NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWESTERN MEMORIAL HEALTHCARE (EIN 36-3152959)
- Tax period
- 2009-09-01 to 2010-08-31
- Filed
- 2011-07-14
- IRS object ID
- 201101959349300045
- Schema version
- 2009v1.7
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-07-14T16:19:46-04:00 | Timestamp |
| Tax Period End Date | 2010-08-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 N WACKER DRIVE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363152959 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northwestern Memorial HealthCare | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 3129264237 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 251 E Huron 541 N Fairbanks | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606112908 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Peter Mccanna | Name |
| Title | EXEC VP ADMIN & CFO | Title |
| Date Signed | 2011-07-14 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3128792000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DEAN M HARRISON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 251 E Huron | AddressLine1 |
| City | chicago | City |
| State | IL | State |
| ZIP Code | 60611 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 27033639 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.NMH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | NORTHWESTERN MEMORIAL HEALTHCARE'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE SUPPORT TO NORTHWESTERN MEMORIAL HOSPITAL, NORTHWESTERN LAKE FOREST HOSPITAL, northwestern memorial foundation and their affiliates | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 21 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | -6657 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -18305 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 19717151 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 21848092 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -521722 | InvestmentIncomePriorYear |
| Investment Income Current Year | 669286 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 19195429 | TotalRevenuePriorYear |
| Total Revenue Current Year | 22517378 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 28485 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 18776273 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20930555 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1007383 | OtherExpensePriorYear |
| Other Expenses Current Year | 985496 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 19783656 | TotalExpensesPriorYear |
| Total Expenses Current Year | 21944536 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -588227 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 572842 | RevenuesLessExpensesCY |
| Total Assets BOY | 33876796 | TotalAssetsBOY |
| Total Assets EOY | 37370679 | TotalAssetsEOY |
| Total Liabilities BOY | 28195495 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 30228054 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5681301 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7142625 | NetAssetsOrFundBalancesEOY |
| Mission Description | NORTHWESTERN MEMORIAL HEALTHCARE'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE SUPPORT TO NORTHWESTERN MEMORIAL HOSPITAL, NORTHWESTERN LAKE FOREST HOSPITAL AND THEIR AFFILIATES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 21003174 | Expense |
| Grants | 28485 | Grants |
| Revenue | 21848092 | Revenue |
| Description | Northwestern Memorial HealthCare (NMHC) PROVIDES MANAGEMENT SERVICES FOR MEMBERS OF ITS ORGANIZATION. NMHC is the not-for-profit corporate parent of Northwestern Memorial Hospital (NMH), Northwestern Lake Forest Hospital (NLFH) and Northwestern Memorial Foundation (NMF). Collectively, these organizations and their subsidiaries are referred to in this document as Northwestern Memorial. NMH is a not-for-profit corporation and is part of an academic medical center in downtown Chicago, Illinois that provides a full range of adult inpatient and outpatient services in an educational and research environment. The main patient care sites of NMH are the Feinberg and Galter pavilions, Prentice Women's Hospital, Olson Pavilion and Stone Institute of Psychiatry. NLFH is a not-for-profit corporation that provides patient care services at its main hospital in Lake Forest, Illinois and at many locations across Lake County and northern Cook County, with a large outpatient campus in Grayslake. NMF is a not-for-profit organization that provides fundraising and grantmaking in support of the mission and strategic goals of NMH and NLFH. Northwestern Memorial prepares an Annual Nonprofit Hospital Community Benefits Plan Report. That report is filed with the Illinois Attorney General's Office and is available on request. A summary version is also available on the nmh.org website. The following is the "Executive Summary and Background" section from the report. With a mission-driven commitment to providing quality medical care, regardless of the ability to pay, Northwestern Memorial has, in recent years, significantly broadened its efforts to improve the health of the most medically underserved members of its community by: A. Providing approximately $276.7 million in community benefit in fiscal year 2010 including charity care, other unreimbursed care, research, education and other community benefit. B. More than doubling the amount of charity care provided over the last five years, resulting in approximately $44 million in hospital services provided to those who could not afford to pay in fiscal year 2010. C. Providing more than $71.5 million in funding for research and medical education in fiscal year 2010 including performing more than 2,100 clinical research studies and training more than 900 medical students, residents and fellows. D. Funding and implementing long-term community-based programs to help individuals better manage conditions such as diabetes and breast health. E. Supporting Chicago's safety net at every level by providing assistance to community-based hospitals, Federally Qualified Health Centers and free clinics; through the sharing of clinical information, information technology systems; funding for targeted programs; and volunteer efforts. F. Participating in community-based public health initiatives aimed at improving nutrition, promoting exercise and reducing violence. For 146 years, NMH and its predecessor institutions, Passavant and Wesley Memorial hospitals, have served the people of Chicago. The commitment to provide healthcare, regardless of the ability to pay, reaches back to the founding principles of Passavant and Wesley and continues to be integral to our Patients First mission. Importantly, it provides the foundation for our mission-driven commitment to improve the health of the communities we serve. This commitment is advanced by focusing on enhancing patient access, safety and quality through hospital-based care and services and through partnerships with community health centers that date back more than 50 years. As the primary teaching hospital for Northwestern University Feinberg School of Medicine (Feinberg), the more than 1,600 physicians on the medical staff at NMH carry faculty appointments at Feinberg and represent virtually every medical specialty. Through Northwestern MedicineTM, Northwestern Memorial shares a vision with Feinberg to work to positively impact the future of healthcare through exceptional patient care, medical education and breakthrough scientific research that can lead to improved treatments and cures. In fiscal year 2010, Northwestern Memorial increased access to specialty medical care, clinical trials and a host of other healthcare services for patients in Lake and Cook counties and surrounding regions through its affiliation with Lake Forest Hospital, now known as Northwestern Lake Forest Hospital. From its founding 112 years ago as the Alice Home Hospital on the campus of Lake Forest College, NLFH has upheld its promise to provide Lake County residents convenient access to the highest quality, most advanced health care services available. NLFH has continually expanded its health care services to respond to the growing needs of its community. NLFH shares Northwestern Memorial's commitment to provide care for those unable to pay, consistently providing the highest percentage of charity care among Lake County hospitals. The alignment of clinical care and administrative processes of Northwestern Memorial toward the goal of creating an integrated academic healthcare delivery system is well underway. Northwestern Memorial's outreach services and financial assistance programs are built on the foundation of a Patients First mission and continue to expand to serve the most vulnerable in our community. The unreimbursed cost of charity care for NMH alone has more than doubled from $16.1 million in fiscal year 2005, the first year of the preparation of this report, to $38.2 million in fiscal year 2010. With the $5.8 million in charity care provided by NLFH during the seven months of its affiliation with NMHC, Northwestern Memorial provided a total of $44.0 million in charity care in fiscal year 2010. In total, Northwestern Memorial contributed $276.7 million to charity care, unreimbursed care, research and education and other community benefit programs, or approximately 18.8 percent of net patient service revenue in fiscal year 2010. Ahead of some of the area's safety-net hospitals, NMH is the sixth largest provider of Medicaid services among acute care hospitals in Illinois when measured by total Medicaid patient admissions and the ninth largest provider when measured by total Medicaid patient days. (Source: Illinois Department of Healthcare and Family Services for the Fiscal Year ended June 30, 2009, the latest information available). In fiscal year 2010, net unreimbursed cost of government sponsored indigent healthcare services for NMHC totaled $117.2 million. Through longstanding partnerships with two of Chicago's Federally Qualified Health Centers, Near North Health Service Corporation (Near North), which includes the James and Catherine Denny Primary Care and Preventive Medicine Center at the Lawson House YMCA, and Erie Family Health Center (Erie), Northwestern Memorial has implemented a successful multiyear program to develop sustainable results in the care of indigent patients with diabetes and developed and implemented a replicable, culturally appropriate model for comprehensively addressing disparities in breast health services. Through these partnerships, community residents in need and the homeless have access to care and support services so they can receive necessary healthcare in their own communities and access to hospital-based services at NMH. Northwestern Memorial also expanded community outreach by providing support to safety net hospitals and other health organizations in the community. As described further in this report, NMH helped a number of local and national hospitals implement Electronic Health Record systems by providing custom developed order sets and consulting services without charge, saving these hospitals thousands of hours of labor-intensive work and costly consulting fees. NMH and NLFH also sponsor numerous programs to promote health and wellness, healthcare career training, youth mentoring, language assistance and a multitude of volunteer programs to enhance the quality and accessibility of our care. Northwestern Memorial's net unreimbursed cost for these activities for fiscal year 2010 was $14.2 million. As the only acute care hospital located in Chicago's growing downtown area, more than 48,900 adult patients were admitted as inpatients in fiscal year 2010 at NMH. As the only Emergency Department (ED) in downtown Chicago with 24/7 service, NMH had more than 80,600 ED visits in fiscal year 2010, up 15 percent since fiscal year 2005. NMH also is Chicago's only academic medical center hospital participating in city and state Level I trauma networks and as a Level III neonatal intensive care unit, enabling the provision of the most extensive lifesaving care to the most seriously injured adults and the sickest infants. NLFH's board-certified emergency physicians and trauma-trained nurses serve and support the Region 10 Emergency Medical System, providing trauma and emergency care to patients at its Level II Trauma Center at NLFH and at the Northwestern Grayslake Emergen | Description |
| Total Program Service Expense | 21003174 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 21 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JUSTIN JOHNSON | NamePerson |
| Telephone Number | 3129261599 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 541 N FAIRBANKS RM 1639 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 606113309 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Other CompensationOtherCompensation | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| THOMAS A COLE | ||||||||
| CHAIR/DIRECTOR | 5.0 | X | X | |||||
| JOHN A CANNING JR | ||||||||
| VICE CHAIR/DIRECTOR | 5.0 | X | X | |||||
| WILLIAM A OSBORN | ||||||||
| VICE CHAIR/DIRECTOR | 5.0 | X | X | |||||
| EDWARD M LIDDY | ||||||||
| CHAIR/DIRECTOR | 5.0 | X | X | |||||
| CAROL L BERNICK | ||||||||
| DIRECTOR | 5.0 | X | ||||||
| PETER D CRIST | ||||||||
| DIRECTOR | 5.0 | X | ||||||
| WILLIAM M DALEY | ||||||||
| DIRECTOR | 5.0 | X | ||||||
| JOHN H DICK | ||||||||
| DIRECTOR | 5.0 | X | ||||||
| DEAN M HARRISON | ||||||||
| DIRECTOR PRESIDENT & CEO | 40.0 | X | X | 9451689 | 264453 | |||
| W JAMES MCNERNEY JR | ||||||||
| DIRECTOR | 5.0 | X | ||||||
| ROBERT L PARKINSON JR | ||||||||
| DIRECTOR | 5.0 | X | ||||||
| HOMI B PATEL | ||||||||
| DIRECTOR | 5.0 | X | ||||||
| PHILIP J PURCELL III | ||||||||
| DIRECTOR | 5.0 | X | ||||||
| J CHRISTOPHER REYES | ||||||||
| DIRECTOR | 5.0 | X | ||||||
| LARRY D RICHMAN | ||||||||
| DIRECTOR | 5.0 | X | ||||||
| Samuel C SCOTT III | ||||||||
| DIRECTOR | 5.0 | X | ||||||
| GLENN F TILTON | ||||||||
| DIRECTOR | 5.0 | X | ||||||
| ARVYDAS D VANAGUNAS MD | ||||||||
| DIRECTOR | 5.0 | X | X | |||||
| FOREST R WHITTAKER | ||||||||
| DIRECTOR | 5.0 | X | ||||||
| PETER J MCCANNA | ||||||||
| EXEC VP-ADMIN CFO & TREASURER | 40.0 | X | 1146333 | 494535 | ||||
| DENNIS M MURPHY | ||||||||
| EXEC VP | 40.0 | X | 854692 | 155390 | ||||
| CAROL M LIND | ||||||||
| SR VP, GEN COUNSEL & SECRETARY | 40.0 | X | 709148 | 129319 | ||||
| DOUGLAS M YOUNG | ||||||||
| VP-finance & ASST TREASURER | 40.0 | X | 459439 | 46507 | ||||
| PAUL L SHOUN | ||||||||
| ASSISTANT SECRETARY | 5.0 | X | 25866 | 101469 | ||||
| JENNIFER S WOOTEN | ||||||||
| ASSISTANT SECRETARY | 5.0 | X | 31103 | 97360 | ||||
| DANIEL M DERMAN MD | ||||||||
| VP-OPERATION & PRES (NMPG) | 40.0 | 459180 | 113884 | X | ||||
| STEPHEN C FALK | ||||||||
| VP-DEVELOPMENT & PRES (NMF) | 40.0 | 487538 | 102208 | X | ||||
| Thomas J McAFEE | ||||||||
| SR VP-OPERATIons & Pres (NLFH) | 40.0 | 417545 | 736371 | X | ||||
| JULIA L CREAMER | ||||||||
| SR VP-QUALITY & PLANNING | 40.0 | 618429 | 205488 | X | ||||
| GARY J FENNESSY | ||||||||
| VP-OPERATIONS | 40.0 | 593285 | 59723 | X | ||||
| CHARLES M WATTS MD | ||||||||
| SR VP-MEDICAL AFFAIRS & CHIEF | 40.0 | 1523118 | 38739 | X | ||||
| TIMOTHY R ZOPH | ||||||||
| VP-INF SYS & CIO | 40.0 | 612016 | 403855 | X | ||||
| Dean L Manheimer | ||||||||
| SR VP-HUMAN RESOURCES | 40.0 | 736949 | 54685 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 17651816 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 935200 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2543300 | TotalOtherCompensation |
| Number Individuals GT100 K | 21 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SULLIVAN COTTER AND ASSOCIATES | |||||
| 3011 W GRAND BLVD | DETROIT | MI | 48202 | CONSULTING HR | 264839 |
| MCDERMOTT WILL AND EMERY | |||||
| 227 W Monroe | CHICAGO | IL | 60606 | CONSULTING LEGAL | 205517 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MANAGEMENT SERVICES | Description |
| Business Code | 561000 | BusinessCode |
| Total Revenue Column | 21848092 | TotalRevenueColumn |
| Related Or Exempt Function Income | 21836444 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 11648 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 21848092 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 296052 | TotalRevenueColumn |
| Unrelated Business Revenue | -18305 | UnrelatedBusinessRevenue |
| Exclusion | $314,357 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4889495 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4516261 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 373234 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 373234 | TotalRevenueColumn |
| Exclusion | $373,234 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22517378 | TotalRevenueColumn |
| Related Or Exempt Function Income | 21836444 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -6657 | UnrelatedBusinessRevenue |
| Exclusion | $687,591 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28485 | Total |
| Program Services | 28485 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10574259 | Total |
| Program Services | 10574259 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3072774 | Total |
| Program Services | 3072774 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6006888 | Total |
| Program Services | 6006888 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 840538 | Total |
| Program Services | 840538 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 436096 | Total |
| Program Services | 436096 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 178790 | Total |
| Management And General | 178790 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179539 | Total |
| Management And General | 179539 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 511426 | Total |
| Management And General | 511426 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18987 | Total |
| Program Services | 18987 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1386 | Total |
| Program Services | 1386 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14456 | Total |
| Program Services | 14456 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3648 | Total |
| Management And General | 3648 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| INVESTMENT EXPENSES | 70803 | 70803 | |
| TAXES | -2844 | -2844 | |
| MISCELLANEOUS | 9305 | 9305 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21944536 | Total |
| Program Services | 21003174 | ProgramServices |
| Management And General | 941362 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11732127 | BOY |
| EOY | 15315276 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12154051 | BOY |
| EOY | 9271994 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1250954 | BOY |
| EOY | 5108183 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8739664 | BOY |
| EOY | 7675226 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33876796 | BOY |
| EOY | 37370679 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6603694 | BOY |
| EOY | 6337438 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21591801 | BOY |
| EOY | 23890616 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28195495 | BOY |
| EOY | 30228054 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5681301 | BOY |
| EOY | 7142625 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5681301 | BOY |
| EOY | 7142625 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33876796 | BOY |
| EOY | 37370679 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (4 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| NORTHWESTERN MEMORIAL HOSPITAL | |||||
| 370960170 | 03 | true | true | true | $19,254,472 |
| NORTHWESTERN MEMORIAL FOUNDATION | |||||
| 363155315 | 03 | true | true | true | $749,566 |
| NORTHWESTERN MEMORIAL PHYSICIANS GROUP | |||||
| 364030256 | 03 | false | true | true | $986,806 |
| NORTHWESTERN LAKE FOREST HOSPITAL | |||||
| 362179779 | 03 | true | true | true | $845,600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 4 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 21836444 | SumOfAmounts |
| General Explanation | Northwestern Memorial HealthCare is the sole member of Northwestern Memorial Hospital, Northestern lake forest Hospital and Northwestern Memorial Foundation. It is the indirect parent of Northwestern Memorial Physicians Group and lake forest health & Fitness Institute. Northwestern Memorial HealthCare provides managerial services and support to the corporations identified above. | GeneralExplanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment | |
| Other Land Buildings | OtherLandBuildings | |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LIMITED PARTN'SHIP INVESTMENTS | Description |
| Book Value | 5108183 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 5108183 | TotalOfBookValueSecurities |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 2143706 |
| HEALTHCARE VHA | 204820 |
| EMPLOYEES BENEFIT ASSETS | 5326700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 7675226 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| LONG-TERM INCENTIVE | $2,928,088 |
| ACCR'D SERP LIABILITY | $14,741,728 |
| ACCR'D POST RET. HEALTH/DENTAL | $1,614,985 |
| ACCR'D POST RETIRE LIFE INSURANCE | $691,038 |
| ACCR'D RETIRE PLAN LIABILITY | $2,468,173 |
| CAPITAL ACCUMULATION LIABILITY | $1,446,604 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 23890616 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIn 48 Statement | Identifier |
| Return Reference | Sch D Part X Line 2 | ReturnReference |
| Explanation | The organization's financial statements do not report any uncertain tax positions under FIN 48. The organization adopted FIN 48 in 2008. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northwestern Lake Forest Hospital | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 660 N Westmoreland Road | AddressLine1 |
| City | Lake Forest | City |
| State | IL | State |
| ZIP Code | 60045 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 362179779 | EINOfRecipient |
| IRC Section | 501 c 3 | IRCSection |
| Amount Of Cash Grant | 28485 | AmountOfCashGrant |
| Purpose Of Grant | operational support | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedures for Monitoring Grant funds | Identifier |
| Return Reference | Form 990, Schedule I, Question 4 | ReturnReference |
| Explanation | NMHC monitors the grant to NLFH through its supervision of the organizations operations. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEAN M HARRISON | |||||||||||||
| 1051812 | 850435 | 7549442 | 227983 | 36470 | 9716142 | 6348575 | |||||||
| PETER J MCCANNA | |||||||||||||
| 619483 | 486734 | 40116 | 461157 | 33378 | 1640868 | 202400 | |||||||
| DENNIS M MURPHY | |||||||||||||
| 477728 | 322817 | 54147 | 122813 | 32577 | 1010082 | 112800 | |||||||
| CAROL M LIND | |||||||||||||
| 408534 | 262428 | 38186 | 99258 | 30061 | 838467 | 88000 | |||||||
| DOUGLAS M YOUNG | |||||||||||||
| 263462 | 94800 | 101177 | 18783 | 27724 | 505946 | ||||||||
| JULIA L CREAMER | |||||||||||||
| 292141 | 244023 | 82265 | 170183 | 35305 | 823917 | 102200 | |||||||
| DANIEL M DERMAN MD | |||||||||||||
| 304822 | 103500 | 50858 | 74042 | 39842 | 573064 | ||||||||
| STEPHEN C FALK | |||||||||||||
| 315977 | 115000 | 56561 | 75180 | 27028 | 589746 | ||||||||
| GARY J FENNESSY | |||||||||||||
| 246487 | 246000 | 100798 | 18783 | 40940 | 653008 | ||||||||
| CHARLES M WATTS MD | |||||||||||||
| 462658 | 915599 | 144861 | 18783 | 19956 | 1561857 | 731140 | |||||||
| TIMOTHY R ZOPH | |||||||||||||
| 409677 | 146400 | 55939 | 360534 | 43321 | 1015871 | ||||||||
| Dean L Manheimer | |||||||||||||
| 312735 | 253422 | 170792 | 18783 | 35902 | 791634 | 112900 | |||||||
| Thomas J McAFEE | |||||||||||||
| 450962 | 283431 | 1978 | 376200 | 41345 | 1153916 | 736371 | |||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NON FIXED PAYMENTS | FORM 990 SCH J PART I QUEStion 7 | BONUSES ARE A SIGNIFICANT PORTION OF COMPENSATION. these portions are at risk and payable only upon achievement of substantial goals. |
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | FORM 990 SCHEDULE J PART I QUESTION 4 b | There are two different nonqualified deferred compensation plans sponsored by Northwestern Memorial HealthCare. The employer pays the cost of participation, and the benefits and contributions are subject to a substantial risk of forfeiture based on the completion of substantial service requirements. Dean Harrison completed his substantial service requirements during the reporting period resulting in "other reportable compensation" that includes amounts reported in prior Form 990s. Other participants in one or both of the plans who are listed on the schedule are Julia Creamer, Dean Manheimer, Peter McCanna, Daniel Derman, Stephen Falk, Gary Fennessy, Carol Lind, Dennis Murphy, Charles Watts, Douglas Young and Timothy Zoph. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Conflict of Interest | Part VI Section B Question 12 c | Northwestern Memorial HealthCare (NMHC) maintains both a Conflict of Interest Policy and an Intermediate Sanctions Policy. These policies have been approved by its Board of Directors and apply to all entities, directors, officers, employees and transactions which take place within the NMHC system. The policies were written to assist board members and management with the identification of those transactions that warrant attention and consideration to ensure proper adherence to the tax laws impacting tax-exempt organizations. The conflict of interest policy requires completion of an annual certification which affirms that such person has received, read and understands the conflict of interest policy, has agreed to comply, has disclosed any matters required to be disclosed under the policy, and agrees to report any changes promptly to the Chief Integrity Executive. Once the annual certifications are complete, the Chief Integrity Executive reviews the disclosures for compliance with the policy. |
| STATEMENT PER SECTION 1.6038-2(j) | Form 990 Schedule O | Statement Filed Pursuant to Code Section 1.6038-2(j) Northwestern Memorial HealthCare For the Fiscal Year Ending August 31, 2010 Pursuant to Regulation 1.6038-2(j)(3), the taxpayer hereby states that the information required to be filed with the IRS for Form 5471 for the taxable year ending August 31, 2010 will be furnished by the entity identified below; and the exception provided for in Regulation 1.6038-2(j)(1) will be fully satisfied. 1) Entity Name: Northwestern Memorial Hospital 2) Address: 251 E. Huron (541 Fairbanks, Ste 1630) Chicago Il 60611-3309 3) FEIN: 37-0960170 4) Form Type: 990 5) Place of Filing: Internal Revenue Service, Ogden Utah Controlled Foreign Corporation : Northwestern Memorial Insurance Company Address : Grand Pavilion Corp Center PO Box 11073, APO West Bay Road, Grand Cayman, Cayman Islands |
| COMPENSATION POLICY | Part VI Section B Question 15 a and b | AS A MEMBER OF THE NORTHWESTERN MEMORIAL HEALTHCARE ORGANIZATION, NMHC IS INCLUDED IN THE OVERALL Board-led executive compensation review and approval process. THE PROCESS FOR DETERMINING EXECUTIVE COMPENSATION AT NORTHWESTERN MEMORIAL COMPLIES WITH IRS GUIDELINES FOR TAX-EXEMPT ORGANIZATIONS; IS DETERMINED BY A SEPARATE SUBCOMMITTEE OF THE BOARD OF DIRECTORS WHOSE MEMBERS ARE ALL INDEPENDENT AND NON-PAID; AND IS ANNUALLY EVALUATED IN THE CONTEXT OF COMPENSATION DATA GATHERED BY EXTERNAL CONSULTANTS FROM A PEER GROUP COMPRISED OF similarly situated healthcare organizations. IN ADDITION, a significant portion of compensation is at risk and is payable only upon achievement of substantial goals. THE BOARD PLACES A HIGH PRIORITY ON ITS ABILITY TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM TO ENSURE WE SERVE OUR MISSION AND ACHIEVE OUR GOALS. THE OFFICERS OF NORTHWESTERN MEMORIAL HEALTHCARE ALSO FULFILL OFFICER AND EXECUTIVE FUNCTIONS FOR NMHC'S SUBSIDIARIES. ALL OF THE COMPENSATION DISCLOSED IS ALLOCATED TO THE SUBSIDIARIES. |
| Governing Documents Disclosure | Part VI Section C Question 19 | THE CORPORATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE CONSOLIDATED FINANCIAL STATEMENTS OF NORTHWESTERN MEMORIAL HEALTHCARE AND SUBSIDIARIES ARE AVAILABLE on the websites for Northwestern memorial Hospital and Northwestern Lake Forest Hospital. The financial statements are also available FROM THE ILLINOIS ATTORNEY GENERAL'S OFFICE AS PART OF ITS ANNUAL COMMUNITY BENEFITS REPORT and through the ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM OF THE MUNICIPAL SECURITIES RULEMAKING BOARD. |
| CHANGES TO ORGANIZATIONAL DOCUMENTS | FROM 990 SECTION VI QUESTION 4 | NORTHWESTERN MEMORIAL HEALTHCARE added a position in the board of directors, chair emeritus of the board of directors. NMHC also removed the chairs of the board's standing committees, the chair of the board of directors of Northwestern Memorial Foundation and the requirement for a member of the medical staff of Northwestern Memorial Hospital. |
| BUSINESS RELATIONSHIPS | FORM 990 SECTION VI QUES 2 | NORTHWESTERN MEMORIAL HEALTHCARE DIRECTORS JOHN CANNING AND WILLIAM OSBORN ARE ALSO DIRECTORS FOR THE NORTHERN TRUST NORTHWESTERN MEMORIAL HEALTHCARE DIRECTORS WILLIAM DALEY, WILLIAM OSBORN, EDWARD LIDDY AND SAMUEL SCOTT III ARE ALSO DIRECTORS AT ABBOTT LABORATORIES. NORTHWESTERN MEMORIAL HEALTHCARE DIRECTORS W James McNerney Jr and Edward M Liddy are also directors of Boeing company. Douglas M Young and Carol M Lind are officers at Northwestern Memorial HealthCare. Douglas M Young and Carol M Lind are also officers and directors of Northwestern Memorial Insurance Company. |
| REVIEW FORM 990 | FORM 990, PART VI, SECTION A, QUESTION 11 | The Form 990 ("Form") was GENERATED internally by the finance department with support from various departments within the organization. Various sections of the Form were reviewed by senior management of Northwestern Memorial HealthCare ("NMHC"), as the parent organization, and various committees. As examples, the Chief Integrity Executive reviewed disclosures for related party transactions, the Tax and Regulatory Review Committee reviewed the community benefit report that describes the exempt purpose achievements, and lobbying expenditures were reviewed by the Vice President, Government and Legislative Relations. The Executive Compensation Subcommittee of the Board of Directors of NMHC was provided the compensation disclosures. The Form was reviewed by an outside independent public accounting firm in sufficient detail to enable them to sign the return as paid preparer. The final Form was reviewed by the Vice President, Finance and members of the Finance department prior to review by the NMHC Executive Vice President, Administration and Chief Financial Officer. Prior to filing, the completed Form 990 which will be available to the public was provided to the Board of Directors through a secure website. |
| HOURS WORKED RELATED COMPANIES | Form 990 Part VII | Paul Shoun and Jennifer Wooten are employees of Northwestern Memorial Hospital and generally work 40 hours a week or more. Approximately 5 hours a week are spent providing services to NMHC's subsidiaries, including NMHC. Dean M Harrison, Peter J mcCanna, Dennis M Murphy, Carol M lind, Douglas M Young, Julia L Creamer, Daniel M Derman MD, Stephen C Falk, Gary J Fennessy, Charles M watts MD, Timothy R Zoph, dean L manheimer and Thomas J MCAFEE are all employees of NMHC. They generally work more than 40 hours a week and perform services for various NMHC subsidiaries. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| NORTHWESTERN MEMORIAL HOSPITAL | |||||||||
| 251 E HURON 541 FAIRBANKS | CHICAGO | IL | 60611 | 370960170 | HOSPITAL | IL | 501(c)3 | 3 | NA |
| NORTHWESTERN MEMORIAL FOUNDATION | |||||||||
| 215 E HURON 541 FAIRBANKS | CHICAGO | IL | 60611 | 363155315 | FUNDRAISING | IL | 501(c)3 | 7 | NA |
| NORTHWESTERN MEMORIAL PHYSICIANS GROUP | |||||||||
| 251 E HURON 541 FAIRBANKS | CHICAGO | IL | 60611 | 364030256 | HEALTHCARE | IL | 501(c)3 | 3 | NMH |
| NORTHWESTERN LAKE FOREST HOSPITAL | |||||||||
| 660 N WESTMORELAND ROAD | LAKE FOREST | IL | 60045 | 362179779 | Hospital | IL | 501(c)(3) | 3 | NA |
| Lake Forest Health & Fitness Inst | |||||||||
| 1200 N WESTMORELAND | Lake FOREST | IL | 60045 | 363835030 | Health | IL | 501(c)(3) | 9 | NLFH |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWESTERN HEALTHCARE CORPORATION | ||||||||||||||||
| 541 FAIRBANKS SUITE 1630 | CHICAGO | IL | 606113309 | 363382383 | HEALTHCARE SE | IL | NMH | C Corp | 26892 | 740530 | 1.00000 | |||||
| NORTHWESTERN MEMORIAL INSURANCE COMPANY | ||||||||||||||||
| 980384611 | liability ris | NMH | C CORP | 25005246 | 474342134 | 1.00000 | GRAND PAVILLION COMMERCIAL CENTRE | GRAND CAYMAN ISLAND | CJ | PO BOX 1085 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Northwestern Memorial Hospital | |
| Line | 18987 |
| Northwestern HealthCare Corporation | |
| Line | 11648 |
| Northwestern Memorial Foundation | |
| Line | 749566 |
| Northwestern Memorial Hospital | |
| Line | 19254472 |
| Northwestern Memorial Physicians Group | |
| Line | 986806 |
| Northwestern Lake Forest Hospital | |
| Line | 845600 |
| Northwestern Memorial Hospital | |
| Line | 306002 |
| Northwestern lake forest Hospital | |
| Line | 28485 |
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