2013-05-07T10:00:25-05:00 2012-06-30 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2011-07-01 363484281 DELNOR-COMMUNITY HOSPITAL DELN 6302083000 300 Randall Road Geneva IL 60134 JOHN ORSINI 2013-04-23 true John Woodhull P01305268 3128997000 2011 2016-02-25 16:41:14Z DELNOR HOSPITAL MICHAEL VIVODA 25 N Winfield Road Winfield IL 60190 314056998 false X WWW.DELNOR.ORG X 1986 IL DELNOR-COMMUNITY HOSPITAL IS A CHARITABLE NOT-FOR-PROFIT ORGANIZATION WHICH PROVIDES ACUTE CARE HEALTH SERVICES PRIMARILY TO THE ST. CHARLES, GENEVA, BATAVIA, AND ELBURN, ILLINOIS COMMUNITIES. 22 15 1568 600 530563 296782 464616 735689 168922621 198052791 8145538 12786940 2963658 2479106 180496433 214054526 5085830 4910717 0 0 77764223 82359020 0 0 0 89780147 104851077 172630200 192120814 7866233 21933712 361711475 355278122 180259484 170691379 181451991 184586743 DELNOR-COMMUNITY HOSPITAL IS A CHARITABLE NOT-FOR-PROFIT ORGANIZATION WHICH PROVIDES ACUTE CARE HEALTH SERVICES PRIMARILY TO THE ST. CHARLES, GENEVA, BATAVIA, AND ELBURN, ILLINOIS COMMUNITIES. SEE SCHEDULE H FOR FULL COMMUNITY BENEFIT PLAN INFORMATION. false false 155786640 4910717 199072567 PATIENT SERVICES - FEES FOR HOSPITAL SERVICES PROVIDED TO PATIENTS CONTRIBUTING TO DELNOR-COMMUNITY HOSPITAL'S EXEMPT PURPOSE. THE HOSPITAL PROVIDES NEEDED CLINICAL SERVICES AND FACILITIES TO MEET THE MEDICAL AND HEALTH AND WELLNESS NEEDS OF THE COMMUNITIES SERVED. THE FISCAL YEAR SERVICES INCLUDED 8,069 INPATIENT ADMISSIONS RESULTING IN 28,483 PATIENT DAYS, 150,927 OUTPATIENT VISITS, AND 39,290 EMERGENCY ROOM VISITS. GOVERNMENT SPONSORED INDIGENT HEALTH CARE, WHICH CONTRIBUTES TO DELNOR-COMMUNITY HOSPITAL'S EXEMPT PURPOSE, WAS $26,209,613. 155786640 true true false true false false false false false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false true true false false false false true false false false false true 211 0 true 1568 true true true false false false false false false false false false X 22 15 true false false false true true true true true false false true true true true true true true true false IL X John Orsini EVP & CFO 6309331600 25 N Winfield Road Winfield IL 60190 X CATHERINE E KOZIK 1.00 X X 0 909 0 DAVID C BROWN 1.00 X X 0 909 0 LUKE MCGUINNESS 1.00 X X 0 2536496 40661 RICHARD A MARK 1.00 X X 0 909 0 WILLIAM P FLESCH 1.00 X X 0 909 0 BRADLEY J KINSEY 1.00 X 0 909 0 C WILLIAM POLLARD 1.00 X 0 909 0 DONALD VAN PELT 1.00 X 0 909 0 JAMES E COMERFORD 1.00 X 0 909 0 JAMES G GIBLIN MD 1.00 X 0 78500 0 JOSEPH G CACCHIONE MD 1.00 X 0 0 0 KAY CLANCY 1.00 X 0 909 0 MANNY FAVELA 1.00 X 0 909 0 MATTHEW J ROSS MD 1.00 X 0 600 0 MICHAEL J KACHMER 1.00 X 0 909 0 PATRICK J FLINN 1.00 X 0 909 0 PHILIP A BRANSHAW 1.00 X 0 500 0 ROGER T HARRIS 1.00 X 0 909 0 SCOTT E FORE 1.00 X 0 909 0 STEPHEN R HOLTSFORD MD 1.00 X 40050 909 0 TIMOTHY P MOEN 1.00 X 0 909 0 WILLIAM A WOLFORD 1.00 X 0 909 0 JAMES T SPEAR 1.00 X 0 941050 35212 KAREN DIERSEN 1.00 X 0 98258 14748 MAUREEN TAUS 1.00 X 0 349411 27482 MICHAEL HOLZHUETER 1.00 X 0 559632 39430 THOMAS WRIGHT 40.00 X 3160876 0 36401 JOHN HUBBE 40.00 X 373869 0 35401 KATHRYN MONTAGUE 40.00 X 285913 0 52062 LORE BOGOLIN 40.00 X 276195 0 20414 MARK DANIELS MD 40.00 X 387046 0 6915 TRACY VANDERWIEL 40.00 X 198773 0 43444 JAMES KEARNS 0.00 X 441779 0 31525 MICHAEL KITTOE 0.00 X 601635 0 27650 MICHELE MCCLELLAND 0.00 X 361677 0 19258 6127813 4579900 430603 228 true true false CDH-DELNOR HEALTH SYSTEM 27W353 JEWELL RD WINFIELD IL 60190 MANAGEMENT SERVICES 2855404 CROTHALL FACILITIES MANAGEMENT 13028 COLLECTIONS CENTER CHICAGO IL 60693 FACILITIES MANAGEMENT 2392549 LAUGHLIN CONSTABLE PO BOX 1451 MILWAUKEE WI 53201 MARKETING 966044 DELOITTE CONSULTING LLP PO BOS 7247-6446 PHILADELPHIA PA 191706446 CONSULTING SERVICES 896000 MEDPAY MANAGEMENT SYSTEMS PO BOX 739 MOLINE IL 61265 COLLECTION SERVICES 831421 40 602000 133689 122829 735689 HOSPITAL SERVICE REVENUE 900099 198052791 197522228 530563 0 0 0 0 198052791 10097366 10097366 0 0 104415 104415 0 104415 104415 102692046 100002472 2689574 0 2689574 2689574 0 0 0 PURCHASED SERVICE REVENUE 900099 1550339 1550339 NUTRITION SERVICES 900099 824352 824352 0 0 0 0 2374691 214054526 199072567 530563 13715707 4910717 4910717 0 0 0 1789645 1789645 0 62896754 50317403 12579351 2037390 1629912 407478 11367407 9093926 2273481 4267824 3414259 853565 5710806 5710806 0 0 41056 41056 0 0 18022266 11928791 6093475 5890 5890 1957635 1566108 391527 1627344 976406 650938 0 7437719 6322061 1115658 80196 80196 0 114189 22838 91351 6895283 6895283 0 12866588 10936600 1929988 1921315 1921315 PATIENT CARE EXPENSES 28885402 28885402 BAD DEBT 12883541 12883541 TAXES, FEES, LICENSES 4010817 4010817 FEDERAL INCOME TAX 189364 189364 2201666 71261 2130405 0 192120814 155786640 36334174 0 0 3815 10429065 298462 25139715 28797504 726237 2931396 2538121 1414963 603237 260422722 131736252 123518017 128686470 192485655 186212423 0 0 0 0 5792664 7411853 361711475 355278122 20308000 4835920 128731268 126889680 31220216 38965779 180259484 170691379 X 179959221 181418839 1492770 3167904 181451991 184586743 361711475 355278122 X 21933712 -18798960 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 41056 41056 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 PART II-B, LINE 1I: A PORTION OF THE DUES PAID TO HOSPITAL TRADE ASSOCIATIONS WAS DETERMINED BY THOSE ORGANIZATIONS TO HAVE BEEN USED IN THEIR LOBBYING ACTIVITIES ON BEHALF OF THE HOSPITAL INDUSTRY. 461057 461057 127201207 42315426 84885781 1661449 928426 733023 110917614 79432436 31485178 20181395 9059964 11121431 128686470 0 OTHER LONG-TERM LIABILITIES 15715459 DUE TO RELATED ORGANIZATIONS 1013773 DUE TO THIRD PARTY PAYORS 21716756 RETIREMENT PLAN LIABILITY 519791 38965779 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE 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. true true X true X 3 true X 6 true true false true true 2656000 2656000 0.01540 6760000 6760000 0.03920 0 0.00000 0 0 9416000 0 9416000 0.05460 696000 696000 0.00400 388000 388000 0.00230 0 0.00000 0 0.00000 61000 61000 0.00040 0 0 1145000 0 1145000 0.00670 0 0 10561000 0 10561000 0.06130 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 0 0 0 0.00000 false 3204000 0 44485708 63935708 -19450000 X true true 1 1 DELNOR - COMMUNITY HOSPITAL

300 RANDALL ROAD GENEVA IL 60134

X X X DELNOR - COMMUNITY HOSPITAL 1 true true 300 true 600 true X true true X X X X X X true false true X false false Community benefit report prepared by related organization Schedule H, Part I, Line 6a CDH-DELNOR HEALTH SYSTEM (D/B/A CADENCE HEALTH) Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 THE COSTING METHOD USED TO DETERMINE AMOUNTS REPORTED WAS DETERMINED USING A COST TO CHARGE RATIO BASED ON THE MEDICARE COST REPORT. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 12,883,541 Subsidized Health Services Schedule H, Part I, Line 7g N/A Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 THE ORGANIZATION FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN ITS RECOGNITION OF BAD DEBT EXPENSE. OUR AGED RECEIVABLES ARE VALUED AND SUBJECT TO AN INDEPENDENT AUDIT. LINE 2'S COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. FOR LINE 3, WHILE WE RECOGNIZE THAT THERE WILL MOST DEFINITELY BE SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF WE KNOW THE PATIENT IS ELIGIBLE, THEY WOULD FALL UNDER CHARITY AND NOT BAD DEBT. Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 THE ORGANIZATION'S SHORTFALL ON THE MEDICARE PROGRAM SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE IN EXCESS OF OUR COSTS TO THESE PATIENTS. THESE ARE RESIDENTS OF OUR COMMUNITY THAT NEED CARE. THE COSTING METHODOLOGY USED FOR LINE 6 IS THE MEDICARE COST REPORT COST-TO-CHARGE RATIO. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b IF IT IS KNOWN THAT THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE, THESE ACCOUNTS ARE ADJUSTED TO CHARITY AND NOT PURSUED WITH A COLLECTION AGENCY. FOR ALL OTHER ACCOUNTS, IF SENT TO A COLLECTION AGENCY AND THE COLLECTION AGENCY OBTAINS DOCUMENTATION TO DETERMINE THAT THE PATIENT IS ELIGIBLE FOR CHARITY, THE ACCOUNT IS RETURNED TO THE ORGANIZATION FOR CHARITY ADJUSTMENT AND NO FURTHER COLLECTION EFFORT IS MADE. Means used to determine amounts billed Schedule H, Part V Section B, Line 19d (1) DELNOR - COMMUNITY HOSPITAL - A 100% DISCOUNT IS GIVEN TO FAP-ELIGIBLE PATIENTS AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINE (FPG). A DISCOUNT IS GIVEN TO FAP-ELIGIBLE PATIENTS WHOSE INCOME IS BETWEEN 301% AND 600% (FPG), WITH THE MAXIMUM AMOUNT CHARGED TO FAP-ELIGIBLE PATIENTS BEING CALCULATED USING THE HOSPITAL'S MEDICARE COST-TO-CHARGE RATIO.; Needs assessment. Schedule H, Part VI, Line 2 AS A NOT-FOR-PROFIT ORGANIZATION, DELNOR HOSPITAL IS DEDICATED TO MEETING THE HEALTH NEEDS OF ALL COMMUNITY MEMBERS THROUGH THE PROVISION OF EXCELLENT AND COMPASSIONATE CARE. IN 2007, DELNOR ENGAGED PROFESSIONAL RESEARCH CONSULTANTS (PRC) TO SURVEY COMMUNITY MEMBERS, CONDUCT SECONDARY RESEARCH ON THE INCIDENCE OF DISEASE IN THE SERVICE AREA AND FACILITATE FOCUS GROUPS. THESE FINDINGS, COUPLED WITH THE 2006 KANE COUNTY NEEDS ASSESSMENT/COMMUNITY HEALTH PLAN AND THE COUNTY'S 2007-2011 PROGRESS REPORT ON STRATEGY IMPLEMENTATION, GUIDED THE DEVELOPMENT OF OUR COMMUNITY BENEFIT PLAN FOR FISCAL YEARS 2007 THROUGH 2011. THIS PLAN IS REVIEWED AND REVISED ANNUALLY BASED ON ONGOING RESEARCH AND CHANGES IN HEALTH TRENDS. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 INFORMATION REGARDING FINANCIAL ASSISTANCE IS POSTED AT POINTS OF SERVICE. ALL HOSPITAL EMPLOYEES IN PATIENT FINANCIAL SERVICES, PATIENT ACCESS, REGISTRATION SERVICES, FINANCIAL CLEARANCE CENTER AND THE EMERGENCY ROOM ARE FULLY VERSED IN THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICY, HAVE ACCESS TO THE APPLICATION FORMS, CAN PROVIDE PATIENTS WITH PRINTED MATERIAL EXPLAINING THE CHARITY CARE PROGRAM AND ARE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE HOSPITAL REPRESENTATIVE. PLEASE NOTE THAT THE REGISTRATION STAFF WILL OFFER A FINANCIAL ASSISTANCE PACKET TO ALL SELF-PAY PATIENTS OR THOSE THAT EXPRESS CONCERN ABOUT THEIR FINANCIAL RESPONSIBILITY. IN ADDITION, THE FILING ORGANIZATION'S WEBSITE HAS INFORMATION EXPLAINING OUR CHARITY CARE/FINANCIAL ASSISTANCE PROGRAM, INCLUDING THE FEDERAL POVERTY GUIDELINES. Community information. Schedule H, Part VI, Line 4 CADENCE HEALTH SERVES A POPULATION OF MORE THAN 1.4 MILLION PEOPLE IN DUPAGE AND KANE COUNTIES, A COMBINED AREA THAT COVERS NEARLY 900 SQUARE MILES. FAST GROWING AND INCREASINGLY DIVERSE, THE CADENCE HEALTH SERVICE AREA IN IN A CONSTANT STATE OF CHANGE, REQUIRING ONGOING ATTENTION TO EVOLVING HEALTH TRENDS AND RESIDENT NEEDS. DURING THE PAST TWO DECADES, THE DEMOGRAPHIC PROFILE OF CENTRAL KANE COUNTY HAS CHANGED DRAMATICALLY, WITH THE FASTEST-GROWING SEGMENT BEING 55- TO 69-YEAR-OLDS. WITH 515,269 CURRENT RESIDENTS, THE OVERALL KANE COUNTY POPULATION IS EXPECTED TO REACH 800,000 BY THE YEAR 2040. THIS WILL DRIVE COMMUNITY NEED FOR A GROWING RANGE OF ACUTE CARE SERVICES, INCLUDING HEART AND VASCULAR, STROKE, DIABETES AND CANCER CARE FOR THE AGING POPULATION, AS WELL AS PREVENTIVE AND WELLNESS SERVICES TO PROMOTE HEALTHY LIFESTYLES. KANE COUNTY'S OVERALL MINORITY POPULATION, SPECIFICALLY THE HISPANIC SECTOR, IS ALSO EXPECTED TO CONTINUE TO GROW. THIS GROWTH WILL INCREASE THE NEED FOR CULTURALLY SENSITIVE OUTREACH AND CLINICAL PROGRAMS. Affiliated health care system Schedule H, Part VI, Line 6 IN 2011, DELNOR-COMMUNITY HOSPITAL TOOK A STEP TOWARD INTEGRATING CARE ACROSS THE REGION BY MERGING WITH CENTRAL DUPAGE HOSPITAL. BOTH CDH & DELNOR REMAIN COMMITTED TO THE ESSENTIAL ROLES IN SERVING THE HEALTHCARE NEEDS OF OUR COMMUNITIES, INCLUDING STRONG COMMITMENTS TO CHARITY CARE, WELLNESS AND PREVENTION PROGRAMS, AND CONTINUED COLLABORATION WITH COMMUNITY ORGANIZATIONS AND AGENCIES. State filing of community benefit report Schedule H, Part VI, Line 7 IL true CDH-DELNOR HEALTH SYSTEM 27W353 JEWELL RD WINFIELD IL 60190 363099698 501C3 4900000 HEALTHCARE ILLINOIS POISON CENTER 222 S RIVERSIDE PLAZA SUITE 1900 CHICAGO IL 60606 362167008 501C3 10717 PUBLIC HEALTH AND SAFETY 2 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 DELNOR-COMMUNITY HOSPITAL PROVIDES GRANT FUNDS TO A RELATED TAX-EXEMPT ORGANIZATION. DELNOR-COMMUNITY HOSPITAL MONITORS THE USE OF THE GRANT FUNDS THROUGH MANAGEMENT OVERSIGHT BY A COMMON MANAGEMENT TEAM. X X true true true true false false false false false false false JAMES KEARNS 109646 0 84342 0 247791 0 7877 0 23648 0 473304 0 0 0 JAMES T SPEAR 0 620455 0 318223 0 2372 0 9747 0 25465 0 976262 0 0 JOHN HUBBE 203674 0 134386 0 35809 0 9800 0 25601 0 409270 0 0 0 KATHRYN MONTAGUE 245602 0 0 0 40311 0 9800 0 42262 0 337975 0 0 0 LORE BOGOLIN 169063 0 76186 0 30946 0 9547 0 10867 0 296609 0 0 0 LUKE MCGUINNESS 0 924669 0 1287763 0 324064 0 18714 0 21947 0 2577157 0 0 MARK DANIELS MD 271199 0 75318 0 40529 0 0 0 6915 0 393961 0 0 0 MAUREEN TAUS 0 245647 0 102463 0 1301 0 24865 0 2617 0 376893 0 0 MICHAEL HOLZHUETER 0 306409 0 235005 0 18218 0 13965 0 25465 0 599062 0 0 MICHAEL KITTOE 96407 0 171850 0 333378 0 9800 0 17850 0 629285 0 0 0 MICHELE MCCLELLAND 45015 0 78481 0 238181 0 5184 0 14074 0 380935 0 0 0 THOMAS WRIGHT 488737 0 123703 0 2548436 0 9800 0 26601 0 3197277 0 1253922 0 TRACY VANDERWIEL 195706 0 0 0 3067 0 3975 0 39469 0 242217 0 0 0 Travel for companions Schedule J, Part I, Line 1a A SOCIAL FUNCTION INVOLVING THE RECEIPT OF AN AWARD GIVEN TO THE ORGANIZATION WAS DEEMED TO BE OF THE TYPE AND/OR NATURE THAT AN INVITATION TO SPOUSES WAS EXTENDED AND THE ORGANIZATION'S SUPPORT OF SPOUSAL TRAVEL WAS DEEMED WARRANTED. TRAVEL FOR THE COMPANION OF TOM WRIGHT WAS PROVIDED BY THE ORGANIZATION. THE COMPANION'S TRAVEL COST WAS REPORTED AS TAXABLE INCOME TO THE LISTED PERSON ON FORM W-2 OR FORM 1099. Health or social club dues or initiation fees Schedule J, Part I, Line 1a DELNOR-COMMUNITY HOSPITAL ENCOURAGES ALL OF ITS EMPLOYEES TO PARTICIPATE IN ITS AFFILIATED HEALTH & WELLNESS CLUB BY SUBSIDIZING A PORTION OF THE HEALTH CLUB DUES. INDIVIDUALS WHO TOOK ADVANTAGE OF THIS PROGRAM DURING THE REPORTING PERIOD INCLUDED: THOMAS WRIGHT, MICHELLE MCCLELLAND AND JAMES KEARNS. BASED ON STANDARD DELNOR PRACTICE, THE VALUE OF THE BENEFIT WAS NOT INCLUDED AS TAXABLE INCOME TO THE PARTICIPANTS. Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 THE FILING ORGANIZATION RELIED ON CDH-DELNOR HEALTH SYSTEM, SOLE MEMBER OF THE FILING ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, COMPARABILITY DATA AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION OF ITS TOP MANAGEMENT OFFICIALS. Severance or change-of-control payment Schedule J, Part I, Line 4a ONE FORMER OFFICER AND TWO FORMER LISTED EMPLOYEES RECEIVED CHANGE OF CONTROL PAYMENTS IN CY2011. MICHAEL KITTOE $258,289 JAMES KEARNS $209,085 MICHELE MCCLELLAND $198,369 Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b THE CHIEF EXECUTIVE OFFICER PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PURSUANT TO THIS PLAN, DURING CY 2010, $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. ONE OFFICER, THOMAS WRIGHT, WAS ELIGIBLE TO PARTICIPATE IN A 457(F) DEFERRED COMPENSATION PROGRAM. TOTAL CY2011 FUNDING FROM MR. WRIGHT WAS $ 1,333,000. COMPENSATION CONTINGENT ON NET EARNINGS SCHEDULE J, PART I, LINE 6A DELNOR-COMMUNITY HOSPITAL 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. DELNOR-COMMUNITY HOSPITAL 363484281 45200PJ32 2008-05-23 6304260 2002A-IL FIN. AUTH. REV. BONDS false false false DELNOR-COMMUNITY HOSPITAL 363484281 45200PJ40 2008-05-23 6216780 2002B-IL FIN. AUTH. REV. BONDS false false false DELNOR-COMMUNITY HOSPITAL 363484281 45200PJ57 2008-05-23 6168840 2002C-IL FIN. AUTH. REV. BONDS false false false DELNOR-COMMUNITY HOSPITAL 363484281 45200PJ65 2008-05-23 17223720 2002D-IL FIN. AUTH. REV. BONDS false false false 0 0 6304260 0 0 0 64965 0 239295 6000000 0 0 2003 false false true true 0 0 6216780 0 0 0 64965 0 151815 6000000 0 0 2003 false false true true 0 0 6168840 0 0 0 64965 0 103875 6000000 0 0 2003 false false true true 0 0 17223720 0 0 0 184069 0 39651 17000000 0 0 2003 false false true true false false false false 0.0000 0.0000 0.0000 true false false false false 0.0000 0.0000 0.0000 true false false false false 0.0000 0.0000 0.0000 true false false false false 0.0000 0.0000 0.0000 true false false true UBS 20.0 false false false 0.0 false true false false true UBS 20.0 false false false false true false false true UBS 20.0 false false false 0.0 false true false false true UBS 20.0 false false false false true X DELNOR-COMMUNITY HOSPITAL 363484281 45200PJ73 2008-06-04 29258573 2003A-IL FIN. AUTH. REV. BONDS false false false DELNOR-COMMUNITY HOSPITAL 363484281 45200PL39 2008-06-04 6230627 2003B-IL FIN. AUTH. REV. BONDS false false false DELNOR-COMMUNITY HOSPITAL 363484281 45200PL47 2008-06-04 5264116 2003C-IL FIN. AUTH. REV. BONDS false false false DELNOR-COMMUNITY HOSPITAL 363488428 2011-08-24 58415000 REFUND SERIES 2008 BONDS false false false 7825000 0 29258573 0 0 0 310842 0 1247732 27700000 0 0 2003 true false true true 0 0 6230627 0 0 0 69014 0 11613 6150000 0 0 2003 true false true true 0 0 5264116 0 0 0 58353 0 5763 5200000 0 0 2003 true false true true 0 0 58415000 0 0 0 0 0 0 0 58415000 0 2011 true false true true false false false false 0.0000 0.0000 0.0000 true false false false false 0.0000 0.0000 0.0000 true false false false false 0.0000 0.0000 0.0000 true false false false false 0.0000 0.0000 0.0000 true false false true UBS 21.0 false false false false true false false true UBS 21.0 false false false false true false false true UBS 21.0 false false false false true false true false 0.0 false 0.0 false true GORDON FLESCH COMPANY ENTITY IS OWNED BY BOARD MEMBER 160468 COPIER LEASE MAINTENANCE false VALLEY EMERGENCY CARE MANAGEMENT LTD BOARD MEMBER IS AN OFFICER OF ENTITY 222464 PROFESSIONAL FEES false X 122829 SELLING COST 0 false false false GIFT ACCEPTANCE POLICY SCHEDULE M, PART I, LINE 31 THE NON-CASH DONATIONS REFLECTED ON SCHEDULE M ARE DONATIONS OF CLOTHING AND HOUSEHOLD GOODS GIVEN TO THE FILING ORGANIZATION THROUGH ITS AUXILIARY RESALE SHOP. ALL OTHER DONATIONS TO THE FILING ORGANIZATION ARE ACCEPTED THROUGH A RELATED ORGANIZATION, CADENCE HEALTH FOUNDATION, WHICH HAS ADOPTED A GIFT ACCEPTANCE POLICY THAT REQUIRES A REVIEW OF ALL NON-STANDARD POTENTIAL GIFTS PRIOR TO ACCEPTANCE. Number of contributions or items contributed. Schedule M, part I, column (b), Line 5 NUMBER OF INDEPENDENT BOARD MEMBERS FORM 990, PART VI, LINE 1B SEVEN OF THE TWENTY-TWO BOARD MEMBERS ARE NOT CONSIDERED TO BE INDEPENDENT UNDER THE IRS DEFINITION OF INDEPENDENCE. THOSE MEMBERS ARE: THE ORGANIZATION'S CEO; TWO BOARD MEMBERS WHO SERVE AS MEDICAL STAFF PRESIDENT FOR DELNOR-COMMUNITY HOSPITAL OR CENTRAL DUPAGE HOSPITAL (RELATED ORGANIZATION); TWO BOARD MEMBERS WHOSE MEDICAL PRACTICES ARE COMPENSATED BY THE FILING ORGANIZATION OR A RELATED ORGANIZATION FOR PHYSICIAN SERVICES PROVIDED; AND TWO BOARD MEMBERS WHO ARE OFFICER/ PART OWNER OF A COMPANY WHICH IS COMPENSATED FOR SERVICES PROVIDED TO THE FILING ORGANIZATION OR A RELATED ORGANIZATION. Family/business relationships amongst interested persons Form 990, Part VI, Section A, Line 2 PATRICK FLINN AND WILLIAM WOLFORD - BUSINESS RELATIONSHIP Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE SOLE MEMBER OF DELNOR-COMMUNITY HOSPITAL 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. DELNOR-COMMUNITY HOSPITAL PAYS A MANAGEMENT SERVICES FEE TO CDH-DELNOR HEALTH SYSTEM. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a CDH-DELNOR HEALTH SYSTEM, THE SOLE MEMBER AND PARENT ORGANIZATION, HAS THE POWER TO ELECT OR REMOVE ALL OF THE DIRECTORS OF DELNOR-COMMUNITY HOSPITAL. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b CERTAIN DECISIONS OF THE DELNOR-COMMUNITY HOSPITAL'S (DCH) GOVERNING BODY ARE SUBJECT TO APPROVAL BY CDH-DELNOR HEALTH SYSTEM, AS THE SOLE MEMBER OF DCH. 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 body Form 990, Part VI, Section B, Line 11b PRIOR 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 EACH MEMBER OF THE BOARD OF DIRECTORS FOR ADDITIONAL REVIEW AND COMMENT. Conflict of interest policy Form 990, Part VI, Section B, Line 12c EACH YEAR, DELNOR-COMMUNITY HOSPITAL (DELNOR) ASKS EACH BOARD MEMBER TO REVIEW THE CONFLICT OF INTEREST POLICY AND TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, THE POLICY REQUIRES THAT BOARD MEMBERS 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 THE GOVERNANCE COMMITTEE OF THE BOARD OF THE DIRECTORS. THE GOVERNANCE COMMITTEE IS DELEGATED THE RESPONSIBILITY TO DETERMINE WHETHER A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT, AND FURTHER TO RECOMMEND CONFLICT MITIGATION STRATEGIES TO THE BOARD (WHICH MAY INCLUDE LIMITING A BOARD MEMBERS PARTICIPATION IN MATTERS WHERE AN ACTUAL CONFLICT EXISTS, TO BOARD MEMBER REMOVAL IF THE CONFLICT IS INCOMPATIBLE WITH ONGOING BOARD SERVICE). SIMILARLY, EACH YEAR DELNOR ASKS EACH EMPLOYEE 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 THE 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 BOARD OF DIRECTORS. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a THE 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 FOR THE REPORTING PERIOD IN APRIL, 2012. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b SEE NARRATIVE FOR PART VI LINE 15A. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 VARIOUS PUBLIC AND PRIVATE ENTITIES MAY REQUIRE THE FILING OF SUCH DOCUMENTS AS PART OF A REGULATORY AND OUR CONTRACTUAL COMMITMENT, AND AS A RESULT OF SUCH OBLIGATIONS, CERTAIN OF THESE MATERIALS MAY, IN FACT, BE AVAILABLE TO THE PUBLIC. OUTSIDE OF SUCH DISCLOSURES, 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, KEY EMPLOYEES, ETC. FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) ALL DIRECTORS LISTED ON PART VII, LINE 1A DEVOTE APPROXIMATELY 1 HOUR PER WEEK TO THE FILING ORGANIZATION. THIS BOARD OF DIRECTORS JOINTLY SERVES AS THE CDH-DELNOR HEALTH SYSTEM AND CENTRAL DUPAGE HOSPITAL ASSOCIATION BOARD OF DIRECTORS AND THESE DIRECTORS ALSO DEVOTE APPROXIMATELY 1 HOUR PER WEEK TO THOSE RELATED ORGANIZATIONS. THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND THE EMPLOYED OFFICERS ALSO PROVIDE LEADERSHIP AND MANAGEMENT TO, AND/OR SERVE AS DIRECTORS FOR, RELATED ORGANIZATIONS WITHIN THE CDH-DELNOR HEALTH SYSTEM (SEE SCHEDULE R, PART II). FOR THOSE INDIVIDUALS, THE FORM 990 FOR ONE OF THE RELATED ORGANIZATIONS REFLECTS AN ESTIMATE OF 40 HOURS PER WEEK, AND AN ESTIMATE OF 1 HOUR PER WEEK IS REPORTED ON ANY OTHER FORM 990 THAT LISTS THAT INDIVIDUAL AS AN OFFICER OR KEY EMPLOYEE. DUE TO THE OVERLAP OF MANAGEMENT OF THESE ORGANIZATIONS, THERE IS NO MEANINGFUL METHOD BY WHICH TO ESTIMATE THE HOURS DEVOTED SPECIFICALLY TO ANY ONE OF THE RELATED ORGANIZATIONS. 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. REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (E) DURING 2011, CDH-DELNOR HEALTH SYSTEM (RELATED ORGANIZATION) PROVIDED BOARD MEMBERS WITH AN IPAD FOR USE AT BOARD MEETINGS AND TO RECEIVE BOARD-RELATED MATERIALS SENT ELECTRONICALLY. EACH BOARD MEMBER RECEIVED A FORM 1099 REFLECTING THE COST OF THE IPAD RECEIVED. Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -13505706; NET CHANGE IN NET ASSETS OF DCHCF - 1675134; INT RATE SWAP VALUATION ADJ - -6968388; DELNOR-COMMUNITY HEALTHCARE FOUNDATION 300 RANDALL ROAD GENEVA IL 60134 363347004 HEALTH CARE IL 501(C)(3) 7 CDH-DELNOR HEALTH SYSTEM false DELNOR-COMMUNITY RESIDENTIAL LIVINGINC 300 RANDALL ROAD GENEVA IL 60134 364156211 HEALTH CARE IL 501(C)(3) 9 CDH-DELNOR HEALTH SYSTEM false LIVING WELL CANCER RESOURCE CENTER 300 RANDALL ROAD GENEVA IL 60134 161727774 HEALTH CARE IL 501(C)(3) 7 CDH-DELNOR HEALTH SYSTEM false CDH-DELNOR HEALTH SYSTEM 27W353 JEWELL RD WINFIELD IL 60190 363099698 MANAGEMENT IL 501(C)(3) Type II CDH-DELNOR HEALTH SYSTEM false CADENCE HEALTH FOUNDATION 27W353 JEWELL RD WINFIELD IL 60190 364401289 FUNDRAISING IL 501(C)(3) 7 CDH-DELNOR HEALTH SYSTEM false CENTRAL DUPAGE PHYSICIAN GROUP 27W353 JEWELL RD WINFIELD IL 60190 363149833 PRIMARILY CARE IL 501(C)(3) 9 CDH-DELNOR HEALTH SYSTEM false COMMUNITY NURSING SERVICE OF DUPAGE COUNTY 690 E NORTH AVE CAROL STREAM IL 60188 366080833 HOME HEALTH IL 501(C)(3) 9 CDH-DELNOR HEALTH SYSTEM false CENTRAL DUPAGE HOSPITAL ASSOCIATION 27W353 JEWELL RD WINFIELD IL 60190 362513909 HOSPITAL IL 501(C)(3) 3 CDH-DELNOR HEALTH SYSTEM false PAHCS II 27W353 JEWELL RD WINFIELD IL 60190 363887234 OCCUP. HEALTH IL 501(C)(3) 9 CDH-DELNOR HEALTH SYSTEM false CENTRAL DUPAGE SPECIAL HEALTH ASSOC 27W353 JEWELL RD WINFIELD IL 60190 364310557 PHARMACY IL 501(C)(3) 9 CDH-DELNOR HEALTH SYSTEM false TRI-CITIES IMCARE 300 RANDALL ROAD GENEVA IL 60134 271942888 HEALTH CARE IL DELCOM RELATED false TRI-CITIES DIALYSIS 1300 WATERFORD DR LOWER LEVEL AURORA IL 60504 364272042 HEALTH CARE IL DELCOM RELATED false TRI-CITIES SURGERY 345 DELNOR DRIVE GENEVA IL 60134 510551673 HEALTH CARE IL DELCOM RELATED false TRI-CITIES CANCER 300 RANDALL ROAD GENEVA IL 60134 364009336 HEALTH CARE IL DELCOM RELATED false FVFPDELNOR PROPERTIES 300 RANDALL ROAD GENEVA IL 60134 451147062 PROPERTY MANAGEMENT IL DELCOM EXCLUDED false DUPAGE HEALTH SERVICES INC 27W353 JEWELL RD WINFIELD IL 60190 363270521 HEALTHCARE DE CDH-DELNOR HEALTH SYSTEM C CORPORATION DELCOM CORPORATION AND SUBSIDIARY 300 RANDALL ROAD GENEVA IL 60134 363334711 HEALTH MGMT IL CDH-DELNOR HEALTH SYSTEM C CORPORATION UNITED PROFESSIONALS INSURANCE COMPANY LTD PO BOX 30600 GRAND CAYMAN CJ KY1-1203 OTHER INSURANCE FUNDS CJ CDH-DELNOR HEALTH SYSTEM C CORPORATION CORNERSTONE MEDICAL GROUP 27W353 JEWELL RD WINFIELD IL 60190 364345453 HEALTHCARE IL CENTRAL DUPAGE PHYSICIAN GROUP C CORPORATION false true true false false false false false false true true true true true true false true true