life through prevention, detection and treatment of risk factors for heart attack and stroke. 2.2: NM HH, NM MH and NM WH will offer early identification and treatment of heart attacks and stroke, through heart age screenings and blood pressure screenings. In partnership with staff from McHenry County Department of Health, NM cardiovascular staff and RNs participated and provided 400 cardiovascular screenings during the reporting time. Monthly events were held for blood pressure events, which provided free screenings to 218 individuals in the community. 2.3: NM HH, NM MH and NM WH will offer education and prevention of repeat cardiovascular events, through education on lifestyle/measures to prevent heart disease. 2.4: NM HH, NM MH and NM WH Reduction in deaths from cardiovascular disease education in the community. A series of programs were offered on nutrition and cardiovascular health reaching 349 residents provided by nurses and dietitians for a total of 79 hours. Staff provided 85 hours to provide education to 111 people on CPR education and training.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - NORTHERN ILLINOIS MEDICAL CENTER. 2.5: NM HH, NM MH and NM WH will strive to reduce the disease burden of diabetes mellitus (DM) and improve the quality of life for all persons who are at risk for DM, through blood glucose screenings in the community. There were five community events that were offered, with over 75 staff hours provided reaching 81 individuals. 2.6: NM HH, NM MH and NM WH will host/offer evidence-based community health and wellness programming in skin cancer education and prevention. Cancer Center staff conducted educational activities on skin cancer prevention at outdoor recreational areas and provide free sunscreen SPF 15 or higher to adults and children. These four community events with which over 40 hours of staff time was devoted to skin cancer prevention and education, resulting in 78 people being served. 2.7: NM HH, NM MH and NM WH will support opportunities to promote physical activity in McHenry County residents including increased access to physical activity options in school-aged children and encouragement of physical activity to prevent childhood and adult obesity.) There were several events held locally that encouraged participation in activities to promote physical activity, such as walks, runs, gym memberships, etc. NM staff provided 48 hours of in-kind support to Girls on the Run, which impact 13 girls and encouraged running to maintain an active lifestyle. In addition, there were over 1,245 individuals that received charitable memberships to Health Bridge Fitness, which is owned by Northwestern Medicine. Priority 3: Mental Health/Substance Abuse Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and to cope with challenges. Mental health is essential to personal well-being, family and interpersonal relationships, and the ability to contribute to community or society. Mental health and physical health are closely connected. Mental health plays a major role in people's ability to maintain good physical health. Mental illnesses, such as depression and anxiety, affect people's ability to participate in health-promoting behaviors. In turn, problems with physical health, such as chronic diseases, can have a serious impact on mental health and decrease a person's ability to participate in treatment and recovery. In McHenry County in 2019, there were 176.3 mental health providers for every 100,000 population, below state and U.S rates. Substance abuse has a major impact on individuals, families and communities. The effects of substance abuse are cumulative, significantly contributing to costly social, physical, mental and public health problems. Advances in research have led to the development of evidence-based strategies to effectively address substance abuse. Improvements in brain-imaging technologies and the development of medications that assist in treatment have gradually shifted the research community's perspective on substance abuse. There is now a deeper understanding of substance abuse as a disorder that develops in adolescence and, for some individuals, will develop into a chronic illness that will require lifelong monitoring and care. Half of key informants taking part in the online survey characterized Substance Abuse as a "major problem" in the community. 3.1: Increase awareness of existing mental health and substance abuse services in McHenry County. There were four presentations with 26 people receiving education on the effects of opiate addiction in expecting mothers. The program provided sensitivity to treatment to OB nurses that may encounter pregnant women who may be affected by a substance abuse disorder. 3.2: Reduce the overall number of suicide deaths in McHenry County. (Provide PHQ-9 depression screening tool to patients with the primary care setting and increase in the number of support groups and attendees related to suicide and/or survivors of suicide.) Physicians in primary care settings utilized PHQ-2 and PHQ-9 for depression screening for their patients, with a 74.52% performance test rate, which was an increase from the previous year of 39.18% screening rates. 3.3: Increase in the number of support groups and attendees related to suicide and/or survivors of suicide. (Provide community education on Suicide Prevention to the community at-large to reduce the number of opioid-/heroin-related overdose deaths and adverse events.) The Behavioral Health Services team coordinated the Survivors of Suicide Grief Support Group which increased from a monthly session to twice monthly sessions. In addition, the same Behavioral Services Team provided leadership to the Suicide Prevention Task Force, which was an in-kind staff support of 50 hours. Significant Health Needs Not Addressed by NM NWR Through a systematic, data-driven approach, NM NWR has determined that it will not address the below identified Significant Health Needs over the next three years. Many of these needs are already being addressed through the comprehensive services and Community Benefits operations offered at the three NM NWR hospitals and throughout NMHC. Specific reasons explaining why an identified Significant Health Need will not be prioritized are outlined below. Oral Health: While the need for improved dental health and access to dental health providers exists, NM leadership does not feel that we possess the expertise to address this health concern. Rather, we will work collaboratively with existing community initiatives to promote programming that will expand access to dental care and improve dental health of community residents. Respiratory Disease: Asthma and chronic obstructive pulmonary disease (COPD) are significant public health burdens. Specific methods of detection, intervention and treatment exist that may reduce this burden and promote health. The prevalence of respiratory disease in McHenry County residents is lower than in Illinois and the U.S., so we have chosen not to focus on this Significant Health Need.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. IN ADDITION TO THE DOCUMENTED 200% OF FPG, WE ALSO PROVIDE A SLIDING SCALE DISCOUNT OF 80% FOR THOSE WHO HAVE FPG UP TO 350%. IN ADDITION WE HAVE PRESUMPTIVE CHARITY WHICH ALLOWS FOR CHARITY DISCOUNTS/FINANCIAL ASSISTANCE TO THOSE WHO CURRENTLY MEET MEDICAID ELIGIBILITY OR OTHER STATE PROGRAMS BASED ON FPG WHO MAY NOT HAVE HAD INSURANCE COVERAGE AT THE TIME OF THE SERVICE WE PROVIDED.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured or underinsured. Those who do not qualify for free care will receive a sliding scale discount off the gross charges for their medically necessary services based on their family income as a percent of the Federal Poverty Guidelines. These patients are expected to pay their remaining balance for care, and may work with financial counselors to set up a payment plan based on their financial situation. Patients seeking assistance may first be asked to apply for other external programs (such as Medicaid or insurance through the public marketplace) as appropriate before eligibility under this policy is determined. Additionally, any uninsured patients who are believed to have the financial ability to purchase health insurance may be encouraged to do so to help ensure healthcare accessibility and overall well-being. NMHC will not bill patients who have been deemed eligible for financial assistance coverage for eligible care or services, including care or services that are emergent or medically necessary, more than the amounts generally billed to insured patients. Patients who are uninsured or underinsured and have a household income at or below the thresholds per Federal Poverty Guidelines will receive full or partial discount off their balance. The policy is updated on an annual basis to represent the most current federal poverty guideline levels and the appropriate sliding scale for full and partial discounts. To be considered eligible for financial assistance, patients may be required to cooperate with NMHC to explore alternative means of assistance if necessary, including Medicare and Medicaid. Patients will be required to provide necessary information and documentation when applying for hospital financial assistance or other private or public payment programs. NMHC may seek to determine eligibility for financial assistance prior to rendering non-emergent services. In certain non-emergent circumstances it may be necessary to provide care or evaluation to the patient before eligibility can be determined. When determining patients' eligibility, NMHC does not take into account race, gender, age, sexual orientation, religious affiliation, national origin or social or immigrant status. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Presumptive Homelessness; B. Presumptive Mental incapacitation with no one to act on the patient's behalf; C. Presumptive Scoring when NMHC can utilize publically available information as well as internal payment and documentation history to determine if a patient is eligible for presumptive financial assistance without completion of an application. D. Presumptive Deceased with no estate; E. Presumptive State Program: Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services. F. Presumptive Out of State Program for patients who are eligible for out of state programs based on FPG where NMHC does not participate; G. Additional Presumptive Criteria may also be recommended, including the following: 1. Recent Personal Bankruptcy; 2. Incarceration; 3. Affiliation with a religious order which includes a vow of poverty; 4. Enrollment in temporary assistance for needy families (TANF); or 5. Enrollment in IHDA's Rental Housing Support Program. NMHC also partners with third-parties and other eligibility vendors, to help identify patients who may be eligible for financial assistance, presumptive financial assistance under this policy or through other public and private programs including identifying other sources of third party payment, i.e. health insurance coverage. NMHC may also use previous financial assistance eligibility determinations as a basis for determining eligibility in the event that the patient does not provide sufficient documentation to support an eligibility determination. Financial assistance applications on file at NMHC may be used for a time period of up to six months after the date of submission. All patients presumptively determined to be eligible for less than the most generous amount of assistance available under this policy (free care) will be informed about how the discount amount was calculated and given a reasonable amount of time to submit an application for further financial assistance.

Field	Value	IRS element (for citing)
Facility	216	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (216 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
Lavin
259 E Erie Street	Chicago	IL	60611	MOB
Arkes
676 N St Clair	Chicago	IL	60611	Admin & clinical
541 Fairbanks
541 N Fairbanks	Chicago	IL	60611	Admin Bldg
Ambulatory Svc Pav
25 N Winfield Road	Winfield	IL	60190	MOB
211 Ontario
211 E Ontario	Chicago	IL	60611	Admin Bldg
Olson
710 N Fairbanks	Chicago	IL	60611	Clinical
Grayslake OutPt- BLDG A
1475 E Belvidere Rd	Grayslake	IL	60030	Admin & clinical
Patriot Bldg
2701 Patriot Boulevard	Glenview	IL	60026	Admin & clinical
Health Bridge Huntley
10450 Algonquin Road	Huntley	IL	60142	Fitness
Delnor 351 MOB
351 Delnor Rd	Geneva	IL	60134	MOB
Kish Wellness Center
626 Bethany Rd	Dekalb	IL	60115	Fitness
Worcester House
244 E Pearson	Chicago	IL	60611	Patient Housing
680 Bldg
680 N Lake Shore Drive	Chicago	IL	60611	Admin
NLFH Bays 900 N A Wing
900 N Westmoreland	Lake Forest	IL	60045	Admin & clinical
NHFI Lake Forest
1200 N Westmoreland	Lake Forest	IL	60045	Fitness
Delnor 302 MOB
302 Randall Rd	Geneva	IL	60134	MOB
Cantera Offices
27650 Ferry Road	Warrenville	IL	60555	MOB
Delnor Health & Wellness Ctr
296 Randall Rd	Geneva	IL	60134	Fitness
1475 E Belvidere (MOB)
1475 E Belvidere Rd	Grayslake	IL	60030	Clinical
River North MOB
636 Raymond Drive	Naperville	IL	60563	MOB
KPG Dekalb Clinic
1850 Gateway Dr	Sycamore	IL	60178	MOB
Keystone MOB
4525 Weaver Parkway	Warrenville	IL	60555	Admin Bldg
Huntley ACM
10350 Haligus Rd	Huntley	IL	60142	MOB
NLFH Westmoreland Bldg
600 N Westmoreland Road	Lake Forest	IL	60045	Clinical
1033 University Place
1033 University Place	Evanston	IL	60201	Admin Bldg
St Charles MOB
2900 Foxfield Road	St Charles	IL	60174	MOB
Danada MOB
7 Blanchard Circle	Wheaton	IL	60187	MOB
Behaviorial Health Bldg
27W350 High Lake Rd	Winfield	IL	60190	MOB
1880 Oak Avenue
1880 Oak Avenue	Evanston	IL	60201	Admin Bldg
Wheaton Med MOB
1800 N Main Street	Wheaton	IL	60187	MOB
Marianjoy MOB (leased)
26W 171 Roosevelt Road	Wheaton	IL	60187	MOB
Q CenterWoodlands Office Bldg
1405 North 5th Avenue	St Charles	IL	60174	Admin Bldg
446448 Ontario Bldg
446 E Ontario	Chicago	IL	60611	MOB
Glen Ellyn MOB
885 Roosevelt Road	Glen Ellyn	IL	60137	MOB
Aurora MOB
2635 Church Road	Aurora	IL	60502	MOB
MOB-B 4309 Medical Center Drive
4309 Medical Center Drive	McHenry	IL	60050	MOB
West Belmont
1325-41 West Belmont	Chicago	IL	60657	Clinical
Support Svc Building
371 Schmale Road	Carol Stream	IL	60188	Admin Bldg
Stratford South MOB
245 S Gary Avenue	Bloomingdale	IL	60108	MOB
360 Station Drive
360 Station Drive	Crystal Lake	IL	60014	MOB
Grayslake Prof Bldg
1275 E Belvidere Rd	Grayslake	IL	60030	Admin & clinical
NLFH McGaw 800 Bldg
800 N Westmoreland	Lake Forest	IL	60045	Admin & clinical
Woodstock MOB2 - 3707 Doty Rd
3707 Doty Road	Woodstock	IL	60098	MOB
2507 Richmond Road
2507 Richmond Road	McHenry	IL	60050	MOB
Mona Kea Medical Park
501/515/517 Thornhill	Carol Stream	IL	60188	MOB
SONO Blackhawk
1460 N Halsted	Chicago	IL	60642	Clinical
6155 Grand Ave
6155 Grand Avenue	Gurnee	IL	60031	MOB
Snyder Building
27W353 Jewell Road	Winfield	IL	60190	Admin Bldg
850 N Milwaukee
850 N Milwaukee	Vernon Hills	IL	60061	Clinical
Bartlett MOB
820 S Route 59	Bartlett	IL	60103	MOB
Delnor Family Residency Bldg
298 S Randall Rd	Geneva	IL	60134	MOB
South Loop
150 W Roosevelt/1135 S Delano Ct	Chicago	IL	60605	Clinical
Stratford North MOB
231 S Gary Avenue	Bloomingdale	IL	60108	MOB
213 Front Street
213 Front Street	McHenry	IL	60050	Admin Bldg
350 Waukegan
350 S Waukegan	Deerfield	IL	60015	Clinical
Cornerstone MOB
2001 Wiesbrook Road	Wheaton	IL	60187	MOB
Fargo MOB
2425 Fargo Blvd	Geneva	IL	60134	MOB
Kishwaukee Prof MOB
8 Health Services Dr	DeKalb	IL	60115	MOB
Oakbrook Outpatient (MJ)
17W682 Butterfield Rd	Oakbrook Terrace	IL	60523	MOB
South Naperville MOB
101 E 75th Street	Naperville	IL	60565	MOB
645 N Michigan
645 N Michigan Ave	Chicago	IL	60611	MOB
Valley West MOB
1310 N Main St	Sandwich	IL	60548	Hybrid
Church Street Plaza
1704 Maple Avenue	Evanston	IL	60021	Clinical
Stratford North 215-235 Gary Ave
215-235 Gary Ave	Bloomingdale	IL	60108	MOB
CNS Offices
690 North Avenue	Carol Stream	IL	60188	MOB
737 N Michigan
737 N Michigan	Chicago	IL	60611	Clinical
St Charles Medical Park
XXX-XX-XXXX N 5th Avenue	St Charles	IL	60174	MOB
260 E Congress Parkway
260 E Congress Pkwy	Crystal Lake	IL	60014	MOB
MSI building
2111 Midlands Court	Sycamore	IL	60178	MOB
Delnor Cancer Resource Ctr (Living Well)
442 Williamsburg Ave	Geneva	IL	60134	MOB
MOB A 4309 Medical Center Drive
4309 Medical Center Drive	McHenry	IL	60050	MOB
Bucktown
1776 N Milwaukee	Chicago	IL	60647	Clinical
Abbott Hall
710 N Lake Shore Drive	Chicago	IL	60611	Admin
IT Data Center
2200 Bussee Road	Elk Grove Village	IL	60007	Admin Bldg
Health Bridge Crystal Lake
200 Congress Parkway	Crystal Lake	IL	60014	Fitness
Plank Road Clinic
165 E Plank Rd	Sycamore	IL	60178	MOB
Winfield Town Center
50 Winfield Road	Winfield	IL	60190	Admin Bldg
20 S Clark St
20 S Clark St	Chicago	IL	60603	MOB
Two Transam Plaza
2 Transam Plaza Drive	Oakbrook Terrace	IL	60181	MOB
Gary Medical LLC
2001 Gary Avenue	Wheaton	IL	60187	MOB
NLFH Gurnee Tower Court
25 Tower Court	Gurnee	IL	60031	Grounds Building
Sage Cancer Center
4305 Medical Center Drive	McHenry	IL	60050	MOB
NLFH Dearhaven Bldg
1100 N Westmoreland	Lake Forest	IL	60045	Childcare Center
27272729 Sycamore
2727/2729 Sycamore Rd	DeKalb	IL	60115	MOB
Elburn MOB
905 N First Street	Elburn	IL	60119	MOB
329 W 18th St Archive
329 W 18th Street	Chicago	IL	60611	Storage
Rochelle Crossings
450 Coronado Dr	Rochelle	IL	61068	Hybrid
Healthtrack Offices
875 Roosevelt Road	Glen Ellyn	IL	60137	MOB
150 Bldg
150 E Huron	Chicago	IL	60611	MOB
Oak Brook Regency Towers
1415 West 22nd Street Ste 750E	Oak Brook	IL	60523	MOB
27332737 Sycamore
2731/2733/2737 Sycamore Rd	DeKalb	IL	60115	MOB
American Dental Assoc
211 E Chicago Ave	Chicago	IL	60611	Admin
South Elgin - Express Care
542-552 Randall Road	South Elgin	IL	60177	MOB
14 Health Services Drive
14 Health Services Dr	Sycamore	IL	60115	MOB
4201 Medical Center Drive
4201 Medical Center Drive	McHenry	IL	60050	Childcare Center
11650 S Route 47
11650 S Route 47	Huntley	IL	60142	MOB
Twin Dialysis Building
306 Randall Road	Geneva	IL	60134	MOB
Twin MOB
308 Randall Road	Geneva	IL	60134	MOB
NLFH East&West 700 Bldg
700 N Westmoreland	Lake Forest	IL	60045	Admin
360 Terra Cotta Road
360 Terra Cotta Road	Crystal Lake	IL	60012	MOB
Foxpointe
760 Foxpointe Dr	Sycamore	IL	60178	MOB
111 W Washington
111 W Washington	Chicago	IL	60602	MOB
25 North Third Street
25 North Third Street	Geneva	IL	60134	MOB
Port Clinton Square
600 Central Ave	Highland Park	IL	60035	Clinical
BHS Community Support
631 S First St	DeKalb	IL	60115	MOB
650 Dakota Street
650 Dakota Street	Crystal Lake	IL	60012	MOB
2127 Midland Court
2127 Midland Court	Sycamore	IL	60178	MOB
Elgin MOB
1600 Randall Road	Elgin	IL	60123	MOB
West Loop ICC
171 N Aberdeen	Chicago	IL	60607	Clinical
625 N Michigan
625 N Michigan Avenue Suite 1150	Chicago	IL	60611	Office
St Charles Executive Ctr
2570 Foxfield Dr	St Charles	IL	60174	MOB
385 Wirtz Drive
385 Wirtz Drive	Dekalb	IL	60115	MOB
Lisle MOB (CDPG)
1019 School Street	Lisle	IL	60532	MOB
Genoa
599 Pearson Dr	Genoa	IL	60135	MOB
635 N Dearborn
635 N Dearborn	Chicago	IL	60654	Clinical
527 South Street
527 South Street	Woodstock	IL	60098	MOB
KHS Office Annex
2475 Bethany Rd	Sycamore	IL	60178	Admin Bldg
Sugar Grove Bldg (The Landings)
414 Division Street	Sugar Grove	IL	60554	MOB
1465 Commerce Drive
1465 Commerce Drive	Algonquin	IL	60102	MOB
750 E Terra Cotta 60012
750 E Terra Cotta 60012	Crystal Lake	IL	60012	MOB
Cantera Medical Bldg
28375 Davis Parkway	Warrenville	IL	60555	MOB
Glenbard Medical
444 Park Blvd	Glen Ellyn	IL	60137	MOB
Healthcare Providers Bldg
471-473 Army Trail Rd	Bloomingdale	IL	60108	Lab
Malta
21193 Malta Rd	Malta	IL	60150	MOB
Streeterville ICC
635 Fairbanks Court	Chicago	IL	60611	Clinical
KPG Plano
12700 Route 34	Plano	IL	60545	MOB
Sycamore MOB
1830 Mediterranean Dr	Sycamore	IL	60178	MOB
Kishwaukee Warehouse
2445 W Bethany Rd	Sycamore	IL	60178	Admin Bldg
500 Coventry Lane
500 Coventry Lane	Crystal Lake	IL	60014	MOB
Woodstock MOB1 3703 Doty Rd
3703 Doty Road	Woodstock	IL	60098	MOB
KPG Waterman
10003 US Route 30	Waterman	IL	60556	MOB
South Elgin Briargate MOB
472 Briargate Drive	South Elgin	IL	60177	MOB
375 E Chicago (Rubloff)
375 E Chicago	Chicago	IL	60611	Clinical
NLFH Deerpath House
720 W Deerpath Rd	Lake Forest	IL	60045	Patient Housing
880 W Central Rd
880 W Central Rd	Arlington Heights	IL	60005	Storage
Silver Cross Hospital
1890 Silver Cross Blvd	New Lenox	IL	60451	MOB
Elmhurst Memorial Hosp
1200 York Road	Elmhurst	IL	60126	Clinical
KPG Englehart
224 E RailRoad St	Sandwich	IL	60548	MOB
BHS Discovery House
220 College Ave	DeKalb	IL	60115	MOB
385 Millennium Drive
385 Millennium Drive	Crystal Lake	IL	60012	Admin Bldg
NHFI Lindenhurst
3098 Fallingwaters Blvd	Lindenhurst	IL	60046	Fitness
3 9555 Gross Point Rd
9555 Gross Point Rd	Skokie	IL	60076	Clinical
Kish PT Hampshire
895 S State St	Hampshire	IL	60140	MOB
River Forest MOB
7411 Lake Street Suite 2210	River Forest	IL	603051886	MOB
Batavia East
1049 E Wilson	Batavia	IL	60150	MOB
Chesterton Timeshare
650 Dickinson Road	Chesterton	IN	46304	Clinical
4418 W Diversey
4418 W Diversey	Chicago	IL	60639	Office
616 35th Ave Healthlab
616 35th Ave	Moline	IL	61265	MOB
Hinsdale Lab Building
534 Chestnut	Hinsdale	IL	60521	Lab
16151 Weber Road
16151 Weber Road	Crest Hill	IL	60403	Clinical
111 N Wabash
111 N Wabash	Chicago	IL	60602	Clinical
- 7177 Crimson Ridge - Healthlab
7177 Crimson Ridge Drive Suite 8	Rockford	IL	61107	MOB
Rush Copley MOB
2020 Ogden Ave Suite 365	Aurora	IL	60504	MOB
KPG St Margarets Health (Baum Peru)
4040 Progress Blvd	Peru	IL	61354	MOB
- 555 W Pine - Healthlab
555 West Pine Street	Farmington	MO	63640	MOB
2425 W 22nd St
2425 West 22nd Street STE 203B	Oakbrook	IL	60523	Clinical
The Sheridan at Green Oaks
29330 N Waukegan Rd	Lake Bluff	IL	60044	Clinical
Urbana Timeshare
611 W Park	Urbana	IL	61801	Clinical
Evergreen Park MOB
9760 S Kedzie Ave	Evergreen Park	IL	60805	Lab
201 N Cummings
201 N Cummings	Washington	IL	61571	Clinical
Galleria
1030 N Clark	Chicago	IL	60611	Clinical
St John Timeshare
9615 Keilman Street	St John	IN	46373	Clinical
Delcom Billing Office
3755 E Main Street	St Charles	IL	60174	Admin Bldg
1935 N Capital Avenue
1935 N Capital Avenue	Indianapolis	IN	46202	Lab
4350 7th Street
4350 7th Street Suite B	Moline	IL	61265	MOB
420 Thatcher
420 Thatcher Avenue	River Forest	IL	60305	Clinical
201 E Walton
201 E Walton Place	Chicago	IL	60611	Patient Housing
2701 S Western Ave
2701 S Western Ave	Chicago	IL	60608	Storage
4732 N Lincoln Ave
4732 N Lincoln Ave	Chicago	IL	60625	MOB
2315 Campus Drive
2315 Campus Drive	Evanston	IL	60208	Office
10448 South Pulaski Rd
10448 South Pulaski Road Suite 10	Oak Lawn	IL	60453	Office
NLFH Grounds Building
660 N Westmoreland	Lake Forest	IL	60045	Grounds Building
13000 W Rt 176
13000 W Route 176	Lake Bluff	IL	60044	Office
10370 Haligus Road
10370 Haligus Road	Huntley	IL	60142	MOB
1122 N Main Street
1122 N Main Street Suite D	Algonquin	IL	60102	MOB
333 Front Street
333 Front Street	McHenry	IL	60050	MOB
394 Federal Drive
394 Federal Drive	Crystal Lake	IL	60014	MOB
201 Throop Street
201 Throop Street	Woodstock	IL	60098	MOB
420 N IL RT 31
420 N IL RT 31	Crystal Lake	IL	60012	MOB
1925 to 1947 Huntley Road
1925 to 1947 Huntley Road	Dundee	IL	60118	MOB
2615 Three Oaks Road
2615 Three Oaks Road Suite 1A	Cary	IL	60013	MOB
2615 Three Oaks Road Sub portion of Suite 1B
2615 Three Oaks Road Sub portion of	Cary	IL	60013	MOB	Suite 1B
3739 West Elm Street
3739 West Elm Street	McHenry	IL	60050	Thrift Shop
305 Front Street
305 Front Street	McHenry	IL	60050	Storage Unit
921 Tara Drive (Catulpa Lane)
921 Tara Drive Catulpa Lane	Woodstock	IL	60098	Storage Unit
3901 Mercy Drive
3901 Mercy Drive	McHenry	IL	60050	MOB
12920 Del Webb
12920 Del Webb	Huntley	IL	60142	Fitness
10210 Carrick Lane
1021 Carrick Lane	McHenry	IL	60050	MOB
585 Cimmaron Circle
585 Cimmaron Circle	Crystal Lake	IL	60012	Patient Housing
HealthLab Buffalo Grove
355 W Dundee Rd	Buffalo Grove	IL	60089	Lab
Lifetime Fitness Office
455 Scott Drive	Bloomingdale	IL	60108	Fitness
Mirshed Clinic
4255 W 63rd Street	Chicago	IL	60629	Lab
IRCC (Health Progress JV)
10 Health Services Dr	DeKalb	IL	60115	MOB
BHS Ben Gordon Cental Ofc
12 Health Services Dr	DeKalb	IL	60115	MOB
Kish Pavillion
5 Kish Hospital Dr	DeKalb	IL	60115	Hybrid
Decatur lab office
544 W Pershing Suite B	Decatur	IL	62526	Lab
Elmhurst Ortho MOB
300 W Butterfield Rd	Elmhurst	IL	60126	MOB
Atrium Professional Center
3100 45th Street	Highland	IN	46322	Lab
Soutlake Medical MOB
8127 Merrillville Raod	Merillville	IN	46410	Lab
2127 Midlands Court
2127 Midlands Court	Sycamore	IL	60178	MOB
Belvidere lab space
2188 N State Street	Belvidere	IL	61008	Lab
Rama Place Building
2060 N Shadeland Ave	Indianapolis	IN	46219	Lab
KPG Ottawa (Baum)
1209 Starfire Dr	Ottawa	IL	61350	MOB
15 W Pleasant Ave
15 W Pleasant Ave	Sandwich	IL	60548	MOB
Lab lease Schaumburg
129 S Roselle Rd	Schaumburg	IL	60074	Lab
St Louis Lab site
916 Olive Street	St Louis	IL	63101	Lab
Vernon Hills Lab Lease
175 E Hawthorn Pkwy	Vernon Hills	IL	60061	Lab
Vale Park Medical Ctr
401 Wall Street	Valparaiso	IN	46383	Lab
Obstetrical & Gynecological Assoc
85 East HU Hwy 6 Suite 330	Valparaiso	IN	46383	Lab
Wheaton Bible Church
27W500 North Ave	West Chicago	IL	60185	MOB
West Chicago Warehouse
245 W Roosevelt Rd Unit 70	West Chicago	IL	60185	Warehouse
27W405 High Lake Road
27W405 High Lake Road	Winfield	IL	60190	House
27W404-406 Jewell Road
27W404-406 Jewell Road	Winfield	IL	60190	House
27W375 Jewell Road
27W375 Jewell Road	Winfield	IL	60190	House
4885 Hoffman Blvd
4885 Hoffman Blvd	Hoffman Estates	IL	60192	MOB
Highland IN Healthlab 2213 Main St
2213 Main Street	Highland	IN	46322	MOB

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT	Northwestern Memorial HealthCare and Subsidiaries (NMHC) submit a community benefit report to the Illinois attorney general according to the requirements for the state of Illinois. Northwestern Memorial Hospital (NMH), Northwestern Lake Forest Hospital (NLFH), Central DuPage Hospital (NWCDH), Delnor Community Hospital (Delnor), Kishwaukee Community Hospital (KCH), Valley West Hospital (VWH), Kishwaukee Physicians Group (KPG), Marianjoy Rehabilitation Hospital and Clinics (MJRH), Rehabilitation Medicine Clinic d/b/a Marianjoy Medical Group (RMC or MMG), Northern Illinois Medical Center (NIMC) and all other NMHC non-profit subsidiaries' results are included in this report.
Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES	THE BENEFITS REPORTED ARE PRIMARILY ASSOCIATED WITH OPERATING LOSSES SUPPORTING NMH'S MENTAL HEALTH PROGRAMS. NMHC DOES NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
Schedule H, Part I, Line 3c DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE	Northwestern Memorial Hospital, Northwestern Lake Forest Hospital, Central DuPage Hospital, Delnor-Community Hospital, Kishwaukee Community Hospital, Valley West Hospital, and Northern Illinois Medical Center 09/01/2018 - 08/31/2019 NMH, NLFH, CDH, Delnor, Kishwaukee, Valley West, and NIMC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Illinois Residents. The NIMC policy in place does not reflect a residency requirement. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance. A. Homelessness B. Deceased with no estate C. Mental incapacitation with no one to act on the patient's behalf D. Medicaid eligibility, but not on date of service for non-covered service E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines; 1. Women, Infants and Children Nutrition Program (WIC) 2. Supplemental Nutrition Assistance Program (SNAP) 3. Illinois Free Lunch and Breakfast Program 4. Low Income Home Energy Assistance Program (LIHEAP) 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial 6. Receipt of grant assistance for medical services Marianjoy Rehabilitation Hospital & Clinics: 09/01/2018 - 08/31/2019 In addition to FPG guidelines, Marianjoy Rehabilitation Hospital & Clinics utilizes other factors to determine eligibility for free or discounted care per the organization's charity care policy. These factors include: 1. Family income relative to family size and other related factors such as current financial obligations 2. Employment status, including, but not limited to, future earning capacity sufficient to meet the patient's financial obligations in an acceptable period of time 3. Future and current ability to pay 4. Medical expenses, including pharmaceutical expenses, as a percentage of a patient's annual gross income, the amount of total medical bills outstanding, and the frequency of payments to be made in relation to the factors above 5. Credit report information 6. Actual cost of care provided 7. Other factors deemed appropriate by the health system.
Schedule H, Part VI, Line 2 NEEDS ASSESSMENT, CONTINUED	Northwestern Medicine Valley West Hospital: NM Valley West collaborates with diverse organizations to identify a common vision and plan to create a collective impact on the overall health of the community. This includes striving to coordinate efforts focusing on community priorities with community stakeholders including the DeKalb County Health Department, the Kendall County Health Department, Fox Valley Older Adults, and other medical, not-for-profit, community and faith-based organizations. Marianjoy Rehabilitation Hospital: MRH coordinates strategies with community partners and key stakeholders who include, but are not limited to, the DuPage County Health Department, DuPage Federation on Human Services Reform, AbilityLinks, the People's Resource Center, and local school districts and public entities. MRH's Pediatric Community Groups continue to be highly utilized by parents/caregivers to work on achieving functional goals for children with special needs. Northern Illinois Medical Center: NIMC represents the three hospitals of the legacy Centegra Health System (CHS), including Northwestern Medicine McHenry Hospital, Northwestern Medicine Huntley Hospital and Northwestern Medicine Woodstock Hospital. McHeny Hospital works with the Chicago Medical School Internal Medicine Residency program to provide training to the next generation of caregivers. The Woodstock campus is home to Aunt Martha's Woodstock Community Health Center, a federally qualified health center, offering comprehensive primary care and mental health services to the uninsured and underinsured members of the broader McHenry Community.
Schedule H, Part V, Section B, Line 16 Northern Illinois Medical Center	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance/financial-assistance-in-the-northwest-suburbs
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	262092444
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST OF CHARITY CARE FOR THE HOSPITALS WAS CALCULATED BY APPLYING THE TOTAL COST-TO-CHARGE RATIO FROM EACH HOSPITAL'S MEDICARE COST REPORT (CMS 2552-96 WORKSHEET C, PART 1, CONSISTENT WITH THE STATE OF ILLINOIS ATTORNEY GENERAL'S OFFICE DEFINITION) TO THE CHARGES ON ACCOUNTS IDENTIFIED AS QUALIFYING FOR CHARITY CARE (AS DEFINED IN THE AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS ACCOUNTING AND AUDITING GUIDE - HEALTHCARE ORGANIZATIONS). THE RESULTANT CALCULATED COST WAS THEN OFFSET BY ANY PAYMENTS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF PATIENT BILLS QUALIFYING FOR A CHARITY CARE DISCOUNT (AS DEFINED IN THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION'S PRINCIPLES AND PRACTICES BOARD STATEMENT 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS). THE PHYSICIAN GROUPS, INCLUDING NMG, RMG, MMG, AND CPC/CMS ARE NOT REQUIRED TO FILE A MEDICARE COST REPORT. AN INTERNALLY CALCULATED COST-TO-CHARGE RATIO SPECIFIC TO THE PHYSICIAN GROUPS WAS USED TO DETERMINE THE COST OF CHARITY CARE FOR NMG. THE RESULTANT CALCULATED COST WAS THEN OFFSET BY ANY PAYMENTS, CONSISTENT WITH THE METHODOLOGY FOR THE HOSPITALS. THE UNREIMBURSED COST OF BAD DEBT, MEDICAID, MEDICARE OR ANY OTHER FEDERAL, STATE OR LOCAL INDIGENT HEALTHCARE PROGRAM IS NOT INCLUDED IN THE UNREIMBURSED COST FIGURE FOR CHARITY CARE. THE COSTS OF CHARITY CARE IN THIS REPORT DIFFER FROM NMHC'S NOTES TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR FISCAL YEAR 2019 WHERE THEY WERE CALCULATED BY APPLYING A COST-TO-CHARGE RATIO DEVELOPED PRIOR TO FILING NMH'S, NLFH'S, CDH'S, DELNOR'S, KISH'S, MARIANJOY'S, AND NIMC'S FISCAL YEAR 2019 MEDICARE COST REPORTS TO CHARGES FOREGONE FOR CHARITY CARE. THE FISCAL YEAR 2019 MEDICARE COST REPORTS WERE COMPLETED AFTER THE AUDITED FINANCIAL STATEMENTS WERE ISSUED. THE COSTS OF CHARITY CARE FOR THE HOSPITALS INCLUDED IN THIS REPORT WERE CALCULATED USING THE COST-TO-CHARGE RATIOS FROM NMH'S, NLFH'S, CDH'S, DELNOR'S, KISH'S, MARIANJOY'S, AND NIMC'S COST REPORTS FILED IN FEBRUARY OF 2020 FOR FISCAL YEAR 2019. COMMUNITY HEALTH IMPROVEMENT SERVICES - THE COST OF LANGUAGE ASSISTANCE PROGRAMS INCLUDES BOTH THE COST OF EMPLOYEES AND NONEMPLOYEES TO PROVIDE TRANSLATION SERVICES TO NMHC HOSPITAL PATIENTS AND FAMILY MEMBERS. EDUCATION - UNREIMBURSED EDUCATION COSTS INCLUDE THE COST OF NMHC'S MEDICAL RESIDENCY, FELLOWSHIP AND INTERNSHIP PROGRAMS LESS ANY THIRD-PARTY PAYOR REIMBURSEMENTS AND FEES RECEIVED. SUBSIDIZED HEALTH SERVICES - SUBSIDIZED HEALTH SERVICES INCLUDE THE UNCOMPENSATED COST OF PROVIDING BEHAVIORAL HEALTH SERVICES, HEALTH EDUCATION AND INFORMATION AND PROGRAMS TO POSITIVELY IMPACT THE WELLNESS OF THE COMMUNITY. COSTS CALCULATED WERE OFFSET BY ANY REIMBURSEMENT RECEIVED FOR SERVICES PROVIDED. THE UNREIMBURSED COST FOR BEHAVIORAL HEALTH SERVICES WAS ALSO ADJUSTED TO EXCLUDE THE UNREIMBURSED COST OF CHARITY CARE AND GOVERNMENT SPONSORED INDIGENT HEALTHCARE. RESEARCH - NMHC PROVIDES SUPPORT TO ADVANCE MEDICAL AND SCIENTIFIC RESEARCH AND ACADEMIC PURSUITS. THE REPORTED SUPPORT INCLUDES THE UNREIMBURSED COST OF FUNDS PROVIDED FOR RESEARCH PROJECTS AND UNREIMBURSED OPERATIONAL INFRASTRUCTURE COSTS TO SUPPORT CLINICAL RESEARCH THAT OCCURS AT NMH, NMG, CDH AND MJRH. DONATIONS - DONATIONS INCLUDE THE DOLLAR AMOUNT RECORDED DURING FISCAL YEAR 2019 IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AS CONTRIBUTIONS TO CHARITABLE AND OTHER COMMUNITY OR CIVIC ORGANIZATIONS FOR FURTHERANCE OF THEIR CHARITABLE PURPOSES.
Schedule H, Part II Community Building Activities	NMHC HOSPITALS PROVIDE A BROAD RANGE OF TRAINING PROGRAMS AND SUPERVISED PATIENT CARE EXPERIENCES TO ENSURE THAT A HIGHLY TRAINED HEALTHCARE WORKFORCE OF ADEQUATE CAPACITY IS IN PLACE TO SERVE THE RESIDENTS OF THE REGION. IMPORTANTLY, THESE PROGRAMS CREATE PATHWAYS FOR AT-RISK MEMBERS OF THE COMMUNITY TO SEEK JOBS WITHIN THE HEALTHCARE SYSTEM AND ALSO ARE IN PLACE FOR YOUNG PEOPLE TO LEARN ABOUT AND POTENTIALLY EXPLORE HEALTHCARE CAREERS. ALLIED HEALTH SCHOOLS AT NMH NMH OPERATES FOUR ACCREDITED ALLIED HEALTH SCHOOLS - DIAGNOSTIC MEDICAL SONOGRAPHY, NUCLEAR MEDICINE TECHNOLOGY, RADIATION THERAPY AND RADIOLOGY - AS WELL AS A HISTOTECHNOLOGY PROGRAM, POST-PRIMARY CT AND MRI PROGRAMS, AND A MEDICAL ASSISTANT PROGRAM. THE 21-MONTH CERTIFICATE PROGRAMS ARE OPEN TO EMPLOYEES AND THE GENERAL PUBLIC. MANY STUDENTS COME FROM THE LOCAL COMMUNITY, AS WELL AS FROM AFFILIATED COLLEGES AND UNIVERSITIES. LEADERS OF THESE PROGRAMS VISIT CITY HIGH SCHOOLS, COLLEGES AND UNIVERSITIES TO INTRODUCE VARIOUS MEDICAL FIELDS TO PROSPECTIVE STUDENTS AND INCREASE THEIR GENERAL KNOWLEDGE OF VARIOUS ALLIED HEALTH FIELDS. THE CERTIFICATE PROGRAMS AIM TO ADDRESS THE NEED FOR ALLIED HEALTH PROFESSIONALS IN THE FIELD. IN ADDITION TO TRAINING THE NATION'S FUTURE PHYSICIANS, FEINBERG HAS FURTHER RESPONDED TO THE ANTICIPATED SHORTAGE OF MEDICAL PROVIDERS BY OFFERING A MASTER'S-LEVEL PHYSICIAN ASSISTANT PROGRAM. PHYSICIAN ASSISTANTS ARE HIGHLY EFFECTIVE MEMBERS OF PRIMARY CARE TEAMS THAT INCLUDE MANY LEVELS OF PROVIDERS AND CAN EFFICIENTLY DELIVER THE HIGHEST QUALITY OF CARE TO EXTENDED GROUPS OF PATIENTS. THROUGH FEINBERG'S PROGRAM, PHYSICIAN ASSISTANTS ARE EDUCATED AND TRAINED WITHIN THE MEDICAL SCHOOL SETTING AND GAIN CLINICAL EXPERIENCE AT NMHC HOSPITALS. CLINICAL EXPERIENCE AT NMHC HOSPITALS NMHC HOSPITALS PROVIDE THE IMPORTANT CLINICAL SETTING FOR THE EDUCATION OF THE NEXT GENERATION OF HEALTHCARE WORKERS, INCLUDING PHYSICIANS, NURSES, PHARMACISTS, LABORATORY PROFESSIONALS, ALLIED HEALTH WORKERS AND SKILLED TECHNICIANS. THROUGH CLINICAL AFFILIATIONS WITH TOP REGIONAL UNIVERSITIES AND COLLEGES AND ESTABLISHED CLINICAL ROTATIONS, MENTORING, CLINICIAN SHADOWING, TRADITIONAL DIDACTIC LECTURES AND OTHER TEACHING PROGRAMS, WE PROVIDE CLINICAL SETTINGS FOR THE EDUCATION OF THOUSANDS OF STUDENTS, MANY OF WHOM WILL BECOME PROFESSIONALS IN FIELDS IDENTIFIED AS AREAS OF CURRENT OR FUTURE WORKFORCE SHORTAGE IN THE NATIONAL HEALTHCARE SYSTEM. NMHC PROVIDES EDUCATION TO A WIDE RANGE OF STUDENTS INCLUDING: - UNDERGRADUATE AND GRADUATE NURSING STUDENTS - STUDENTS FROM UNIVERSITY-BASED PHARMACY PROGRAMS - RESPIRATORY THERAPY STUDENTS - GRADUATE SOCIAL WORK INTERNS - PSYCHOLOGY PHD CANDIDATES WITH CLINICAL EMPHASES IN ADULT CLINICAL PSYCHOLOGY, BEHAVIORAL MEDICINE (HEALTH PSYCHOLOGY), CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY AND CLINICAL NEUROPSYCHOLOGY - INTERNS IN BIOMEDICAL ENGINEERING - PASTORAL CARE STUDENTS - PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, SPEECH LANGUAGE PATHOLOGISTS, PHYSICAL THERAPIST ASSISTANTS AND OCCUPATIONAL THERAPY ASSISTANTS THROUGH A MASTER CLINICIAN PROGRAM - PHYSICAL AND OCCUPATIONAL THERAPY ASSISTANT, BACHELOR, MASTERS AND PHD STUDENTS - STUDENTS IN A BROAD ARRAY OF OTHER CLINICAL PROGRAMS ON-THE-JOB TRAINING AND YOUTH EDUCATION PROGRAMS RESEARCH ON THE SOCIAL DETERMINANTS OF HEALTH INDICATES THAT ACCESS TO EDUCATIONAL AND ECONOMIC OPPORTUNITIES IS A KEY FACTOR IMPACTING INDIVIDUALS' QUALITY OF LIFE. NMHC OFFERS A MULTITUDE OF OPPORTUNITIES TO EXPOSE STUDENTS TO POTENTIAL HEALTHCARE CAREERS AND TO FOSTER PROFESSIONAL DEVELOPMENT IN THE FIELD. ONGOING, COMPREHENSIVE, ON-THE-JOB TRAINING AND YOUTH PROGRAMS FOR HIGH SCHOOL, COLLEGE AND POST-GRADUATE STUDENTS ARE OFFERED AT EVERY HOSPITAL IN THE HEALTH SYSTEM IN BOTH CLINICAL AND ADMINISTRATIVE SETTINGS. NM HAS LONG INVESTED IN PROGRAMS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, INCLUDING PROVIDING EDUCATIONAL AND EMPLOYMENT OPPORTUNITIES FOR YOUTH. IN 2011, NMH EMBARKED ON AN EDUCATIONAL PARTNERSHIP WITH WESTINGHOUSE COLLEGE PREPARATORY HIGH SCHOOL (WESTINGHOUSE), A SELECTIVE-ENROLLMENT HIGH SCHOOL ON CHICAGO'S WEST SIDE, TO PROVIDE TALENTED HIGH SCHOOL STUDENTS WITH THE OPPORTUNITY TO LEARN ABOUT AND PURSUE POST-HIGH-SCHOOL EDUCATION IN HEALTHCARE CAREERS. STUDENTS MEET FEINBERG FACULTY AND HOSPITAL EMPLOYEES, AND ARE PROVIDED A BEHIND-THE-SCENES UNDERSTANDING OF CLINICAL AREAS AND POTENTIAL CAREERS. THE PROGRAM ALSO INCLUDES MENTORING, AN INTENSIVE SUMMER PROGRAM, DISTANCE LEARNING, ACT TEST PREPARATION, AND LEADERSHIP AND LIFE SKILLS DEVELOPMENT. THE PROGRAM HAD 19 PARTICIPANTS IN FY19. REFLECTING THE GEOGRAPHICAL EXPANSION OF THE HEALTH SYSTEM, THE NM DISCOVERY PROGRAM, FORMERLY KNOWN AS MEDICAL EXPLORERS, GREW TO THREE CHAPTERS IN FY19: NM DISCOVERY PROGRAM CENTRAL, NM DISCOVERY PROGRAM WEST AND NM DISCOVERY PROGRAM NORTH. THROUGHOUT THE TWO-YEAR PROGRAM, STUDENTS ARE EXPOSED TO A BROAD RANGE OF ACTIVITIES DESIGNED TO ENCOURAGE THEIR INTEREST IN HEALTHCARE CAREERS. IN ADDITION, THE PROGRAM FOSTERS CHARACTER AND PROFESSIONAL DEVELOPMENT, CULTIVATES LIFE SKILLS, PROVIDES COMMUNITY SERVICE AND LEADERSHIP EXPERIENCE, AND OFFERS MENTORSHIP AND NETWORKING OPPORTUNITIES. ONCE-MONTHLY ACTIVITIES INCLUDE TOURS, GUEST SPEAKERS, GROUP DISCUSSION AND HANDS-ON PROJECTS. IN FY19, 54 STUDENTS PARTICIPATED IN THE CENTRAL CHAPTER AND 60 PARTICIPATED IN THE WEST CHAPTER. THE INAUGURAL CLASS OF THE NORTH CHAPTER WELCOMED 24 STUDENTS. ADDITIONALLY, EACH SUMMER, A SELECT NUMBER OF THESE STUDENTS ARE OFFERED INTERNSHIPS IN VARIOUS DEPARTMENTS THROUGHOUT NMH; NMH HOSTED EIGHT SUMMER INTERNS IN FY19 FROM THE NM DISCOVERY PROGRAM. SINCE THE PROGRAM BEGAN, MANY PARTICIPANTS HAVE PURSUED CAREERS IN NURSING AND OTHER HEALTHCARE FIELDS, AND SEVERAL ARE NOW EMPLOYED AT NMH. IN FY19, THE HEALTH SYSTEM BEGAN PLANNING FOR THE NEXT CHAPTER OF THE NM DISCOVERY PROGRAM - NM DISCOVERY PROGRAM GREATER DEKALB CHAPTER - WHICH LAUNCHED IN THE FALL OF 2019. ADDITIONAL EXPANSION OF BOTH THE NM DISCOVERY PROGRAM AND THE NM DISCOVERY PROGRAM INTERNSHIP ARE EXPECTED IN COMING YEARS. SINCE 2016, NM HUNTLEY AND NM MCHENRY HOSPITALS HAVE OFFERED THE YOUTH RESIDENCY PROGRAM. WORKING WITH LOCAL HIGH SCHOOLS, THE PROGRAM PROVIDES INTENSIVE JOB SHADOWING AND MENTORSHIP WITH THE GOAL OF SPARKING STUDENTS' INTEREST IN HEALTH CAREERS AND ULTIMATELY RETURNING TO WORK IN THE LOCAL COMMUNITY. FROM LEARNING TO READ A MRI, TO INSPECTING CELL TISSUES FOR TUMORS, STUDENTS ARE IMMERSED IN A PROFESSIONAL MEDICAL ENVIRONMENT IN CONJUNCTION WITH THE HIGH-SCHOOL BASED CURRICULUM. EACH CHAPTER SERVES UP-TO 30 STUDENTS ANNUALLY. IN FY19, NM KISHWAUKEE BECAME THE NEWEST HOSPITAL IN THE HEALTH SYSTEM TO OFFER PROJECT SEARCH, A PROGRAM FOR STUDENT INTERNS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. THE HOSPITAL BECAME THE FIRST HOST SITE IN DEKALB, ILLINOIS, AND JOINS NM CDH AND NM DELNOR IN PARTICIPATING IN THE PROGRAM. PROJECT SEARCH IS AN EMPLOYABILITY SKILLS TRAINING PROGRAM THAT ASSISTS STUDENTS WHO HAVE INTELLECTUAL AND DEVELOPMENTAL DISABILITIES TRANSITION FROM HIGH SCHOOL TO PRODUCTIVE EMPLOYMENT. THE HALLMARK OF PROJECT SEARCH IS TOTAL WORKPLACE IMMERSION, WHICH FACILITATES A SEAMLESS COMBINATION OF CLASSROOM INSTRUCTION, CAREER EXPLORATION AND HANDS-ON TRAINING. DURING THE ONE-YEAR PROGRAM, STUDENTS WHO ARE IN THEIR LAST YEAR OF HIGH SCHOOL PARTICIPATE IN THREE 10-WEEK INTERNSHIPS WITHIN THE HOSPITAL TO EXPLORE THEIR VOCATIONAL SKILLS, ABILITIES AND POTENTIAL CAREER PATHS. THE INITIAL COHORT AT NM KISHWAUKEE INCLUDED 12 INTERNS FROM LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS. THE GOAL OF THE PROGRAM IS TO ACHIEVE 100% EMPLOYMENT AT THE END OF THE INTERNSHIP; PROJECT SEARCH PROGRAMS AT NM CDH AND NM DELNOR HAVE ACHIEVED MORE THAN 90% EMPLOYMENT FOR SEVERAL YEARS. COMMUNITY HEALTH EDUCATION COMMUNITY-BASED EDUCATION PROGRAMS ARE OFFERED ACROSS THE HEALTH SYSTEM AND IN COORDINATION WITH OUR COMMUNITY PARTNERS. THESE INITIATIVES RANGE FROM DISEASE-SPECIFIC INFORMATION PROGRAMS, TO MENTAL HEALTH AND SUBSTANCE ABUSE COMMUNITY EDUCATION, TO MINDFULNESS TRAINING, AMONG MANY MORE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	NET PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, AND NET PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED PRIMARILY ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, ALONG WITH THE AGING STATUS FOR EACH MAJOR PAYOR SOURCE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF NORTHWESTERN MEMORIAL'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, A PROVISION IS RECORDED FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO THESE PATIENTS. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH NORTHWESTERN MEMORIAL'S POLICIES, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, NORTHWESTERN MEMORIAL RECORDS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. BAD DEBTS REPRESENT THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS REPORTED IN NMHC'S FISCAL YEAR 2019 AUDITED FINANCIAL STATEMENTS RELATED TO PATIENT CARE SERVICES ADJUSTED TO COST CONSISTENT WITH THE METHODOLOGY USED TO CALCULATE GOVERNMENT SPONSORED INDIGENT HEALTHCARE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	NET PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, AND NET PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED PRIMARILY ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, ALONG WITH THE AGING STATUS FOR EACH MAJOR PAYOR SOURCE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF NORTHWESTERN MEMORIAL'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, A PROVISION IS RECORDED FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO THESE PATIENTS. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH NORTHWESTERN MEMORIAL'S POLICIES, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, NORTHWESTERN MEMORIAL RECORDS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. BAD DEBTS REPRESENT THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS REPORTED IN NMHC'S FISCAL YEAR 2019 AUDITED FINANCIAL STATEMENTS RELATED TO PATIENT CARE SERVICES ADJUSTED TO COST CONSISTENT WITH THE METHODOLOGY USED TO CALCULATE GOVERNMENT SPONSORED INDIGENT HEALTHCARE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE UNREIMBURSED COST OF MEDICARE IS DEFINED BY THE STATE OF ILLINOIS ATTORNERY GENERAL'S OFFICE ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT AS A COMMUNITY BENEFIT. THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION ALSO VIEWS THE UNREIMBURSED COSTS OF MEDICARE AS PART OF A HOSPITAL'S COMMUNITY BENEFIT PROGRAM. NMHC PROVIDES MEDICAL CARE TO MEDICARE PATIENTS AT A COST HIGHER THAN THE REIMBURSEMENT IT RECEIVES FROM MEDICARE. THE AMOUNTS LISTED FOR PART III, LINE 5 THRU 7, ARE CALCULATED CONSISTENT WITH THE METHODOLOGY DESCRIBED FOR CALCULATING UNREIMBURSED COST OF MEDICAID FOR FISCAL 2019.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	NMHC'S CREDIT AND COLLECTION POLICY CONTAINS A PROVISION FOR FINANCIAL COUNSELING. THE POLICY STATES THAT PATIENTS WITH SELF-PAY BALANCES AND WITHOUT THE RESOURCES TO PAY THEIR OBLIGATIONS WILL BE ASSESSED FOR FREE AND DISCOUNTED CARE ELIGIBILITY BY THE FINANCIAL COUNSELING DEPARTMENTS. THE ASSESSMENT INVOLVES AND EVALUATION OF ALL LEVELS OF ASSISTANCE INCLUDING GOVERNMENTAL ASSISTANCE, EXTENDED PAY ALTERNATIVES, AND FREE OR DISCOUNTED CARE. IF THE PATIENT QUALIFIES FOR FREE CARE, THE ACCOUNT IS ADJUSTED TO ZERO SO NO COLLECTION ACTIVITY OCCURS. IF FINANCIAL ASSISTANCE RESULTS IN A DISCOUNTED OR REDUCED BALANCE, ONLY THE REDUCED BALANCE WILL BE SUBJECT TO THE COLLECTION PROCESS.
Schedule H, Part V, Section B, Line 16a FAP website	- Northwestern Memorial Hospital: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHERN ILLINOIS MEDICAL CENTER: Line 16a URL: Please see Part VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Northwestern Memorial Hospital: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHERN ILLINOIS MEDICAL CENTER: Line 16b URL: Please see Part VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Northwestern Memorial Hospital: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHERN ILLINOIS MEDICAL CENTER: Line 16c URL: Please see Part VI;
Schedule H, Part VI, Line 2 Needs assessment	NMHC'S MISSION SETS FORTH OUR COMMITMENT TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND TO ADVANCE MEDICAL RESEARCH AND EDUCATION, ONE PATIENT AT A TIME. THE COMMUNITY BENEFITS PLAN DESCRIBES THE BROAD-REACHING GOALS THAT SUPPORT THIS COMMITMENT AND ADDRESS OUR RESPONSIBILITY AS A TAX-EXEMPT ORGANIZATION. THE DEPARTMENT OF EXTERNAL AFFAIRS DEVELOPS AND MAINTAINS A COMMUNITY BENEFITS PLAN FOR THE HEALTH SYSTEM, WHICH IS EXECUTED AT THE HOSPITAL LEVEL TO BEST MEET THE NEEDS OF OUR LOCAL COMMUNITIES. REVIEWED ANNUALLY AND REVISED AS NEEDED, THE OBJECTIVES OF THE COMMUNITY BENEFITS PLAN ARE TO: 1. PROVIDE QUALITY MEDICAL CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 2. HONOR NORTHWESTERN MEDICINE'S MISSION AND COMMITMENT TO THE COMMUNITY. 3. BE RESPONSIVE TO THE ASSESSED NEEDS OF THE LOCAL COMMUNITY SERVED BY EACH HOSPITAL. 4. FORGE RELATIONSHIPS WITH LOCAL COMMUNITY ORGANIZATIONS TO HELP ADDRESS SOCIAL DETERMINANTS OF HEALTH. 5. EVALUATE THE PUBLIC HEALTH IMPACT OF NORTHWESTERN MEDICINE PROGRAMMING, AND REPLICATE BY GEOGRAPHY AND/OR DISEASE STATE WITH SENSITIVITY TO THE INDIVIDUAL NEEDS OF OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITIES WE SERVE. 6. LEVERAGE OUR STRENGTHS AS A PREMIER ACADEMIC HEALTH SYSTEM TO TRAIN THE NEXT GENERATION OF CAREGIVERS AND UTILIZE EVIDENCE-BASED MODELS FOR COMMUNITY HEALTH ENGAGEMENT. 7. LEVERAGE OUR BOND WITH NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE TO BE LEADERS IN QUALITY, ACADEMIC EXCELLENCE, SCIENTIFIC DISCOVERY, PATIENT SAFETY AND RESEARCH-INFORMED TREATMENT. ALIGNED WITH OUR MISSIONS AND COMMUNITY BENEFITS PLAN, AND IN ACCORDANCE WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA), EACH OF THE HEALTH SYSTEM HOSPITALS WORKS WITH COMMUNITY AND CAMPUS PARTNERS EVERY THREE YEARS TO COMPLETE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT IDENTIFIES THE HIGHEST PRIORITY HEALTH NEEDS OF RESIDENTS OF ITS COMMUNITY. WITH FEINBERG, NMHC BRINGS TO BEAR THE RESOURCES OF A WORLD-CLASS, INTEGRATED ACADEMIC HEALTH SYSTEM TO ADVANCE OUR COMMUNITY BENEFITS PLAN AND CHNA INITIATIVES IN WAYS THAT COULD NOT BE ACHIEVED AS STAND-ALONE HOSPITALS. PROVIDING BETTER CARE CLOSER TO HOME ALLOWS OUR COMMUNITIES ACCESS TO THE LATEST DEVELOPMENTS IN EDUCATION AND RESEARCH THAT PREVIOUSLY MAY NOT HAVE BEEN AVAILABLE AT THE COMMUNITY LEVEL. THIS INCLUDES: - SEEKING ROOT CAUSES TO HEALTH CONDITIONS, AND COLLABORATING WITH SCIENTISTS AND CLINICIANS TO DEVELOP SOLUTIONS - ENHANCING ACCESS TO HEALTH CARE - IMPROVING CLINICAL QUALITY - ADVANCING MEDICAL INNOVATION - ENSURING THAT A HIGHLY SKILLED HEALTHCARE WORKFORCE IS IN PLACE FOR DECADES TO COME - ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH CHNAS PROVIDE INFORMATION THAT ENABLES HOSPITALS TO IDENTIFY HEALTH ISSUES OF GREATEST CONCERN AMONG RESIDENTS IN THEIR COMMUNITIES AND DECIDE HOW BEST TO COMMIT RESOURCES TO THOSE AREAS, THEREBY MAKING THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. NMHC EMPLOYS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINE THE HEALTH STATUS, BEHAVIORS AND NEEDS OF THE RESIDENTS OF EACH HOSPITAL'S COMMUNITY. EACH CHNA SERVES AS A TOOL TOWARD REACHING THREE GOALS: 1. IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS AND ELEVATE THEIR OVERALL QUALITY OF LIFE. A HEALTHY COMMUNITY IS ONE WHERE ITS RESIDENTS SUFFER LITTLE FROM PHYSICAL AND MENTAL ILLNESS AND ALSO ENJOY A HIGH QUALITY OF LIFE. 2. REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS. BY GATHERING DEMOGRAPHIC INFORMATION ALONG WITH HEALTH STATUS AND BEHAVIOR DATA, IT IS POSSIBLE TO IDENTIFY POPULATION SEGMENTS THAT ARE MOST AT RISK FOR VARIOUS DISEASES AND INJURIES. INTERVENTION PLANS AIMED AT TARGETING THESE SEGMENTS MAY THEN BE DEVELOPED TO COMBAT SOME OF THE SOCIOECONOMIC FACTORS THAT HAVE HISTORICALLY HAD A NEGATIVE IMPACT ON RESIDENTS' HEALTH. 3. INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. MORE ACCESSIBLE PREVENTIVE SERVICES ARE BENEFICIAL IN ACCOMPLISHING THE FIRST GOAL (IMPROVING HEALTH STATUS, INCREASING LIFE SPANS AND ELEVATING THE QUALITY OF LIFE), AS WELL AS LOWERING THE COSTS ASSOCIATED WITH CARING FOR LATE-STAGE DISEASES RESULTING FROM A LACK OF PREVENTIVE CARE. THE CHNAS AND CORRESPONDING IMPLEMENTATION STRATEGIES WERE DEVELOPED WITH FEEDBACK FROM COMMUNITY HEALTHCARE ORGANIZATIONS AND OTHER SOCIAL SERVICES AND PUBLIC ORGANIZATIONS THAT UNDERSTAND AND HELP REPRESENT THE WIDE-RANGING HEALTHCARE NEEDS OF THE RESIDENTS IN OUR COMMUNITIES. THE CHNA IMPLEMENTATION PLANS ARE GROUNDED IN PUBLIC HEALTH MODELS DEVELOPED WITH OUR COMMUNITY PARTNERS AND FEINBERG FACULTY, IN WHICH RESIDENTS OF OUR COMMUNITIES ARE INFORMED AND ABLE TO MAKE HEALTHY LIFESTYLE CHOICES, MANAGE THEIR CHRONIC HEALTH CONDITIONS AND RECEIVE MEDICALLY NECESSARY HEALTHCARE SERVICES IN THE MOST APPROPRIATE SETTING. WE BELIEVE THAT OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IS BEST ACCOMPLISHED IN COLLABORATION WITH PARTNERS IN BOTH THE COMMUNITY AND WITHIN THE ORGANIZATIONS THAT COMPRISE NORTHWESTERN MEDICINE, INCLUDING THE HEALTH SYSTEM AND FEINBERG. OUR AFFILIATIONS WITH COMMUNITY-BASED HEALTHCARE AND COMMUNITY PARTNERS ENABLE THE HEALTH SYSTEM'S ORGANIZATIONS TO MEANINGFULLY IMPROVE ACCESS TO HIGH-QUALITY HEALTH CARE AND IMPLEMENT TARGETED PROGRAMS THAT ADDRESS THE HIGHEST-PRIORITY HEALTH NEEDS OF THE COMMUNITY. WE HAVE IMPLEMENTED LARGE-SCALE PROGRAMS THROUGHOUT OUR COMMUNITIES USING THIS FRAMEWORK TO TARGET HIGH-PRIORITY HEALTH CONDITIONS AND WILL CONTINUE TO USE PUBLIC HEALTH MODELS TO ADDRESS PRIORITY HEALTH NEEDS IDENTIFIED THROUGH OUR CHNAS. ONGOING EFFORTS DRAW ON NMHC'S AND FEINBERG'S STRENGTHS IN PUBLIC HEALTH, COMMUNICATION AND EDUCATION, AND INCLUDE PROGRAMS TO ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS IN COMMUNITIES SERVED ACROSS THE HEALTH SYSTEM. OUR HOSPITALS HAVE ENDURING RELATIONSHIPS, OFTEN DECADES OLD, WITH LOCAL HEALTHCARE AND COMMUNITY ORGANIZATIONS. THROUGH THESE PARTNERSHIPS, WE COLLABORATE ON DETERMINING PRIORITY HEALTH NEEDS THROUGH THE CHNA PROCESS AND WORK TOGETHER TO DEVELOP SOLUTIONS THAT RESPECT THE VARIED CULTURAL, SOCIOECONOMIC AND PRACTICAL NEEDS OF OUR DIVERSE COMMUNITIES. NORTHWESTERN MEMORIAL HOSPITAL: NMH COLLABORATES WITH COMMUNITY-BASED HEALTH, EDUCATION AND SOCIAL SERVICE ORGANIZATIONS TO PROVIDE HEALTH EDUCATION, OUTREACH SERVICES AND FOCUSED DISEASE MANAGEMENT PROGRAMS, AND TO ENSURE THAT THE RESIDENTS OF OUR COMMUNITIES HAVE CONVENIENT ACCESS TO HIGH-QUALITY MEDICAL HOMES. NMH HAS FORMAL AND LONGSTANDING AFFILIATIONS WITH TWO FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) BASED IN THE COMMUNITY - NEAR NORTH HEALTH SERVICE CORPORATION AND ERIE FAMILY HEALTH CENTER - AS WELL AS WITH COMMUNITYHEALTH, THE LARGEST FREE HEALTH CLINIC IN ILLINOIS. VITAL COMMUNITY PARTNERSHIPS ARE ALSO IN PLACE AMONG VARIOUS HEALTH AND COMMUNITY PARTNERS, INCLUDING BRIGHT STAR COMMUNITY OUTREACH AND KELLY HALL YMCA, AMONG MANY MORE. NORTHWESTERN MEDICINE LAKE FOREST HOSPITAL: THROUGH CHARITY CARE, OUTREACH SERVICES AND HEALTH EDUCATION PROGRAMS, NM LFH IMPROVES ACCESS TO HEALTHCARE SERVICES AND RESPONDS TO THE PRIORITY HEALTH NEEDS OF THE RESIDENTS OF LAKE COUNTY, ESPECIALLY AMONG THE UNINSURED OR UNDERINSURED. NM LFH HAS DEEP ROOTS IN LAKE COUNTY AND STRONG RELATIONSHIPS WITH COMMUNITY PARTNERS INCLUDING ERIE HEALTHREACH WAUKEGAN HEALTH CENTER AND THE LAKE COUNTY HEALTH DEPARTMENT, AMONG OTHERS. NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL: NM CDH HAS ENDURING RELATIONSHIPS WITH SEVERAL COMMUNITY-LED, COUNTY-WIDE HEALTH COLLABORATIVES, THE DUPAGE COUNTY HEALTH DEPARTMENT, LOCAL SCHOOL DISTRICTS AND SOCIAL SERVICES ORGANIZATIONS. LONGSTANDING COLLABORATIONS INCLUDE THE DUPAGE HEALTH COALITION/ACCESS DUPAGE AND THE VILLAGE OF WINFIELD. THROUGH THESE PARTNERSHIPS, AND MANY MORE, NM CDH PROVIDES HEALTH EDUCATION, NAVIGATION AND OUTREACH SERVICES. NORTHWESTERN MEDICINE DELNOR HOSPITAL: NM DELNOR REGULARLY ENGAGES WITH KANE COUNTY ORGANIZATIONS COMMITTED TO IMPROVING THE HEALTH OF ITS RESIDENTS, INCLUDING THE KANE COUNTY HEALTH DEPARTMENT AND THE TRI CITY HEALTH PARTNERSHIP, AMONG OTHERS. NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL: NM KISHWAUKEE WORKS CLOSELY WITH MANY COMMUNITY PARTNERS INCLUDING THE DEKALB COUNTY COMMUNITY MENTAL HEALTH BOARD, DEKALB COUNTY HEALTH DEPARTMENT, NORTHERN ILLINOIS UNIVERSITY, KISHWAUKEE COLLEGE, AREA SCHOOL DISTRICTS, AND MANY OTHER LOCAL MEDICAL PROVIDERS, NOT-FOR-PROFIT ORGANIZATIONS, AND COMMUNITY GROUPS. TOGETHER, NM KISHWAUKEE COLLABORATES WITH THESE DIVERSE ORGANIZATIONS TO IDENTIFY A COMMON VISION AND PLAN TO CREATE A COLLECTIVE IMPACT ON THE OVERALL HEALTH OF THE COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THERE ARE MANY WAYS THAT PATIENTS OF THE HOSPITALS ARE INFORMED OR MADE AWARE OF THE AVAILABILITY OF THE HOSPITAL'S VARIOUS FINANCIAL ASSISTANCE PROGRAMS. A. TO INCREASE AWARENESS OF FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITALS HAVE DEVELOPED BROCHURES (IN ENGLISH AND SPANISH) THAT ARE PROVIDED TO PATIENTS UPON ADMISSION AND AVAILABLE AT REGISTRATION POINTS-OF-ENTRY B. ENGLISH- AND SPANISH-LANGUAGE SIGNS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE ARE PRESENT AT EVERY PATIENT REGISTRATION AREA, INCLUDING THE EMERGENCY DEPARTMENT. C. AS PART OF THE REGISTRATION PROCESS, PATIENTS ARE PROVIDED WITH A FINANCIAL ASSISTANCE INFORMATION BROCHURE WHICH DESCRIBES THE TYPES OF ASSISTANCE AVAILABLE AND HOW TO QUALIFY FOR ONE OR MORE OF THE PROGRAMS. D. THE GENERAL CONSENT FORMS THAT EVERY PATIENT SIGNS CONTAINS INFORMATION ABOUT THE NMHC FINANCIAL ASSISTANCE PROGRAMS, AND IS AVAILABLE IN ENGLISH, SPANISH, RUSSIAN, AND POLISH AT NMH, WHILE NLFH, CDH, DELNOR, KCH, VWH, AND MJRH HAVE PROGRAMS IN ENGLISH AND SPANISH. E. INPATIENTS RECEIVE A PATIENT WELCOME PACKAGE THAT INCLUDES THE FINANCIAL ASSISTANCE INFORMATION. F. PATIENTS CAN LEARN ABOUT AND ASSESS THEIR ELIGIBILITY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS WITH THE HELP OF THE HOSPITAL'S TEAM OF FINANCIAL COUNSELING AND PATIENT INQUIRY REPRESENTATIVES. THESE REPRESENTATIVES ARE AVAILABLE ON A WALK-IN BASIS OR THROUGH A TOLL-FREE NUMBER. G. PROCESSES ARE IN PLACE TO LINK PATIENTS WITH FINANCIAL COUNSELORS AND PATIENT INQUIRY REPRESENTATIVES WHEN FINANCIAL HARDSHIP IS IDENTIFIED AS A CONCERN DURING SOCIAL SERVICES ASSESSMENTS. H. THE ENTRY PORTAL TO THE NMHC WEBSITE CONTAIN A PROMINENT LINK TO INFORMATION ABOUT NMHC'S VARIOUS FINANCIAL ASSISTANCE PROGRAMS, THE FINANCIAL ASSISTANCE BROCHURE AND DOWNLOADABLE APPLICATIONS IN MULTIPLE LANGUAGES. I. WORKING IN CONJUNCTION WITH CLINICAL STAFF, FINANCIAL COUNSELORS VISIT INPATIENTS NOT ENROLLED IN GOVERNMENT OR PRIVATE HEALTH PLANS WHILE THEY ARE STILL IN THE HOSPITAL TO ASSIST THEM IN DETERMINING THEIR ELIGIBILITY FOR BOTH GOVERNMENT HEALTH PROGRAMS AND FOR HOSPITAL FREE AND DISCOUNTED CARE PROGRAMS. J. THE HOSPITALS INFORM UNINSURED PATIENTS, AND PATIENTS WITH AN OUTSTANDING BALANCE AFTER INSURANCE, OF THE AVAILABILITY OF VARIOUS FINANCIAL ASSISTANCE PROGRAMS, INCLUDING THE FREE CARE AND DISCOUNTED CARE PROGRAM, AND THE CATASTROPHIC PROGRAM OFFERED BY THE HOSPITALS, IN WRITTEN CORRESPONDENCE SENT TO THOSE PATIENTS. THIS INFORMATION INCLUDES THE TOLL-FREE PHONE NUMBER TO THE TEAM OF PATIENT ACCOUNT REPRESENTATIVES. K. THE HOSPITALS HAVE ON-SITE PATIENT ACCOUNT STAFF WHO ARE TRAINED AND AVAILABLE TO ASSIST PATIENTS WITH FINANCIAL ASSISTANCE. L. THE HOSPITALS PROVIDE PROACTIVE FINANCIAL COUNSELING FOR SELF-PAY PATIENTS WHO HAVE A SCHEDULED INPATIENT ADMISSION. FINANCIAL COUNSELING INCLUDES ASSESSMENT FOR PUBLICLY OR PRIVATELY FUNDED INSURANCE AND THE HOSPITALS' FINANCIAL ASSISTANCE PROGRAMS. FINANCIAL ASSISTANCE PROGRAMS, INCLUDES THE FREE CARE AND DISCOUNTED CARE PROGRAMS, AND THE CATASTROPHIC PROGRAM OFFERED BY THE HOSPITALS, IN WRITTEN CORRESPONDENCE SENT TO THOSE PATIENTS. THIS INFORMATION INCLUDES THE TOLL-FREE PHONE NUMBER TO THE TEAM OF PATIENT ACCOUNT REPRESENTATIVES.
Schedule H, Part VI, Line 4 Community information	The communities served by NMHC hospitals are complex and diverse, encompassing rural, suburban and urban areas, with a range of socioeconomic statuses and social determinants of health that correspond to these demographics. NMHC is committed to providing care that takes into consideration the cultures and environments in which our patients live and is responsive to their needs. NMHC works closely with community partners, including health and social service partners, to identify priority health concerns and jointly develop community-based health initiatives designed to address healthcare disparities. Each NMHC hospital considers a variety of factors when defining its distinctive community. These factors include: geographic area served, principal functions of the hospital, areas of high hardship and the population served, the location of existing NM and community assets, and the service areas of other healthcare providers. By considering each of these factors, each NMHC hospital defined its own Community Service Area (CSA) and is working to meet the unique needs of the community it serves. Northwestern Memorial Hospital Service Area NMH serves a large, complex and diverse area with patients coming from the City of Chicago and surrounding counties. NMH's Hospital Service Area is defined as the Cities of Chicago and Evanston, which provides 69 percent of inpatient admissions. The community in NMH's Hospital Service Area is ethnically and racially diverse with large Black and Hispanic populations as well as large Polish and Spanish-speaking populations. Within NMH's Hospital Service Area, the population is expected to grow at a rate of 0.9 percent over the next five years. Significantly, nearly 20 percent of families live below the poverty level in NMH's Hospital Service Area. NMH is committed to providing culturally competent care that is responsive to the needs of all our patients, regardless of the ability to pay. NMH works with community health centers in some of Chicago's medically underserved areas to identify priority health concerns and jointly develop community-based health initiatives designed to address healthcare disparities. NMH defines its CSA as a seven-mile radius around the hospital, which includes 34 ZIP codes. Northwestern Medicine Lake Forest Hospital Service Area NM LFH primarily serves Lake County, which has a fairly stable population of around 704,000 residents; nearly 73 percent of inpatient admissions at NM LFH are derived from Lake County. While NM LFH's Hospital Service Area population is only expected to grow by 0.7 percent over the next five years, the over-65 population is growing rapidly. Between 2010 and 2015 (the most recent information available), the number of persons in Lake County 65 years and older increased by more than 2 percent. A total of 20.2% of Lake County residents are Hispanic or Latino. In looking at race independent of ethnicity, 78.7% of residents of Lake County are White and 14.4% are Black. NM LFH defines its community as Lake County in order to facilitate alignment with the Lake County Health Department (LCHD). Northwestern Medicine Central DuPage Hospital Service Area Located in Winfield, Illinois, NMCDH serves the residents of central and western DuPage County and beyond. NMCDH's Hospital Service Area accounts for 70 percent of inpatient admissions. Age distribution in the County includes 23.8 percent infants, children or adolescents (up 0.4 percent from the 2015 CHNA), 63.3 percent of residents are age 18 to 64 (up 1.1 percent), and the 12.9 percent of age 65 or older (up 0.6 percent). In looking at race independent of ethnicity, 79.4% of residents in DuPage County are White and 4.7% are Black. When considering ethnicity, 13.9% of DuPage residents are Hispanic or Latino. The county has a higher proportion of white residents and a lower proportion of black residents than the state and US. The percentage of Hispanic and Latino residents is also lower than found in the state and US. Northwestern Medicine Delnor Hospital Service Area NMDH primarily serves the residents of Kane County. Kane County is the seventh-youngest county in Illinois and notable for its age distribution. The median age remains 34.5 years as compared to the 2015 current Census Bureau average of 36.7 years. Those aged 18 to 24 comprise 61.1 percent of the population; 27.1 percent are age 0 to 17, and 11.7 percent are age 65 or older. Non-Hispanic whites now constitute 72.5 percent of the total population, an increase from 59 percent in the prior CHNA report, and Hispanics now comprise 31.4 percent of the total population. When compared to Illinois and the US in general, the proportion of Hispanics is double in Kane County, and the county has the largest proportion of Hispanics in the state. Northwestern Medicine Kishwaukee Hospital Service Area NMKH serves a majority of DeKalb County residents; the greater part of the county's residents live in the cities of DeKalb and Sycamore. The median age of DeKalb County residents is significantly lower than that of Illinois overall, at 30.3 years, or seven years less than the median age of an Illinois or US resident. 21.4 percent of residents are aged 20 to 29 years and 16.3 percent are aged from 10 to 19 years. Additionally, 11 percent of the population is aged 30 to 39, 11.8 percent comprises 40 to 49 years, 2.4 percent from 50 to 59 years, and 15.8 percent are over 60 years. The county population is 87 percent white, 8 percent black, 3 percent Asian and 2 percent is two or more races. When considering ethnicity, 11 percent of the population identified as Hispanic or Latino. Northwestern Medicine Valley West Hospital Service Area A critical access hospital in Sandwich, Illinois, NMVW primarily serves residents of DeKalb County, demographics as detailed with NMKH. NMVW's Hospital Service Area accounts for 72 percent of inpatient admissions. NM CDH, NM Delnor, NM Kishwaukee and NM Valley West define their CSA based on their Primary Service Area (PSA). The PSA is a contiguous set of ZIP codes within a defined geographical area that accounts for a majority percentage of inpatient admissions. Marianjoy Rehabilitation Hospital Service Area Located in Wheaton, Illinois, MRH largely serves the residents of DuPage County, demographics as discussed with regards to the NMCDH service area of DuPage County as well. However, due to the specialty nature of the hospital, MRH also serves as a destination hospital receiving patient referrals from surrounding counties including Cook, Will, Kane, Kendall, DeKalb and LaSalle. Due to the unique services offered by MRH, the hospital does not use a PSA to define its community. MRH considers DuPage County its CSA, but also serves as a destination hospital for surrounding counties. Patients often travel from Cook, Will, Kane, Kendall, DeKalb and LaSalle counties, among many more, to receive care at MRH. Northern Illinois Medical Center The hospitals comprising NIMC define their primary service area as McHenry County. The age distribution of the population was 29.5% aged 0-18, 56.5% aged 18-65, and 14.0% aged 65 and older as of the latest data available in 2017. McHenry County uninsured rates in 2017 were just 5.5% compared to the state uninsured rate of 7.8%. McHenry County also enjoys a relatively high socioeconomic status in comparison to the state at large, with median household income of $82,230 compared to the average $61,229. Together, the three NM hospitals in Chicago's northwest suburbs - NM McHenry, NM Huntley and NM Woodstock - serve the same CSA of McHenry County, which accounts for a majority of inpatient admissions.
Schedule H, Part VI, Line 5 Promotion of community health	As described in earlier sections, NMHC believes that its mission to improve the health of the communities it serves is best accomplished in collaboration with partners in the community. The CHNA process and ongoing input from community partners inform how NMHC hospitals prioritize and address community health needs. Along with our many care locations, our community affiliations help us to provide care to residents near where they live or work, with streamlined pathways to access medically necessary hospital-based care. NMHC also sponsors numerous programs to provide mental health services, promote health and wellness, prevent injury and trauma, and provide healthcare career training, youth mentoring, language assistance and volunteer programs to enhance the quality and accessibility of care. Net unreimbursed cost for these activities for FY19 was more than $29 million.
Schedule H, Part VI, Line 6 Affiliated health care system	AS DESCRIBED THROUGHOUT THIS FORM 990, THE SUBORDINATES REPORTED IN THIS GROUP RETURN ARE ALL PART OF NORTHWESTERN MEMORIAL HEALTHCARE. THE COMMUNITY BENEFIT PLAN AND COMMUNITY HEALTH NEEDS ASSESSMENT, DESCRIBED EARLIER IN SCHEDULE H, GIVE DETAILS ABOUT EACH SUBORDINATE'S RESPECTIVE ROLE IN PROMOTING THE HEALTH OF THE COMMUNITIES WE SERVE.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (77 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Northwestern University
750 N Lake Shore Dr	Chicago	IL	60611	362167817	501(c)3	$11,460,892	Academic support
Rosalind Franklin University
3333 Green Bay Rd	North Chicago	IL	60064	362181973	501(c)3	$1,985,700	Healthcare education
Erie Family Health Center
1701 W Superior St	Chicago	IL	60622	363088628	501(c)3	$1,520,310	Access to healthcare
DuPage Health Coalition
511 Thornhill	Carol Stream	IL	60188	364448208	501(c)3	$582,695	Access to healthcare
NEAR NORTH HEALTH SERVICE CORPORATION
1276 N Clybourn Ave	Chicago	IL	60610	363197647	501(c)3	$366,663	Access to healthcare
Winfield Fire Protection District
27W560 High Lake Rd	Winfield	IL	60190	362797572	Government	$250,000	Safety and education
Community Health
2611 W Chicago Ave	Chicago	IL	60622	363831793	501(c)3	$165,000	Access to healthcare
Acclivus Inc
1640 W Roosevelt Rd	Chicago	IL	60608	273108215	501(c)3	$125,000	Violence prevention
Ann & Robert H Lurie Children's Hospital of Chicago
225 E Chicago Ave	Chicago	IL	60611	362170833	501(c)3	$110,155	Healthcare support
Luster Learning Institute
1126 Hillcrest Ave	Highland Park	IL	60035	364604965	501(c)3	$107,119	Education support
Lazarus House
214 Walnut St	St Charles	IL	60174	364187609	501(c)3	$75,000	Support for the homeless
Winfield School District 34
0S150 Winfield Rd	Winfield	IL	60190	366004497	Government	$72,805	Student health and safety
Center for Housing and Health
200 W Jackson Blvd	Chicago	IL	60606	264287202	501(c)3	$72,000	Homelessness and behavioral health
Lake County Partnership for Economic Development Inc
1 Overlook Pt	Lincolnshire	IL	60069	364206288	501(c)3	$60,000	Support economic development
Connections for Abused Women and their Children
1116 N Kedzie	Chicago	IL	60651	362950380	501(c)3	$55,000	Access to healthcare for victims of domestic violence
Spectrios Institute for Low Vision
219 E Cole Ave	Wheaton	IL	60187	363083157	501(c)3	$55,000	Homecare vision program support
Chicago Cares
2 N Riverside Plz	Chicago	IL	60606	363777709	501(c)3	$50,000	Community support
Mano A Mano Family Resource Center
6 E Main St	Round Lake Park	IL	60073	364418084	501(c)3	$40,000	Community health for low income and immigrant communities
YMCA of Metropolitan Chicago
824 N Hamlin Ave	Chicago	IL	60651	362179782	501(c)3	$36,890	Community health and education
Kishwaukee Family YMCA
2500 W Bethany Rd	Sycamore	IL	60178	362379643	501(c)3	$35,000	Community health and education
DEKALB COUNTY COMMUNITY FOUNDATION
475 DeKalb Ave	Sycamore	IL	60178	363788167	501(c)3	$27,500	Community support
American Cancer Society
143 First St	Batavia	IL	60510	131788491	501(c)3	$25,000	Research and education
Family Service Agency of DeKalb County
14 Health Services Dr	DeKalb	IL	60115	362360012	501(c)3	$25,000	Community health
FAMILY HEALTH PARTNERSHIP
401 E Congress Pkwy	Crystal Lake	IL	60014	364277029	501(c)3	$24,012	Community support
COMMUNITY FOUNDATION OF THE FOX RIVER VALLEY
111 W Downer Pl	Aurora	IL	60506	366086742	501(c)3	$22,811	Support community education
KISHWAUKEE COLLEGE FOUNDATION
21193 Malta Rd	Malta	IL	60150	237433949	501(c)3	$21,500	Community education and support
Northern Illinois University Foundation
Altgeld Hall 134	DeKalb	IL	60115	366086819	501(c)3	$20,868	Community support
BRIGHT STAR COMMUNITY OUTREACH
4518 S Cottage Grove	Chicago	IL	60653	262007088	501(c)3	$20,000	Access to healthcare
Lester and Rosalie ANIXTER CENTER
6610 N Clark St	Chicago	IL	60626	362244895	501(c)3	$18,520	Support for persons with disabilities
THE SALVATION ARMY
5550 Prairie Stone Pkwy	Hoffman Estates	IL	60192	362167910	501(c)3	$16,666	Social services for local communities
CHICAGO FIRE DEPARTMENT FOUNDATION
35 W Wacker Dr	Chicago	IL	60601	455005192	501(c)3	$16,000	Disaster preparedness
Linking Efforts Against Drugs
400 E Illinois Rd	Lake Forest	IL	60045	311501805	501(c)3	$15,500	Drug abuse prevention and education
INNER-CITY MUSLIM ACTION NETWORK
2744 W 63rd St	Chicago	IL	60629	364167433	501(c)3	$15,000	Community health
AMERICAN COMMITTEE FOR THE WEIZMANN INST
180 N LaSalle St	Chicago	IL	60601	131623886	501(c)3	$15,000	Research and education
American Heart Association
205 N Michigan Ave	Chicago	IL	60604	135613797	501(c)3	$15,000	Research and education
Safe Passage
PO Box 621	DeKalb	IL	60115	363108372	501(c)3	$15,000	Prevention of domestic violence
DeKalb County Economic Development Corporation
421 N California St	Sycamore	IL	60178	363524353	501(c)3	$15,000	Support economic development
Fox Valley Older Adult Services
1406 Suydam Rd	Sandwich	IL	60548	362738669	501(c)3	$15,000	Community support
Ecker Center for Mental Health
1845 Grandstand Pl	Elgin	IL	60123	362312495	501(c)3	$15,000	Mental health program for low income
Meier Clinics Foundation
2100 Manchester Rd	Wheaton	IL	60187	752845878	501(c)3	$15,000	Access to mental health services
DuPage PADS
601 W Liberty	Wheaton	IL	60187	363675494	501(c)3	$15,000	Support and meals for the homeless
WINGS PROGRAM INC
PO Box 95615	Palatine	IL	60095	363456061	501(c)3	$13,500	Support for victims of domestic violence
Fox Valley Family YMCA
3875 Eldamain Rd	Plano	IL	60545	363028169	501(c)3	$13,000	Community health and education
Sandwich Park District
1001 N Latham Rd	Sandwich	IL	60548	362646087	Government	$13,000	Community health
CASA - DeKalb County
407 W State St	Sycamore	IL	60178	363903898	501(c)3	$12,500	Well-being of abused and neglected children
Sandwich Community Unit School District 430
720 S Wells St	Sandwich	IL	60548	366009067	Government	$11,850	Community health and education
JUNIOR ACHIEVEMENT OF CHICAGO
651 W Washington Blvd	Chicago	IL	60661	362170141	501(c)3	$11,500	Community support
KISHWAUKEE UNITED WAY
115 N First St	DeKalb	IL	60115	366158489	501(c)3	$10,500	Community support
B'NAI B'RITH
1120 20TH St NW	Washington	DC	20036	530179971	501(c)3	$10,000	Community health and support
DeKalb County Health Department
2550 N Annie Glidden Rd	DeKalb	IL	60115	366006548	Government	$10,000	Community health and support
DEKALB COUNTY YOUTH SERVICES BUREAU
330 Grove St	DeKalb	IL	60115	363034427	501(c)3	$10,000	Support for youth programs
HOPE HAVEN OF DEKALB COUNTY INC
1145 Rushmoore Dr	DeKalb	IL	60115	363537762	501(c)3	$10,000	Support and meals for the homeless
VOLUNTARY ACTION CENTER OF DEKALB COUNTY
1606 Bethany Rd	Sycamore	IL	60178	362798257	501(c)3	$10,000	Community nutrition and transportation needs
TriCity Family Services
1120 Randall Ct	Geneva	IL	60134	237310008	501(c)3	$10,000	Mental health program for low income
Well Child Conference of Elgin
620 Wing St	Elgin	IL	60123	237348349	501(c)3	$10,000	Nutrition and oral health education
EPILEPSY FOUNDATION OF GREATER CHICAGO
17 N State St	Chicago	IL	60602	362317619	501(c)3	$10,000	Research and education
CATHOLIC CHARITIES
721 N LaSalle	Chicago	IL	60654	362170821	501(c)3	$9,500	Community support	6th Fl
GOLDEN APPLE FOUNDATION FOR EXCELLENCE I
8 S Michigan Ave	Chicago	IL	60603	363392992	501(c)3	$9,000	Education support
HOLOCAUST MEMORIAL FOUNDATION OF ILLINOIS INC
9603 Woods Dr	Skokie	IL	60077	363156154	501(c)3	$8,550	Community education and support
KELLS PARK COMMUNITY COUNCIL
3601 W Chicago Ave	Chicago	IL	60651	811712741	501(c)3	$8,448	Youth development programs
CRISTO REY ST MARTIN COLLEGE PREP
3106 Belvidere Rd	Waukegan	IL	60085	421597059	501(c)3	$8,400	Youth development programs
DEKALB PARK DISTRICT
1403 Sycamore Rd	DeKalb	IL	60115	366005844	Government	$8,400	Community health
JDRF International
1 N LaSalle St	Chicago	IL	60602	231907729	501(c)3	$8,340	Research and education
ABRAHAM LINCOLN PRESIDENTIAL LIBRARY FOUNDATION
212 N Sixth St	Springfield	IL	62701	364385644	501(c)3	$8,000	Community support
Opportunity House
202 Lucas St	Sycamore	IL	60178	362476231	501(c)3	$8,000	Services for adults with disabilities
THE LOU MALNATI CANCER RESEARCH FUND
3685 Woodhead	Northbrook	IL	60062	237133606	501(c)3	$7,000	Cancer research
GENOA CHAMBER OF COMMERCE
113 N Genoa St	Genoa	IL	60135	362355846	501(c)6	$6,300	Community support
Sycamore Park District
940 E State St	Sycamore	IL	60178	366006122	Government	$5,500	Community health
Northern Illinois Food Bank
273 Dearborn	Geneva	IL	60134	363203648	501(c)3	$5,300	Community health and nutrition
CHICAGO UNITED
300 E Randolph St	Chicago	IL	60601	362770509	501(c)3	$5,000	Community support
AMERICAN JEWISH COMMITTEE
70 W Madison St	Chicago	IL	60602	135563393	501(c)3	$5,000	Community support
PHIL'S FRIENDS
1350 Lake St	Roselle	IL	60172	203087488	501(c)3	$5,000	Support and hope to those affected by cancer
AMERICAN WRITERS MUSEUM
180 N Michigan Ave	Chicago	IL	60601	271822749	501(c)3	$5,000	Community education and support
DEKALB COUNTY HISTORY CENTER
PO Box 502	Sycamore	IL	60178	364321529	501(c)3	$5,000	Community education and support
FEED MY STARVING CHILDREN
401 93rd Ave NW	Coon Rapids	MN	55433	411601449	501(c)3	$5,000	Community health and nutrition
ADVENTURE WORKS OF DEKALB CO
1211 Sycamore Rd	DeKalb	IL	60115	271897885	501(c)3	$5,000	Programs for youth with disabilities
DEKALB CORN FEST
1586 Barber Greene Rd	DeKalb	IL	60115	364028426	501(c)6	$5,000	Community support

Field	Value	IRS element (for citing)
Total501c3 Org	75	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	138	$294,339
EMPLOYEE CRISIS ASSISTANCE	195	$290,021
PATIENT BILL ASSISTANCE	40	$214,400
PATIENT TRANSPORTATION ASSISTANCE	57	$2,172
FOOD AND MEDICINE FOR INDIVIDUALS	218	$18,387

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule I, Part III, Column (b) Number of recipients

The number of scholarship recipients is known. For the other types of assistance to domestic individuals the number of recipients benefiting was estimated based on an average or typical amount of assistance provided.

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

THE MAJORITY OF THE GRANTS FROM THE NORTHWESTERN MEMORIAL HEALTHCARE GROUP ARE ADMINISTERED THROUGH NORTHWESTERN MEMORIAL FOUNDATION ("NMF"). NMF MAINTAINS DETAILED RECORDS AND INTERNAL CONTROL PROCEDURES TO ENSURE GRANT RECIPIENTS ARE QUALIFIED, AWARD AMOUNTS ARE DOCUMENTED AND SELECTION CRITERIA ARE CLEAR. ONCE A GRANT HAS BEEN AWARDED, NMF INITIATES A WRITTEN AGREEMENT WITH THE GRANT RECIPIENT THAT INCORPORATES A BUDGET AND TIME PERIOD FOR SPENDING THE GRANT DOLLARS. REASONABLE DIRECT COSTS, SUPPORTED BY DIRECT BUDGET JUSTIFICATION AND RELATED TO THE PROJECT'S PURPOSE, ARE ALLOWABLE. RECIPIENTS AGREE TO ABIDE BY THE BUDGET AND ALL RELEVANT POLICIES IN EFFECT AT NORTHWESTERN MEMORIAL HEALTHCARE. GRANT EXPENDITURES ARE MONITORED FOR COMPLIANCE WITH THEIR RESPECTIVE AGREEMENTS, AT LEAST ONCE A YEAR TO ENSURE THAT BUDGETS ARE FOLLOWED AND EXPENSES ARE APPROPRIATE. AT THE END OF EACH BUDGET PERIOD, NMF REQUIRES THE GRANT RECIPIENT TO SUBMIT A WRITTEN NARRATIVE AND FINANCIAL REPORT OUTLINING PROJECT ACCOMPLISHMENTS AND HOW THE GRANT DOLLARS WERE EXPENDED. UNEXPENDED FUNDS ARE RETURNED TO NMF. GRANTS PROVIDED BY NORTHWESTERN MEMORIAL HOSPITAL AND NORTHWESTERN LAKE FOREST HOSPITAL TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS ARE SUPPORTED BY A GRANT AGREEMENT THAT DEFINES ANY RESTRICTIONS ASSOCIATED WITH THE GRANT AND ANY RELATED REPORTING REQUIREMENTS. IN ADDITION, OTHER ORGANIZATION IN THE NORTHWESTERN MEDICINE HEALTHCARE GROUP ALSO PROVIDE GRANTS UNDER THEIR COMMUNITY BENEFIT GRANT PROGRAMS TO NONPROFIT, GOVERNMENTAL OR PUBLIC ORGANIZATIONS WITHIN THEIR LOCAL COMMUNITIES WHO ARE WORKING TO ADDRESS IDENTIFIED COMMUNITY HEALTH PRIORITIES, BASED ON THEIR LOCAL COMMUNITY HEALTH NEEDS ASSESSMENTS AND/OR COMMUNITY HEALTH IMPROVEMENT PLANS. THE GUIDING PHILOSOPHY OF THE CHARITABLE GRANT ACTIVITY IS TO NOT ONLY CONTRIBUTE OUR RESOURCES BUT TO ACTIVELY ENGAGE PARTNERS TO ASSESS, PLAN FOR AND MEET COMMUNITY HEALTH NEEDS. THE NMHC GROUP ORGANIZATIONS WORK CLOSELY WITH THEIR PARTNERS IN THE PROGRAMS THAT ARE AWARDED GRANTS. MONITORING THE USE OF GRANT FUNDS IS ACHIEVED THROUGH VARIOUS MEANS, INCLUDING ACTIVE PARTICIPATION IN PROGRAM IMPLEMENTATION, WRITTEN CONTRIBUTION AGREEMENTS, PERFORMANCE REPORTS AND BOARD PARTICIPATION IN SOME INSTANCES.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (56 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jay Anderson
See Schedule O	$508,143	$0	$303,720	$0	$113,615	$0	$222,193	$0	$40,942	$0	$1,188,614	$0	$141,913	$0
Howard B Chrisman MD
See Schedule O	$808,642	$0	$321,334	$0	$85,590	$0	$203,598	$0	$5,500	$0	$1,424,664	$0	$73,920	$0
Seamus Collins
See Schedule O	$222,165	$0	$86,350	$0	$6,833	$0	$30,000	$0	$42,027	$0	$387,374	$0	$0	$0
Julie L Creamer
See Schedule O	$682,131	$0	$465,825	$0	$866,389	$0	$163,008	$0	$42,245	$0	$2,219,598	$0	$92,400	$0
Mike S Eesley
See Schedule O	$282,956	$0	$0	$0	$69,949	$0	$0	$0	$5,410	$0	$358,314	$0	$0	$0
Connie Falcone
See Schedule O	$395,384	$0	$151,831	$0	$23,815	$0	$40,500	$0	$40,963	$0	$652,494	$0	$0	$0
Matthew J Flynn
See Schedule O	$376,286	$0	$169,098	$0	$72,677	$0	$73,500	$0	$42,937	$0	$734,498	$0	$50,820	$0
Richard Franco
See Schedule O	$283,172	$0	$113,903	$0	$13,452	$0	$34,062	$0	$41,827	$0	$486,416	$0	$0	$0
Dean M Harrison
See Schedule O	$1,931,795	$0	$3,703,686	$0	$711,652	$0	$1,546,774	$0	$34,054	$0	$7,927,960	$0	$321,437	$0
Emily J Kozak
See Schedule O	$263,405	$0	$139,384	$0	$16,449	$0	$29,065	$0	$38,151	$0	$486,454	$0	$0	$0
Brian J Lemon
See Schedule O	$597,924	$0	$335,415	$0	$90,259	$0	$113,696	$0	$46,159	$0	$1,183,453	$0	$60,695	$0
Thomas J McAfee
See Schedule O	$584,880	$0	$381,564	$0	$124,058	$0	$259,760	$0	$43,741	$0	$1,394,003	$0	$181,484	$0
Eric G Neilson MD
See Schedule O	$573,173	$0	$321,300	$0	$17,451	$0	$16,500	$0	$19,934	$0	$948,359	$0	$0	$0
John A Orsini
See Schedule O	$870,195	$0	$598,597	$0	$83,793	$0	$363,457	$0	$27,458	$0	$1,943,500	$0	$111,283	$0
Kevin P Poorten
See Schedule O	$662,238	$0	$308,959	$0	$430,589	$0	$206,913	$0	$43,821	$0	$1,652,521	$0	$281,377	$0
Patrick Towne MD
See Schedule O	$506,910	$0	$305,776	$0	$84,641	$0	$123,599	$0	$41,087	$0	$1,062,012	$0	$43,809	$0
Anthony Altimari MD
See Schedule O	$655,421	$0	$0	$0	$33,092	$0	$16,500	$0	$41,277	$0	$746,290	$0	$0	$0
Todd Barrowclift DO
See Schedule O	$194,270	$0	$33,167	$0	$1,325	$0	$11,879	$0	$39,041	$0	$279,682	$0	$0	$0
Kevin P Bethke
See Schedule O	$674,905	$0	$75,000	$0	$23,580	$0	$0	$0	$18,061	$0	$791,547	$0	$0	$0
Justin Gent MD
See Schedule O	$242,404	$0	$0	$0	$161,682	$0	$0	$0	$7,982	$0	$412,067	$0	$0	$0
Timothy G Havenhill
See Schedule O	$174,559	$0	$0	$0	$3,964	$0	$13,094	$0	$7,524	$0	$199,141	$0	$0	$0
Scott Helm MD
See Schedule O	$239,162	$0	$0	$0	$0	$0	$0	$0	$0	$0	$239,162	$0	$0	$0
PATRICK M MCCARTHY MD
See Schedule O	$1,340,260	$0	$472,500	$0	$22,964	$0	$49,833	$0	$24,234	$0	$1,909,791	$0	$0	$0
Amy S Paller MD
See Schedule O	$276,099	$0	$118,608	$0	$16,291	$0	$16,500	$0	$26,518	$0	$454,015	$0	$0	$0
TERRANCE D PEABODY MD
See Schedule O	$627,072	$0	$174,451	$0	$2,576	$0	$16,500	$0	$24,234	$0	$844,832	$0	$0	$0
Ronald J Severino MD
See Schedule O	$284,097	$0	$0	$0	$193,283	$0	$16,500	$0	$42,751	$0	$536,631	$0	$0	$0
Dean P Shoener MD
See Schedule O	$496,185	$0	$0	$0	$223,295	$0	$16,500	$0	$42,332	$0	$778,312	$0	$0	$0
NATHANIEL J SOPER MD
See Schedule O	$637,073	$0	$130,910	$0	$22,319	$0	$16,500	$0	$18,666	$0	$825,468	$0	$0	$0
Douglas E Vaughan
See Schedule O	$364,840	$0	$142,888	$0	$12,870	$0	$16,500	$0	$12,783	$0	$549,881	$0	$0	$0
Nicholas J Volpe MD
See Schedule O	$391,343	$0	$101,662	$0	$20,518	$0	$16,500	$0	$25,661	$0	$555,683	$0	$0	$0
Gina Weldy
See Schedule O	$464,688	$0	$214,788	$0	$124,267	$0	$16,500	$0	$15,644	$0	$835,887	$0	$0	$0
Maureen Bryant
See Schedule O	$423,399	$0	$250,349	$0	$53,135	$0	$88,159	$0	$24,999	$0	$840,041	$0	$46,246	$0
Leah V Hobson
See Schedule O	$235,913	$0	$82,269	$0	$17,155	$0	$27,555	$0	$31,261	$0	$394,153	$0	$0	$0
Danae K Prousis
See Schedule O	$628,671	$0	$277,746	$0	$222,145	$0	$16,500	$0	$26,838	$0	$1,171,900	$0	$0	$0
Maureen A Taus
See Schedule O	$347,920	$0	$152,852	$0	$33,136	$0	$37,500	$0	$40,906	$0	$612,314	$0	$0	$0
Aaron Bare
See Schedule O	$794,005	$0	$0	$0	$554,294	$0	$16,500	$0	$42,132	$0	$1,406,931	$0	$0	$0
Gyu Il Gang
See Schedule O	$997,123	$0	$0	$0	$124,977	$0	$16,500	$0	$9,921	$0	$1,148,521	$0	$0	$0
Harish Shownkeen
See Schedule O	$1,207,859	$0	$0	$0	$472,024	$0	$16,500	$0	$36,165	$0	$1,732,548	$0	$0	$0
Dhaval N Thakkar
See Schedule O	$842,858	$0	$58,147	$0	$198,076	$0	$16,500	$0	$17,115	$0	$1,132,696	$0	$0	$0
Gregory Witkowski
See Schedule O	$728,830	$0	$0	$0	$357,892	$0	$16,500	$0	$25,826	$0	$1,129,048	$0	$0	$0
James Adams
See Schedule O	$625,691	$0	$304,493	$0	$128,810	$0	$60,840	$0	$16,068	$0	$1,135,903	$0	$0	$0
Brad Copple
See Schedule O	$0	$0	$0	$0	$208,600	$0	$0	$0	$0	$0	$208,600	$0	$0	$0
James C Dechene
See Schedule O	$0	$0	$0	$0	$471,884	$0	$0	$0	$12,896	$0	$484,780	$0	$0	$0
Pamela Duffy
See Schedule O	$0	$0	$0	$0	$189,083	$0	$0	$0	$0	$0	$189,083	$0	$0	$0
Francis Fraher
See Schedule O	$298,722	$0	$111,879	$0	$53,767	$0	$16,500	$0	$36,368	$0	$517,236	$0	$0	$0
James Giblin
See Schedule O	$530,929	$0	$289,940	$0	$77,599	$0	$203,108	$0	$45,798	$0	$1,147,374	$0	$0	$0
David Hensley
See Schedule O	$237,727	$0	$92,275	$0	$26,666	$0	$13,883	$0	$31,913	$0	$402,464	$0	$0	$0
John Hubbe
See Schedule O	$127,472	$0	$4,841	$0	$8,982	$0	$9,032	$0	$35,999	$0	$186,326	$0	$0	$0
Denise Majeski
See Schedule O	$245,106	$0	$98,107	$0	$43,629	$0	$9,894	$0	$20,943	$0	$417,679	$0	$0	$0
Dean Manheimer
See Schedule O	$0	$0	$0	$0	$575,897	$0	$0	$0	$23,757	$0	$599,654	$0	$0	$0
Gary Noskin MD
See Schedule O	$480,641	$0	$239,123	$0	$88,586	$0	$103,500	$0	$24,011	$0	$935,861	$0	$0	$0
Elizabeth Rosenberg
See Schedule O	$667,058	$0	$424,107	$0	$30,331	$0	$289,091	$0	$44,470	$0	$1,455,058	$0	$88,550	$0
Michael Vivoda
See Schedule O	$939,683	$0	$577,409	$0	$83,951	$0	$429,852	$0	$43,413	$0	$2,074,308	$0	$0	$0
Jennifer Wooten Ierardi
See Schedule O	$321,381	$0	$133,362	$0	$14,595	$0	$16,500	$0	$42,787	$0	$528,625	$0	$0	$0
Kathleen Yosko
See Schedule O	$13,066	$0	$51,500	$0	$458,722	$0	$4,041	$0	$11,978	$0	$539,306	$0	$0	$0
Douglas Young
See Schedule O	$392,738	$0	$151,831	$0	$121,555	$0	$16,500	$0	$51,885	$0	$734,509	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 8 INITIAL CONTRACT EXCEPTION	WHILE THERE ARE NO AMOUNTS REPORTED ON FORM 990, PART VII, FOR WHICH THE INITIAL CONTRACT EXCEPTION EXPRESSLY APPLIES, THE ORGANIZATION RESERVES THE RIGHT TO ASSERT AT ANY TIME THAT THE INITIAL CONTRACT EXCEPTION APPLIES TO AN AMOUNT PROVIDED A PERSON LISTED IN PART VII AND/OR ON SCHEDULE J.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	HEALTH CLUB DUES EMPLOYEES OF NORTHWESTERN LAKE FOREST HOSPITAL ARE OFFERED DISCOUNTED HEALTH AND FITNESS CLUB DUES AT LAKE FOREST HEALTH AND FITNESS INSTITUTE. THE AMOUNT OF THE DISCOUNT IS TREATED AS TAXABLE INCOME FOR EACH OF THE EMPLOYEES. MATTHEW J. FLYNN AND DENISE MAJESKI RECEIVED THIS BENEFIT. COUNTRY CLUB DUES COUNTRY CLUB DUES WERE REIMBURSED FOR CERTAIN KISHWAUKEE HEALTH EMPLOYEES. THIS AMOUNT IS TREATED AS TAXABLE INCOME FOR EACH OF THESE EMPLOYEES. BRAD COPPLE AND KEVIN POORTEN RECEIVED THIS BENEFIT.
Schedule J, Part I, Line 4a Severance or change-of-control payment	SEVERANCE PAYMENTS THE FOLLOWING PERSONS RECEIVED SEVERANCE PAYMENTS: BRAD COPPLE, $208,600 DEAN MANHEIMER, $566,500 JAMES DECHENE, $467,006 KATHLEEN YOSKO, $396,154 PAMELA DUFFY, $189,083
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THERE ARE TWO DIFFERENT NONQUALIFIED DEFERRED COMPENSATION PLANS SPONSORED BY NORTHWESTERN MEMORIAL HEALTHCARE, WHICH PROVIDE SUPPLEMENTAL, COMPETITIVE RETIREMENT BENEFITS. THE EMPLOYER PAYS THE COST OF PARTICIPATION, AND THE BENEFITS AND CONTRIBUTIONS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE BASED ON THE COMPLETION OF SUBSTANTIAL FUTURE SERVICE REQUIREMENTS. THE AMOUNTS EARNED BY PARTICIPANTS FLUCTUATE FROM YEAR TO YEAR BASED ON A VARIETY OF FACTORS INCLUDING CHANGES IN MARKET INTEREST RATES. PLAN A JULIA CREAMER IS VESTED IN A NON-QUALIFIED PLAN. AS SUCH, ANY CONTRIBUTIONS ARE TAXED CURRENTLY AND THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $710,275. PLAN B THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE THE CURRENT YEAR CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: MAUREEN BRYANT, $25,362 JULIA CREAMER, $81,180 MICHAEL EESLEY, $67,284 DEAN HARRISON, $375,000 BRIAN LEMON, $36,000 DENISE MAJESKI, $14,892 DANAE PROUSIS, $111,000 DOUGLAS YOUNG, $63,000 THE FOLLOWING EMPLOYEES ARE NOT VESTED IN THE PLAN, AND FOR SUCH EMPLOYEES THE CURRENT YEAR EARNED AMOUNT (WHICH REMAINS AT RISK BECAUSE OF THE REQUIREMENT OF SUBSTANTIAL FUTURE SERVICES) WAS: JAMES ADAMS, $44,340 JAY ANDERSON, $89,832 HOWARD CHRISMAN, $40,590 SEAMUS COLLINS, $13,500 CONNIE FALCONE, $24,000 MATTHEW FLYNN, $57,000 RICHARD FRANCO, $17,562 JAMES GIBLIN, $96,528 TIMOTHY HAVENHILL, $13,094 LEAH HOBSON, $11,055 EMILY KOZAK, $16,500 THOMAS MCAFEE, $109,272 GARY NOSKIN, $87,000 JOHN ORSINI, $171,000 KEVIN POORTEN, $125,616 ELIZABETH ROSENBERG, $127,800 MAUREEN TAUS, $21,000 PATRICK TOWNE, $30,000
Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization	CERTAIN LISTED INDIVIDUALS ARE EMPLOYED AS PHYSICIANS. THE COMPENSATION LISTED IN SCHEDULE J IS PROVIDED SOLELY IN CONNECTION WITH THEIR EMPLOYMENT AS PHYSICIANS, AND IS IN PART BASED ON REVENUES ASSOCIATED WITH THEIR PERSONALLY PERFORMED SERVICES. THE COMPENSATION LISTED IS FOR THE CLINICAL AND ADMINISTRATIVE SERVICES PROVIDED WITHIN THE NORTHWESTERN MEMORIAL HEALTHCARE GROUP. THE MAJORITY OF THESE PHYSICIANS ARE ALSO COMPENSATED BY AN UNRELATED ORGANIZATION (NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE) THROUGH A COMMON PAYMASTER FOR THEIR ACADEMIC AND RESEARCH EFFORTS. THE COMPENSATION LISTED IN SCHEDULE J DOES NOT INCLUDE ACADEMIC AND RESEARCH COMPENSATION FROM THE UNRELATED ORGANIZATION.
Schedule J, Part I, Line 7 Non-fixed payments	THE BONUS AND INCENTIVE COMPENSATION AMOUNTS LISTED IN COLUMN (B)(II) FOR ALL LISTED INDIVIDUALS WERE DETERMINED USING A SPECIFIED FORMULA. THIS FORMULA AND THE CALCULATION OF THEIR ANNUAL BONUS IS BASED ON TWO COMPONENTS: THE EMPLOYEE'S TITLE/POSITION (STAFF, MANAGER, DIRECTOR, VP, ETC.) AND THE DEGREE TO WHICH ESTABLISHED PERFORMANCE GOALS WERE ACHIEVED. INCENTIVE COMPENSATION AMOUNTS ARE AT RISK AND ARE NOT PAID UNLESS THERE IS EXCEPTIONAL INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE IN ACCORDANCE WITH SUBSTANTIAL PRE-APPROVED GOALS. THE INCENTIVE COMPENSATION LISTED FOR CERTAIN PHYSICIANS IS FOR PERSONAL PROFESSIONAL PRODUCTIVITY AND FOR PERFORMANCE IN IMPROVING THE QUALITY OF PATIENT CARE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A	861091967	45200FBZ1	2007-12-19	$214,500,000	REFUND BONDS ISSUED 05/27/2004	false	false	false
ILLINOIS FINANCE AUTHORITY
B	861091967	45200FTB5	2009-01-13	$207,360,000	REFUND BONDS ISSUED 05/27/2004	false	false	false
ILLINOIS FINANCE AUTHORITY
C	861091967	45203HNF5	2012-11-20	$207,317,217	CURRENT REFUNDING; PROJECT	false	false	false
ILLINOIS FINANCE AUTHORITY
D	861091967	45203HZS4	2014-06-11	$197,757,179	NEW HOSPITAL CONSTRUCTION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Capitalized InterestCapitalizedInterestAmt	UnspentUnspentAmt
A	$12,500,000	$269,866,112	$1,871,062	$267,995,050	2007	false	Yes (true)	Yes (true)	Yes (true)
B	$143,150,000	$207,360,000	$1,985,000	$205,350,000	2007	Yes (true)	false	Yes (true)	Yes (true)	$25,000
C	$5,315,000	$207,331,334	$2,279,595	$162,337,325	2014	Yes (true)	false	Yes (true)	Yes (true)		$42,714,415
D	$1,715,000	$197,943,098	$2,235,438		2016	false	false	false	Yes (true)		$181,936,645	$13,770,879	$136

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
JPMORGAN & BARCLAYS
A	Yes (true)	Yes (true)	Yes (true)	34.7	false	false	false	false	Yes (true)	Yes (true)
(no name)
B	false	Yes (true)	false				false		false	Yes (true)	false	Yes (true)	false
(no name)
C	false	false	false				false		false	Yes (true)	false	false	Yes (true)
(no name)
D	false	Yes (true)	false				false		false	Yes (true)	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) LINE A, COLUMN F, GROUP II	Refund series 2009B, reimburse for the construction of health facilities
Schedule K, Part II, Line 3 Bond Total Proceeds	The total proceeds of issues reported at Part II, Line 3, exceed the issue price of Part I due to interest earnings related to the issues.
Schedule K, Part IV, Line 2c COLUMN C	Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 09/11/2017
Schedule K, Part IV, Line 2c COLUMN D	Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 07/15/2019

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GYU GANG	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship With Org	HIGHEST COMPENSATED EMPLOYEE	RelationshipWithOrgTxt
Loan Purpose	RETENTION	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$300,000	OriginalPrincipalAmt
Balance Due	$175,000	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	false	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$175,000	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JAMES TOWNE
JAMES TOWNE, EMPLOYEE OF THE ORG AND BROTHER OF PATRICK TOWNE, A DIRECTOR OF NMRMG	$277,893	EMPLOYEE	false
WILLIAM TOWNE
WILLIAM TOWNE, EMPLOYEE OF THE ORG AND BROTHER OF PATRICK TOWNE, A DIRECTOR OF NMRMG	$621,340	EMPLOYEE	false
MEDLINE
CHARLES N. MILLS, A DIRECTOR NLFH, INDIRECTLY OWNS A GREATER THAN 35% INTEREST	$130,459	MEDICAL PRODUCTS	false
Hailey Orsini
HAILEY ORSINI, EMPLOYEE OF NMHC AND DAUGHTER OF JOHN ORSINI, CURRENT DIRECTOR OF NMHC	$60,869	EMPLOYEE	false
CAREY ELECTRIC CONTRACTING LLC
TOM CAREY, A DIRECTOR CHS, NIMC, MMC, CHHH, INDIRECTLY OWNS A GREATER THAN 35% INTEREST	$109,311	ELECTRICAL SERVICES	false

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$3,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$30,418	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	39	ContributionCnt
Noncash Contributions Rpt F990	$1,526,772	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (6 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Travel	6	$29,725	Market value
Yes (X)	Tickets	16	$13,375	Market value
Yes (X)	Dinner	10	$8,711	Market value
Yes (X)	Golf & Memberships	7	$2,803	Market value
Yes (X)	Giftcards	5	$1,426	Market value
Yes (X)	Experiences	16	$6,535	Market value

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule M, Part I, Line 31 GIFT ACCEPTANCE POLICY	MEMBERS OF THE NORTHWESTERN MEMORIAL HEALTHCARE GROUP HAVE A GIFT ACCEPTANCE POLICY THAT REQUIRES THE REVIEW OF GIFTS OF REAL OR PERSONAL PROPERTY AND OTHER NON-STANDARD CONTRIBUTIONS. ALL GIFTS MUST BE FULLY CONSISTENT WITH THE MISSION AND OBJECTIVES OF NORTHWESTERN MEMORIAL HEALTHCARE. ALL GIFTS OF PERSONAL PROPERTY VALUED AT $5,000 OR MORE, REAL ESTATE, LIFE INSURANCE, OTHER ASSETS, NON-PUBLICLY TRADED SECURITIES, OTHER INCOME PRODUCING ASSETS, CONTINGENT BEQUESTS AND OTHER NON-STANDARD CONTRIBUTIONS REQUIRE APPROVAL BY NORTHWESTERN MEMORIAL HEALTHCARE GROUP'S MEMBER EXECUTIVE COMMITTEE PRIOR TO ACCEPTANCE.
Schedule M, Part I Column (b)	The amount in column (b) represents the number of contributions during the period.
Schedule M, Part I, Line 32b Third parties used to solicit, process, or sell noncash contributions	MEMBERS OF THE NORTHWESTERN MEMORIAL HEALTHCARE GROUP DO NOT USE THIRD PARTIES TO SOLICIT OR PROCESS NONCASH CONTRIBUTIONS. HOWEVER THIRD PARTIES ARE USED TO SELL CONTRIBUTIONS OF REAL OR PERSONAL PROPERTY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (248 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 1 Mission Statement	PEOPLE SEEKING QUALITY HEALTHCARE. WITH A MISSION-DRIVEN COMMITMENT TO PROVIDING QUALITY MEDICAL CARE, REGARDLESS OF THE PATIENTS' ABILITY TO PAY, NMHC MAINTAINS ITS DEDICATION TO IMPROVE THE HEALTH OF THE MOST MEDICALLY UNDERSERVED MEMBERS OF OUR COMMUNITY BY: 1. PROVIDING NEARLY $1.06 BILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2019 INCLUDING CHARITY CARE, OTHER UNREIMBURSED CARE, RESEARCH, EDUCATION AND OTHER COMMUNITY ACTIVITIES; 2. SUPPORTING THOSE RECENTLY INSURED UNDER THE AFFORDABLE CARE ACT (ACA) AND MEDICAID EXPANSION BY CONTINUING TO PROVIDE MEDICALLY NECESSARY HEALTHCARE AND ASSISTING PATIENTS IN DETERMINING ELIGIBILITY AND UNDERSTANDING COVERAGE AND PROVIDER NETWORKS IN THE CHANGING FACE OF HEALTHCARE; 3. PROVIDING $95.4 MILLION IN FUNDING FOR RESEARCH AND MEDICAL EDUCATION IN FISCAL YEAR 2019, INCLUDING PARTICIPATING IN MORE THAN 4,150 CLINICAL RESEARCH STUDIES AND TRAINING MORE THAN 1,600 MEDICAL STUDENTS, RESIDENTS AND FELLOWS; 4. EXPANDING ACCESS TO HEALTHCARE SERVICES THROUGH ESTABLISHMENT OF PRIMARY CARE IN THE COMMUNITY, PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS DETERMINED TO INCREASE ACCESS TO CARE, CONNECTING PATIENTS WITH MEDICAL HOMES, UNDERWRITING MEDICALLY NECESSARY DIAGNOSTIC SPECIALTY CARE, DEVELOPING TARGETED PROGRAMS TO HELP INDIVIDUALS BETTER MANAGE PREVALENT CHRONIC CONDITIONS AND SUPPORTING VOLUNTEER EFFORTS; 5. PARTICIPATING IN COMMUNITY-BASED HEALTH INITIATIVES AIMED AT PROMOTING HEALTHY LIFESTYLES TO REDUCE RISK FACTORS FOR HEART DISEASE, STROKE, CARDIOVASCULAR DISEASE AND OTHER CHRONIC DISEASES, PROMOTING MATERNAL CHILD HEALTH, ADDRESSING MENTAL HEALTH AND SUBSTANCE ABUSE, PROMOTING INDEPENDENCE IN INDIVIDUALS WITH DISABILITIES AND REDUCING VIOLENCE. MANY THAT WE HAVE TRADITIONALLY CARED FOR IN OUR COMMUNITIES GAINED ACCESS TO COVERAGE THROUGH HEALTHCARE INSURANCE PLANS OFFERED UNDER THE ACA - EITHER THROUGH THE LAW'S MEDICAID EXPANSION OR THE HEALTH INSURANCE MARKETPLACE - THUS REDUCING THE TOTAL COST OF CHARITY CARE PROVIDED UNDER OUR FINANCIAL ASSISTANCE PROGRAMS. BAD DEBT IS DRIVEN IN PART BY PATIENTS UNDER ACTIVE TREATMENT WHO ENCOUNTERED NETWORK RESTRICTIONS OR CHANGES IN COVERAGE LIMITS WHEN THEY GAINED COVERAGE UNDER THESE PLANS. NMHC CONTINUED TO PROVIDE CARE FOR THESE PATIENTS EVEN IF NOT REIMBURSABLE, CONTRIBUTING TO THE COST OF BAD DEBT. ALSO, DRIVEN BY THE CONTINUED PARTICIPATION OF NMHC ENTITIES IN ILLINOIS' MEDICAID PROGRAM AND THE INCREASED NUMBER OF MEDICAID PATIENTS CARED FOR AS A RESULT OF THE ACA, THE TOTAL COST OF CHARITY CARE PROVIDED TO GOVERNMENT SPONSORED MEDICAID AND MEDICARE PROGRAMS INCREASED IN FISCAL YEAR 2019. NMHC IS POSITIONED TO ADVANCE GROUNDBREAKING WORK THAT CAN ONLY BE ACCOMPLISHED WITH THE RESOURCES OF AN INTEGRATED ACADEMIC MEDICAL HEALTH SYSTEM. AS AN INTEGRATED ACADEMIC MEDICAL HEALTH SYSTEM, NMHC CAN TAKE ACTION BEYOND PROVIDING CLINICAL CARE. WORKING WITH SCIENTISTS AND EXPERTS IN PUBLIC HEALTH, WE ARE STRIVING TO DETERMINE ROOT CAUSES AND DEVELOP SOLUTIONS TO ERADICATE SOME OF THE MOST WIDESPREAD, GROWING AND COMPLEX PUBLIC HEALTH ISSUES FACING THE UNITED STATES TODAY - FROM CHRONIC DISEASES INCLUDING CARDIOVASCULAR DISEASE, CANCER AND DIABETES, TO THE UNDERLYING CAUSES OF OBESITY, POOR MENTAL HEALTH AND PERSISTENT VIOLENCE IN OUR COMMUNITIES. NMHC SUPPORTS SOME OF THE NATION'S MOST ADVANCED RESEARCH PROGRAMS, LED BY PHYSICIAN SCIENTISTS AT FEINBERG, WHO ARE PUSHING THE BOUNDARIES OF SCIENCE AND MEDICINE THROUGH NATIONALLY RECOGNIZED RESEARCH PROGRAMS AS WELL AS ENTIRELY NEW SCIENTIFIC DISCIPLINES THAT ARE PIONEERING DIRECTIONS FOR PREVENTING AND CURING DISEASE. NMHC IS A GROWING, NATIONALLY RECOGNIZED HEALTH SYSTEM THAT PROVIDES ACCESS TO WORLD-CLASS CARE ONE PATIENT AT A TIME AT MORE THAN 100 LOCATIONS, INCLUDING ITS EIGHT HOSPITALS THROUGHOUT CHICAGO, ITS NORTH AND WEST SUBURBS AND NORTHERN ILLINOIS. THIS COUNT OF EIGHT HOSPITALS IS BASED ON THE NUMBER OF HOSPITAL FACILITY LICENSES FOR SCHEDULE H REPORTING - THERE ARE THREE HOSPITALS IN THE NORTHWEST REGION OPERATING UNDER A SINGLE LICENSE. MORE THAN 31,900 PHYSICIANS, NURSES, STAFF AND VOLUNTEERS PROVIDED CARE FOR MORE THAN 111,800 INPATIENT ADMISSIONS AND MORE THAN 2.9 MILLION OUTPATIENT ENCOUNTERS IN FISCAL YEAR 2019. THE GEOGRAPHICAL REACH OF NMHC MEETS THE GROWING DEMAND FOR QUALITY HEALTHCARE CLOSE TO WHERE PEOPLE LIVE AND WORK. OUR PATIENTS HAVE ACCESS TO EVIDENCE-BASED MEDICINE AND RESEARCH THAT IS TRANSLATED TO CLINICAL PRACTICE, OFFERING NEW HOPE THROUGH LEADING-EDGE APPROACHES TO HEALTH, WELLNESS AND DISEASE. THE NMHC MEDICAL STAFF OF MORE THAN 4,850 INCLUDES MORE THAN 860 RESIDENTS AND FELLOWS AND NEARLY 2,050 EMPLOYED PHYSICIANS WHO ARE PART OF NMG, RMG, OR MMG. FOR GENERATIONS, NMHC HOSPITALS AND HEALTHCARE ORGANIZATIONS HAVE SERVED THE VITAL ROLE OF PROVIDING TRUSTED MEDICAL CARE IN THEIR COMMUNITIES. THEY HAVE CONTINUALLY EXPANDED IN RESPONSE TO THE NEEDS OF THEIR COMMUNITIES, PROVIDING ACCESS TO MEDICALLY NECESSARY CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY.
Form 990, Part III, Line 4a PROGRAM SERVICES CONTINUED	MARIANJOY REHABILITATION HOSPITAL AND CLINICS, INC. (EIN: 36-2680776) ("MJRH") MJRH IS A SPECIALTY AND TEACHING HOSPITAL IN WHEATON, ILLINOIS, DEDICATED TO THE DELIVERY OF PHYSICAL MEDICINE AND REHABILITATION. RESIDENTS TRAIN IN THE HIGHLY SPECIALIZED FIELD THROUGH CLINICAL EXPERIENCE, EDUCATIONAL OPPORTUNITIES AND RESEARCH ACTIVITIES. MARIANJOY IS A DESTINATION HOSPITAL LOCATED IN DUPAGE COUNTY, SERVING THE RESIDENTS OF DUPAGE AND NEARBY COUNTIES. MORE THAN 80 PHYSICIANS PROVIDE HIGHLY SPECIALIZED PROGRAMS FOCUSED ON TREATMENT OF STROKE, SPINAL CORD INJURY, BRAIN INJURY, PEDIATRIC CONDITIONS AND ORTHOPAEDIC/MUSCULOSKELETAL CONDITIONS, WITH 127 LICENSED BEDS INCLUDING 100 ACUTE INPATIENT REHABILITATION BEDS AND 14 MEDICARE-LICENSED, SUBACUTE BEDS. FISCAL YEAR 2019 SAW NEARLY 2,900 INPATIENT ADMISSIONS AND MORE THAN 3,900 OUTPATIENT REGISTRATIONS. REHABILITATION MEDICINE CLINIC, INC (EIN: 36-3236791) ("RMC") REHABILITATION MEDICINE CLINIC, INC. d/b/a MARIANJOY MEDICAL GROUP IS A MEDICAL GROUP THAT HAS 6 PRACTICE MEDICAL OFFICES LOCATED IN 5 GEOGRAPHIC LOCATIONS. THERE ARE 37 HEALTH CARE PROVIDERS, SPECIALIZING IN PHYSICAL MEDICINE AND REHABILITATION. MARIANJOY REHABILITATION CENTER AUXILIARY (36-3896976) ("MJRCA") THE MARIANJOY AUXILIARY SUPPORTS THE EFFORTS OF THE MARIANJOY REHABILITATION HOSPITAL AND CLINICS. THIS GROUP OF DEVOTED INDIVIDUALS ORGANIZES AND HOSTS SEVERAL FUNDRAISING EVENTS, INCLUDING SPRING AND FALL LUNCHEONS, AND RUNS THE MARIANJOY GIFT SHOP. KISHHEALTH SYSTEM (EIN: 36-3649080) ("KHS") FORMERLY KISHWAUKEE HEALTH SYSTEM, KISHHEALTH SYSTEM OPERATES TWO COMMUNITY HOSPITALS, KISHWAUKEE AND VALLEY WEST, WHICH HAVE A COMBINED 125 STAFFED BEDS, AS WELL AS SEVERAL CANCER CENTERS, IMAGING FACILITIES, AND AN EYE INSTITUTE THAT SERVE DEKALB COUNTY AND SURROUNDING AREAS IN NORTHERN ILLINOIS. SPECIALTY SERVICES INCLUDE CARDIOLOGY, EMERGENCY CARE, NEUROSURGERY, OBSTETRICS, AND ORTHOPEDICS. KISHHEALTH BECAME PART OF NMHC IN LATE 2015. DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. (EIN: 47-4579189) ("DBHF") DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. PROVIDES A VARIETY OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES. PROFESSIONAL MENTAL HEALTH COUNSELING FOR ADULTS INCLUDES MARITAL, INDIVIDUAL, GROUP AND FAMILY COUNSELING AS WELL AS THERAPY GROUPS. DEKALB COUNTY HOSPICE (EIN: 36-3164329) ("DKCH") LOCATED IN DEKALB, IL, DEKALB COUNTY HOSPICE IS A COMMUNITY BASED HOSPICE PROGRAM THAT HAS BEEN PROVIDING QUALITY END-OF-LIFE CARE AND BEREAVEMENT SUPPORT TO THE COMMUNITY SINCE 1982. AS OF JUNE 1, 2019, THE BUSINESS OPERATIONS OF THIS ENTITY WERE SOLD AND THE CORPORATION ENTERED INTO A WINDING-DOWN STAGE WITH DISSOLUTION TO OCCUR. KISHHEALTH SYSTEM HOME CARE (EIN: 37-1703513) ("KSHC") KISHHEALTH SYSTEM HOME CARE PROVIDES HOME HEALTH SERVICES TO DEKALB COUNTY AND NORTHERN ILLINOIS AREA RESIDENTS WHO PREFER TO RECEIVE CARE IN THE COMFORT OF THEIR HOME. AS OF JUNE 1, 2019, THE BUSINESS OPERATIONS OF THIS ENTITY WERE SOLD AND THE CORPORATION ENTERED INTO A WINDING-DOWN STAGE WITH DISSOLUTION TO OCCUR. CENTER FOR FAMILY HEALTH-MALTA (EIN: 80-0869393) ("CFHM") CENTER FOR FAMILY HEALTH-MALTA IS DESIGNED TO PROVIDE COMPASSIONATE, INNOVATIVE, AND AFFORDABLE MEDICAL CARE AND TO COLLABORATE WITH PARTNERS TO SERVE THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. CFHM OFFERS CARE TO ADULTS AND CHILDREN OF ALL AGES AND INCLUDES AN ON-SITE LABORATORY. THE OPERATIONS CONTINUE POST-MERGER WITH KISHWAUKEE COMMUNITY HOSPITAL AS OF MARCH 31, 2019. NORTHERN ILLINOIS MEDICAL CENTER ("NIMC") NORTHERN ILLINOIS MEDICAL CENTER INCORPORATES THE THREE HOSPITALS OF THE LEGACY CENTEGRA HEALTH SYSTEM AS AFFILIATED WITH NORTHWESTERN MEDICINE ON SEPTEMBER 1, 2018. THE HOSPITALS ARE NORTHWESTERN MEDICINE MCHENRY HOSPITAL ("NM MCHENRY"), NORTHWESTERN MEDICINE HUNTLEY HOSPITAL ("NM HUNTLEY") AND NORTHWESTERN MEDICINE WOODSTOCK HOSPITAL ("NM WOODSTOCK"). THE THREE HOSPITALS OPERATE THROUGH NIMC UNDER A SINGLE STATE HOSPITAL FACILITY LICENSE AND PROVIDE CARE ACROSS THE GREATER MCHENRY COUNTY AREA. OVER 600 PHYSICIANS SERVE THROUGH NIMC. NM MCHENRY IS A 179-BED, ACUTE-CARE TEACHING HOSPITAL WITH 26 RESIDENTS IN THE CHICAGO MEDICAL SCHOOL INTERNAL MEDICINE RESIDENCY PROGRAM DURING FISCAL YEAR 2019. NM MCHENRY PROVIDED CARE THROUGH MORE THAN 9,000 INPATIENT ADMISSIONS AND MORE THAN 34,300 ED VISITS IN THE FISCAL PERIOD. NM HUNTLEY IS A 128-BED HOSPITAL, OPENED IN 2016, AND TREATED AS AN EXTENSION OF THE SERVICE PROVIDED BY NM MCHENRY. THE FACILITY HAD MORE THAN 7,600 INPATIENT ADMISSIONS AND NEARLY 26,000 ED VISITS. NM WOODSTOCK OFFERS COMPREHENSIVE PRIMARY CARE AND MENTAL HEALTH SERVICES TO THE UNINSURED AND UNDERINSURED MEMBERS OF MCHENRY COUNTY. THE CAMPUS IS ALSO HOME TO AUNT MARTHA'S WOODSTOCK COMMUNITY HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER. CENTEGRA HEALTH SYSTEM (EIN: 36-3196559) ("CHS") CHS IS THE LEGACY PARENT ORGANIZATION OF CENTEGRA. OPERATIONS OF THE PARENT WILL BE CONSOLIDATED WITH NMHC AS THE NORTHWESTERN MEDICINE SYSTEM PARENT. MEMORIAL MEDICAL CENTER (EIN: 36-2179764) ("MMC") MMC IS PART OF THE LEGACY CENTEGRA HEALTH SYSTEM AND REPRESENTS THE FORMER WOODSTOCK HOSPITAL OPERATIONS, PRIOR TO AFFILIATION WITH NMHC AND CONSOLIDATION OF THE HOSPITAL LICENSE WITH NORTHERN ILLINOIS MEDICAL CENTER. CENTEGRA HOSPITAL HUNTLEY HOLDINGS (EIN: 45-3449737) ("CHHH") CHHH IS A LEGACY ENTITY ESTABLISHED BY CENTEGRA HEALTH SYSTEM TO SUPPORT NORTHERN ILLINOIS MEDICAL CENTER. CHHH WAS INVOLVED WITH THE DEVELOPMENT OF THE HUNTLEY HOSPITAL FACILITY AND HAS CEASED OPERATIONS FOLLOWING THE HOSPITAL CONSTRUCTION AND OPENING. CENTEGRA HEALTH SYSTEM FOUNDATION (EIN: 36-3726310) ("CHSF") CHSF WAS THE LEGACY CENTEGRA HEALTH SYSTEM FUNDRAISING AND PHILANTHROPY ORGANIZATION. AS OF MARCH 31, 2019, CHSF WAS MERGED WITH NORTHWESTERN MEMORIAL FOUNDATION TO CONSOLIDATE THE PHILANTHROPIC EFFORTS OF NM IN A SINGLE FOUNDATION ENTITY. HEALTH BRIDGE CORPORATION (EIN: 36-3196550) ("HB") LOCATED ON THE NORTHERN ILLINOIS MEDICAL CENTER CAMPUS AT CRYSTAL LAKE AND HUNTLEY, HB IS A FITNESS CENTER FACILITY OFFERS A PROFESSIONAL, CUSTOMER-FOCUSED COMMUNITY. THIS INCLUDES PATIENT REHABILITATION PROGRAMS AND HEALTH EDUCATION FOR THE COMMUNITY. NIMED CORPORATION (EIN: 36-3199111) ("NIMED CORP") NIMED CORP, A LEGACY CENTEGRA HEALTH SYSTEM ENTITY, FACILITATES THE DELIVERY OF HEALTH CARE SERVICES TO COMMUNITIES BY PROVIDING MEDICAL OFFICE BUILDINGS FOR RENT.
Form 990, Part III, Line 2 New program services	AN AFFILIATION AGREEMENT BETWEEN NORTHWESTERN MEMORIAL HEALTHCARE AND CENTEGRA HEALTH SYSTEM WAS EFFECTIVE AS OF 9/1/2018.
Form 990, Part III, Line 3 Significant changes in program services	ARTICLES OF MERGER WERE FILED ON BEHALF OF CENTEGRA HEALTH FOUNDATION AND CENTER FOR FAMILY HEALTH - MALTA AS OF 3/31/2019. THE MERGER OF THESE ENTITIES REPRESENTS A REALLOCATION OF RESOURCES RATHER THAN A CESSATION OF SERVICE. NORTHWESTERN MEMORIAL HEALTHCARE HAS CEASED TO OFFER HOME HEALTH AND HOSPICE CARE SERVICES AS OF A DIVESTMENT OF THESE BUSINESS LINES TO JOURNEYCARE AT 6/1/2019. THE RESPONSIBLE ENTITIES, KISHHEALTH SYSTEM HOME CARE AND DEKALB COUNTY HOSPICE REMAIN AS LEGAL ENTITIES INVOLVED IN A WIND-DOWN AND DISSOLUTION TO OCCUR IN THE FOLLOWING FISCAL PERIOD.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	ANNE R. PRAMAGGIORE AND WILLIAM A. VON HOENE - Business relationship, DONALD THOMPSON, FREDERICK H. WADDELL, AND DEAN M. HARRISON - Business relationship, DEAN M. HARRISON, JOHN ORSINI AND EMILY KOZAK - Business relationship, ALBERT FRIEDMAN AND RICHARD MELMAN - Business relationship, DEAN M. HARRISON AND JOHN CANNING, JR - Business relationship, JAMES MURRAY III AND BRETT DALE - Business relationship, BRETT J. HART AND GLENN F. TILTON - Business relationship, PHEBE N. NOVAKOVIC AND GLENN F. TILTON - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents	THE ARTICLES OF NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) WERE AMENDED AS OF 8/31/2018 TO REFLECT THE AFFILIATION OF CENTEGRA HEALTH SYSTEM WITH NMHC AS OF 9/1/2018. CENTEGRA HEALTH FOUNDATION FILED ARTICLES OF MERGER AS OF 3/31/2019 WITH NORTHWESTERN MEMORIAL FOUNDATION. NMF NOW ACTS AS ADMINISTRATOR FOR PURPOSES OF FUNDRAISING, GRANTMAKING, PROPERTY AND REAL ESTATE, CONTRACTING AND OTHER ACTIVITIES NECESSARY TO THE CENTEGRA HEALTH FOUNDATION'S CONTINUED ROLE AS A DIVISION OF NMF AND THE NM HEALTH SYSTEM. NMF WILL USE PRIOR FUNDS TO SERVE THE CENTEGRA POPULATION. CENTER FOR FAMILY HEALTH - MALTA FILED ARTICLES OF MERGER AS OF 3/31/2019 WITH KISHWAUKEE COMMUNITY HOSPITAL. KCH NOW MAINTAINS THE PREVIOUSLY SEPARATE ACTIVITY OF MALTA.
Form 990, Part VI, Line 6 Classes of members or stockholders	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) SERVES AS THE SOLE MEMBER OF THE FOLLOWING ENTITIES IN THE GROUP RETURN: - NORTHWESTERN MEMORIAL HOSPITAL - NORTHWESTERN LAKE FOREST HOSPITAL - NORTHWESTERN MEMORIAL FOUNDATION - NORTHWESTERN MEDICAL GROUP - KISHHEALTH SYSTEM - MARIANJOY REHABILITATION HOSPITAL & CLINICS, INC. - REHABILITATION MEDICINE CLINIC, INC. - CENTRAL DUPAGE HOSPITAL ASSOCIATION - CENTRAL DUPAGE PHYSICIAN GROUP - DELNOR-COMMUNITY HOSPITAL - CENTEGRA HEALTH SYSTEM NORTHWESTERN LAKE FOREST HOSPITAL SERVES AS THE SOLE MEMBER OF NORTHWESTERN LAKE FOREST HEALTH AND FITNESS INSTITUTE. KISHHEALTH SYSTEM SERVES AS THE SOLE MEMBER OF THE FOLLOWING SUBSIDIARIES IN THE GROUP RETURN: - KISHWAUKEE COMMUNITY HOSPITAL - VALLEY WEST COMMUNITY HOSPITAL - DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. - DEKALB COUNTY HOSPICE - KISHHEALTH SYSTEM HOME CARE MARIANJOY REHABILITATION HOSPITAL & CLINICS, INC. SERVES AS THE SOLE MEMBER OF MARIANJOY REHABILITATION CENTER AUXILIARY. KISHWAUKEE COMMUNITY HOSPITAL SERVES AS THE SOLE MEMBER OF CENTER FOR FAMILY HEALTH-MALTA. CENTER FOR FAMILY HEALTH-MALTA WAS MERGED WITH KISHWAUKEE COMMUNITY HOSPITAL AS OF 3/31/2019. CENTEGRA HEALTH SYSTEM SERVES AS THE SOLE MEMBER OF THE LEGACY CENTEGRA HEALTH SYSTEM ENTITIES, INCLUDING: - NORTHERN ILLINOIS MEDICAL CENTER - MEMORIAL MEDICAL CENTER - NIMED, CORPORATION - CENTEGRA HEALTH SYSTEM FOUNDATION (MERGED WITH NORTHWESTERN MEMORIAL FOUNDATION AS OF 3/31/2019) - CENTEGRA-HOSPITAL HUNTLEY HOLDINGS - HEALTH BRIDGE CORPORATION
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), AS THE ULTIMATE PARENT OF THE HEALTH SYSTEM, HAS THE AUTHORITY TO DIRECTLY OR INDIRECTLY APPOINT THE DIRECTORS OF ALL ENTITIES IN THE GROUP. OTHER THAN EX-OFFICIO DIRECTORS, NMHC APOINTS THE DIRECTORS FOR ALL ENTITIES FOR WHICH IT SERVES AS SOLE MEMBER, AS IDENTIFIED ABOVE. THE DIRECTORS OF CERTAIN OTHER ENTITIES IN THE SYSTEM IDENTIFIED ABOVE WHICH HAVE SOLE MEMBERS OTHER THAN NMHC MAY BE APPOINTED BY THEIR INTERMEDIARY MEMBERS, HOWEVER CONTROL OVER THOSE MEMBERS' BOARDS ULTIMATELY RESTS IN NMHC. MANY OF THE ENTITIES IN THE GROUP ALSO HAVE DIRECTORS WHO SERVE EX OFFICIO IN THEIR CAPACITY AS OFFICERS OR ADMINISTRATORS OF THEIR RESPECTIVE CORPORATIONS, OR IN THEIR CAPACITY AS OFFICERS OR ADMINISTRATORS OF RELATED ORGANIZATIONS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), AS THE ULTIMATE PARENT OF ALL ENTITIES IN THIS GROUP RETURN HAS BROAD RESERVED POWERS. FOR ENTITIES WHICH NMHC DOES NOT SERVE AS SOLE MEMBER, THESE RESERVED POWERS ARE DELEGATED TO THE INTERMEDIARY CORPORATE MEMBER OF EACH AFFILIATE INCLUDED IN THIS GROUP, AND NMHC IS ULTIMATELY THE MEMBER OF THOSE INTERMEDIARIES. THE METHOD OF EXERCISING SUCH POWERS CAN OCCUR THROUGH VARIOUS PROCESSES AS DELINEATED IN THE BYLAWS OF NMHC'S AFFILIATES, ALL OF WHICH MUST BE SUPPORTED BY RESOLUTIONS COMMUNICATED TO THE AFFILIATE. NMHC, AS THE ULTIMATE SOLE MEMBER OF THE ENTITIES IN THIS GROUP RETURN, SHALL HAVE THE EXCLUSIVE POWER AND AUTHORITY TO GOVERN, DIRECT, AND OVERSEE THE PROPERTY, FUNDS, BUSINESS, AND AFFAIRS OF EVERY NMHC SUBSIDIARY, FOR THOSE POWERS THAT ARE SPECIFICALLY DELEGATED TO THE BOARD OF DIRECTORS IN EACH SUBSIDIARY'S BYLAWS. THESE RESERVED POWERS MAY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: - REMOVE DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - ADOPT AN AMENDMENT TO THE ARTICLES OF INCORPORATION OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - AMEND THE BYLAWS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - ADOPT A PLAN OF MERGER OR CONSOLIDATION OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION WITH ANOTHER CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - AUTHORIZE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS RECOMMENDED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; AND - ADOPT A PLAN PROVIDING FOR THE DISTRIBUTION OF ASSETS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS RECOMMENDED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION. - REMOVE DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; - ADOPT AN AMENDMENT TO THE ARTICLES OF INCORPORATION OF THE SUBSIDIARY BUSINESS CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; - AMEND THE BYLAWS OF THE SUBSIDIARY BUSINESS CORPORATION; - AUTHORIZE A BUSINESS COMBINATION AS SUCH TERM IS DEFINED IN 805 ILCS 5/7.85(D)(10); - ADOPT A PLAN OF MERGER, CONSOLIDATION, OR SHARE EXCHANGE OF THE SUBSIDIARY BUSINESS CORPORATION WITH ANOTHER CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; - AUTHORIZE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE SUBSIDIARY BUSINESS CORPORATION AS RECOMMENDED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; AND - AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE SUBSIDIARY BUSINESS CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 (FORM) IS GENERATED INTERNALLY BY THE FINANCE DEPARTMENT WITH SUPPORT FROM VARIOUS DEPARTMENTS WITHIN THE ORGANIZATION. VARIOUS SECTIONS OF THE FORM ARE REVIEWED BY SENIOR MANAGEMENT OF NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), AS THE PARENT ORGANIZATION, AND VARIOUS COMMITTEES. AS EXAMPLES, THE CHIEF INTEGRITY EXECUTIVE REVIEWS DISCLOSURES FOR RELATED PARTY TRANSACTIONS, THE TAX AND REGULATORY REVIEW COMMITTEE REVIEWS THE COMMUNITY BENEFIT REPORT THAT DESCRIBES THE EXEMPT PURPOSE ACHIEVEMENTS, AND LOBBYING EXPENDITURES ARE REVIEWED BY THE SVP EXTERNAL AFFAIRS. THE EXECUTIVE COMPENSATION SUBCOMMITTEE OF THE BOARD OF DIRECTORS OF NMHC IS PROVIDED THE COMPENSATION DISCLOSURES. THE ORGANIZATION THEN WORKS WITH A NATIONAL, INDEPENDENT PUBLIC ACCOUNTING FIRM AS THE PAID PREPARER OF THE FORM 990 FILING. THE FINAL FORM IS REVIEWED BY MEMBERS OF THE FINANCE DEPARTMENT PRIOR TO REVIEW BY THE NMHC VICE PRESIDENT, FINANCE AND BY THE SENIOR VICE PRESIDENT & CHIEF FINANCIAL OFFICER. PRIOR TO FILING, THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS THROUGH A SECURE WEBSITE.
Form 990, Part VI, Line 12c Conflict of interest policy	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) MAINTAINS BOTH A CONFLICT OF INTEREST POLICY AND AN INTERMEDIATE SANCTIONS POLICY. THESE POLICIES HAVE BEEN APPROVED BY ITS BOARD OF DIRECTORS AND APPLY TO ALL ENTITIES, DIRECTORS, OFFICERS, EMPLOYEES AND TRANSACTIONS WHICH TAKE PLACE WITHIN THE NMHC SYSTEM. THE POLICIES WERE WRITTEN TO ASSIST BOARD MEMBERS AND MANAGEMENT WITH THE IDENTIFICATION OF THOSE TRANSACTIONS THAT WARRANT ATTENTION AND CONSIDERATION TO ENSURE PROPER ADHERENCE TO THE TAX LAWS IMPACTING TAX-EXEMPT ORGANIZATIONS. THE CONFLICT OF INTEREST POLICY REQUIRES COMPLETION OF AN ANNUAL CERTIFICATION WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED, READ AND UNDERSTANDS THE CONFLICT OF INTEREST POLICY, HAS AGREED TO COMPLY, HAS DISCLOSED ANY MATTERS REQUIRED TO BE DISCLOSED UNDER THE POLICY, AND AGREES TO REPORT ANY CHANGES PROMPTLY TO THE CHIEF INTEGRITY EXECUTIVE. ONCE THE ANNUAL CERTIFICATIONS ARE COMPLETE, THE CHIEF INTEGRITY EXECUTIVE REVIEWS THE DISCLOSURES FOR COMPLIANCE WITH THE POLICY.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) HAS ESTABLISHED A BOARD-LED EXECUTIVE COMPENSATION REVIEW AND APPROVAL PROCESS FOR NMHC AND ALL AFFILIATES. THIS PROCESS FOR REVIEWING AND APPROVING EXECUTIVE COMPENSATION: (1) IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL TAX LAW INTERMEDIATE SANCTIONS RULES AND OTHERWISE COMPLIES WITH IRS GUIDELINES FOR TAX-EXEMPT ORGANIZATIONS; (2)IS CONDUCTED BY A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS WHOSE MEMBERS ARE ALL DISINTERESTED, INDEPENDENT AND UNPAID; (3) EVALUATES THE REASONABLENESS OF COMPENSATION ANNUALLY BASED ON COMPENSATION DATA GATHERED BY EXTERNAL CONSULTANTS FROM A PEER GROUP COMPRISED OF SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS; AND (4) ALL COMPENSATION DECISIONS AND SUPPORT ARE RECORDED IN THE MINUTES OF THE COMMITTEE'S MEETINGS. IN ADDITION, A SIGNIFICANT PORTION OF COMPENSATION IS AT RISK AND IS PAYABLE ONLY UPON ACHIEVEMENT OF A BROAD ARRAY OF DIFFICULT PERFORMANCE GOALS TIED TO THE STRATEGIC VISION OF NORTHWESTERN MEDICINE AND ACHIEVEMENT OF ITS TAX-EXEMPT PURPOSES. THE BOARD PLACES A HIGH PRIORITY ON ITS ABILITY TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM TO ENSURE WE SERVE OUR MISSION AND ACHIEVE OUR GOALS. THE OFFICERS OF NORTHWESTERN MEMORIAL HEALTHCARE ALSO FULFILL SUBSTANTIAL OFFICER AND EXECUTIVE FUNCTIONS FOR NMHC'S SUBSIDIARIES.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	SEE RESPONSE TO 15A.
Form 990, Part VI, Line 19 Required documents available to the public	THE CORPORATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE CONSOLIDATED FINANCIAL STATEMENTS OF NORTHWESTERN MEMORIAL HEALTHCARE AND SUBSIDIARIES ARE AVAILABLE ON THE HEALTH SYSTEM WEBSITE, NM.ORG. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE FROM THE ILLINOIS ATTORNEY GENERAL'S OFFICE AS PART OF ITS ANNUAL COMMUNITY BENEFITS REPORT AND THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM OF THE MUNICIPAL SECURITIES RULEMAKING BOARD.
Form 990, Part VII, Section A, Line 1a GROUP TITLES AND COMPENSATION PRESENTATION	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), IS THE DIRECT PARENT ORGANIZATION FOR NORTHWESTERN MEMORIAL HOSPITAL (NMH), NORTHWESTERN MEMORIAL FOUNDATION (NMF), NORTHWESTERN MEDICAL FACULTY FOUNDATION, DOING BUSINESS AS NORTHWESTERN MEDICAL GROUP (NMG), NORTHWESTERN LAKE FOREST HOSPITAL (NLFH), CENTRAL DUPAGE HOSPITAL ASSOCIATION (CDH), DELNOR-COMMUNITY HOSPITAL (DCH), MARIANJOY REHABILITATION HOSPITAL AND CLINICS (MJRH), CENTRAL DUPAGE PHYSICIAN GROUP (CDPG), REHABILITATION MEDICINE CLINIC (RMC), KISHHEALTH SYSTEM (KHS), AND CENTEGRA HEALTH SYSTEM (CHS). NMHC IS ALSO THE INDIRECT PARENT FOR LAKE FOREST HEALTH AND FITNESS INSTITUTE (HFI), MARIANJOY REHABILITATION CENTER AUXILIARY (MJAUX), KISHWAUKEE COMMUNITY HOSPITAL (KCH), VALLEY WEST COMMUNITY HOSPITAL (VW), DEKALB BEHAVIORAL HEALTH FOUNDATION (DBHF), DEKALB COUNTY HOSPICE (KHH), KISHHEALTH SYSTEM HOME CARE (KHHC), NORTHERN ILLINOIS MEDICAL CENTER (NIMC), MEMORIAL MEDICAL CENTER (MMC), CENTEGRA HOSPITAL HUNTLEY HOLDINGS (CHHH), HEALTH BRIDGE CORPORATION (HB), AND CENTEGRA HEALTH SYSTEM FOUNDATION (CHSF), AND NIMED CORPORATION (NIMED). THESE 25 CORPORATIONS HAVE COMBINED THROUGH THE ELECTION UNDER REGULATION 1.6033-2 (D) (5) TO REPORT THE DIRECTORS, OFFICERS, KEY EMPLOYEES AND FIVE HIGHLY COMPENSATED EMPLOYEES UNDER THE GROUP RETURN REQUIREMENTS FOR FORM 990 FOR THE FISCAL YEAR ENDED 8/31/2019. NO ORGANIZATION IN THIS GROUP RETURN COMPENSATES ITS DIRECTORS FOR SERVICES PERFORMED AS DIRECTORS. WHERE COMPENSATION IS REPORTED FOR A DIRECTOR, THE COMPENSATION IS ASSOCIATED WITH ANOTHER POSITION HELD WITHIN THE CORPORATIONS. CERTAIN INDIVIDUALS HOLD MULTIPLE POSITIONS THROUGHOUT THESE 25 CORPORATIONS. THE DETAIL IS HIGHLIGHTED BY INDIVIDUAL WITHIN SCHEDULE O.
Form 990, Part VII, Section A Anderson, Jay ADDITIONAL POSITIONS HELD	Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: Chair & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , Title: President, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: President, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Bugno, Terrence, MD ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System Foundation, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Health Bridge Corporation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CANNING, JOHN A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Hospital, Title: CHAIR & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Chrisman, Howard B., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Collins, Seamus ADDITIONAL POSITIONS HELD	Organization Name: Lake Forest Health and Fitness Institute, Title: Secretary & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Creamer, Julie L. ADDITIONAL POSITIONS HELD	Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Director (06/01/19-present), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: Director (06/01/19-present), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial Hospital, Title: PRESIDENT & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Dauten, Kent ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Physician Group, Title: Chair & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Chair & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Eesley, Mike S. ADDITIONAL POSITIONS HELD	Organization Name: NIMED Corporation, Title: Officer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Health System Foundation, Title: President & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Health System, Title: President, Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northern Illinois Medical Center, Title: President, Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center, Title: President, Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Hospital Huntley Holdings , Title: President, Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Falcone, Connie ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A FLESCH, WILLIAM P. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Delnor-Community Hospital, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Valley West Community Hospital, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Hospital Association, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Flynn, Matthew J. ADDITIONAL POSITIONS HELD	Organization Name: Center for Family Health-Malta, Title: Vice Chair & Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Franco, Richard ADDITIONAL POSITIONS HELD	Organization Name: Lake Forest Health and Fitness Institute, Title: Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Harrison, Dean M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: President, CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Dekalb County Hospice, Title: Chair & Director (1/1/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System Home Care, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Chair & CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: Chair & CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Lake Forest Hospital, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Health System, Title: CEO &Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northern Illinois Medical Center, Title: CEO &Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center, Title: CEO &Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Hospital Huntley Holdings , Title: CEO &Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Physician Group, Title: CEO & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: CEO & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Delnor-Community Hospital, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Valley West Community Hospital, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Hospital Association, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Foundation, Title: CEO, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Kozak, Emily J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Assistant Secretary, AverageHours: 1.000; Officer Organization Name: Center for Family Health-Malta, Title: Secretary & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Centegra Health System, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: NIMED Corporation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Memorial Medical Center, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Centegra Hospital Huntley Holdings , Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: Assistant Secretary , AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Assistant Secretary , AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer
Form 990, Part VII, Section A KRAFT, DIANA, MD ADDITIONAL POSITIONS HELD	Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Lemon, Brian J. ADDITIONAL POSITIONS HELD	Organization Name: Dekalb County Hospice, Title: Secretary & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System Home Care, Title: Secretary & DIRECTOR (5/1/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: President & DIRECTOR (5/1/18-8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: President & DIRECTOR (5/1/18-8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Hospital Association, Title: President, AverageHours: 1.000; Officer
Form 990, Part VII, Section A McAfee, Thomas J. ADDITIONAL POSITIONS HELD	Organization Name: Lake Forest Health and Fitness Institute, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Lake Forest Hospital, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A McNerney, W. James, Jr. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A MITCHELL, LEE M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: Chair & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Neilson, Eric G., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Medical Faculty Foundation, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Orsini, John A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Treasurer, AverageHours: 1.000; Officer Organization Name: Dekalb County Hospice, Title: Vice Chair, Treasurer, Director (1/1/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: TREASURER, AverageHours: 1.000; Officer Organization Name: KishHealth System Home Care, Title: Vice Chair & Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Medical Faculty Foundation, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Centegra Health System, Title: Treasurer, AverageHours: 1.000; Officer Organization Name: Northern Illinois Medical Center, Title: Treasurer, AverageHours: 1.000; Officer Organization Name: Memorial Medical Center, Title: Treasurer, AverageHours: 1.000; Officer Organization Name: Centegra Hospital Huntley Holdings , Title: Treasurer, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: TREASURER, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Osborn, William A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A PATEL, HOMI B. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Poorten, Kevin P. ADDITIONAL POSITIONS HELD	Organization Name: Center for Family Health-Malta, Title: Chair & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: DIRECTOR (09/01/18-02/03/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR & PRESIDENT, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Delnor-Community Hospital, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Thorpe, James ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Health Bridge Corporation, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Tilton, Glenn F. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Medical Faculty Foundation, Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Towne, Patrick, MD ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Physician Group, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Whittaker, Forrest R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Health System, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northern Illinois Medical Center, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Hospital Huntley Holdings , Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Altimari, Anthony, MD ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Barrett, Dean ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Barrowclift, Todd, DO ADDITIONAL POSITIONS HELD	Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Benson, Roger L. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bernick, Carol ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bernick, Peter ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bethke, Kevin P. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bluhm, Andrew ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BRENNAN, CHARLES M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BRODSKY, WILLIAM J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Burkey, John, MD ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Busse, William ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Carey, Tom ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Casper, David R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Chabraja, Nicholas D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Chorneyko, Michael-Dean ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Collins, Craig T. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CONNOLLY, SEAN M . ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cooper, Adam ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cozzi, Mark ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Crawford, Stephen ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CRAWFORD, KERMIT R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CRIST, PETER D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Crown, Keating ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cullen, Michael A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Physician Group, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cunningham, William ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Dale, Brett M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Daley, William M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR (09/01/18 to 09/17/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DALUGA, WILLIAM G. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DAMICO, JOSEPH F. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Darnall, Matthew S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Davis, Stephen ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Davis, Anthony B. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Davis, Richard ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DeCanniere, Dan ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DEJESUS, PEDRO ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR (09/1/18-11/28/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DeSantiago, Michael F. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DICK, JOHN H. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Donnelly, Shawn M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Dorion-Gray, Paula ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ettelson, John R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Evans, Gary ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Favela, Manny ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ferro, Michael W. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Fleck, Michael ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Friedman, Albert M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gent, Justin, MD ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Giles, Lisa M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gilleland, Scott ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gilroy, Phillip, MD ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Glerum, James T. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Goldberg, William S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gonzalez-Mendez, J.C. ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gordon, James A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gordon McCallister, Trina ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Greffin, Judy P. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HARRIS, ROGER T. ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hart, Brett J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Havenhill, Timothy G. ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Helm, Scott, MD ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR (7/17/19-8/31/19), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial HealthCare, Title: PHYSICIAN, AverageHours: 1.000;
Form 990, Part VII, Section A Helton, Sandra L. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Herencia, Roberto R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hoeflich, Adam ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Holden, Jill, MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HUNTER, WILLARD M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hurst, Peter S., BDS ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Johnson Rice, Linda ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kachmer, Michael J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Keogh, Christopher M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR (9/1/18 to 12/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A KESMAN, ANTHONY K. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kessler, John A., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kloosterboer, Jay L. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kozik, Catherine ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kroencke, Heather ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kunkler, William C. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Lampert, Julie ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Lenny, Richard H. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Levy, Lawrence F. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Luby, Timothy J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Manire, Dee A. ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Mansueto, Joseph D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Matya, Thomas ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Maybury, J. Richard ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MCCARTHY, PATRICK M., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Melman, Richard ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Meza, Ricardo ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Milliman, Becky ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Mills, Karen ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MILLS, CHARLES N. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Moen, Timothy P. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MUILENBERG, DENNIS ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Murray, James, III ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Novakovic, Phebe N. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A O'Grady, Michael G. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director (1/1/19-present), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Paller, Amy S., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Parkinson, Robert J., Jr. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Patel, Jagdish, MD ADDITIONAL POSITIONS HELD	Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PEABODY, TERRANCE D., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PEREZ, WILLIAM D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Persak, Joseph M., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Pigott, Jane D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Plantanias, Leonidas C., MD, PhD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Podjasek, John ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PRAMAGGIORE, ANNE ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Price, Richard S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Pryde, Craig R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Quinn, Thomas F. ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR (effective 4/1/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Rankins, Steve ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Redmond-Ferguson, Andrea ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Reyes, J. Christopher ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A RICHMAN, LARRY D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Richmond, Mary Beth, MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A RIZZI, LEONETTA ADDITIONAL POSITIONS HELD	Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Rogers, Desiree ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ross, Matthew W. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: PHYSICIAN, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ruth, Eric ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Health Bridge Corporation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ruth, CHARLES ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Saran, Debbie S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Saslow, Ron ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Satter, Muneer A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Savage, Terry ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schapiro, Morton O. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schulman, Marc S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Scott, Samuel C., III ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Severino, Ronald J., MD ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Hospital Association, Title: DIRECTOR (09/1/18-7/16/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Shoener, Dean P., MD ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital, Title: DIRECTOR (9/1/18-7/16/19), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Martin ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Greg ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Physician Group, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Scott C. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SOPER, NATHANIEL J., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Steadman, Mark ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A STRAUSS, MARC ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A STUART, ALEXANDER D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Stucker, Robert J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Sullivan, Timothy P. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Sullivan, Robert ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Talton, Shelia G. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A THOMPSON, DONALD L. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Tilly, Edward T. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Tyler, Jason ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Tyron, Michael ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Vaughan, Douglas E. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Volpe, Nicholas J., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A VONHOENE, WILLIAM A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WADDELL, FREDERICK H. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Waud, Reeve ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Weldy, Gina ADDITIONAL POSITIONS HELD	Organization Name: NIMED Corporation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Whinfrey, Peter ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WILKIN, ABRA PRENTICE ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Woertz, Patricia A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Wood, Corinne J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ZALLIE, JAMES P . ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Zanck, Charie A. ADDITIONAL POSITIONS HELD	Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Zopp, Andrea ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bryant, Maureen ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital, Title: President, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Hobson, Leah V. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Assistant Treasurer, AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: ASSISTANT TREASURER (2/4/19-present), AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: Assistant Treasurer (10/28/18-present), AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: Assistant Treasurer (10/23/18 -present), AverageHours: 1.000; Officer Organization Name: Centegra Health System, Title: Assistant Treasurer, AverageHours: 1.000; Officer Organization Name: Northern Illinois Medical Center, Title: Assistant Treasurer, AverageHours: 1.000; Officer Organization Name: Memorial Medical Center, Title: Assistant Treasurer, AverageHours: 1.000; Officer Organization Name: Centegra Hospital Huntley Holdings , Title: Assistant Treasurer, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: Assistant Treasurer (10/2/18-present), AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Assistant Treasurer (10/2/18-present), AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: Assistant Treasurer (10/16/18-present), AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: Assistant Treasurer (10/16/18-present), AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: Assistant Treasurer (10/16/18-present), AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: Assistant Treasurer (10/16/18-present), AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: Assistant Treasurer (10/16/18-present), AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: Assistant Treasurer (10/5/18 - Present), AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: ASSISTANT TREASURER (10/9/18 - present), AverageHours: 1.000; Officer
Form 990, Part VII, Section A Prousis, Danae K. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Secretary, AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Centegra Health System, Title: Secretary, AverageHours: 1.000; Officer Organization Name: Northern Illinois Medical Center, Title: Secretary, AverageHours: 1.000; Officer Organization Name: Memorial Medical Center, Title: Secretary, AverageHours: 1.000; Officer Organization Name: Centegra Hospital Huntley Holdings , Title: Secretary, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: Secretary, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Taus, Maureen A. ADDITIONAL POSITIONS HELD	Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: ASSISTANT TREASURER (09/1/18-10/22/18), AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: ASSISTANT TREASURER (09/1/18-10/28/18), AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: ASSISTANT TREASURER (9/1/18-10/23/18), AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: Assistant Treasurer (9/1/18-10/2/18), AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Assistant Treasurer (9/1/18-10/2/18), AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: ASSISTANT TREASURER (9/1/18-10/16/18), AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: ASSISTANT TREASURER (9/1/18-10/16/18), AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: ASSISTANT TREASURER (9/1/18-10/16/18), AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: ASSISTANT TREASURER (9/1/18-10/16/18), AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: ASSISTANT TREASURER (9/1/18-10/16/18), AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: ASSISTANT TREASURER (9/1/18-10/5/18), AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: ASSISTANT TREASURER (9/1/18 to 10/09/18), AverageHours: 1.000; Officer
Form 990, Part VII, Section A Wehmer, Edward J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: Chair, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Gang, Gyu Il ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: PHYSICIAN, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Shownkeen, Harish ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Physician Group, Title: Physician, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Thakkar, Dhaval N ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: PHYSICIAN, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Witkowski, Gregory ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Physician Group, Title: Physician, AverageHours: 40.000;
Form 990, Part VII, Section A Adams, James ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former CMO, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Copple, Brad ADDITIONAL POSITIONS HELD	Organization Name: Kishwaukee Community Hospital (Former), Title: Former President, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Dechene, James C. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital(Former), Title: Former Secretary, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Duffy, Pamela ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System Home Care(Former), Title: Former President, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Fraher, Francis ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital(Former), Title: VP & CFO, NMH & NM Marianjoy, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Hensley, David ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation(Former), Title: Former President, AverageHours: 0.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hubbe, John ADDITIONAL POSITIONS HELD	Organization Name: Kishwaukee Community Hospital (Former), Title: Fmr General Counsel, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Majeski, Denise ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital(Former), Title: Former CNO, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Manheimer, Dean ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former Sr VP HR, AverageHours: 0.000; Officer
Form 990, Part VII, Section A Noskin, Gary, MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation(Former), Title: SVP, Quality and CMO, NMH, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Rosenberg, Elizabeth ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former Key Employee, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Vivoda, Michael ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Physician Group(Former), Title: Former Chair, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Wooten Ierardi, Jennifer ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital(Former), Title: Former Asst. Secretary, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Yosko, Kathleen ADDITIONAL POSITIONS HELD	Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc(Former), Title: Former PRESIDENT, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Young, Douglas ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital(Former), Title: Former Asst. Treasurer, AverageHours: 40.000; Officer
Form 990, Part VIII, Line 2f Other Program Service Revenue	All other - Total Revenue: 1208199196, Related or Exempt Function Revenue: 1204030051, Unrelated Business Revenue: 4169145, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other - Total Revenue: 1889558, Related or Exempt Function Revenue: 1767584, Unrelated Business Revenue: 121974, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN INTEREST RATE SWAPS - -31341258; CHANGE IN FV OF SPLIT-INTEREST AGREEMENT - -244463; CHANGE IN PENSION - -XXX-XX-XXXX; TRANSFERS TO/FROM NMHC - XXX-XX-XXXX; CONTRIBUTION OF CENTEGRA - 83269561; TRANSFER OF CONTROL - 13464236; Other changes in net assets - -1477077;
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTRAL DUPAGE HOSPITAL ASSOCIATION ADDRESS: 25 N WINFIELD ROAD WINFIELD, Illinois 60190 EIN: 36-2513909 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 75,442 TOTAL LOBBYING EXPENDITURES: 75,442 OTHER EXEMPT PURPOSE EXPENDITURES: 961,353,238 TOTAL EXEMPT PURPOSE EXPENDITURES: 961,428,680 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: DELNOR-COMMUNITY HOSPITAL ADDRESS: 300 RANDALL ROAD GENEVA, Illinois 60134 EIN: 36-3484281 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 38,984 TOTAL LOBBYING EXPENDITURES: 38,984 OTHER EXEMPT PURPOSE EXPENDITURES: 352,711,034 TOTAL EXEMPT PURPOSE EXPENDITURES: 352,750,018 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTRAL DUPAGE PHYSICIAN GROUP ADDRESS: 25 N WINFIELD ROAD WINFIELD, Illinois 60190 EIN: 36-3149833 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 380,766,987 TOTAL EXEMPT PURPOSE EXPENDITURES: 380,766,987 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: PAHCS II ADDRESS: 27W353 JEWELL RD WINFIELD, Illinois 60190 EIN: 36-3887234 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 40,305 TOTAL EXEMPT PURPOSE EXPENDITURES: 40,305 LOBBYING NONTAXABLE AMOUNT: 8,061 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 2,015 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: KISHHEALTH SYSTEM HOMECARE ADDRESS: 100 E WASHINGTON ST SPRINGFIELD, Illinois 62701 EIN: 37-1703513 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 2,316,022 TOTAL EXEMPT PURPOSE EXPENDITURES: 2,316,022 LOBBYING NONTAXABLE AMOUNT: 265,801 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 66,450 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: KISHWAUKEE COMMUNITY HOSPITAL ADDRESS: ONE KISH HOSPITAL DR DEKALB, Illinois 60115 EIN: 23-7087041 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 31,519 TOTAL LOBBYING EXPENDITURES: 31,519 OTHER EXEMPT PURPOSE EXPENDITURES: 209,333,045 TOTAL EXEMPT PURPOSE EXPENDITURES: 209,364,564 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: VALLEY WEST COMMUNITY HOSPITAL ADDRESS: ONE KISH HOSPITAL DR DEKALB, Illinois 60115 EIN: 36-4244337 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 15,544 TOTAL LOBBYING EXPENDITURES: 15,544 OTHER EXEMPT PURPOSE EXPENDITURES: 47,433,494 TOTAL EXEMPT PURPOSE EXPENDITURES: 47, 449,038 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: MARIANJOY REHAB HOSPITAL & CLINICS, INC. ADDRESS: 26W171 ROOSEVELT RD WHEATON, Illinois 60187 EIN: 36-2680776 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 10,601 TOTAL LOBBYING EXPENDITURES: 10,601 OTHER EXEMPT PURPOSE EXPENDITURES: 77,088,789 TOTAL EXEMPT PURPOSE EXPENDITURES: 77,099,390 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: KISHHEALTH SYSTEM FOUNDATION ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3649077 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: TOTAL EXEMPT PURPOSE EXPENDITURES: LOBBYING NONTAXABLE AMOUNT: TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: KISHHEALTH PHYSICIAN GROUP ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 65-1293967 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: TOTAL EXEMPT PURPOSE EXPENDITURES: LOBBYING NONTAXABLE AMOUNT: TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: DEKALB BEHAVIORAL HEALTH FOUNDATION ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 47-4579189 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 6,507,890 TOTAL EXEMPT PURPOSE EXPENDITURES: 6,507,890 LOBBYING NONTAXABLE AMOUNT: 475,395 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 118,849 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTER FOR FAMILY HEALTH - MALTA ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 80-0869393 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 10,212 TOTAL EXEMPT PURPOSE EXPENDITURES: 10,212 LOBBYING NONTAXABLE AMOUNT: 2,042 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 511 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: KISHHEALTH SYSTEM HOSPICE ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3164329 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 1,842,841 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,842,841 LOBBYING NONTAXABLE AMOUNT: 242,142 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 60,536 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: REHABILITATION MEDICINE CLINIC ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3236791 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 13,488,332 TOTAL EXEMPT PURPOSE EXPENDITURES: 13,488,332 LOBBYING NONTAXABLE AMOUNT: 824,417 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 206,104 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: MARIANJOY AUXILIARY ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3896976 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: TOTAL EXEMPT PURPOSE EXPENDITURES: LOBBYING NONTAXABLE AMOUNT: TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NORTHERN ILLINOIS MEDICAL CENTER ADDRESS: 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 EIN: 36-2338884 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 65,993 TOTAL LOBBYING EXPENDITURES: 65,993 OTHER EXEMPT PURPOSE EXPENDITURES: 475,393,406 TOTAL EXEMPT PURPOSE EXPENDITURES: 475,459,399 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: MEMORIAL MEDICAL CENTER ADDRESS: 3703 DOTY RD WOODSTOCK, IL 60098 EIN: 36-2179764 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 56,110,799 TOTAL EXEMPT PURPOSE EXPENDITURES: 56,110,799 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTEGRA HEALTH SYSTEM ADDRESS: 10350 HALIGUS RD HUNTLEY, IL 60142 EIN: 36-3196559 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 95,536,736 TOTAL EXEMPT PURPOSE EXPENDITURES: 95,536,736 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTEGRA HEALTH AND WELLNESS NETWORK ADDRESS: 10350 HALIGUS RD HUNTLEY, IL 60142 EIN: 36-4740459 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 9,952,770 TOTAL EXEMPT PURPOSE EXPENDITURES: 9,952,770 LOBBYING NONTAXABLE AMOUNT: 647,639 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 161,909 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: HEALTH BRIDGE CORPORATION ADDRESS: 200 CONGRESS PKWY CRYSTAL LAKE, IL 60014 EIN: 36-3196550 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 4,630,853 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,630,853 LOBBYING NONTAXABLE AMOUNT: 381,543 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 95,386 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NIMED CORPORATION ADDRESS: 10350 HALIGUS RD HUNTLEY, IL 60142 EIN: 36-3199111 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 942,117 TOTAL EXEMPT PURPOSE EXPENDITURES: 942,117 LOBBYING NONTAXABLE AMOUNT: 166,318 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 41,579 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: COMMUNITY NURSING SERVICES OF DUPAGE COUNTY ADDRESS: 690 E NORTH AVE CAROL STREAM, IL 60188 EIN: 36-6080833 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 17,394,737 TOTAL EXEMPT PURPOSE EXPENDITURES: 17,394,737 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTRAL DUPAGE SPECIAL HEALTH ASSOCIATION ADDRESS: 27W353 JEWELL ROAD WINFIELD, IL 60190 EIN: 36-4310557 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 4,444,779 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,444,779 LOBBYING NONTAXABLE AMOUNT: 372,239 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 93,060 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTEGRA HOSPITAL HUNTLEY HOLDINGS ADDRESS: 10350 HALIGUS RD HUNTLEY, IL 60142 EIN: 45-3449737 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 0 TOTAL EXEMPT PURPOSE EXPENDITURES: 0 LOBBYING NONTAXABLE AMOUNT: 0 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 0 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CADENCE AMBULATORY SURGERY CENTER LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	800838376	HEALTHCARE	IL	$9,975,673	$24,484,848	CENTRAL DUPAGE HOSPITAL
NORTHWESTERN MEDICINE PHYSICIAN NETWORK LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	900917479	HEALTHCARE	IL			NORTHWESTERN MEMORIAL HEALTHCARE
CADENCE HEALTH ACO
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	352507700	HEALTHCARE	IL			NORTHWESTERN MEDICINE PHYSICIAN NETWORK LLC
ILLINOIS PROTON CENTER LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	260876468	HEALTHCARE	DE	$25,192,427	$87,390,553	CENTRAL DUPAGE HOSPITAL
ILLINOIS PROTON CENTER HOLDING LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	260876420	HEALTHCARE	DE	$14,166,915	$0	CENTRAL DUPAGE HOSPITAL
FVFPDELNOR PROPERTIES LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	451147062	MANAGEMENT	IL			DELCOM CORPORATION
CENTEGRA PRIMARY CARE LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	364085398	HEALTHCARE	DE	$35,969,595	$4,731,917	CENTEGRA HEALTH SYSTEM
CENTEGRA CLINICAL LABORATORIES LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	364706465	HEALTHCARE	DE	$0	$0	CENTEGRA HEALTH SYSTEM
CENTEGRA HEALTH & WELLNESS NETWORK LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	364740459	HEALTHCARE	DE	$10,699,296	$2,776,481	CENTEGRA HEALTH SYSTEM
CENTEGRA HEALTH & WELLNESS NETWORK ACO LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	383936176	HEALTHCARE	DE	$0	$0	CENTEGRA HEALTH AND WELLNESS NETWORK LLC
CENTEGRA HEALTH BRIDGE FITNESS CENTER LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	261277524	HEALTHCARE	DE	$5,977,516	$292,773	HEALTH BRIDGE CORPORATION
NORTHWESTERN MEDICINE INNOVATION LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	841833690	INVESTING	IL			NORTHWESTERN MEDICINE HOLDINGS CO
NORTHWESTERN HOSPITALITY LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	842302820	MANAGEMENT	IL			NORTHWESTERN MEDICINE HOLDINGS CO

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
KISHWAUKEE COMMUNITY HOSPITAL
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	237087041	HOSPITAL	IL	501(c)(3)	3	KISHHEALTH SYSTEM	Yes (true)
MEMORIAL MEDICAL CENTER-WOODSTOCK
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	362179764	HOSPITAL	IL	501(c)(3)	3	CENTEGRA HEALTH SYSTEM	Yes (true)
NORTHWESTERN LAKE FOREST HOSPITAL
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	362179779	HOSPITAL	IL	501(c)(3)	3	NMHC	Yes (true)
NORTHERN ILLINOIS MEDICAL CENTER
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	362338884	HOSPITAL	IL	501(c)(3)	3	CENTEGRA HEALTH SYSTEM	Yes (true)
CENTRAL DUPAGE HOSPITAL ASSOCIATION
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	362513909	HOSPITAL	IL	501(c)(3)	3	NMHC	Yes (true)
MCGAW MEDICAL CENTER NORTHWESTERN UNIV
645 N MICHIGAN		CHICAGO	IL	60611	362656113	SUPPORTING	IL	501(c)(3)	Type I	NA	false
MARIANJOY REHABILITATION HOSPITAL & CLINICS INC
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	362680776	HOSPITAL	IL	501(c)(3)	3	NMHC	Yes (true)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363097297	HEALTHCARE	IL	501(c)(3)	3	NMHC	Yes (true)
CENTRAL DUPAGE PHYSICIAN GROUP
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363149833	HEALTHCARE	IL	501(c)(3)	10	NMHC	Yes (true)
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 FOUNDATION
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363155315	FUNDRAISING	IL	501(c)(3)	7	NMHC	Yes (true)
DEKALB COUNTY HOSPICE INC
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363164329	HOSPICE	IL	501(c)(3)	7	KISHHEALTH SYSTEM	Yes (true)
HEALTH BRIDGE CORPORATION
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363196550	HEALTH	IL	501(c)(3)	10	CENTEGRA HEALTH SYSTEM	Yes (true)
CENTEGRA HEALTH SYSTEM
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363196559	MANAGEMENT	IL	501(c)(3)	10	NMHC	Yes (true)
NIMED CORPORATION
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363199111	MANAGEMENT	IL	501(c)(3)	Type II	CENTEGRA HEALTH SYSTEM	Yes (true)
REHABILITATION MEDICINE CLINIC INC
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363236791	HOSPITAL	IL	501(c)(3)	3	NMHC	Yes (true)
DELNOR-COMMUNITY HOSPITAL
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363484281	HOSPITAL	IL	501(c)(3)	3	NMHC	Yes (true)
KISHHEALTH SYSTEM
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363649080	MANAGEMENT	IL	501(c)(3)	Type II	NMHC	Yes (true)
CENTEGRA HEALTH SYSTEM FOUNDATION
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363726310	FUNDRAISING	IL	501(c)(3)	7	CENTEGRA HEALTH SYSTEM	Yes (true)
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	Yes (true)
PAHCS II
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363887234	OCCUPATIONAL HEALTH	IL	501(c)(3)	10	NMHC	Yes (true)
MARIANJOY REHABILITATION CENTER AUXILIARY
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363896976	SUPPORTING	IL	501(c)(3)	Type I	NMHC	Yes (true)
FRIENDS OF PRENTICE
251 E HURON		CHICAGO	IL	60611	363930139	SUPPORTING	IL	501(c)(3)	Type III-O	NA	false
VALLEY WEST COMMUNITY HOSPITAL
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	364244337	HOSPITAL	IL	501(c)(3)	3	KISHHEALTH SYSTEM	Yes (true)
CENTRAL DUPAGE SPECIAL HEALTH ASSOC
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	364310557	PHARMACY	IL	501(c)(3)	10	NMHC	Yes (true)
COMMUNITY NURSING SERVICE OF DUPAGE COUNTY
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	366080833	HOME HEALTH	IL	501(c)(3)	10	NMHC	Yes (true)
NORTHWESTERN MEMORIAL HOSPITAL
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	370960170	HOSPITAL	IL	501(c)(3)	3	NMHC	Yes (true)
KISHHEALTH SYSTEM HOME CARE
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	371703513	HOME HEALTH	IL	501(c)(3)	3	KISHHEALTH SYSTEM	Yes (true)
CENTEGRA HOSPITAL HUNTLEY HOLDINGS
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	453449737	SUPPORTING	IL	501(c)(3)	Type I	CENTEGRA HEALTH SYSTEM	Yes (true)
DEKALB BEHAVIORAL HEALTH FOUNDATION INC
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	474579189	BEHAVIORAL HEALTH	IL	501(c)(3)	3	KISHHEALTH SYSTEM	Yes (true)
CENTER FOR FAMILY HEALTH - MALTA
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	800869393	HEALTHCARE	IL	501(c)(3)	3	KISHHEALTH SYSTEM	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
KISHWAUKEE AREA PHYSICIAN HOSPITAL ORGANIZATION LLC
541 N FAIRBANKS CT	RM 1630	CHICAGO	IL	60611	364205273	HEALTHCARE	IL	KISHWAUKEE COMM HOSP	Related	-$28,162	$12,748	false	$0	false	0.67
ILLINOIS REGIONAL CANCER CENTER LLP
10 HEALTH SERVICES DR		DEKALB	IL	60115	363847273	HEALTHCARE	IL	NA	N/A			false		false
NORTHWESTERN MEDICAL FACULTY FOUNDATION DIALYSIS CENTER
541 N FAIRBANKS CT	RM 1630	CHICAGO	IL	60611	462159685	HEALTHCARE	DE	NMFF	Related	$2,800,917	$5,522,963	false	$0	false	0.8
MIDLAND SURGICAL CENTER LLC
3085 WOLF CT		DEKALB	IL	60115	352194610	HEALTHCARE	IL	KISHWAUKEE COMM HOSP	Related	-$31,453	$462,249	false	$0	false	0.75

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
NORTHWESTERN HEALTHCARE CORPORATION
541 N FAIRBANKS CT	SUITE 1630	CHICAGO	IL	60611	363382383	HEALTHCARE	IL	NMH	C Corporation	$478,553	$743,097	1.00	Yes (true)
NORTHWESTERN MEMORIAL INSURANCE COMPANY
					980384611	RISK TRANSFER		NORTHWESTERN MEMORIAL HEALTHCARE	C Corporation					CJ
DUPAGE HEALTH SERVICES INC
541 N FAIRBANKS CT	SUITE 1630	CHICAGO	IL	60611	363270521	HEALTHCARE	IL	HEALTH PROGRESS INC	C Corporation
DELCOM CORPORATION
541 N FAIRBANKS CT	SUITE 1630	CHICAGO	IL	60611	363334711	HEALTH MGMT	IL	HEALTH PROGRESS INC	C Corporation
HEALTH PROGRESS INC
541 N FAIRBANKS CT	SUITE 1630	CHICAGO	IL	60611	363824138	HEALTHCARE	IL	KISH HEALTH SYSTEM	C Corporation	$5,863,915	$52,026,195	1.00	Yes (true)
CENTEGRA MANAGEMENT SERVICES
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	364028114	MANAGEMENT	IL	CENTEGRA HEALTH SYSTEM	C Corporation	$10,082,546	$0	1.00	Yes (true)
NORTHWESTERN MEDICINE HOLDINGS CO
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	834687208	MANAGEMENT	IL	NORTHWESTERN MEMORIAL HEALTHCARE	C Corporation
CENTEGRA INSURANCE SERVICES LTD
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	980525109	RISK TRANSFER		CENTEGRA HEALTH SYSTEM	C Corporation	$743,713	$27,220,103	1.00	Yes (true)	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (true)	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Community Nursing Services of DuPage County
L	$99,658	Cost
Central DuPage Special Health Association
L	$279,596	Cost

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Electing OrganizationElectingOrganizationInd	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
Northwestern Memorial HealthCare Group
541 N Fairbanks Ct Rm 1630	Chicago	IL	606113319	364724966	Yes (X)	$0	$365,840	$365,840	$6,149,713,547	$6,150,079,387	$1,000,000	$250,000	$0	$0	$0
NORTHWESTERN MEMORIAL HEALTHCARE
251 E HURON	CHICAGO	IL	60611	363152959	Yes (X)	$0	$89,800	$89,800	$1,113,649,554	$1,113,739,354	$1,000,000	$250,000	$0	$0	$0