NORTHWEST COMMUNITY HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
NORTHWEST COMMUNITY HOSPITAL (EIN 36-2340313)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-04
IRS object ID
201512169349301371
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-04T16:49:10-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1155 N Wacker DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362340313EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Northwest Community HospitalBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% LIN YEInCareOfNm
Business Name ControlNORTBusinessNameControlTxt
Phone8476181000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 WEST CENTRAL ROADAddressLine1
Address Line2SuiteAddressLine2
CityARLINGTON HEIGHTSCity
StateILState
ZIP Code60005ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHEN O SCOGNAPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone3128792000PhoneNum
Signature2015-07-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTAMARA TARAZIPreparerPersonNm
PTINP01266026PTIN
Phone3128792000PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEPHEN O SCOGNAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 WEST CENTRAL ROADAddressLine1
CityARLINGTON HEIGHTSCity
StateILState
ZIP Code60005ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$537,259,529GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.nch.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionNCH OPERATES AN ACUTE HOSPITAL IN ARLINGTON HEIGHTS, IL. THE HOSPITAL EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND TO MEET INDIVIDUALS' HEALTHCARE NEEDS.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee3603TotalEmployeeCnt
Total Volunteers840TotalVolunteersCnt
Total Gross UBI$1,505,503TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$262,988NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,494,187PYContributionsGrantsAmt
CY Contributions Grants$2,940,570CYContributionsGrantsAmt
PY Program Service Revenue$432,581,609PYProgramServiceRevenueAmt
CY Program Service Revenue$434,046,573CYProgramServiceRevenueAmt
PY Investment Income$1,727,907PYInvestmentIncomeAmt
CY Investment Income$1,027,850CYInvestmentIncomeAmt
PY Other Revenue$5,914,233PYOtherRevenueAmt
CY Other Revenue$8,448,066CYOtherRevenueAmt
PY Total Revenue$441,717,936PYTotalRevenueAmt
CY Total Revenue$446,463,059CYTotalRevenueAmt
PY Grants And Similar Paid$229,307PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$191,136CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$232,064,994PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$217,073,788CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$195,422,176PYOtherExpensesAmt
CY Other Expenses$204,942,027CYOtherExpensesAmt
PY Total Expenses$427,716,477PYTotalExpensesAmt
CY Total Expenses$422,206,951CYTotalExpensesAmt
PY Revenues Less Expenses$14,001,459PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$24,256,108CYRevenuesLessExpensesAmt
Total Assets BOY$624,911,391TotalAssetsBOYAmt
Total Assets EOY$591,637,716TotalAssetsEOYAmt
Total Liabilities BOY$432,284,393TotalLiabilitiesBOYAmt
Total Liabilities EOY$406,770,741TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$192,626,998NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$184,866,975NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNORTHWEST COMMUNITY HOSPITAL EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND TO MEET INDIVIDUALS' HEALTHCARE NEEDS. IT STRIVES TO BE KNOWN FOR ITS SINGULAR FOCUS ON PROVIDING A COMPREHENSIVE, PATIENT-CENTERED SYSTEM OF CARE THAT SURPASSES EVERY EXPECTATION FOR EXCELLENCE (IN QUALITY AND SERVICE).MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$43,906,773ExpenseAmt
Revenue$43,288,170RevenueAmt
DescCARDIAC NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) CARDIAC SERVICE LINE PROVIDED QUALITY, PATIENT CENTERED, COMPASSIONATE CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 31,464 INPATIENTS AND OUTPATIENTS DURING FY 2014. THE TREATMENT WAS PROVIDED IN HOSPITAL'S STATE-OF-THE-ART DIGITAL CARDIAC CATH LAB SUITES, INCLUSIVE OF ITS HIGH TECH OPERATING ROOMS AND PRIVATE FAMILY CENTERED PATIENT CARE ROOMS ALL AT A COST OF NEARLY $43,900,000. AN ON-CALL TEAM OF NURSES, RADIOLOGY TECHS, OR TECHS, CARDIOLOGISTS AND SURGEONS WERE READILY AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK, TO PROVIDE EMERGENT CARE TO THOSE WITH CARDIAC DISEASE. THE CARDIAC TEAM WORKS WITH THE EMERGENCY ROOM AND MULTIPLE NEIGHBORING COMMUNITY PARAMEDICS AND EMERGENCY PERSONNEL TO CONSISTENTLY EXCEED THE NATIONAL BENCHMARK OF DOOR TO BALLOON TIME (OR OPEN ARTERY) IN LESS THAN 90 MINUTES FOR PATIENTS PRESENTING IN HOSPITAL'S EMERGENCY ROOM HAVING AN ACUTE MI. NCH HAS BEEN RECOGNIZED AS AN ACCREDITED ECHO LAB BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOGRAPHY LABORATORIES (ICAEL) SINCE 2000. NOT ONLY DOES NCH PROVIDE THE FULL SCOPE ON NON INVASIVE CARDIAC DIAGNOSTIC TESTING AT MULITPLE SITES IN THE COMMUNITY BUT IN 2014, NCH OPENED THE ATHERTON HEART FAILURE CLINIC (HF CLINIC). THE HF CLINIC PROVIDES A TRANSITIONAL CARE MODEL THAT IS BASED ON PATIENTS WITH HEART FAILURE BEING SEEN IN THE CLINIC BY ADVANCED CARE PRACTIONERS AND CARDIOLOGISTS WITH 24 HOURS OF HOSPITAL DISCHARGE. THE MULTIDISCIPLINARY TEAM INCLUDING DIETICIANS, SOCIAL WORKERS, PHARMACISTS AND NURSES PROVIDE ONGOING CARE TO PATIENTS AND THEIR FAMILIES IN THE COMMUNITY SETTING ENSURING CARE IS DELIVERED IN THE APPROPRIATE SETTING AND REDUCING AVOIDABLE READMISSSIONS TO THE ACUTE CARE SETTING. NCH HAS EXPERIENCED A SIGNIFICANT DECREASE IN HOSPITAL READMISSIONS FOR BOTH THE HEART FAILURE AND ACUTE MI PATIENT POPULATIONS DIRECLTY RELATED TO STRATEGIES DURING THE HOSPITALIZATION AND IN THE POST ACUTE CARE SETTING. TELEHEALTH MEDICINE AND HOME HEALTH ARE INTEGRAL PARTS OF THE POST ACUTE CARE MODEL NCH HAS IMPLEMENTED FOR CARDIAC PATIENTS. IN ADDITION, NCH HAS ONE OF THE LARGEST CARDIAC AND PULMONARY REHAB PROGRAMS IN THE STATE OF ILLINOIS THAT HAS FURTHER ASSISTED CARDIAC AND PULMONARY PATIENTS IN RETURNING AND MAINTAINING AN OPTIMAL STATE OF HEALTH FOLLOWING A CARDIAC EVENT. THE CARDIAC DEPARTMENT ALSO PROVIDES MULTIPLE SCREENING AND EDUCATION PROGRAMS. DURING 2014, HOSPITAL HOSTED A COMMUNITY EVENT WHERE BLOOD PRESSURE, CHOLESTEROL AND BMI SCREENINGS WERE USED TO CALCULATE AN INDIVIDUAL'S RISK OF DEVELOPING HEART DISEASE FOR A MINIMAL FEE. IN ADDITION, PHYSICIANS PROVIDED EDUCATION ON HEART HEALTH AND WELLNESS. OVER 300 PEOPLE PARTICIPATED IN THE EVENT. EVENT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$28,758,164ExpenseAmt
Revenue$43,370,998RevenueAmt
DescGASTROENTEROLOGY HOSPITAL'S GASTROENTEROLOGY (GI) CENTER PROVIDES QUALITY, PATIENT CENTERED, COMPASSIONATE CARE FOR PATIENTS, REGARDLESS OF ABILITY TO PAY, IN NEED OF DIAGNOSTIC AND THERAPEUTIC ENDOSCOPIC PROCEDURES. THE GI CENTER HAS BECOME A REGIONAL REFERRAL CENTER FOR PATIENTS IN NEED OF INTERVENTIONAL PROCEDURES INCLUDING ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY AND ENDOSCOPIC ULTRASOUND. A STATE-OF-THE-ART INTERVENTIONAL SUITE OFFERS PATIENTS ACCESS TO SUPERIOR QUALITY CARE BY PROVIDING DIGITAL IMAGING. HOSPITAL'S INTERVENTIONAL TEAM IS LED BY AN EXPERT INTERVENTIONAL PHYSICIAN AND AN INTERVENTIONAL PROCEDURE CONSULTANT. THIS TEAM PROVIDES SAME-DAY CARE FOR PATIENTS IN AND BEYOND HOSPITAL'S SERVICE AREA WHO ARE IN NEED OF INTERVENTIONAL PROCEDURES. IN FY 2014 THE GI CENTER PROVIDED SERVICE FOR 29,291 PATIENTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$36,943,345ExpenseAmt
Revenue$33,919,872RevenueAmt
DescGENERAL SURGERY HOSPITAL'S GENERAL SURGERY SERVICE LINE PROVIDED QUALITY, PATIENT CENTERED, COMPASSIONATE CARE, REGARDLESS OF ABILITY TO PAY, TO 3,419 GENERAL SURGICAL PATIENTS (INPATIENT AND OUTPATIENT) IN THE MAIN OR DURING FY 2014. PROCEDURES WERE PERFORMED IN STATE-OF-THE-ART OPERATING ROOMS WHICH INCLUDE THREE DEDICATED MINIMALLY INVASIVE SURGERY SUITES. THE GENERAL SURGERY PROGRAM PROVIDES CARE FOR BOTH PEDIATRIC AND ADULT POPULATIONS. IN FY 2011, HOSPITAL PARTNERED WITH CHILDREN'S MEMORIAL HOSPITAL TO IMPLEMENT A NEONATAL SURGERY PROGRAM TO SUPPORT ITS NEW LEVEL 3 NICU. THE GENERAL SURGERY PROGRAM ALSO INCLUDES A COMPREHENSIVE DAVINCI ROBOTIC PROGRAM THAT SUPPORTS GYNECOLOGY, UROLOGY AND GENERAL SURGICAL PROCEDURES AND HAS SERVED AS A TRAINING EPICENTER FOR OB-GYN SURGEONS FROM ACROSS THE COUNTRY. NCH IS ALSO KNOWN AND RESPECTED AS A DEDICATED PANCREATIC SURGERY PROGRAM THAT PERFORMS THE MOST COMPLEX PROCEDURES. OTHER SERVICE LINES IN SURGICAL SERVICES INCLUDE CARDIOVASCULAR, VASCULAR, THORACIC, NEUROSURGICAL AND ORTHOPEDICS AND ENT. SURGICAL SERVICES ARE PROVIDED 24 HOURS-A-DAY, 7 DAYS-A-WEEK WITH A DEDICATED SURGICAL PREP AREA AND MULTIPHASE POST ANESTHIA CARE UNIT (PACU) THAT IS ALSO AVAILABLE 24 HOURS-A-DAY, 7 DAYS-PER-WEEK. THE PROGRAM IS DESIGNATED A LEVEL 2 TRAUMA CENTER. A MULTIDISCIPLINARY TEAM HAS WORKED TO IMPROVE OUTCOMES IN THE SURGICAL CARE IMPROVEMENT PROJECT'S CORE MEASURES. AREAS OF CONCENTRATION INCLUDE: ANTIBIOTICS ADMINISTERED WITHIN 60 MINUTES OF INCISION, APPROPRIATE ANTIBIOTICS ADMINISTERED, ANTIBIOTICS DISCONTINUED WITHIN 24 HOURS, APPROPRIATE HAIR REMOVAL, URINARY CATHETER REMOVED POST-OP DAY 1 OR 2, SURGERY TEMPERATURE MANAGEMENT, BETA BLOCKER PRIOR TO SURGERY AND VTE PROPHYLAXIS. THE MAJORITY OF HOSPITAL'S OUTCOME MEASURES WERE AT OR ABOVE BENCHMARK LEVELS. SURGICAL SERVICES ALSO PRIDES ITSELF ON ITS MULTIDISICIPLINARY PATIENT SAFETY TEAM THAT IS LEAD BY THE CHIEF OF ANESTHESIA AND IS RESPONSIBLE FOR ENSURING PATIENT SAFETY PRACTICES ARE IN PLACE IN ALL AREAS OF THE DEPARTMENT.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$221,955,811TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$191,136TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$313,467,533TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$331,564,093TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document302IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3603EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLIN YEPersonNm
Phone8476184606PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13060 W Salt Creek LaneAddressLine1
CityArlington HeightsCity
StateILState
ZIP Code60005ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Stephen O Scogna
PRESIDENT/SECRETARY/CEO10.030.0Yes (X)Yes (X)$820,291$0$148,333
Kirk Clark MD
Director1.01.0Yes (X)$0$0$0
Susan E Nelson MD
Director40.01.0Yes (X)$0$206,144$21,838
James H Bishop
Director1.01.0Yes (X)$0$0$0
Craig E Christell
Director1.01.0Yes (X)$0$0$0
Dale J Garber
Director1.01.0Yes (X)$0$0$0
Louis A Gatta
Director1.01.0Yes (X)$0$0$0
Marla F Glabe
VICE CHAIRPERSON1.01.0Yes (X)Yes (X)$0$0$0
Charles A Hempfling
Director1.01.0Yes (X)$0$0$0
Diane G Hill
Director1.01.0Yes (X)$0$0$0
MARSHA C LIU
EXEC VP/CFO/TREASURER10.030.0Yes (X)Yes (X)$289,481$0$31,676
EQUINN REGAN MD
DIRECTOR1.01.0Yes (X)$0$0$0
Robert J Longo MD
Director/MED STAFF PRES10.01.0Yes (X)$55,773$0$0
Louis J Marsico
Director1.01.0Yes (X)$0$0$0
Mary R Sheahen
Director1.01.0Yes (X)
William D Soper MD
Director1.01.0Yes (X)
Raymond Grady
Director1.01.0Yes (X)
Cynthia M Valukas MD
Director1.01.0Yes (X)$0$0$0
Max Brittain Jr
Chairperson10.01.0Yes (X)Yes (X)
Thomas P MacCarthy
Chairperson10.01.0Yes (X)Yes (X)$0$0$0
MARK D LUSSON
Executive VP Human RESOURCES40.00.0$447,200$0$79,148Yes (X)
DALE E BEATTY
Exec VP Patient Services & CNO0.00.0$454,517$0$59,409Yes (X)
Michael C Hartke
EXECUTIVE VP/COO40.01.0$451,330$0$94,966Yes (X)
ERIC BENINK MD
CHIEF MEDICAL OFFICER40.00.0$485,040$0$76,147Yes (X)
KIMBERLY NAGY
CHIEF NURSING OFFICER40.00.0$130,939$0$15,678Yes (X)
WILLIS G PARSONS MD
GASTROENTEROLOGY PHYSICIAN40.00.0$1,514,895$0$16,292Yes (X)
MALCOLM BILIMORIA MD
GASTROENTEROLOGY Physician40.00.0$1,600,637$0$30,561Yes (X)
Mohammed Tahseen MD
Psychiatrist40.00.0$293,556$0$34,033Yes (X)
LOVENDER KUMAR RAJU MD
HOSPITALIST40.00.0$333,349$0$29,500Yes (X)
Bruce K Crowther
PRES/CEO/SECRETARY THRU 4/130.00.0$571,341$0$168,903Yes (X)
Leighton B Smith MD
Exec VP Chief Medical Officer0.00.0$182,462$0$1,623Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,630,811TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$206,144TotReportableCompRltdOrgAmt
Total Other Compensation$808,107TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K270IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
SIEMENS MEDICAL SOLUTIONS USA Inc
DEPT CH 14195PALATINEIL60055IT SUPPORT$1,963,170
GE HEALTHCARE
PO BOX 96483CHICAGOIL60693EQUIP. MAINTENANCE$1,597,861
HLS WHEELING LLC
13028 COLLECTION CENTER DRCHICAGOIL60693LAUNDRY SERVICES$1,486,957
MCKESSON
210 OLD FARM RDAMHERSTMA01002IT SUPPORT$1,482,870
NORTHWESTERN MEDICAL FACULTY FND
680 N LAKESHORE DR STE 1118CHICAGOIL60611NEURO-VASCULAR SVCS$1,274,267
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K115CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
Related Organizations$2,933,709RelatedOrganizationsAmt
Government Grants$6,861GovernmentGrantsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$2,940,570TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Net Patient Services622110$407,993,804$407,993,804$0$0
Lab Services621500$21,812,956$20,307,453$1,505,503$0
HEALTH INFORMATION SYSTEM900999$2,548,553$2,548,553$0$0
Classes and Training611430$1,033,508$1,033,508$0$0
Nursing Services623000$38,369$38,369$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$619,383TotalRevenueColumnAmt
Related Or Exempt Func Income$619,383RelatedOrExemptFuncIncomeAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$434,046,573TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,147,755TotalRevenueColumnAmt
Exclusion$1,147,755ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8TotalRevenueColumnAmt
Exclusion$8ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,665,878RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,308,141RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,357,737RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,357,737TotalRevenueColumnAmt
Exclusion$1,357,737ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$88,974,329SecuritiesAmt
Other$71,002OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$89,092,859SecuritiesAmt
Other$72,385OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$118,530SecuritiesAmt
Other-$1,383OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$119,913TotalRevenueColumnAmt
Exclusion-$119,913ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$339,265GrossSalesOfInventoryAmt
Cost Of Goods Sold$323,085CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,180TotalRevenueColumnAmt
Exclusion$16,180ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CHRPP SURPLUS DISTRIBUTION900099$4,097,966$0$0$4,097,966
Cafeteria722210$1,850,673$0$0$1,850,673
PAYOR PENALTY900099$306,771$0$0$306,771

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$818,739TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$818,739ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,074,149OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$446,463,059TotalRevenueColumnAmt
Related Or Exempt Func Income$432,541,070RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,505,503UnrelatedBusinessRevenueAmt
Exclusion$9,475,916ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$191,136TotalAmt
Program Services$191,136ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,134,571TotalAmt
Program Services$2,378,565ProgramServicesAmt
Management And General$756,006ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$167,396,490TotalAmt
Program Services$127,023,249ProgramServicesAmt
Management And General$40,373,241ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,362,329TotalAmt
Program Services$7,854,031ProgramServicesAmt
Management And General$2,508,298ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$24,378,706TotalAmt
Program Services$18,457,396ProgramServicesAmt
Management And General$5,921,310ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,801,692TotalAmt
Program Services$9,136,704ProgramServicesAmt
Management And General$2,664,988ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,843,545TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,843,545ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$267,996TotalAmt
Program Services$0ProgramServicesAmt
Management And General$267,996ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$58,157TotalAmt
Program Services$0ProgramServicesAmt
Management And General$58,157ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$159,138TotalAmt
Program Services$0ProgramServicesAmt
Management And General$159,138ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,333,968TotalAmt
Program Services$10,712,148ProgramServicesAmt
Management And General$18,621,820ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$798,183TotalAmt
Program Services$0ProgramServicesAmt
Management And General$798,183ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,427,469TotalAmt
Program Services$13,462,153ProgramServicesAmt
Management And General$3,965,316ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,449,685TotalAmt
Program Services$7,148,942ProgramServicesAmt
Management And General$2,300,743ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,813,082TotalAmt
Program Services$8,402,194ProgramServicesAmt
Management And General$410,888ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$612,232TotalAmt
Program Services$438,451ProgramServicesAmt
Management And General$173,781ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$628,266TotalAmt
Program Services$538,515ProgramServicesAmt
Management And General$89,751ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,633,853TotalAmt
Program Services$8,633,853ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$30,286,090TotalAmt
Program Services$23,229,940ProgramServicesAmt
Management And General$7,056,150ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,415,006TotalAmt
Program Services$6,179,242ProgramServicesAmt
Management And General$235,764ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$43,718,073$43,718,073$0$0
Pharmaceuticals$16,486,424$16,486,424$0$0
Bad Debt - Patient Svcs$4,907,383$4,907,383$0$0
Illinois Provider Tax$22,593,905$22,593,905$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,509,572TotalAmt
Program Services$71,789ProgramServicesAmt
Management And General$2,437,783ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$422,206,951TotalAmt
Program Services$331,564,093ProgramServicesAmt
Management And General$90,642,858ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$40,336,464BOYAmt
EOY$12,711,831EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$63,199,420BOYAmt
EOY$62,694,429EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$18,958BOYAmt
EOY$2,708EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,803,892BOYAmt
EOY$5,132,761EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,046,918BOYAmt
EOY$6,099,267EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$670,715,744LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$289,098,664LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$374,251,347BOYAmt
EOY$381,617,080EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$98,835,268BOYAmt
EOY$87,586,567EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,231,660BOYAmt
EOY$19,348,689EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$31,187,464BOYAmt
EOY$16,444,384EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$624,911,391BOYAmt
EOY$591,637,716EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$85,970,863BOYAmt
EOY$79,693,866EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$480,851BOYAmt
EOY$444,708EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$271,665,000BOYAmt
EOY$265,470,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$74,167,679BOYAmt
EOY$61,162,167EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$432,284,393BOYAmt
EOY$406,770,741EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$185,395,339BOYAmt
EOY$178,592,593EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,995,329BOYAmt
EOY$5,157,181EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,236,330BOYAmt
EOY$1,117,201EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$192,626,998BOYAmt
EOY$184,866,975EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$624,911,391BOYAmt
EOY$591,637,716EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$24,256,108ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$241,272NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$32,257,403OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Rallies Demonstrations$0RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$58,157OtherActivitiesAmt
Total Lobbying Expenditures$58,157TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART 11-B, LINE 11FormAndLineReferenceDesc
ExplanationNORTHWEST COMMUNITY HOSPITAL PAYS DUES TO CERTAIN HOSPITAL ASSOCIATIONS WHICH USE A PORTION OF THESE DUES FOR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,157,536BeginningYearBalanceAmt
Contributions$1,179ContributionsAmt
Investment Earnings Or Losses$343,513InvestmentEarningsOrLossesAmt
Other Expenditures$63,282OtherExpendituresAmt
End Year Balance$3,438,946EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,799,106BeginningYearBalanceAmt
Contributions$4,039ContributionsAmt
Investment Earnings Or Losses$411,064InvestmentEarningsOrLossesAmt
Other Expenditures$56,673OtherExpendituresAmt
End Year Balance$3,157,536EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,319,650BeginningYearBalanceAmt
Contributions$950ContributionsAmt
Investment Earnings Or Losses$478,506InvestmentEarningsOrLossesAmt
End Year Balance$2,799,106EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,248,734BeginningYearBalanceAmt
Contributions$169,337ContributionsAmt
Investment Earnings Or Losses-$10,576InvestmentEarningsOrLossesAmt
Other Expenditures$87,845OtherExpendituresAmt
End Year Balance$2,319,650EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,160,499BeginningYearBalanceAmt
Contributions$9,266ContributionsAmt
Investment Earnings Or Losses$78,969InvestmentEarningsOrLossesAmt
End Year Balance$2,248,734EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.51797BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.48203PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,789,072OtherCostOrOtherBasisAmt
Book Value$1,789,072BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$300,979,314OtherCostOrOtherBasisAmt
Depreciation$116,465,181DepreciationAmt
Book Value$184,514,133BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$208,093,080OtherCostOrOtherBasisAmt
Depreciation$102,458,972DepreciationAmt
Book Value$105,634,108BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$120,066,007OtherCostOrOtherBasisAmt
Depreciation$60,090,818DepreciationAmt
Book Value$59,975,189BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,788,271OtherCostOrOtherBasisAmt
Depreciation$10,083,693DepreciationAmt
Book Value$29,704,578BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$381,617,080TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO THIRD-PARTY PAYORS$46,631,740
PENSION OBLIGATION$10,816,379
OTHER LONG TERM OBLIGATIONS - SERP 2014$1,597,277
ASSET RETIREMENT OBLIGATION$859,080
INTEREST RATE SWAP LIABILITY$642,583
DUE TO AFFILIATES$313,370
SHORT TERM CAPITAL LEASE OBLIGATION$301,738
FieldValueIRS element (for citing)
Total Liability$61,162,167TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceIntended use of endowment fundsFormAndLineReferenceDesc
ExplanationSchedule D, Part V, Line 4 ENDOWMENT FUNDS ARE CREATED ACCORDING TO HOSPITAL NEEDS AND DESIGNATION OR PREFERENCES OF THE DONOR(S) SUPPORTING THE ENDOWMENT FUND. SCHOLARSHIP FUNDS, CONTINUED EDUCATION, OR FUNDS FOR PATIENT CARE IN A HOSPITAL DEPARTMENT DESIGNATED BY THE ENDOWMENT FUND ARE EXAMPLES OF FUND USES. THE ENDOWMENT FUNDS REPORTED ON THE HOSPITAL'S 990 ARE ALSO REPORTED ON NORTHWEST COMMUNITY HOSPITAL FOUNDATION'S FORM 990, SCHEDULE D.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,360,629TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,360,629NetCommunityBenefitExpnsAmt
Total Expense0.03200TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,247,208TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,986,790DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,260,418NetCommunityBenefitExpnsAmt
Total Expense0.03180TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,607,837TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,986,790DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,621,047NetCommunityBenefitExpnsAmt
Total Expense0.06380TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs51ActivitiesOrProgramsCnt
Persons Served66623PersonsServedCnt
Total Community Benefit Expns$1,194,443TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$101,911DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,092,532NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs22ActivitiesOrProgramsCnt
Persons Served681PersonsServedCnt
Total Community Benefit Expns$3,164,976TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$628,315DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,536,661NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served2098PersonsServedCnt
Total Community Benefit Expns$460,205TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$211,618DirectOffsettingRevenueAmt
Net Community Benefit Expns$248,587NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served2804PersonsServedCnt
Total Community Benefit Expns$123,341TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$121,341NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served1621PersonsServedCnt
Total Community Benefit Expns$636,783TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$760DirectOffsettingRevenueAmt
Net Community Benefit Expns$636,023NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs92ActivitiesOrProgramsCnt
Persons Served73827PersonsServedCnt
Total Community Benefit Expns$5,579,748TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$944,604DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,635,144NetCommunityBenefitExpnsAmt
Total Expense0.01110TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs92ActivitiesOrProgramsCnt
Persons Served73827PersonsServedCnt
Total Community Benefit Expns$69,187,585TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,931,394DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,256,191NetCommunityBenefitExpnsAmt
Total Expense0.07490TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$4,122TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,122NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,756TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,756NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served141PersonsServedCnt
Total Community Benefit Expns$15,526TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,526NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served141PersonsServedCnt
Total Community Benefit Expns$25,404TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,404NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$4,907,383BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$137,899,618ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$177,573,426CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$39,673,808MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST COMMUNITY HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 W CENTRAL ROADAddressLine1
CityARLINGTON HEIGHTSCity
StateILState
ZIP Code60005ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.nch.orgOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
Other Needs AddressedYes (X)OtherNeedsAddressedInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care300.FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care600.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledYes (true)AmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 3IN 2012 THE HOSPITAL PARTICIPATED IN A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OFFERED BY THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC) IN PARTNERSHIP WITH PROFESSIONAL RESEARCH CONSULTANTS (PRC). THE CHNA GATHERED INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY CONDUCTING 30-MINUTE TELEPHONE HEALTH SURVEYS IN ENGLISH AND SPANISH. 3,710 SURVEYS WERE CONDUCTED IN THE REGION WHICH CONSISTED OF COOK, DUPAGE AND LAKE COUNTIES, WITH 325 IN THE HOSPITAL'S IMMEDIATE SERVICE AREA. CAREFUL CONSIDERATION WAS TAKEN TO ENSURE THAT THE DEMOGRAPHICS OF THOSE PARTICIPATING IN THE SURVEY MIRRORED THE DEMOGRAPHICS OF THE COMMUNITY. THE SURVEY INSTRUMENT USED FOR THE STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY PRC, WITH INPUT FROM THE HOSPITAL AND THE OTHER COMMUNITY SPONSORS. ISSUES ADDRESSED INCLUDED SELF-REPORTED HEALTH STATUS, PHYSICAL HEALTH STATUS, MENTAL HEALTH STATUS, DEATH AND DISABILITY, INFECTION AND CHRONIC DISEASE, BIRTHS, CHILDREN'S HEALTH STATUS, MODIFIABLE HEALTH RISKS, ACCESS TO HEALTHCARE, HEALTH EDUCATION AND OUTREACH, AND HEALTH INFORMATION SOURCES. IN ORDER TO GATHER INPUT FROM PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, FOCUS GROUPS WERE HELD BY PRC IN NORTH COOK COUNTY. PARTICIPANTS INCLUDED COMMUNITY LEADERS, PHYSICIANS AND OTHER HEALTH PROFESSIONALS AND REPRESENTATIVES FROM SOCIAL SERVICE AGENCIES. THE FOCUS GROUP ALSO INCLUDED A REPRESENTATIVE OF PUBLIC HEALTH, AS WELL AS SEVERAL INDIVIDUALS WHO WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS, AND THOSE WHO WORK WITH PERSON WITH CHRONIC DISEASE CONDITIONS. THE PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHO THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. THE HOSPITAL WILL CONTRACT WITH PRC AGAIN IN 2015 TO CONDUCT THE NEXT COMMUNITY HEALTH NEEDS ASSSEMENT.
PART V, SECTION B, LINE 5DIN ADDITION TO POSTING THE CHNA ON THE HOSPITAL'S WEBSITE (WWW.NCH.ORG) AND HAVING COPIES AVAILABLE UPON REQUEST, THE HOSPITAL MAILED MORE THAN 200 COPIES TO KEY GOVERNMENT AND MUNICIPAL LEADERS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMEBERS. ALSO, THE HOSPITAL SENT SEVERAL PRESS RELEASES TO LOCAL NEWSPAPERS TO INFORM THE COMMUNITY THAT THE REPORT WAS AVAILABLE.
PART V, SECTION B, LINE 6ITHE HOSPITAL PARTNERS WITH MANY NOT-FOR-PROFIT AGENCIES, MUNICIPALITIES, AND OTHERS TO ADDRESS COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. THE HOSPITAL COLLABORATES WITH A COUNTY HEALTH CLINIC AND A FEDERALLY QUALIFIED HEALTH CENTER TO ADDRESS THE NEED OF IMPROVING ACCESS TO PRIMARY AND BEHAVIORAL HEALTHCARE FOR UNINSURED AND UNDERINSURED INDIVIDUALS; ACCESS TO ORAL HEALTH CARE IS ADDRESSED THROUGH A COLLABORATIVE MOBILE DENTAL CLINIC PROGRAM THAT IS OPERATED BY THE HOSPITAL WITH SUPPORT FROM FOUR LOCAL TOWNSHIPS, UNIVERSITY OF CHICAGO DENTAL SCHOOL, AS WELL AS PROFESSIONAL VOLUNTEERS. IN ADDITION, THE HOSPITAL WORKS WITH LOCAL SCHOOL DISTRICTS, HEALTHCARE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS AND COMMUNITY ORGANIZATIONS TO ADDRESS DIABETES, NUTRITION, CANCER AND OTHER HEALTHCARE NEEDS. A COMPLETE LIST OF PARTNERS IS INCLUDED IN THE HOSPITAL'S IMPLEMENTATION PLAN WHICH IS POSTED ON THE HOSPITAL'S WEBSITE (WWW.NCH.ORG).
PART V, SECTION B, LINE 7IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, THE HOSPITAL DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER-ADDRESSED, AND MOST WITHIN ITS ABILITY TO INFLUENCE. THEREFORE, THE HOSPITAL SELECTED THE TOP FIVE PRIORITIZED NEEDS TO FOCUS ITS EFFORTS AND RESOURCES ON. THE ONLY TWO NEEDS NOT BEING ADDRESSED INCLUDE CHRONIC DISEASE (SUCH AS ARTHRITIS, RHEUMATISM, OSTEOPOROSIS, AND KIDNEY DISEASE) AND ADULT SUBSTANCE ABUSE. THE HOSPITAL FEELS THAT EFFORTS TO IMPROVE ACCESS TO PRIMARY HEALTH SERVICES WILL HAVE A POSITIVE IMPACT ON EARLY DETECTION OF CHRONIC DISEASE AND THAT A SEPARATE SET OF DISEASE SPECIFIC INITIATIVES IS NOT NECESSARY. FOR THOSE DIAGNOSED WITH CHRONIC DISEASES, THE HOSPITAL PROVIDES TREATMENT IN ITS SCOPES OF SERVICE REGARDLESS OF A PATIENT'S ABILITY TO PAY. NCH IS RECOGNIZED FOR ITS YOUTH TREATMENT CENTER PROGRAM FOR SUBSTANCE ABUSE AND MENTAL HEALTH, BUT REFERS ADULT PATIENTS TO OTHER RESOURCES IN THE COMMUNITY.
PART V, SECTION B, LINE 20DAMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS WAS CALCULATED USING THE AVERAGE DISCOUNT FOR ALL MANAGED CARE CONTRACTS (EXCLUDING BLUE CROSS PLANS, AND BEECH STREET, MULTIPLAN, AND PREFERRED ACCESS NETWORK PLANS).
PART V, SECTION B, LINES 21-22INDIVIDUALS ARE QUALIFIED FOR FINANCIAL ASSISTANCE UTILIZING FEDERAL POVERTY GUIDELINES, FAMILY INCOME LEVELS AND FAMILY SIZE. MOST INDIVIDUALS WHO QUALIFY UNDER OUR FINANCIAL ASSISTANCE POLICY WOULD BE BILLED AN AMOUNT SIGNIFICANTLY LOWER THAN THE AMOUNT THAT WOULD BE BILLED FOR AN INDIVIDUAL WITH INSURANCE COVERAGE. HOWEVER, IN RARE INSTANCES IT IS POSSIBLE THAT THE AMOUNT BILLED TO SUCH AN INDIVIDUAL COULD BE HIGHER THAN THAT BILLED FOR INDIVIDUALS WITH INSURANCE COVERAGE.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
NCH IMMEDIATE CARE & IMAGING CENTER
199 W RAND ROADMOUNT PROSPECTIL60056WALK IN URGENT CARE CENTER, IMAGING SERVICES & CARDIAC SERVICES
NCH MENTAL HEALTH & YOUTH CENTER
901 W KIRCHOFF ROADARLINGTON HEIGHTSIL60005IN & OUT MENTAL HEALTH AND YOUTH SUBSTANCE ABUSE TREATMENT
NCH IMMEDIATE CARE & IMAGING CENTER
519 S ROSELLE ROADSCHAUMBURGIL60193WALK IN URGENT CARE CENTER, IMAGING SERVICES & OUTPATIENT PHYSICAL MEDICINE SERVICES
NORTHWEST COMMUNITY HOSPITAL IMAGING
1450 BUSCH PARKWAYBUFFALO GROVEIL60089IMAGING SERVICES
NCH IMMEDIATE CARE & IMAGING CENTER
15 S MCHENRY ROADBUFFALO GROVEIL60089WALK IN URGENT CARE CENTER, IMAGING SERVICES & OUTPATIENT PHYSICAL MEDICINE SERVICES
NCH CARDIAC & PHYSICAL MEDICINE REHAB
900 W CENTRAL ROADARLINGTON HEIGHTSIL60005OUTPATIENT CARDIAC REHAB PROGRAM AND PHYSICAL MEDICINE SERVICES
NCH HOME HEALTH
3060 SALT CREEK LANEARLINGTON HEIGHTSIL60005HOME HEALTHCARE SERVICES
NCH IMMEDIATE CARE CENTER
1201 S RAND ROADLAKE ZURICHIL60047WALK IN URGENT CARE CENTER & OUTPATIENT PHYSICAL MEDICINE SERVICES
NCH OUTPATIENT CENTER
3300 KIRCHOFF ROADROLLING MEADOWSIL60008OUTPATIENT PHYSICAL MEDICINE SERVICES
NCH OCCUPATIONAL WELLNESS & REHAB
455 S ROSELLE ROADSCHAUMBURGIL60193OCCUPATIONAL WELLNESS & REHAB

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3CCHARITY CARE POLICY THE HOSPITAL PROVIDES EMERGENT AND MEDICALLY NECESSARY SERVICES TO ALL PATIENTS WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THE WRITTEN CHARITY CARE POLICY IS WIDELY DISTRIBUTED AND COMMUNICATED TO THE COMMUNITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE AMOUNT OF FREE CARE PROVIDED IS DETERMINED BY FINANCIAL NEED AND IS NOT LIMITED BY BUDGETED AMOUNTS. PATIENTS EARNING LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES RECEIVE FREE CARE AND THOSE BETWEEN 300% AND 600% OF THE GUIDELINES RECEIVE DISCOUNTED CARE ON A SLIDING SCALE. THE FINANCIAL ASSISTANCE PROGRAM LOOKS AT THE CURRENT INCOME AND THEN CALCULATES THE POTENTIAL BENEFIT. CONSISTENT WITH THE ILLINOIS UNINSURED PATIENT DISCOUNT ACT, PATIENTS WITHOUT INSURANCE COVERAGE ARE ELIGIBLE FOR A 64% DISCOUNT IF THEIR INCOME IS BETWEEN 201% AND 600% OF THE FEDERAL POVERTY GUIDELINES. OF THE REMAINING BALANCE, THE PATIENT'S LIABILITY IS CAPPED AT 25% OF THE FAMILY'S ANNUAL INCOME.
PART I, LINE 6ACOMMUNITY BENEFIT REPORT THE HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES ARE INCLUDED IN AN ANNUAL REPORT ISSUED BY NORTHWEST COMMUNITY HEALTHCARE, THE SOLE CORPORATE MEMBER OF THE HOSPITAL.
PART I, LINE 7COSTING METHODOLOGY THE FOLLOWING METHODOLOGIES WERE USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR LINE 7: PART I, LINES 7A - 7D, RATIO OF COST TO CHARGES AS DETERMINED USING WORKSHEET 2 IN THE FORM 990, SCHEDULE H INSTRUCTIONS. PART I, LINES 7E - 7I, COSTS WERE DETERMINED USING THE DIRECT AND INDIRECT COSTS FOR SPECIFIC PROGRAMS OR SERVICES. THESE COSTS WERE MAINTAINED / IDENTIFIED IN THE HOSPITAL'S "COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY SOFTWARE" (CBISA). THE INDIRECT PORTION OF THESE COSTS WAS CALCULATED UTILIZING THE INDIRECT COST RATIO FROM THE HOSPITAL'S LATEST AVAILABLE MEDICARE COST REPORT. THIS "INDIRECT" RATIO WAS ENTERED INTO CBISA FOR THE CALCULATION OF INDIRECT COSTS. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES THE HOSPITAL PROVIDES A MOBILE DENTAL CLINIC PROGRAM STAFFED BY A HOSPITAL EMPLOYED FULL-TIME DENTIST, DENTAL ASSISTANT AND PROGRAM MANAGER. EVIDENCE BASED RESEARCH DEMONSTRATES THAT GUM DISEASE AND ORAL HEALTH PROBLEMS ARE LINKED TO OTHER SYSTEMIC MEDICAL PROBLEMS SUCH AS CARDIOVASCULAR DISEASE, STROKE, AND BACTERIAL PNEUMONIA, AS WELL AS INCREASED RISK OF DELIVERING PRE-TERM OR LOW BIRTH-WEIGHT BABIES. THE HOSPITAL, WITH FINANCIAL SUPPORT FROM LOCAL TOWNSHIPS, PROVIDES PREVENTATIVE AND RESTORATIVE CARE TO UNINSURED AND UNDERINSURED MEMBERS OF THE COMMUNITY 4-5 DAYS PER WEEK IN A TRAVELING DENTAL CLINIC. PART I, LINE 7, COLUMN (F): BAD DEBT EXPENSE THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN PART IX, LINE 25, COLUMN (A) THAT WAS EXCLUDED FROM THE CALCULATION OF THE RATIO OF COST TO CHARGES FOR THE PURPOSE OF DETERMINING THE COST OF SERVICES WAS $4,907,383.
PART IICOMMUNITY BUILDING ACTIVITIES ECONOMIC DEVELOPMENT THE HOSPITAL'S VICE PRESIDENT OF PROFESSIONAL SERVICES IS A MEMBER AND ACTIVE PARTICIPANT OF THE ARLINGTON HEIGHTS ECONOMIC ALLIANCE. THE PURPOSE OF THE ALLIANCE IS TO PROVIDE THE BUSINESS COMMUNITY A STRONG PARTNERSHIP WITH THE VILLAGE AND TO PROMOTE A HEALTHY BUSINESS CLIMATE. THE ALLIANCE IS THE VILLAGE BOARD'S ECONOMIC ADVISORY COMMITTEE ON BUSINESS ISSUES. COALITION BUILDING THE HOSPITAL'S CONTROLLER AND DIRECTOR OF COMMUNITY SERVICES REPRESENTS THE ORGANIZATION THROUGH PARTICIPATION IN THE PALATINE AND ARLINGTON HEIGHTS ROTARY CLUBS IN THE HOSPITAL'S PRIMARY SERVICE AREA. ROTARY CLUB MEMBERS ARE PREDOMINATELY BUSINESS AND PROFESSIONAL LEADERS WHO COME TOGETHER TO SUPPORT ORGANIZATIONS THAT ADDRESS NEED AND DISPARITY IN THE COMMUNITY AND INTERNATIONALLY. AREAS ADDRESSED INCLUDE HEALTH, HUNGER, HOMELESSNESS, MENTAL HEALTH ISSUES, CANCER, TROUBLED YOUTH, DEVELOPMENTALLY DISABLED, DOMESTIC VIOLENCE AND MANY MORE. WORKFORCE DEVELOPMENT THE HOSPITAL HAS STAFF SERVING ON THE BOARD OF DIRECTORS OF THE ILLINOIS SOCIETY FOR ADVANCED PRACTICE NURSING (ISAPN). THIS ORGANIZATION IS A PROFESSIONAL ORGANIZATION DEDICATED TO PROMOTING AND ADVOCATING FOR ADVANCED PRACTICE NURSES. ISAPN MEMBERS TAKE LEADERSHIP ROLES IN TODAY'S HEALTH CARE FIELDS, AND ARE KNOWLEDGEABLE ABOUT THE ISSUES THAT SURROUND THEIR PROFESSION. ISAPN PROVIDES CONTINUING EDUCATION PROGRAMS, OFFERS OPPORTUNITIES TO COLLABORATE WITH OTHER PROFESSIONALS AND ORGANIZATIONS AND SUPPORTS LEGISLATION AS IT RELATES TO ADVANCED PRACTICE NURSES. IN ADDITION, A HOSPITAL STAFF MEMBER SERVED AS PRESIDENT ON THE ORTHOPEDIC NURSE CERTIFICATION BOARD (ONCB). THIS ORGANIZATION IMPROVES MUSCULOSKELETAL HEALTH BY PROVIDING ORTHOPAEDIC NURSES WITH CERTIFICATIONS THAT PROMOTE THEIR PROFESSIONAL DEVELOPMENT AND ADVANCE THE PRACTICE OF ORTHOPAEDIC NURSING. THE HOSPITAL HAS A PROGRAM TO ENCOURAGE HIGH SCHOOL STUDENTS TO EXPLORE CAREERS IN HEALTHCARE. THE FIRST PROGRAM PROVIDES LOCAL HIGH SCHOOL STUDENTS THE OPPORTUNITY TO SPEND 14 WEEKS IN THE HOSPITAL SHADOWING 16 DIFFERENT DEPARTMENTS. AS THE STUDENTS ROTATE THROUGH THE VARIOUS DEPARTMENTS THEY ARE EXPOSED TO AN ARRAY OF CLINICAL FIELDS, PROVIDING THEM WITH AN IN-DEPTH LOOK AT JUST SOME OF THE MANY CAREER TRACKS THEY COULD PURSUE. THE HOSPITAL ALSO PARTICIPATES IN VOCATIONAL FAIRS AND EVENTS AT LOCAL SCHOOLS TO PROVIDE EDUCATION ON CAREERS IN HEALTHCARE. PART III, SECTION A, LINES 2, 3 AND 4 BAD DEBT EXPENSE THE HOSPITAL RECORDS BAD DEBT EXPENSE IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HFMA STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES PER GAAP. NORTHWEST COMMUNITY HOSPITAL IS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS OF NORTHWEST COMMUNITY HEALTHCARE (NCH) AND SUBSIDIARIES. THE TEXT OF THE FOOTNOTE REFERENCING ACCOUNTS RECEIVABLE IN THE FY 2014 AUDIT IS AS FOLLOWS: "[NCH] ANALYSES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS MONTHLY USING A HINDSIGHT CALCULATION THAT UTILIZES WRITE-OFF DATA FOR ALL PAYER CLASSES DURING THE PREVIOUS EIGHTEEN MONTH PERIOD TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AT A POINT IN TIME. THE RESERVE PERCENTAGES IN THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RESERVE CHANGES EACH MONTH GIVEN CHANGES IN TRENDS FROM THESE ANALYSIS OR POLICY CHANGES." ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. WRITE-OFFS ARE SHOWN NET OF CONTRACTUALS AND DISCOUNTS. THE HOSPITAL'S BAD DEBT EXPENSE AS REPORTED ON LINES 2 AND 3 WAS REPORTED AT REMAINING CHARGES. FOR FY 2014, THE HOSPITAL RECORDED PROVISIONS FOR BAD DEBT EXPENSE OF $4,907,383. IN 2013, THE HOSPITAL BEGAN USING A FINANCIAL TOOL TO DETERMINE "PRESUMPTIVE ELIGIBILITY" FOR CHARITY CARE WRITE-OFFS. THIS TOOL UTILIZES VARIOUS CRITERIA TO HELP DETERMINE PATIENTS THAT WOULD BE ELIGIBLE FOR FINANCIAL ASSISTANCE EVEN IF THOSE PATIENTS HAVE NOT COMPLETED A FINANCIAL ASSISTANCE APPLICATION. IT IS BELIEVED THAT ALL PATIENTS WHO WOULD QUALIFY FOR CHARITY HAVE BEEN IDENTIFIED AND THAT LITTLE TO NONE OF THE AMOUNTS WRITTEN OFF AS BAD DEBT COULD BE CLASSIFIED AS CHARITY AS A RESULT OF THE USE OF THIS NEW FINANCIAL TOOL.
PART III, SECTION B, LINE 8MEDICARE SHORTFALL THE MEDICARE SHORTFALL REPORTED IN PART III, LINE 7 REPRESENTS THE EXCESS COST OF PROVIDING SERVICES TO MEDICARE BENEFICIARIES OVER THE PAYMENTS RECEIVED FROM THE MEDICARE PROGRAM. ACCESS TO QUALITY HEALTHCARE IS IMPERATIVE FOR ALL MEDICARE RECIPEINTS, MANY OF WHOM ARE LIVING ON A FIXED INCOME. AS SUCH, THE COSTS ABSORBED BY THE HOSPITAL IN PROVIDING THESE SERVICES IS A BENEFIT TO THE MEMBERS OF THE COMMUNITY WE SERVE.
PART III, SECTION C, LINE 9BCOLLECTION PRACTICES IT IS THE POLICY OF THE HOSPITAL TO OFFER PATIENTS A PAYMENT PLAN OR FINANCIAL ASSISTANCE WHEN IT BECOMES KNOWN OR SUSPECTED THAT A PATIENT NEEDS SUCH ASSISTANCE. FINANCIAL COUNSELORS CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP DETERMINE IF THERE ARE ANY THIRD PARTY PAYERS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS, SUCH AS MEDICAID, COBRA, WORKERS COMPENSATION, OR SPECIALIZED GRANT PROGRAMS. IF NO THIRD PARTY PROGRAMS ARE IDENTIFIED, THE FINANCIAL COUNSELORS WORK WITH THE PATIENT TO HELP THEM APPLY FOR CHARITY DISCOUNTS OR PAYMENT PLANS. FORMS ARE AVAILABLE IN ENGLISH AND SPANISH, AND TRANSLATION SERVICES ARE PROVIDED IN MANY LANGUAGES. IN ADDITION, ALL PATIENT BILLS AND STATEMENTS INCLUDE INFORMATION ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE AND THE INFORMATION IS ALSO POSTED ON THE HOSPITAL'S WEBSITE. COLLECTION ACTIVITY WILL BE SUSPENDED DURING THE CONSIDERATION OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION OR AN APPLICATION FOR OTHER HEALTHCARE BRACKET (I.E, MEDICARE, MEDICAID, ETC.). THE PATIENT'S ACCOUNT MAY BE SUSPENDED FROM COLLECTION ACTIVITY UNTIL FINANCIAL ASSISTANCE CAN BE DETERMINED. ACCOUNTS IN THE FINANCIAL ASSISTANCE PROCESS WILL BE MONITORED AND, UPON THE DECISION TO APPROVE OR DENY FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT WILL BE UPDATED. IF THE FINANCIAL ASSISTANCE APPLICATION IS APPROVED WITH A PERCENTAGE LESS THAN 100% OR DENIED, THE PATIENT'S ACCOUNT WILL BE NOTED AND THE HOSPITAL WILL RESUME THE SELF-PAY COLLECTION ACTIVITY IN COMPLIANCE WITH ITS SELF PAY FOLLOW-UP PROCEDURES.
PART VI, LINE 2NEEDS ASSESSMENT THE ASSESSMENT CONDUCTED BY PRC, WHICH WAS DESCRIBED IN PART V 3 WAS A DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS OF THE COMMUNITY AND INCLUDED BOTH QUANTITATIVE (PHONE SURVEY) AND QUALITATIVE (FOCUS GROUP) COMPONENTS. THE ASSESSMENT ALSO INTEGRATED THE MOST RECENT SECONDARY PUBLIC HEALTH DATA TO COMPLEMENT THE RESEARCH OF THE CHNA. THE DATA COLLECTED FOR THE HOSPITAL'S SERVICE AREA WAS BENCHMARKED AGAINST THE SECONDARY DATA AVAILABLE FOR THE REGION, STATE, US, HEALTHY PEOPLE 2020 AS WELL AS COMPARING THE DATA COLLECTED AGAINST THE HOSPITAL'S PREVIOUS ASSESSMENT. ALL QUANTITATIVE AND QUALITATIVE DATA WAS COMPILED AND PRESENTED TO THE HOSPITAL IN A 213 PAGE DOCUMENT WHICH INCLUDED A RECOMMENDATION ON AREAS OF CONCERN OR OPPORTUNITY. THE CHNA IS CONDUCTED EVERY THREE YEARS. THE HOSPITAL CONVENED AN INTERNAL, MULTI-DISCIPLINARY COMMITTEE TO REVIEW THE RESULTS OF THE CHNA, AFFIRM AND PRIORITIZE NEEDS, AND DEVELOP AN IMPLEMENTATION PLAN. REPRESENTATIVES FROM THE FOLLOWING DEPARTMENTS SERVED ON THE COMMITTEE: COMMUNITY SERVICES, STRATEGIC PLANNING, PATIENT ACCESS SERVICES, FINANCE, CLINICAL RESOURCE MANAGEMENT, FOUNDATION, DATA GOVERNANCE, NURSING, RESEARCH, AND MARKETING. COMMITTEE MEMBERS REVIEWED THE FINDINGS AND AREAS OF OPPORTUNITY THAT WERE PRESENTED BY PRC. IN ADDITION, FEEDBACK ON COMMUNITY HEALTH NEEDS FROM THE COMMUNITY SERVICES DEPARTMENT AND OTHER INTERNAL DEPARTMENTS WAS ALSO CONSIDERED. THE COMMITTEE USED THE FOLLOWING CRITERIA WHEN PRIORITIZING HEALTH ISSUES: MAGNITUDE, IMPACT, FEASIBILITY AND CONSEQUENCES OF INACTION. THE MOST PREDOMINANT ISSUE WAS THE DIFFICULTY THE COMMUNITY HAS IN ACCESSING HEALTHCARE SERVICES WHICH INCLUDES PRIMARY, ORAL, AND BEHAVIORAL HEALTH SERVICES, AS WELL AS PRESCRIPTION MEDICATION. OTHER CONCERNS WERE ADULT AND CHILDHOOD OBESITY/OBESITY AND CANCER. THE HOSPITAL HAS IDENTIFIED THESE CONCERNS AS THE FIVE MAIN "PRIORITY AREAS", AND THE MAJORITY OF THE HOSPITAL'S OUTREACH EFFORTS FOCUS ON ADDRESSING THESE NEEDS. AN IMPLEMENTATION PLAN WAS DEVELOPED AND WAS PRESENTED FOR APPROVAL TO THE COMMUNITY HEALTH AND OUTREACH COMMITTEE, A COMMITTEE OF THE BOARD OF DIRECTORS, AS WELL AS TO THE COMMUNITY BENEFIT REGULATORY COMMITTEE, A NEW COMMITTEE FORMED TO ENSURE THE HOSPITAL IS MEETING ALL REGULATORY REQUIREMENTS. BOTH COMMITTEES UNANIMOUSLY APPROVED THE PLAN WHICH INCLUDES MEASUREMENT INDICATORS AND THE PLAN WAS POSTED TO THE HOSPITAL'S WEBSITE (WWW.NCH.ORG), WHICH THE COMMUNITY WAS MADE AWARE OF THROUGH PRESS RELEASES. THE IMPLEMENTATION PLAN IS ASSESSED AND UPDATED ON THE HOSPITAL'S WEBSITE ON AN ANNUAL BASIS. AS MENTIONED PREVIOUSLY, THE HOSPITAL MAINTAINS A FULL-TIME COMMUNITY SERVICES DEPARTMENT WHO IS IN CONSTANT COLLABORATION WITH COMMUNITY ORGANIZATIONS, LOCAL GOVERNMENT, SCHOOLS, CHURCHES AND SOCIAL SERVICE AGENCIES TO IDENTIFY AND ADDRESS UNMET NEEDS. THE DIRECTOR OF THE COMMUNITY SERVICES DEPARTMENT IS ON THE BOARD OF DIRECTORS OF THE PALATINE OPPORTUNITY CENTER, A LOCAL NOT-FOR-PROFIT THAT HELPS THE HOSPITAL RUN A COMMUNITY RESOURCE CENTER IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE RESOURCE CENTER HOUSES ELEVEN NOT FOR PROFIT AGENCIES INCLUDING COOK COUNTY HEALTH AND HOSPITAL SYSTEM AND COOK COUNTY DEPARTMENT OF PUBLIC HEALTH. PROVIDERS AT THIS CENTER MEET WITH THE HOSPITAL REGULARLY TO REVIEW COMMUNITY NEEDS AND EXPLORE COLLABORATIVE STRATEGIES TO ADDRESS THEM.
PART V, LINE 14 AND PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE FINANCIAL ASSISTANCE PROGRAM AT NORTHWEST COMMUNITY HOSPITAL IS COMMUNICATED WIDELY TO PATIENTS AND VISITORS IN ENGLISH AND SPANISH USING THE FOLLOWING METHODS: (1) SIGNAGE IN ENGLISH AND SPANISH IS POSTED THROUGHOUT THE ORGANIZATION AT ALL ACCESS POINTS, INCLUDING THE EMERGENCY DEPARTMENT AND OUTPATIENT REGISTRATION AREAS. THESE AREAS ALSO STOCK AND MAKE AVAILABLE A BROCHURE, PRINTED IN ENGLISH AND SPANISH, DESCRIBING THE HOSPITAL'S POLICY. THE HOSPITAL PROVIDES A COMPREHENSIVE LANGUAGE ASSISTANCE PROGRAM WHICH CAN ASSIST THOSE WHO NEED ADDITIONAL INFORMATION ON FINANCIAL ASSISTANCE. IN 2014, MEDICAL INTERPRETERS PROVIDED A TOTAL OF 20,877 CONTACT UNITS FOR IN-PERSON INTEPRETATION. IN ADDITION THERE WERE 3,873 TELEPHONIC INTEPRETAIONS AND 2,103 VIDEO REMOTE INTERPRETATIONS. (2) IN 2014 THE INFORMATION BELOW WAS POSTED ON THE HOSPITAL WEBSITE. "FINANCIAL ASSISTANCE" AND OTHER RELATED TERMS CAN ALSO BE SEARCHED FOR FROM ANY PAGE OF THE HOSPITAL WEBSITE TAKING USERS TO THE INFORMATION INCLUDING APPLICATIONS FOR FINANCIAL ASSISTANCE (AVAILABLE IN ENGLISH AND SPANISH), FINANCIAL ASSISTANCE POLICIES, WAYS TO REACH THE NCH FINANCIAL COUNSELOR BY EMAIL OR PHONE, AND MORE. PATIENT FINANCIAL ASSISTANCE PAGE: TO APPLY FOR PATIENT FINANCIAL ASSISTANCE AT NCH, PLEASE PRINT THE FINANCIAL ASSISTANCE APPLICATION (TAMBIEN DISPONIBLE EN ESPAOL) AND COMPLETE ALL NECESSARY FIELDS. PLEASE BE SURE TO PROVIDE ALL REQUESTED DOCUMENTATION TO BE CONSIDERED FOR FINANCIAL ASSISTANCE. NORTHWEST COMMUNITY HOSPITAL IS A CHARITABLE ORGANIZATION AND PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. THE DAY SURGERY CENTER IS A FOR-PROFIT ORGANIZATION AND ALSO PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. MAIN FEES AND BILL PAYMENT PAGE: FOR FAMILIES WITHOUT INSURANCE WHO NEED HELP WITH MEDICAL BILLS, WE ACCEPT ILLINOIS PUBLIC AID. IN ADDITION, YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE FOR MEDICAL BILLS THROUGH NORTHWEST COMMUNITY HOSPITAL. NORTHWEST COMMUNITY HOSPITAL IS A CHARITABLE ORGANIZATION AND PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. THE DAY SURGERY CENTER IS A FOR-PROFIT ORGANIZATION AND ALSO PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. VIEW A SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY. FINANCIAL ROLES & RESPONSIBILITIES PAGE: NORTHWEST COMMUNITY HOSPITAL IS A CHARITABLE ORGANIZATION AND PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. THE DAY SURGERY CENTER IS A FOR-PROFIT ORGANIZATION AND ALSO PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. (4) EACH PATIENT INVOICE OR OTHER SUMMARY OF CHARGES TO A PATIENT SHALL INCLUDE WITH IT OR ON IT A STATEMENT REGARDING HOW A PATIENT MAY APPLY FOR CONSIDERATION UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE PATIENT IS PROVIDED CONTACT NUMBER FOR FINANCIAL ASSISTANCE AND OUR WEBPAGE TO DOWN LOAD AN APPLICATION. (5) FINANCIAL COUNSELORS PROVIDE FINANCIAL ASSISTANCE INFORMATION TO PATIENTS DURING THEIR REGISTRATION AND WORK WITH PATIENTS IDENTIFIED AT REGISTRATION OR AFTER ADMISSION TO HELP THEM GET THE ASSISTANCE THEY NEED, ANSWER QUESTIONS, SET UP PAYMENT PLANS AND FACILITATE APPLICATIONS FOR GOVERNMENT PROGRAMS SUCH AS MEDICAID.
PART VI, LINE 4COMMUNITY INFORMATION NORTHWEST COMMUNITY HOSPITAL IS LOCATED IN ARLINGTON HEIGHTS, ILLINOIS; A SUBURB LOCATED APPROXIMATELY 25 MILES NORTHWEST OF CHICAGO. ITS PRIMARY SERVICE AREA CONSISTS OF ARLINGTON HEIGHTS AND THE SURROUNDING SUBURBS OF MT. PROSPECT, PALATINE, AND ROLLING MEADOWS. THE HOSPITAL'S SECONDARY SERVICE AREA IS COMPRISED OF BARRINGTON, BUFFALO GROVE, DES PLAINES, ELK GROVE VILLAGE, HOFFMAN ESTATES, LAKE ZURICH, PROSPECT HEIGHTS, SCHAUMBURG AND WHEELING. THESE AREAS HAVE A COMBINED POPULATION OF APPROXIMATELY 677,000 PEOPLE. THIS NUMBER HAS REMAINED FAIRLY STABLE AND GROWTH OVER THE NEXT 5 YEARS IS EXPECTED TO BE RELATIVELY FLAT. THE HOSPITAL'S TOTAL SERVICE AREA IS PREDOMINATELY CAUCASIAN (66.5%), FOLLOWED BY HISPANIC (15.5%), ASIAN (13.8%) AND ALL OTHERS (4.2%). THE HISPANIC POPULATION IS EXPECTED TO GROW BY 11.1% AND THE ASIAN POPULATION 10.7% OVER THE NEXT 5 YEARS. ALSO, OVER THE NEXT 5 YEARS A DECREASE IN HOUSEHOLDS AGED 54 AND YOUNGER WITH INCOME LESS THAN $75,000 IS EXPECTED TO OCCUR WITHIN THE TOTAL POPULATION AREA, WHILE THOSE WITH INCOME GREATER THAN $75,000 OR AGED OLDER THAN 55 ARE EXPECTED TO INCREASE. IT IS ESTIMATED THAT IN THE NEXT 5 YEARS, THE AREA WILL SEE FURTHER MIGRATION INTO THE 65+ AGE GROUP RESULTING IN A 17.8% INCREASE. THERE ARE FOUR OTHER HOSPITALS LOCATED IN THE HOSPITAL'S SERVICE AREA. THE ENTIRE PRIMARY SERVICE AREA AND A SIGNIFICANT PORTION OF THE SECONDARY SERVICE AREA HAVE BEEN DESIGNATED AS A MEDICALLY-UNDERSERVED AREA. THE HOSPITAL SUPPORTS BOTH A FEDERALLY QUALIFIED HEALTH CENTER LOCATED ACROSS THE STREET FROM THE HOSPITAL, AND A COUNTY RUN PRIMARY CARE CLINIC, ALSO LOCATED IN THE HOSPITAL'S PRIMARY SERVICE AREA.
PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF ITS COMMUNITY IN MANY WAYS AS FOLLOWS: (1) A MAJORITY OF THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO LIVE OR WORK IN THE HOSPITAL'S PRIMARY SERVICE AREA AND ARE NOT EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. (2) THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. (3) A STANDING COMMUNITY HEALTH AND OUTREACH COMMITTEE OF THE HOSPITAL BOARD REVIEWS THE COMMUNITY HEALTH NEEDS ASSESSMENT AND ENSURES THE IMPLEMENTATION PLAN ADDRESSES IDENTIFIED NEEDS. THE COMMITTEE PROVIDES OVERSIGHT IN MONITORING AND EVALUATING THE EFFECTIVENESS OF STRATEGIES AND INITIATIVES INCLUDED IN THE IMPLEMENTATION PLAN. THE COMMITTEE MONITORS THE AMOUNT OF DOLLARS INVESTED IN COMMUNITY BENEFIT INCLUDING CHARITY CARE, COMMUNITY HEALTH EDUCATION, COMMUNITY MEDICAL/DENTAL CLINICS, AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. (4) THE HOSPITAL MAINTAINS ANY SURPLUS FUNDS IN THE HOSPITAL ITSELF OR AT NORTHWEST COMMUNITY HEALTHCARE (A 501(C)(3) AND SOLE MEMBER OF THE HOSPITAL) FOR FUNDING CAPITAL IMPROVEMENTS IN TECHNOLOGY, FACILITIES OR PATIENT CARE EQUIPMENT, AND SUPPORTING HOSPITAL OPERATIONS OR COMMUNITY OUTREACH INITIATIVES. (5) THE HOSPITAL HAS DEDICATED STAFF THAT SERVE AS MEMBERS, CHAIRPERSONS, OFFICERS, AND BOARD MEMBERS OF LOCAL AND NATIONAL ORGANIZATIONS DEVOTED TO IMPROVING THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS. THESE ORGANIZATIONS INCLUDE: AMERICAN CANCER SOCIETY, METROPOLITAN CHICAGO HEALTHCARE COUNCIL BOARD OF DIRECTORS, CHICAGO DENTAL SOCIETY, NORTHERN FOX VALLEY ONCOLOGY NURSING SOCIETY, IL PERINATEAL CONTINUOUS QUALITY IMPROVEMENT COMMITTEE, AS WELL AS LOCAL ROTARY CLUBS. (6) COLLABORATIVE PARTNERSHIPS ARE THE FOUNDATION TO MANY OF THE HOSPITAL'S COMMUNITY HEALTH INITIATIVES AIMED TO IMPROVE THE HEALTH AND WELLBEING OF THE COMMUNITY. THESE PARTNERSHIPS INCLUDE A COLLABORATION WITH ACCESS COMMUNITY HEALTH NETWORK (A LOCAL FEDERALLY QUALIFIED HEALTH CENTER), AND COOK COUNTY HEALTH AND HOSPITAL SYSTEM TO BRING PRIMARY CARE SERVICES FOR THE UNINSURED AND UNDERINSURED TO THE COMMUNITY. IN FY 2014, 30,894 PATIENT VISITS WERE PROVIDED AT THESE CLINICS AND THE HOSPITAL'S FINANCIAL AND IN-KIND SUPPORT WAS $133,000. THE HOSPITAL ALSO PARTNERS WITH ELK GROVE, PALATINE, SCHAUMBURG, AND WHEELING TOWNSHIPS ON A MOBILE DENTAL CLINIC PROGRAM WHICH PROVIDED 2,098 PATIENT VISITS IN FY 2014 WITH THE HOSPITAL ABSORBING $136,000 OF THE TOTAL COST. NORTHWEST COMMUNITY HEALTHCARE, AN AFFILIATE OF THE HOSPITAL, ALSO PARTNERS WITH THE PALATINE OPPORTUNITY CENTER (POC), A LOCAL 501(C)(3) ORGANIZATION, TO OPERATE AND RUN THE COMMUNITY RESOURCE CENTER WHICH PROVIDES DIRECT SERVICES, REFERRALS, AND OTHER ASSISTANCE TO THE UNDER-RESOURCED. THE HOSPITAL OWNS AND MAINTAINS THE BUILDING AND PROVIDES FREE OR LOW-COST RENT TO LOCAL NOT FOR PROFIT AGENCIES, INCLUDING: THE CENTER-RESOURCES FOR TEACHING AND LEARNING (ECDEC PROGRAM), NORTHWEST COMPASS, PALATINE TOWNSHIP SENIOR CITIZENS COUNCIL, PALATINE POLICE DEPARTMENT, HARPER COLLEGE, THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, PALATINE PUBLIC LIBRARY, BUEHLER YMCA, PATH (PALATINE ASSISTING THROUGH HOPE), AS WELL AS THE COOK COUNTY HEALTH AND HOSPITAL PRIMARY CARE CLINIC DESCRIBED PREVIOUSLY. SOME OF THE MANY PROGRAMS OFFERED AT THE RESOURCE CENTER INCLUDE GED AND CITIZENSHIP CLASSES, HEALTHCARE SERVICES, COMPUTER LITERACY, AFTER-SCHOOL YOUTH PROGRAM, BILINGUAL COUNSELING, PARENTING CLASSES, JOB PLACEMENT, CAREER EDUCATION AND RECREATION. IN FY 2014, THE COMMUNITY RESOURCE CENTER HAD 211,841 CLIENT VISITS AND THE HOSPITAL'S COST TO OPERATE THE FACILITY WAS $153,000. IN ADDITION TO THE COMMUNITY RESOURCE CENTER, THE HOSPITAL WORKS WITH POC ON MANY COLLABORATIVE HEALTH INITIATIVES INCLUDING THE PROMOTORAS DE SALUD PROGRAM WHICH PROVIDES HEALTH EDUCATION TO THE LATINO POPULATION. THIS PROGRAM IDENTIFIES LATINA WOMEN WHO DEMONSTRATE THE POTENTIAL TO BECOME LEADERS IN THE COMMUNITY. THESE WOMEN THEN RECEIVE LEADERSHIP TRAINING AND EDUCATION ON SPECIFIC HEALTH TOPICS AND LEAD SMALL GROUP PRESENTATIONS AND HEALTH DISCUSSIONS WITH MEMBERS OF THE COMMUNITY. IN FY 2014, THE PROMOTORAS ALSO BEGAN ROUNDING WITH SPANISH SPEAKING MOTHERS ON THE MOTHER BABY UNIT OF THE HOSPITAL OFFERING BEDSIDE AND POST-DISCHARGE BREASTFEEDING SUPPORT. A PILOT WAS ALSO LAUNCHED WITH SPANISH SPEAKING CONGESTIVE HEART FAILURE PATIENTS OFFERING THE SUPPORT OF A PROMOTORA TO HELP DISCHARGED PATIENTS UNDERSTAND AND FOLLOW THEIR DISCHARGE INSTRUCTIONS WHICH CAN OFTEN BE DIFFICULT DUE TO ECONOMIC AND LANGUAGE BARRIERS. IN FY 2014, ALMOST 500 PEOPLE PARTICIPATED IN CLASSES LED BY THE PROMOTORA, BREASTFEEDING SUPPORT WAS PROVIDED 859 TIMES AND 12 CONGESTIVE HEART FAILURE PATIENTS RECEIVED ASSISTANCE AFTER DISCHARGE. THE HOSPITAL AND POC ALSO COLLABORATIVELY PROVIDE THE SERVICES OF A BILINGUAL COMMUNITY HEALTH NURSE AND BILINGUAL BEHAVIORAL HEALTH NAVIGATOR WHO FOCUS ON HELPING UNDER-RESOURCED MEMBERS OF THE COMMUNITY NAVIGATE HEALTHCARE RESOURCES, PROVIDE HEALTH EDUCATION, AND HELP PATIENTS OBTAIN LOW-COST PRESCRIPTIONS. IN FY 2014, THE PART-TIME COMMUNITY NURSE HAD 1,784 CLIENT INTERACTIONS AND THE PART-TIME BEHAVIORAL HEALTH NAVIGATOR HAD 1,328. THE HOSPITAL ALSO FUNDS A CHARITABLE PRESCRIPTION PROGRAM WHICH PROVIDES FREE PRESCRIPTION MEDICATION TO LOW INCOME AND HOMELESS INDIVIDUALS IN THE COMMUNITY. IN FY 2014, THE HOSPITAL FUNDED 1,022 PRESCRIPTIONS AT A COST OF $72,023. IN FY 2014, THE HOSPITAL LAUNCHED A MAJOR INITIATIVE TO ENHANCE ITS HEALTH AND WELLNESS OFFERINGS FOR OLDER ADULTS IN THE COMMUNITY. THIS INCLUDED THE HIRING OF A FULL-TIME, DEDICATED SENIOR SERVICES LIAISON WHO SCHEDULES AND OVERSEES LECTURES, PROGRAMS AND SCREENINGS AT LOCAL SENIOR CENTERS AND OTHER COMMUNITY LOCATIONS THAT SERVE OLDER ADULTS. THE INITIATIVE, WHICH BEGAN IN JULY 2014, PROVIDED HEALTH EDUCATION AND SUPPORT TO ALMOST 2,000 INDIVIDUALS. PHYSICIAN LECTURES, SCREENINGS, AND "ASK THE NURSE" WERE OFFERED WEEKLY, FREE OF CHARGE, AT THE ARLINGTON HEIGHTS SENIOR CENTER, COMPLIMENTING THE WALKERS CLUB AND PARKINSON'S PROGRAMS. SENIORS FROM THE COMMUNITY RECEIVE CUTTING EDGE HEALTH INFORMATION FROM PHYSICIANS ON VARIOUS HEALTH TOPICS SUCH AS OSTEOPOROSIS, HEARING LOSS, PODIATRY, MENTAL HEALTH AND MORE. THE "ASK THE NURSE" PROGRAM HAS NURSES AVAILABLE TO ANSWER SENIOR'S HEALTHCARE QUESTIONS AND CONCERNS ESPECIALLY REGARDING MEDICATIONS, TREATMENT PLANS AND UPCOMING TESTS AND PROCEDURES. THEY ALSO PROVIDE BLOOD PRESSURE CHECKS AND CHRONIC DISEASE MANAGEMENT FOR DIABETES, ASTHMA, AND OTHER ILLNESSES (7) THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS-A-DAY, 7 DAYS-A-WEEK AND SERVES ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. (8) THE HOSPITAL PARTICIPATES IN BOTH THE MEDICARE AND MEDICAID GOVERNMENT-SPONSORED HEALTHCARE PROGRAMS. THE HOSPITAL CONTRACTS WITH MIRA MED ASSISTANCE PROGRAM TO PROVIDE ASSISTANCE TO PATIENTS, FREE OF CHARGE, THROUGHOUT THE MEDICAID APPLICATION PROCESS WHEN APPLYING FOR MEDICAL COVERAGE THROUGH THE ILLINOIS MEDICAID PROGRAM. THE ASSISTANCE PROVIDED IS INCLUSIVE OF COMPLETING THE APPLICATION, GATHERING ALL OF THE APPROPRIATE ADDITIONAL DOCUMENTS THAT MUST BE SUBMITTED, WORKING WITH THE STATE ON THE PATIENT'S BEHALF AND, IN SOME CASES, WORKING THROUGH AN APPEAL PROCESS. IN FY 2014, 1,330 INDIVIUDALS RECEIVED ASSISTANCE AT A COST OF $91,000. (9) THE HOSPITAL PROVIDES SERVICES FREE OR AT A REDUCED RATE TO INDIVIDUALS WITH LIMITED FINANCIAL RESOURCES WHO ARE UNABLE TO ACCESS ENTITLEMENT PROGRAMS. INDIVIDUALS ARE ELIGIBLE FOR FREE OR DISCOUNTED MEDICALLY NECESSARY HEALTHCARE SERVICES BASED ON ESTABLISHED CRITERIA AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS WIDELY DISTRIBUTED AND COMMUNICATED TO THE COMMUNITY. (10) THE HOSPITAL IS AN INDEPENDENT COMMUNITY HOSPITAL, THAT PROVIDES ACUTE CARE AND IS RECOGNIZED FOR THE FOLLOWING OUTSTANDING SERVICES: PATIENT SAFETY (DESIGNATED BY HEALTHGRADES), BREAST IMAGING CENTER OF EXCELLENCE (DESIGNATED BY AMERICAN COLLEGE OF RADIOLOGY), SURGICAL SERVICES (RANKED BY HEALTHGRADES), CRITICAL CARE, GOLD SEAL OF APPROVAL FOR HOSPITAL ACCREDITATION BY THE JOINT COMMISSION, PRIMARY STROKE CENTER (DESIGNATED BY JOINT COMMISSION), GASTROENTEROLOGY CENTER (DIRECTED BY A NATIONALLY-RENOWNED GASTROENTEROLOGIST WITH THE ONLY GI TEACHING GALLERY IN ILLINOIS FOR INSTRUCTING CLINICIANS), CARDIAC SURGERY (DESIGNATED BY HEALTHGRADES), EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS (DESIGNATED BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH), LEVEL III NEONATAL INTENSIVE CARE UNIT, NEUROSCIENCES FOR TREATMENT OF STROKE (DESIGNATED BY HEALTHGRADES), STROKE TREATMENT (DESIGNATED BY HEALTHGRADES), SPECIALIZED CANCER SERVICES (ACCREDITED BY THE COMMISSION ON CANCER), ORTHOPEDICS FOR HIP FRACTURE TREATMENTS (DESIGNATED BY HEALTHGRADES), PALLIATIVE CARE ADVANCED CERTIFICATION (DESIGNATED BY THE JOINT COMMISSION), TOP HOSPITAL BASED ON QUALITY AND SAFETY CRITERIA BY THE LEAPFROG GROUP
PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM NORTHWEST COMMUNITY HOSPITAL (HOSPITAL) IS ONE OF SEVERAL AFFILIATES UNDER THE COMMON CONTROL OF NORTHWEST COMMUNITY HEALTHCARE (NCH). THE NORTHWEST COMMUNITY HOSPITAL FOUNDATION'S PRIMARY FUNCTION IS TO STIMULATE PHILANTHROPIC GIVING AND OBTAIN CHARITABLE GIFTS IN ORDER TO MEET THE CHANGING NEEDS OF THE COMMUNITY AS WELL AS FUND COMMUNITY BENEFIT INITIATIVES. NORTHWEST COMMUNITY HEALTH PARTNERS (NWHP) IS A PARTNERSHIP BETWEEN NORTHWEST COMMUNITY HOSPITAL AND PHYSICIANS PRACTICING ON ITS MEDICAL STAFF AND EXISTS TO PROVIDE COMPREHENSIVE, INTEGRATED, AND COORDINATED HEALTH CARE AT A PRICE THAT IS REASONABLE TO ITS CUSTOMERS AND FAIR TO ITS PARTICIPATING PROVIDERS. THESE 4 ENTITIES ARE 501(C)(3) EXEMPT ORGANIZATIONS AND TOGETHER PROVIDE THE RESOURCES AND FUNDING TO DELIVER QUALITY HEALTHCARE SERVICES TO THE PEOPLE OF THE NORTHWEST SUBURBAN COMMUNITY OF CHICAGO. NCH OWNS A MAJORITY INTEREST IN NORTHWEST COMMUNITY DAY SURGERY CENTER II, LLC, WHICH PROVIDES OUPATIENT SERVICES AT A LOWER COST. IN ADDITION TO THE CHARITY CARE THAT THE HOSPITAL PROVIDED THE DAY SURGERY CENTER PROVIDED AN ADDITIONAL $183,895 IN CHARITY CARE (AT COST) IN FY 2014. NORTHWEST COMMUNITY HEALTH SERVICES, INC., A MULTI-SPECIALTY MEDICAL GROUP, IS ANOTHER AFFILIATE OF NCH. HEALTH SERVICES OWNS AND OPERATES THE NCH MEDICAL GROUP, A MULTI-SPECIALTY PHYSICIAN PRACTICE WITH OFFICES IN ARLINGTON HEIGHTS, BUFFALO GROVE, PALATINE AND MT. PROSPECT, ILLINOIS. HEALTH SERVICES ALSO OPERATES "FAST CARE", A CLINIC THAT IS LOCATED CENTRALLY IN A LOCAL GROCERY STORE THAT PROVIDES AFFORDABLE PRIMARY HEALTHCARE SERVICES DURING CONVENIENT HOURS.
PART VI, LINE 7STATE FILING COMMUNITY BENEFIT REPORT NORTHWEST COMMUNITY HEALTHCARE, THE SOLE CORPORATE MEMBER OF THE HOSPITAL, FILES AN ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT WITH THE ILLINOIS ATTORNEY GENERAL'S OFFICE IN ACCORDANCE WITH ILLINOIS LAW. THE REPORT IS FILED ON BEHALF OF NORTHWEST COMMUNITY HEALTHCARE AND THE HOSPITAL.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN CANCER SOCIETY
1114 N ARLNGTN HTS RDARLNGTN HTSIL60004131788491501(c)(3)$10,000$0RELAY FOR LIFE
AMERICAN HEART ASSOCIATION
208 S LASALLE STE 1500CHICAGOIL60604135613797501(c)(3)$5,300$0METRO CHICAGO HEART WALK
HEKTOEN INSTITUTE LLC
2240 W OGDEN AVENUECHICAGOIL60612366006541501(c)(3)$100,000$0VISTA CLINIC SUPPORT
SOLIDARITY BRIDGE
1577 FLORENCE AVEEVANSTONIL60201364481213501(c)(3)$13,000$0MISSION TRIPS
SPECIAL LEISURE SERVICES FOUNDATION
3000 W CENTRAL RDROLLING MEADOWSIL60008363456061501(c)(3)$15,000$0ANNUAL SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsFormAndLineReferenceDesc
ExplanationForm 990, Schedule I GRANTS IN SUPPORT OF NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) MISSION ARE MONITORED BY NORTHWEST COMMUNITY'S FINANCE COMMITTEE AND BOARD OF DIRECTORS AS PART OF THE MONTHLY REVIEW OF HOSPITAL'S FINANCIAL RESULTS. SIGNIFICANT GRANTS TO UNRELATED 501(C)(3) OR GOVERNMENTAL ORGANIZATIONS ARE APPROVED BY HOSPITAL'S COMMUNITY SERVICES DEPARTMENT AND ARE MONITORED THROUGH ONGOING INTERACTIONS WITH OFFICIALS OF THOSE RECIPIENTS REGARDING PROGRAM SERVICES PROVIDED IN HOSPITAL'S SERVICE AREA.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Stephen O Scogna
PRESIDENT/SECRETARY/CEO$595,473$0$193,000$0$31,818$0$129,500$0$18,833$0$968,624$0$30,010$0
MARK D LUSSON
Executive VP Human RESOURCES$236,113$0$0$0$211,087$0$73,477$0$5,671$0$526,348$0$0$0
DALE E BEATTY
Exec VP Patient Services & CNO$90,138$0$0$0$364,379$0$46,775$0$12,634$0$513,926$0$0$0
Michael C Hartke
EXECUTIVE VP/COO$343,538$0$105,984$0$1,808$0$78,633$0$16,333$0$546,296$0$0$0
WILLIS G PARSONS MD
GASTROENTEROLOGY PHYSICIAN$1,436,967$0$77,928$0$0$0$15,200$0$1,092$0$1,531,187$0$0$0
MALCOLM BILIMORIA MD
GASTROENTEROLOGY Physician$1,600,637$0$0$0$0$0$15,200$0$15,361$0$1,631,198$0$0$0
Susan E Nelson MD
Director$0$166,149$0$38,795$0$1,200$0$8,631$0$13,207$0$227,982$0$0
Leighton B Smith MD
Exec VP Chief Medical Officer$0$0$0$0$182,462$0$0$0$1,623$0$184,085$0$0$0
Mohammed Tahseen MD
Psychiatrist$277,556$0$16,000$0$0$0$17,700$0$16,333$0$327,589$0$0$0
MARSHA C LIU
EXEC VP/CFO/TREASURER$278,584$0$10,000$0$897$0$15,300$0$16,376$0$321,157$0$0$0
ERIC BENINK MD
CHIEF MEDICAL OFFICER$399,444$0$84,000$0$1,596$0$57,300$0$18,847$0$561,187$0$0$0
LOVENDER KUMAR RAJU MD
HOSPITALIST$331,857$0$1,492$0$0$0$15,200$0$14,300$0$362,849$0$0$0
Bruce K Crowther
PRES/CEO/SECRETARY THRU 4/13$569,533$0$0$0$1,808$0$153,631$0$15,272$0$740,244$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
COMPENSATION DETERMINATION PROCESS FOR TOP MANAGEMENT OFFICIALSForm 990, Schedule J, Line 3 THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE PARENT CORPORATION (HEALTHCARE) ANNUALLY REVIEWS AND MAKES RECOMMENDATIONS TO THE BOARD REGARDING THE COMPENSATION OF THE PRESIDENTS, OTHER VICE PRESIDENTS AND OTHER KEY MANAGEMENT OFFICERS AS DETERMINED BY THE BOARD. AN INDEPENDENT REASONABLENESS OPINION IS OBTAINED ANNUALLY REGARDING THE CHIEF EXECUTIVE OFFICER'S COMPENSATION AND THAT OF OTHER EXECUTIVES AS DETERMINED BY THE COMMITTEE.
SEVERANCE PAYMENTSForm 990, Schedule J, Line 4a IN 2013, THE FOLLOWING INDIVIDUALS RECEIVED SEVERENCE PAYMENTS AS PART OF THEIR COMPENSATION ARRANGEMENT: MARK D. LUSSON $167,318 DALE E. BEATTY $309,235 LEIGHTON B. SMITH $185,334 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, LINE 4B BRUCE CROWTHER PARTICIPATES IN A SERP. THIS PLAN WAS FROZEN IN 2010 AND AN AMENDMENT TO THE PLAN ELIMINATED ALL FUTURE BENEFIT ACCRUALS INCLUDING CREDITED SERVICE FINAL AVERAGE EARNINGS AND FINAL AVERAGE AMOUNTS USED TO CALCULATE PLAN BENEFITS. THEREFORE NO DEFERRED COMPENSATION IS RECORDED FOR THE CURRENT YEAR. IN 2013, THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN WITH A TWO-YEAR VESTING PERIOD. THE AMOUNTS BELOW THAT WERE ACCRUED, BUT NOT PAID IN CALENDAR YEAR 2013 ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (C). NO AMOUNTS WERE PAID FROM THE PLAN IN 2013. BRUCE K. CROWTHER $130,681 STEPHEN O. SCOGNA $47,500 MICHAEL C. HARTKE $30,000 ERIC BENINK, MD $42,000 DALE E. BEATTY $38,244 MARK D. LUSSON $55,246
NON-FIXED COMP PAYMENTSForm 990, Schedule J, Line 7 The CEO and Vice Presidents of the hospital are eligible for an annual incentive compensation payment that is aligned with the strategic, financial and operational goals of the organization. Threshold measures, which constitute the minimum requirements, must be achieved in order to have an incentive payout. Award opportunity levels vary as a percent of base salary. Actual amounts awarded are based on a combination of defined targets (15-25% of base pay) and discretionary amounts (10% of base pay). Maximum payable is 150% of the target. Amounts to be paid are subject to approval of the Compensation Committee of Northwest Community Healthcare, the sole member of the hospital.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndCUSIPCUSIPNum
ILLINOIS FINANCE AUTHORITY
A8610919672011-12-01$53,100,000SEE PART VIfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
B8610919672008-09-19$151,075,932SEE PART VIfalsefalsefalse45200FNR6
ILLINOIS FINANCE AUTHORITY
C8610919672008-10-17$86,820,000SEE PART VIfalsefalsefalse45200FNU9

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$53,100,000$0$0$0$434,279$0$0$0$52,665,721$02011Yes (true)falseYes (true)Yes (true)
B$0$0$151,417,356$0$0$0$1,437,934$0$0$149,979,422$0$02010falsefalseYes (true)Yes (true)
C$0$0$86,820,000$0$0$0$598,075$93,000$0$86,128,925$0$02008Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdPrivate Bus Use By OthersPrivateBusUseByOthersPctOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0
B0falsefalsefalsefalsefalsefalsefalseYes (true)
C0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalseYes (true)falsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
CfalsefalseYes (true)falseYes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationSCHEDULE K, PART I, COLUMN (F) BOND A PROCEEDS WERE USED TO REFUND THE 2/13/2002 BOND ISSUANCE. BOND B PROCEEDS WERE USED FOR: CONSTRUCTION OF A PATIENT TOWER AND PARKING GARAGE; EXPANSION AND RENOVATION OF THE HOSPITAL'S EMERGENCY DEPARTMENT AND SURGERY SUITES; RELOCATION OF CERTAIN DEPARTMENTS ON THE HOSPITAL'S CAMPUS; AND PURCHASE OF CERTAIN EQUIPMENT USED IN THE HOSPITAL'S BUSINESS. BOND C PROCEEDS WERE USED TO REFUND THE 2/13/2002 BOND ISSUANCE. BOND B A REBATE CALCULATION WAS CONDUCTED ON APRIL 17, 2014.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonJAMES J SMITH MDPersonNm
Loan PurposePHYS PRACTICE SVCSLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$85,793OriginalPrincipalAmt
Balance Due$2,708BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementfalseWrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$2,708TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonSEE PART VPersonNm

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceRELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATIONFormAndLineReferenceDesc
ExplanationSCHEDULE L, PART IV By virtue of being elected as officers of the medical staff, four physicians were elected as directors of the board. Two directors owned more than 5% ownership in their respective practices (Suburban ENT and Advanced Surgical Associates). Unrelated to the directors' tenure on the board, these practices rented office space totaling: Suburban ENT: $187,966 Advanced Surgical Associates: $33,000 Advanced Surgical Associates also paid for answering services totaling $1,884.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Description of Other Program ServicesFORM 990, PART III, LINE 4D INCLUDES REVENUE AND EXPENSES FROM ALL OTHER PROGRAM SERVICES NOT DESCRIBED ON FORM 990, PART III, LINES 4A-4C.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, QUESTION 6 NORTHWEST COMMUNITY HEALTHCARE (NCH) IS THE SOLE CORPORATE MEMBER OF NORTHWEST COMMUNITY HOSPITAL (HOSPITAL). AS SUCH, IT ELECTS OR APPOINTS THE MEMBERS OF HOSPITAL'S GOVERNING BODY AND APPROVES SIGNIFICANT DECISIONS.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, QUESTION 7A NCH IS THE SOLE CORPORATE MEMBER OF HOSPITAL. AS SUCH, IT ELECTS OR APPOINTS THE MEMBERS OF THE GOVERNING BODY OF HOSPITAL PERIODICALLY OR AS VACANCIES ARISE.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, QUESTION 7B NCH IS THE SOLE CORPORATE MEMBER OF HOSPITAL. AS SUCH, IT MUST APPROVE CERTAIN ACTIONS OF HOSPITAL. ACTION IS TAKEN BY A MAJORITY VOTE OF THE NCH BOARD WITH A QUORUM PRESENT. NCH MUST APPROVE THE FOLLOWING TYPES OF DECISIONS BY HOSPITAL: VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION OR SALE OR TRANSFER OF 10% OR MORE OF HOSPITAL'S ASSETS; SALE OF REAL PROPERTY OR INTEREST THEREIN; CREATION OF A SUBSIDIARY OR AFFILIATE; ANNUAL AND LONG-TERM CAPITAL AND OPERATING BUDGETS; AMENDMENT, ALTERATION OR REPEAL OF HOSPITAL'S ARTICLES OF INCORPORATION OR BYLAWS; SELECTION OF AUDITORS; APPOINTMENT, REMOVAL AND EVALUATION OF HOSPITAL DIRECTORS; DEBT OR INDEBTEDNESS, GUARANTEES OR BORROWINGS; APPOINTMENT, COMPENSATION, BENEFITS AND EVALUATION OF OFFICERS; APPOINTMENT AND EMPLOYMENT OF THE PRESIDENT; AND ACTIONS TAKEN BY TRUSTEES OF THE NORTHWEST COMMUNITY HOSPITAL EMPLOYEES RETIREMENT PLAN.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, QUESTION 11B A COPY OF FORM 990 WAS MADE AVAILABLE TO THE MEMBERS OF HOSPITAL'S BOARD PRIOR TO FILING. THE AUDIT AND COMPLIANCE COMMITTEE OF THE NCH BOARD REVIEWED FORM 990 FOR AFFILIATES OF NCH PRIOR TO DISTRIBUTION TO THE FULL BOARD.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, QUESTION 12C EACH YEAR, THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE IS SENT TO DIRECTORS, OFFICERS AND KEY EMPLOYEES. EACH RESPONSE IS REVIEWED BY THE GENERAL COUNSEL AND THOSE IN WHICH ANY ACTUAL OR APPARENT CONFLICT WITH THE PRESENT ROLE IS DISCLOSED, ARE REVIEWED BY THE PRESIDENT/CEO AND BOARD CHAIRPERSON. IN THE CASE OF ANY CONFLICT INVOLVING AN ENTITY OR PARTY WITH WHICH HOSPITAL IS DEALING OR COMPETING, THE PERSON WITH THE CONFLICT MAY NOT PARTICIPATE IN ANY DECISIONS REGARDING THAT PARTY. INDIVIDUALS WHO ARE INDEPENDENT CONTRACTORS, OFFICERS, DIRECTORS, OR EMPLOYEES OF OTHER HEALTHCARE FACILITIES IN HOSPITAL'S SERVICE AREA MAY NOT SERVE ON NCH'S OR ANY RELATED ORGANIZATION'S BOARD OR BOARD COMMITTEE. IN ADDITION, THE POLICY INCLUDES A SAMPLE CONFLICT OF INTEREST DISCLOSURE LETTER TO BE USED IF A CONFLICT ARISES AFTER SUBMISSION OF THE ANNUAL QUESTIONNAIRE AND BEFORE SUBMISSION OF THE NEXT ANNUAL QUESTIONNAIRE. SUCH DISCLOSURE LETTERS WOULD BE REVIEWED AS NOTED ABOVE AT THE TIME THEY ARE RECEIVED.
COMPENSATION DETERMINATION PROCESS FOR TOP MANAGEMENT OFFICIALFORM 990, PART VI, LINE 15A THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE NCH BOARD IS RESPONSIBLE FOR SETTING THE COMPENSATION OF THE PRESIDENT/CEO WHO IS THE TOP MANAGEMENT OFFICIAL. COMPENSATION IS REVIEWED USING AN EXTERNAL COMPENSATION FIRM. THE REVIEW ALSO UTILIZES COMPARISONS TO SIMILAR ORGANIZATIONS THROUGH REVIEW OF FORMS 990, USE OF COMPARISON STUDIES FROM THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL AND OTHER SOURCES. THE PROCESS IS DOCUMENTED IN THE MINUTES OF THE COMPENSATION AND GOVERNANCE COMMITTEE. COMPENSATION DETERMINATION PROCESS FOR OFFICERS AND KEY EMPLOYEES FORM 990, PART VI, LINE 15B THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE NCH BOARD IS RESPONSIBLE FOR APPROVING THE COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES (VICE PRESIDENTS) OF HOSPITAL BASED ON RECOMMENDATIONS FROM THE PRESIDENT/CEO. THE REVIEW UTILIZES COMPARISONS TO STUDIES FROM THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL AND OTHER SOURCES. THE PROCESS IS DOCUMENTED IN THE MINUTES OF THE COMPENSATION AND GOVERNANCE COMMITTEE.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, QUESTION 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE PUBLIC. HOSPITAL'S FINANCIAL STATEMENTS ARE INCLUDED IN THE ANNUAL CONSOLIDATED AUDIT REPORT OF NCH AND SUBSIDIARIES. THESE CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE MUNICIPAL SECURITIES RULEMAKING BOARD'S ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE AT WWW.EMMA.MSRB.ORG.
RECONCILIATION OF NET ASSETS - OTHER CHANGES IN NET ASSETSFORM 990, PART XI, QUESTION 9 BASIS SWAP GAIN 368,221 PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 1,288,235 MANAGEMENT FEE FOR DSC II 500,223 RESTRICTED FUNDS - SILVER LINING PROGRAM (28,800) CHANGE IN TEMPORARILY RESTRICTED FUNDS (838,148) CHANGE IN PERMANENTLY RESTRICTED FUNDS (119,130) NET ASSETS TRANSFER TO NORTHWEST COMMUNITY HEALTHCARE (33,428,004) =========== TOTAL (32,257,403)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NORTHWEST COMMUNITY PHYSICIANS ASSN LLC
3060 SALT CREEK LANEARLINGTON HTSIL60005510457240PATIENT CAREIL$639,016$0NA
NCH SERVICE COMPANY LLC
3060 SALT CREEK LANEARLINGTON HTSIL60005263791362PATIENT CAREIL$368,767$0NCPA LLC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
NORTHWEST COMMUNITY HEALTHCARE
800 WEST CENTRAL ROADARLINGTON HEIGHTSIL60005363125209SUPPORT ORGIL501(c)(3)11 Type IINAfalse
NORTHWEST COMMUNITY DAY SURGERY CENTER
675 WEST KIRCHOFF ROADARLINGTON HEIGHTSIL60005363540436OUTPATIENTIL501(c)(3)3NCHfalse
NORTHWEST COMMUNITY HOSPITAL FOUNDATION
3060 SALT CREEK LANEARLINGTON HEIGHTSIL60005363125193FUNDRAISINGIL501(c)(3)7NCHfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxt
NPC-CYBERKNIFE LLC
800 W CENTRAL RDARLNGTN HTSIL60005204462828EQUIPMENT LEASINGILNAN/A
NCH DSC II
675 KIRCHOFFARLNGTN HTSIL60005300798249OUTPATIENT CAREILNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctAddress Line1ForeignAddress/AddressLine1CityForeignAddress/CityProvince Or StateForeignAddress/ProvinceOrStateCountryForeignAddress/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
NORTHWEST COMMUNITY HEALTH SERVICES INC
800 WEST CENTRAL ROADARLINGTON HEIGHTSIL60005363312906HEALTHCARE SERVICILHEALTHCARE SVCSC Corpfalse
NORTHWEST COMMUNITY CAPCO INC
800 WEST CENTRAL ROADARLINGTON HEIGHTSIL60005364027717MANAGED CAREILHOSPITALC Corpfalse$672,507$899,9131.00000
NCH CASUALTY INSURANCE SPC LTD
980442062INSURANCEHEALTHCAREC Corpfalse68 WEST BAY ROAD KY1-1102GRAND CAYMANCAYMAN ISLANDSCJCJ
CENTRAL INSURANCE COMPANY LTD
800 West Central RoadArlington HeightsIL60005981109518INSURANCEILHEALTHCAREC Corp
NCH PHYSICIANS COOPERATIVE
800 WEST CENTRAL ROADARLINGTON HEIGHTSIL60005201830299GROUP PURCHASINGILHOSPITALC Corpfalse$0$01.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST COMMUNITY CAPCO INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeqTransactionTypeTxt
Involved-$131,815InvolvedAmt
Method Of Amount DeterminationCOSTMethodOfAmountDeterminationTxt

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