Community Nursing Service of DuPage County: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
Community Nursing Service of DuPage County (EIN 36-6080833)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-07
IRS object ID
201341279349300339
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)
Timestamp2013-05-07T10:00:44-05:00Timestamp
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)
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 Signed2013-04-23DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn WoodhullName
PTINP01305268PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts18137300GrossReceipts
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 Employees258TotalNbrEmployees
Total Nbr Volunteers60TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year174953ContributionsGrantsPriorYear
Contributions Grants Current Year226063ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15668701ProgramServiceRevenuePriorYear
Program Service Revenue CY17241924ProgramServiceRevenueCY
Investment Income Prior Year162749InvestmentIncomePriorYear
Investment Income Current Year214663InvestmentIncomeCurrentYear
Other Revenue Prior Year235992OtherRevenuePriorYear
Other Revenue Current Year224741OtherRevenueCurrentYear
Total Revenue Prior Year16242395TotalRevenuePriorYear
Total Revenue Current Year17907391TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6000000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11616118SalariesEtcPriorYear
Salaries Etc Current Year11655239SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4166586OtherExpensePriorYear
Other Expenses Current Year4413764OtherExpensesCurrentYear
Total Expenses Prior Year21782704TotalExpensesPriorYear
Total Expenses Current Year16069003TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5540309RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1838388RevenuesLessExpensesCY
Total Assets BOY11462852TotalAssetsBOY
Total Assets EOY11889188TotalAssetsEOY
Total Liabilities BOY2255092TotalLiabilitiesBOY
Total Liabilities EOY601451TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9207760NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11287737NetAssetsOrFundBalancesEOY
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
Expense13433655Expense
Grants0Grants
Revenue17466665Revenue
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, HOME MEDICAL EQUIPMENT, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES AND MEDICAL SOCIAL SERVICES, AMONG OTHERS.Description
Total Program Service Expense13433655TotalProgramServiceExpense
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 LiabilitiesfalseReportOtherLiabilities
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 EntitytrueRelatedOrgControlledEntity
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 Employees258NumberOfEmployees
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 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 CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DEBRA O'DONNELL
Vice Chair1.00XX039936940596
MAUREEN TAUS
Secretary/Treasurer1.00XX034941127482
ROBERT FRIEDBERG
Chair1.00XX055057344342
JAMES T SPEAR
CFO1.00X094105035212
KAREN DIERSEN
Assistant Secretary to the BOD1.00X09825814748
LUKE MCGUINNESS
CEO1.00X0253649640661
MICHAEL HOLZHUETER
VP-Legal & Asst Secy. to the BOD1.00X055963239430
MARLA HUSCH
Director of Operations40.00151443032736X
BARBARA LANGE
Registered Nurse40.00112029013909X
LINDA SKINNER
Registered Nurse40.00100121014660X
MARIA KUZAS
Manager, Marketing40.00125406021579X
MARY J LAFATA
Manager, Therapy40.0010478809443X
FieldValueIRS element (for citing)
Total Reportable Comp From Org593787TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5434789TotalReportableCompFrmRltdOrgs
Total Other Compensation334798TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CDH-DELNOR HEALTH SYSTEM
27W353 JEWELL RDWINFIELDIL601901231MANAGEMENT SERVICES990770
BRIGHTSTAR HEALTHCARE
402 E ROOSEVELT RD STE 108WHEATONIL60187HOME HEALTH AIDE SERVICES133093
KIMBERLY BATTLE-MILLER MD
3722 BALLANTREE WAYFLOSSMOORIL60422HOSPICE MEDICAL DIRECTOR105571
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations226063RelatedOrganizations
Total Contributions226063TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT CARE REVENUEDescription
Business Code621610BusinessCode
Total Revenue Column17241924TotalRevenueColumn
Related Or Exempt Function Income17241924RelatedOrExemptFunctionIncome

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 Revenue17241924TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column217756TotalRevenueColumn
Exclusion$217,756ExclusionAmount

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)
Securities226816Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities229909Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-3093Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3093TotalRevenueColumn
Exclusion-$3,093ExclusionAmount

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 (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT SERVICES FEE REVENUE900099222513222513
MISCELLANEOUS REVENUE90009922282228

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 Revenue224741TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17907391TotalRevenueColumn
Related Or Exempt Function Income17466665RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$214,663ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

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Total0Total

Benefits To Members BenefitsToMembers

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Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total204573Total
Management And General204573ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9360467Total
Program Services8611630ProgramServices
Management And General748837ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total351206Total
Program Services316085ProgramServices
Management And General35121ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1102698Total
Program Services1014482ProgramServices
Management And General88216ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total636295Total
Program Services588573ProgramServices
Management And General47722ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total982848Total
Management And General982848ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19000Total
Management And General19000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total3048Total
Management And General3048ManagementAndGeneral

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)
Total858556Total
Program Services702504ProgramServices
Management And General156052ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total280773Total
Program Services203708ProgramServices
Management And General77065ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total37582Total
Program Services30066ProgramServices
Management And General7516ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total250239Total
Program Services75072ProgramServices
Management And General175167ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total346544Total
Program Services345270ProgramServices
Management And General1274ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9317Total
Program Services2795ProgramServices
Management And General6522ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total185614Total
Program Services111368ProgramServices
Management And General74246ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total220956Total
Program Services220956ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PATIENT CARE EXPENSES10523061052306
BAD DEBT EXPENSE116309116309
DUES, LICENSES & REGULATORY FEES2955129551
PATIENT & COMMUNITY RELATIONS85818581

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12540Total
Program Services4399ProgramServices
Management And General8141ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16069003Total
Program Services13433655ProgramServices
Management And General2635348ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY625BOY
EOY500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY319201BOY
EOY265555EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4379383BOY
EOY2559367EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9957BOY
EOY15731EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3443450LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3168337LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY412871BOY
EOY275113EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5832060BOY
EOY8250922EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY506395BOY
EOY454031EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2360BOY
EOY67969EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11462852BOY
EOY11889188EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY632717BOY
EOY138747EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY428105BOY
EOY462704EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1194270BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2255092BOY
EOY601451EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9207760BOY
EOY11287737EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9207760BOY
EOY11287737EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11462852BOY
EOY11889188EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1838388ReconcilationRevenueExpenses
Reconcilation Other Changes241589ReconcilationOtherChanges
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 Years98225CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years111476CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years213519CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year174953CurrentTaxYearMinus1Year
Current Tax Year226063CurrentTaxYear
Total824236Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16378111CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17176021CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17491909CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15668701CurrentTaxYearMinus1Year
Current Tax Year17241924CurrentTaxYear
Total83956666Total

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 Years16476336CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17287497CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17705428CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15843654CurrentTaxYearMinus1Year
Current Tax Year17467987CurrentTaxYear
Total84780902Total

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 Total50984780902PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years481538CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years390797CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years317851CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year154559CurrentTaxYearMinus1Year
Current Tax Year217756CurrentTaxYear
Total1562501Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years481538CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years390797CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years317851CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year154559CurrentTaxYearMinus1Year
Current Tax Year217756CurrentTaxYear
Total1562501Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years205236CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years299294CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years330461CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year235992CurrentTaxYearMinus1Year
Current Tax Year224741CurrentTaxYear
Total1295724Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17163110CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17977588CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18353740CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16234205CurrentTaxYearMinus1Year
Current Tax Year17910484CurrentTaxYear
Total87639127Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96740PublicSupportPercentage509
Prior Year Support Percentage0.96480PriorYearSupportPercentage
Investment Income Percentage0.01780InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02040PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - OTHER REVENUE, COLUMN A - 1945, COLUMN B - 62114, COLUMN C - 119701, COLUMN D - 13479, COLUMN E - 2228, COLUMN F - 199467; DESCRIPTION - MANAGEMENT FEE REVENUE, COLUMN A - 203291, COLUMN B - 237180, COLUMN C - 210760, COLUMN D - 222513, COLUMN E - 222513, COLUMN F - 1096257;,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$3,048OtherActivitiesAmount
Total Lobbying Expenditures IIB3048TotalLobbyingExpendituresIIB
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 Basis537936OtherCostOrOtherBasis
Depreciation537936Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2905514OtherCostOrOtherBasis
Depreciation2630401Depreciation
Book Value275113BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings275113TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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, 2012, THE CORPORATIONS DO NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
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 (7 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
DEBRA O'DONNELL
0277556011708104732018128022468043996500
JAMES T SPEAR
062045503182230237209747025465097626200
LUKE MCGUINNESS
09246690128776303240640187140219470257715700
MARLA HUSCH
1352820154670694089010238350184179000
MAUREEN TAUS
024564701024630130102486502617037689300
MICHAEL HOLZHUETER
03064090235005018218013965025465059906200
ROBERT FRIEDBERG
0351548019752201503016193028149059491500

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Tax indemnification and gross-up paymentsSchedule J, Part I, Line 1aALL EMPLOYEES, INCLUDING INTERESTED PERSONS, RECEIVED A $105 GIFT CARD IN RECOGNITION OF CENTRAL DUPAGE HOSPITAL, A RELATED ORGANIZATION, ACHIEVING A NATIONAL AWARD. THIS WAS TREATED AS TAXABLE COMPENSATION AND GROSSED-UP IN THE EMPLOYEES' W-2.
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 THTEY MEET OR EXCEED THE REQUIRED NUMBER OF VISITS TO THEIR HEALTH CLUB IN A GIVEN MONTH. 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 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 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 (11 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.
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 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 APRIL, 2012.
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 (A)CDH-DELNOR HEALTH SYSTEM, 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.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 241589;

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 Income622948TotalIncome
EOY Assets294027EOYAssets

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/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
CENTRAL DUPAGE PHYSICIAN GROUP
27W353 JEWELL RDWINFIELDIL60190363149833PRIMARY CAREIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
PAHCS II
27353 JEWELL RDWINFIELDIL60190363887234HEALTHCAREIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
CENTRAL DUPAGE SPECIAL HEALTH ASSOC
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 SYSTEMfalse
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 EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
DUPAGE HEALTH SERVICES INC
27W353 JEWELL RDWINFIELDIL60190363270521HEALTHCAREDECDH-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 RDWINFIELDIL60190364345453HEALTHCAREILCENTRAL 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
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

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