ELMHURST MEMORIAL HEALTHCARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ELMHURST MEMORIAL HEALTHCARE (EIN 36-4037473)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201411359349302246
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T09:12:47-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1McGladrey LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11 South Wacker Drive Suite 800AddressLine1
CityChicagoCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN364037473EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Elmhurst Memorial HealthcareBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlELMHNameControl
Phone3312211000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1155 E Brush Hill RoadAddressLine1
CityElmhurstCity
StateILState
ZIP Code60126ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHenry ZeiselName
TitleVP FinanceTitle
Phone3312211000Phone
Date Signed2014-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWayne HarderName
PTINP00294296PTIN
Phone3126343400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMary Lou MastroNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1155 E Brush Hill RoadAddressLine1
CityElmhurstCity
StateILState
ZIP Code60126ZIPCode
FieldValueIRS element (for citing)
Gross Receipts60692143GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number5467GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.emhc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1926YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionA comprehensive health system designed to enhance the health of the community.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers903TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year47588292ProgramServiceRevenuePriorYear
Program Service Revenue CY50507587ProgramServiceRevenueCY
Investment Income Prior Year10179796InvestmentIncomePriorYear
Investment Income Current Year9287654InvestmentIncomeCurrentYear
Other Revenue Prior Year931068OtherRevenuePriorYear
Other Revenue Current Year814652OtherRevenueCurrentYear
Total Revenue Prior Year58699156TotalRevenuePriorYear
Total Revenue Current Year60609893TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4103637SalariesEtcPriorYear
Salaries Etc Current Year6143859SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year65682231OtherExpensePriorYear
Other Expenses Current Year71601357OtherExpensesCurrentYear
Total Expenses Prior Year69785868TotalExpensesPriorYear
Total Expenses Current Year77745216TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-11086712RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-17135323RevenuesLessExpensesCY
Total Assets BOY365736196TotalAssetsBOY
Total Assets EOY364506371TotalAssetsEOY
Total Liabilities BOY574158492TotalLiabilitiesBOY
Total Liabilities EOY546615667TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-208422296NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-182109296NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTo enhance the health of the communities and customers we serve and to provide quality care to everyone who needs it.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense51892802Expense
Revenue50507587Revenue
DescriptionFor more than 50 years, the Elmhurst Clinic has worked to provide more than just good medical care. It has established itself in DuPage County as one of the premier multi-specialty medical groups, providing a range of care for the entire family. Today, the Clinic has expanded to include more than 100 multi-specialty providers in eight locations, including in Addison, Bloomingdale, Elmhurst, Lombard, Oak Park, Oakbrook Terrace and Wood Dale. In fiscal year 2012, the Clinic logged more than 270,000 physician office visits. Elmhurst Memorial Primary Care Associates became affiliated with Elmhurst Memorial Healthcare in 2009. The group's model of care is built around having small practices where patients receive personalized, holistic care with state-of-the-art services. Elmhurst Medical Associates became affiliated with Elmhurst Memorial Healthcare in 2010. With an office location in Elmhurst, the seven physicians in the group are committed to enhancing the services offered to their patients, as is evidenced by efforts to adopt an electronic medical records system as well as implementing a more integrated, holistic approach to offer convenient health care. Elmhurst Memorial Oncology Services' approach to care brings patients the best of both worlds - exceptional care that is close to home. An affiliation with the Cancer Center at Elmhurst Memorial Hospital means patients will receive a complete continuum of care with the same leading-edge procedures available at a university hospital. In fiscal year 2012, the Elmhurst Clinic, Elmhurst Memorial Primary Care Associates, Elmhurst Medical Associates and Elmhurst Memorial Oncology Services merged to become the comprehensive Elmhurst Physician Practice Division, which is wholly owned by the Hospital. Assets and substantial activities were transferred to the Hospital.Description
Total Program Service Expense51892802TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Kym BensonBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3312211000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1155 E Brush Hill RoadAddressLine1
CityElmhurstCity
StateILState
ZIP Code60126ZIPCode

Form990 Part VII Section A Form990PartVIISectionA

FieldValueIRS element (for citing)
Name PersonSee Elmhurst Memorial HealthcareNamePerson
TitleGroup Return (EIN:35-2339114)Title
Average Hours Per Week1.00AverageHoursPerWeek
Individual Trustee Or DirectorXIndividualTrusteeOrDirector
Reportable Comp From Organization0ReportableCompFromOrganization
Reportable Comp From Related Orgs0ReportableCompFromRelatedOrgs
Other Compensation0OtherCompensation
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Elmhurst Clinic LLC
172 SchillerElmhurstIL60126Physician Services32964364
Elmhurst Medical Associates LLC
183 AddisonElmhurstIL60126Physician Services2344901
Elmhurst Memorial Primary Care
305 N York RdElmhurstIL60126Physician Services1838983
Elmhurst Memorial Hematology
200 Berteau AveElmhurstIL60126Physician Services1565495
Medical Management Resource
855 N Church CtElmhurstIL60126I.T. Services408651
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Serv. Rev.Description
Business Code623000BusinessCode
Total Revenue Column48404677TotalRevenueColumn
Related Or Exempt Function Income48404677RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column2102910TotalRevenueColumn
Related Or Exempt Function Income2102910RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue50507587TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2622623TotalRevenueColumn
Exclusion$2,622,623ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real742195Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real742195Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column742195TotalRevenueColumn
Exclusion$742,195ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6747281Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other82250Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities6747281Securities
Other-82250Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6665031TotalRevenueColumn
Exclusion$6,665,031ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionFinance ChargesDescription
Business Code900099BusinessCode
Total Revenue Column71590TotalRevenueColumn
Related Or Exempt Function Income71590RelatedOrExemptFunctionIncome

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column867TotalRevenueColumn
Related Or Exempt Function Income867RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue72457TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column60609893TotalRevenueColumn
Related Or Exempt Function Income50580044RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$10,029,849ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5322949Total
Program Services3253471ProgramServices
Management And General2069478ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total820910Total
Program Services820910ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total663806Total
Management And General663806ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total185920Total
Program Services39275ProgramServices
Management And General146645ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total3466917Total
Management And General3466917ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total42436519Total
Program Services41552208ProgramServices
Management And General884311ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total298083Total
Management And General298083ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total167652Total
Program Services167652ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total179733Total
Program Services250071ProgramServices
Management And General-70338ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4047Total
Management And General4047ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8629Total
Management And General8629ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total15033260Total
Management And General15033260ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1130908Total
Program Services379153ProgramServices
Management And General751755ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1908671Total
Program Services1908671ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Swap Settlement25837192583719
Bad Debt Expense24225852422585
Clinical Expense10988061098806

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12102Total
Management And General12102ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total77745216Total
Program Services51892802ProgramServices
Management And General25852414ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY15871077BOY
EOY31347904EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5614933BOY
EOY5234232EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1393312BOY
EOY436357EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis85684779LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4454137LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY81703007BOY
EOY81230642EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY174275864BOY
EOY169381625EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY30283462BOY
EOY33150451EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY892602BOY
EOY871235EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY55701939BOY
EOY42853925EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY365736196BOY
EOY364506371EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13350113BOY
EOY14690279EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY33767022BOY
EOY22293291EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY506873222BOY
EOY499463961EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY20000000BOY
EOY10000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY168135BOY
EOY168136EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY574158492BOY
EOY546615667EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-208422296BOY
EOY-182109296EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-208422296BOY
EOY-182109296EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY365736196BOY
EOY364506371EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-17135323ReconcilationRevenueExpenses
Reconciliation Unrealized Invest20310885ReconciliationUnrealizedInvest
Reconcilation Other Changes23137438ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis68793083OtherCostOrOtherBasis
Book Value68793083BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10571356OtherCostOrOtherBasis
Depreciation2803789Depreciation
Book Value7767567BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis103850OtherCostOrOtherBasis
Depreciation35501Depreciation
Book Value68349BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3526092OtherCostOrOtherBasis
Depreciation1260421Depreciation
Book Value2265671BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2690398OtherCostOrOtherBasis
Depreciation354426Depreciation
Book Value2335972BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings81230642TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Investment in Subsidiary661988F
Hedge Fund32488463F
FieldValueIRS element (for citing)
Total Of Book Value Securities33150451TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Bonds8792986
Debt Service Reserve15198472
Investment in PHO131000
Interest Rate Swap Agreement18731467
FieldValueIRS element (for citing)
Total Book Value Other Assets42853925TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to Affiliates$24,435
Other Long-Term Borrowings$143,701
FieldValueIRS element (for citing)
Total Of Amounts168136TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationElmhurst Memorial Healthcare files a Form 990 (Return of Organization Exempt from Income Tax) annually. When the returns is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the following: the tax exempt status of each entity, the continued tax exempt status of bonds issued by the obligated group, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business taxable income (UBTI). UBTI is reported on Form 990T, as appropriate. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for unrecognized tax benefits in the accompanying consolidated balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Upon the adoption of the Financial Accounting Standards Board (FASB)-issued guidance at July 1, 2008, and as of each subsequent fiscal year-end, there were no unrecognized tax benefits identified and recorded as a liability.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures32488463TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent32488463SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent32488463TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co1PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Village of Lombard Illinois
A3660059750541593AP2004-04-076482000Construct Lombard Memorial Health Center000
Illinois Finance Authority
B86109196745200FGW32008-05-22119829861Construct new hospital000
Illinois Finance Authority
C86109196745200FHAO2008-05-22250000000Construct new hospital000
Illinois Finance Authority
D86109196745200BN612006-12-1247000000Acquire land, construct and equip facilities100

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFund
A6482000146213114358633598720060011
B1198298611073976214395871049743552011001110365829
C25000000011928371171912924829341220111011
D481261662350004789116620080011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUse
A0000000
B00000000.010000.01000
C00000000.010000.01000
D0000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDue
A110000
B000000100
C010000100
D110000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Midwest Heart SpecialistsBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipLou McKeever, MD, trustee, is an officer on the board of MHSRelationship
Amount Of Transaction1228727AmountOfTransaction
Description Of TransactionCardiology servicesDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6The Board of Governors and Emeritus members are the members of Elmhurst Memorial Healthcare.
Form 990, Part VI, Section B, line 11A review of the Form 990 was done by the Finance Committee before it was filed with the IRS. The review was led by the Finance Committee chair at its April meeting and comprised of an overview of the Form 990 and selected detailed items. The final Form 990 is provided to the board members before filing.
Form 990, Part VI, Section B, line 12cEHMC regularly and consistently monitors its conflict of interest policy by requiring prompt and full disclosure of existing or potential conflicts of interest and in addition, sends out an annual conflict of interest questionnaire to members of the Boards of Trustees of Elmhurst Memorial Healthcare and each affiliate, non-Trustee members of Board committees, Nutrition and Therapeutics Committee, Healthcare Management Council, Department Heads and those with purchasing authority in excess of $50,000. The annual questionnaires are reviewed by the Director, Risk Management/Corporation Compliance Officer and the appropriate Board or committee chairman. In the event that a potential conflict arises, the results may be discussed with any and all individuals necessary to come to a final determination. In the event that the conflict of interest may potentially impair that person's ability to fulfill their duty to EMHC or affiliate, that person will be given an opportunity to eliminate the conflict or to resign, as reasonably determined.
All compensation is paid by Elmhurst Memorial Hospital. Below is the Hospitals compensation policy: The executive compensation program has been designed under the direction of the Human Resource Committee (Committee) of the Board of Trustees, to attract and retain a highly qualified executive team and directly link their pay to the attainment of both corporate and personal performance objectives. The Committee is comprised of outside, independent individuals with relevant expertise in a range of fields. The Committee reviews executive compensation annually with input from Towers Perrin, an independent expert consulting firm. Included in this review are tests of the executive pay structure against a number of available comparator groups and data sources. The process is designed to meet the requirements of the IRS' rebuttable presumption of reasonableness. Base salaries for executives are established by the Committee to reflect each executive's scope of responsibility and individual performance. The Committee uses a "scorecard" approach to evaluate performance which provides comprehensive performance measures and indicators and enables the Committee to evaluate performance and progress with respect to critical goals. The Committee maintains minutes of its proceedings and deliberations and makes recommendations to the Board of Trustees for their consideration and action.
Form 990, Part VI, Section C, line 19EMHC and its subsidiaries' audited financial statements are made available on the organization's website. Governing documents and conflict of interest policy are not available to the general public.
Form 990, Part IX, line 11gPhysician Services: Program service expenses 41,552,208. Management and general expenses 0. Fundraising expenses 0. Total expenses 41,552,208. Consulting Fees: Program service expenses 0. Management and general expenses 730,868. Fundraising expenses 0. Total expenses 730,868. Other Purchased Services: Program service expenses 0. Management and general expenses 153,443. Fundraising expenses 0. Total expenses 153,443.Other Fees
Form 990, Part XI, line 9:Amortization of gain on discontinuation of hedge accounting 177,334. Gain from Subsidiary 184,087. Transfers to Affiliates 22,776,017.Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Elmhurst Physician Practice DivisionBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1155 E Brush Hill RoadAddressLine1
CityElmhurstCity
StateILState
ZIP Code60126ZIPCode
FieldValueIRS element (for citing)
EIN263633852EIN
Primary ActivitiesPhysician DivisionPrimaryActivities
Legal Domicile StateILLegalDomicileState
Total Income1580353TotalIncome
EOY Assets6460392EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Elmhurst Memorial HealthcareBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Elmhurst Memorial Hospital
155 E Brush Hill RoadElmhurstIL60126362167784Healthcare providerIL501(c)(3)Line 3Elmhurst Memorial Healthcare1
Elmhurst Memorial Home Health
855 North Church CourtElmhurstIL60126363962253Patient care servicesIL501(c)(3)Line 9Elmhurst Memorial Hospital1
Elmhurst Memorial Hospital Foundation
155 E Brush Hill RoadElmhurstIL60126363083197FundraisingIL501(c)(3)Line 7Elmhurst Memorial Hospital1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Elmhurst Outpatient Surgery Center LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 S York RoadAddressLine1
CityElmhurstCity
StateILState
ZIP Code60126ZIPCode
FieldValueIRS element (for citing)
EIN364150045EIN
Primary ActivityOutpatient SurgeryPrimaryActivity
Legal Domicile StateILLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Elmhurst Memorial Health Technologies LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1855 North Church CourtAddressLine1
CityElmhurstCity
StateILState
ZIP Code60126ZIPCode
FieldValueIRS element (for citing)
EIN363229839EIN
Primary ActivityPractice ManagementPrimaryActivity
Legal Domicile StateILLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Elmhurst Memorial HealthcareBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of EOY Assets2309591ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Elmhurst Memorial Hospital
R13486811
Elmhurst Memorial Home Health
S5334503
Elmhurst Memorial Health Technologies LLC
M406481

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