2011-07-15T08:18:49-04:00 2010-08-31 ERNST & YOUNG LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2009-09-01 363155315 Northwestern Memorial Foundation NORT 3129265236 251 E Huron 541 N Fairbanks Chicago IL 606113309 Peter J McCanna 2011-07-14 3128792000 2009 2016-02-24 21:20:13Z DEAN M HARRISON 251 E HURON CHICAGO IL 60611 164920558 false X www.nmh.org X 1981 IL RAISES FUNDS TO SUPPORT THE MISSION & STRATEGIC GOALS OF NORTHWESTERN MEMORIAL HOSPITAL & Northwestern lake Forest Hospital 58 55 0 55 -555603 -555603 16024942 23750090 6771807 6514421 670673 22415986 0 0 23467422 52680497 27497187 23280025 0 0 3277870 3112571 0 0 3015608 6013664 6322735 36788721 32715331 -13321299 19965166 475990123 494448727 34579765 35353787 441410358 459094940 NORTHWESTERN MEMORIAL FOUNDATION RAISES FUNDS TO SUPPORT THE MISSION AND STRATEGIC GOALS OF NORTHWESTERN MEMORIAL HOSPITAL and Northwestern Lake Forest Hospital. THROUGH FUNDRAISING, GRANTMAKING AND STEWARDSHIP, THE FOUNDATION PERPETUATES THE HOSPITALS' DEDICATION TO CLINICAL INNOVATION, SCIENTIFIC DISCOVERY AND IMPROVING THE HEALTH OF OUR COMMUNITY false false 23280025 23280025 Northwestern memorial foundation is organized and shall be operated exclusively for charitable, scientific or educational purposes, to promote and support, directly or indirectly, by donation, loan or otherwise, the interests and purposes of Northwestern Memorial Hospital, northwesten lake forest hospital, and in furtherance of these purposes, the corporation may: (a) raise funds from the public and from all other sources available, receive and maintain such funds and expend principal and income there from; (b) manage and allocate resources through grants and awards, with funding priorities to include but not be limited to: increasing access to health care for community residents, enhancing the quality of health care services, medical technology, medical education, medical research programs, health related building campaigns, endowments, and discretionary funds; (c) own, lease or otherwise deal with all property, real and personal, to be used in furtherance of these purposes; (d) contract with other organizations, for-profit and not-for-profit, with individuals, and with governmental agencies in furtherance of these purposes Northwestern Memorial HealthCare (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 Medicine(TM), 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 Emergency Center. Additionally, NMH is a designated Leadership Center in 23280025 true true false false false false true false true true false true false false false false false false false false false true false true false false false false false false false false true true false false false true true false false true 16 0 0 true true false false false false false false false false false false false 58 55 true false true false true true true true true false false true true true true true true true true false CA IL NY WI X JUSTIN JOHNSON 3129261599 541 N FAIRBANKS RM 1639 CHICAGO IL 606113309 X ROBERT L PARKINSON JR 5.0 X X MARIA C BECHILY 5.0 X X KENT P DAUTEN 5.0 X X THOMAS L BERNARDIN 5.0 X DAVID W BERNAUER 5.0 X NEIL G BLUHM 5.0 X DENNIS H BOOKSHESTER 5.0 X CHARLES M BRENNAN III 5.0 X NICHOLAS D CHABRAJA 5.0 X DENNIS H CHOOKASZIAN 5.0 X GABRIELLA CLEVELAND 5.0 X WILLIAM A DALEY 5.0 X RAYMOND H DRYMALSKI 5.0 X STEPHEN A FALK 40.0 X X 487538 102208 MICHAEL W FERRO 5.0 X JOAN HIMMEL FREEMAN 5.0 X CHARLES R GARDNER 5.0 X C GARY GERST 5.0 X LISA M GILES 5.0 X JAMES A GORDON 5.0 X DEAN M HARRISON 2.0 X X 9451689 264453 SANDRA L HELTON 5.0 X ROBERTO R HERENCIA 5.0 X BRUCE A HEYMAN 5.0 X MARK S HOPLAMAZIAN 5.0 X WILLIAM M HUNTER 5.0 X PETER S HURST BDS 5.0 X RICK H KASH 5.0 X MAUREEN KELLY 5.0 X JOHN A KESSLER MD 5.0 X WILLIAM C KUNKLER III 5.0 X LAWRENCE F LEVY 5.0 X STEPHEN W LILIENTHAL 5.0 X WILLIAM T LYNCH JR 5.0 X JOSEPH D MANSUETO 5.0 X TRINA GORDON MCCALLISTER 5.0 X RICHARD MELMAN 5.0 X JOANNE C MILLER 5.0 X MICHAEL H MOSKOW 5.0 X GARY A NOSKIN MD 5.0 X M K PRITZKER 5.0 X ANDREA REDMOND 5.0 X VICTORIA J REICH 5.0 X LINDA JOHNSON RICE 5.0 X MARY BETH RICHMOND MD 5.0 X MICHAEL A RUCHIM MD 5.0 X 592162 45800 TERRY SAVAGE 5.0 X MARC S SCHULMAN 5.0 X RICHARD J L SENIOR 5.0 X SCOTT C SMITH 5.0 X WILLIAM D SMITHBURG 5.0 X NATHANIEL SOPER MD 5.0 X M CHRISTINE STOCK MD 5.0 X ROBERT J STUCKER 5.0 X SHEILA G TALTON 5.0 X DOUGLAS E VAUGHAN MD 5.0 X WILLIAM A VON HOENE JR 5.0 X REEVE B WAUD 5.0 X ARTHUR M WOOD JR 5.0 X CAROL M LIND 2.0 X 709148 129319 PETER J MCCANNA 1.0 X 1146333 494535 DOUGLAS M YOUNG 2.0 X 459439 46507 PAUL L SHOUN 5.0 X 101469 25866 JENNIFER S WOOTEN 5.0 X 97360 31103 DAVID SACK 40.0 X 153867 37218 HOLLY GIBOUT 40.0 X 159071 29462 ELIZABETH SWEETLAND 40.0 X 130872 23956 SHARON LEAR 40.0 X 123523 38556 JULIE FREDRICKSON 40.0 X 108951 36159 13721422 1305142 0 false true false Lime Rock 274 RIVERSIDE AVENUE WESTPORT CT 06880 INVESTMENT SERVICES 149100 Denham Commodity Partners Funds 200 Clarendon St 25th Floor BOSTON MA 02116 INVESTMENT SERVICES 130759 Clayton Dubilier Rice Funds 375 Park Ave 18th Floor NEW YORK NY 10152 INVESTMENT SERVICES 112426 Silchester International Investors 780 3rd Avenue 42nd Floor NEW YORK NY 10017 INVESTMENT SERVICES 109821 Monticello Associates Inc 1200 17th St Ste 2600 DENVER CO 80202 INVESTMENT SERVICES 106483 5 23750090 371740 23750090 FUNDRAISING FEE 900099 6514421 6514421 6514421 8007276 -555603 8562879 0 0 112781847 13866924 103630934 8609127 9150913 5257797 14408710 14408710 0 0 0 0 52680497 6514421 -555603 22971589 23280025 23280025 0 0 0 0 0 2318996 764619 1554376 0 644954 215506 429448 148621 46177 102445 0 45540 45540 239425 239425 0 0 2896059 2896059 1167507 1048663 118844 40744 19713 21031 546801 260419 286382 0 0 434729 434729 39420 14301 25119 0 549055 168694 380361 0 0 108513 108513 86204 86204 LICENSES & PERMITS 38025 18408 19617 DONOR RECOGNITION & PLAQUES 49486 24169 25317 MISCELLANEOUS 81227 28559 52668 32715331 23280025 6419698 3015608 4335742 3432771 22040482 22900445 13528 15376 0 458050 232191 841366 225859 217355626 281427597 201454125 155045815 29947406 31402712 475990123 494448727 1451170 3658909 13589515 3701160 19539080 27993718 34579765 35353787 X 275115310 283389541 87014604 90794408 79280444 84910991 441410358 459094940 475990123 494448727 X false true true X false X 17782635 17364290 26016446 16024942 23750090 100938403 17782635 17364290 26016446 16024942 23750090 100938403 10020578 90917825 10294278 9537616 8420226 7002552 8007275 43261947 144200350 34436058 0.63050 0.65700 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X X false 79280444 5630547 84910991 77455043 1825401 79280444 1.00000 false false 228738 66135 162603 229312 166057 63255 225858 LIMITED PARTN'SHIP INVESTMENTS 155045815 C 155045815 BENEFICIAL INTEREST IN TRUSTS 10596937 OTHER ASSETS 899158 CONDITIONAL STOCK GIFT 19701617 ARTWORK 205000 31402712 0 REFUNDABLE STOCK GIFT 19539080 DUE TO AFFILIATES 8454638 27993718 Collections of Art Form 990, Schedule D, Part III Due to immateriality there is no separate footnote in the financial statements regarding SFAS 116 contributed art. The Northwestern Memorial Foundation, NMF, maintains artwork that is on public display within Northwestern Memorial Hospital. The arts program was developed in response to research that demonstrates the healing value of representational art depicting natural landscapes and positive human interactions. The art collection provides comfort, evokes positive emotions and can help promote healing for the patients. NMF operates in conjunction with the hospital to maintain historical items that relate to care such as historical medical instruments and nursing uniforms FIN 48 Schedule D Part X Footnote Text The organization's financial statements do not report any uncertain tax positions under FIN 48. The organization adopted FIN 48 in fiscal 2008. true Northwestern Memorial Hospital 251 E Huron St Chicago IL 60611 370960170 501 c 3 14859799 Operating Support Northwestern University 710 N Lake Shore Drive Chicago IL 60611 362167817 501 c 3 5528641 Research support McGaw Medical Center of Northwestern University 645 N Michigan Ave Suite 1058A Chicago IL 60611 362656113 501 c 3 1745000 FELLOWSHIPS Northwestern Medical Faculty Foundation 680 N Lake Shore Drive Chicago IL 60611 363097297 501 c 3 367592 Research support Near North Health Services Corporation 1276 N Clybourn Chicago IL 60610 363197647 501 c 3 330000 OPERATING support Erie Family Health Center 1701 W Superior Chicago IL 60622 363088628 501 c 3 292643 Operating support Employee Crisis Assistance 251 E Huron Chicago IL 60611 370960170 27258 Operating support Northwestern Univ Feinberg School Medicine 303 E Chicago Ave Chicago IL 60611 362167817 501 c 3 21400 RESEARCH support ILLINOIS HOLOCAUST MUSEUM AND EDUCATION CTR 9603 WOODS DRIVE SKOKIE IL 60404 205240521 501 c 3 19000 OPERATING SUPPORT CHICAGO CARES 300 W ADAMS SUITE 300 CHICAGO IL 60606 363777709 501 c 3 15000 Operating support Rehabilitation Institute of Chicago 345 E Superior Chicago IL 60611 362256036 501 c 3 13363 Operating support Girls on the Run Chicago 1643 N Milwaukee Ave Chicago IL 60647 363635676 501 c 3 10000 Operating support Apostolic Church of God 6320 S Dorchester Ave Chicago IL 60637 363931105 501 c 3 10000 physician outreach Design Indust Foundation Fighting AidsChicago 222 Merchandise Mart Plaza Ste 939 Chicago IL 60654 203902715 501 c 3 5974 Operating support Bears Care 1000 Football Drive Lake Forest IL 60045 363931105 501 c 3 5500 OPERATING SUPPORT 28 0 MONITORING USE OF GRANT FUNDS SCHEDULE I PART I QUESTION 2 Northwestern Memorial Foundation maintains detailed records and internal control procedures to ensure grant recipients are qualified, award amounts are documented and selection criteria are clear. Once a grant has been awarded, Northwestern Memorial Foundation initiates a written agreement with the grant recipient that incorporates a budget and time period for spending the grant dollars. Reasonable direct costs, supported by direct budget justification and related to the project's purpose are allowable. Recipients agree to abide by the budget and all relevant policies in effect at Northwestern Memorial HealthCare. Grant expenditures are monitored for compliance with their respective agreements, at least once a year to ensure that budgets are followed and expenses are appropriate. At the end of each budget period, Northwestern Memorial Foundation requires the grant recipient to submit a written narrative and financial report outlining project accomplishments and how the grant dollars were expended. Unexpended funds are returned to Northwestern Memorial Foundation. X X X X X X false true false false false false false true false STEPHEN A FALK 315977 115000 56561 75180 27028 589746 DEAN M HARRISON 1051812 850435 7549442 227983 36470 9716142 6348575 MICHAEL A RUCHIM MD 541045 26513 24604 18783 27017 637962 CAROL M LIND 408534 262428 38186 99258 30061 838467 88000 PETER J MCCANNA 619483 486734 40116 461157 33378 1640868 202400 DOUGLAS M YOUNG 263462 94800 101177 18783 27724 505946 DAVID SACK 139572 14143 152 7701 29517 191085 HOLLY GIBOUT 135036 14139 9896 12480 16982 188533 ELIZABETH SWEETLAND 111487 9136 10249 5912 18044 154828 SHARON LEAR 112030 5849 5644 8508 30048 162079 NON FIXED PAYMENTS FORM 990 SCH J PART I QUES 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 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 this schedule are stephen falk, Carol Lind, peter mccanna, and Douglas Young. X 64 sale of comparable X 363031 market quote 0 false true true Gift Acceptance Policy Form 990 Schedule M Line 32 b Northwestern Memorial Foundation has a gift acceptance policy that requires the review of gifts of real or personal property and other non-standard contributions. All gifts must be fully consistent with the mission and objectives of Northwestern Memorial Foundation and Northwestern Memorial HealthCare. All gifts of personal property valued at $5,000 or more, real estate, life insurance, other assets, non-publicly traded securities, other income producing assets, contingent bequests and other non-standard contributions require approval by Northwestern Memorial Foundation's Executive Committee prior to acceptance. Use of Third Parties Form 990 Schedule M Ques 32 b Northwestern Memorial Foundation does not use third parties to solicit or process noncash contributions. However third parties are used to sell contributions of real or personal property. MEMBERS PART VI SECTION A QUESTION 6 MEMBERS The corporation has one member, Northwestern Memorial HealthCare. ELECTING MEMBERS OF THE GOVERNING BODY PART VI SECTION A QUESTION 7a THE SOLE MEMBER, NORTHWESTERN MEMORIAL HEALTHCARE, ELECTS MEMBERS OF THE GOVERNING BODY. MEMBER APPROVAL PART VI SECTION A QUESTION 7 b THe sole member has prior approval over contracts, debt, capital acquisition strategies, annual budget, transfer of assets, strategic plans, maintenance of insurance, participation in any network affiliations, joint ventures, mergers and acquisitions, participation in health care activities, grant making and amendments to the by-laws. 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 applies to all entities, directors, officers, employees and transactions which take place within the NMHC organization, including Northwestern Memorial Hospital. 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. COMPENSATION POLICY PART VI, SECTION B, QUESTIONS 15 a and b Northwestern memorial foundation does not pay compensation directly. Compensation for officers and employees is paid through and reported by northwestern memorial healthcare and northwestern memorial hospital and is then allocated to northwestern memorial foundation. NORTHWESTERN MEMORIAL foundation (NMf), 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 executive compensation subcommittee routinely reviews benefits and retirement programs to ensure the plans remain compliant with IRS guidelines. THE OFFICERS OF NORTHWESTERN MEMORIAL HOSPITAL ALSO FULFILL OFFICER AND EXECUTIVE FUNCTIONS FOR NMHC AND ITS SUBSIDIARIES. GOVERNING DOCUMENTS DISCLOSURE PART VI, SECTION C, QUESTION 19 HE 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 FORM 990 SECTION 6 QUESTION 4 THE BY-LAWS OF NORTHWESTERN MEMORIAL FOUNDATION WERE REVISED TO remove as ex-officio board members, the separate positions of chief executive officer of Northwestern Memorial Foundation and the president of The Service League of Northwestern Memorial Hospital. Business relationships Form 990 Part VI Question 2 William C Kunkler, Michael H Moskow, and William D Smithburg are Directors of Northwestern Memorial Foundation. William C Kunkler's spouse is a director at the Northern Trust Corporation. Michael H Moskow is a member of the Board of Trustees of Northern Funds and William D Smithburg is a director at Northern Trust Corporation. Mochael h Moskow and William A Von Hoene Jr are directors at Northwestern memorial Foundation. Michael h Moskow is a director at COMED and William A Von Hoene JR is an officer at exelon. Douglas M Young and Carol M Lind are officers at Northwestern Memorial Foundation. 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 QUES 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 section related to officer and senior management compensation. The organization then worked with a national, independent public auditing and accounting firm as the paid preparer of the Form 990 filing. 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 for Related Corps Form 990 Part VII ques 1 a Carol Lind and Douglas Young are employees of Northwestern Memorial HealthCare (NMHC) and generally work 40 hours a week or more. Approximately no more than 2 hours a week are spent providing services to NMHC's subsidiaries, including Northwestern Memorial Foundation (NMF). Dean Harrison and Peter McCanna are also employees of NMHC and generally work 40 hours a week or more. approximately one hour a week is spent providing services to NMHC's subsidiaries, including NMF. Stephen Falk is also an employee of NMHC and spends approximately 40 hours a week or more providing services to NMF. 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 NMF. The highly paid employees of Nmf are employees paid by northwestern memorial hospital, whose salaries are allocated to NMF. They generally work 40 hours or more entirely for Northwestern memorial Foundation. NORTHWESTERN MEMORIAL HEALTHCARE 251 E HURON CHICAGO IL 60611 363152959 MANAGEMENT IL 501(c)3 11 III-FI NA NORTHWESTERN MEMORIAL HOSPITAL 251 E HURON CHICAGO IL 60611 370960170 HOSPITAL IL 501(c)3 3 NMHC NORTHWESTERN MEMORIAL PHYSICIANS GROUP 251 E HURON 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 NMHC Lake Forest Health & Fitness 1200 N Westmoreland Road Lake Forest IL 60045 363835030 Health IL 501(c)(3) 9 NLFH NORTHWESTERN HEALTHCARE CORPORATION 251 E HURON CHICAGO IL 60611 363382383 IL NMH C CORP NORTHWESTERN MEMORIAL INSURANCE COMPANY GRAND PAVILLION COMMERCIAL CENTRE PO BOX 1085 GRAND CAYMAN CJ 980384611 liability ris CJ NMH C CORP false true false false false false false false false true true true false true false false false false NORTHWESTERN MEMORIAL Hospital LINE 14859799 Northwestern Memorial Hospital Line 434729 Northwestern Memorial Hospital Line 6514421 Northwestern Memorial Hospital Line 279468 Northwestern Memorial HealthCare Line 749566