2022-08-12T13:02:22-05:00 2021-09-30 861065772 Deloitte Tax LLP 50 South Sixth Street Suite 2800 Minneapolis MN 55402 990 2020-10-01 362167060 NorthShore University HealthSystem NORT 8475702000 1301 Central Street Evanston IL 60201 Douglas D Welday Treasurer & Chief Financial Officer 2022-08-12 true Douglas D Welday 999009999 Anne Fulton P00941863 6123974000 2022-08-15 2020 2022-09-23 18:48:47Z Gerald P Gallagher 1301 Central Street Evanston IL 60201 3520646765 false X northshore.org X 1891 IL The core mission of NorthShore University HealthSystem is to "preserve and improve human life." 24 18 12570 298 2395096 0 23825639 20194630 1678513082 1843980002 105108600 346622924 17167858 11678715 1824615179 2222476271 111755914 155611528 0 751126082 821271197 0 0 2959066 936927574 949385749 1799809570 1926268474 24805609 296207797 4925515045 6329420517 2052338289 2598859757 2873176756 3730560760 See Schedule O false false 1634617772 153929890 1809036129 Patient Care - See Schedule O 48505233 0 13200493 Education - See Schedule O 30031289 1681638 22535126 Research - See Schedule O 1713154294 true true false true false false false false true true true false true true true false true false false true true false false true false true true true true true true false false false false false false false true true false true false false false false true true true false false true X 630 0 true 12570 true true true true CJ false false false false false false false false true false X 24 18 true false false false false false false true true false false false true true true true true true true true true IL X Jeff Biesczat 8475705798 1301 Central Street Evanston IL 60201 David A Dohnalek Director/Prior Assistant Secretary 1.0 0.0 X X 0 0 0 David F Zucker Board Chairman 1.0 0.0 X X 0 0 0 Gerald P Gallagher President and Chief Executive Officer 41.0 3.0 X X 1373606 0 1001309 Harry M Jansen Kraemer Jr Board Past Chairman 1.0 0.0 X X 0 0 0 John G Zern Board Vice Chairman 1.0 0.0 X X 0 0 0 Susan B Sentell Director / Prior Board Secretary 1.0 0.0 X X 0 0 0 William M Farrow III Board Secretary 1.0 0.0 X X 0 0 0 A Steven Crown Director 1.0 0.0 X 0 0 0 Ann K Ford Director 1.0 0.0 X 0 0 0 Bea Reyna-Hickey Director 1.0 1.0 X 0 0 0 Catherine Guthrie Director 1.0 0.0 X 0 0 0 Christopher J Olson Director 1.0 2.0 X 0 0 0 Connie K Duckworth Director 1.0 0.0 X 0 0 0 Gregory A Wallman Director and Physician 41.0 0.0 X 158465 0 2127 Gregory K Jones Director 1.0 0.0 X 0 0 0 Guy W Eisenhuth Director 1.0 0.0 X 0 0 0 Jason L Koh Clinical Chairman/Prior Director 25.0 17.0 X 778980 685651 41515 John Erwin III Director and Clinical Chairman 33.0 8.0 X 561608 607199 29605 Kevin Willer Director 1.0 0.0 X 0 0 0 Mark S Talamonti Director and Clinical Chairman 32.0 10.0 X 1092215 319325 30314 Mary R Sheahan Director 1.0 0.0 X 0 0 0 Neil S Freedman Director 27.0 14.0 X 460235 382535 40416 Samuel M Mencoff Director 1.0 0.0 X 0 0 0 Scott C Schweighauser Director 1.0 0.0 X 0 0 0 Toure S Claiborne Director 1.0 0.0 X 0 0 0 Douglas D Welday Board Treasurer and Chief Financial Officer 41.0 0.0 X 1008062 0 296594 Kristen Murtos Chief Administrative and Strategy Officer 41.0 2.0 X 703638 0 369303 Sean O'Grady Chief Clinical Operations Officer 41.0 0.0 X 892250 0 557800 Brian Washa Senior Vice President, Business Services and Purchasing 40.0 0.0 X 400614 0 35545 David Rahija President, Skokie Hospital 40.0 0.0 X 427522 0 79219 Douglas M Silverstein President, Evanston Hospital 40.0 0.0 X 895612 0 95815 Frederick E Miller Clinical Chairman 32.0 9.0 X 448731 128003 28229 Gabrielle Cummings President, Highland Park Hospital 40.0 0.0 X 423180 0 62300 Jesse Peterson Hall President, Glenbrook Park Hospital 40.0 0.0 X 535238 0 95312 John Tressa Chief Nursing Officer 40.0 0.0 X 396743 0 20631 Joseph Szokol Clinical Chairman 24.0 17.0 X 646061 760196 119348 Julian E Bailes Clinical Chairman 28.0 13.0 X 1246926 564741 41287 Karen L Kaul Clinical Chairman 23.0 18.0 X 441876 408729 31205 Mahalakshmi Halasyamani Chief Medical Officer 40.0 1.0 X 678048 0 196210 Michael S Caplan Clinical Chairman 34.0 7.0 X 766316 136004 14811 Richard K Silver Clinical Chairman 35.0 6.0 X 840060 141172 32565 Robert R Edelman Clinical Chairman 38.0 3.0 X 945637 192107 41241 Scott Kenagy Chief Investment Officer 40.0 0.0 X 466767 0 38428 Steven Smith Chief Information Officer 40.0 0.0 X 571756 0 444848 Susan Rubin Clinical Chairman 30.0 11.0 X 448992 152875 10795 Theodore Mazzone Clinical Chairman 34.0 7.0 X 482110 99910 24325 William D Bloomer Clinical Chairman 23.0 18.0 X 380090 690638 29951 William R Luehrs Chief Human Resources Officer 40.0 0.0 X 619597 0 83774 Carol Franczek SVP, Marketing and Corporate Communications 40.0 0.0 X 498123 0 24754 Janardan D Khandekar Director, Education and Innovation 37.0 4.0 X 415648 38197 21660 Janet S Palmaccio VP, Total Rewards 40.0 0.0 X 480725 0 17997 Jianfeng Xu Vice President, Translational Research 40.0 0.0 X 460406 0 21498 Pablo Gejman Vice President, Genomic Research 40.0 0.0 X 494509 0 27517 21440346 5307282 4008248 1609 false true false Aramark Management Services 27310 Network Place Chicago IL 60673 Facilities/Diet Management 65974954 Pepper Construction Company 411 Lake Zurich Road Barrington IL 60010 Construction Management 25087174 TMX Healthcare Technologies LLC 5451 Lakeview Parkway S Drive Indianapolis IN 46268 Technology Management 22887313 University of Chicago Medical Center 5841 South Maryland Avenue Chicago IL 60637 Medical Education 18824624 Kelly Scott & Madison Inc 303 East Upper Wacker Drive 8th Floor Chicago IL 60601 Media and Marketing 12755823 282 713452 500489 7413630 202572 11364487 5310449 20194630 Patient Revenue 622110 1010398479 1010398479 Medicare and Medicaid Revenue 622110 699035866 699035866 CARES Act Funds 900099 80755171 80755171 Rent from Affiliated Exempt Organizations 900003 25785457 25785457 Fees and Contracts from Government Agencies 541700 13400742 13400742 14604287 14604287 0 0 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Supplies 411081895 411081895 Allocation of Indirect Expenses 0 145337182 -145337182 Medicaid Taxes 55157453 55157453 Dues and Subscriptions 3560240 1026908 2520101 13231 6567508 5634528 932980 0 1926268474 1713154294 210155114 2959066 242413917 128990664 1906890 2352682 5497740 6561831 199539411 238201355 0 0 0 0 27283200 28428171 12459204 13372806 2667372550 1108318800 1474910699 1559053750 2020891022 2663166843 736722914 1331278400 19309247 18826836 184580801 339187179 4925515045 6329420517 312410887 343984072 13236422 11618711 548587755 535213671 0 0 1178103225 1708043303 2052338289 2598859757 X 2634623069 3458809326 238553687 271751434 2873176756 3730560760 4925515045 6329420517 X 296207797 544989125 16187082 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 267374 267374 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY NorthShore University HealthSystem (NorthShore) and its employees are members of various organizations that advocate on legal and policy issues that affect healthcare. A portion of the annual membership dues paid by NorthShore to these organizations are attributable to lobbying activities. 188379680 104547440 36857501 12277789 317506832 171561222 1525 25668427 8851494 188379680 173877101 50750 6995963 9362592 171561222 155281603 300920 26436023 8141445 173877101 139863041 235586 22202452 7019476 155281603 0.3175 0.2581 0.4244 false false 0 73457282 73457282 0 1764346104 701259734 1063086370 0 56301160 49036520 7264640 0 559385831 330038646 229347185 0 213882173 27983900 185898273 1559053750 Private Equity Funds 684072588 F Hedge Funds 583666391 F Other Investments 63539421 F 1331278400 Annuities Trusts and Other 157240614 Due from Affiliates 130174907 Miscellaneous Receivables 36244831 Escrow Deposits 13827000 Deferred Income Tax Benefit 1699827 Right to Future Rent 339187179 0 Due to Affiliates 668858628 Reserve for Malpractice Losses 410376439 Due to Third Parties 292791864 Deferred Compensation 185227047 Lease Obligation 133644707 FMV of Swaps 11943140 Asset Retirement Obligation 5788392 Obligation to Provide Property -586914 1708043303 X 2511095653 544989125 11533613 556522738 1954572915 53413430 214489926 267903356 2222476271 1703079269 -21374636 -21374636 1724453905 53413430 148401139 201814569 1926268474 Schedule D, Part V, Line 4 Intended uses of endowment funds Endowment fund earnings are used toward research, education, and to fund department chairs, as well as general operations and uncompensated care offered to patients who meet the criteria established under NorthShore University HealthSystem's financial assistance policy. During fiscal year 2021, the Board of Directors designated a portion of net assets without donor restrictions as a board-designated endowment for the purpose of funding community benefit activities to meaningfully advance the health and well-being of the communities served. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote NorthShore, FPA, RMI, Swedish Hospital, SHF, NCH, NCH Hospital, and NCH Foundation have been determined to qualify as tax-exempt organizations under Section 501(c)(3) of the Internal Revenue Code (IRC). Most of the income received by the Corporation is exempt from taxation under Section 501(a) of the IRC, as income related to the mission of the organization. Accordingly, there is no material provision for income tax for this entities. Some of the income received by exempt entities is subject to taxation as unrelated business income. NorthShore and its subsidiaries file federal income tax returns and returns for various states in the U.S. ASC 740-10, Income Taxes, requires that realization of an uncertain income tax position is more likely than not (i.e., greater than 50% likelihood of receiving a benefit) before it can be recognized in the financial statements. Furthermore, this interpretation prescribes the benefit to be recorded in the financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax-related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the years ended September 30, 2021 or 2020. For the year ended September 30, 2021, the Corporation has a net operating loss carryforward of $338,941,378, which generated assets of $95,702,115. These assets are offset by a valuation allowance of $94,002,288. For the year ended September 30, 2020, the Corporation has a net operating loss carryforward of $190,181,510, which generated assets of $54,211,238. These assets are offset by a valuation allowance of $52,737,013. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Rental Expenses - 4204957 Fundraising Event Expenses - 114445 Gift Shop Expenses - 76419 CTSA Expenses - 15000 Equity Transactions - 7122792 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Internal Support - XXX-XX-XXXX Foundation Administrative Expenses - 3929220 Gain on assets other than inventory - 18201 Equity Transactions - 40303330 Rent from Affiliated Exempt Organizations - 25785457 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Rental Expenses - 4204957 Fundraising Event Expenses - 114445 Gift Shop Expenses - 76419 CTSA Expenses - 15000 Rent from Affiliated Exempt Organizations - -25785457 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Gain on assets other than inventory - 18201 Internal Support - XXX-XX-XXXX Foundation Administrative Expenses - 3929220 true Central America and the Caribbean 0 0 Investments 566236370 Central America and the Caribbean 0 0 ,Insurance 4986761 East Asia and the Pacific 0 0 Program Services Medical Supplies 2496 Europe (Including Iceland and Greenland) 0 0 Program Services Medical Supplies 37500 Europe (Including Iceland and Greenland) 0 0 Program Services Medical Conferences 813 North America (Canada & Mexico only) 0 0 Program Services Medical Supplies 3261337 North America (Canada & Mexico only) 0 0 Grantmaking 26140 Russia and Neighboring States 0 0 Program Services Medical Services 1000 0 0 0 0 0 0 574552417 0 574552417 North America (Canada & Mexico only) Research 26140 Check 1 0 true false true false true false Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds NorthShore University HealthSystem (NorthShore) provides cash grants to sub-recipients of grant awards. NorthShore requires all sub-recipients to sign a consortium agreement stating that the sub-recipient understands and agrees to all applicable compliance requirements. NorthShore meets with the sub-recipients on a regular basis and reviews the sub-recipients' A-133 reports. Schedule F, Part I, Line 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS NorthShore University HealthSystem (NorthShore) provides cash grants to sub-recipients of grant awards. NorthShore requires all sub-recipients to sign a consortium agreement stating that the sub-recipient understands and agrees to all applicable compliance requirements. NorthShore meets with the sub-recipients on a regular basis and reviews the sub-recipients' A-133 reports. American Craft Expo 280807 280807 0 56552 Associate Board Benefit 111945 111945 0 6000 32116 1 107737 107737 0 400 19377 500489 500489 0 6400 108045 114445 -114445 true true X true X true X 600 true true true false true true 18146159 170382 17975777 0.0093 141398791 118501366 22897425 0.0118 0 0.0 0 0 159544950 118671748 40873202 0.0211 1864333 1864333 0.0010 48505233 13200493 35304740 0.0182 49329544 23913369 25416175 0.0131 26105416 20957409 5148007 0.0027 1970890 1970890 0.0010 0 0 127775416 58071271 69704145 0.0360 0 0 287320366 176743019 110577347 0.0571 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 189 189 0.0000 8614 8614 0.0000 0 0.0 0 0.0 0 0 8803 0 8803 0.0000 true 9381381 475183760 543125621 -67941861 X true true Ravine Way Surgery Center LLC Operates an orthopaedic surgery center 0.27 0.0 0.73 NorthShoreUSP Surgery Centers II LLC Operates general surgery centers 0.499 0.0 0.501 Morton Grove Medical Imaging LLC Operates a diagnostic testing facility 0.49 0.0 0.51 4 1 Evanston Hospital 2650 Ridge Avenue Evanston IL 60201 northshore.org 0000646 X X X X X A 2 Highland Park Hospital 777 Park Avenue West Highland Park IL 60035 northshore.org 0005066 X X X X X A 3 Glenbrook Hospital 2100 Pfingsten Road Glenview IL 60026 northshore.org 0003483 X X X X X A 4 Skokie Hospital 9600 Gross Point Road Skokie IL 60076 northshore.org 0005587 X X X X X A A false false true X X X X X X X X X 18 true true false true X northshore.org/community/community-health-needs-assessment/ X true 19 true northshore.org/community/implementation-strategy-plan/ false true X 200.0 600.0 X X X X X true true X X X true X northshore.org/about-us/billing/financial-assistance/ X northshore.org/about-us/billing/financial-assistance/ X northshore.org/about-us/billing/financial-assistance/ X X X X X X true X false X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Highland Park Hospital 3 - Glenbrook Hospital 4 - Skokie Hospital NorthShore University HealthSystem (NorthShore) contracted with Crowe LLP (Crowe) to facilitate and conduct the Community Health Needs Assessment (CHNA). Crowe has significant healthcare experience including providing services to hundreds of large healthcare organizations across the country. NorthShore has conducted a CHNA using primary and secondary data, to ensure community benefit programs and resources are focused on significant health needs as perceived by the community at large, as well as alignment with NorthShore's mission, services and strategic priorities. NorthShore obtained input from 44 leaders representing public health, major employers, public schools, social services, NorthShore leaders and the community at-large through two focus groups and one-on-one interviews. Primary input was also obtained by conducting an online community health survey distributed to members of the community. Additionally, health needs assessments prepared by four local health departments serving the NorthShore community were also reviewed and considered. Secondary data was assessed including: Demographics (population, age, sex, race), Socioeconomic indicators (household income, poverty, unemployment, educational attainment), Health access indicators, Community health status indicators (causes of death, chronic conditions, health behaviors, etc.), and Availability of health care facilities and resources. Community input was obtained through two focus groups and seven interviews with key stakeholders. The first focus group was conducted with members of NorthShore's community advisory committees representing twenty-eight organizations. The attendees included health care providers, social service providers, public health agency representatives, local government agency leaders, and small business organizations working throughout the NorthShore service area. The organizations represented included the City of Evanston-Department of Health, Moraine Township, CJE Senior Life, NAMI Cook County North Suburban, Deerfield Parent Network, Niles Township High School District 219, Erie Family Health Center, Northbrook Chamber of Commerce, Evanston Fire Department, Northfield Township, Evanston/Skokie School District 65, Northwest Suburban United Way, Faith in Action, Peer Services, Family Services of Glencoe, Skokie Police Department, Frisbie Senior Center, St. Philip Lutheran Church, Glenbrook South High School, Terry Performance Group, Glenview Chamber of Commerce, Tri-Con Child Care Center, Great Lakes Adaptive Sports Association, Turning Point Behavioral Health, Lake County Health Department, Village of Glenview, McGaw YMCA, and Village of Skokie, Health Department. Participants provided input on behalf of public health, medically underserved and minority populations and the community as a whole. A second focus group was conducted with leaders from NorthShore's staff representing a wide range of departments, including Emergency Medicine, Kellogg Cancer Center, Nursing, Cardiology, Psychiatry and Behavioral Health, Neurology, Managed Care, and Infection Control. The group discussed prominent health and wellness issues, barriers and assets to health in the communities NorthShore serves, and potential strategies to address barriers to community health and well-being. Community input was also obtained through an electronic survey distributed to the community. Identified health needs were then prioritized taking into account community perception regarding the significance of each identified need as well as the ability for NorthShore to impact overall health based on alignment with NorthShore's mission and services provided. NorthShore's leadership participated in identifying and prioritizing significant health needs. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Highland Park Hospital 3 - Glenbrook Hospital 4 - Skokie Hospital The Community Health Needs Assessment (CHNA) conducted by NorthShore University HealthSystem (NorthShore) included all four NorthShore hospitals: Evanston Hospital, Highland Park Hospital, Glenbrook Hospital, and Skokie Hospital. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Highland Park Hospital 3 - Glenbrook Hospital 4 - Skokie Hospital NorthShore University HealthSystem (NorthShore) has implemented a three-fold strategy to address the identified health needs of the communities it serves, which includes: 1) Community benefits programs and partnerships will address a need identified in the Community Health Needs Assessment (CHNA), with a rationale provided for any identified health needs not addressed by NorthShore, 2) Community benefits programs, initiatives, and partnerships will address a need identified by the community, and 3) Community benefits programs, initiatives, and partnerships will be aligned with the guiding principles outlined in Advancing the State of the Art of Community Benefits for Nonprofit Hospitals. The guiding principles are: Disproportionate Unmet Health-Related Needs, Primary Prevention, Seamless Continuum of Care, Build Community Capacity, and Community Collaboration. NorthShore places priority on providing community benefits and services in the communities located nearest to its hospitals, where NorthShore believes it has the greatest capacity and responsibility to serve. NorthShore evaluates the impact of the initiatives developed to address the identified needs by collecting data on how many individuals utilize components of the initiative. Measurement of the impact was also assessed by gathering ongoing feedback from the hospitals' Community Advisory Committees, along with feedback from senior and physician leadership. The needs identified in the most recently conducted CHNA were: Access to Behavioral Health, Health Literacy and Navigating the Healthcare Environment, Access and Coordination of Care (affordability, education, transportation, specialty care, cultural competency), Substance Abuse, Behavioral Health (mental health and substance abuse, psychiatry and community based services), Chronic Risk Factors (prevention and management of obesity, tobacco use, hypertension), Alzheimer's/Dementia (prevention, management, caregiver support, long-term care), Oral Health, Diabetes, Cardiovascular Disease and Stroke, Cancer, Lung Health, and Maternal and Child Health (infant mortality, low birth weight). NorthShore plans to address all the needs identified in the CHNA, although the following needs have been addressed in a limited capacity through existing services and financial contributions to outside organizations: Violence Prevention. Actions taken during fiscal year 2021 to address the needs identified in the CHNA include the following NorthShore programs and services by hospital facility: Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - A, 1 Evanston Hospital. The NorthShore Evanston Hospital Community Health Center provides medical care to adults who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopaedics, diabetes education, and podiatry. In fiscal year 2021, the clinic treated 2,750 adult patients at 4,963 visits. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level 1 trauma services. During fiscal year 2021, the NorthShore Emergency Departments had 124,710 patient visits. The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided discounted care for adult patients making 2,741 visits during fiscal year 2021. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. During fiscal year 2021, NorthShore hospitals had a total of 90,805 cardiology patient visits. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During fiscal year 2021, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 90,099 patient visits. The Maternal Health Department at Evanston Hospital offers comfortable, high-tech birthing facilities. Evanston Hospital also serves as a Regional Perinatal Network hospital for northeastern Illinois. Both high-risk mothers and high-risk babies are transferred to Evanston Hospital for access to the latest technology and highly trained staff. During fiscal year 2021, the Evanston Hospital Maternal Health Department had a total of 42,533 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During fiscal year 2021, the Pediatric Rehabilitation Clinic had a total of 5,342 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2021, NorthShore physicians conducted 7,974 screenings to identify at-risk patients, and the hotline received 1,266 calls. Free psychological support and referrals were provided for 611 women identified as at-risk for perinatal mood disorders. NorthShore's Medication Assistance Program helps with the cost of prescriptions for patients of the Evanston Hospital Community Health Center. The Medication Assistance Program provided 24,985 prescriptions to 2,058 low-income patients during fiscal year 2021. NorthShore Mental Health Services for adults, adolescents and children offers along with a continuum of care including group, individual and family outpatient services, intensive outpatient, partial hospital programs, inpatient centers for both adults and adolescents, and crisis call center. The Access/Crisis Center offers 24-hour crisis intervention and triage over the phone and in the emergency department. During fiscal 2021, the Mental Health Services Departments at Evanston, Highland Park, and Skokie Hospitals had a total of 27,617 patient visits. The Evanston Township High School Health Center is a school-based health clinic that provides physical exams, immunizations, treatment of acute and chronic illnesses, individual counseling, health education, gynecological care, and support groups to students whose parents allow them to enroll in the health center. For the 2020-2021 academic year, 667 students made 1,392 visits. Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - A, 2 Highland Park Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level 1 trauma services. During fiscal year 2021, the NorthShore Emergency Departments had 124,710 patient visits. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. During fiscal year 2021, NorthShore hospitals had a total of 90,805 cardiology patient visits. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During fiscal year 2021, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 90,099 patient visits. The Maternal Health Department at Highland Park Hospital is committed to providing the best in family care and strives to provide individualized care for each family. The Center's state-of-the-art birthing center rooms were designed to achieve the labor-delivery-recovery-postpartum, or single-room care experience with the latest technology. During fiscal year 2021, the Highland Park Hospital Maternal Health Department has a total of 3,387 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During fiscal year 2021, the Pediatric Rehabilitation Clinic had a total of 5,342 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2021, NorthShore physicians conducted 7,974 screenings to identify at-risk patients, and the hotline received 1,266 calls. Free psychological support and referrals were provided for 611 women identified as at-risk for perinatal mood disorders. NorthShore Mental Health Services for adults, adolescents and children offers along with a continuum of care including group, individual and family outpatient services, intensive outpatient, partial hospital programs, inpatient centers for both adults and adolescents, and crisis call center. The Access/Crisis Center offers 24-hour crisis intervention and triage over the phone and in the emergency department. During fiscal 2021, the Mental Health Services Departments at Evanston, Highland Park, and Skokie Hospitals had a total of 27,617 patient visits. Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - A, 3 Glenbrook Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level 1 trauma services. During fiscal year 2021, the NorthShore Emergency Departments had 124,710 patient visits. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. During fiscal year 2021, NorthShore hospitals had a total of 90,805 cardiology patient visits. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During fiscal year 2021, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 90,099 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During fiscal year 2021, the Pediatric Rehabilitation Clinic had a total of 5,342 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2021, NorthShore physicians conducted 7,974 screenings to identify at-risk patients, and the hotline received 1,266 calls. Free psychological support and referrals were provided for 611 women identified as at-risk for perinatal mood disorders. Schedule H, Part V, Section B, Line 11 Facility A, 5 Facility A, 5 - A, 4 Skokie Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level 1 trauma services. During fiscal year 2021, the NorthShore Emergency Departments had 124,710 patient visits. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. During fiscal year 2021, NorthShore hospitals had a total of 90,805 cardiology patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During fiscal year 2021, the Pediatric Rehabilitation Clinic had a total of 5,342 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2021, NorthShore physicians conducted 7,974 screenings to identify at-risk patients, and the hotline received 1,266 calls. Free psychological support and referrals were provided for 611 women identified as at-risk for perinatal mood disorders. NorthShore Mental Health Services for adults, adolescents and children offers along with a continuum of care including group, individual and family outpatient services, intensive outpatient, partial hospital programs, inpatient centers for both adults and adolescents, and crisis call center. The Access/Crisis Center offers 24-hour crisis intervention and triage over the phone and in the emergency department. During fiscal 2021, the Mental Health Services Departments at Evanston, Highland Park, and Skokie Hospitals had a total of 27,617 patient visits. Schedule H, Part V, Section B, Line 20 Facility A, 1 Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Highland Park Hospital 3 - Glenbrook Hospital 4 - Skokie Hospital Per the Billing and Collections Policy of NorthShore University HealthSystem (NorthShore), NorthShore does not engage in Extraordinary Collection Actions (ECAs), nor does it permit its collections vendors to engage in ECAs. 47 Glenbrook Ambulatory Care Center 2180 Pfingsten Road Glenview IL 60026 Outpatient Clinic Skokie Ambulatory Care Center 9650 Gross Point Road Skokie IL 60076 Outpatient Clinic Graham Medical Office Building 1000 Central Street Evanston IL 60201 Outpatient Clinic Highland Park Ambulatory Care Center 757 Park Avenue West Highland Park IL 60035 Outpatient Clinic Gurnee Ambulatory Care Center 7900 Rollins Road Gurnee IL 60031 Outpatient Clinic Old Orchard Medical Office Building 9977 Woods Drive Skokie IL 60077 Outpatient Clinic Highland Park Medical Office Building 767 Park Avenue West Highland Park IL 60035 Outpatient Clinic Glenbrook Medical Office Building North 2150 Pfingsten Road Glenview IL 60026 Outpatient Clinic Glenbrook Medical Office Building South 2050 Pfingsten Road Glenview IL 60026 Outpatient Clinic Fetal Diagnostic Center 71 Waukegan Road Lake Bluff IL 60044 Outpatient Clinic Vernon Hills Specialty Care Center 225 N Milwaukee Avenue Vernon Hills IL 60061 Outpatient Clinic NorthShore Lab Services - Evanston 2500 Ridge Avenue Evanston IL 60201 Outpatient Clinic Bannockburn Medical Office Building 2151 Waukegan Road Bannockburn IL 60015 Outpatient Clinic Lincolnshire Medical Office Building 920 N Milwaukee Avenue Lincolnshire IL 60048 Outpatient Clinic Pediatric Outpatient Center 3232 Lake Avenue Wilmette IL 60091 Outpatient Clinic Niles Medical Office Building 6450 W Touhy Avenue Niles IL 60714 Outpatient Clinic Lakeshore Imaging 680 N Lake Shore Drive Chicago IL 60611 Outpatient Clinic Ravinia X-Ray and GI Lab 1777 Green Bay Road Highland Park IL 60035 Outpatient Clinic NorthShore Medical Group - Round Lake Beach 1000 Rollins Road Round Lake Beach IL 60073 Outpatient Clinic Gurnee Medical Office Building 15 Tower Court Gurnee IL 60031 Outpatient Clinic Mount Prospect Medical Office Building 1329 N Wolf Road Mount Prospect IL 60056 Outpatient Clinic Glenview Park Center 2400 Chestnut Avenue Glenview IL 60026 Outpatient Clinic NorthShore Immediate Care Center - Chicago at Sauganash 6141 N Cicero Avenue Chicago IL 60646 Outpatient Clinic PM&R Fitness Center 1501 Busch Parkway Buffalo Grove IL 60089 Outpatient Clinic NorthShore Immediate Care Center - Chicago at Bucktown 1942 W Fullerton Avenue Chicago IL 60647 Outpatient Clinic NorthShore Immediate Care Center - Des Plaines 1535 Ellinwood Des Plaines IL 60016 Outpatient Clinic NorthShore Immediate Care Center - Chicago at NorthCenter 2019 W Irving Park Road Chicago IL 60618 Outpatient Clinic PM&R Benson Avenue 1729 Benson Avenue Evanston IL 60201 Outpatient Clinic Northbrook Court Imaging 1182 Northbrook Court Northbrook IL 60062 Outpatient Clinic NorthShore Immediate Care Center - Chicago at Broadway Square 5238 N Broadway Avenue Chicago IL 60640 Outpatient Clinic NorthShore Immediate Care Center - Chicago at Andersonville 4914 N Clark Street Chicago IL 60640 Outpatient Clinic NorthShore Immediate Care Center - Evanston 524 Main Street Evanston IL 60201 Outpatient Clinic NorthShore Immediate Care Center - Arlington Heights 206 W Rand Road Arlington Heights IL 60004 Outpatient Clinic NorthShore Immediate Care Center - Chicago at Jefferson Park 5211 W Lawrence Avenue Chicago IL 60630 Outpatient Clinic NorthShore Immediate Care Center - Chicago at Belle Plaine 4070 N Milwaukee Avenue Chicago IL 60641 Outpatient Clinic NorthShore Immediate Care Center - Skokie Commons 3304 W Touhy Ave Skokie IL 60076 Outpatient Clinic NorthShore Immediate Care Center - Chicago at Mayfair Commons 5240 N Pulaski Chicago IL 60630 Outpatient Clinic NorthShore Immediate Care Center - Chicago at Lincoln Village 6071 N Lincoln Ave Chicago IL 60659 Outpatient Clinic NorthShore Immediate Care Center - Chicago at Lincoln Square 2323 W Lawrence Chicago IL 60625 Outpatient Clinic Fetal Diagnostic Center 890 Garfield Avenue Libertyville IL 60048 Outpatient Clinic Fetal Diagnostic Center 800 W Central Road Arlington Heights IL 60005 Outpatient Clinic Breast Health and Mammography Program 71 Old Orchard Shopping Center Skokie IL 60077 Outpatient Clinic Ravine Way Surgery Center 2350 Ravine Way Glenview IL 60025 Ambulatory Surgery Center North Shore Same Day Surgery 3725 W Touhy Avenue Lincolnwood IL 60712 Ambulatory Surgery Center River North Same Day Surgery One East Erie Street Chicago IL 60611 Ambulatory Surgery Center Morton Grove Medical Imaging 9000 Waukegan Road Morton Grove IL 60053 Ambulatory Surgery Center 25 East Same Day Surgery Center 25 E Washington Street Chicago IL 60602 Ambulatory Surgery Center Schedule H, Part I, Line 3c Other Factors Used to Determine Eligibility for Financial Assistance In addition to the Federal Poverty Guidelines, NorthShore University HealthSystem uses the following factors to determine eligibility for financial assistance: asset level, medical indigency, insurance status, underinsurance status, and residency. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance NorthShore University HealthSystem calculated the cost of charity care and means-tested government programs using the cost-to-charge ratio derived from Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges. Amounts in the other benefits section of Line 7 were calculated using costs charged directly to the individual programs from the financial accounting system. An indirect cost allocation factor for hospital shared services was also calculated and included for each program indicated in other benefits. Schedule H, Part II Community Building Activities NorthShore University HealthSystem (NorthShore) employees are involved in numerous community building activities which promote the health of the communities it serves. NorthShore encourages its employees to serve on community collaboration boards and participate in health advocacy programs to promote the health of the communities served. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Bad debt expense was reported at cost using a cost-to-charge methodology. The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges calculated to report charity care on Part I, Line 7a was multiplied by the bad debt expense to determine the bad debt expense at cost. Discounts and payments on patient accounts are excluded from bad debt expense in order to reflect the expected amount to be paid. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote See pages 15-18 of the audited financial statements for footnotes describing accounts receivable and bad debt expense. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges was used to determine the Medicare costs reported on Part III, Line 6. NorthShore University HealthSystem (NorthShore) believes that all of the $67,941,861 Medicare shortfall should be considered as community benefit. The Internal Revenue Service Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by NorthShore in order to continue treating the elderly in our community. During fiscal year 2021, Medicare accounted for approximately 51% of hospital gross patient revenues. The hospital provides care regardless of this shortfall and thereby relieves the government of the burden of paying the full cost of care for Medicare beneficiaries. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance NorthShore University HealthSystem (NorthShore) follows the Illinois Fair Patient Billing Act. The collection policy is the same for all patients. Patients are screened for eligibility for financial assistance before collection procedures begin. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off. Any remaining balance would be collected under the existing debt collection policy. Schedule H, Part V, Section B, Line 16a FAP website A - Evanston Hospital: Line 16a URL: northshore.org/about-us/billing/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website A - Evanston Hospital: Line 16b URL: northshore.org/about-us/billing/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - Evanston Hospital: Line 16c URL: northshore.org/about-us/billing/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment See the information reported in Part V Section B regarding the most recently completed Community Health Needs Assessment (CHNA). NorthShore University HealthSystem (NorthShore) contracted with Crowe LLP (Crowe) to compile and analyze existing data which led to the collection of community input data for the 2019 CHNA. The CHNA process included community input data collection including a focus group with NorthShore staff, as well as a focus group with community advisory committees representing twenty-eight organizations. The assessment process also included the development of a Community Health Profile using secondary data from local health department, federal, and state data sources. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance NorthShore University HealthSystem (NorthShore) informs and educates low-income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describes the Financial Assistance program and necessary contact information. Our collection agencies and billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately 16 full-time financial counselors and 38 Customer Service agents representing our hospitals, clinics, and physician offices. These counselors and representatives are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. NorthShore has also earned Certified Application Counselor Organization (CACO) status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance will have their case reviewed by calling our centralized Customer Service billing department. Our Customer Service department responds to approximately 1,400 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for Financial Assistance, NorthShore may also grant Financial Assistance on a presumptive basis. Presumptive Financial Assistance approvals are based upon individual life circumstances such as enrollment in low-income government programs with income eligibility below 200 percent of federal poverty level income guidelines or verification of financial indigence through a credit rating agency and their calculated healthcare credit score. Schedule H, Part VI, Line 4 Community information NorthShore University HealthSystem (NorthShore) has four hospital facilities located in the northern suburbs of Chicago, Illinois. The NorthShore service area has a total population size of approximately 1.6 million. The median household income is approximately $92,000. During fiscal year 2021, approximately 3% of NorthShore's patients had no insurance and 6% qualified for Medicaid. Within NorthShore's service area, there are four federally-designated medically underserved areas. NorthShore's service area also includes 11 other hospitals. Schedule H, Part VI, Line 5 Promotion of community health NorthShore University HealthSystem (NorthShore) extends medical staff privileges to all qualified physicians in the NorthShore community. A majority of the NorthShore Board members also reside in NorthShore's service area and are not employees, independent contractors, or family members thereof. NorthShore also uses surplus funds to add new buildings and renovate existing facilities to better serve patients and the community. Additional programs conducted by NorthShore to help promote the health of the community include: Residency and Education Programs - NorthShore is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at its teaching and research facilities. During fiscal year 2021, 223 resident and fellow full-time equivalents (FTEs) participated in NorthShore and affiliate-based programs. The NorthShore residency program areas include: Dentistry, Family Medicine, Internal Medicine (Categorical, Preliminary, and Transitional), and Pathology. The NorthShore fellowship program areas include: Breast Surgery, Cardiology, Endocrine Surgery, Family Medicine-Sports Medicine, Gastroenterology, Maternal-Fetal Medicine, Musculoskeletal Imaging, Simulation-Emergency Medicine, and Urogynecology. The affiliate-based residency program areas include: Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Obstetrics and Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry, Radiology, and Urology. The affiliate-based fellowship program areas include: Cardiothoracic Surgery, Child Psychiatry, Colon Rectal Surgery, Gynecology-Oncology, Hematology-Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Molecular Genetics Pathology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient and ambulatory practice. The program also includes specialty residencies in oncology, pharmacy informatics, and pharmacy administration. The program consists of a multitude of experiences that reinforce residents' knowledge and skills and help them advance into well-rounded practitioners. During fiscal year 2021, 18 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital and is affiliated with DePaul University. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the school is to prepare qualified professional registered nurses for the advanced practice of nurse anesthesia in a variety of practice settings. The graduate nurse anesthetist demonstrates the knowledge, skills, and attitude necessary to take on leadership roles in the practice of nurse anesthesia. During fiscal year 2021, 96 students participated in the program. NorthShore also provided clinical training and internships during the 2021 academic year for 281 high school and college students. Students interned in various areas including Nursing, Diagnostic Radiology, Occupational Therapy, Physical Therapy, Medical Social Work, and Speech Pathology. Community Advisory Committees - The Community Advisory Committees' (CAC) role is to advise hospital administration on services and initiatives from a community perspective. The CACs are structured to ensure NorthShore's accountability to the community and to assist in the fulfillment of the community relations vision, to be the most trusted and indispensable heath partner throughout the communities we serve. The CACs are primarily comprised of community members, along with hospital administrative and professional staff. NorthShore strives for diverse membership to include business, faith community, social services, civic organizations, government and elected officials, as well as interested citizens. The CACs meet quarterly and help to identify gaps in healthcare services within the community and seek opportunities for partnerships between the hospitals and community organizations. In addition, the CACs assist NorthShore with the community health needs assessment process. NorthShore Community Health Center - The NorthShore Evanston Hospital Community Health Center provides medical care to adults who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopaedics, diabetes education, and podiatry. In fiscal year 2021, the clinic treated 2,750 adult patients at 4,963 visits. Dental Center - The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided discounted care for adult patients making 2,741 visits during fiscal year 2021. Erie Evanston/Skokie Health Center - NorthShore partners with this Federally Qualified Health Center to provide services to the underserved. During fiscal year 2021, NorthShore provided services to 2,593 Erie patients. Evanston Township High School Health Center - The Evanston Township High School Health Center is a school-based health clinic that provides physical exams, immunizations, treatment of acute and chronic illnesses, individual counseling, health education, gynecological care, and support groups to students whose parents allow them to enroll in the health center. For the 2020-2021 academic year, 667 students made 1,392 visits. NorthShore's Medication Assistance Program helps with the cost of prescriptions for patients of the Evanston Hospital Community Health Center. The Medication Assistance Program provided 24,985 prescriptions to 2,058 low-income patients during fiscal year 2021. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2021, NorthShore physicians conducted 7,974 screenings to identify at-risk patients, and the hotline received 1,266 calls. Free psychological support and referrals were provided for 611 women identified as at-risk for perinatal mood disorders. Employee Volunteerism - NorthShore employees volunteer to carry out community service projects that meet community needs and promote goodwill. Countless charitable organizations and schools benefit from the generosity and hard work of NorthShore volunteers. Home and Hospice Services - NorthShore Home and Hospice Services offers the full spectrum of home and hospice care, including skilled nursing, physical and occupational therapy, and home medical equipment. The Home and Hospice caregivers represent a wide range of medical specialties and work with the patient, family, and physician to tailor home care to meet the individual needs of each patient. During fiscal year 2021, there were 65,515 patient visits and 5,683 admissions. Schedule H, Part VI, Line 6 Affiliated health care system NorthShore University HealthSystem (NorthShore) is an integrated health care system dedicated to providing health care services, including inpatient acute and non-acute care, primary and specialty physician services, and various outpatient services. NorthShore operates six acute care facilities, including Evanston Hospital, Highland Park Hospital, Glenbrook Hospital, Skokie Hospital, Swedish Hospital, and Northwest Community Hospital that serve the greater Chicago "North Shore" and northern Illinois communities. Schedule H, Part VI, Line 7 State filing of community benefit report IL true American Association for Precision Medicine 3416 Lodge Dr Belmont CA 94002 820639561 501(c)(3) 120000 Book Value PPE Supplies Community Contribution American Cancer Society Inc 3380 Chastain Meadows Pky NW Kennesaw GA 30144 131788491 501(c)(3) 20000 Community Event Contribution Chicago Medical Society Foundation 515 N Dearborn St Chicago IL 60654 362171684 501(c)(3) 420000 Book Value Pulse Oximeters Community Contribution Council for Jewish Elderly 3003 W Touhy Ave Chicago IL 60645 362727597 501(c)(3) 10000 7920 FMV Office Space Community Contribution Emergency Medicine Stroger Cook County 1900 W Polk Chicago IL 60601 680588634 501(c)(3) 12500 Community Contribution Erie Family Health Center 1701 W Superior St Chicago IL 60622 363088628 501(c)(3) 1000000 Community Contribution Evanston Chamber of Commerce 1007 Church St Evanston IL 60201 361051450 501(c)(6) 6600 Community Event Contribution Evanston Community Foundation 1560 Sherman Ave Evanston IL 60201 363466802 501(c)(3) 11000 Community Contribution Evanston Wilmette Golf Course Association 1030 Central St Evanston IL 60201 362016649 501(c)(3) 9050 Community Event Contribution Glenbrook High School 3801 West Lake Ave Glenview IL 60026 366004414 State of Illinois 20000 Community Contribution Greater Chicago Food Depository 4100 W Ann Lurie Pl Chicago IL 60632 362971864 501(c)(3) 10000 Community Contribution Inova Health Care Services 8110 Gatehouse Rd Falls Church VA 22042 540620889 501(c)(3) 32287 Community Contribution Lake County Partnership For Economic Development Inc 1 Overlook Pt Lincolnshire IL 60069 364206288 501(c)(3) 10000 Community Contribution Los Alamos National Laboratory PO Box 1663 MS P128 Los Alamos NM 87545 823291283 67512 Illinois Poison Center Contribution Medical University of South Carolina 19 Hagood Ave Charleston SC 29425 576000722 South Carolina 18363 Community Contribution Metropolitan Chicago Healthcare Council 222 S Riverside Plaza Chicago IL 60606 363401846 501(c)(6) 73970 Community Contribution Mount Auburn Hospital 330 Mount Auburn St Cambridge MA 02138 042103606 501(c)(3) 56491 Community Contribution NAMI Cook County North Suburban 420 W Frontage Rd Northfield IL 60093 363714540 501(c)(3) 6500 Community Event Contribution Niles Township Food Pantry 5255 Lincoln Ave Skokie IL 60077 383776260 501(c)(3) 10000 General Support NorthShore Faculty Practice Associates 1301 Central Street Evanston IL 60201 363738206 501(c)(3) 131499817 General Support Northwest Community Hospital Foundation 3040 Salt Creek Lane Arlington Heights IL 60005 363125193 501(c)(3) 20000000 Research Northwestern University 633 Clark St Evanston IL 60208 362167817 501(c)(3) 654640 Research NYU Langone School of Medicine 105 E 17th St New York NY 10003 135562308 501(c)(3) 35192 Research Oregon Health and Science University 3181 SW Sam Jackson Park Rd Portland OR 97208 931176109 State of Oregon 11792 Research Pads Lake County 1800 Grand Ave Waukegan IL 60085 362948857 501(c)(3) 10000 Research Purdue University 101 North Grant St West Lafayette IN 47906 356002041 State of Indiana 105019 Research Regents University of California Los Angeles 406 Hilgard Ave Los Angeles CA 90095 956006143 State of California 68701 Research Rehabilitation Institute of Chicago 345 E Superior St Chicago IL 60611 362256036 501(c)(3) 19889 Research Skills For Chicagolands Future 191 N Wacker Dr Chicago IL 60606 451287418 501(c)(3) 10000 Research The Josselyn Center NFP 405 Central Ave Northfield IL 60093 362217996 501(c)(3) 55000 Research University of Chicago 6054 S Drexel Ave Chicago IL 60637 362177139 501(c)(3) 81236 Research University of Cincinnati PO Box 670553 Cincinnati OH 45267 316000989 State of Ohio 37449 Research University of Illinois 809 S Marshfield Ave Chicago IL 60612 376000511 501(c)(3) 32407 Research University of Miami PO Box 248106 Coral Gables FL 33124 590624458 501(c)(3) 93444 Research University of South Florida PO Box 864568 Orlando FL 32886 593102112 State of Florida 140740 Research University of Washington 4300 Roosevelt Way NE Seattle WA 98105 916001537 State of Washington 37086 Research Upstate Affiliate Organization (UAO) 300 East McBee Ave Greenville SC 29801 611723202 501(c)(3) 52377 Research Vanderbilt University Medical Center PO Box 121316 Nashville TN 37212 620476822 501(c)(3) 11064 Research Weill Medical College of Cornell University 1300 York Ave New York NY 10065 131623978 501(c)(3) 8000 Research Yale University PO Box 208087 New Haven CT 09520 080646973 501(c)(3) 78305 Research 37 3 Scholarships in Medical Field 141 469074 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. NorthShore University HealthSystem (NorthShore) provides cash and non-cash assistance to organizations that help support NorthShore's mission to preserve and improve human life. Requests to support an outside organization must be reviewed and approved by the Community Relations department and NorthShore management to ensure the organization is aligned with NorthShore's mission and charitable purpose. NorthShore also provides cash grants to sub-recipients of grant awards. NorthShore requires all sub-recipients to sign a consortium agreement stating that the sub-recipient understands and agrees to all applicable compliance requirements. NorthShore meets with the sub-recipients on a regular basis and reviews the sub-recipients' A-133 reports. In addition, NorthShore provides cash support to related organizations. Support to related organizations is monitored through the NorthShore budget and reporting procedures for the consolidated financial statements. NorthShore also provides nursing scholarships to individuals. The scholarship amount depends on the degree sought, and the number of scholarships awarded depends on the available funds for each year. Scholarships are awarded on an annual basis to applicants that meet the eligibility criteria. Applicants must be current employees of NorthShore as a staff nurse or other related clinical position. Applicants must also be currently enrolled in a nursing degree program, and enrollment must be maintained for the year the scholarship is received. In addition, applicants must sign a Scholarship Agreement to work for NorthShore as a staff nurse or in a related clinical position for one year following receipt of the scholarship. X X X X true true false false false false false true false Gerald P Gallagher President and Chief Executive Officer 1363161 0 0 0 10445 0 965602 0 35707 0 2374915 0 0 0 John Erwin III Director and Clinical Chairman 535194 141860 25000 400000 1414 65339 9011 2389 14391 3814 585010 613402 0 0 Neil S Freedman Director 396488 216084 62333 145198 1414 21253 7273 3964 18886 10293 486394 396792 0 0 Jason L Koh Clinical Chairman/Prior Director 725480 495614 52500 182305 1000 7732 6773 4627 17892 12223 803645 702501 0 0 Mark S Talamonti Director and Clinical Chairman 991215 294823 100000 0 1000 24502 8787 2613 14578 4336 1115580 326274 0 0 Gregory A Wallman Director and Physician 157465 0 0 0 1000 0 2113 0 14 0 160592 0 0 0 Kristen Murtos Chief Administrative and Strategy Officer 695186 0 0 0 8452 0 336308 0 32995 0 1072941 0 0 0 Sean O'Grady Chief Clinical Operations Officer 881106 0 0 0 11144 0 524495 0 33305 0 1450050 0 0 0 Douglas D Welday Board Treasurer and Chief Financial Officer 722899 0 0 0 285163 0 265351 0 31243 0 1304656 0 196438 0 Julian E Bailes Clinical Chairman 1195926 528530 50000 0 1000 36211 7906 3494 20727 9160 1275559 577395 0 0 William D Bloomer Clinical Chairman 373866 269601 5224 397800 1000 23237 6624 4776 10778 7773 397492 703187 0 0 Michael S Caplan Clinical Chairman 677402 114229 87500 0 1414 21775 9755 1645 2919 492 778990 138141 0 0 Gabrielle Cummings President, Highland Park Hospital 420186 0 0 0 2994 0 51389 0 10911 0 485480 0 0 0 Robert R Edelman Clinical Chairman 894637 40589 50000 119685 1000 31833 10905 495 28546 1295 985088 193897 0 0 Mahalakshmi Halasyamani Chief Medical Officer 669808 0 0 0 8240 0 192603 0 3607 0 874258 0 0 0 Karen L Kaul Clinical Chairman 390462 292454 50000 100000 1414 16275 6484 4857 11357 8507 459717 422093 0 0 Scott Kenagy Chief Investment Officer 463097 0 0 0 3670 0 6224 0 32204 0 505195 0 0 0 William R Luehrs Chief Human Resources Officer 521073 0 0 0 98524 0 63090 0 20684 0 703371 0 0 0 Theodore Mazzone Clinical Chairman 466110 77742 15000 0 1000 22168 6651 1109 14197 2368 502958 103387 0 0 Frederick E Miller Clinical Chairman 397731 106362 50000 0 1000 21641 6067 1623 16205 4334 471003 133960 0 0 Jesse Peterson Hall President, Glenbrook Park Hospital 518209 0 0 0 17029 0 63954 0 31358 0 630550 0 0 0 David Rahija President, Skokie Hospital 423195 0 0 0 4327 0 52344 0 26875 0 506741 0 0 0 Susan Rubin Clinical Chairman 397992 129806 50000 11484 1000 11585 6051 1974 2089 681 457132 155530 0 0 Richard K Silver Clinical Chairman 789060 117404 50000 0 1000 23768 9923 1477 18424 2741 868407 145390 0 0 Douglas M Silverstein President, Evanston Hospital 660558 0 0 0 235054 0 82570 0 13245 0 991427 0 0 0 Steven Smith Chief Information Officer 553945 0 0 0 17811 0 419225 0 25623 0 1016604 0 0 0 Joseph Szokol Clinical Chairman 313415 218964 44646 231450 288000 309782 6711 4689 63550 44398 716322 809283 0 0 Brian Washa Senior Vice President, Business Services and Purchasing 395397 0 0 0 5217 0 5342 0 30203 0 436159 0 0 0 John Tressa Chief Nursing Officer 389471 0 0 0 7272 0 5290 0 15341 0 417374 0 0 0 Carol Franczek SVP, Marketing and Corporate Communications 145442 0 135000 0 217681 0 6642 0 18112 0 522877 0 0 0 Pablo Gejman Vice President, Genomic Research 463992 0 0 0 30517 0 6593 0 20924 0 522026 0 0 0 Janardan D Khandekar Director, Education and Innovation 334353 33197 80000 5000 1295 0 5504 547 14199 1410 435351 40154 0 0 Janet S Palmaccio VP, Total Rewards 309161 0 0 0 171564 0 6410 0 11587 0 498722 0 0 0 Jianfeng Xu Vice President, Translational Research 454033 0 0 0 6373 0 6139 0 15359 0 481904 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment The following individuals received severance payments based upon mutually agreed-upon separation agreements entered into with the organization: Joseph W Szokol - $287,000 Carol Franczek - $193,673 Janet S Palmaccio - $166,923 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The following individuals participated in a supplemental nonqualified retirement plan and accrued the following benefits: Gerald P Gallagher - $799,486 Mahalakshmi Halasyamani - $122,870 Kristen Murtos - $254,435 Sean O'Grady - $423,700 Steven Smith - $352,624 Douglas D Welday - $177,948 The following individuals received payments from a supplemental nonqualified retirement plan reported as taxable compensation: Douglas M Silverstein - $213,429 William R Luehrs - $66,716 Douglas D Welday - $263,553 Schedule J, Part I, Line 7 Non-fixed payments NorthShore University HealthSystem provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the Compensation Committee of the Board of Directors. A Illinois Finance Authority 861091967 45204FBG9 2020-04-30 560804233 See Part VI false false false A 14400000 560804233 4365812 242130000 314308421 2020 true false true true A false false true true true true 0.001 0.0 0.001 false false true A false true true false true false false false true A true Schedule K, Part I, Column (c) Bond A - CUSIP # In addition to the CUSIP number shown here, Form 8038 lists the following CUSIP numbers: 45204FAG0 and 45204FAH8. Schedule K, Part I, Column (f) Bond A - Description of Purpose The 2020 ABC issue refinanced NorthShore University HealthSystem issues dated 7/7/1995, 8/28/1996, 7/3/2001, 12/11/2008, and 7/14/2010, acquired assets of Swedish Covenant Health, and financed new capital projects of the health system. Substantial Contributor #78 Substantial Contributor 3339989 Property Management false Substantial Contributor #4 Substantial Contributor 1842500 Medical Devices false Substantial Contributor #121 Substantial Contributor 298982 Investments Management false Jamie Dohnalek Family Member - David Dohnalek 23130 Employment false X 900 Cost X 28062 Cost X 28 4999136 Other - Sales Proceeds X 14 57911 Cost X 3 150596 Cost X Events/Entertainment 9 33530 Cost X Vacation/Property 3 25770 NONE X Gift Cards/Certificates 52 14544 NONE 0 false true false Schedule M, Part I Column (b) - Number of Contributions or Items Contributed The amounts reported on Part I, Column (b) represent the number of contributions. Form 990, Part III, Line 1 Organization's Mission The core mission of NorthShore University HealthSystem (NorthShore) is to "preserve and improve human life." This mission will be achieved through the provision of superior clinical care, academic excellence and innovative research. NorthShore is a not-for-profit organization principally formed to provide quality healthcare services for the communities it serves. The delivery of healthcare services is provided in a wide range of inpatient and ambulatory healthcare settings, community-wide, employing modern technology and expertise. Support for qualified patients who may not be able to pay the entire cost of their care is a part of the organization's commitment. In support of its primary mission of patient care, the organization engages in a wide range of academic activities in medical education and research. This statement recognizes the Board of Directors' responsibility to maintain the organization's viability to meet its long-term commitment to the communities it serves. It further recognizes the responsibility to maintain technologically current assets for this purpose. This includes the cultivation and development of our physicians, graduate medical students, employees, physical plant, equipment and other resources to assure orderly growth of our services. Form 990, Part III, Line 4a Program Service Description - Patient Care NorthShore University HealthSystem (NorthShore) is an integrated, healthcare delivery system. NorthShore, headquartered in Evanston, Illinois, includes five hospitals - Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, Skokie Hospital, and Swedish Hospital. NorthShore also includes a 900 physician multispecialty group practice, NorthShore University HealthSystem Faculty Practice Associates, with more than 140 locations in the Chicagoland area. NorthShore is a Magnet-recognized organization, the first in Illinois to receive this prestigious honor as an entire system that demonstrates excellence in nursing and high standards in patient care. NorthShore also is a national leader in the implementation of innovative technologies, including an Electronic Medical Record (EMR) system. In 2003, NorthShore was among the first in the country to successfully implement a system-wide EMR with demonstrable benefits in quality, safety, efficiency and service to patients. NorthShore has been recognized by multiple national organizations for this notable achievement. As the principal teaching affiliate for the University of Chicago Pritzker School of Medicine, NorthShore is dedicated to excellence in medical education and research. Combined with NorthShore's established reputation for advanced information technology and its strong clinical environment, this affiliation represents an exciting advancement in patient care for the Chicagoland area. NorthShore's health system includes significant capabilities in a wide spectrum of leading clinical programs, including Kellogg Cancer Center, NorthShore Neurological Institute, NorthShore Orthopaedic Institute, NorthShore Cardiovascular Institute, Neaman Center for Personalized Medicine and High-Risk Maternity. NorthShore is nationally named a 2020 Most Wired health system for the 17th straight year by the College of Healthcare Information Management Executives. NorthShore receives a "Level 9 Quality Award" (out of 10) for both Acute and Ambulatory surveys. NorthShore receives the Press Ganey Guardian of Excellence Award, recognizing 17 of NorthShore's off-site Outpatient Services that have achieved the 95th percentile or above for performance in Patient Experience. NorthShore is named to the 2021 Fortune/IBM Watson Health 100 Top Hospitals list for a record 22 times, more than any other hospital or health system in the U.S. in the award's 28-year history. NorthShore also is among the Top 15 Major Teaching Hospitals. NorthShore earns five stars-the highest possible quality rating from the Centers for Medicare & Medicaid Services (CMS), as part of its consumer-oriented Hospital Compare program. Evanston, Glenbrook and Northwest Community hospitals receive "A" grades and Highland Park and Swedish hospitals receive "B" grades in Spring ratings from The Leapfrog Group, a national organization that focuses on quality and safety in American health care. Evanston, Highland Park and Swedish hospitals are proud to be recognized by Blue Cross Blue Shield with a Blue Distinction Centers (BDC) for Maternity Care designation, as part of the Blue Distinction Specialty Care program. NorthShore Orthopaedic & Spine Institute is named one of the top 50 specialty programs in the country in U.S. News & World Report's annual 'Best Hospital' rankings for 2021-22. Legacy NorthShore also is ranked the #6 hospital in both Illinois and the Chicago metro area. NorthShore is recognized as a LinkedIn 'Top 25 Company' in the greater Chicago area for 2021. NorthShore recognizes and embraces its responsibility to ensure that it fulfills its charitable obligations in the most cost-effective and sustainable manner. In order to achieve this goal, NorthShore has aligned its community benefits program with the guiding principles outlined in Advancing the State of the Art of Community Benefit for nonprofit hospitals, which provides a set of uniform standards to increase accountability and align governance, management, and operations to return benefit to local communities. NorthShore is guided and its initiatives measured by five guiding principles, including: 1) Disproportionate Unmet Health-Related Needs, 2) Primary Prevention, 3) Seamless Continuum of Care, 4) Build Community Capacity, and 5) Community Collaboration. NorthShore informs and educates low-income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describes the Financial Assistance program and necessary contact information. Our collection agencies and billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately 16 full-time financial counselors and 38 Customer Service agents representing our hospitals, clinics, and physician offices. These counselors and representatives are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. NorthShore has also earned Certified Application Counselor Organization (CACO) status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance will have their case reviewed by calling our centralized Customer Service billing department. Our Customer Service department responds to approximately 1,400 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for Financial Assistance, NorthShore may also grant Financial Assistance on a presumptive basis. Presumptive Financial Assistance approvals are based upon individual life circumstances such as enrollment in low-income government programs with income eligibility below 200 percent of federal poverty level income guidelines or verification of financial indigence through a credit rating agency and their calculated healthcare credit score. NorthShore Evanston Hospital - Evanston Hospital continues to serve the community as a comprehensive acute-care facility and the nucleus of NorthShore. Principal home to NorthShore Cardiovascular Institute and Kellogg Cancer Center, Evanston Hospital also offers a variety of surgical specialties: neurosurgery, gynecological surgery, robot-assisted surgery, surgical oncology and urology surgery. Evanston Hospital is certified by the Joint Commission in palliative care and as a Primary Stroke Center - providing an acute stroke team 24 hours a day, seven days a week for rapid diagnosis and treatment. Evanston Hospital also is a premier Level I Trauma Center in the northern suburbs with a recently renovated and expanded Emergency Department. Physicians work alongside leading researchers to translate the latest technology, treatment and research into improved patient care. As the regional center for high-risk obstetrics, the Infant Special Care Unit and the Women's Hospital offer a comfortable birthing environment where high-risk mothers and their babies have access to the latest technology and a highly trained staff. Evanston Hospital also offers leading-edge lab capabilities and serves as a home base for NorthShore's pioneering Neaman Center for Personalized Medicine, which customizes a patient's care and treatment plan based on the individual's unique genetic characteristics and health history. It also houses the Grainger Center for Simulation and Innovation, which provides nurses, physicians, residents, paramedics, firefighters and police with simulated clinical care, trauma and emergency preparedness training in a controlled environment. During fiscal year 2021, Evanston Hospital total admissions were 21,274, and total patient days were 107,637. NorthShore Glenbrook Hospital - Glenbrook Hospital is well known in the northern suburbs as a comprehensive medical center providing advanced diagnostic and therapeutic interventions - particularly focused on advanced ophthalmology and outpatient surgery, and the specialized needs of geriatric patients. Form 990, Part III, Line 4a Program Service Description - Patient Care (continued) The hospital boasts a 25,000 square-foot Emergency Department featuring 30 private exam/treatment rooms . In addition to being a Level II Trauma Center, Glenbrook Hospital is certified by the Joint Commission as a Primary Stroke Center - providing an acute stroke team 24 hours a day, seven days a week for rapid diagnosis and treatment. Glenbrook Hospital provides advanced medical and surgical care in a beautiful healing environment. Notable specialties include NorthShore Kellogg Cancer Center, NorthShore Neurological Institute, NorthShore Cardiovascular Institute, the John and Carol Walter Center for Urological Health, Patricia Nolan Center for Breast Health, Simms Family GI Lab, and the Eye and Vision Center. In addition, the hospital offers leading-edge interventional radiology and diagnostic radiology services. During fiscal year 2021, Glenbrook Hospital total admissions were 7,700, and total patient days were 43,927. NorthShore Highland Park Hospital - Highland Park Hospital includes an updated surgical pavilion offering the latest technology and leading-edge operating rooms. Construction of the Women's Hospital was completed in 2017, providing the only dedicated Labor, Delivery and Post-Partum Unit in Lake County. Highland Park Hospital is the site of the first open-heart surgery in Lake County and continues to provide a full range of cardiac diagnosis and intervention services. Highland Park Hospital's Kellogg Cancer Center offers the most comprehensive subspecialty care in the northern suburbs including: thoracic and lung, hematology, breast, ovarian, head and neck, melanoma and sarcoma, gastrointestinal, prostate and stomach. Highland Park Hospital is a Joint Commission-certified Primary Stroke Center - providing an acute stroke team 24/7 for rapid diagnosis and treatment. Highland Park Hospital's Emergency Department also is the region's "pod" hospital for disaster-response activities across Lake County. During fiscal year 2021, Highland Park Hospital total admissions were 9,851, and total patient days were 42,528. NorthShore Skokie Hospital - Skokie Hospital is not only home to Illinois' only destination hospital dedicated to orthopaedic and spine care, but it also offers emergency and outpatient services to meet the needs of the local community. The Orthopaedic & Spine Institute provides advanced care and is designed for both outpatient and inpatient procedures, including joint replacement, fracture care and complex spine surgeries. The Institute's team is comprised of trained experts, from orthopaedic surgeons, neurosurgeons and anesthesiologists, to nurses, physical and occupational therapists. Each member of the team is highly experienced in using the latest innovations and leading-edge techniques, including Enhanced Recovery After Surgery (ERAS) protocols to minimize opioid use and achieve a higher level of patient satisfaction pre- and post-surgery. Established in 1963, Skokie Hospital also provides patients access to a vast network of outpatient clinical resources as well, from multispecialty physician offices to cardiac imaging, radiology and gastrointestinal services - and a Level II Trauma Center and Emergency Department. Skokie Hospital recently completed a seven-year, multimillion-dollar renovation and expansion ensuring the hospital continues to provide the community with exceptional medical care for years to come. A newly opened state-of-the-art surgical pavilion includes eight new operating rooms and a sterile processing center. During fiscal year 2021, Skokie Hospital total admissions were 2,161, and total patient days were 11,789. Swedish Hospital - Part of NorthShore - Swedish Hospital has served the diverse communities of Chicago's North Side for more than 130 years, and on January 1, 2020, Swedish Hospital and its various clinical entities became part of NorthShore University. Swedish Hospital provides the full range of comprehensive health and wellness services including an acute care 312-bed hospital, a talented team of primary and specialty care physicians in the Swedish Medical Group, strong community outreach programs, and Chicago's only certified medical fitness center - Galter LifeCenter. Swedish Hospital offers advanced clinical care in more than 50 academic-level medical specialties. This includes the Mayora Rosenberg Women's Health Center, which offers 3-D mammography and is home to the region's top midwifery program. Swedish Hospital also is certified by the Joint Commission as a Primary Stroke Center. Northwest Community Hospital - Part of NorthShore - On January 1, 2021 Northwest Community Hospital (NCH) became part of NorthShore. Serving Chicago's northwest suburbs since 1959, NCH is dedicated to providing outstanding care in the communities it calls home. The hospital serves more than 200,000 outpatients and treat more than 20,000 inpatients annually. The NCH hospital houses a Level III NICU, Level II Trauma Center and a dedicated pediatric emergency department. The hospital has 509 beds, including the South Pavilion with 200 private rooms and a 33-bed acute inpatient rehabilitation unit and seven outpatient rehabilitation centers. The NCH campus houses the Wellness Center, a premier health and fitness center and spa, as well as a full-service, retail pharmacy. NorthShore University HealthSystem Faculty Practice Associates - NorthShore University HealthSystem Faculty Practice Associates (FPA) is comprised of about 900 primary and specialty care physicians located in Chicago and many of the northern suburbs. With more than 140 locations, the primary care team includes experts in internal medicine, family medicine, pediatrics and obstetrics and gynecology. Our primary care team works in close collaboration with physicians in over 50 specialty services in every field of medicine, including cancer, orthopaedics, neurological and cardiovascular care. Additionally, NorthShore advanced primary care by integrating genetics into patient care plans to more precisely guide medical management. Patients who see a FPA primary care physician, now receive a Genetic and Wellness Assessment as part of a patient's annual physical. This personalized medicine tool helps the doctor better identify risk factors and detect diseases at their earliest, most treatable stages. Through NorthShore's teaching affiliation with the University of Chicago Pritzker School of Medicine, FPA physicians hold academic appointments at the Pritzker School of Medicine, helping to teach and train the physicians of tomorrow. NorthShore University HealthSystem Foundation - NorthShore University HealthSystem Foundation (Foundation) is dedicated to attracting and stewarding philanthropy in support of the integrated healthcare delivery system's mission to "preserve and improve human life." Generous donations of time, talent and treasure - from individuals, foundations and corporations - help to ensure that world-class healthcare is available close to home. Philanthropy was integral to the founding of NorthShore in 1891, and is simply a part of NorthShore - past, present and future. NorthShore University HealthSystem Home and Hospice Services - NorthShore University HealthSystem Home and Hospice Services (Home and Hospice) offers the full spectrum of home and hospice care, including skilled nursing, physical and occupational therapy and home medical equipment. Home and Hospice caregivers represent a wide range of medical specialties and work with the patient, family and physician to tailor home care to meet the individual needs of each patient. Form 990, Part III, Line 4b Program Service Description - Education As a primary teaching affiliate for University of Chicago Pritzker School of Medicine, NorthShore University HealthSystem (NorthShore) is dedicated to excellence in medical education and research. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore physician-educators connect and innovate with the next generation of medical specialists to help shape the future of healthcare. Combined with NorthShore's established reputation for advanced information technology and its strong clinical environment, this affiliation represents an exciting advancement in academic medicine for the Chicagoland area and for future physician leaders. NorthShore has an extensive selection of training programs and fellowships to offer physicians at its teaching and research facilities. During fiscal year 2021, 223 resident and fellow full-time equivalents (FTEs) participated in NorthShore and affiliate-based programs. The NorthShore residency program areas include: Dentistry, Family Medicine, Internal Medicine (Categorical, Preliminary, and Transitional), and Pathology. The NorthShore fellowship program areas include: Breast Surgery , Cardiology, Endocrine Surgery, Family Medicine-Sports Medicine, Gastroenterology, Maternal-Fetal Medicine, Musculoskeletal Imaging, Simulation-Emergency Medicine, and Urogynecology. The affiliate-based residency program areas include: Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Obstetrics and Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry, Radiology, and Urology. The affiliate-based fellowship program areas include: Cardiothoracic Surgery, Child Psychiatry, Colon Rectal Surgery, Gynecology-Oncology, Hematology-Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Molecular Genetics Pathology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient and ambulatory practice. The program also includes specialty residencies in oncology, pharmacy informatics, and pharmacy administration. The program consists of a multitude of experiences that reinforce residents' knowledge and skills and help them advance into well-rounded practitioners. In fiscal year 2021, 18 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital and is affiliated with DePaul University. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the school is to prepare qualified professional registered nurses for the advanced practice of nurse anesthesia in a variety of practice settings. The graduate nurse anesthetist demonstrates the knowledge, skills, and attitude necessary to take on leadership roles in the practice of nurse anesthesia. In fiscal year 2021, 96 students participated in the program. NorthShore also provided clinical training and internships during the 2021 academic year for 281 high school and college students. Students interned in the following areas: Nursing, Diagnostic Radiology, Occupational Therapy, Physical Therapy, Medical Social Work and Speech Pathology . Form 990, Part III, Line 4c Program Service Description - Research The NorthShore University HealthSystem Research Institute (Research Institute) was organized in 1996 to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute now houses more than 210 principal investigators who currently occupy 95,000 net square feet of research space and work on 1,200 active research protocols. The Research Institute builds on NorthShore's promise to deliver excellence in all aspects of patient care. Efforts are directed to research initiatives that make a difference across multiple disciplines. From oncology and neurology to orthopaedics and cardiovascular care, the Research Institute focuses on areas of inquiry that have the potential to make the greatest impact on improving and saving lives. NorthShore offers some 1,000 active clinical trials of various types, from innovative surgical procedures to the latest drug therapies. NorthShore's clinical research portfolio focuses on a range of conditions, including cancer, neurologic disorders and stroke, cardiovascular disorders, and a wide range of pediatric and gynecologic conditions. Additionally, major clinical trial programs in advanced imaging and medical genetics are also offered. The Research Institute is also a member of the Illinois Precision Medicine Consortium (IPMC), which is part of a national landmark longitudinal All of Us Research Program (AoURP) cohort program to improve the ability to prevent and treat disease based on individual lifestyle, environment, and genetics. NorthShore will enroll over 9,000 NorthShore patients in the study, and participants in NorthShore's AoURP will be asked to share a wide-range of health, environmental, and lifestyle information. The NorthShore Program for Personalized Cancer Care (PPCC) is pioneering new strategies in cancer care. The PPCC uniquely focuses on the genetic pattern of an individual's hereditary DNA to derive a personalized cancer risk assessment profile. Based on the inherited risk of developing a given cancer, the PPCC is beginning to implement personalized cancer care strategies that encompass the entire spectrum of disease. The PPCC believes this approach will lead to more efficient use of health care resources by targeting prevention and screenings toward individuals at greater risk of developing cancer, earlier cancer detection, and, ultimately and most importantly, reduced cancer deaths and suffering. Form 990, Part VI, Line 15 Process to Establish Compensation of Top Official and Other Employees A detailed compensation review of the top 17 executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market data for base and variable compensation is assessed annually for local, regional and national hospitals, integrated delivery systems, and academic medical centers. A detailed total compensation market review is conducted every two years. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation. A detailed compensation review of the 13 Clinical Chairs is also conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting for physicians within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market compensation data for each physician's specialized area of training is assessed annually. A detailed total compensation and Fair Market Value review is conducted every two years. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Toure S Claiborne, A Steven Crown, David A Dohnalek, Connie K Duckworth, Guy W Eisenhuth, John Erwin III, William M Farrow III, Ann K Ford, Neil S Freedman, Gerald P Gallagher, Catherine Guthrie, Mahalakshmi Halasyamani, Gregory K Jones, Jason L Koh, Harry M Jansen Kraemer Jr, Samuel M Mencoff, Kristen Murtos, Christopher J Olson, Bea Reyna-Hickey, Scott C Schweighauser, Susan B Sentell, Mark S Talamonti, Gregory Wallman, Kevin Willer, John G Zern, David F Zucker - Business relationship, Harry M Jansen Kraemer Jr and Samuel M Mencoff - Business relationship, Kristen Murtos and David Rahija - Business relationship, Mahalakshmi Halasyamani and Kristen Murtos - Business relationship, Sean O'Grady and Michael S Caplan - Business relationship, Douglas D Welday and Jesse Peterson Hall - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body The NorthShore University HealthSystem (NorthShore) Form 990 was reviewed by executive management and an outside accounting firm. The NorthShore Form 990 was then provided to the Chairman of the Board of Directors via email for his review and ability to ask questions of management prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy All officers, directors and employees are required to report any potential or actual conflicts of interest as they arise, promptly and in writing, to the Chief Compliance Officer. In addition, on an annual basis, the Chief Compliance officer requires all officers, directors, and key employees to complete, sign and return a Conflict of Interest Disclosure Statement requiring information about any and all potential or actual conflicts. Timely and accurate completion of the Statement is mandatory, and completed Statements must be returned to the Chief Compliance Officer within 15 days. Any disclosures included on the Statements are reviewed and acted upon as necessary by the Chief Compliance Officer and the Corporate Compliance Committee. Form 990, Part VI, Line 19 Required documents available to the public The NorthShore University HealthSystem (NorthShore) governing documents, conflict of interest policy, and financial statements are available to the public upon request. The NorthShore annual audit report and financial statements are also available to the public through GuideStar and the Illinois Attorney General's Office websites as part of the federal and state tax return filings. The NorthShore quarterly and annual financial statements and annual audit are also made available to the public through the Electronic Municipal Market Access (EMMA) website as part of the tax-exempt bond offerings. Form 990, Part VIII, Line 2f Other Program Service Revenue Tuition Revenue - Total Revenue: 1504259, Related or Exempt Function Revenue: 1504259, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Grant Income - Total Revenue: 13100028, Related or Exempt Function Revenue: 13100028, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Growth Initiatives - Total Revenue: 759561, Related or Exempt Function Revenue: 759561, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; NCSI Fees - Total Revenue: 328272, Related or Exempt Function Revenue: 32185, Unrelated Business Revenue: 296087, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Wellness Shop - Total Revenue: 399852, Related or Exempt Function Revenue: , Unrelated Business Revenue: 399852, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Computer Services - Total Revenue: 154900, Related or Exempt Function Revenue: , Unrelated Business Revenue: 154900, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Noncompete Amortization - Total Revenue: 100000, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 100000; Application Fees - Total Revenue: 78750, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 78750; Other - Total Revenue: 246905, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 246905; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Equity adjustments for the Pension Plan - 16103792; Equity adjustments for the Supplemental Executive Retirement Plans - 232448; Inherent contribution - Northwest Community Hospital acquisition - XXX-XX-XXXX; Inherent gain - Northwest Community Hospital acquisition - -XXX-XX-XXXX; NPA Equity Correction - -49072; Other Changes in Net Assets - -86; NorthShore University HealthSystem Faculty Practice Associates 1301 Central Street Evanston IL 60201 363738206 Healthcare IL 501(c)(3) Type I NorthShore University HealthSystem true Radiation Medicine Institute 1301 Central Street Evanston IL 60201 363815543 Healthcare IL 501(c)(3) Type I NorthShore University HealthSystem true Healthcare Foundation of Highland Park 610 Central Avenue Highland Park IL 60035 363196647 Fundraising IL 501(c)(3) Type II NA false Swedish Covenant Health 5145 N California Avenue Chicago IL 60625 362179813 Hospital IL 501(c)(3) 3 NorthShore University HealthSystem true Swedish Covenant Hospital Foundation 5145 N California Avenue Chicago IL 60625 205055155 Support of Swedish Covenant Hospital IL 501(c)(3) 7 Swedish Covenant Health true Northwest Community Healthcare 3040 Salt Creek Lane Arlington Heights IL 60005 363125209 Support of Northwest Community Hospital IL 501(c)(3) Type II NorthShore University HealthSystem true Northwest Community Hospital 3040 Salt Creek Lane Arlington Heights IL 60005 362340313 Hospital IL 501(c)(3) 3 Northwest Community Healthcare true Northwest Community Hospital Foundation 3040 Salt Creek Lane Arlington Heights IL 60005 363125193 Fundraising IL 501(c)(3) 7 Northwest Community Healthcare true Ravine Way Surgery Center LLC 2401 Ravine Way Glenview IL 60025 201245279 Healthcare IL NorthShore University HealthSystem Related 768043 1040030 false true 0.27 NPC Cyberknife LLC 3040 Salt Creek Lane Arlington Heights IL 60005 204462828 Equipment Leasing IL Northwest Community Healthcare N/A NWC Day Surgery Center II LLC 3040 Salt Creek Lane Arlington Heights IL 60005 300798249 Outpatient Care IL Northwest Community Healthcare N/A Northwest Endo Center LLC 3040 Salt Creek Lane Arlington Heights IL 60005 812338623 Surgical Care IL NWC Health Services Inc N/A NWC Foot and Ankle Center LLC 3040 Salt Creek Lane Arlington Heights IL 60005 352567039 Ambulatory Surgical Care IL NWC Health Services Inc N/A EnVision Medical Imaging LLC 8930 Waukegan Road Suite 130 Morton Grove IL 60053 822067179 Imaging Services IL NWC Health Services Inc N/A NorthShore Physician Associates Inc 1301 Central Street Evanston IL 60201 363648026 Healthcare IL NorthShore University HealthSystem Faculty Practice Associates C Corporation true NorthShore Physician Associates Value Based Care LLC 1301 Central Street Evanston IL 60201 822268872 Healthcare IL NorthShore Physician Associates Inc C Corporation true NorthShore University HealthSystem Insurance International 980419452 Insurance CJ NorthShore University HealthSystem C Corporation 4311625 21375241 1 true Swedish Covenant Management Services Inc 5145 N California Avenue cHICAGO IL 60625 364073303 Physician Practice Management IL Swedish Covenant Health C Corporation true Swedish Covenant Physician Partners Ltd 5145 N California Avenue Chicago IL 60625 363120220 Physician Practice Management IL Swedish Covenant Health C Corporation true Central Insurance Company Ltd PO Box 10233 Grand Cayman CJ KY11002 981109518 Insurance CJ Northwest Community Healthcare C Corporation true Northwest Community Health Services Inc 800 West Central Road Arlington Heights IL 60005 363312906 Healthcare IL Northwest Community Healthcare C Corporation true true true true false false false false false false false true false false false false true true true true NorthShore University HealthSystem Faculty Practice Associates A 25785457 FMV NorthShore University HealthSystem Faculty Practice Associates B 131499817 FMV Northwest Community Hospital Foundation B 20000000 FMV NorthShore University HealthSystem Faculty Practice Associates C 6085864 FMV Healthcare Foundation of Highland Park C 1025000 FMV NorthShore University HealthSystem Faculty Practice Associates P 52524143 FMV NorthShore University HealthSystem Faculty Practice Associates Q 21650727 FMV NorthShore Physician Associates Inc Q 423320 FMV NorthShore University HealthSystem Faculty Practice Associates R 523541287 FMV Radiation Medicine Institute R 4982491 FMV NorthShore University HealthSystem Insurance International R 4986761 FMV Swedish Covenant Health R 107671459 FMV NorthShore Physician Associates Inc R 112676155 FMV NorthShore University HealthSystem Faculty Practice Associates S 514402421 FMV Radiation Medicine Institute S 4679728 FMV NorthShore Physician Associates Inc S 93420485 FMV Ravine Way Surgery Center LLC S 810000 FMV NorthShore University HealthSystem Faculty Practice Associates K 25785457 FMV Northwest Community Healthcare R 367246654 FMV