NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTHWESTERN MEMORIAL HEALTHCARE (EIN 36-3149833)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-07
IRS object ID
201331279349300338
Schema version
2011v1.2
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)
Timestamp2013-05-07T10:00:21-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363149833EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRAL DUPAGE PHYSICIAN GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone6309331600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line127W353 Jewell RdAddressLine1
CityWinfieldCity
StateILState
ZIP Code60190ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN ORSININame
TitleEVP/CFOTitle
Date Signed2013-04-23DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn WoodhullName
PTINP01305268PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1CADENCE PHYSICIAN GROUPBusinessNameLine1

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 Receipts97565550GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionCENTRAL DUPAGE PHYSICIAN GROUP (CDPG) STRIVES TO DELIVER QUALITY, COST EFFICIENT HEALTH CARE SERVICES TO THE COMMUNITY AND TO COORDINATE, DEVELOP AND SUPPORT QUALITY PATIENT CARE IN PRIMARY CARE FACILITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees549TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI192809TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year16982124ContributionsGrantsPriorYear
Contributions Grants Current Year43337560ContributionsGrantsCurrentYear
Program Service Revenue Prior Year34585625ProgramServiceRevenuePriorYear
Program Service Revenue CY53753999ProgramServiceRevenueCY
Investment Income Prior Year41173InvestmentIncomePriorYear
Investment Income Current Year10078InvestmentIncomeCurrentYear
Other Revenue Prior Year745462OtherRevenuePriorYear
Other Revenue Current Year463913OtherRevenueCurrentYear
Total Revenue Prior Year52354384TotalRevenuePriorYear
Total Revenue Current Year97565550TotalRevenueCurrentYear
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 Year37111121SalariesEtcPriorYear
Salaries Etc Current Year56798000SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16180647OtherExpensePriorYear
Other Expenses Current Year25630507OtherExpensesCurrentYear
Total Expenses Prior Year53291768TotalExpensesPriorYear
Total Expenses Current Year82428507TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-937384RevenuesLessExpensesPriorYear
Revenues Less Expenses CY15137043RevenuesLessExpensesCY
Total Assets BOY10365630TotalAssetsBOY
Total Assets EOY20722760TotalAssetsEOY
Total Liabilities BOY5908996TotalLiabilitiesBOY
Total Liabilities EOY3494993TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4456634NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY17227767NetAssetsOrFundBalancesEOY
Mission DescriptionCENTRAL DUPAGE PHYSICIAN GROUP (CDPG) STRIVES TO DELIVER QUALITY, COST-EFFICIENT HEALTH CARE SERVICES TO THE COMMUNITY AND TO COORDINATE, DEVELOP AND SUPPORT QUALITY PATIENT CARE IN PRIMARY CARE PRACTICE SITES AND SELECT SPECIALTIES FOR THE BENEFIT OF THE COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense75673872Expense
Grants0Grants
Revenue53957774Revenue
DescriptionCENTRAL DUPAGE PHYSICIAN GROUP (CDPG) PROVIDES PRIMARY AND SPECIALTY MEDICAL CARE AND PATIENT EDUCATION THROUGH 194,133 PATIENT VISITS AT PHYSICIAN OFFICES LOCATED THROUGHOUT THE COMMUNITY. IN ADDITION, CDPG PHYSICIANS SERVE AS HOSPITALISTS AT CENTRAL DUPAGE HOSPITAL (A RELATED ORGANIZATION) AND PROVIDED 74,021 PATIENT VISITS. CDPG ALSO OFFERS A HOMECARE PHYSICIAN PROGRAM WHICH PROVIDED 4,411 PHYSICIAN HOUSE CALLS TO THE HOMEBOUND IN OUR COMMUNITY. DESPITE THE FACT THAT COSTS FOR THIS PROGRAM EXCEEDED REVENUES BY $444,000, CDPG BELIEVES THAT THIS PROGRAM PROVIDES A VITAL SERVICE TO MEMBERS OF OUR COMMUNITY.Description
Total Program Service Expense75673872TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
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 EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees549NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
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 CommitteesfalseMinutesOfCommittees
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 (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MAUREEN TAUS
Secretary/Treasurer1.00XX034941127482
MICHAEL VIVODA
Chair1.00XX073770437859
PATRICK TOWNE MD
Vice Chair / Medical Director40.00XX472010052262
JAMES T SPEAR
CFO1.00X094105035212
KAREN DIERSEN
Asst. Secy to the BOD1.00X09825814748
LUKE MCGUINNESS
CEO1.00X0253649640661
MICHAEL HOLZHUETER
VP-Legal & Asst Secy. to the BOD1.00X055963239430
ANDREW CHENELLE MD
Physician40.00694787039557X
KONSTANTIN DZAMASHVILI MD
Physician40.00573005018990X
NEIL THOMAS
Physician40.00580999010324X
TARAS MASNYK MD
Physician40.00505801038063X
TIMOTHY W JAMES MD
Physician40.0071624806099X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3542850TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5222551TotalReportableCompFrmRltdOrgs
Total Other Compensation360687TotalOtherCompensation
Number Individuals GT100 K102NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CDH-DELNOR HEALTH SYSTEM
27W353 JEWELL RDWINFIELDIL60190MANAGEMENT SERVICES1863549
CENTRAL DUPAGE HOSPITAL ASSOCIATION
25 N WINFIELD RDWINFIELDIL60190LABORATORY SERVICES177305
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations43337560RelatedOrganizations
Total Contributions43337560TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT CARE REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column53753999TotalRevenueColumn
Related Or Exempt Function Income53753999RelatedOrExemptFunctionIncome

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 Revenue53753999TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10078TotalRevenueColumn
Exclusion$10,078ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real11000Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real11000Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column11000TotalRevenueColumn
Exclusion$11,000ExclusionAmount

Gain Or Loss GainOrLoss

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Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

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Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

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Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
BILLING SERVICE REVENUE900099396584203775192809
RESEARCH GRANT REVENUE90009956329$56,329

Miscellaneous Revenue MiscellaneousRevenue

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Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue452913TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column97565550TotalRevenueColumn
Related Or Exempt Function Income53957774RelatedOrExemptFunctionIncome
Unrelated Business Revenue192809UnrelatedBusinessRevenue
Exclusion$77,407ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

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Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

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Total0Total

Foreign Grants ForeignGrants

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Total0Total

Benefits To Members BenefitsToMembers

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Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

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Total539135Total
Program Services539135ProgramServices

Comp Disqual Persons CompDisqualPersons

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Total0Total

Other Salaries And Wages OtherSalariesAndWages

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Total49247761Total
Program Services45800418ProgramServices
Management And General3447343ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

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Total1496904Total
Program Services1392121ProgramServices
Management And General104783ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

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Total3168601Total
Program Services2946799ProgramServices
Management And General221802ManagementAndGeneral

Payroll Taxes PayrollTaxes

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Total2345599Total
Program Services2181407ProgramServices
Management And General164192ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1554667Total
Management And General1554667ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17000Total
Management And General17000ManagementAndGeneral

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)
Total1090945Total
Program Services543899ProgramServices
Management And General547046ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total10530Total
Management And General10530ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total672482Total
Program Services450563ProgramServices
Management And General221919ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total109613Total
Program Services73441ProgramServices
Management And General36172ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3793739Total
Program Services3528177ProgramServices
Management And General265562ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total18099Total
Program Services17194ProgramServices
Management And General905ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1378Total
Program Services689ProgramServices
Management And General689ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1500459Total
Program Services1395427ProgramServices
Management And General105032ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4920162Total
Program Services4920162ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PATIENT CARE EXPENSE87762158776215
BAD DEBT EXPENSE15797101579710
DUES-PHYSICIANS204121204121
CONTINUING MEDICAL EDUCATION207091207091

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1174296Total
Program Services1117303ProgramServices
Management And General56993ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total82428507Total
Program Services75673872ProgramServices
Management And General6754635ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3165BOY
EOY8470EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY58817BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4118101BOY
EOY8688372EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY247BOY
EOY4975EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14329324LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10140719LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3743105BOY
EOY4188605EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9001BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY2912727EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2433194BOY
EOY4919611EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10365630BOY
EOY20722760EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2510384BOY
EOY219726EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY19951BOY
EOY19951EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3378661BOY
EOY3255316EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5908996BOY
EOY3494993EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4456634BOY
EOY17227767EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4456634BOY
EOY17227767EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10365630BOY
EOY20722760EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses15137043ReconcilationRevenueExpenses
Reconcilation Other Changes-2365910ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years161185CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years187762CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14607770CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16982124CurrentTaxYearMinus1Year
Current Tax Year43337560CurrentTaxYear
Total75276401Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19549906CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20942805CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22640733CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34585625CurrentTaxYearMinus1Year
Current Tax Year53753999CurrentTaxYear
Total151473068Total

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 Years19711091CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21130567CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37248503CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year51567749CurrentTaxYearMinus1Year
Current Tax Year97091559CurrentTaxYear
Total226749469Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
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 Total509226749469PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years111283CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years94734CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39747CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48052CurrentTaxYearMinus1Year
Current Tax Year21078CurrentTaxYear
Total314894Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years111283CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years94734CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39747CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48052CurrentTaxYearMinus1Year
Current Tax Year21078CurrentTaxYear
Total314894Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years198032CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years280950CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year132156CurrentTaxYearMinus1Year
Current Tax Year260104CurrentTaxYear
Total871242Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19822374CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21423333CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37569200CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year51747957CurrentTaxYearMinus1Year
Current Tax Year97372741CurrentTaxYear
Total227935605Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99480PublicSupportPercentage509
Prior Year Support Percentage0.99300PriorYearSupportPercentage
Investment Income Percentage0.00140InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00300PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - BILLING SERVICE REVENUE, COLUMN A - , COLUMN B - 198032, COLUMN C - 280950, COLUMN D - 117990, COLUMN E - 203775, COLUMN F - 800747; DESCRIPTION - RESEARCH GRANTS, COLUMN A - 0, COLUMN B - 0, COLUMN C - 0, COLUMN D - 14166, COLUMN E - 56329, COLUMN F - 70495;,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 D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5265230BeginningOfYearBalance
Contributions12631Contributions
Investment Earnings Or Losses205157InvestmentEarningsOrLosses
End Of Year Balance5483018EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4623441BeginningOfYearBalance
Contributions32212Contributions
Investment Earnings Or Losses637454InvestmentEarningsOrLosses
Other Expenditures27877OtherExpenditures
End Of Year Balance5265230EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4359240BeginningOfYearBalance
Contributions73315Contributions
Investment Earnings Or Losses198755InvestmentEarningsOrLosses
Other Expenditures7869OtherExpenditures
End Of Year Balance4623441EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4632175BeginningOfYearBalance
Contributions299599Contributions
Investment Earnings Or Losses-550985InvestmentEarningsOrLosses
Other Expenditures21549OtherExpenditures
End Of Year Balance4359240EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

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 Basis2569692OtherCostOrOtherBasis
Depreciation1610616Depreciation
Book Value959076BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11759632OtherCostOrOtherBasis
Depreciation8530103Depreciation
Book Value3229529BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4188605TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value0BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value0BookValue

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENT IN SUBSIDIARYDescription
Book Value2912727BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities2912727TotalOfBookValueSecurities

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED ORGANIZATIONS2448209
UNAMORTIZED PRACTICE ACQUISITION COSTS2471402
FieldValueIRS element (for citing)
Total Book Value Other Assets4919611TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED ORGANIZATIONS$3,202,074
UNCLAIMED PROPERTY$53,242
FieldValueIRS element (for citing)
Total Of Amounts3255316TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4THE ENDOWMENT FUNDS ARE HELD BY CADENCE HEALTH FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION, AND ARE USED TO SUPPORT CENTRAL DUPAGE HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION, AND CENTRAL DUPAGE PHYSICIAN GROUP'S HOMECARE PHYSICIAN'S PROGRAMS.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2THE 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, 2012, THE CORPORATIONS DO NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
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 (11 entries)

Base 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
ANDREW CHENELLE MD
677425000173620204970190600734344000
JAMES T SPEAR
062045503182230237209747025465097626200
KONSTANTIN DZAMASHVILI MD
5698030003202000189900591995000
LUKE MCGUINNESS
09246690128776303240640187140219470257715700
MAUREEN TAUS
024564701024630130102486502617037689300
MICHAEL HOLZHUETER
03064090235005018218013965025465059906200
MICHAEL VIVODA
04709040248293018507018000019859077556300
NEIL THOMAS
56187700019122000103240591323000
PATRICK TOWNE MD
47077200012380292180230440524272000
TARAS MASNYK MD
5039910100017100122500258130543864000
TIMOTHY W JAMES MD
713626000262203337027620722347000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Tax indemnification and gross-up paymentsSchedule J, Part I, Line 1aEMPLOYEES, INCLUDING INTERESTED PERSONS, RECEIVED A $105 GIFT CARD IN RECOGNITION OF CENTRAL DUPAGE HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION, ACHIEVING A NATIONAL AWARD. THIS WAS TREATED AS TAXABLE COMPENSATION AND GROSSED-UP IN THE EMPLOYEES' W-2.
Arrangement used to establish the top management official's compensationSchedule J, Part I, Line 3THE 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.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTHE CHIEF EXECUTIVE OFFICER PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PURSUANT TO THIS PLAN, DURING CY 2011, $300,000 WAS CONTRIBUTED, IMMEDIATELY VESTED, AND DISTRIBUTED. ALL ASPECTS OF THE 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 6ACENTRAL DUPAGE PHYSICIAN GROUP (CDPG) MAINTAINS AN INCENTIVE PLAN (MYSTEP) AS A COMPONENT OF COMPENSATION FOR ITS EMPLOYEES, INCLUDING EMPLOYED INTERESTED PERSONS. THE INCENTIVE PORTION OF THE 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.
NON-FIXED PAYMENTSSCHEDULE J, PART I, LINE 7MOST EMPLOYED PHYSICIANS, INCLUDING THE MAJORITY OF THE EMPLOYED INTERESTED PERSONS, ARE COMPENSATED USING A PAY MATRIX WHICH APPROXIMATES EARNINGS AT THE PHYSICIAN'S LEVEL OF PRODUCTIVITY AS BENCHMARKED BY THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA). FOR CERTAIN PHYSICIANS, AN ADDITIONAL STIPEND IS PAID FOR PERFORMANCE OF ADMINISTRATIVE DUTIES. IN ADDITION, SOME EMPLOYED PHYSICIANS PARTICIPATE IN AN INCENTIVE PROGRAM UNDER WHICH ADDITIONAL COMPENSATION MAY BE EARNED BASED ON ACHIEVEMENT OF ESTABLISHED GOALS FOR PRODUCTIVITY, PATIENT SATISFACTION, QUALITY AND CITIZENSHIP. EMPLOYEES PARTICIPATING IN THIS INCENTIVE PROGRAM DO NOT PARTICIPATE IN THE MYSTEP PROGRAM DESCRIBED IN THE SUPPLEMENTAL NARRATIVE. THIS COMPENSATION PROGRAM DOES NOT MEET THE STANDARDS AS SET OUT IN SCHEDULE J, PART I FOR LINES 7.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE SOLE MEMBER OF CENTRAL DUPAGE PHYSICIAN GROUP 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. CDPG 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 CENTRAL DUPAGE PHYSICIAN GROUP.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bCERTAIN DECISIONS OF THE CENTRAL DUPAGE PHYSICIAN GROUP'S (CDPG) GOVERNING BODY ARE SUBJECT TO APPROVAL BY CDH-DELNOR HEALTH SYSTEM, AS THE SOLE MEMBER OF CDPG. 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.
Documentation of meetings held by committees of governing bodyForm 990, Part VI, Section A, Line 8bTHERE ARE NO COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF ORGANIZATION, THEREFORE, THIS QUESTION HAS BEEN INTENTIONALLY MARKED 'NO'.
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 ADVISORS 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 CENTRAL DUPAGE PHYSICIAN GROUP'S 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 TAX-EXEMPT ORGANIZATION AND SOLE MEMBER OF THE FILING ORGANIZATION. THE COMPENSATION COMMITTEE OF THE CDH-DELNOR HEALTH SYSTEM BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMITTEE 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 JANUARY, 2011.
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.
COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEESFORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B)CDH-DELNOR HEALTH, AS PARENT AND SOLE MEMBER OF THESE RELATED ORGANIZATIONS, PROVIDES MANAGEMENT SERVICES TO ALL. DUE TO THE OVERLAP OF THE MANAGEMENT OF THESE ORGANIZATIONS, THERE IS NO MEANINGFUL METHOD IN WHICH TO ESTIMATE THE HOURS DEVOTED SPECIFICALLY TO ANY ONE OF THE RELATED ORGANIZATIONS. THEREFORE AN ESTIMATE OF 1 HOUR PER WEEK IS REPORTED AS BEING DEVOTED TO THIS FILING ORGANIZATION BY THOSE INDIVIDUALS. THE DIRECTORS/OFFICERS LISTED ON PART VII, LINE 1A PROVIDE LEADERSHIP AND MANAGEMENT JOINTLY TO THE FILING ORGANIZATION AND TO ALL OTHER RELATED ORGANIZATIONS WITHIN THE CDH-DELNOR HEALTH SYSTEM OF HEALTHCARE ORGANIZATION (SEE SCHEDULE R, PART II). FOR THOSE EMPLOYEES WHOSE COMPENSATION INFORMATION IS ALSO REPORTED ON RELATED ORGANIZATIONS' FORM 990S, THE INFORMATION REPORTED IN PART VII REFLECTS THE FULL AND COMPLETE CALENDAR YEAR 2011 COMPENSATION FROM ALL RELATED ORGANIZATIONS. AGGREGATING AND SUMMING THE COMPENSATION FOR A REPORTED INDIVIDUAL FROM EACH DISTINCT BUT RELATED FORM 990 WOULD RESULT IN AN OVERSTATEMENT OF TOTAL COMPENSATION. ONE LISTED PERSON, PATRICK TOWNE, IS EMPLOYED BY CENTRAL DUPAGE PHYSICIAN GROUP AND IS COMPENSATED FOR THE PHYSICIAN SERVICES HE PROVIDES.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -2365910;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CDH-DELNOR HEALTH SYSTEM
27W353 JEWELL RDWINFIELDIL60190363099698MANAGEMENTIL501(C)(3)Type IICDH-DELNOR HEALTH SYSTEMfalse
CENTRAL DUPAGE HOSPITAL ASSOCIATION
25 N WINFIELD RDWINFIELDIL60190362513909HOSPITALIL501(C)(3)3CDH-DELNOR HEALTH SYSTEMfalse
CADENCE HEALTH FOUNDATION
27W353 JEWELL RDWINFIELDIL60190364401289FUNDRAISINGIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
COMMUNITY NURSING SERVICE OF DUPAGE COUNTY
690 E NORTH AVENUECAROL STREAMIL60188366080833HOME HEALTHIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
PAHCS II
27W353 JEWELL RDWINFIELDIL60190363887234OCCUP. HEALTHIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
CENTRAL DUPAGE SPECIAL HEALTH
27W353 JEWELL RDWINFIELDIL60190364310557PHARMACYIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
DELNOR-COMMUNITY HEALTHCARE FOUNDATION
300 RANDALL ROADGENEVAIL60134363347004HEALTH CAREIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
DELNOR-COMMUNITY RESIDENTIAL LIVING INC
300 RANDALL ROADGENEVAIL60134364156211HEALTH CAREIL501(C)(3)9CDH-DELNOR HEALTH SYSTEM
LIVING WELL CANCER RESOURCE CENTER
300 RANDALL ROADGENEVAIL60134161727774HEALTH CAREIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
DELNOR-COMMUNITY HOSPITAL
300 RANDALL ROADGENEVAIL60134363484281HEALTH CAREIL501(C)(3)3CDH-DELNOR HEALTH SYSTEMfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
TRI-CITIES IMCARE
300 RANDALL ROADGENEVAIL60134271942888HEALTH CAREILDELCOMRELATED
TRI-CITIES DIALYSIS
1300 WATERFORD DR LOWER LEVELAURORAIL60504364272042HEALTH CAREILDELCOMRELATED
TRI-CITIES SURGERY
345 DELNOR DRIVEGENEVAIL60134510551673HEALTH CAREILDELCOMRELATED
TRI-CITIES CANCER
300 RANDALL ROADGENEVAIL60134364009336HEALTH CAREILDELCOMRELATED
FVFPDELNOR PROPERTIES
300 RANDALL RDGENEVAIL60134451147062PROPERTY MANAGEMENTILDELCOMEXCLUDED

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
DELCOM CORPORATION AND SUBSIDIARY
300 RANDALL ROADGENEVAIL60134363334711HEALTH MGMTILCDH-DELNOR HEALTH SYSTEMC CORPORATION
DUPAGE HEALTH SERVICES INC
27W353 JEWELL RDWINFIELDIL60190363270521HEALTHCAREDECDH-DELNOR HEALTH SYSTEMC CORPORATION
CORNERSTONE MEDICAL GROUP
2001 WEISBROOK RDWHEATONIL60189364345453HEALTHCAREILCENTRAL DUPAGE PHYSICIAN GROUPC CORPORATION-222186645189181
UNITED PROFESSIONALS INSURANCE COMPANY LTD
OTHER INSURANCE FUNDSCDH-DELNOR HEALTH SYSTEMC CORPORATIONPO BOX 30600GRAND CAYMANCJKY1-1203CJ
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
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 OrgstrueRentalOfFacilitiesFrOtherOrgs
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 OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1CORNERSTONE MEDICAL GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypePTransactionType
Amount Involved4314586AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination

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