FURP.ORG / PUBLIC DATA EXPLORER

Community Nursing Service of DuPage County: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Community Nursing Service of DuPage County (EIN 36-6080833)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-09
IRS object ID
201431299349300028
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)
Timestamp2014-05-09T08:48:37-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN366080833EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY NURSING SERVICE OF DUPAGE COUNTYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone6309331600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1690 E North AveAddressLine1
CityCarol StreamCity
StateILState
ZIP Code60188ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN ORSININame
TitleEVP/CFOTitle
Date Signed2013-09-23DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn WoodhullName
PTINP01305268PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1CNS HOME HEALTH & HOSPICEBusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL VIVODABusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line125 N Winfield RdAddressLine1
CityWinfieldCity
StateILState
ZIP Code60190ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19317316GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionCOMMUNITY NURSING SERVICE OF DUPAGE COUNTY (CNS) PROVIDES COMPREHENSIVE, FULL-SERVICE HOME HEALTH CARE AND HOSPICE SERVICES TO PATIENTS AND FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees250TotalNbrEmployees
Total Nbr Volunteers80TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year226063ContributionsGrantsPriorYear
Contributions Grants Current Year344142ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17241924ProgramServiceRevenuePriorYear
Program Service Revenue CY16089409ProgramServiceRevenueCY
Investment Income Prior Year214663InvestmentIncomePriorYear
Investment Income Current Year226437InvestmentIncomeCurrentYear
Other Revenue Prior Year224741OtherRevenuePriorYear
Other Revenue Current Year373606OtherRevenueCurrentYear
Total Revenue Prior Year17907391TotalRevenuePriorYear
Total Revenue Current Year17033594TotalRevenueCurrentYear
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 Year11655239SalariesEtcPriorYear
Salaries Etc Current Year12505506SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4413764OtherExpensePriorYear
Other Expenses Current Year4631660OtherExpensesCurrentYear
Total Expenses Prior Year16069003TotalExpensesPriorYear
Total Expenses Current Year17137166TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1838388RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-103572RevenuesLessExpensesCY
Total Assets BOY11889188TotalAssetsBOY
Total Assets EOY12746658TotalAssetsEOY
Total Liabilities BOY601451TotalLiabilitiesBOY
Total Liabilities EOY1410070TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11287737NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11336588NetAssetsOrFundBalancesEOY
Mission DescriptionCOMMUNITY NURSING SERVICE OF DUPAGE COUNTY (CNS) PROVIDES COMPREHENSIVE, FULL-SERVICE HOME HEALTH CARE AND HOSPICE SERVICES TO PATIENTS AND FAMILIES. THESE SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense14009352Expense
Revenue16463015Revenue
DescriptionCOMMUNITY NURSING SERVICE OF DUPAGE COUNTY (CNS) PROVIDES COMPREHENSIVE HOME HEALTH AND HOSPICE SERVICES TO PATIENTS IN A HOME SETTING, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THESE SERVICES INCLUDED SKILLED NURSING, REHABILITATION SERVICES, PALLIATIVE CARE, HOSPICE CARE, IV AND INFUSION SERVICES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES AND MEDICAL SOCIAL SERVICES, AMONG OTHERS.Description
Total Program Service Expense14009352TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees250NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
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 Line1John Orsini EVP & CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6309331600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line125 N WINFIELD RDAddressLine1
CityWinfieldCity
StateILState
ZIP Code60190ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
DEBRA O'DONNELL
Vice Chair1.0041.00XX057143834042
MAUREEN TAUS
Secretary/Treasurer1.0048.00XX049681619729
ROBERT FRIEDBERG
Chair1.0044.00XX082982244576
JOANNE C STREZO
Asst Secy to the Board (partial yr)1.0047.00X06660718112
JOHN ORSINI
CFO1.0049.00X000
KAREN DIERSEN
Asst Secy to the BOD (partial year)1.0049.00X09820314923
MICHAEL HOLZHUETER
VP-Legal & Asst Secy. to the BOD1.0049.00X055647647124
MICHAEL VIVODA
CEO1.0049.00X091206036090
MARLA HUSCH
Director of Operations40.000176012041910X
EMMA K HENRY
Registered Nurse40.000106737014642X
HOLLY WATSON-EVANS
Manager40.000108406033112X
MARIA KUZAS
Manager, Marketing40.000127622031052X
MARY J LAFATA
Manager, Therapy40.00010386609167X
JAMES T SPEAR
Former CFO0.000.000124893438996X
LUKE MCGUINNESS
Former CEO0.000.000351759333471X
FieldValueIRS element (for citing)
Total Reportable Comp From Org622642TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs8297950TotalReportableCompFrmRltdOrgs
Total Other Compensation416947TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CDH-DELNOR HEALTH SYSTEM
27W353 JEWELL RDWINFIELDIL601901231MANAGEMENT SERVICES925434
PAR-ROD DEVELOPMENT LLC
478 PENNSYLVANIA AVE SUITE 103GLEN ELLYNIL60137OFFICE REMODELING385790
MEDICAL STAFFING NETWORK
402 E ROOSEVELT RD SUITE 108WHEATONIL60187TEMPORARY PERSONNEL159017
BRIGHTSTAR HEALTHCARE
402 E ROOSEVELT RD STE 108WHEATONIL60187HOME HEALTH AIDE SERVICES140590
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations344142RelatedOrganizations
Total Contributions344142TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT CARE REVENUE6216101608940916089409
0
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue16089409TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column163687TotalRevenueColumn
Exclusion$163,687ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2346472Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2283722Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities62750Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column62750TotalRevenueColumn
Exclusion$62,750ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT SERVICES FEE REVENUE900099368972368972
MISCELLANEOUS REVENUE90009946344634
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue373606TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17033594TotalRevenueColumn
Related Or Exempt Function Income16463015RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$226,437ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total226938Total
Program Services0ProgramServices
Management And General226938ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10049758Total
Program Services9296026ProgramServices
Management And General753732ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total316099Total
Program Services284489ProgramServices
Management And General31610ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1222380Total
Program Services1124590ProgramServices
Management And General97790ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total690331Total
Program Services642008ProgramServices
Management And General48323ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1380812Total
Management And General1380812ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total663006Total
Program Services566842ProgramServices
Management And General96164ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2850Total
Management And General2850ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total311113Total
Program Services207711ProgramServices
Management And General103402ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total23066Total
Program Services18453ProgramServices
Management And General4613ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total243088Total
Program Services72926ProgramServices
Management And General170162ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total359059Total
Program Services351878ProgramServices
Management And General7181ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total18604Total
Program Services5581ProgramServices
Management And General13023ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total266713Total
Program Services93350ProgramServices
Management And General173363ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total225872Total
Program Services225872ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PATIENT CARE EXPENSES10552681055268
DUES, LICENSES & REGULATORY FEES3159231592
BAD DEBT EXPENSE1551815518
PATIENT & COMMUNITY RELATIONS1071010710

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total24389Total
Program Services6538ProgramServices
Management And General17851ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17137166Total
Program Services14009352ProgramServices
Management And General3127814ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY500BOY
EOY200EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY265555BOY
EOY218453EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2559367BOY
EOY3187358EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY15731BOY
EOY3391EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4283714LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3428830LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY275113BOY
EOY854884EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8250922BOY
EOY8020875EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY522000BOY
EOY461497EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11889188BOY
EOY12746658EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY138747BOY
EOY373797EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY462704BOY
EOY628021EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY408252EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY601451BOY
EOY1410070EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11287737BOY
EOY11328191EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY8397EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11287737BOY
EOY11336588EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11889188BOY
EOY12746658EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-103572ReconcilationRevenueExpenses
Reconcilation Other Changes152423ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years111476CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years213519CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years174953CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year226063CurrentTaxYearMinus1Year
Current Tax Year344142CurrentTaxYear
Total1070153Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17176021CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17491909CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15668701CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17241924CurrentTaxYearMinus1Year
Current Tax Year16089409CurrentTaxYear
Total83667964Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17287497CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17705428CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15843654CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17467987CurrentTaxYearMinus1Year
Current Tax Year16433551CurrentTaxYear
Total84738117Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total50984738117PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years390797CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years317851CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years154559CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year217756CurrentTaxYearMinus1Year
Current Tax Year163687CurrentTaxYear
Total1244650Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years390797CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years317851CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years154559CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year217756CurrentTaxYearMinus1Year
Current Tax Year163687CurrentTaxYear
Total1244650Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years299294CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years330461CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years235992CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year224741CurrentTaxYearMinus1Year
Current Tax Year373606CurrentTaxYear
Total1464094Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17977588CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18353740CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16234205CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17910484CurrentTaxYearMinus1Year
Current Tax Year16970844CurrentTaxYear
Total87446861Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96900PublicSupportPercentage509
Prior Year Support Percentage0.96740PriorYearSupportPercentage
Investment Income Percentage0.01420InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01780PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - OTHER REVENUE, COLUMN A - 62114, COLUMN B - 119701, COLUMN C - 13479, COLUMN D - 2228, COLUMN E - 4634, COLUMN F - 202156; DESCRIPTION - MANAGEMENT FEE REVENUE, COLUMN A - 237180, COLUMN B - 210760, COLUMN C - 222513, COLUMN D - 222513, COLUMN E - 368972, COLUMN F - 1261938;,GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$251OtherActivitiesAmount
Total Lobbying Expenditures IIB251TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationA PORTION OF THE DUES PAID TO THREE DIFFERENT HOME CARE AND/OR HOSPICE TRADE ASSOCIATIONS WAS DETERMINED BY THOSE ORGANIZATIONS TO HAVE BEEN USED IN THEIR LOBBYING ACTIVITIES ON BEHALF OF THE HOME HEALTH AND HOSPICE INDUSTRIES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1142794OtherCostOrOtherBasis
Depreciation638746Depreciation
Book Value504048BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3140920OtherCostOrOtherBasis
Depreciation2790084Depreciation
Book Value350836BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings854884TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED ORGANIZATIONSDescription
Amount$408,252Amount
FieldValueIRS element (for citing)
Total Of Amounts408252TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationTHE CORPORATIONS APPLY ASC SUBTOPIC 740-10, INCOME TAXES - OVERALL, WHICH ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, THE CORPORATIONS MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST, AND PENALTIES ON INCOME TAXES AND ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURES. AS OF JUNE 30, 2013, THE CORPORATIONS DO NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DEBRA O'DONNELL
VICE CHAIR0306293026085004295014808019235060548100
JAMES T SPEAR
FORMER CFO0418976045205903778990162350227610128793000
LUKE MCGUINNESS
FORMER CEO09922400225000002753530147080187630355106400
MARIA KUZAS
MANAGER, MARKETING10439705636017588060750249770158674000
MARLA HUSCH
DIRECTOR OF OPERATIONS1332960417410975068840350260217922000
MAUREEN TAUS
SECRETARY/TREASURER025217802433730126501791001819051654500
MICHAEL HOLZHUETER
VP-LEGAL & ASST SECY. TO THE BOD0335582021932501569015192031932060360000
MICHAEL VIVODA
CEO0616830029398801242016096019994094815000
ROBERT FRIEDBERG
CHAIR0388982043856302277015385029191087439800

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Health or social club dues or initiation feesSchedule J, Part I, Line 1aALL EMPLOYEES, INCLUDING LISTED PERSONS, ARE ELIGIBLE TO RECEIVE A HEALTH CLUB SUBSIDY IF THEY MEET OR EXCEED THE REQUIRED NUMBER OF VISITS TO THEIR HEALTH CLUB IN A GIVEN MONTH. IN FY13, ONE LISTED PERSON, MARY LAFATA RECEIVED THE HEALTH CLUB DUES SUBSIDY. THE SUBSIDIES ARE INCLUDED AS TAXABLE INCOME ON THE EMPLOYEES' W-2.
Arrangement used to establish the top management official's compensationSchedule J, Part I, Line 3THE FILING ORGANIZATION RELIED ON CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION, WHICH USED A COMPENSATION COMMITTEE, COMPARABILITY DATA, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, TO DETERMINE THE COMPENSATION OF ITS CEO.
Severance or change-of-control paymentSchedule J, Part I, Line 4aDURING CY2012, ONE HIGHLY COMPENSATED EMPLOYEE RECEIVED SEVERANCE PAYMENTS FROM THE FILING ORGANIZATION AND ONE FORMER OFFICER RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION. MARIA KUZAS $2,354 JAMES SPEAR $375,577
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTHE FORMER CHIEF EXECUTIVE OFFICER (MCGUINNESS) PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PURSUANT TO THIS PLAN, DURING CY 2012, $268,845 WAS CONTRIBUTED, IMMEDIATELY VESTED, AND DISTRIBUTED. ALL ASPECTS OF THE FORMER CHIEF EXECUTIVE OFFICER'S COMPENSATION, INCLUDING CONTRIBUTIONS TO THE SUPPLEMENTAL RETIREMENT PLAN, ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND SUPPORTED BY CONSULTANTS ENGAGED BY SUCH COMMITTEE.
COMPENSATION CONTINGENT ON NET EARNINGSSCHEDULE J, PART I, LINE 6ACOMMUNITY NURSING SERVICE OF DUPAGE COUNTY (CNS) MAINTAINS AN INCENTIVE PLAN (MYSTEP) AS A COMPONENT OF COMPENSATION FOR ITS EMPLOYEES, INCLUDING EMPLOYED INTERESTED PERSONS. THE INCENTIVE PORTION OF COMPENSATION IS INCLUDED IN THE COMPENSATION REVIEW CONDUCTED BY THE COMPENSATION COMMITTEE OF THE CDH-DELNOR HEALTH SYSTEM BOARD OF DIRECTORS, AS DESCRIBED IN SCHEDULE O FOR FORM 990 CORE, PART VI, LINE 15. THE PURPOSE OF MYSTEP IS TO ALIGN EMPLOYEES' INTERESTS WITH THE GOALS AND OBJECTIVES OF CDH-DELNOR HEALTH SYSTEM AND ALL RELATED ORGANIZATIONS BY PROVIDING FINANCIAL INCENTIVES LINKED TO THE CONTINUING AND SUSTAINABLE SUCCESS OF THE ORGANIZATIONS. FINANCIAL INCENTIVES ARE PAID BASED ON A SERIES OF MEASURES THAT INCLUDE: (I)PATIENT SATISFACTION; (II) FINANCIAL PERFORMANCE; AND (III) DEPARTMENTAL/TEAM-SPECIFIC GOALS. OVERALL ADMINISTRATION OF MYSTEP IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THIS INCENTIVE PROGRAM DOES NOT MEET THE STANDARDS AS SET OUT IN SCHEDULE J, PART I FOR LINES 5, 6 OR 7.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE SOLE MEMBER OF COMMUNITY NURSING SERVICE OF DUPAGE COUNTY IS CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION. MANAGEMENT DUTIES PROVIDED BY CDH-DELNOR HEALTH SYSTEM INCLUDE OPERATIONAL, STRATEGIC, BUDGETING AND LONG-RANGE PLANNING DUTIES, AS WELL AS FINANCE, INTERNAL AUDIT, PERSONNEL, TREASURY AND MARKETING SERVICES. THE INDIVIDUALS PROVIDING THESE SERVICES, INCLUDING THE CEO, CFO, AND OTHER SENIOR MANAGEMENT, ARE EMPLOYEES OF AND COMPENSATED BY CDH-DELNOR HEALTH SYSTEM. CNS PAYS A MANAGEMENT SERVICES FEE TO CDH-DELNOR HEALTH SYSTEM.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aCDH-DELNOR HEALTH SYSTEM, THE SOLE MEMBER AND PARENT ORGANIZATION, HAS THE POWER TO ELECT OR REMOVE ALL OF THE DIRECTORS OF COMMUNITY NURSING SERVICE OF DUPAGE COUNTY.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bCERTAIN DECISIONS OF THE COMMUNITY NURSING SERVICE OF DUPAGE COUNTY (CNS) GOVERNING BODY ARE SUBJECT TO APPROVAL BY CDH-DELNOR HEALTH SYSTEM, AS THE SOLE MEMBER OF CNS. THE MEMBER'S AUTHORITY INCLUDES THE POWER TO AMEND, ALTER, RESTATE OR REPEAL THE BYLAWS OF THE CORPORATION; TO NEGOTIATE AND EXECUTE CONTRACTS ON BEHALF OF THE CORPORATION; TO ADOPT A PLAN OF MERGER, CONSOLIDATION OR CORPORATE REORGANIZATION INVOLVING THE CORPORATION; TO ADOPT A PLAN OF DISSOLUTION OR LIQUIDATION OF THE CORPORATION AND DISTRIBUTION OF ITS ASSETS; AND, TO AMEND, ALTER, RESTATE OR REPEAL THE ARTICLES OF INCORPORATION OF THE CORPORATION. ACTIONS BY THE BOARD OF DIRECTORS REQUIRING THE APPROVAL OF THE SOLE MEMBER INCLUDE: ADOPTION OF CAPITAL AND OPERATING BUDGETS; ADOPTION AND EXECUTION OF A STRATEGIC PLAN; AND, AUTHORIZATION OF A CAPITAL EXPENDITURE IN EXCESS OF THE LIMITS ESTABLISHED BY THE SOLE MEMBER FROM TIME TO TIME.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bPRIOR TO FILING, A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY OUTSIDE TAX ADVISERS AND INTERNAL MANAGEMENT. AFTER THAT REVIEW IS COMPLETE, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS OF CDH-DELNOR HEALTH SYSTEM (SOLE MEMBER OF FILING ORGANIZATION) FOR ADDITIONAL REVIEW AND COMMENT.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cTHE COMMUNITY NURSING SERVICE OF DUPAGE COUNTY OFFICERS AND DIRECTORS ARE EMPLOYEES OF CDH-DELNOR HEALTH SYSTEM, PARENT ORGANIZATION FOR THE FILING ORGANIZATION. EACH YEAR, ALL EMPLOYEES OF CDH-DELNOR HEALTH SYSTEM AND ITS RELATED ORGANIZATIONS ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, THE POLICY REQUIRES THAT EMPLOYEES DISCLOSE POTENTIAL CONFLICTS THAT MAY ARISE BETWEEN ANNUAL STATEMENTS THROUGH SUPPLEMENTARY DISCLOSURES. BOTH THE ANNUAL STATEMENTS AND THE SUPPLEMENTARY DISCLOSURES ARE REVIEWED AND EVALUATED BY CDH-DELNOR HEALTH SYSTEM'S DIRECTOR OF INTERNAL AUDIT AND COMPLIANCE. THE DIRECTOR IS DELEGATED THE RESPONSIBILITY TO DETERMINE WHETHER A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT, AND FURTHER TO RECOMMEND AND IMPLEMENT, WHERE APPROPRIATE, CONFLICT MITIGATION STRATEGIES. COMPLETION RESULTS ARE PROVIDED TO THE AUDIT & FINANCE COMMITTEE OF THE CDH-DELNOR HEALTH SYSTEM BOARD OF DIRECTORS.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE FILING ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS AND KEY EMPLOYEES ARE EMPLOYEES OF CDH-DELNOR HEALTH SYSTEM, A RELATED ORGANIZATION AND SOLE MEMBER OF THE FILING ORGANIZATION. THE COMPENSATION COMMITTEE OF THE CDH-DELNOR HEALTH SYSTEM BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS AND IS DELEGATED THE RESPONSIBILITY FOR REVIEWING THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES (INCLUDING THE CHIEF EXECUTIVE OFFICER) AND OTHER KEY EMPLOYEES. THE PROCESS INCLUDES ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IN DETERMINING THE APPROPRIATENESS OF COMPENSATION, WHICH INCLUDES REVIEWING COMPARABLE COMPENSATION STUDIES FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE COMPENSATION COMMITTEE ROUTINELY REPORTS TO THE FULL BOARD OF DIRECTORS ITS COMPENSATION RELATED ACTIVITIES, AND MAY FROM TIME TO TIME RECOMMEND MATTERS FOR THE FULL BOARD OF DIRECTORS CONSIDERATION (E.G., THE ESTABLISHMENT OF ANY NEW COMPENSATION OR BENEFIT PLAN). THE COMPENSATION COMMITTEE CONDUCTS A FORMAL REVIEW FOR THE ORGANIZATION'S EXECUTIVES ON AN ANNUAL BASIS, AND MAY MAKE DECISIONS RELATED TO COMPENSATION AND BENEFITS THROUGHOUT THE YEAR. THE COMPENSATION COMMITTEE LAST RECEIVED AN INDEPENDENT CONSULTANT'S REPORT SUPPORTING THE REASONABLENESS OF THE ORGANIZATION'S EXECUTIVES' COMPENSATION IN JULY, 2013 .
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bSEE THE NARRATIVE FOR FORM 990, PART VI, LINE 15A.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19VARIOUS PUBLIC AND PRIVATE ENTITIES MAY REQUIRE THE FILING OF SUCH DOCUMENTS AS PART OF A REGULATORY OR CONTRACTUAL COMMITMENT, AND AS A RESULT OF SUCH OBLIGATIONS, CERTAIN OF THESE MATERIALS MAY, IN FACT, BE AVAILABLE TO THE PUBLIC. OUTSIDE OF SUCH DISCLOSURE, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE BY THE ORGANIZATION TO THE PUBLIC. NOTABLY, FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED TO BE DISCLOSED PURSUANT TO IRC SECTION 6104.
REPORTABLE COMPENSATIONFORM 990, PART VII, SECTION A, LINE 1AJOHN ORSINI, AN OFFICER LISTED IN PART VII-A JOINED CDH-DELNOR HEALTH SYSTEM, A RELATED ORGANIZATION, IN 2013. THEREFORE THERE IS NO CALENDAR YEAR 2012 W-2 COMPENSATION TO REPORT FOR MR. ORSINI.
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9UNREALIZED GAIN ON INVESTMENTS - 144026; CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION - 8397;

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY PARTNER SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1608 E NORTH AVEAddressLine1
CityCAROL STREAMCity
StateILState
ZIP Code60188ZIPCode
FieldValueIRS element (for citing)
EIN753113707EIN
Primary ActivitiesNURSINGPrimaryActivities
Legal Domicile StateILLegalDomicileState
Total Income-64896TotalIncome
EOY Assets230781EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY NURSING SERVICE OF DUPAGE COUNTYBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CDH-DELNOR HEALTH SYSTEM
27W353 JEWELL RDWINFIELDIL60190MANAGEMENTIL501(C)(3)11 - Type IICDH-DELNOR HEALTH SYSTEMfalse
CENTRAL DUPAGE HOSPITAL ASSOCIATION
25 N WINFIELD RDWINFIELDIL60190HOSPITALIL501(C)(3)3CDH-DELNOR HEALTH SYSTEMfalse
CADENCE HEALTH FOUNDATION
27W353 JEWELL RDWINFIELDIL60190FUNDRAISINGIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
CENTRAL DUPAGE PHYSICIAN GROUP
27W353 JEWELL RDWINFIELDIL60190PRIMARY CAREIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
PAHCS II
27353 JEWELL RDWINFIELDIL60190HEALTHCAREIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
CENTRAL DUPAGE SPECIAL HEALTH ASSOC
27W353 JEWELL RDWINFIELDIL60190PHARMACYIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
DELNOR-COMMUNITY HEALTHCARE FOUNDATION
300 RANDALL ROADGENEVAIL60134HEALTH/FITNESSIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
DELNOR-COMMUNITY RESIDENTIAL LIVING INC
300 RANDALL ROADGENEVAIL60134RESIDENTIAL SERVICESIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
LIVING WELL CANCER RESOURCE CENTER
300 RANDALL ROADGENEVAIL60134WELLNESSIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
DELNOR-COMMUNITY HOSPITAL
300 RANDALL ROADGENEVAIL60134HOSPITALIL501(C)(3)3CDH-DELNOR HEALTH SYSTEMfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeType
TRI-CITIES IMCARE
300 RANDALL ROADGENEVAIL60134271942888HEALTH CAREILN/ARELATED
TRI-CITIES DIALYSIS
1300 WATERFORD DR LOWER LEVELAURORAIL60504364272042HEALTH CAREILN/ARELATED
TRI-CITIES SURGERY
345 DELNOR DRIVEGENEVAIL60134510551673HEALTH CAREILN/ARELATED
TRI-CITIES CANCER
300 RANDALL ROADGENEVAIL60134364009336HEALTH CAREILN/ARELATED
FVFPDELNOR PROPERTIES
300 RANDALL RDGENEVAIL60134451147062PROPERTY MANAGEMENTILN/AEXCLUDED

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
DUPAGE HEALTH SERVICES INC
27W353 JEWELL RDWINFIELDIL60190363270521HEALTH CAREDECDH-DELNOR HEALTH SYSTEMC CORPORATION
DELCOM CORPORATION AND SUBSIDIARY
300 RANDALL ROADGENEVAIL60134363334711HEALTH MGMTILCDH-DELNOR HEALTH SYSTEMC CORPORATION
UNITED PROFESSIONALS INSURANCE COMPANY LTD
OTHER INSURANCE FUNDSCDH-DELNOR HEALTH SYSTEMC CORPORATIONPO BOX 30600GRAND CAYMANCJKY1-1203CJ
CORNERSTONE MEDICAL GROUP
27W353 JEWELL RDWINFIELDIL60190364345453PHYSICIAN SERVICESILCENTRAL DUPAGE PHYSICIAN GROUPC CORPORATION
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg