NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: NORTHWESTERN MEMORIAL HEALTHCARE (EIN 36-4724966)
Tax period: 2020-09-01 to 2021-08-31
Filed: 2022-07-14
IRS object ID: 202221959349300042
Schema version: 2020v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-07-14T17:01:48-05:00	ReturnTs
Tax Period End	2021-08-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	155 N WACKER DRIVE	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-09-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	364724966	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Northwestern Memorial HealthCare Group	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	3129264237	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	541 N Fairbanks Ct Rm 1630	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606113319	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John A Orsini	PersonNm
Person Title	SVP/CFO	PersonTitleTxt
Signature	2022-07-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	John A	PersonFirstNm
Person Last	Orsini	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jessica A Wagener	PreparerPersonNm
PTIN	P01622613	PTIN
Phone	3128792000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Dean M Harrison	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	251 E Huron	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606112908	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$7,743,446,581	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	5878	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.NM.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	THE PRIMARY MISSION OF THE NORTHWESTERN AFFILIATES INCLUDED IN THIS GROUP RETURN IS TO BE THE DESTINATION OF CHOICE FOR (CONTINUED IN SCHEDULE O)	ActivityOrMissionDesc
Voting Members Governing Body	152	VotingMembersGoverningBodyCnt
Voting Members Independent	125	VotingMembersIndependentCnt
Total Employee	29520	TotalEmployeeCnt
Total Volunteers	975	TotalVolunteersCnt
Total Gross UBI	$37,361,994	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$7,136,714	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$331,593,048	PYContributionsGrantsAmt
CY Contributions Grants	$246,752,372	CYContributionsGrantsAmt
PY Program Service Revenue	$6,195,701,814	PYProgramServiceRevenueAmt
CY Program Service Revenue	$7,408,871,016	CYProgramServiceRevenueAmt
PY Investment Income	$36,789,528	PYInvestmentIncomeAmt
CY Investment Income	$708,528	CYInvestmentIncomeAmt
PY Other Revenue	$77,233,759	PYOtherRevenueAmt
CY Other Revenue	$83,683,434	CYOtherRevenueAmt
PY Total Revenue	$6,641,318,149	PYTotalRevenueAmt
CY Total Revenue	$7,740,015,350	CYTotalRevenueAmt
PY Grants And Similar Paid	$25,913,616	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$16,342,067	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,611,519,690	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,926,130,021	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$14,707,139	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,836,472,706	PYOtherExpensesAmt
CY Other Expenses	$4,322,966,579	CYOtherExpensesAmt
PY Total Expenses	$6,473,906,012	PYTotalExpensesAmt
CY Total Expenses	$7,265,438,667	CYTotalExpensesAmt
PY Revenues Less Expenses	$167,412,137	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$474,576,683	CYRevenuesLessExpensesAmt
Total Assets BOY	$10,856,787,981	TotalAssetsBOYAmt
Total Assets EOY	$12,204,330,471	TotalAssetsEOYAmt
Total Liabilities BOY	$2,757,735,820	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,144,224,891	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$8,099,052,161	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$9,060,105,580	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	NORTHWESTERN MEMORIAL HEALTHCARE IS AN INTEGRATED HEALTHCARE SYSTEM, CONSISTING OF MULTIPLE HOSPITALS (INCLUDING NORTHWESTERN MEMORIAL HOSPITAL, AN ACADEMIC MEDICAL CENTER) AND NETWORKS OF PHYSICIANS AND HEALTHCARE PROFESSIONALS, WHERE THE PATIENT COMES FIRST. WE ARE AN ORGANIZATION OF CAREGIVERS WHO ASPIRE TO CONSISTENTLY HIGH STANDARDS OF QUALITY, COST-EFFECTIVENESS AND PATIENT SATISFACTION. WE SEEK TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY DELIVERING A BROAD RANGE OF SERVICES WITH SENSITIVITY TO THE INDIVIDUAL NEEDS OF OUR PATIENTS AND THEIR FAMILIES. WE ARE BONDED IN AN ESSENTIAL ACADEMIC AND SERVICE RELATIONSHIP WITH FEINBERG SCHOOL OF MEDICINE OF NORTHWESTERN UNIVERSITY. THE QUALITY OF OUR SERVICES IS ENHANCED THROUGH THEIR INTEGRATION WITH EDUCATION AND RESEARCH IN AN ENVIRONMENT THAT ENCOURAGES EXCELLENCE OF PRACTICE, CRITICAL INQUIRY AND LEARNING.	MissionDesc
Significant New Program Srvc	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$5,450,474,261	ExpenseAmt
Grant	$16,342,067	GrantAmt
Revenue	$7,441,225,622	RevenueAmt
Desc	THE NMHC GROUP RETURN REFLECTS THE COMBINED INFORMATION AND OPERATIONS OF TWENTY-ONE TAX EXEMPT ORGANIZATIONS. THIS INCLUDES NINE HOSPITAL FACILITIES, THREE MEDICAL GROUPS, ONE FOUNDATION, AND VARIOUS OTHER RELATED ENTITIES SUPPORTING THE HEALTHCARE MISSION OF THE SYSTEM. NORTHWESTERN MEMORIAL HOSPITAL (EIN: 37-0960170) ("NMH") FOR MORE THAN 150 YEARS, NMH AND ITS PREDECESSOR INSTITUTIONS, PASSAVANT MEMORIAL AND WESLEY MEMORIAL HOSPITALS, HAVE SERVED THE RESIDENTS OF CHICAGO. THE COMMITMENT TO PROVIDE HEALTHCARE, REGARDLESS OF THE PATIENTS' ABILITY TO PAY, REACHES BACK TO THE FOUNDING PRINCIPLES OF PASSAVANT AND WESLEY AND CONTINUES TO BE INTEGRAL TO OUR MISSION TO PUT PATIENTS FIRST. NMH IS AN ACADEMIC MEDICAL CENTER (AMC) HOSPITAL AND SERVES AS THE PRIMARY TEACHING HOSPITAL FOR THE NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE ("FEINBERG"), WITH MORE THAN 2,183 PHYSICIANS ON THE MEDICAL STAFF, THE MAJORITY OF WHOM HAVE FACULTY APPOINTMENTS AT FEINBERG. NMH IS AMONG THE LIMITED NUMBER OF HOSPITALS IN THE UNITED STATES TO BE DESIGNATED AS A MAJOR TEACHING HOSPITAL BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC). ACCORDING TO THE AAMC, WHILE MAJOR TEACHING HOSPITALS REPRESENT ONLY 5 PERCENT OF ALL HOSPITALS, THEY ACCOUNT FOR 25 PERCENT AND 20 PERCENT OF ALL MEDICAID AND MEDICARE DISCHARGES, RESPECTIVELY, AS WELL AS PROVIDE 35 PERCENT OF THE COUNTRY'S CHARITY CARE. IN AGGREGATE, MAJOR TEACHING HOSPITALS SERVE A HIGHER PROPORTION OF LOW-INCOME, DUAL-ELIGIBLE, DISABLED AND MINORITY PATIENTS THAN OTHER HOSPITALS. AS AMCS SERVE AS MAJOR REFERRAL CENTERS AND HAVE VERY SPECIALIZED EXPERTISE, THEY PROVIDE CARE TO THOSE PATIENTS WHO ARE UNABLE TO SEEK NECESSARY CARE ELSEWHERE AND THEREFORE HAVE A PATIENT POPULATION THAT IS OFTEN MORE COMPLEX, SICKER AND MORE VULNERABLE THAN THE GENERAL PATIENT POPULATION. NMH IS A 943-BED, ADULT ACUTE CARE HOSPITAL LOCATED IN CHICAGO'S GROWING DOWNTOWN AREA AND SAW MORE THAN 44,000 ADULTS ADMITTED AS INPATIENTS IN FISCAL YEAR 2021. AS AN ADULT LEVEL I TRAUMA CENTER IN DOWNTOWN CHICAGO WITH 24/7 SERVICE, NMH HAD NEARLY 81,000 EMERGENCY DEPARTMENT (ED) VISITS IN FISCAL YEAR 2021. NMH IS ALSO THE ONLY AMC HOSPITAL IN CHICAGO PARTICIPATING IN BOTH CITY AND STATE LEVEL I TRAUMA NETWORKS AND AS A LEVEL III NEONATAL INTENSIVE CARE UNIT, ALLOWING US TO PROVIDE LIFESAVING CARE AND TREATMENT TO THE MOST SERIOUSLY INJURED ADULTS AND PREMATURE AND SICK INFANTS. NMH HAS THE LARGEST BIRTHING CENTER IN ILLINOIS, WITH MORE THAN 12,400 DELIVERIES IN FISCAL YEAR 2021. NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL (EIN: 36-2513909) ("CDH") CDH HAS A RICH HISTORY OF CARING FOR ITS COMMUNITY. THE 408-BED, TERTIARY-CARE FACILITY LOCATED IN WINFIELD, ILLINOIS OFFERS EMERGENCY, INPATIENT AND OUTPATIENT CARE IN MEDICAL AND SURGICAL SERVICES, OBSTETRICS, PEDIATRICS, BEHAVIORAL HEALTH, CARDIOLOGY, NEUROLOGY AND ONCOLOGY TO RESIDENTS OF DUPAGE COUNTY AND SURROUNDING AREAS. CDH IS DESIGNATED AS A LEVEL II TRAUMA CENTER AND PROVIDES LEVEL III NEONATAL INTENSIVE CARE; CDH EMS SERVES AS A STATE-DESIGNATED RESOURCE HOSPITAL. IT IS ALSO A REGIONAL DESTINATION FOR ONCOLOGY, ORTHOPEDIC, PEDIATRIC AND CARDIOLOGY CARE. CANCER PATIENTS ARE OFFERED HIGHLY ADVANCED TREATMENT AT THE STATE'S FIRST AND ONLY PROTON THERAPY CENTER. MORE THAN 1,300 PHYSICIANS ARE ON THE MEDICAL STAFF AND ARE TRAINED IN MORE THAN 90 SPECIALTY AREAS. IN FISCAL YEAR 2021, CDH HAD MORE THAN 20,200 INPATIENT ADMISSIONS. CDH'S ED HAD NEARLY 62,600 VISITS IN FISCAL YEAR 2021. NORTHWESTERN LAKE FOREST HOSPITAL (EIN: 36-2179779) ("LFH") WITH ROOTS IN THE NORTHERN CHICAGO REGION, LFH WAS FOUNDED IN 1899 AS ALICE HOME ON THE CAMPUS OF LAKE FOREST COLLEGE. SINCE ITS FOUNDING, LFH HAS UPHELD THE PROMISE TO PROVIDE LAKE COUNTY RESIDENTS WITH CONVENIENT ACCESS TO QUALITY CARE SUPPORTED BY ADVANCED DIAGNOSTICS AND TECHNOLOGY. THE CURRENT LAKE FOREST HOSPITAL INCLUDES 114 PRIVATE INPATIENT ROOMS, 72 OUTPATIENT CARE SPACES, EIGHT OPERATING ROOMS AND 483,500 SQUARE FEET OF NEW CONSTRUCTION ON ITS 160-ACRE CAMPUS, OPENED IN FISCAL YEAR 2018. LFH SERVES THE LAKE COUNTY, ILLLINOIS AND KENOSHA COUNTY, WISCONSIN AREA. MORE THAN 1,000 PHYSICIANS OFFER LAKE COUNTY RESIDENTS CONVENIENT ACCESS TO ADVANCED DIAGNOSTIC AND SPECIALTY SERVICES. CARE IS PROVIDED THROUGH THE MAIN HOSPITAL CAMPUS IN SUBURBAN LAKE FOREST, ABOUT 30 MILES NORTH OF DOWNTOWN CHICAGO, AT LARGE OUTPATIENT FACILITIES IN GRAYSLAKE, ILLINOIS AND GLENVIEW, ILLINOIS AND AT FOUR IMMEDIATE CARE CENTERS. IN FISCAL YEAR 2021, LFH PROVIDED CARE FOR OVER 9,750 INPATIENT ADMISSIONS. LFH'S BOARD-CERTIFIED EMERGENCY PHYSICIANS AND TRAUMA-TRAINED NURSES PROVIDE TRAUMA AND EMERGENCY CARE TO PATIENTS THROUGH THE LEVEL II TRAUMA CENTER AT LFH AND A FREE-STANDING EMERGENCY ROOM AT THE GRAYSLAKE OUTPATIENT CENTER, WHICH TOGETHER HAD NEARLY 50,000 EMERGENCY VISITS IN FISCAL YEAR 2021. LAUNCHED IN 2015, LFH SERVES AS THE HOME SITE FOR THE NORTHWESTERN MCGAW FAMILY MEDICINE RESIDENCY PROGRAM WITH 23 RESIDENTS IN FISCAL YEAR 2021. DURING FISCAL YEAR 2020, LFH LAUNCHED ITS TRANSITIONAL CARE CLINIC TO PROVIDE MEDICAL AND PSYCHOSOCIAL SUPPORT TO PATIENTS WHO DO NOT HAVE A PRIMARY CARE PHYSICIAN AND FACE COMPLEX CHALLENGES NAVIGATING THE HEALTHCARE SYSTEM FOLLOWING AN INPATIENT OR EMERGENCY HEALTH EPISODE AND THE CLINIC HAS TREATED MORE THAN 500 PATIENTS SINCE ITS LAUNCH. NORTHWESTERN MEMORIAL FOUNDATION (EIN: 35-3155315) ("NMF") NMF IS THE FUNDRAISING ARM OF THE HEALTH SYSTEM AND REPRESENTS THE COMBINED LEGACY OF THE HOSPITALS COMPRISING THE GROUP. NMF PROVIDES SUPPORT SYSTEMWIDE THROUGH THE CONTRIBUTIONS IT COLLECTS. NORTHWESTERN MEDICAL FACULTY FOUNDATION D/B/A NORTHWESTERN MEDICAL GROUP (EIN: 36-3097297) ("NMG") NORTHWESTERN MEDICAL GROUP IS A MULTISPECIALTY AND PRIMARY CARE PHYSICIAN PRACTICE WITH MORE THAN 1,300 PHYSICIANS AND 360 ADVANCED PRACTICE PROVIDERS WITH EXPERTISE IN MORE THAN 90 MEDICAL SPECIALTIES. SERVING ON THE FACULTY OF FEINBERG, PHYSICIANS CONTRIBUTE TO RESEARCH AND EDUCATION, AS WELL AS PROVIDE CLINICAL CARE. CENTRAL DUPAGE PHYSICIAN GROUP D/B/A NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP (EIN: 36-3149833) ("RMG" or "CDPG") CENTRAL DUPAGE PHYSICIAN GROUP IS A MULTI-SPECIALTY AND PRIMARY CARE NETWORK WITH MORE THAN 400 PHYSICIANS, INCLUDING 335 SPECIALISTS, WITH EXPERTISE IN OVER 60 SPECIALTIES. RMG OFFERS MORE THAN 90 PRACTICES IN 36 LOCATIONS THROUGHOUT CHICAGO'S WESTERN SUBURBS. DELNOR-COMMUNITY HOSPITAL (EIN: 36-3484281) ("DCH") DCH OPENED 75 YEARS AGO AS THE RESULT OF A COMMUNITY-LED EFFORT TO BUILD A FACILITY TO MEET THE GROWING HEALTHCARE NEEDS OF RESIDENTS OF KANE COUNTY. NOW A 159-BED ACUTE CARE FACILITY, DCH IS A RECOGNIZED LEADER IN CLINICAL QUALITY AND PATIENT-CENTERED CARE LOCATED 37 MILES WEST OF DOWNTOWN CHICAGO IN GENEVA, ILLINOIS. THE DCH MEDICAL STAFF INCLUDES NEARLY 700 PHYSICIANS IN 80 SPECIALTIES, PROVIDING COMPREHENSIVE MEDICAL CARE FOR ITS SURROUNDING COMMUNITIES. IN FISCAL YEAR 2021, DCH HAD NEARLY 8,800 INPATIENT ADMISSIONS AND ITS ED HAD NEARLY 40,000 VISITS. KISHWAUKEE COMMUNITY HOSPITAL (EIN: 23-7087041) ("KCH") KCH IS LOCATED IN DEKALB, ILLINOIS AND SERVES AS AN ACUTE-CARE, 98-BED COMMUNITY HOSPITAL WITH AN ENDURING COMMITMENT TO THE RESIDENTS OF DEKALB COUNTY. THE HOSPITAL PROVIDES CARE THROUGH A BROAD RANGE OF SPECIALTIES AND UNIQUE SERVICES, INCLUDING THROUGH ITS INNOVATIVE BREASTFEEDING CENTER AND ITS NEW, STATE-OF-THE-ART HEALTH AND WELLNESS CENTER THAT OPENED IN 2018. THE KISHWAUKEE MEDICAL STAFF IS COMPOSED OF NEARLY 370 PHYSICIANS WHO TREATED NEARLY 5,250 INPATIENT ADMISSIONS AND MORE THAN 32,100 ED VISITS IN FISCAL YEAR 2021. VALLEY WEST COMMUNITY HOSPITAL (EIN: 36-4244337) ("VWCH") VWCH IS A CRITICAL-ACCESS, 25-BED HOSPITAL IN SANDWICH, ILLINOIS, SERVING THE FOX VALLEY COMMUNITY FOR MORE THAN 70 YEARS. MORE THAN 200 PHYSICIANS ARE ON STAFF WITH VALLEY WEST, REPRESENTING A WIDE RANGE OF SPECIALTIES. DURING FISCAL YEAR 2021, VALLEY WEST HAD MORE THAN 700 INPATIENT ADMISSIONS AND MORE THAN 7,600 ED VISITS. AS A CRITICAL-ACCESS HOSPITAL WITHIN THE NORTHWESTERN MEDICINE SYSTEM, VALLEY WEST CREATES A SEAMLESS PATHWAY TO SPECIALTY CARE ACROSS THE SYSTEM AND GREATLY EXPANDING ACCESS TO CARE FOR THE RURAL COMMUNITY. IN FISCAL YEAR 2020, VWCH LAUNCHED THE HOMEWARD HEALING PROGRAM FOR PATIENTS WHO NEED SHORT-TERM, COMPREHENSIVE, SKILLED HEALTHCARE SERVICES AFTER AN ACUTE STAY IN THE HOSPITAL. THIS ALLOWS FOR ADDITIONAL CARE THAT CANNOT BE PROVIDED AT HOME AND WITHOUT HAVING TO BE TRANSFERRED TO A SKILLED NURSING FACILITY.	Desc
Total Program Service Expenses	$5,450,474,261	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	Yes (true)	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	Yes (true)	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	1650	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	29520	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	152	GoverningBodyVotingMembersCnt
Independent Voting Member	125	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Robert Gerecke	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3129269495	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	541 N Fairbanks Rm 1639	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606113319	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (166 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Andrea Zopp
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Charie A Zanck
See Schedule O	7.0	0	Yes (X)	Yes (X)	$0	$0	$0
Dean M Harrison
See Schedule O	40.0	0	Yes (X)	Yes (X)	$5,630,304	$0	$1,342,056
Emily J Kozak
See Schedule O	38.0	2.0	Yes (X)	Yes (X)	$557,435	$0	$68,713
Eric G Neilson MD
See Schedule O	40.0	0	Yes (X)	Yes (X)	$1,084,995	$0	$45,068
Forrest R Whittaker
See Schedule O	5.0	0	Yes (X)	Yes (X)	$0	$0	$0
Glenn F Tilton
See Schedule O	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
HOMI B PATEL
See Schedule O	6.0	0	Yes (X)	Yes (X)	$0	$0	$0
Howard B Chrisman MD
See Schedule O	40.0	0	Yes (X)	Yes (X)	$1,372,449	$0	$240,282
J Christopher Reyes
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Jay M Anderson
See Schedule O	40.0	0	Yes (X)	Yes (X)	$1,019,638	$0	$258,468
JOHN A CANNING
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
John A Orsini
See Schedule O	40.0	0	Yes (X)	Yes (X)	$1,887,921	$0	$441,287
Julie L Creamer
See Schedule O	40.0	0	Yes (X)	Yes (X)	$2,009,294	$0	$212,933
Kevin P Poorten
See Schedule O	38.0	2.0	Yes (X)	Yes (X)	$1,288,819	$0	$339,191
LARRY D RICHMAN
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Matthew J Flynn
See Schedule O	38.0	2.0	Yes (X)	Yes (X)	$684,578	$0	$115,250
Michael A Cullen
See Schedule O	6.0	0	Yes (X)	Yes (X)	$0	$0	$0
Michael Kokott
See Schedule O	40.0	0	Yes (X)	Yes (X)	$335,335	$0	$43,653
Patrick Towne MD
See Schedule O	40.0	0	Yes (X)	Yes (X)	$1,006,103	$0	$244,410
Terrence Moisan MD
See Schedule O	0	0	Yes (X)	Yes (X)	$0	$0	$0
Thomas J McAfee
See Schedule O	40.0	0	Yes (X)	Yes (X)	$1,384,832	$0	$329,429
William A Osborn
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
William J McCune MD
See Schedule O	40.0	0	Yes (X)	Yes (X)	$287,301	$0	$26,935
WILLIAM P FLESCH
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Abby J Szklarek
See Schedule O	5.0	0	Yes (X)		$0	$0	$0
Adam Cooper
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Adam Hoeflich
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Albert M Friedman
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Alexander D Stuart
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Amy S Paller MD
See Schedule O	40.0	0	Yes (X)		$509,559	$0	$56,909
Andrea Redmond-Ferguson
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Andrew G Bluhm
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Anthony Altimari MD
See Schedule O	40.0	0	Yes (X)		$709,198	$0	$44,026
Anthony B Davis
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
ANTHONY K KESMAN
See Schedule O	5.0	0	Yes (X)		$0	$0	$0
Beverly Schatte
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Brett J Hart
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Carol L Bernick
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Catherine Odelbo
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Charles Mills
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Charles Ruth
See Schedule O	5.0	0	Yes (X)		$0	$0	$0
Christine Leahy
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Corinne J Wood
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Daniel Brat
See Schedule O	40.0	0	Yes (X)		$393,518	$0	$10,490
Daniel P Campagna
See Schedule O	40.0	0	Yes (X)		$24,000	$0	$0
David R Casper
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Dean Barrett
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Debbie S Saran
See Schedule O	6.0	0	Yes (X)		$0	$0	$0
Desiree Rogers
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Dolly Devara MD
See Schedule O	40.0	0	Yes (X)		$656,837	$0	$45,382
DONALD L THOMPSON
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Douglas Bade
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Douglas E Vaughan MD
See Schedule O	40.0	0	Yes (X)		$570,404	$0	$38,291
Edward T Tilly
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Eric Smith
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
FREDERICK H WADDELL
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
George Sreckovic MD
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Gregory Smith
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
J Christopher Gallagher
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Jack A Wagoner MD
See Schedule O	40.0	0	Yes (X)		$639,397	$0	$45,329
James A Gordon
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
James C Murray III
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
JAMES P ZALLIE
See Schedule O	5.0	0	Yes (X)		$0	$0	$0
James T Glerum
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
James Thorpe
See Schedule O	5.0	0	Yes (X)		$0	$0	$0
Jane D Pigott
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Jane Lux
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Jason Tyler
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
JC Gonzalez-Mendez
See Schedule O	5.0	0	Yes (X)		$0	$0	$0
Joe Crane
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
John A Kessler MD
See Schedule O	40.0	0	Yes (X)		$37,574	$0	$19,668
John F Podjasek
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
JOHN H DICK
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
John R Ettelson
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Joseph D Mansueto
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
JOSEPH F DAMICO
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Judy P Greffin
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Karen R Mills
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Keating Crown
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Kent Dauten
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
KERMIT R CRAWFORD
See Schedule O	5.0	0	Yes (X)		$0	$0	$0
Lawrence Hunt
See Schedule O	2.0	0	Yes (X)		$0	$0	$0
Layanya Shankar MD
See Schedule O	40.0	0	Yes (X)		$25,000	$0	$0
Leonidas C Platanias MD PhD
See Schedule O	40.0	0	Yes (X)		$187,189	$0	$14,210
Linda Johnson Rice
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Lisa M Giles
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Mahesh Ramachandran MD
See Schedule O	40.0	0	Yes (X)		$493,683	$0	$40,261
Manny Favela
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Marc S Schulman
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
MARC STRAUSS
See Schedule O	5.0	0	Yes (X)		$0	$0	$0
Mark Cozzi
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Mary Beth Richmond MD
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Matthew S Darnall
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Michael F DeSantiago
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Michael G O'Grady
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Michael J Kachmer
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Michael Schmidt MD
See Schedule O	40.0	0	Yes (X)		$433,817	$0	$45,352
Michael W Ferro
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Michael-Dean Chorneyko
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Mike Leonard
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Morton O Schapiro
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Muneer A Satter
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Nicholas D Chabraja
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Nicholas J Volpe MD
See Schedule O	40.0	0	Yes (X)		$548,997	$0	$50,184
Patricia A Woertz
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Pedro DeJesus
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Peter Bernick
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
PETER D CRIST
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Peter K Whinfrey
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Peter S Hurst BDS
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Phebe N Novakovic
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Reeve Waud
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Ricardo Meza
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Richard A Davis
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Richard H Lenny
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Richard S Price
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Robert J Stucker
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Roberto R Herencia
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Roger L Benson
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Ron M Saslow
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Samuel C Scott III
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Sandra L Helton
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Scott C Smith
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Scott Helm MD
See Schedule O	40.0	0	Yes (X)		$266,186	$0	$0
Scott L Gwilliam
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Scott Serota
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
SEAN M CONNOLLY
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Shawn M Donnelly
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Shelia G Talton
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Stephen Crawford
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Stephen Davis
See Schedule O	5.0	0	Yes (X)		$0	$0	$0
Stephen Reyes
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
TERRANCE D PEABODY MD
See Schedule O	40.0	0	Yes (X)		$822,388	$0	$51,397
Theodore L Koenig
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Thomas F Quinn
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Thomas Matya
See Schedule O	7.0	0	Yes (X)		$0	$0	$0
Timothy P Moen
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Timothy P Sullivan
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Todd Barrowclift DO
See Schedule O	40.0	0	Yes (X)		$248,801	$0	$37,063
Tom A Carey
See Schedule O	5.0	0	Yes (X)		$0	$0	$0
Trina Gordon McCallister
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
WILLARD M HUNTER
See Schedule O	5.0	0	Yes (X)		$0	$0	$0
WILLIAM A VONHOENE
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
William C Kunkler
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
WILLIAM D PEREZ
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
William F Cunningham
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
William G Daluga
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
William M Daley
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
William S Goldberg
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Connie D Falcone
See Schedule O	40.0	0		Yes (X)	$628,747	$0	$69,169
Danae K Prousis
See Schedule O	40.0	0		Yes (X)	$1,299,803	$0	$27,073
Dee A Manire
See Schedule O	1.0	0		Yes (X)	$0	$0	$0
Edward J Wehmer
See Schedule O	1.0	0		Yes (X)	$0	$0	$0
Leah V Hobson
See Schedule O	40.0	0		Yes (X)	$488,997	$0	$62,819
Maureen Bryant
See Schedule O	40.0	0		Yes (X)	$772,337	$0	$98,788
Maureen Taus
See Schedule O	40.0	0		Yes (X)	$551,024	$0	$62,365
Aaron Bare
See Schedule O	40.0	0			$1,350,283	$0	$48,629	Yes (X)
Daniel Derman
Senior Vice President	40.0	0			$1,103,310	$0	$170,854	Yes (X)
Elizabeth Rosenberg
SVP, Administration	40.0	0			$1,300,581	$0	$338,919	Yes (X)
Harish Shownkeen
See Schedule O	40.0	0			$1,691,891	$0	$35,690	Yes (X)
Patrick McCarthy MD
SEE SCHEDULE O	40.0	0			$2,584,425	$0	$68,106	Yes (X)
Brian J Lemon
See Schedule O	40.0	0			$249,082	$0	$15,883		Yes (X)
James Giblin
See Schedule O	40.0	0			$898,641	$0	$241,102		Yes (X)
Michael S Eesley
See Schedule O	40.0	0			$1,684,995	$0	$110,517		Yes (X)
Michael Vivoda
See Schedule O	40.0	0			$1,019,900	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$40,739,569	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,556,152	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	5627	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
SKENDER CONSTRUCTION
200 W MADISON SUITE 1300	CHICAGO	IL	60606	CONSTRUCTION	$37,232,551
QUEST DIAGNOSTICS
4126 N Milwaukee Ave	CHICAGO	IL	60641	LABORATORY SERVICES	$24,705,454
NTHRIVE REVENUE SYSTEMS LLC
100 North Point Center	Alpharetta	GA	30009	REVENUE CYCLE MANAGEMENT COMPANY	$23,097,795	East Suite 200
LO DESTRO CONSTRUCTION COMPANY
211 E Ontario St 500	CHICAGO	IL	60604	CONSTRUCTION SERVICES	$20,937,576
CB RICHARD ELLIS INC
205 W WACKER DRIVE	CHICAGO	IL	60606	PROPERTY MANAGEMENT	$19,924,848

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	759	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,067,094	FundraisingAmt
Government Grants	$47,308,178	GovernmentGrantsAmt
All Other Contributions	$198,377,100	AllOtherContributionsAmt
Noncash Contributions	$4,373,029	NoncashContributionsAmt
Total Contributions	$246,752,372	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NMH-PATIENT SERVICE AND OTHER REVENUE	621990	$2,486,546,191	$2,484,699,179	$1,847,012
CDH-PATIENT SERVICE AND OTHER REVENUE	621990	$1,185,654,249	$1,154,992,958	$30,661,291
NMG-PATIENT SERVICE AND OTHER REVENUE	621110	$1,299,754,803	$1,299,754,803	$0
NIMC-PATIENT SERVICE AND OTHER REVENUE	621990	$559,069,978	$559,066,638	$3,340
NLFH PATIENT SERVICE AND OTHER REVENUE	621990	$445,797,186	$445,795,067	$2,119

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,432,048,609	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,431,048,086	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,000,523	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$7,408,871,016	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,643,366	TotalRevenueColumnAmt
Unrelated Business Revenue	$837,273	UnrelatedBusinessRevenueAmt
Exclusion	$2,806,093	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$49,739,509	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$49,739,509	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$49,739,509	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,541,030	UnrelatedBusinessRevenueAmt
Exclusion	$48,198,479	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$2,934,838	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$2,934,838	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,934,838	TotalRevenueColumnAmt
Exclusion	-$2,934,838	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$188,290	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,067,094	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$285,749	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$97,459	TotalRevenueColumnAmt
Exclusion	-$97,459	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$9,780	GamingGrossIncomeAmt
Gaming Direct Expenses	$9,073	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$707	TotalRevenueColumnAmt
Exclusion	$707	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$418,236	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$201,571	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$216,665	TotalRevenueColumnAmt
Exclusion	$216,665	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PROFESSIONAL SERVICE FEES	561000	$15,351,391	$15,351,391
PARKING REVENUE	812930	$10,981,575	$9,578,610	$1,402,965
PROFESSIONAL SERVICES TO AFFILIATE	561000	$6,250,054	$6,250,054

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,240,992	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,174,551	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$66,441	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$33,824,012	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,740,015,350	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,407,711,337	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$37,361,994	UnrelatedBusinessRevenueAmt
Exclusion	$48,189,647	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$15,110,016	TotalAmt
Program Services	$15,110,016	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,232,051	TotalAmt
Program Services	$1,232,051	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$18,475,587	TotalAmt
Program Services	$16,607,705	ProgramServicesAmt
Management And General	$1,801,370	ManagementAndGeneralAmt
Fundraising	$66,512	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$5,295,885	TotalAmt
Program Services	$4,760,471	ProgramServicesAmt
Management And General	$516,349	ManagementAndGeneralAmt
Fundraising	$19,065	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,425,672,254	TotalAmt
Program Services	$2,180,436,789	ProgramServicesAmt
Management And General	$236,503,045	ManagementAndGeneralAmt
Fundraising	$8,732,420	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$69,222,422	TotalAmt
Program Services	$62,224,035	ProgramServicesAmt
Management And General	$6,749,186	ManagementAndGeneralAmt
Fundraising	$249,201	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$259,419,310	TotalAmt
Program Services	$233,192,017	ProgramServicesAmt
Management And General	$25,293,383	ManagementAndGeneralAmt
Fundraising	$933,910	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$148,044,563	TotalAmt
Program Services	$133,077,258	ProgramServicesAmt
Management And General	$14,434,345	ManagementAndGeneralAmt
Fundraising	$532,960	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,239,504,856	TotalAmt
Management And General	$1,239,504,856	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$590,982	TotalAmt
Management And General	$590,982	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,249,859	TotalAmt
Management And General	$2,249,859	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$444,633	TotalAmt
Program Services	$444,633	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$411,333,107	TotalAmt
Program Services	$309,528,993	ProgramServicesAmt
Management And General	$99,824,930	ManagementAndGeneralAmt
Fundraising	$1,979,184	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,535,207	TotalAmt
Program Services	$424,027	ProgramServicesAmt
Management And General	$3,026,335	ManagementAndGeneralAmt
Fundraising	$84,845	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$72,174,995	TotalAmt
Program Services	$57,878,834	ProgramServicesAmt
Management And General	$13,935,286	ManagementAndGeneralAmt
Fundraising	$360,875	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,274,426	TotalAmt
Program Services	$2,106,692	ProgramServicesAmt
Management And General	$7,612,915	ManagementAndGeneralAmt
Fundraising	$554,819	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$281,887,343	TotalAmt
Program Services	$162,434,131	ProgramServicesAmt
Management And General	$118,886,051	ManagementAndGeneralAmt
Fundraising	$567,161	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,362,509	TotalAmt
Program Services	$1,817,868	ProgramServicesAmt
Management And General	$521,016	ManagementAndGeneralAmt
Fundraising	$23,625	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$5,727,695	TotalAmt
Program Services	$2,098,535	ProgramServicesAmt
Management And General	$3,319,864	ManagementAndGeneralAmt
Fundraising	$309,296	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,240,457	TotalAmt
Program Services	$5,238,272	ProgramServicesAmt
Management And General	$2,185	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$296,307,797	TotalAmt
Program Services	$283,564,008	ProgramServicesAmt
Management And General	$12,666,749	ManagementAndGeneralAmt
Fundraising	$77,040	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$174,727,600	TotalAmt
Program Services	$166,189,561	ProgramServicesAmt
Management And General	$8,506,588	ManagementAndGeneralAmt
Fundraising	$31,451	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Medical Supplies	$1,518,687,439	$1,518,687,439
Medicaid Tax	$187,675,865	$187,675,865
Bad Debt	$87,919,127	$87,919,127
Income Taxes	$809,845	$809,845

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,512,837	TotalAmt
Program Services	$17,016,089	ProgramServicesAmt
Management And General	$4,311,973	ManagementAndGeneralAmt
Fundraising	$184,775	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,265,438,667	TotalAmt
Program Services	$5,450,474,261	ProgramServicesAmt
Management And General	$1,800,257,267	ManagementAndGeneralAmt
Fundraising	$14,707,139	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,002,616,147	BOYAmt
EOY	$2,343,668,042	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,387,372	BOYAmt
EOY	$6,668,372	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$42,551,748	BOYAmt
EOY	$93,560,190	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$664,752,615	BOYAmt
EOY	$869,238,863	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,090,374	BOYAmt
EOY	$1,435,469	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$104,357,784	BOYAmt
EOY	$133,643,654	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$104,132,692	BOYAmt
EOY	$248,135,054	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,831,620,924	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,674,455,739	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,730,692,276	BOYAmt
EOY	$4,157,165,185	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$47,856,158	BOYAmt
EOY	$13,656,196	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,002,558	BOYAmt
EOY	$41,845,010	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,118,348,257	BOYAmt
EOY	$4,295,314,436	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,856,787,981	BOYAmt
EOY	$12,204,330,471	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$432,912,972	BOYAmt
EOY	$574,255,973	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$50,923,165	BOYAmt
EOY	$38,212,667	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,287,981	BOYAmt
EOY	$5,504,478	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$33,880,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,270,611,702	BOYAmt
EOY	$2,492,371,773	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,757,735,820	BOYAmt
EOY	$3,144,224,891	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,644,828,727	BOYAmt
EOY	$8,585,440,444	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$454,223,434	BOYAmt
EOY	$474,665,136	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,099,052,161	BOYAmt
EOY	$9,060,105,580	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,856,787,981	BOYAmt
EOY	$12,204,330,471	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$474,576,683	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,527,450	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$482,949,286	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd
Supported Organizations	20	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (20 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
CENTRAL DUPAGE HOSPITAL ASSOCIATION
362513909	3	false	$0	$0
DELNOR-COMMUNITY HOSPITAL
363484281	3	false	$0	$0
KISHWAUKEE COMMUNITY HOSPITAL
237087041	3	false	$0	$0
VALLEY WEST COMMUNITY HOSPITAL
364244337	3	false	$0	$0
DEKALB BEHAVIORAL HEALTH FOUNDATION INC
474579189	3	false	$0	$0
DEKALB COUNTY HOSPICE
363164329	9	false	$0	$0
KISHHEALTH SYSTEM HOME CARE
371703513	3	false	$0	$0
MARIANJOY REHABILITATION HOSPITAL & CLINICS INC
362680776	3	false	$0	$0
REHABILITATION MEDICINE CLINIC INC
363236791	3	false	$0	$0
NORTHWESTERN MEDICAL FACULTY FOUNDATION
363097297	9	Yes (true)	$0	$0
NORTHWESTERN MEMORIAL HOSPITAL
370960170	3	Yes (true)	$0	$0
NORTHWESTERN LAKE FOREST HOSPITAL
362179779	3	Yes (true)	$0	$0
NORTHWESTERN MEMORIAL FOUNDATION
363155315	7	false	$0	$0
CENTRAL DUPAGE PHYSICIAN GROUP
363149833	9	false	$0	$0
NORTHERN ILLINOIS MEDICAL CENTER
362338884	3	Yes (true)	$0	$0
MEMORIAL MEDICAL CENTER
362179764	3	false	$0	$0
PALOS COMMUNITY HOSPITAL
362169179	3	Yes (true)	$0	$0
CENTEGRA HOSPITAL HUNTLEY HOLDINGS
453449737	3	false	$0	$0
CENTEGRA HEALTH SYSTEM
363196559	9	false	$0	$0
KISHHEALTH SYSTEM
363649080	9	false	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	20	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$48,893,913	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$83,043,128	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$58,729,397	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$48,943,338	CurrentTaxYearMinus1YearAmt
Current Tax Year	$112,850,801	CurrentTaxYearAmt
Total	$352,460,577	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$48,893,913	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$83,043,128	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$58,729,397	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$48,943,338	CurrentTaxYearMinus1YearAmt
Current Tax Year	$112,850,801	CurrentTaxYearAmt
Total	$352,460,577	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$68,269,200	SubstantialContributorsTotAmt
Public Support Total170	$284,191,377	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,141,681	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$12,413,256	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$12,214,569	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$13,123,744	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,594,708	CurrentTaxYearAmt
Total	$61,487,958	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$413,948,535	TotalSupportAmt
Gross Receipts Rltd Activities	$0	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.6865	PublicSupportCY170Pct
Public Support PY170	0.7320	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,565,947	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,985,684	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,875,214	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$19,508,612	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,319,793	CurrentTaxYearAmt
Total	$42,255,250	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,098,936,793	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,141,764,470	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,316,978,610	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,340,683,332	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,618,346,328	CurrentTaxYearAmt
Total	$6,516,709,533	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,104,502,740	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,146,750,154	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,321,853,824	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,360,191,944	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,625,666,121	CurrentTaxYearAmt
Total	$6,558,964,783	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$6,558,964,783	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$589,616	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,949,628	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,393,948	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,964,764	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,070,185	CurrentTaxYearAmt
Total	$10,968,141	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,463,994	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,189,812	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,278,269	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,150,017	CurrentTaxYearMinus1YearAmt
Current Tax Year	$837,273	CurrentTaxYearAmt
Total	$5,919,365	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,053,610	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,139,440	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,672,217	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,114,781	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,907,458	CurrentTaxYearAmt
Total	$16,887,506	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$40,911,309	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$50,772,483	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$69,130,077	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$55,718,724	CurrentTaxYearMinus1YearAmt
Current Tax Year	$74,389,759	CurrentTaxYearAmt
Total	$290,922,352	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,147,467,659	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,200,662,077	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,394,656,118	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,421,025,449	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,702,963,338	CurrentTaxYearAmt
Total	$6,866,774,641	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.9552	PublicSupportCY509Pct
Public Support PY509	0.9607	PublicSupportPY509Pct
Investment Income CY	0	InvestmentIncomeCYPct
Investment Income PY	0.0033	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	false	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	Yes (true)	OrganizationChangeSuprtOrgInd
Support Non Supported Org	Yes (true)	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (true)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	Yes (true)	OperateBenefitNonSuprtOrgInd

Field	Value	IRS element (for citing)
Majority Dir Trst Supported Org	Yes (true)	MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part I PUBLIC CHARITY STATUS	THIS SCHEDULE A IS BEING FILED ON BEHALF OF A GROUP EXEMPTION AND INCLUDES MULTIPLE ENTITIES. THEY ARE GROUPED AS FOLLOWS: THE PRIMARY RESPONSE FOR SCHEDULE A REPRESENTS THOSE ORGANIZATIONS LISTED AS TYPE 3, HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATIONS AS DESCRIBED IN SECTION 170(B)(1)(A)(III). - CENTRAL DUPAGE HOSPITAL ASSOCIATION - DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. - DELNOR-COMMUNITY HOSPITAL - KISHHEALTH SYSTEM HOMECARE - KISHWAUKEE COMMUNITY HOSPITAL - MARIANJOY REHABILITATION HOSPITAL & CLINICS, INC. - NORTHWESTERN LAKE FOREST HOSPITAL - NORTHWESTERN MEMORIAL HOSPITAL - REHABILITATION MEDICINE CLINIC, INC. - VALLEY WEST COMMUNITY HOSPITAL - NORTHERN ILLINOIS MEDICAL CENTER - MEMORIAL MEDICAL CENTER - CENTEGRA HOSPITAL HUNTLEY HOLDINGS - PALOS COMMUNITY HOSPITAL THE FOLLOWING ORGANIZATIONS ARE GROUPED AS TYPE 7, ORGANIZATIONS THAT NORMALLY RECEIVE A SUBSTANTIAL PART OF THEIR SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). - NORTHWESTERN MEMORIAL FOUNDATION THEY ARE REPRESENTED IN TOTAL BY PART II OF THE SCHEDULE A. THE FOLLOWING ORGANIZATIONS ARE GROUPED AS TYPE 10, ORGANIZATIONS THAT NORMALLY RECEIVE: (1) MORE THAN 33 1/3% OF THEIR SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO THEIR EXEMPT FUNCTIONS-SUBJECT TO CERTAIN EXCEPTIONS, AND (2) NO MORE THAN 33 1/3% OF THEIR SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME (LESS SECTION 511 TAX) FROM BUSINESSES ACQUIRED BY THE ORGANIZATIONS AFTER JUNE 30, 1975. SEE SECTION 509(A)(2). - NORTHWESTERN MEDICAL FACULTY FOUNDATION (NMG) - CENTRAL DUPAGE PHYSICIAN GROUP - DEKALB COUNTY HOSPICE, INC. - CENTEGRA HEALTH SYSTEM THEY ARE REPRESENTED IN TOTAL BY PART III OF THE SCHEDULE A. TYPE I SUPPORTING ORGANIZATION UNDER SECTION 509(A)(3) INCLUDE: - MARIANJOY REHABILITATION CENTER AUXILIARY TYPE II SUPPORTING ORGANIZATIONS UNDER SECTION 509(A)(3) INCLUDE: - KISHHEALTH SYSTEM
Schedule A, Part I, Line 12g(v) AMOUNT OF MONETARY AND OTHER SUPPORT TO SUPPORTED ORGANIZATIONS	THE ORGANIZATION DOES NOT BREAK OUT THE SPECIFIC MONETARY VALUE OF THE SUPPORT PROVIDED TO EACH ENTITY, AS THE ORGANIZATION EXISTS SOLELY TO SUPPORT THE MISSION AND OPERATIONS OF ITS SUPPORTED ORGANIZATIONS AND THEIR AFFILIATES, WHICH ARE ALL PART OF THE SAME INTEGRATED HEALTH CARE SYSTEM. AS A RESULT, ALL OF ITS ACTIVITIES AND EXPENSES DIRECTLY OR INDIRECTLY SUPPORT ITS SUPPORTED ORGANIZATIONS.
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name	ALL SUPPORTED ORGANIZATIONS OF THE TYPE II SUPPORTING ORGANIZATIONS ARE DESIGNATED BY CLASS IN THE RESPECTIVE ARTICLES OF INCORPORATION, WHICH STATE THAT THE CORPORATION'S PURPOSES SHALL BE LIMITED TO OPERATING EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR THE CARRY OUT THE PURPOSES OF THOSE ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY NORTHWESTERN MEMORIAL HEALTHCARE, PROVIDED THAT SUCH ORGANIZATIONS ARE EXEMPT FROM TAX UNDER SECTION 501(A) OF THE CODE AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND ARE CLASSIFIED AS OTHER THAN PRIVATE FOUNDATIONS UNDER SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE CODE (COLLECTIVELY, THE "SUPPORTED ORGANIZATIONS"). THE SUPPORTED ORGANIZATIONS LISTED IN THIS SCHEDULE ARE THOSE ORGANIZATIONS WHICH THE SUPPORTING ORGANIZATIONS HAVE HISTORICALLY AND CONTINUALLY SUPPORTED WITHIN THE NORTHWESTERN MEMORIAL HEALTHCARE SYSTEM.
Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org.	CENTEGRA HEALTH SYSTEM FILED ARTICLES OF MERGER AS OF 10/2/2020 WITH NORTHWESTERN MEMORIAL HEALTHCARE. NMHC MAINTAINS THE ROLE AS PARENT ORGANIZATION. REHABILITATION MEDICINE CLINIC FILED ARTICLES OF MERGER AS OF 11/30/2020 WITH CENTRAL DUPAGE PHYSICIAN GROUP. CDPG CONTINUES THE PREVIOUSLY SEPARATE ACTIVITY OF RMC. KISHHEALTH SYSTEM HOME CARE FILED ARTICLES OF DISSOLUTION AS OF 12/31/2020. KISHHEALTH SYSTEM FILED ARTICLES OF MERGER AS OF 1/31/20201 WITH NORTHWESTERN MEMORIAL HEALTHCARE. NMHC NOW MAINTAINS THE ROLE AS PARENT ORGANIZATION. DEKALB COUNTY HOSPICE FILED ARTICLES OF DISSOLUTION AS OF 8/31/2021 WHILE HOSPICE ACTIVITIES ARE NO LONGER OPERATED WITHIN THE HEALTH SYSTEM. MARIANJOY REHABILITATION CENTER AUXILIARY FILED ARTICLES OF DISSOLUTION AS OF 8/31/2021. MARIANJOY REHABILIATION HOSPITAL AND CLINICS ABSORBED ANY REMAINING ACTIVITIES CARRIED ON SEPARATELY.
Schedule A, Part IV, Section A, Line 6 Support to other supported orgs	THE SUPPORTING ORGANIZATIONS WITHIN THE SYSTEM PROVIDED GRANT FUNDS TO NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE AS INDICATED ON SCHEDULE I.
Schedule A, Part IV, Section B, Line 2 Benefit Of Supp. Org. Other Than The One Operating The Org.	MARIANJOY REHABILITATION CENTER AUXILIARY'S BOARD OF DIRECTORS IS APPOINTED BY MARIANJOY REHABILITATION HOSPITAL & CLINICS, PURSUANT TO CRITERIA ESTABLISHED BY NORTHWESTERN MEMORIAL HEALTHCARE, THE SOLE MEMBER OF THE REMAINING SUPPORTED ORGANIZATIONS LISTED IN THIS SCHEDULE A, PART I, LINE 12G. THE ORGANIZATION PROVIDES SUPPORT TO ALL OF ITS SUPPORTED ORGANIZATIONS, WHICH OPERATE FOR THE BENEFIT AND TO CARRY OUT THE MISSION OF INTEGRATED HEALTH CARE SYSTEM.
Schedule A, Part III, Line 12 Other Income	DESCRIPTION - SHARED SERVICES, COLUMN A - 40911309.0, COLUMN B - 50772483.0, COLUMN C - 69130077.0, COLUMN D - 55718724.0, COLUMN E - 74389759.0, COLUMN F - XXX-XX-XXXX.0;

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$444,633	FilingOrganizationsTotalAmt
Affiliated Group Total	$522,593	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$444,633	FilingOrganizationsTotalAmt
Affiliated Group Total	$522,593	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$7,264,994,034	FilingOrganizationsTotalAmt
Affiliated Group Total	$8,697,319,297	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$7,265,438,667	FilingOrganizationsTotalAmt
Affiliated Group Total	$8,697,841,890	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$376,949	CurrentYearMinus3Amt
Current Year Minus2	$455,640	CurrentYearMinus2Amt
Current Year Minus1	$417,537	CurrentYearMinus1Amt
Current Year	$522,593	CurrentYearAmt
Total	$1,772,719	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NORTHWESTERN MEMORIAL HOSPITAL ADDRESS: 251 E HURON CHICAGO, Illinois 60611 EIN: 37-0960170 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 88,958 TOTAL LOBBYING EXPENDITURES: 88,958 OTHER EXEMPT PURPOSE EXPENDITURES: 2,152,237,558 TOTAL EXEMPT PURPOSE EXPENDITURES: 2,152,326,516 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NORTHWESTERN LAKE FOREST HOSPITAL ADDRESS: 1000 N WESTMORELAND ROAD LAKE FOREST, Illinois 60645 EIN: 36-2179779 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 44,634 TOTAL LOBBYING EXPENDITURES: 44,634 OTHER EXEMPT PURPOSE EXPENDITURES: 485,445,815 TOTAL EXEMPT PURPOSE EXPENDITURES: 485,490,449 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NORTHWESTERN MEDICAL FACULTY FOUNDATION ADDRESS: 251 E HURON CHICAGO, Illinois 60611 EIN: 36-3097297 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 1,491,891,228 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,491,891,228 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NORTHWESTERN MEMORIAL FOUNDATION ADDRESS: 251 E HURON CHICAGO, Illinois 60611 EIN: 36-3155315 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 13,627,676 TOTAL EXEMPT PURPOSE EXPENDITURES: 13,627,676 LOBBYING NONTAXABLE AMOUNT: 831,384 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 207,846 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTRAL DUPAGE HOSPITAL ASSOCIATION ADDRESS: 25 N WINFIELD ROAD WINFIELD, Illinois 60190 EIN: 36-2513909 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 75,513 TOTAL LOBBYING EXPENDITURES: 75,513 OTHER EXEMPT PURPOSE EXPENDITURES: 994,100,672 TOTAL EXEMPT PURPOSE EXPENDITURES: 994,176,185 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Donor Advised Funds Held	1	DonorAdvisedFundsHeldCnt
Funds And Other Accounts Held	1	FundsAndOtherAccountsHeldCnt
Donor Advised Funds Contri	$0	DonorAdvisedFundsContriAmt
Funds And Other Accounts Contri	$1,747,040	FundsAndOtherAccountsContriAmt
Donor Advised Funds Grants	$270	DonorAdvisedFundsGrantsAmt
Funds And Other Accounts Grants	$511,846	FundsAndOtherAccountsGrantsAmt
Donor Advised Funds Vl EOY	$22,794	DonorAdvisedFundsVlEOYAmt
Funds And Other Accounts Vl EOY	$19,036,802	FundsAndOtherAccountsVlEOYAmt
Disclosed Org Leg Ctrl	Yes (true)	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	Yes (true)	DisclosedForCharitablePrpsInd
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Coll Used Scholarly Rsrch	Yes (X)	CollUsedScholarlyRsrchInd
Collection Used Preservation	Yes (X)	CollectionUsedPreservationInd
Solicited Assets Sale	false	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$204,643,173	BeginningYearBalanceAmt
Contributions	$5,981,350	ContributionsAmt
Investment Earnings Or Losses	$2,420,290	InvestmentEarningsOrLossesAmt
End Year Balance	$213,044,813	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$193,758,304	BeginningYearBalanceAmt
Contributions	$9,486,872	ContributionsAmt
Investment Earnings Or Losses	$1,397,997	InvestmentEarningsOrLossesAmt
End Year Balance	$204,643,173	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$182,631,978	BeginningYearBalanceAmt
Contributions	$9,784,570	ContributionsAmt
Investment Earnings Or Losses	$1,341,756	InvestmentEarningsOrLossesAmt
End Year Balance	$193,758,304	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$175,079,702	BeginningYearBalanceAmt
Contributions	$6,403,092	ContributionsAmt
Investment Earnings Or Losses	$1,149,184	InvestmentEarningsOrLossesAmt
End Year Balance	$182,631,978	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$161,910,261	BeginningYearBalanceAmt
Contributions	$5,608,930	ContributionsAmt
Investment Earnings Or Losses	$7,560,511	InvestmentEarningsOrLossesAmt
End Year Balance	$175,079,702	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$397,057,926	OtherCostOrOtherBasisAmt
Book Value	$397,057,926	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,912,578,827	OtherCostOrOtherBasisAmt
Depreciation	$1,886,931,011	DepreciationAmt
Book Value	$3,025,647,816	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,131,755,830	OtherCostOrOtherBasisAmt
Depreciation	$730,421,780	DepreciationAmt
Book Value	$401,334,050	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$390,228,341	OtherCostOrOtherBasisAmt
Depreciation	$57,102,948	DepreciationAmt
Book Value	$333,125,393	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,157,165,185	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
I/C RECEIVABLE	$3,441,933,978
INSURANCE RECOVERABLE	$666,954,360
OTHER ASSETS	$17,366,509
SECTION 457-B PLAN ASSET	$147,596,832
BENEFICIAL INTEREST IN TRUSTS	$21,068,854
ARTWORK	$393,903

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$4,295,314,436	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$743,181	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
ACCRUED BOND INTEREST	$296,252
EST THIRD PARTY PAYOR SETTLEMT	$761,936,343
DUE TO AFFILIATES	$0
SELF INSURANCE RESERVES	$1,421,937,838
INTEREST RATE SWAPS
SECTION 457-B AND PENSION PLAN	$150,239,707
DEFERRED RENT	$43,229
OTHER	$157,175,223

Field	Value	IRS element (for citing)
Total Liability	$2,492,371,773	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part III, Line 1a Collections of Art	DUE TO IMMATERIALITY THERE IS NO SEPARATE FOOTNOTE IN THE FINANCIAL STATEMENTS REGARDING SFAS 116 (ASC 958) CONTRIBUTED ART.
Schedule D, Part III, Line 4 Collections of art - description of collections	NORTHWESTERN MEMORIAL HOSPITAL MAINTAINS ARTWORK THAT IS ON PUBLIC DISPLAY. THE ARTS PROGRAM WAS DEVELOPED IN RESPONSE TO RESEARCH THAT DEMONSTRATES THE HEALING VALUE OF REPRESENTATIONAL ART DEPICTING NATURAL LANDSCAPES AND POSITIVE HUMAN INTERACTIONS. OUR ART COLLECTION PROVIDES COMFORT, EVOKES POSITIVE EMOTIONS AND CAN HELP PROMOTE HEALING FOR OUR PATIENTS. THE HOSPITAL ALSO MAINTAINS HISTORICAL ITEMS THAT RELATE TO CARE SUCH AS HISTORICAL MEDICAL INSTRUMENTS AND NURSING UNIFORMS.
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE NORTHWESTERN GROUP DISCLOSED THE ENDOWMENT FUNDS IN PART V IN ACCORDANCE WITH SFAS 117 (ASC 958). THE GROUP REPORTS BOARD DESIGNATED FUNDS OF $272,185,246 IN UNRESTRICTED NET ASSETS AS OF AUGUST 31, 2021. THESE AMOUNTS WERE NOT INCLUDED IN PART V SO THAT THE ENDOWMENT FUNDS MATCH THE FINANCIAL STATEMENTS. THE GROUP ALSO HAS TEMPORARILY RESTRICTED ASSETS GENERATED FROM ENDOWMENT FUNDS OF $71,901,573 AS OF AUGUST 31, 2021. IN ACCORDANCE WITH SFAS 117 (ASC 958) THESE AMOUNTS ARE NOT CONSIDERED ENDOWMENTS AND HAVE NOT BEEN INCLUDED IN PART V. THE 4 PRIOR YEARS ARE THE COMBINED GROUP MEMBERS ENDOWMENT INFORMATION.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	ASC 740, 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 is recognized 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 August 31, 2021 or 2020.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Europe (Including Iceland and Greenland)	0	0	Program Services	SEND AGENTS TO SEMINAR	$3,396
North America (Canada & Mexico only)	0	0	Program Services	SEND AGENTS TO SEMINAR	$170

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$3,566	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$3,566	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	Yes (true)	BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	NM GOLF INVITATIONAL	Event1Nm
Gross Receipts Event1	$600,225	GrossReceiptsEvent1Amt
Charitable Contri Event1	$426,055	CharitableContriEvent1Amt
Gross Revenue Event1	$174,170	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$158,174	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$31,481	OtherDirectExpensesEvent1Amt
Event2	CANCER SURVIVOR WALK	Event2Nm
Gross Receipts Event2	$265,321	GrossReceiptsEvent2Amt
Charitable Contri Event2	$264,821	CharitableContriEvent2Amt
Gross Revenue Event2	$500	GrossRevenueEvent2Amt
Other Events Total	5	OtherEventsTotalCnt
Gross Receipts Other Events	$389,838	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$376,218	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$13,620	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$13,001	NonCashPrizesOtherEventsAmt
Food And Beverage Other Events	$15,778	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$5,400	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$61,915	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,255,384	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,067,094	CharitableContributionsTotAmt
Gross Revenue Total Events	$188,290	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$13,001	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$158,174	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$15,778	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$5,400	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$93,396	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$285,749	DirectExpenseSummaryEventsAmt
Net Income Summary	-$97,459	NetIncomeSummaryAmt

Field	Value	IRS element (for citing)
Gaming Own Facility	0.0	GamingOwnFacilityPct

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	541 N Fairbanks Ct Ste 1630	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606113319	ZIPCd

Field	Value	IRS element (for citing)
Distributed	$0	DistributedAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule G, Part III, Line 14 Special Events - Books and Records	THESE WERE SMALL RAFFLES, NO SPECIFIC PERSON WAS IN CHARGE OF THE ACTIVITIES. BOOKS AND RECORDS ARE HELD BY NORTHWESTERN MEMORIAL FOUNDATION.
Schedule G, Part III, Line 9a Part III, Line 9a	ILLINOIS DOES NOT REQUIRE LICENSING TO CONDUCT GAMING ACTIVITIES.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,856,855	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,966,494	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$79,890,361	NetCommunityBenefitExpnsAmt
Total Expense	0.0111	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$699,374,665	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$405,553,029	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$293,821,636	NetCommunityBenefitExpnsAmt
Total Expense	0.0409	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$790,231,520	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$416,519,523	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$373,711,997	NetCommunityBenefitExpnsAmt
Total Expense	0.0521	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,557,262	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,557,262	NetCommunityBenefitExpnsAmt
Total Expense	0.0011	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$93,907,374	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,617,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,290,144	NetCommunityBenefitExpnsAmt
Total Expense	0.0106	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,309,208	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,309,208	NetCommunityBenefitExpnsAmt
Total Expense	0.0056	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,235,249	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$61,235,249	NetCommunityBenefitExpnsAmt
Total Expense	0.0085	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,726,602	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,726,602	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$209,735,695	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,617,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$192,118,465	NetCommunityBenefitExpnsAmt
Total Expense	0.0268	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$999,967,215	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$434,136,753	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$565,830,462	NetCommunityBenefitExpnsAmt
Total Expense	0.0788	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,895,301	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,895,301	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,895,301	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,895,301	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$22,870,794	BadDebtExpenseAmt
Reimbursed By Medicare	$1,956,109,868	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,548,085,491	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$591,975,623	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Kishwaukee Area PHO
Credentialing & Managed Care	0.6667	0.3333
Lake Forest Managed Care Association
Credentialing & Managed Care	0.5	0.5

Field	Value	IRS element (for citing)
Hospital Facilities	9	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (9 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Critical Access HospitalCriticalAccessHospitalInd	OtherOtherDesc
Northwestern Memorial Hospital
1	251 E Huron	Chicago	IL	60611	www.nmh.org	0003251	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
NORTHWESTERN LAKE FOREST HOSPITAL
2	1000 N WESTMORELAND ROAD	LAKE FOREST	IL	60045	WWW.LFH.ORG	0005660	Yes (X)	Yes (X)	Yes (X)		Yes (X)
CENTRAL DUPAGE HOSPITAL ASSOCIATION
3	25 N WINFIELD ROAD	WINFIELD	IL	60190	WWW.CADENCEHEALTH.ORG	0005744	Yes (X)	Yes (X)	Yes (X)		Yes (X)
DELNOR-COMMUNITY HOSPITAL
4	300 RANDALL ROAD	GENEVA	IL	60134	WWW.CADENCEHEALTH.ORG	0005736	Yes (X)	Yes (X)	Yes (X)		Yes (X)
NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
5	1 KISH HOSPITAL DR	DEKALB	IL	60115		0005470	Yes (X)	Yes (X)			Yes (X)
Northwestern Medicine Valley West Hospital
6	1302 N Main Street	Sandwich	IL	60548	www.kishhealth.org	0004690	Yes (X)	Yes (X)			Yes (X)	Yes (X)
Marianjoy Rehabilitation Hospital
7	26 W 171 Roosevelt Rd	Wheaton	IL	60187	www.marianjoy.org	0003228	Yes (X)		Yes (X)				Rehabilitation Svcs
NORTHERN ILLINOIS MEDICAL CENTER
8	4201 MEDICAL CENTER DRIVE	MCHENRY	IL	60050	WWW.NM.ORG	0003889	Yes (X)	Yes (X)	Yes (X)		Yes (X)
PALOS COMMUNITY HOSPITAL
9	12251 S 80TH AVENUE	PALOS HEIGHTS	IL	60463	WWW.NM.ORG	0003210	Yes (X)	Yes (X)			Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (9 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	OtherOtherInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Other MethodOtherMethodInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Provided Nonprofit ContactProvidedNonprofitContactInd	Income Level CriteriaIncomeLevelCriteriaInd
Northwestern Memorial Hospital
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	19	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
NORTHWESTERN LAKE FOREST HOSPITAL
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	false	Yes (true)	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	19	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
CENTRAL DUPAGE HOSPITAL ASSOCIATION
3	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	20	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	18	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
DELNOR-COMMUNITY HOSPITAL
4	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	20	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	18	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
5	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	20	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	18	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Northwestern Medicine Valley West Hospital
6	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	20	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	18	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Marianjoy Rehabilitation Hospital
7	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	20	Yes (true)	false	false	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	18	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)		Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)			Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	Yes (X)	http://Marianjoy.org/about-marianjoy/community-benefit.aspx	Yes (X)
NORTHERN ILLINOIS MEDICAL CENTER
8	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	20	Yes (true)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment#tabs_accord	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false			Yes (X)	Yes (X)
PALOS COMMUNITY HOSPITAL
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Supplemental Information SupplementalInformationGrp (79 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - Northwestern Memorial Hospital. The CHNA report also describes Northwestern Memorial Hospital's CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. The hospital facility took into account input from persons who represent the community, including uninsured persons, low-income persons and minority groups, through community input surreys, community focus groups, healthcare and social service provider focus groups, and stakeholder assessments. Community input surveys collected input from 1,593 individuals 18 or older living in the NMH Community Service Area. Surveys were available on paper and online and were disseminated in four different languages. Questions assessed demographics, the health of the community, community strengths, opportunities for improvement and priority health needs. Surveys were targeted at priority populations, those typically underrepresented in assessment processes, including communities of color, immigrants, LGBTQ+ community members, individuals with disabilities and low-income communities. Community focus groups included 36 discussion sessions held within the NMH Community Service Area. Focus groups took place with priority populations, such as veterans, individuals living with mental illness, communities of color, older adults, caregivers, teens and young adults, LGBTQ+ community members, adults and teens experiencing homelessness, families with children, faith communities, adults with disabilities, and children and adults living with chronic conditions such as diabetes and asthma. Healthcare and social service provider focus groups assessed community leaders and healthcare providers, including faith leaders, immigrant service providers and hospitals. Stakeholder assessments evaluated trends, factors and events that currently affect or are anticipated to affect the public health system and included an assessment of the public health system's capacity to advance health equity. To ensure that organizations impacting health in the NMH community service area were meaningfully engaged in interpreting the findings of the CHNA, prioritizing the identified needs, and forming a collaborative plan to address priority needs, the Community Health Council was established and maintained, and the following community stakeholders were formally engaged: 1. Bright Star Community Outreach 2. Chicago Public Library 3. CommunityHealth 4. Erie Family Health Centers 5. Kelly Hall YMCA 6. Near North Health Services Corporation 7. Neighborhood Housing Services 8. Northwestern University's Alliance for Research in Chicagoland Communities 9. Salvation Army Freedom Center 10. West Humboldt Park Development Council
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMH worked in tandem with the Alliance for Health Equity (AHE) which is made up of 37 hospitals and local health departments. Collectively, this group of hospitals worked to collaboratively assess community needs. Specific needs of the NMH Community Service Area were identified and prioritized separately. Hospital facilities included: 1. Advocate Aurora Children's Hospital 2. Advocate Aurora Christ Medical Center 3. Advocate Aurora Illinois Masonic Medical Center 4. Advocate Aurora Lutheran General Hospital 5. Advocate Aurora South Suburban Hospital 6. Advocate Aurora Trinity Hospital 7. AMITA Adventist Medical Center La Grange 8. AMITA Alexian Brothers Medical Center, Elk Grove Village 9. AMITA Holy Family Medical Center 10. AMITA Resurrection Medical Center 11. AMITA St. Alexius Medical Center and Alexian Brothers Behavioral Health Hospital 12. AMITA Saint Francis Hospital 13. AMITA Saint Joseph Hospital 14. AMITA Saints Mary and Elizabeth Medical Center 15. Ann & Robert H. Lurie Children's Hospital of Chicago 16. The Loretto Hospital 17. Loyola Medicine- Gottlieb Memorial Hospital 18. Loyola Medicine- Loyola University Medical Center 19. Loyola Medicine- MacNeal Hospital 20. Mercy Hospital & Medical Center 21. Northwestern Memorial Hospital 22. Norwegian American Hospital 23. Palos Community Hospital 24. Roseland Community Hospital 25. Rush Oak Park 26. Rush University Medical Center 27. Sinai Health System- Holy Cross Hospital 28. Sinai Health System- Mount Sinai Hospital 29. Sinai Health System- Schwab Rehabilitation Hospital 30. South Shore Hospital 31. Swedish Covenant Hospital 32. University of Chicago Medicine 33. University of Chicago Medicine- Ingalls Memorial Hospital 34. Cook County Health- Stroger Hospital 35. Cook County Health- Provident Hospital 36. University of Illinois Hospital and Health Sciences System
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMH worked in tandem with the Alliance for Health Equity (AHE) which is made up of 37 hospitals and local health departments. Collectively, this group of hospitals worked to collaboratively assess community needs. Specific needs of the NMH Community Service Area were identified and prioritized separately. Other organizations included: 1. Chicago Department of Public Health 2. Cook County Department of Public Health 3. Evanston Health and Human Services Department 4. Village of Skokie Health Department
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also shared with the following: 1. Key community organizations 2. Northwestern University Institute of Public Health and Medicine 3. Northwestern Medicine Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Northwestern Memorial Hospital. Through the tax year 2019-2022 prioritization process and implementation plan, NMH identified four Priority Health Needs: Access to Health Care and Community Resources; Structural Inequities; Violence and Community Safety; and Workforce Development and Economic Vitality. NMH identified health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which NMH is addressing the significant needs identified in its most recently conducted CHNA are defined as follows: Priority Need 1: Access to Health Care and Community Resources 1.1: Behavioral Health Resources. Improve access to mental and behavioral health resources through the expansion of community-based programs such as Calm Classroom and Mental Health First Aid trainings. In 2020 - 2021, NMH's community partner Kelly Hall YMCA had intentions to implement an art therapy program for youth impacted by trauma with funding provided by NMH. Due to COVID-19 restrictions and constraints, they were not able to bring the program to fruition. 1.2: Clinical Community Relationships. Develop a Health System level approach to better serve uninsured and underinsured patients through clinical community relationships. In 2020-2021, NMH participated in a systemwide initiative to align its clinical community partnerships in order to help ensure access to health care for under and uninsured individuals, as well as support teaching needs. As part of this initiative, a standard evaluation process, analytical process, approach for relationship development and management, legal partnership agreement, and playbook for operationalizing new or expanded relationships were developed. In August 2021, NMH expanded its clinical partnerships and entered into a new relationship with a Federally Qualified Health Center (FQHC), the Inner-City Muslim Action Network. 1.3: Education-Centered Medical Home (ECMH): Community Engagement Project. Establish a Community Engagement Program together with Northwestern University Feinberg School of Medicine that aligns ECMH community health projects with priority health needs identified through the NMH CHNA. Although COVID-19 continues to disrupt group learning opportunities, ECMH was able to launch the first iteration of our Community Health Advocacy Initiative (CHAI) projects. The goal of CHAI is to provide medical students with the knowledge and skills needed to improve the health of patients in the context of their larger community. The knowledge learning objectives include understanding the impact of the social and built environment, access to care, and forces and systems on patient health as well as understanding the role of hospitals in improving community health. The skill learning objectives include being able to locate sources of community health data, perform a patient social needs assessment, identify community resources to address patient's identified social needs, learning how to partner with others to improve community health, acquiring advocacy skills to improve health at the individual, community, and policy levels, and to apply knowledge and skills to improve community health through experiential learning. The long-term goal is for each ECMH to implement an authentic, meaningful community project. Each student developed a CHAI Project Proposal and the ECMH group then chose one of the 4 individual project ideas for next year's efforts. Once they agreed upon a topic, the group followed a step wise plan. They first identified and analyzed sources of community health data for planning CHAI project, then created a plan to address the community health problems, and lastly developed an evaluation plan to address the community health problem. The groups have been successful in the first iteration of their projects. Example project topics include "Increasing Medicaid enrollment among newly-eligible immigrant seniors", "Improving dietary self-management for patients with diabetes", and "Decreasing accidental firearm injuries". Each ECMH is in the midst of these plans. Once completed they will be assessed, and we will gather feedback from the students and ECMH sites to refine the process for next year 2022-23. 1.4: Social Determinants of Health (SDOH) Plan. Implement an electronic tool that is integrated with NMH's electronic medical record (Epic) to capture SDOH for patients, train staff members/advocates to screen and utilize SDOH data, and refer patients to appropriate services in order to address SDOH. NMHC executive leadership identified the implementation of routine social determinant of health screening as a top organizational priority and included it as a key initiative for the health system in 2020. In April 2021, a system wide pilot was launched with two overall aims 1) Screen all patients for a concise list of Social Determinants which interfere with health and which we can help to mitigate and 2) Act on identified needs through referrals and intervention. The workflow included Epic tools to screen patients for medical home, housing, food, medication affordability, transportation, mental health and social isolation. The 16-week pilot included 12,000 patients screened and about 30% with at least one need and 32% of those patients requesting assistance from NM. About 40% of patients with a need live in a high-hardship zip code. The 12 pilot sites across the health system included primary care clinics, emergency departments and acute care inpatient units. The information remains in the integrated Epic health record and referrals are made to social work/case manager and community resource referral through NowPow. The regional NowPow database of community referrals is embedded in Epic for optimal support and strong staff and patient acceptance with resources near the patients' home. The successful pilot across diverse geographical regions prepared the health system for system-wide implementation in the year ahead. 1.5: Food Insecurity. Implement food insecurity screening for patients and employees and build a process to link those eligible to appropriate benefits and resources. Collaborate with community partners on food access and nutrition education programming (i.e. healthy cooking on a budget; budgeting food dollars with limited resources, etc). NMH continues to provide philanthropic support for the food delivery program between NM's delivery vendor MedSpeed and Our Lady of Angels Mission to provide food to those most in need. Launched in 2020 as a result of the Covid-19 pandemic, the program was stood up as a way to provide food access for the most vulnerable populations. As restrictions lessened and vaccines became available, the weekly food deliveries were changed to bi-weekly. NMH renewed this initiative for two more years. From September 2020 - August 2021, $27,000 in funding from NMH supported 5,280 bags of groceries prepared by Our Lady of Angels and delivered by MedSpeed to 55 unique addresses/families that benefit from the service. Priority Need 2: Structural Inequities. 2.1: Quality Equity. Analyze patient care and clinical service quality measures to identify disparities and implement improvement strategies. The NMHC Quality Equity Plan was approved by the NMHC Quality Management Committee in June 2021. The plan includes a vision for advancing quality equity for NM patients over the next 5 years with improved infrastructure, programming, and partnership with Community Affairs colleagues, Northwestern University faculty, and other community organizations. The Quality Equity Plan was developed with four categories and a focus in 11 areas. These focus areas and outcomes include: 1) Accessing Care at NM (barriers due to change in insurance status, mitigating barriers for patients with limited English proficiency); a. NMHC provided translation of After Visit Summary in select areas and resulted in system-spread planned for later in the year; 2) Meeting Diverse Needs (HOPE, SDOH): a. Integrated HOPE program with Ambulatory Care Coordination and focused on patients with chronic conditions including diabetes, hypertension and complex social needs; b. launched SDOH pilot and developed comprehensive implementation plan for upcoming year 3) Focused Clinical Areas (flu vaccine, COVID-19, Diabetes, Maternal Care, Hypertension) a. increased flu vaccination rates and reduced disparities for Black/AA and LatinX patients b. pilot system wide diabetes "tune-up pathway" to connect Black/AA or LatinX patients with multidisciplinary team for education and resources and to decrease disparities in glycemic control
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Northwestern Memorial Hospital. c. Developed equity framework for Covid-19 process and outcome metrics d. prioritized hypertension improvement initiative based on identified disparity. 4) Infrastructure (analytics/quality approach to measuring equity with high fidelity data, developing partnership with IPHAM and other research groups at NM/NU): a. standard deck on how to assess for disparities was further developed; b. recruited a new leader: Program Manager, Quality Equity to lead growing Equity program portfolio c. Launched system-wide Equity Grand Rounds program highlighting Workforce, Community Affairs and Clinical Quality with Continuing Nurse Education and Continuing Medical Education contact hours awarded to attendees d. Recruited pre-med interns through NM Pipeline Program to learn project management with equity project experience. 2.2: Diversity and Inclusion (D&I): Embed D&I values and tactics into employee practices and behaviors. Establish a D&I infrastructure with partnership across the organization to promote, support and activate inclusive strategy, culture and behavior that differentiates NM as an inclusive values-driven organization. Implement implicit bias and cultural competence training to increase awareness and decrease impact of implicit bias. In FY21, NM continued to make significant progress in this strategy. Key milestones include: Accessibility 1. Standardized electronic data collection of disability accommodations needs 2. Standardized sensory accommodation kits and accessible equipment across the system D+I Trainings and Resources 3. Developed four toolkits for leaders and staff (Implicit Bias Toolkit, Racial Equity Toolkit, Allyship Toolkit and Inclusive Recruitment and Equitable Hiring Toolkit for leaders) 4. Reviewed and updated 150+ D&I e-learnings available in NM's Learning and Performance platform 5. Conducted ongoing assessment of NM's core certificate trainings for opportunities to include inclusive language and imagery 6. Developed system-wide Implicit Bias Workshop "Leadership Workshop for Mitigating Implicit Bias and Microaggressions in the Workplace" 7. 5,884 NM employees utilized D+I trainings and resources Inclusive Policy and Practice Development 8. Developed and disseminated Disability Accommodations for Patients policy to establish a process to provide a disability accommodation to patients, their family members or companions 9. Developed and disseminated Biased Patient Behavior Towards Staff policy to address when witnessing or experiencing bias, discrimination, harassment, and or/mistreatment by patients, family members, companions, caregivers and/or Legal Substitute Decision Makers 10. Reviewed and updated NMH Service Animal Policy NM Champion Network 11. Launched Group Mentorship Pilot in partnership with NM Academy 12. Grew NM Champion Network membership to ~970 members since June 2020 2.3: Community Engagement Plan. Increase engagement with vulnerable populations regarding their experience with structural inequities at NMH. Utilize feedback and input in the strategic planning process. In FY20, NMH conducted a best practice analysis to identify existing frameworks that promote bidirectional communication with the community, including the structures, objectives and operations of community advisory councils. In FY21, NMH continued to build the infrastructure to establish a community engagement council. This work has been completed and will be discussed in the 2021 Schedule H submission. Priority Need 3: Violence and Community Safety. 3.1: Community Violence Prevention. Continue to support Bright Star Community Outreach (BSCO) and The Urban Resilience Network (TURN) model and establish a broader trauma response referral network for NMH patients to receive ongoing trauma support. Collaborate with community partners to launch additional violence prevention strategies, and explore opportunities to expand and increase coordination of existing trauma and violence prevention initiatives. NMH continues to support and provide funding to Bright Star Community Outreach and The Urban Resilience Network. In response to the unanticipated impacts caused by the COVID-19 pandemic, NM provided nearly $200,000 in additional grants to support BSCO's efforts to maintain trauma care support and provide remote patient access to mental and behavioral health services in Bronzeville. This funding helped BSCO extend its hours for the trauma helpline, which to-date has served 45,000 individuals in the community. The funding also helped BSCO operate programs on digital platforms during the pandemic through technology updates as well as support for remote access. Additionally, BSCO works with Chicago Public Schools Network 9, the Chicago Police Department (CPD), local funeral staff, and other neighborhood entities to build resilience and trauma-informed counseling within the community. In 2019, two NMH key stakeholders from Cease Fire, LeVon Stone and Sheila Regan, launched a new violence interruption organization called Acclivus. Founded on the many of the same principles as Cease Fire, NMH now partners with Acclivus to provide violence interruption services following a violent trauma. Trained "violence interrupters" meet with violent trauma victims and their families at NMH and attempt to defuse feelings of anger as well as discourage victims and their families from retaliating. The violence interrupters work in tandem with violence interrupters in the victim's home community. As violence in Chicago continued to rise, even during the pandemic, it was evident that NMH, needed to examine the feasibility of partnering with other organizations with the goal of developing a trauma referral network. These discussions commenced at the end of FY20 and have evolved into concrete next steps during FY21. 3.2: Trauma-Informed Care. Conduct a current state analysis of practices, gaps and opportunities to address and integrate trauma-informed care into practice, including employee resources for coping with trauma or vicarious trauma. NMH continues to provide trauma-informed care activities & practices under a framework that was developed last year. This framework focuses on staff education and training to increase staff competence in handling trauma, employee wellness strategies, and strategies to reinforce a culture of workforce wellness. Priority Need 4: Workforce Development and Economic Vitality. 4.1: Hiring and Workforce Development. Develop and execute a strategic hiring plan to increase hiring of NMH employees from hardship communities within the NMH CSA. Increase youth summer employment, workforce development, and pipeline programs to promote careers in health care and related fields to individuals in underserved communities. NMH continued to be a proud member of U.S. Sen. Dick Durbin's Chicago Hospital Engagement, Action, and Leadership (HEAL) Initiative in 2021 - 2022. Launched in 2018, the HEAL Initiative is a collaboration among 10 Chicago hospitals committed to tangibly impacting violence and trauma, and increasing economic opportunities in Chicago's most underserved neighborhoods. In 2021, NM's hiring of individuals living in the targeted HEAL zip codes increased 16% over the previous year and 89% over 2018. Today, more than 25% of NM's Chicago workforce lives in the targeted HEAL communities which includes Northwestern Memorial Hospital (NMH), its physician offices and immediate care centers. NM also continued to engage in youth summer employment, workforce development and apprenticeship programs to promote careers in the healthcare field, including paraprofessional, to students in the targeted Chicago HEAL zip codes. Through these efforts, NM offers ongoing, comprehensive on-the-job training, youth programs for high school students, and internships and fellowships for college students and post-graduates in both clinical and administrative settings. Highlights include NM's partnership with Chicago Public Schools (CPS) and George Westinghouse College Prep as part of the NM Scholars Program and NM Discovery Program. 4.2: Procurement. Establish a procurement plan to increase purchasing of supplies and services from suppliers in the NMH CSA. NM continues to advance it's procurement plan to increase spending on supplies and services purchased from companies based in high hardship ZIP codes. From September 2020 - August 2021, NM spent more than $4.7 million on supplies and services purchased from companies based in one of the targeted Chicago HEAL zip codes, promoting economic development.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - Northwestern Memorial Hospital. Non-Priority Areas: The CHNA report identified areas of opportunity for health improvement for which NMH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Education and Youth Development: This identified need is addressed within NMH's Workforce development and Economic Vitality strategy. Food Security and Food Access: Although this identified need was not originally prioritized, it was added to the Implementation Plan as the need was elevated due to Covid-19. See priority need 1.5 for additional information. Affordable Housing: This identified need is addressed within NMH's Access to Healthcare and Community Resources strategy. Age-Related Illness: This need is address through the NMH care delivery system. Asthma: The ESC recommended that NMH focus on strengthening and improving access to medical homes, where screening for disease can be effectively coordinated and access to medically necessary specialty care can be facilitated. Cancer: NMH provides a comprehensive range of clinical services to treat and screen for cancer. NMH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Diabetes The ESC recommended that NMH focus on strengthening and improving access to medical homes, where counseling on prevention and screening for disease can be effectively coordinated and access to medically necessary specialty care can be facilitated. Heart Disease The ESC recommended that NMH focus on strengthening and improving access to medical homes, where counseling on prevention and screening for disease can be effectively coordinated and access to medically necessary specialty care can be facilitated. Obesity The ESC recommended that NMH focus on strengthening and improving access to medical homes, where counseling on prevention and screening for disease can be effectively coordinated and access to medically necessary specialty care can be facilitated. Maternal and Child Health: NMH provides a comprehensive range of outpatient and inpatient services to expectant women and teens. NMH will continue to sustain these services and work to strengthen community-based medical homes where Maternal and Child Health services can be conveniently accessed. The ESC recommended that NMH focus on strengthening and improving access to medical homes, where access to these services and other prenatal care can be effectively coordinated. Mental Health: This identified need is addressed within NMH's Access to Healthcare and Community Resources strategy. Sexually Transmitted Infections: The ESC recommended that NMH focus on strengthening and improving access to medical homes, where counseling on prevention and screening for disease can be effectively coordinated and access to medically necessary specialty care can be facilitated. Substance Use Disorder: NMH provides inpatient and outpatient substance abuse counseling. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1.Women, Infants and Children Nutrition Program (WIC); 2.Supplemental Nutrition Assistance Program (SNAP); 3.Illinois Free Lunch and Breakfast Program; 4.Low Income Home Energy Assistance Program (LIHEAP); 5.Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. The CHNA report also describes Northwestern Lake Forest Hospital's CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. Northwestern Lake Forest Hospital took into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health. Input was collected for the CHNA through a community survey and a focus group, both conducted by the Lake County Health Department and Community Health Center, and through conversations with key stakeholders between April 2018 and October 2018. The survey was randomly distributed to 5,000 Lake County households in early 2018. The focus group was conducted with the Lake County Community Health Worker Partnership, a collaboration between Mano a Mano Family Resource Center and the Waukegan Public Library. Fourteen community health workers who are trained to deliver health education on a myriad of topics ranging chronic disease to mental health to benefit navigation were recruited due to their unique position as utilizers of healthcare services and representatives of LCCHWP. These participants provided diverse geographic representation across the underserved communities of Lake County, with six representing from Waukegan (60085 and 60087), four representing Highwood (60040), two representing North Chicago (60064) and two representing the Round Lake area (60073). The focus group was conducted in Spanish; however, participants could speak in English or Spanish depending on their preference. The facilitator posed all questions provided by NMLFH. They were interviewed about community health strengths, weaknesses, and potential improvement opportunities in their communities. In March 2019, NM LFH also developed a tool to formally solicit input from organizations who are representative of the assessed community area, including those who serve medically underserved, low income and minority populations, to begin the process of ranking priority health needs (defined as health needs that could be impacted the most by the work of NMLFH and partner organizations). The pairwise comparison survey was launched utilizing a process of comparing needs in pairs to judge which need is preferred. Because comparing the needs directly to each other may be subjectively difficult, NMLFH used intervention strategies to address the needs as proxies for the survey comparison. The strategies were selected evidence-based interventions identified by The Community Guide to Preventive Services run by the U.S. Department of Health and Human Services. This led to more realistic results of priorities. NMLFH received over 600 responses to the survey representing over 15 different community organizations.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Northwestern Lake Forest Hospital. A comprehensive CHNA was commissioned on behalf of Northwestern Lake Forest Hospital by the Lake County Health Department and Community Health Center. (LCHD/CHC). LCHD/CHC is a public health accredited, state-certified public health department and a Joint Commission accredited community health center. Specific needs of the NMLFH Community Service Area were identified and prioritized separately.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also shared with the following: 1. Key community organizations 2. Northwestern University Institute of Public Health and Medicine 3. Northwestern Medicine and LFH Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. Through the tax year 2019-2022 prioritization process and implementation plan, Northwestern Medicine Lake Forest Hospital (NM LFH) identified four priority health to be addressed through collaborative planning and coordinated action with organizations that impact health services in our community: Access to Healthcare, Behavioral Health, Chronic Diseases, and Social Determinants of Health. Priority 1: Access to Health Care. 1.1: Implement a Transitional Care Clinic (TCC) at NM LFH to medically transition ED patients and inpatients without a medical home. In 2018, nearly 1,900 emergency department (ED) and inpatient patients at NM LFH did not have a primary care physician identified in their electronic health record (EHR). In addition, 40% of emergency room encounters in FY18 were from Waukegan, North Chicago, Zion and the Round Lake area, where many residents are covered by Medicaid plans or lack insurance. When patients utilize the ED for primary care and treatment of chronic conditions - services that would be better provided in the primary care setting - they use care resources that could be provided to more acute patients. Additionally, those with chronic conditions have better health outcomes when they receive ongoing care within the context of an ongoing relationship with a primary care provider. In February 2020, NM LFH adapted a model called the Transitional Care Clinic (TCC). This clinic provides comprehensive services through a series of appointments to assist patients following discharge from the ED or inpatient care linking them to a primary care physician at Erie HealthReach Waukegan or other medical home. The TCC team also addresses complex barriers to care including medication access, health literacy, insurance, and transportation. From February 202 through August 2021, TCC provided care to more than 300 patients. 1.2: Develop a Health System-level approach to better serve uninsured and underinsured patients through clinical community relationships. In 2020, NM LFH recommitted its support to Erie Waukegan and the Lake County community through a three-year, $1.8 million grant. This funding supports access to medically necessary health care, including primary care, behavioral health care, and comprehensive case management. Through this grant support, Erie Waukegan was able to hire additional clinical staff, expand their telehealth capabilities, and address the social determinants of health for their patients. NM LFH additionally worked with the Lake County Health Department (LCHD) to coordinate care for LCHD patients receiving care at NM LFH. Clinical community patients meeting residency requirements can access care at NM LFH through our Financial Assistance program. 1.3: Implement an electronic tool to screen patients for Social Determinants of Health (SDOH) and refer patients to social service organizations. NMHC executive leadership identified the implementation of routine social determinant of health screening as a top organizational priority and included it as a key initiative for the health system in 2020. In April 2021, a system wide pilot was launched with two overall aims 1) Screen all patients for a concise list of Social Determinants which interfere with health and which we can help to mitigate and 2) Act on identified needs through referrals and intervention. The workflow included Epic tools to screen patients for medical home, housing, food, medication affordability, transportation, mental health and social isolation. The 16-week pilot included 12,000 patients screened and about 30% with at least one need and 32% of those patients requesting assistance from NM. About 40% of patients with a need live in a high-hardship zip code. The 12 pilot sites across the health system included primary care clinics, emergency departments and acute care inpatient units. The information remains in the integrated Epic health record and referrals are made to social work/case manager and community resource referral through NowPow. The regional NowPow database of community referrals is embedded in Epic for optimal support and strong staff and patient acceptance with resources near the patients' home. The successful pilot across diverse geographical regions prepared the health system for system-wide implementation in the year ahead. An additional pilot was designed in partnership with Mano a Mano Family Resource Center targeting Spanish speaking Latino patients in the NM Grayslake Family Medicine Clinic. The goal of this pilot is to link patients and community members to resources in or near their neighborhood to address social needs in a timely, efficient, and culturally appropriate manner. Mano a Mano Community Health Workers will be the main point of contact for patient referrals. This pilot will be launched in 2022. 1.4: Increase access to social service and community organizations (UW211). In 2021, NM LFH provided support to United Way of Lake County to promote Lake County 211, a free, confidential, 24/7 365 days helpline operated by United Way that guides the public to local, available, and appropriate health and human service resources. It is designed to reduce time and frustration by acting as a central access point to these resources in Lake County. 211 can be accessed through telephone, text message, and an online webpage. 211 helps individuals, families, and providers navigate and connect with a wide range of local health and human services, including: mental health services, crisis counseling, supplemental food programs, shelter and affordable housing options, employment and education support, and financial support. From July 2020 through June 2021, 10,780 calls were made to Lake County 211 resulting in 18,423 19,449 requests for assistance. The vast majority of individuals had their needs met and were able to connect with an organization to assist them. 1.5: Increase flu vaccination rates. To help increase flu vaccination rates in the communities that were hit hardest by COVID-19, NM LFH partnered with Catholic Charities and the Mexican Consulate in FY21, to sponsor a community influenza clinic in Round Lake Beach. NM LFH was able to provide vaccinations for 34 community members. Priority 2: Behavioral Health. 2.1 Expand the use of telehealth for psychiatric services throughout the NM LFH CSA. The need for behavioral health services has risen in recent years, surging during and following the pandemic. For patients seeking care for behavioral health in the Emergency Department at NM LFH, limited access to in-person psychiatric consults can create delays in moving to the next setting for care, whether inpatient or ambulatory. NM LFH implemented telepsychiatry in 2020, which allows for psychiatrists to use a specialized platform and videoconferencing technology to perform comprehensive evaluations in the ED in a timely manner from a remote location. In 2021, 16 patients received telepsychiatry consults through this program. 2.2 Expand a program to reduce opioid prescribing in the emergency department using the Alternatives to Opioids model . Due to COVID-19, NM LFH was unable to expand this program model. 2.3 Increase behavioral health services and capacity in community settings. In 2021, NM LFH developed a partnership with The Josselyn Center, a longstanding behavioral health provider who opened a new location in NM LFH's service area in 2020. NM LFH provided funding to The Josselyn Center for operational capacity and to support a new role, a Behavioral Health Care Coordinator. This coordinator creates an immediate connection with patients being discharged from NM LFH settings and establishing care at The Josselyn Center. The partnership began in February 2021, and during the first seven months, more than 240 patients were referred for assessment and care. In partnership with the Waukegan Public Library, NM LFH launched a pilot to reduce barriers to behavioral health services in the community. NM LFH provided funding for the Library to contract two social workers with the Josselyn Center, one Spanish speaking, and one African American. These social workers were to be available to library patrons for 30-60-minute appointments with access to the library's community health workers as well. By bringing social workers to a community setting, we worked to address barriers to cost and access. In 2021, NM LFH started a community driven virtual speaker series called "Parenting During the Pandemic and Beyond" with the intention of providing resources to parents struggling with their children's mental health issues.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - NORTHWESTERN LAKE FOREST HOSPITAL. In partnership with Lake Forest LEAD, a local non-profit organization dedicated to the promotion of healthy family relationships and the prevention of alcohol, drug use, and other risky behavior by youth, NM clinical experts discussed topics such as the impact of teen mental health and concerns around vaping. The speaker series continued through 2022. In addition, NM LFH provides grant funding to expand capacity for behavioral health services at Erie HealthReach Waukegan, a Federally Qualified Health Center (FQHC) serving nearly 10,000 patients in Lake County. 2.4 Implement Calm Classroom, a classroom-based mindfulness program, in Lake County schools. Calm Classroom is a simple and accessible way to add mindfulness to classroom culture. The daily practice of breathing, stretching, focusing, and relaxation exercises creates a greater sense of self-awareness, mental focus, and emotional resilience in the classroom. Calm Classroom is the largest provider of school-wide mindfulness programming in the U.S. In 2008, Calm Classroom launched in Chicago Public Schools, and since then the program has been implemented in thousands of classrooms all over the world. In 2021, NM LFH continued support of the Calm Classroom curriculum in two underserved school districts, Waukegan School District 60 and Beach Park School District 3, as a way to help students cope with trauma and every day stressors in their lives. Each school district will be funded for two years then they will commit to sustain funding . As a direct result of NM LFH funding, Calm Classroom became available to over 25,000 students. 2.5: Drug education and prevention programming with students in our local schools, and with parents in our local community through Text-A-Tip. NM LFH supports Lake Forest LEAD, a local non-profit organization dedicated to the promotion of healthy family relationships and the prevention of alcohol, drug use, and other risky behavior by youth. LEAD has served the Lake Forest, Lake Bluff, and Knollwood, IL communities for nearly 30 years. LEAD works to address issues such as underage drinking and drug abuse; prevention of prescription, over-the-counter, and illegal drug abuse by youth and adults; promotion of mental health and wellness; reducing stigma related to depression and other mental health issues; and the prevention of suicide. NM LFH partnered with LEAD on a 24/7 anonymous text crisis line, Text-A-Tip. LEAD has seen a dramatic increase in the number of people who benefit from its programming, both in local communities and across the nation. The Text-A-Tip hotline is now accessible to over 7 million people, almost double the number from 2020, and including the entirety of Lake and McHenry Counties in Illinois. LEAD's online and social media presence has seen an increase of over 500% in the past 3 years. Text-A-Tip has been able to deliver wellness checks and emergency personnel to teens in crisis, and has led to interventions in suicide and self-harm, violence, and drug overdose situations. Aside from lives saved to-date, this resource allows students a 24/7 place to turn when they need emotional support. It is safe, anonymous, and always available. Priority 3: Chronic Disease 3.1 Implement a community blood pressure screening program in high opportunity neighborhoods, educate residents about hypertension and connect them to a quality medical home. Due to COVID-19, NM LFH was unable to expand this program model, but was able to provide increased community health education around myriad of topics including chronic diseases. NM LFH provided support to Mano a Mano, a not-for-profit local immigrant-serving agency that provides a one-stop-shop for health resources and services, educational classes and workshops, and immigration legal services for some of the hardest to reach, most vulnerable families and individuals living in Lake County. Mano a Mano works to empower immigrants and their families living in Lake County, Illinois to become full participants in American life. Mano a Mano conducts multiple initiatives to serve the residents of Lake County, including: the Healthy Families Program (HFP) aimed at expanding health literacy and improving the health of immigrants by helping them integrate into and understand the U.S. healthcare system; the Community Health Workers (CHW) Program, which is a collaboration that focuses on community health needs that have been identified by local research as priorities for low-income and immigrant communities including the health literacy and training priorities including, but not limited to, hypertension, diabetes, prenatal care, insurance benefits, nutrition, and obesity; and expanded access to healthcare and social services through transportation support, among others. The activities supported by NM LFH expanded access to community health education and improved health literacy through the HFP and CHW Program initiatives, as well as access to healthcare and social services through transportation support, for people assisted by Mano a Mano. NM LFH also supported the Functional Health Literacy Program and the Community Health Worker Program at Waukegan Public Library. Through this program, the Waukegan Public library will expand its capacity to provide health education to members of the African American and English-speaking community in Waukegan and its surrounding communities. The goal is to increase understanding of how to prevent and manage chronic diseases, increase healthy behaviors, and access medical providers among the underserved African American population in the area. Its long-term goal is to reduce health inequities through health literacy and service navigation for a community especially impacted by educational, cultural, and social barriers to accessing health services. Additionally, NM LFH supported the community health worker program through the Highwood Public Library. This program provided much needed education and outreach support to the Latino community in Highwood, and engaged and connected over 3,000 individuals to access points for COVID-19 vaccinations. With the support of NM LFH, the Library received the prestigious Institute of Museums and Library Services Gold Medal (IMLS) award for their outstanding services to their community. 3.2 Implement the American Heart Association "Target: BP" program at Northwestern Medicine and Northwestern Medical Group locations and within local federally qualified health center partners. Due to COVID-19, NM LFH was unable to expand this program model. However, community discussions took place, and there are plans to implement this program in post-pandemic years. Priority 4: Social Determinants of Health 4.1: Increase youth pipeline opportunities by engaging North Chicago Community High School via their Healthcare Careers Pathway program and expose students to healthcare-related careers through presentations, internships and curriculum development. The Discovery Program is a local effort to expose students to careers in healthcare. Throughout the Discovery Program, high school sophomores and juniors are exposed to a broad range of activities designed to encourage their interest in healthcare careers. Topics vary by month and program activities include tours, guest speakers, group discussion, and hands-on projects. The program fosters character and professional development, cultivates life skills, provides community service and leadership experience, and offers mentorship and networking opportunities. Meetings are held once a month, most often on Saturday mornings, at Lake Forest Hospital and other off-site locations. During the pandemic, sessions were held remotely. In FY21, the Discovery program hosted four sessions for 37 students. Half of the students were from underfunded school districts in Lake County. NM Discovery participants were also offered summer internships, which were conducted as research projects prepared remotely. Twenty students participated in the Summer Internship program. 4.2: Create hiring pipelines for youth and adults to connect disparate communities to jobs through training programs, targeted outreach and partnerships, and inclusive local hiring practices. The Department of Nursing at NM LFH created a healthcare career pipeline program, Directing Youth Navigating a Medical Career in the Community (DYNAMIC), dedicated to providing a clear path for select graduates from North Chicago Community High School (NCCHS) to receive a post-secondary education in health sciences from the College of Lake County. Selected students will receive free tuition in one of several pre-approved health science degrees.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - NORTHWESTERN LAKE FOREST HOSPITAL. Throughout the student's tenure at the college, they will be provided professional mentorship by hospital staff and receive exposure to the hospital. Upon graduation, the student will interview and be eligible to be hired by NM. The program was launched in 2021, with one student enrolled as a scholarship recipient, and will expand in 2022. A mentor at NM LFH has already been identified for the scholarship recipient. 4.3: Embed diversity and inclusion (D&I) practices and behaviors into what employees do each day by establishing a D&I infrastructure with partnerships across the organization. These partnerships will promote, support and activate inclusive strategy culture and behavior that differentiates NM as an inclusive values-driven organization. Implement implicit bias and cultural competence training to increase awareness and decrease impact of implicit bias. 4.4: Implement an integrated quality equity plan. 4.5: Improve access to nutritious foods for those who are food insecure. NM LFH participated in regional work with Northern Illinois Food Bank to develop strategies to expand access to food among Lake County's population experiencing food insecurity. NM LFH provided grant support to the Northern Illinois Food Bank to provide food to participating agencies in 2021. Starting in August 2021, patients screening positive for food insecurity at the Grayslake Family Medicine clinic were referred to Mano a Mano, a social service agency supporting Spanish-speaking, largely Hispanic Lake County residents, to receive direct counseling on accessing food resources. NON-PRIORITY AREAS: The CHNA report identified areas of opportunity for health improvement for which NM LFH and the community health council (CHC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Accidents and Unintentional Injuries: NM LFH will work to strengthen community-based outreach both through community partnerships to affect accidents and unintentional injuries. The CHC recommended focusing efforts on other determinants for which NM LFH could have a greater impact. Cancer: NM LFH provides a comprehensive range of clinical services to treat and screen for cancer. NM LFH will continue to sustain these services and work to strengthen community-based outreach both through the internal oncology department and through community partners. The CHC recommended focusing efforts on other health conditions for which NM LFH could have a greater impact. Diabetes: This condition is address through the NM LFH care delivery system. Healthy Pregnancies: This need was assessed by the community as a relatively low priority and is addressed through the NM LFH care delivery system. Infectious Diseases: NM LFH provides clinical services to treat pneumonia, asthma, and tuberculosis, as well as other infectious diseases. The CHC recommended that NM LFH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Obesity: NM LFH provides clinical services, nutritional counseling, and weight loss programming for patients and will continue to sustain these services. While there is a lot of crossover between these behaviors and those that cause Chronic Disease, the CHC recommended focusing efforts on other health conditions for which NM LFH could have a greater impact. Community work will continue through participation on the various Action Teams as part of the Live Well Lake County Steering Committee. Pulmonary Disease (including tobacco use): NM LFH supports public policies aimed at reducing tobacco use. NM LFH also offers a comprehensive Smoking Cessation Program, facilitated by an American Lung Association certified instructor. The CHC recommended focusing efforts on other health conditions for which NM LFH could have a greater impact.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. The CHNA report also describes Central DuPage Hospital's CHNA goals and objectives, public dissemination plan, and the process for the development of the implementation plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was implemented as part of the CHNA process. A list of recommended participants was provided by NMCDH; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the population with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. In all, 41 community stakeholders took part in the Online Key Informant Survey including representatives of the organizations below: 1. DuPage County Health Department 2. DuPage Federation on Human Services Reform 3. DuPagePads 4. American Cancer Society 5. B.R. Ryall YMCA of Northwestern DuPage County 6. Bartlett Park District 7. Benedictine Public Health Department 8. Breaking Free 9. Catholic Charities Diocese of Joliet 10. DuPage Foundation 11. DuPage Senior Citizens Council 12. DuPage United 13. Educare West DuPage 14. Fox Valley Special Recreation Association 15. NAMI DuPage 16. Northern Illinois Food Bank 17. People's Resource Center 18. Public School District, DuPage County 19. SamaraCare 20. Senior Services Associates, Inc. 21. Warrenville Park District 22. Western DuPage Special Recreation Association 23. West Chicago Public Library District 24. Winfield Park District 25. World Relief DuPage Aurora Through this process, input was gathered from several individuals whose organizations work with low-income, minority populations, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might be better addressed. Findings represent qualitative rather than quantitative data. The Online Key Informant Survey was designed to gather input from participants regarding their opinions and perceptions of the health of the residents in the area. Therefore, these findings are based on perceptions, not facts. To ensure that organizations impacting health in DuPage County were meaningfully engaged in reviewing and interpreting the findings of the CHNA, developing priorities among the identified needs and forming a collaborative plan to address the top priority needs, the External Steering Committee (ESC) was established and maintained.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: 1. Key community organizations and leaders 2. Central DuPage Hospital External Steering Committee 3. Central DuPage Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Central DuPage Hospital Association. NMCDH adopted a new implementation strategy in FY2022 (TY 2021) in alignment with the most recent CHNA. For Line 11, we are reporting on TY 2018 implementation strategies as this is the most recent outcomes data available. In TY2017, NMCDH identified three Priority Health Needs: Access to Healthcare Services, Chronic Disease, and Mental Health. Specific ways in which NMCDH is addressing priority needs are defined as follows: Priority 1: Mental Health Mental health and physical health are closely connected. Mental health plays an integral role in the ability to maintain physical health. Mental illnesses, such as depression, anxiety and addiction, affect people's ability to participate in health promoting behaviors. Subsequently, the presence of mental health problems can have a serious impact on chronic disease and decrease the ability to participate in treatment and recovery. To address the identified health needs related to Mental Health and Substance Abuse, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 1.1 Continue strategic planning efforts to evaluate the demand for hospital-based mental health services and identify appropriate NMCDH resources to address those needs. A comprehensive strategic plan was developed to properly address the mental health needs of the NMCDH and Northwestern Medicine Delnor Hospital service areas. The plan continues to be updated routinely in order to identify the needs and develop strategies to address those needs, including but not limited to expansion of inpatient behavioral health and addiction services and additional capacity in the outpatient mental health service line. 1.2 Provide Community Benefit Grant funding and further solidify relationships with community agencies that can provide outpatient mental health services to the medically underserved residents within the service area. A grant was provided to Ecker Center Behavioral Health Center to increase access to their telehealth program. The following outcomes were reported: 1. Ten computers were purchased. 2. There was a 44% in client volume due to the telehealth program compared to the previous year. A grant was provided to Samaritan Interfaith Counseling Center. The following outcomes were reported: 1. Delivered 4,105 clinical hours of fee subsidized counseling services to 592 qualified MHAP clients in its west region, of which 507 clients will reside within NM Central DuPage and Delnor hospital primary service area. 2. 85% of clients showed improvement in their GAF score as measured upon intake and again after every 10th session, or termination of services, whichever comes first. 3. 95% of client completed the Client Satisfaction Survey and marked that they can deal more effectively with their symptoms. 4. 96% of clients that completed the CSS and agreed that they were able to accomplish what they set out to do. 5. 97% of clients that completed the CSS agreed that they can better handle conflict and stress. 6. 99% of clients that completed the CSS agreed that their counselor's interventions and interactions were helpful. A grant was provided to Renz Ecker Center to increase access to their MAT program. The following outcomes were reported: 1. $1,429 was spent in purchasing InstaCups (16 panel testing cups) 2. 392 substance use disorder clients were served. 3. There were 8 educational staff training opportunities provided. A grant was provided to Bridge Communities to provide trauma-informed counseling. The following outcomes were reported: 1. 53% of clients identified concerns and were referred to community partners for counseling. 2. At wellness checks, 41% decreasing concerns, 29% had no concerns, 24% had an increase in concerns, and 6% had no change/ongoing symptoms. 3. 71% had no to decreasing symptoms indicating that the mental health counseling, helped reduce symptoms of anxiety and depressions. 1.3: Participate in and support initiatives within DuPage County that are focused on Mental Health. The DuPage County Health Department is currently developing a Community Health Improvement Plan (CHIP) in collaboration with the hospitals and community agencies within the county. One of the identified priorities to be addressed is Mental Health and Substance Abuse. NMCDH will continue to participate in the CHIP Executive Committee and the Mental Health Subgroup to develop and implement the action plan to address the health priority of Mental Health and Substance Abuse. 1.4: Complete the planning phase and implement the Mental Health First Aid Program in the NMCDH service area. The Mental Health First Aid (MHFA) program is designed to teach residents of the community how to take action when a mental illness is suspected or identified. The intent is to reduce the wide reach and economic toll that mental health disorders and crises have on the community. Individuals within NMCDH are currently completing training and the certification process and will begin providing educational sessions to teach parents, family members, caregivers, teachers, school staff, peers and community members how to help an adolescent or adult experiencing a mental health or addiction challenge or crisis. These individuals can then intervene and direct the individual to appropriate resources. The overall goal is to increase awareness and early intervention to those in need of behavioral health services. One NMCDH/NMDH staff was trained to offer the nationally recognized evidence-based Mental Health First Aid program. 1. 13 classes were held; 2. 183 individuals attended the programs; 3. 100% of MHFA participants scored a minimum of 85% on the MHFA course exam. Priority 2: Chronic Disease Chronic conditions are responsible for 70% of deaths and 75% of healthcare spending. Chronic disease is a leading cause of disability and lost income. Chronic disease disproportionally affects low-income and minority populations. In the NMCDH service area, 35% of adults have been told that they have high blood pressure; 30% have been told they have a high cholesterol reading; 23% are obese; and chronic diseases of the heart are the second leading cause of death. To address the identified deficiencies in Chronic Disease, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 2.1: Provide resources and tools to patients diagnosed with heart failure in order to improve self-management skills and quality of life. NMCDH continued to provide a post-discharge community-based heart failure program designed to improve the quality of life and decrease readmission rates for patients diagnosed with heart failure. Efforts to improve the coordination of care for heart failure patients were expanded, and a system of referrals for specialty care and social service needs were implemented. A retrospective study of outcomes related to the program was completed to ensure maximum quality is achieved. Key outcomes of this program were: 366 individuals were enrolled in the Community-Based Heart Failure program: (NMCDH/NMDH) 1. 30-day readmission rate for heart failure diagnosis: 1% (markedly below the national rate); 2. 99% of clients demonstrated the ability to identify appropriate action in the event of a worsening of their condition; 3. 96% of clients utilized an effective medication management system; 4. 89% of clients demonstrated compliance with symptom tracking. 2.2: Continue to provide, participate and partner in community-based health education, nutrition and activity programs focused on reducing the risk of obesity and chronic disease. NMCDH provided community education related to chronic disease in the areas of evidence-based primary interventions (disease prevention, health promotion), evidence-based secondary interventions (screening) and evidence-based tertiary interventions (education to individuals affected with a chronic disease in an effort to promote an optimum state of individual wellness). Programmatic venues included the CATCH (Coordinated Approach to Child Health) program, the Dinner with the Doc series, clinician-led educational offerings, self-help groups, rehabilitation service programs and support programs. A comprehensive plan to increase patient compliance with physician and ancillary staff referrals to smoking cessation resources was also investigated and developed. Community Benefit Grants were also be provided to agencies that provide programming related to the priority health need of chronic disease. Key outcomes of these interventions include: 1. Diabetes Education Services offered 12 community programs. 90 individuals attended. (NMDH/NMCDH)
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Central DuPage Hospital Association. 2. 226 individuals were enrolled in the Community-Based Heart Failure program: (NMDH/NMCDH) a. 30-day readmission rate for heart failure diagnosis: 4% (markedly below the national rate); b. 99% of client were seen at a home visit within 7 days of discharge; c. 87% of clients were able to name two cardiac medications and describe actions. A grant was provided to American Cancer Society for their Road to Recovery Program. The following outcomes were reported: (NMCDH/NMDH) 1. 130 Cancer patients were provided rides. A grant was provided to DuPage Pads for their Medical Respite Program. The following outcomes were reported: 1. 31 individuals in 28 household were served. Of the 31 individuals served, 29 were adults and 2 were children. 2. 100% of the participants obtained or maintained their benefits. 3. 100% of the participants received information on the importance of regular physicals relative to age and gender. 4. 93% of the participants exited the program with medical insurance. 5. 60% of the participants exited the program with an identified primary care physician. 6. 80% of the participants exited the program with a follow-up appointment scheduled with a primary care physician related to the condition resulting in entry to the Medical Respite Program. 7. 43% of the individuals served exited into stable housing The CATCH Program reached over 855 students and teachers. A total of 3 community programs were offered in the area of stroke education. A total of 86 people were reached. A total of 405 page views of Kits for Kids were downloaded in the areas of hand washing, bicycle safety and healthy nutrition. A total of 12 individuals participated in smoking cessation programs. 100% self-reported smoking cessation by the end of week 6. The Think First Curriculum offered 402 presentations to children from kindergarten through high school and 47,795 individuals participated in Think First community events. 1. A total of 5,970 children were fitted for and received bike helmets 2. A total of 117 couples attended child safety classes 3. A total of 1103 car seats were checked / distributed A total of 10 individuals participated in the National Diabetes Prevention Program. There was a total loss of 115 lbs and 831 hours self-reported exercise by the final class. Priority 3: Access to Care An aging population, coupled with a challenging economy and an increasing prevalence of chronic disease, create access-to-care issues relating to both the affordability and availability of care. NMCDH seeks to promote access through a variety of initiatives identified below. NMCDH will continue to work with individuals and families to promote access to medically necessary services by maintaining an accessible financial assistance program. Additionally, staff and leadership will work collaboratively with key community partners to promote a seamless continuum of care into local medical home settings. To improve Access to Health Services, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 3.1: Strengthen and increase patient affiliation with high-quality patient-centered medical homes. NMCDH and its partners from the External Steering Committee focused efforts on strengthening the care coordination, availability, cultural competency and offerings available at the patient-centered medical homes operated by the Federally Qualified Health Centers and healthcare organizations that are closely aligned with Northwestern Medicine Delnor Hospital. By concentrating efforts on improving the most essential community-based component of the healthcare system - the patient-centered medical home - NMCDH focused on ensuring patients receive timely and appropriate care. NMCDH will implement evidence-based practices to address the health concern related to members of the community receiving age and gender-appropriate screenings and other preventive services, including recommended routine immunizations. 3.2: Investigate innovative ways to connect uninsured members of the community with applicable entitlement programs and available healthcare and social services to improve access to medical care. Patients in need of financial assistance were connected with appropriate resources and assisted in the completion of applications for government assistance programs. 1. Over 82,208 individuals received financial assistance 2. $293,054,291 was rendered in financial assistance within the following categories: Presumptive Charity Care: $43,897,662, Approved Financial Assistance: $248,021,523, and Alternate Charity Care: $1,135,175 3. 1961 Medicaid applications were processed through Engage DuPage services. NMCDH leadership and staff participated in various community task forces to further the development of the health and human services safety net. 4. 5454 individuals were enrolled into the DuPage County Health Safety Net System, resulting in links to 229 primary care providers, 5225 links to local FQHCs, 1808 specialty referrals. 28,181 prescriptions were filled. 5. The Silver Access Premium program provided assistance to 802 individuals. 6. $1,140,079 was rendered to Access DuPage clients for outpatient and other specialty care services. 7. Funding was provided to Engage DuPage for the provision of Community Access Specialists in the Emergency Room. 3.3: Improve access to evidence-based preventive services, including age and gender-appropriate screenings and routine immunizations 8. 355 individuals received breast cancer screening at no cost. Non-Priority Areas The CHNA report identified areas of opportunity for health improvement for which NMCDH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Cancer: NMCDH provides a comprehensive range of clinical services to treat and screen for cancer. NMCDH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMCDH could have a greater impact (heart failure and nutrition and weight). Immunization and Infectious Disease in Adults: NMCDH provides clinical services to treat pneumonia, asthma and tuberculosis. The ESC recommended that NMCDH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Vaccine services are provided to children as part of the access to care strategies. Tobacco Use: Tobacco use was incorporated into the strategies around chronic disease.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - DELNOR-COMMUNITY HOSPITAL. The CHNA report also describes Delnor Hospital's CHNA goals and objectives, public dissemination plan, and the process for the development of the implementation plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - DENOR-COMMUNITY HOSPITAL. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY NMDH; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 157 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY INCLUDING REPRESENTATIVES OF THE ORGANIZATIONS BELOW: 1. ADVOCATE SHERMAN HOSPITAL 2. AGENCY ON AGING NORTHEASTERN ILLINOIS 3. ASSOCIATION FOR INDIVIDUAL DEVELOPMENT 4. BATAVIA INTERFAITH FOOD PANTRY AND CLOTHES CLOSET 5. BATAVIA UNITED WAY 6. BENEDICTINE UNIVERSITY 7. BLACKBERRY TOWNSHIP 8. BATAVIA PUBLIC SCHOOL DISTRICT #101 9. CASA KANE COUNTY 10. CATHOLIC SOCIAL SERVICES (CATHOLIC CHARITIES) 11. CENTRO DE INFORMACION 12. CITY OF AURORA 13. COMMUNITY CONTACTS, INC. 14. COMMUNITY FOUNDATION OF THE FOX RIVER VALLEY 15. CONLEY OUTREACH COMMUNITY SERVICES 16. DAYONEPACT 17. ELDERDAY CENTER, INC. 18. ELGIN AREA CHAMBER OF COMMERCE 19. ELGIN PARTNERSHIP FOR EARLY LEARNING 20. ENVIRONMENTAL PROTECTION AGENCY 21. FAMILY SERVICE ASSOCIATION OF GREATER ELGIN AREA 22. FOX VALLEY SPECIAL RECREATION ASSOCIATION 23. GAIL BORDEN LIBRARY 24. GATEWAY FOUNDATION 25. GENEVA PARK DISTRICT 26. GREATER ELGIN FAMILY CARE CENTER 27. HERGET MIDDLE SCHOOL 28. HESED HOUSE 29. HIGHLAND AVENUE CHURCH OF THE BRETHREN 30. HOPE FOR TOMORROW, INC. 31. INC BOARD NFP 32. KANE COUNTY BOARD 33. KANE COUNTY DEVELOPMENT AND COMMUNITY SERVICES DEPARTMENT 34. KANE COUNTY DIVISION OF TRANSPORTATION 35. KANE COUNTY FARM BUREAU 36. KANE COUNTY HEALTH DEPARTMENT 37. KANE COUNTY MEDICAL SOCIETY 38. KANE COUNTY REGIONAL OFFICE OF EDUCATION 39. KANE COUNTY SHERIFF'S OFFICE 40. KANELAND COMMUNITY SCHOOL DISTRICT #302 41. LAO-AMERICAN ORGANIZATION OF ELGIN 42. LAZARUS HOUSE 43. LUTHERAN SOCIAL SERVICES (ELGIN) 44. MARIE WILKINSON FOOD PANTRY 45. MARKLUND HYDE CENTER 46. MUTUAL GROUND 47. NAMI - KANE, DEKALB AND KENDALL COUNTIES 48. NORTHEASTERN ILLINOIS AREA AGENCY ON AGING 49. OPEN DOOR CLINIC OF GREATER ELGIN 50. PADS AT HESED HOUSE 51. PR STRATEGIES AND COMMUNICATIONS/PMS ADVERTISING, INC. 52. PRESENCE MERCY MEDICAL CENTER (AURORA) 53. PRESENCE ST. JOSEPH HOSPITAL (ELGIN) 54. REBUILDING TOGETHER AURORA 55. RENZ ADDICTION COUNSELING CENTER 56. RUSH COPLEY MEDICAL CENTER 57. ST. CHARLES PARK DISTRICT 58. STC UNDERGROUND TEEN CENTER 59. SUICIDE PREVENTION SERVICES 60. SALVATION ARMY OF AURORA 61. TRI CITY FAMILY SERVICES 62. TRI CITY HEALTH PARTNERSHIP 63. U-46 SCHOOL DISTRICT (ELGIN) 64. UNIVERSITY OF ILLINOIS EXTENSION 65. VALLEY INDUSTRIAL ASSOCIATION 66. VILLAGE OF ALGONQUIN 67. VNA HEALTHCARE 68. WAUBONSEE COMMUNITY COLLEGE 69. WAYSIDE CROSS MINISTRIES 70. WELL CHILD CENTER 71. WELLBATAVIA INITIATIVE 72. WEST AURORA SCHOOL DISTRICT #129 73. YWCA ELGIN INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WITH SPECIAL EMPHASIS ON PERSONS WHO WORK WITH OR HAVE SPECIAL KNOWLEDGE ABOUT VULNERABLE POPULATIONS IN CENTRAL KANE COUNTY INCLUDING LOW-INCOME INDIVIDUALS, MINORITY POPULATIONS, THOSE WITH CHRONIC CONDITIONS AND OTHER MEDICALLY UNDERSERVED RESIDENTS. To ensure that organizations impacting health in central Kane County were meaningfully engaged in reviewing and interpreting the findings of the CHNA, developing priorities among the identified needs and forming a collaborative plan to address the top priority needs, the External Steering Committee (ESC) was established and maintained. This multidisciplinary committee was made up of key stakeholders who were selected based on strong collaborative efforts to improve the health of the community, including the medically underserved, minority and low-income populations.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - DELNOR-COMMUNITY HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: 1. Key community organizations and leaders 2. Delnor External Steering Committee 3. Delnor Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - DELNOR-COMMUNITY HOSPITAL. NMDCH adopted a new implementation strategy in FY2022 (TY 2021) in alignment with the most recent CHNA. For Line 11, we are reporting on TY 2018 implementation strategies as this is the most recent outcomes data available. In TY 2017, NMDH identified three Priority Health Needs: Access to Healthcare Services, Chronic Disease, and Mental Health. Specific ways in which NMDH is addressing the significant needs identified in its most recently conducted CHNA are defined as follows: Priority 1: Mental Health Mental health and physical health are closely connected. Mental health plays an integral role in the ability to maintain physical health. Mental illnesses, such as depression, anxiety and addiction, affect people's ability to participate in health promoting behaviors. Subsequently, the presence of mental health problems can have a serious impact on chronic disease and decrease the ability to participate in treatment and recovery. To address the identified health needs related to Mental Health and Substance Abuse, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 1.1: Continue strategic planning efforts to evaluate the demand for hospital-based mental health services and identify appropriate NMDH resources to address those needs. A comprehensive strategic plan has been developed to properly address the mental health needs of the NMDH and Northwestern Medicine Central DuPage service areas. The plan will identify the needs and develop strategies to address those needs, including but not limited to expansion of inpatient behavioral health and addiction services and additional capacity in the outpatient mental health service line. 1.2: Provide Community Benefit Grant funding and further solidify relationships with community agencies that can provide outpatient mental health services to the medically underserved residents within the service area. A grant was provided to Ecker Center Behavioral Health Center. Outcomes were as follows: 1. Ten computers were purchased for telehealth services. 2. There was a 44% in client volume due to the telehealth program compared to the previous year. A grant was provided to Samaritan Interfaith Counseling Center. The following outcomes were reported: 1. Delivered 4,105 clinical hours of fee subsidized counseling services to 592 qualified MHAP clients in its west region, of which 507 clients will reside within NM Central DuPage and Delnor hospital primary service area. 2. 85% of clients showed improvement in their GAF score as measured upon intake and again after every 10th session, or termination of services, whichever comes first. 3. 95% of client completed the Client Satisfaction Survey and marked that they can deal more effectively with their symptoms. 4. 96% of clients that completed the CSS and agreed that they were able to accomplish what they set out to do. 5. 97% of clients that completed the CSS agreed that they can better handle conflict and stress. 6. 99% of clients that completed the CSS agreed that their counselor's interventions and interactions were helpful. 1.3: Participate in and support initiatives within Kane County that are focused on Mental Health. The Kane County Health Department is currently developing a Community Health Improvement Plan (CHIP) in collaboration with the hospitals and community agencies within the county. One of the identified priorities to be addressed is Mental Health and Substance Abuse. NMDH will continue to participate in the CHIP Executive Committee and the Mental Health Subgroup to develop and implement the action plan to address the health priority of Mental Health and Substance Abuse. 1. Leadership staff Allison Johnson participated in the Kane County Behavioral Council. The Council coordinate services and assist in making the system more responsive by bringing together provider organizations, mental health authorities, major funders of mental health services, mental health advocacy groups and public officials. 2. NMDH leadership participated on the TriCity Family Services advisory council. The goal of the council is to provide support to the community service agency that serve the mental health needs of residents. 3. NMDH hosted a Drug Takeback Day and 63.5 pounds of medications was collected. NMDH Medication Drug Disposal Kiosk in the ER collected 594 pounds of medication. 4. NMDH/NMCDH Behavioral Health Services hosted 5 evidence-based wellness events: 1. Continuing Education programs for mental health and substance use disorder professionals. 2. St. Charles Chamber of Commerce on "Health and Wellness Round table" 3. Educational presentations for community schools on mental health & substance 4. Chamber of Commerce member education topics including helping employees with COVID-19 stress, stress management, self-care, cancer & mental health 5. Provided news media content on Behavioral Health, Mental Health, Promoting Wellness and Preventing Disease, and on Employer Covid-19 Response in the Workplace 5. Office space was provided at no charge for 12-Step Programs offered Sundays thru Saturdays. (NMCDH/NMDH) A total of 1,530 hours of room usage was recorded. 1.4: Complete the planning phase and implement the Mental Health First Aid Program in the NMDH service area. The Mental Health First Aid (MHFA) program is designed to teach residents of the community how to take action when a mental illness is suspected or identified. The intent is to reduce the wide reach and economic toll that mental health disorders and crises have on the community. Individuals within NMDH are currently completing training and the certification process and will begin providing educational sessions to teach parents, family members, caregivers, teachers, school staff, peers and community members how to help an adolescent or adult experiencing a mental health or addiction challenge or crisis. These individuals can then intervene and direct the individual to appropriate resources. The overall goal is to increase awareness and early intervention to those in need of behavioral health services. Three NMDH/NMCDH staff members were trained to offer the nationally recognized evidence-based Mental Health First Aid program virtually. 1. 13 classes were held; 2. 183 individuals (adults and youth) attended the programs; 3. 100% of MHFA participants scored a minimum of 100% on the MHFA course exam. Priority 2: Chronic Disease: Chronic conditions are responsible for 70% of deaths and 75% of healthcare spending. Chronic disease is a leading cause of disability and lost income. Chronic disease disproportionally affects low-income and minority populations. In the NMDH service area, 35% of adults have been told that they have high blood pressure; 30% have been told they have a high cholesterol reading; 23% are obese; and chronic diseases of the heart are the second leading cause of death. To address the identified deficiencies in Chronic Disease, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 2.1: Provide resources and tools to patients diagnosed with heart failure in order to improve self-management skills and quality of life. NMDH continued to provide a post-discharge community-based heart failure program designed to improve the quality of life and decrease readmission rates for patients diagnosed with heart failure. Efforts to improve the coordination of care for heart failure patients were expanded, and a system of referrals for specialty care and social service needs were implemented. A retrospective study of outcomes related to the program was completed to ensure maximum quality is achieved. Key outcomes of this program were: 366 individuals were enrolled in the Community-Based Heart Failure program: (NMCDH/NMDH) 1. 30-day readmission rate for heart failure diagnosis: 1% (markedly below the national rate); 2. 99% of clients demonstrated the ability to identify appropriate action in the event of a worsening of their condition; 3. 96% of clients utilized an effective medication management system; 4. 89% of clients demonstrated compliance with symptom tracking. 2.2: Continue to provide, participate and partner in community-based health education, nutrition and activity programs focused on reducing the risk of obesity and chronic disease. NMDH provided community education related to chronic disease in the areas of evidence-based primary interventions (disease prevention, health promotion), evidence-based secondary interventions (screening) and evidence-based tertiary interventions (education to individuals affected with a chronic disease in an effort to promote an optimum state of individual wellness).
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - DELNOR-COMMUNITY HOSPITAL. Programmatic venues included the CATCH (Coordinated Approach to Child Health) program, the Dinner with the Doc series, clinician-led educational offerings, self-help groups, rehabilitation service programs and support programs. A comprehensive plan to increase patient compliance with physician and ancillary staff referrals to smoking cessation resources was also investigated and developed. Community Benefit Grants were also be provided to agencies that provide programming related to the priority health need of chronic disease. Key outcomes of these interventions include: 1. Diabetes Education Services offered 12 community programs. 90 individuals attended. (NMDH/NMCDH) 2. 366 individuals were enrolled in the Community-Based Heart Failure program: (NMDH/NMCDH) a. 30-day readmission rate for heart failure diagnosis: 4% (markedly below the national rate); b. 99% of client were seen at a home visits within 7 days of discharge; c. 87% of clients were able to name two cardiac medications and describe actions. A grant was provided to American Cancer Society for their Road to Recovery Program. The following outcomes were reported: (NMCDH/NMDH) 1. 130 Cancer patients were provided rides. A grant was provided to DuPage Pads for their Medical Respite Program. The following outcomes were reported: 1. 31 individuals in 28 household were served. Of the 31 individuals served, 29 were adults and 2 were children. 2. 100% of the participants obtained or maintained their benefits. 3. 100% of the participants received information on the importance of regular physicals relative to age and gender. 4. 93% of the participants exited the program with medical insurance. 5. 60% of the participants exited the program with an identified primary care physician. 6. 80% of the participants exited the program with a follow-up appointment scheduled with a primary care physician related to the condition resulting in entry to the Medical Respite Program. 7. 43% of the individuals served exited into stable housing The CATCH Program reached over 855 students and teachers. A total of 3 community programs were offered in the area of stroke education. A total of 86 people were reached. A total of 405 page views of Kits for Kids were downloaded in the areas hand washing, bicycle safety and healthy nutrition. A total of 12 individuals participated in smoking cessation programs. 100% self-reported smoking cessation by the end of week 6. The Think First Curriculum offered 402 presentations to children from kindergarten through high school and 47,795 individuals participated in Think First community events. 1. A total of 5,970 children were fitted for and received bike helmets 2. A total of 117 couples attended child safety classes 3. A total of 1103 car seats were checked / distributed A total of 10 individuals participated in the National Diabetes Prevention Program. There was a total loss of 115 lbs and 831 hours self-reported exercise by the final class. Priority 3: Access to Care: An aging population, coupled with a challenging economy and an increasing prevalence of chronic disease, create access-to-care issues relating to both the affordability and availability of care. NMDH seeks to promote access through a variety of initiatives identified below. NMDH will continue to work with individuals and families to promote access to medically necessary services by maintaining an accessible financial assistance program. Additionally, staff and leadership will work collaboratively with key community partners to promote a seamless continuum of care into local medical home settings. To improve Access to Health Services, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 3.1: Strengthen and increase patient affiliation with high-quality patient-centered medical homes. NMDH and its partners from the External Steering Committee focused efforts on strengthening the care coordination, availability, cultural competency and offerings available at the patient-centered medical homes operated by the Federally Qualified Health Centers and healthcare organizations that are closely aligned with Northwestern Medicine Delnor Hospital. By concentrating efforts on improving the most essential community-based component of the healthcare system - the patient-centered medical home - NMDH focused on ensuring patients receive timely and appropriate care. NMDH continued its long-established partnership with Tri City Health Partnership looked for ways to strengthen the patient-centered medical home. NMDH supported this partnership through grant funding, knowledge sharing efforts and streamlined access to medically appropriate diagnostic and specialty services at NMDH and within the Northwestern Medicine Regional Medical Group. 165 patients from TCHP received care at no charge at Northwestern Medicine facilities. NMDH will implement evidence-based practices to address the health concern related to members of the community receiving age and gender-appropriate screenings and other preventive services, including recommended routine immunizations. 3.2: Investigate innovative ways to connect uninsured members of the community with applicable entitlement programs and available healthcare and social services to improve access to medical care. Patients in need of financial assistance were connected with appropriate resources and assisted in the completion of applications for government assistance programs. 3.3: Improve access to evidence-based preventive services, including age and gender-appropriate screenings and routine immunizations. A total of 50 vaccine clinics were provided as well as 355 individuals in need received breast cancer screening at no charge. Non-Priority Areas The CHNA report identified areas of opportunity for health improvement for which NMDH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Cancer: NMDH provides a comprehensive range of clinical services to treat and screen for cancer. NMDH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMDH could have a greater impact (heart failure and nutrition and weight). Immunization and Infectious Disease in Adults: NMDH provides clinical services to treat pneumonia, asthma and tuberculosis. The ESC recommended that NMDH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Vaccine services are provided to children as part of the access to care strategies. Tobacco Use: Tobacco use was incorporated into the strategies around chronic disease.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - DELNOR-COMMUNITY HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - DELNOR-COMMUNITY HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. The CHNA report also describes Kishwaukee Hospital background, charity care, the mission, CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. PARTNERING WITH DEKALB COUNTY HEALTH DEPARTMENT, THE CHNA PROCESS INCLUDED A SURVEY ADMINISTERED TO COMMUNITY PARTNERS, THEIR EMPLOYEES, AND CLIENTS, TO ALLOW RESPONSES FROM LOW-INCOME AREAS, MENTAL HEALTH CLINICS, YOUTH ORGANIZATIONS AND FOOD PANTRIES. REPRESENTATIVES OF THE COMMUNITY INCLUDED: 1. ADVENTURE WORKS DEKALB 2. CITY OF DEKALB 3. CITY OF SYCAMORE 4. DEKALB COUNTY NON-PROFIT PARTNERSHIP 5. DEKALB COUNTY BOARD OF HEALTH 6. DEKALB COUNTY COMMUNITY DEVELOPMENT 7. DEKALB COUNTY COMMUNITY FOUNDATION 8. DEKALB COUNTY HEALTH DEPARTMENT 9. DEKALB COUNTY MENTAL HEALTH BOARD AND COMMUNITY ACTION 10. DEKALB CUSD 428 11. FAMILY FIRST PHYSICIANS 12. FOX VALLEY YMCA 13. KISHWAUKEE YMCA FINDINGS REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS. AN EXTERNAL STEERING COMMITTEE WAS CONVENED TO PROVIDE OVERSIGHT TO THE DEVELOPMENT OF THE CHNA AND ENGAGE THE COMMUNITY THROUGHOUT THE PROCESS UNDER THE LEADERSHIP AND DIRECTION OF MEMBERS FROM DEKALB COUNTY HEALTH DEPARTMENT, KISHWAUKEE HOSPITAL, AND NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. KISHWAUKEE HOSPITAL WORKED IN TANDEM WITH VALLEY WEST HOSPITAL AND SHARED RESPONSIBILITIES ON A JOINT STEERING COMMITTEE. SPECIFIC NEEDS AND CONCERNS OF KISHWAUKEE COMMUNITY HOSPITAL WERE IDENTIFIED AND ADDRESSED SEPARATELY.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. KISHWAUKEE HOSPITAL COMPLETED A CHNA IN PARTNERSHIP WITH DEKALB COUNTY HEALTH DEPARTMENT. THE TWO ORGANIZATIONS COLLABORATED UNDER THE NAME "TOGETHER FOR A HEALTHIER DEKALB COUNTY" FOR THE PURPOSE OF THE CHNA. THE TOGETHER FOR A HEALTHIER DEKALB COUNTY STEERING COMMITTEE, MADE UP OF EMPLOYEES FROM BOTH ORGANIZATIONS, UTILIZED THE ASSESSMENT TOOL OF MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) IN JANUARY 2018. MAPP IS A COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: 1. Key Community Organizations & Leaders 2. Internal & External Steering Committee Members 3. Kishwaukee Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL. Northwestern Medicine Kishwaukee Hospital (NMKH) adopted a new implementation strategy in FY2022 (TY2021) in alignment with the most recent CHNA. For Line 11, we are reporting on TY2018 implementation strategies as this is the most recent outcomes data available. Through the FY2018 prioritization process, NMKH identified four Priority Health Needs: adolescent health, behavioral health/mental health, chronic disease (cardiovascular disease and cancer), and maternal child health. Specific ways in which NMKH is addressing the needs identified in the CHNA are defined as follows: Priority 1: Adolescent Health Adolescents (age 10 to 19) make up 16 percent of the DeKalb County population. The behavioral patterns established during these developmental periods can help determine young people's current health status and their risk for developing chronic disease during adulthood. Health and social problems that may start or peak during these years; including; mental disorders, substance use, smoking/nicotine use, nutrition and weight conditions, sexually transmitted infections, teen pregnancy, homelessness, homicide, suicide and motor vehicle collisions. Effective programs and policies that address these issues can provide protective factors during these important stages in a person's life. 1.1: Advocate for use of evidence based anti-bullying curriculum in schools. To decrease the percentage of adolescents reporting being bullied in the past 12 months, as related to name calling, physical threats, hitting, punching, kicking, pushing or cyber bullying. Adolescents who report another student has ever bullied (reported at least 1 type of bullying) in the past 12 months as identified by the IYS: 48 percent of 8th graders, 35 percent of 10th graders, and 32 percent of 12th graders. Discussions with the DeKalb County Health Department to consider requesting funding for money to support an evidence based anti-bullying curriculum. Youth prevention education is delivered to two school districts; DeKalb, and Genoa-Kingston. Skill development is the core of the evidence based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2021, 148 students in grade 6 at Clinton Rosette Middle School, DeKalb and 111 students in grade 7 at Genoa Kingston Middle School, Genoa, 90 students in grade 7 at Sandwich Middle School and 93 students in grade 8 in Genoa Middle School received the curriculum. 1.2: Collaborate with schools to address depression and substance use among adolescents utilizing evidence-based interventions and education. Youth prevention education is delivered to two school districts; DeKalb and Genoa-Kingston. Skill development is the core of the evidence-based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 1.3: Deliver an evidence-based Youth Prevention Program Education model program aimed at reducing alcohol use to an entire grade level of 6th - 12th grade students. Youth prevention education is delivered to two school districts; DeKalb and Genoa-Kingston. Skill development is the core of the evidence-based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 1.4: Implement a communication campaign addressing the contributing factors related to past 30-day alcohol use. The Illinois Youth Survey (IYS) 2020 data reports past 30-dayuse of alcohol for DeKalb County as follows: 14% of 8th grade students, 26% of 10th grade students, and 40% of 12th grade students. In partnership DeKalb County High Schools including; Hiawatha, Genoa-Kingston, Indian Creek, Sandwich and Sycamore a nine-month communication campaign is delivered. During the nine-month campaign, primary messages must be changed every 6 weeks and reach a majority of the student population. Secondary messages are changed every 12 weeks during the campaign. 1.5: Engage local school districts in DeKalb County to participate in the Illinois Youth Survey. During a non-survey year (current reporting year) engage the districts to review the latest IYS data. To continue to ensure at least an 80% participation rate in the IYS throughout DeKalb County Schools, presentations on the 2020 IYS data was given during a DeKalb County Superintendents Monthly Regional Office of Education meeting, seven school districts leaders were present. Additionally, all DeKalb County schools received communication about the importance of understanding the IYS data and an invitation to have NM staff meet with districts to discuss the findings. 1.6: Provide an evidence-based curriculum focusing on causes and risk factors of brain and spinal cord injury, injury prevention measures and the use of safety habits at an early age. The Think First curriculum was offered to 1377 children in 11 different schools throughout the county. The program fit and distributed 1345 bike helmets to students. 1.7: Provide Kids Can Cook classes at the Leishman Center for Culinary Health to promote healthy cooking, using fresh ingredients, healthy eating and appropriate culinary skills to participants. Kids Can Cook classes were offered 13 times, reaching 31 youth. 1.8: Directly or indirectly support activities related to smoking prevention programs in school age children. Catch My Breath is a prevention program that provides students will skills to resist peer pressure and media influences to try E-Cigarettes. In FY2021, Covid-19 did not allow for the implementation of the program. 1.9: Provide evidence-based program for students in grades 6-8 to be safe when they are home alone or watching younger siblings. In an effort to increase knowledge and skills related to prevention of unsafe situations, what to do in an emergency, and manage behavior that helps students stay in control of themselves and other in their care the Safe Sitter program was presented four times and 37 students completed the program. 1.10: Provide the evidence-based program Coordinated Approach to Child Health (CATCH) to students to create behavior changes in students to identify health foods and increase physical activity. In FY2021, Covid-19 did not allow for the implementation of the CATCH program. Priority 2: Behavioral Health and Substance Abuse Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with others and the ability to adapt to change and to cope with challenges. Mental health is essential to personal well-being, family and interpersonal relationships and the ability to contribute to society. Mental disorders are among the most common and costly causes of disability. Mental and physical health are closely connected. Inpatient hospital admission data analysis found the most frequent Medicare Severity Diagnostic Related Groups (MS-DRGs) assigned to DeKalb County residents is psychoses; this is three times higher than the next most frequent MS-DRG. 2.1: Support policy and efforts in becoming Trauma Informed Community. Trauma is highly prevalent and can impact a person at any time during their lifespan and may present as mental health, substance use or physical health conditions.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL. A trauma informed approach includes; realizing the widespread impact of trauma and understands potential paths for recovery, recognizing the signs and symptoms of trauma in clients, families, staff, and others involved with the system, responds by fully integrating knowledge about trauma into policies, procedures, and practices, resists re-traumatization. Identification of key departments and inquiry of education around trauma informed practices. Opportunity to create a team to discuss feasibility of project and project charter. In FY21, the system-wide committee that was engaged to evaluate the current resources and projects related to Trauma-Informed Care provided recommendations regarding staff education programs. These programs were launched in FY22 for clinical staff at all locations. 2.2: Support efforts to eliminate the stigma of mental health. To education the public on negative attitudes and beliefs regarding behavioral health by increasing the proportion of DeKalb County organizations to complete Mental Health First Aid course to increase awareness and decrease stigma related to mental health. Training was completed in order for staff to be able to provide the program in a virtual format. 2.3: Reduce high-risk opioid prescribing through provider education and guidelines. To reduce the number of prescribed opiate drugs as measured by the IDPH Opioid Dashboard. Opioid prescribing summary; total opioid prescriptions at NMKH 813. Average number of pills at discharge 14; percentage on target number of pills at discharge is 75.8%; percentage above target number of pills at discharge is 34.2%. 2.4: Implement a communication campaign addressing alcohol use by teens in local school districts. The Illinois Youth Survey (IYS) 2020 data reports past 30-dayuse of alcohol for DeKalb County as follows: 14% of 8th grade students, 26% of 10th grade students, and 40% of 12th grade students In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 2.5: Raise awareness of the drug take back programs in the service area. Working in partnership with the following local law enforcement offices: DeKalb Police Department, DeKalb County Sheriff's Office, Kingston Police Department, Sandwich Police Department and Sycamore Police Department to decrease the opportunity for diversion of non-prescribed prescription drugs and opioids. A total of 426.6 pounds of unwanted, unused, or expired medication was disposed of throughout DeKalb County in either permanent drug take back boxes or during National Drug Take Back Day. 2.6: Increase drug prevention programs in communities and schools targeted at opioid misuse and prescription drug abuse. To educate on the risks of opioid and prescription drug use a lesson specific to opioid misuse and abuse is delivered as part of the youth prevention education programming taking place at Clinton Rosette Middle School, Genoa Kingston Middle School, and Sandwich Middle School In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 2.7: Participate on the DeKalb County Overdose Prevention Program Taskforce. A group of government leaders, healthcare organizations, and law enforcement which gather to discuss strategies to reduce the number of fatal opioid related overdoses in DeKalb County. NMKH staff attended three task force scheduled meetings. Because of the taskforce over 50 people from various organizations have been trained using the train the trainer model on the use of Naloxone and provided a supply for their organization. PRIORITY 3: Chronic Disease - Cancer Cancer remains the second leading cause of mortality in the United States (Center for Disease Control and Prevention, 2012) and of DeKalb County residents. By cancer site, lung cancer is the most common site for both genders. The leading male cancer site deaths are lung, colorectal, and prostate, while the leading female cancer site deaths are lung, breast, and colorectal. 3.1: Educate the community on importance of screening for cancer and early detection. Promotion of Low Dose CT Lung Cancer Screening - screening promoted at community events and with worksite wellness organizations. 184 community members received the information promoting Low Dose CT Lung Screening. 3.2: Offer free or reduced cost mammograms for targeted populations. Women Matter program is designed to provide screening mammography services at no cost to women who do not have insurance coverage in DeKalb County. Efforts are made to promote tis free and reduced cost open for women with the following criteria; between the ages of 40-64 years of age, reside within DeKalb County, and no insurance/underinsured or high deductible plan. Information about this program is shared at various event throughout the community during the fiscal year. A total of 17 patients were screened through Women Matter and of these three patients required additional follow-up. 3.3: Offer educational programs on smoking cessation in the community. The American Respiratory Associations, Courage to Quit smoking cessation programs are offered throughout the year to the community and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. During the fiscal year there were six Courage to Quit classes and two completed referrals to the Illinois Quit Line. 3.4: Promote the availability of smoking cessation classes and the Illinois Quit Line. The American Respiratory Associations, Courage to Quit smoking cessation programs are offered throughout the year to the community and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. Additionally, the Illinois Quit Line is an underutilized resource for smoking cessation support. NMKH community health services department worked with the respiratory therapy department to get information related to the IL Quit Line and current Courage to Quit classes in the hands of patients who need this information. During the fiscal year there were five Courage to Quit classes and four completed referrals to the Illinois Quit Line. There was also a team created for the standardization of smoking cessation effort led by Bluhm Cardiovascular and Community Health Services. 3.5: Directly or indirectly support activities related to smoking prevention programs in school age children. NMKH works to support activities related to smoking prevention programs in school age children through collaboration with local school districts. CATCH My Breath is a prevention program that provides students with skills to resist peer pressure and media influences to try electronic nicotine delivery systems, commonly known as e-cigarettes In FY2021, Covid-19 did not allow for the implementation of this program. PRIORITY 4: Cardiovascular Disease Cardiovascular Disease, principally heart disease is the leading cause of death in the United States, with stroke following as the third leading cause. Together, heart disease and stroke are among the most widespread and costly health problems facing our nation today, accounting for more than $500 billion in healthcare expenditures. Healthy People 2020 stresses that the risk of Americans developing and dying from cardiovascular disease would be substantially reduced if changes were made in diet, physical activity and management of high blood pressure, cholesterol and smoking. In planning to address this health priority within the community, hospitals can positively impact the health burdens of all chronic disease by addressing the disease across the continuum of lifespan. 4.1: Promote Know Your Numbers, an evidence-based approach to community awareness of cardiovascular disease. Better prevention of and the management of high cholesterol, high blood pressure or diabetes to help lower the risk for heart disease is a key component to the Know Your Numbers biometric screening appointments. A screening designed to provide a participant with their individual cardiovascular risk factors including fasting glucose, total cholesterol, Body Mass Index (BMI), blood pressure and waist measurement.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL. Lifestyle changes such as quitting or never smoking, limiting alcohol use, exercising and eating healthy all lower risk for cardiovascular disease and are thoroughly discussed during the screening appointments. Community members have access to this complimentary screening and appointments are available monthly. 158 community members participated in the screening. Additionally, blood pressure checks are offered weekly free of charge for community members and patients at two locations; Kishwaukee Hospital and NM Genoa clinic. The goal of offering the blood pressure checks is to improve awareness of one's own blood pressure number, an indicator used for heart disease risk factors. 34 people participated in blood pressure screenings during the fiscal year. Of those screened patients with a B/P greater than 120/80 is 84 percent. 4.2: Offer educational sessions for targeted populations to address prevention of cardiovascular disease through healthy diet and cooking programs at the Leishman Center for Culinary Health and through the DASH program to manage high blood pressure. The Leishman Center for Culinary Health offers a variety of natural, whole foods cooking classes designed to help participants make simple changes for a healthier lifestyle. Classes offered in the center include disease specific offerings such as Eat to Beat: Cancer and Eat to Beat: Heart Disease. The philosophy of the Leishman Center is focused around eating real food, which support the mission of the department in tackling chronic illness, disease and obesity. The Leishman Center for Culinary Health reached more than 961 participants through 135 in-house classes and external programs. 4.3: Identify and implement a community education program to increase awareness on sodium and promote sodium reduction in the diet. Increase awareness on the daily consumption of sodium and its impact on high blood pressure, which is a leading risk factor for cardiovascular disease. As part of larger community events, NMKH participated in seven community opportunities to share information related to sodium consumption, reading a nutrition label to identify sodium on the label, and helpful tips for reducing sodium in the diet, this evidence-based information is from the American Heart Association. The development and implementation of the program called Managing your Blood Pressure with the DASH (Dietary Approaches to Stop Hypertension) Diet was also implemented. The DASH program outcomes and metrics were developed during this fiscal year. The class continues to be offered on a quarterly basis. 4.4: Offer the American Heart Association CPR program. This American Heart Association course is designed for anyone who wants to learn basic CPR. Participants learn how to perform CPR on adults, children, and infants and how to help an adult, child, or infant who is choking. This program was discontinued in FY2021. 4.5: Provide resources and tools to patients diagnosed with heart failure to improve self-management skills and quality of life. Kishwaukee Hospital's Community Based Heart Failure Program started seeing patients in November 2018. In FY2021, 30 patients were enrolled with 90% compliance with system tracker, 100% of patients able to identify action needed for worsening of symptoms, 97% of patients able to identify two cardiac medications, 100% of patients using a medication system, 97% of patients receiving a home visit within 7 days of hospital discharge and 73% of patients followed-up with their physician within 7 days. PRIORITY 5: Maternal Child Health According to the Centers for Disease Control and Prevention, safe motherhood begins before conception with good nutrition and a healthy lifestyle. It continues with appropriate prenatal care with the ideal result being a full-term pregnancy without unnecessary interventions and the delivery of a healthy baby. In addition, it includes a healthy postpartum period in a positive environment that supports the physical and emotional needs of the mother, baby and family. The number of births in DeKalb County for 2016 was 1,093. Notably, there has been a decrease in births over the past three years within DeKalb County. The overall teen birth rate in DeKalb County per 1,000 population is 15.7 5.1: To assess capacity to provide referral systems for smoking cessation among pregnant women and Offer Courage to Quit smoking cessation program. NMKH community wellness continued to offer ongoing sessions of the Respiratory Health Association's Courage to Quit smoking cessation programs to women who are receiving services at the DeKalb County Health Department. 5.2: Support messaging related to The Basics of DeKalb County. Staff met with the Basics Coordinator, hired by DeKalb County to lead this initiative. The hospital will stay committed to supporting the mission of The Basics DeKalb County. The health department received funding from NMKH community benefit dollars to support messaging and the creation of a space dedicated to the work of The Basics within the health department waiting area. 5.3: Update childbirth education classes to include messaging on domestic violence and resources available for referral. Programmatic slides include information related to domestic violence resources available in DeKalb County. 5.4: Investigate opportunities to increase referrals to the Breastfeeding Center to WIC clients at the DeKalb County Health Department FY20 a total of 12 prenatal lactation consults. Of those 10 consults, 3 were WIC clients who had received a referral. Total of 394 initial lactation consults (1st visit to the center) and 499 follow-up lactation consults for a total of 893 one-on-one consults. Of these 793 consults, approximately 10% were WIC clients. 1186 calls on the warm line. Of those, approximately 40% were WIC clients. Transportation challenges have always contributed to a higher propensity of call vs. in person visits. 3 walk-in consults - these are consults who most often come to the center without a scheduled appointment directly after being seen by the Pediatrician. When there is availability to see walk-in patients in the center, the patient is marked as a "walk-in". 100% of walk-in clients were WIC clients. 5.5: Investigate the feasibility of offering a childbirth education class in Spanish. All education was provided online in FY2021. The online system does offer a program in Spanish. The CHNA report identified area of opportunity for health improvement for which NMKH and its external committee determined it would not prepare an implementation plan and strategy. These identified areas and the reason for not addressing are listed below: Access to Health Services: Access to health services ranked as a concern that will be addressed within the health priorities selected through the MAPP process. Environmental Health: There are programs and initiative available through other organizations within DeKalb County to address Environmental Health. Health Communication: NMKH utilizes tools such as the Electronic Medical Record as a way to continue to assist patients and community members with Health Information Technology. Infectious Disease/STI: There are programs and initiatives available through other organizations within DeKalb County to address infectious disease and STIs. Injury and Violence: There are programs and initiatives available through other organizations within DeKalb County to address injury and violence. Social Determinants of Health: Social Determinants of Health ranked as a concern that will be addressed within the health priorities selected through the MAPP process.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - KISHWAUKEE COMMUNITY HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - KISHWAUKEE COMMUNITY HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. The CHNA report also describes Valley West Hospital background, charity care, the mission, CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. PARTNERING WITH DEKALB COUNTY HEALTH DEPARTMENT, THE CHNA PROCESS INCLUDED A SURVEY ADMINISTERED TO COMMUNITY PARTNERS, THEIR EMPLOYEES, AND CLIENTS, TO ALLOW RESPONSES FROM LOW-INCOME AREAS, MENTAL HEALTH CLINICS, YOUTH ORGANIZATIONS AND FOOD PANTRIES. REPRESENTATIVES OF THE COMMUNITY INCLUDED: 1. ADVENTURE WORKS DEKALB 2. CITY OF DEKALB 3. CITY OF SYCAMORE 4. DEKALB COUNTY NON-PROFIT PARTNERSHIP 5. DEKALB COUNTY BOARD OF HEALTH 6. DEKALB COUNTY COMMUNITY DEVELOPMENT 7. DEKALB COUNTY COMMUNITY FOUNDATION 8. DEKALB COUNTY HEALTH DEPARTMENT 9. DEKALB COUNTY MENTAL HEALTH BOARD AND COMMUNITY ACTION 10. DEKALB CUSD 428 11. FAMILY FIRST PHYSICIANS 12. FOX VALLEY YMCA 13. KISHWAUKEE YMCA FINDINGS REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS. AN EXTERNAL STEERING COMMITTEE WAS CONVENED TO PROVIDE OVERSIGHT TO THE DEVELOPMENT OF THE CHNA AND ENGAGE THE COMMUNITY THROUGHOUT THE PROCESS UNDER THE LEADERSHIP AND DIRECTION OF MEMBERS FROM DEKALB COUNTY HEALTH DEPARTMENT, KISHWAUKEE HOSPITAL, AND NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. VALLEY WEST HOSPITAL WORKED IN TANDEM WITH KISHWAUKEE HOSPITAL AND SHARED RESPONSIBILITIES ON A JOINT STEERING COMMITTEE. SPECIFIC NEEDS AND CONCERNS OF VALLEY WEST HOSPITAL WERE IDENTIFIED AND ADDRESSED SEPARATELY.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. VALLEY WEST HOSPITAL PARTNERED WITH DEKALB COUNTY HEALTH DEPARTMENT UNDER THE NAME "TOGETHER FOR A HEALTHIER DEKALB COUNTY" AND UTILIZED THE ASSESSMENT TOOL OF MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP). THIS COLLABORATION ENGENDERED BROADER THINKING ABOUT COMMUNITY NEEDS FOR THE VALLEY WEST COMMUNITY.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: 1. Key Community Organizations & Leaders 2. NMVWH Internal & External Steering Committee Members 3. Northwestern Medicine Valley West Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. Northwestern Medicine Valley West Hospital (NMVW) adopted a new implementation strategy in FY2022 (TY 2021) in alignment with the most recent CHNA. For Line 11, we are reporting on TY 2018 implementation strategies as this is the most recent outcomes data available. Through the FY2018 prioritization process, NMVWH identified four Priority Health Needs: adolescent health, behavioral health/mental health, chronic disease (cardiovascular disease and cancer), and maternal child health. Specific ways in which NMKH is addressing the needs identified in the CHNA are defined as follows: Priority 1: Adolescent Health Adolescents (age 10 to 19) make up 16 percent of the DeKalb County population. The behavioral patterns established during these developmental periods can help determine young people's current health status and their risk for developing chronic disease during adulthood. Health and social problems that may start or peak during these years; including; mental disorders, substance use, smoking/nicotine use, nutrition and weight conditions, sexually transmitted infections, teen pregnancy, homelessness, homicide, suicide and motor vehicle collisions. Effective programs and policies that address these issues can provide protective factors during these important stages in a person's life. 1.1: Advocate for use of evidence based anti-bullying curriculum in schools. To decrease the percentage of adolescents reporting being bullied in the past 12 months, as related to name calling, physical threats, hitting, punching, kicking, pushing or cyber bullying. Adolescents who report another student has ever bullied (reported at least 1 type of bullying) in the past 12 months as identified by the IYS: 48 percent of 8th graders, 35 percent of 10th graders, and 32 percent of 12th graders. Discussions with the DeKalb County Health Department to consider requesting funding for money to support an evidence based anti-bullying curriculum. Youth prevention education is delivered to two school districts; DeKalb, and Genoa-Kingston. Skill development is the core of the evidence-based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2021, 148 students in grade 6 at Clinton Rosette Middle School, DeKalb and 111 students in grade 7 at Genoa Kingston Middle School, Genoa, 90 students in grade 7 at Sandwich Middle School and 93 students in grade 8 in Genoa Middle School received the curriculum. 1.2: Collaborate with schools to address depression and substance use among adolescents utilizing evidence-based interventions and education. Youth prevention education is delivered to two school districts; DeKalb and Genoa-Kingston. Skill development is the core of the evidence-based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 1.3: Deliver an evidence-based Youth Prevention Program Education model program aimed at reducing alcohol use to an entire grade level of 6th - 12th grade students. Youth prevention education is delivered to two school districts; DeKalb and Genoa-Kingston. Skill development is the core of the evidence-based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 1.4: Implement a communication campaign addressing the contributing factors related to past 30-day alcohol use. The Illinois Youth Survey (IYS) 2020 data reports past 30-dayuse of alcohol for DeKalb County as follows: 14% of 8th grade students, 26% of 10th grade students, and 40% of 12th grade students. In partnership DeKalb County High Schools including; Hiawatha, Genoa-Kingston, Indian Creek, Sandwich and Sycamore a nine-month communication campaign is delivered. During the nine-month campaign, primary messages must be changed every 6 weeks and reach a majority of the student population. Secondary messages are changed every 12 weeks during the campaign. 1.5: Engage local school districts in DeKalb County to participate in the Illinois Youth Survey. During a non-survey year (current reporting year) engage the districts to review the latest IYS data. To continue to ensure at least an 80% participation rate in the IYS throughout DeKalb County Schools, presentations on the 2020 IYS data was given during a DeKalb County Superintendents Monthly Regional Office of Education meeting, seven school districts leaders were present. Additionally, all DeKalb County schools received communication about the importance of understanding the IYS data and an invitation to have NM staff meet with districts to discuss the findings. 1.6: Provide an evidence-based curriculum focusing on causes and risk factors of brain and spinal cord injury, injury prevention measures and the use of safety habits at an early age. The Think First curriculum was offered to 1377 children in 11 different schools throughout the county. The program fit and distributed 1345 bike helmets to students. 1.7: Provide Kids Can Cook classes at the Leishman Center for Culinary Health to promote healthy cooking, using fresh ingredients, healthy eating and appropriate culinary skills to participants. Kids Can Cook classes were offered 13 times, reaching 31 youth. 1.8: Directly or indirectly support activities related to smoking prevention programs in school age children. Catch My Breath is a prevention program that provides students will skills to resist peer pressure and media influences to try E-Cigarettes. In FY2021, Covid-19 did not allow for the implementation of the program. 1.9: Provide evidence-based program for students in grades 6-8 to be safe when they are home alone or watching younger siblings. In an effort to increase knowledge and skills related to prevention of unsafe situations, what to do in an emergency, and manage behavior that helps students stay in control of themselves and other in their care the Safe Sitter program was presented four times and 37 students completed the program. 1.10: Provide the evidence-based program Coordinated Approach to Child Health (CATCH) to students to create behavior changes in students to identify health foods and increase physical activity. In FY2021, Covid-19 did not allow for the implementation of the CATCH program. Priority 2: Behavioral Health and Substance Abuse Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with others and the ability to adapt to change and to cope with challenges. Mental health is essential to personal well-being, family and interpersonal relationships and the ability to contribute to society. Mental disorders are among the most common and costly causes of disability. Mental and physical health are closely connected. Inpatient hospital admission data analysis found the most frequent Medicare Severity Diagnostic Related Groups (MS-DRGs) assigned to DeKalb County residents is psychoses; this is three times higher than the next most frequent MS-DRG. 2.1: Support policy and efforts in becoming Trauma Informed Community. Trauma is highly prevalent and can impact a person at any time during their lifespan and may present as mental health, substance use or physical health conditions.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. A trauma informed approach includes; realizing the widespread impact of trauma and understands potential paths for recovery, recognizing the signs and symptoms of trauma in clients, families, staff, and others involved with the system, responds by fully integrating knowledge about trauma into policies, procedures, and practices, resists re-traumatization. Identification of key departments and inquiry of education around trauma informed practices. Opportunity to create a team to discuss feasibility of project and project charter. In FY21, the system-wide committee that was engaged to evaluate the current resources and projects related to Trauma-Informed Care provided recommendations regarding staff education programs. These programs were launched in FY22 for clinical staff at all locations. 2.2: Support efforts to eliminate the stigma of mental health. To education the public on negative attitudes and beliefs regarding behavioral health by increasing the proportion of DeKalb County organizations to complete Mental Health First Aid course to increase awareness and decrease stigma related to mental health. Training was completed in order for staff to be able to provide the program in a virtual format. 2.3: Reduce high-risk opioid prescribing through provider education and guidelines. To reduce the number of prescribed opiate drugs as measured by the IDPH Opioid Dashboard. Opioid prescribing summary; total opioid prescriptions at NMVWH 813. Average number of pills at discharge 14; percentage on target number of pills at discharge is 75.8%; percentage above target number of pills at discharge is 34.2%. 2.4: Implement a communication campaign addressing alcohol use by teens in local school districts. The Illinois Youth Survey (IYS) 2020 data reports past 30-dayuse of alcohol for DeKalb County as follows: 14% of 8th grade students, 26% of 10th grade students, and 40% of 12th grade students In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 2.5: Raise awareness of the drug take back programs in the service area. Working in partnership with the following local law enforcement offices: DeKalb Police Department, DeKalb County Sheriff's Office, Kingston Police Department, Sandwich Police Department and Sycamore Police Department to decrease the opportunity for diversion of non-prescribed prescription drugs and opioids. A total of 426.6 pounds of unwanted, unused, or expired medication was disposed of throughout DeKalb County in either permanent drug takeback boxes or during National Drug Take Back Day. 2.6: Increase drug prevention programs in communities and schools targeted at opioid misuse and prescription drug abuse. To educate on the risks of opioid and prescription drug use a lesson specific to opioid misuse and abuse is delivered as part of the youth prevention education programming taking place at Clinton Rosette Middle School, Genoa Kingston Middle School, and Sandwich Middle School. In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 2.7: Participate on the DeKalb County Overdose Prevention Program Taskforce. A group of government leaders, healthcare organizations, and law enforcement which gather to discuss strategies to reduce the number of fatal opioid related overdoses in DeKalb County. NMVWH staff attended three task force scheduled meetings. Because of the taskforce over 50 people from various organizations have been trained using the train the trainer model on the use of Naloxone and provided a supply for their organization. PRIORITY 3: Chronic Disease - Cancer Cancer remains the second leading cause of mortality in the United States (Center for Disease Control and Prevention, 2012) and of DeKalb County residents. By cancer site, lung cancer is the most common site for both genders. The leading male cancer site deaths are lung, colorectal, and prostate, while the leading female cancer site deaths are lung, breast, and colorectal. 3.1: Educate the community on importance of screening for cancer and early detection. Promotion of Low Dose CT Lung Cancer Screening - screening promoted at community events and with worksite wellness organizations. 184 community members received the information promoting Low Dose CT Lung Screening. 3.2: Offer free or reduced cost mammograms for targeted populations. Women Matter program is designed to provide screening mammography services at no cost to women who do not have insurance coverage in DeKalb County. Efforts are made to promote tis free and reduced cost open for women with the following criteria; between the ages of 40-64 years of age, reside within DeKalb County, and no insurance/underinsured or high deductible plan. Information about this program is shared at various event throughout the community during the fiscal year. A total of 17 patients were screened through Women Matter and of these three patients required additional follow-up. 3.3: Offer educational programs on smoking cessation in the community. The American Respiratory Associations, Courage to Quit smoking cessation programs are offered throughout the year to the community and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. During the fiscal year there were six Courage to Quit classes and two completed referrals to the Illinois Quit Line. 3.4: Promote the availability of smoking cessation classes and the Illinois Quit Line. The American Respiratory Associations, Courage to Quit smoking cessation programs are offered throughout the year to the community and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. Additionally, the Illinois Quit Line is an underutilized resource for smoking cessation support. NMVWH community health services department worked with the respiratory therapy department to get information related to the IL Quit Line and current Courage to Quit classes in the hands of patients who need this information. During the fiscal year there were five Courage to Quit classes and four completed referrals to the Illinois Quit Line. There was also a team created for the standardization of smoking cessation effort led by Bluhm Cardiovascular and Community Health Services. 3.5: Directly or indirectly support activities related to smoking prevention programs in school age children. NMVWH works to support activities related to smoking prevention programs in school age children through collaboration with local school districts. CATCH My Breath is a prevention program that provides students with skills to resist peer pressure and media influences to try electronic nicotine delivery systems, commonly known as e-cigarettes In FY2021, Covid-19 did not allow for the implementation of this program. PRIORITY 4: Cardiovascular Disease Cardiovascular Disease, principally heart disease is the leading cause of death in the United States, with stroke following as the third leading cause. Together, heart disease and stroke are among the most widespread and costly health problems facing our nation today, accounting for more than $500 billion in healthcare expenditures. Healthy People 2020 stresses that the risk of Americans developing and dying from cardiovascular disease would be substantially reduced if changes were made in diet, physical activity and management of high blood pressure, cholesterol and smoking. In planning to address this health priority within the community, hospitals can positively impact the health burdens of all chronic disease by addressing the disease across the continuum of lifespan. 4.1: Promote Know Your Numbers, an evidence-based approach to community awareness of cardiovascular disease. Better prevention of and the management of high cholesterol, high blood pressure or diabetes to help lower the risk for heart disease is a key component to the Know Your Numbers biometric screening appointments. A screening designed to provide a participant with their individual cardiovascular risk factors including fasting glucose, total cholesterol, Body Mass Index (BMI), blood pressure and waist measurement.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. Lifestyle changes such as quitting or never smoking, limiting alcohol use, exercising and eating healthy all lower risk for cardiovascular disease and are thoroughly discussed during the screening appointments. Community members have access to this complimentary screening and appointments are available monthly. 158 community members participated in the screening. Additionally, blood pressure checks are offered weekly free of charge for community members and patients at two locations; Kishwaukee Hospital and NM Genoa clinic. The goal of offering the blood pressure checks is to improve awareness of one's own blood pressure number, an indicator used for heart disease risk factors. 34 people participated in blood pressure screenings during the fiscal year. Of those screened patients with a B/P greater than 120/80 is 84 percent. 4.2: Offer educational sessions for targeted populations to address prevention of cardiovascular disease through healthy diet and cooking programs at the Leishman Center for Culinary Health and through the DASH program to manage high blood pressure. The Leishman Center for Culinary Health offers a variety of natural, whole foods cooking classes designed to help participants make simple changes for a healthier lifestyle. Classes offered in the center include disease specific offerings such as Eat to Beat: Cancer and Eat to Beat: Heart Disease. The philosophy of the Leishman Center is focused around eating real food, which support the mission of the department in tackling chronic illness, disease and obesity. The Leishman Center for Culinary Health reached more than 961 participants through 135 in-house classes and external programs. 4.3: Identify and implement a community education program to increase awareness on sodium and promote sodium reduction in the diet. Increase awareness on the daily consumption of sodium and its impact on high blood pressure, which is a leading risk factor for cardiovascular disease. As part of larger community events, NMVWH participated in seven community opportunities to share information related to sodium consumption, reading a nutrition label to identify sodium on the label, and helpful tips for reducing sodium in the diet, this evidence-based information is from the American Heart Association. The development and implementation of the program called Managing your Blood Pressure with the DASH (Dietary Approaches to Stop Hypertension) Diet was also implemented. The DASH program outcomes and metrics were developed during this fiscal year. The class continues to be offered on a quarterly basis. 4.4: Offer the American Heart Association CPR program. This American Heart Association course is designed for anyone who wants to learn basic CPR. Participants learn how to perform CPR on adults, children, and infants and how to help an adult, child, or infant who is choking. This program was discontinued in FY2021. PRIORITY 5: Maternal Child Health According to the Centers for Disease Control and Prevention, safe motherhood begins before conception with good nutrition and a healthy lifestyle. It continues with appropriate prenatal care with the ideal result being a full-term pregnancy without unnecessary interventions and the delivery of a healthy baby. In addition, it includes a healthy postpartum period in a positive environment that supports the physical and emotional needs of the mother, baby and family. The number of births in DeKalb County for 2016 was 1,093. Notably, there has been a decrease in births over the past three years within DeKalb County. The overall teen birth rate in DeKalb County per 1,000 population is 15.7 5.1: To assess capacity to provide referral systems for smoking cessation among pregnant women and Offer Courage to Quit smoking cessation program. NMVWH community wellness continued to offer ongoing sessions of the Respiratory Health Association's Courage to Quit smoking cessation programs to women who are receiving services at the DeKalb County Health Department. 5.2: Support messaging related to The Basics of DeKalb County. Staff met with the Basics Coordinator, hired by DeKalb County to lead this initiative. The hospital will stay committed to supporting the mission of The Basics DeKalb County. The health department received funding from NMVWH community benefit dollars to support messaging and the creation of a space dedicated to the work of The Basics within the health department waiting area. 5.3: Update childbirth education classes to include messaging on domestic violence and resources available for referral. Programmatic slides include information related to domestic violence resources available in DeKalb County. 5.4: Investigate opportunities to increase referrals to the Breastfeeding Center to WIC clients at the DeKalb County Health Department FY20 a total of 12 prenatal lactation consults. Of those 10 consults, 3 were WIC clients who had received a referral. Total of 394 initial lactation consults (1st visit to the center) and 499 follow-up lactation consults for a total of 893 one-on-one consults. Of these 793 consults, approximately 10% were WIC clients. 1186 calls on the warm line. Of those, approximately 40% were WIC clients. Transportation challenges have always contributed to a higher propensity of call vs. in person visits. 3 walk-in consults - these are consults who most often come to the center without a scheduled appointment directly after being seen by the Pediatrician. When there is availability to see walk-in patients in the center, the patient is marked as a "walk-in". 100% of walk-in clients were WIC clients. 5.5: Investigate the feasibility of offering a childbirth education class in Spanish. All education was provided online in FY2021. The online system does offer a program in Spanish. The CHNA report identified area of opportunity for health improvement for which NMVWH and its external committee determined it would not prepare an implementation plan and strategy. These identified areas and the reason for not addressing are listed below: Access to Health Services: Access to health services ranked as a concern that will be addressed within the health priorities selected through the MAPP process. Environmental Health: There are programs and initiative available through other organizations within DeKalb County to address Environmental Health. Health Communication: NMVWH utilizes tools such as the Electronic Medical Record as a way to continue to assist patients and community members with Health Information Technology. Infectious Disease/STI: There are programs and initiatives available through other organizations within DeKalb County to address infectious disease and STIs. Injury and Violence: There are programs and initiatives available through other organizations within DeKalb County to address injury and violence. Social Determinants of Health: Social Determinants of Health ranked as a concern that will be addressed within the health priorities selected through the MAPP process.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. THE CHNA REPORT ALSO DESCRIBES MARIANJOY REHABILITATION HOSPITAL BACKGROUND, CHARITY CARE, THE MISSION, CHNA GOALS AND OBJECTIVES, PUBLIC DISSEMINATION PLAN, AND DEVELOPMENT OF THE IMPLEMENTATION PLAN.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS. THE LIST OF PARTICIPANTS WAS PROVIDED BY MARIANJOY REHABILITATION HOSPITAL AND INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 41 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY INCLUDING REPRESENTATIVES OF THE ORGANIZATIONS BELOW: 1. DUPAGE FOUNDATION 2. DUPAGE SENIOR CITIZENS COUNCIL 3. DUPAGE UNITED 4. EDUCARE WEST DUPAGE 5. FOX VALLEY SPECIAL RECREATION ASSOCIATION 6. NAMI DUPAGE 7. NORTHERN ILLINOIS FOOD BANK 8. PEOPLE'S RESOURCE CENTER 9. SAMARACARE 10. SENIOR SERVICES ASSOCIATES, INC. 11. WARRENVILLE PARK DISTRICT 12. WESTERN DUPAGE SPECIAL RECREATION ASSOCIATION 13. WEST CHICAGO PUBLIC LIBRARY DISTRICT 14. WINFIELD PARK DISTRICT THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFIED PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BE BETTER ADDRESSED. FINDING REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE ONLINE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FORM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. IN ADDITION TO PROVIDING THE CHNA REPORT ON THE WEBSITE AND MAKING IT AVAILABLE TO THE PUBLIC UPON REQUEST, THE CHNA REPORT WAS ALSO DISTRIBUTED TO THE FOLLOWING: 1. KEY COMMUNITY ORGANIZATIONS & LEADERS 2. MARIANJOY REHABILITATION HOSPITAL INTERNAL & EXTERNAL STEERING COMMITTEE MEMBERS 3. MARIANJOY REHABILITATION HOSPITAL LEADERSHIP
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. Marianjoy Rehabilitation Hospital (MRH) adopted a new implementation strategy in FY2022 (TY 2021) in alignment with the most recent CHNA. For Line 11, we are reporting on TY2018 implementation strategies as this is the most recent outcomes data available. Through the FY2018 prioritization process, MRH identified four priority health needs: 1. Access to healthcare services 2. Chronic disease management and rehabilitation 3. Promoting Independence in Individuals with Disabilities 4. Injury Prevention Specific ways in which MRH is addressing the significant needs identified in its most recently conducted CHNA are below. Priority Need 1: Access to healthcare services: MRH ensures that residents of our community have access to high quality medically necessary healthcare services in the most appropriate setting. Dedicated to the delivery of physical medicine and rehabilitation, MRH offers specialty programs for adult and pediatric patients recovering from injury or illness in both the inpatient and outpatient settings. MRH is committed to developing and maintaining programs that address the affordability of and accessibility to healthcare services. Additionally, MRH offers a comprehensive financial assistance program to patients who are unable to afford the cost of necessary medical care. MRH seeks to engage and maintain a multicultural workforce of primary care providers, specialists, midlevel practitioners, registered professional nurses and other specialties committed to working in an evidence-based practice setting by providing a clinical site for educational experiences. The development and implementation of the DuPage County Access to Health Services Action Plan is led by the DuPage Health Coalition. Formerly known as Access DuPage, the Coalition is a collaborative effort by thousands of individuals and hundreds of organizations in DuPage County to provide access to medical services to the county's low-income, medically uninsured residents. The DuPage Health Coalition also operates the Silver Access Program, which provides financial help to lower income families purchasing Health Insurance through the Affordable Care Act's Healthcare Marketplace. In early 2017, the DuPage Health Coalition will open the DuPage Dispensary of Hope, a new free pharmacy program in Wheaton, offered in partnership with DuPage County. MRH leadership and staff work collaboratively with the DuPage Coalition to promote affordable access to care for all residents of DuPage County. MRH will continue to support national and local efforts to increase access to care by providing leadership, investing resources and working collaboratively with other community organizations throughout the county. In conjunction with DuPage Health Coalition's Access DuPage program and independent medical providers, MRH will support the maintenance of an efficient and effective continuum of care for individuals with disabilities, offering inpatient and outpatient rehabilitation services to those in need. 1.1: MRH will offer financial assistance policies that are easily accessible, user-friendly, respectful, and meet all regulatory requirements. Marianjoy integrated the promotion and availability of the financial assistance program within registration, billing and all patient financial interactions. 1.2: MRH will continue to provide medically necessary inpatient and outpatient hospital services to uninsured and underinsured patients in accordance with the hospital's financial assistance policies. MRH tracked the number of individuals and the amount of rendered financial assistance annually. In FY21, 124 patients/services provided, in the amount of $1,000,096 of community care provided. 1.3: MRH will continue to address the needs of individuals identified as potentially eligible for public health insurance by facilitating their application for government-sponsored healthcare coverage via a trained in-person staff who will assist in facilitating enrollment. In FY21, MRH maintained 99% approval rate of applications submitted. 1.4: MRH leadership will continue representation on various task forces and work groups related to the collaborative work occurring on access to care issues. In FY21, MRH continued coordination of monetary support of Access DuPage services. 1.5: MRH will provide low-cost transportation to outpatient appointments. This program was discontinued in FY21. 1.6: MRH will continue to provide free inpatient and outpatient care to all Access DuPage clients in accordance with presumptive eligibility and existing MRH financial assistance policies. Opportunities to promote coordinated care to needed services for Access DuPage will be evaluated. In FY21, 124 patients/services provided, in the amount of $1,000,096 of community care provided. 1.7: MRH will serve as a training center for physicians, nursing and other allied health professions. Quantitative data, such as the number and types of internships and staff time commitment, was tracked throughout FY21 and maintained 100% approval rate of applications submitted. 1.8: MRH will provide trained professional healthcare interpreters and offer language assistance programs. In FY21, MRH provided a total of $381,146 in interpreter services for MRH patients Priority Need 2: Chronic disease management and rehabilitation: In general, individuals with disabilities tend to experience higher percentages of health disparities than the larger population. These added challenges can result in further impaired mobility, nutritional deficits and an increased susceptibility to chronic medical conditions. Common precursors of chronic diseases, including physical inactivity, obesity, hypertension and high cholesterol, are more prevalent among persons with disabilities than those without. Despite increased health risks, people with disabilities are rarely targeted by specific health-promotion and disease-prevention efforts. Given the increasing prevalence of disability as the population ages, the need for community health services focusing on the rehabilitation needs of those served will likely increase at a proportional rate. A broad range of intervention exists to address the issue of chronic disease including health education, health screenings, supporting linkages to medical homes, and chronic disease management programs. MRH utilizes a collaborative, evidence-based approach to prevention, screening and chronic disease management aimed at reducing and eliminating many of the prominent contributors to mortality in the United States. Programs such as Access DuPage and Engage DuPage ensure access to routine healthcare, screening, primary care providers, specialists, medications and medical homes. MRH offers a comprehensive financial assistance program to individuals unable to afford the cost of their acute medical care. In addition, the hospital offers a comprehensive array of community education programing and services to support both primary and tertiary interventions. 2.1: MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities. In FY21, MRH staff developed curriculum for the four courses listed below. 1. Pediatric Oncology 2. Relaxation and Meditation 3. Balance and Fall Risks 4. Behavioral Coaching 2.2: MRH will provide access to the Emerging Fitness Center, including specialty group classes for individuals with specific exercise needs. In FY21, 2,300 sessions were held in the MRH Fitness Center for individuals with disabilities. Many of the participants were prior MRH patients or family members. 2.3: MRH will offer evidence-based support programs in the areas of chronic disease management programmatic venues including but not limited to, self-help and support groups. In FY21, MRH provided the following support groups (due to COVID-19 total sessions for the year were reduced or cancelled): 1. Amputee 2. Parkinson's 3. Caregiver Support 4. Stroke 5. ALS 6. Aphasia 7. Connections-Peds 8. High Hopes- BI 9. Lives in Motion- SCI 10. MS Priority Need 3: Promoting Independence in Individuals with Disabilities: The physicians and clinicians at MRH are trained in the provision of specialty treatments and rehabilitation for individuals with disabilities resulting from injuries, accidents, illnesses, or congenital defects. Fitness and wellness programs tailored to people with disabilities and other health issues help ensure these vulnerable populations are engaged in moderate physical activity designed to improve strength and increase flexibility, to protect against further disability and enhance functional independence.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - MARIANJOY REHABILITATION HOSPITAL. The addition of the Marianjoy Fitness Center has opened new opportunities for individuals who may not have felt physically able or comfortable in other exercise settings. Throughout the year, MRH offers a variety of free and public classes and lectures (focused on health and wellness) to support and promote the independence of disabled individuals. Additionally, MRH sponsors a variety of support groups at no cost and open to the public including: amputation, aphasia, brain injury, chronic pain, and stroke. MRH works closely with its community partners to promote independence of disabled individuals. Partners include, but are not limited to the DuPage County Health Department, DuPage Federation on Human Service Reform, local school districts, Office of the Secretary of State, and DuPage Workforce Board. 3.1: MRH will provide aquatic programs in a group class setting for adults and children. In FY21, MRH continued to provide patient sessions. Individual goals were established, and PHI documented towards goal attainment. Aquatic therapy ceased for community groups in March 2020 due to COVID-19. 3.2 MRH will provide services through the Tellabs Center for Neurorehabilitation and Neuroplasticity, an innovative rehab technology designed to support a wide range of patient conditions which benefit from the creation of lasting neuro-pathway changes derived through repetition. In FY21, MRH provided visits using the mobility and upper extremity robotic equipment available in the TCNN. In addition, patients were assessed by therapy experts and individual goals were established. 3.3: The Marianjoy Driver Rehabilitation Program will work with clients utilizing specialized equipment to promote the ability to drive for individuals with disabilities. Participants are provided with a comprehensive appraisal of a person's ability to drive safely. The Driver Rehabilitation Program also provides behind-the-wheel training for students that qualify, and will assist in obtaining the requirements for a driver's license. In FY21, MRH evaluated and/or provided drivers training to students. In addition, a self-reported tracking process was implemented. 3.4: MRH will provide the GoBabyGo program, where therapists and engineers collaborate to retrofit powered toy vehicles to meet the needs of children with disabilities. In FY21, the annual event was postponed due to COVID-19. The program continues to identify community needs for future planning of serving the population to meet these needs. 3.5: MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities, including but not limited to the following topic: Life after an amputation. In FY21, MRH staff developed curriculum for the four courses listed below. 1. Pediatric Oncology 2. Relaxation and Meditation 3. Balance and fall risks 4. Behavioral Coaching 3.6: MRH will offer evidence-based support programs in the areas of promoting independence in programmatic venues including but not limited to, self-help and support groups. In FY21, MRH provided the following support groups (due to COVID-19 total sessions for the year were reduced): 1. Amputee 2. Parkinson's 3. Caregiver Support 4. Stroke 5. ALS 6. Aphasia 7. Connections-Peds 8. High Hopes- BI 9. Lives in Motion- SCI 10. MS Priority Need 4: Injury Prevention: MRH offers a variety of programs, both through inpatient and outpatient services, to address injury prevention. Evidence-based, community health and wellness programming are offered by MRH in the areas of chronic disease management and rehabilitation and overcoming the limitations of chronic disabilities. Some topics include: Core Yoga to increase strength and balance in individuals with disabilities; Understanding, identifying and preventing running injuries; and how aging affects your balance. These programs address the prevention of injury for both persons with or without disabilities. MRH offers the Police Interaction Course for Drivers with Special Needs program, focusing on enhancing communication between autistic individuals and first responders. MRH works closely with its community partners to address the issue of injury prevention. Partners include, but are not limited to the DuPage County Health Department, Northwestern Memorial Central DuPage Hospital and local school districts. 4.1: MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities. 4.2: MRH will offer the Police Interaction Course for Driver with Special Needs program. Sessions will provide autistic individuals with the skills to respond calmly and communicate effectively during a traffic stop. In FY21, the program was not offered due to multiple changes within the Sheriff's department and the COVID-19 pandemic. 4.3: MRH will collaborate with Central DuPage Hospital (NMCDH) to offer evidence-based community-based injury prevention programming. In FY21, programs were marketed in the NMCDH shared brochure for the first quarter; however, due to COVID-19 courses were cancelled. Needs that are not being addressed together with the reasons why: The CHNA report identified areas of opportunity for health improvement for which MRH and the external steering committee determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Mental health and substance abuse: The DuPage behavioral health collaborative was formed in response to the mental health findings and needs noted in the DuPage county IPLAN. The mission of the group is to work collaboratively to identify and implement data-driven strategies that improve access and quality of behavioral health services for all DuPage county residents, advocate for aligning resources and funding, and to educate the community about the signs and symptoms of mental health issues. The collaborative is composed of two teams: the treatment leadership team (behavioral health) and the prevention leadership team (substance abuse). Northwestern Medicine Central DuPage Hospital (NMCDH) leadership and staff serve as integral members of both teams working both independently and collaboratively to address mental health and substance abuse issues in DuPage County. Both teams are comprised of members from local hospitals, public health, private and community sectors and represent a broad cross-section of the community united to respond to both issues. Additionally, the DuPage county health department crisis intervention unit is a mental health support system that deals with mental health emergencies on a 24-hour basis. This unit deals with urgent mental health issues that require immediate attention such as suicidal thoughts, homicidal threats, and symptoms of serious mental illness including depression, schizophrenia, bipolar disorder, anxiety and other issues that may require hospitalization. Individuals can contact the unit at any time and set up an appointment either by phone or in person. The crisis program also has a ten-bed respite unit available for short term stabilization. Psychiatric evaluations and short-term crisis counseling intervention are also available on a scheduled basis as needed. In the area of inpatient care, NMCDH offers immediate help, providing short-term psychiatric care for adults and teens (13 years of age and older) in a hospital setting. Short term inpatient care is provided in three secure hospital psychiatric units to help people who pose a risk to themselves or others and those who are unable to care for themselves. Following stabilization, NMCDH offers a full range of treatment including outpatient partial hospitalization, individual and family therapy, group therapy and follow-up services in the community. NMCDH also offers a full range of substance abuse services including inpatient detoxification, residential treatment and rehabilitation services, along with continued counseling to support long-term recovery. Immunization and infectious disease: The DuPage County Health Department is responsible for monitoring the incidence of infectious diseases and providing childhood and adult immunizations. Immunization services are offered at the CPHC (Wheaton), SEPHC (Westmont), and EPHC (Lombard) offices. Childhood immunizations are available for all children who do not have insurance, or have insurance that does not cover immunizations, through the state of Illinois' Vaccines for Children (VFC) program.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - MARIANJOY REHABILITATION HOSPITAL. Additionally, immunizations and selected testing are also offered by the county's Federally Qualified Health Centers (FQHC), thereby assuring multiple opportunities for residents to receive screening and immunizations. Access to health promotion activities: MRH works collaboratively to support the provision of health promotion and health education sessions to clients residing in the community. It is widely recognized that the most effective way to address chronic disease is to address the problem across its lifespan in a coordinated effort. Health education programs are offered by NMCDH and MRH in an effort to focus on health promotion and disease prevention. Local primary care providers and FQHCs provide medical homes and routine care aimed at screening, early detection and prompt treatment of disease and other health concerns. Local hospitals provide immediate and emergently needed acute care. Programs such as access DuPage and engage DuPage ensure access to routine healthcare, screening, primary care providers, specialists, medications and medical homes. Nutrition, physical activity and weight: The problems related to poor nutrition, inadequate physical activity and overweight/obesity are included within the broader category of chronic disease within our Implementation Plan. These factors are considered key root causes of chronic disease and were included in the causal analysis and response. Guided by the ESC, MRH will continue to support and work collaboratively with existing local organizations who are providing affordable primary healthcare to individuals experiencing the remaining healthcare issues noted above as we believe they are best positioned to lead the provision of these services.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - Marianjoy Rehabilitation Hospital. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. The CHNA report also describes NIMC's CHNA goals, objectives, public dissemination plan, and development of the implementation plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. NIMC commissioned Northern Illinois University Center for Governmental Studies to conduct a comprehensive CHNA. The CHNA framework consisted of a systematic, data-driven approach to determine the health status, behaviors and healthcare needs of residents in McHenry County. The assessment provided information to enable NIMC hospital leadership and key community stakeholders to identify health issues of greatest concern among all residents and decide how best to commit the hospitals' resources to those areas, thereby achieving the greatest possible impact on the community's health status. The CHNA incorporated data from both quantitative and qualitative sources and was conducted from September 2019 through April 2020. Prevalent needs were identified across all socioeconomic groups, races, ethnicities, ages and genders. The assessment highlighted health and socioeconomic disparities and needs that disproportionately impact the medically underserved and uninsured. A key component of any comprehensive assessment involves reaching out to members of the community and organizations that interact with them in an effort to better understand the needs and issues that affect the health of its citizens. NMMH, NMHH and NMWH gratefully acknowledges the participation of our community partners and key stakeholders for their input on perceived needs and priorities within the communities we serve. These individuals and organizations work closely with members of our community, including those most in need and those with marginalized access to healthcare services. In all, 76 stakeholders took part in the online key informant survey. Organizations marked with an asterisk denote programs that work with the poor, vulnerable and marginalized in McHenry County. Below is a list of the organizations asked to participate in the online key informant survey. 1. Advocate Aurora Health* 2. American Cancer Society 3. AMITA Health* 4. Association for Individual Development* 5. Cary Police Department 6. Cary School District 26* 7. Clearbrook* 8. Crystal Lake Food Pantry* 9. Epilepsy Foundation of North Central Illinois* 10. Family Health Partnership Clinic* 11. Fox River Fire District 12. Fox River Grove School District 3* 13. Harvard Area Community Health Center* 14. Harvard Community School District 50* 15. Harvard Senior Center* 16. Home of the Sparrow* 17. Huntley Community School District 158* 18. In Sync Systems, Inc. 19. Independence Health & Therapy* 20. Johnsburg School District 12* 21. League of United Latin American Citizens* 22. McHenry County Department of Health* 23. McHenry County Dental Society 24. McHenry County Government 25. McHenry County Housing Authority* 26. McHenry County Mental Health Board* 27. McHenry County Office of Special Projects 28. McHenry County Planning & Development 29. McHenry County School District 15* 30. McHenry County School District 154* 31. McHenry County School District 156* 32. McHenry County Sheriff 33. McHenry County Substance Abuse Coalition* 34. Northern Illinois Special Recreation Association* 35. Northwest Center Against Sexual Assault* 36. Northwestern Medicine McHenry Hospital* 37. Northwestern Medicine Huntley Hospital* 38. Northwestern Medicine Woodstock Hospital* 39. Options and Advocacy* 40. PFLAG* 41. Pioneer Center for Human Services* 42. Prairie Grove School District 46* 43. Riley School District 18* 44. Rosecrance* 45. Sage YMCA* 46. Salvation Army Extension Unit* 47. Senior Care Volunteer Network* 48. Senior Services, Inc.* 49. The Mathers Clinic 50. Turning Point* 51. United Way of Greater McHenry County* 52. Village of Bull Valley 53. Village of Lake in the Hills 54. Village of Port Barrington 55. Village of Spring Grove 56. Volunteer Center of McHenry County* Through this process, input was gathered from several individuals whose organizations work with low-income, minority, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might better be addressed.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. The CHNA was conducted with Advocate Aurora Health.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. The CHNA was conducted with McHenry County Department of Health and McHenry County Mental Health Board.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also shared with the following: 1. Key community organizations 2. Northwestern Medicine Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. Through a systematic, data-driven approach, NMMH, NMHH, and NMWH prioritized Significant Health Needs to address in accordance with IRS regulations. These needs will be referred to as Priority Health Needs throughout the remainder of the document. NMMH, NMHH, and NMWH worked collaboratively to develop strategies and identify resources and areas for collaboration, where applicable, to impact each priority health need. Priority 1: Access to Healthcare. 1.1: NMMH, NMHH and NMWH will adapt a health system-level approach to better serve uninsured and underinsured patients through clinical community relationships. NMMH, NMHH and NMWH will pilot new opportunities and enhance current relationships in the service area. NMMH, NMHH and NMWH continue to engage with clinical community partners in McHenry County. Northwestern Medicine has an arrangement with Aunt Martha's FQHC and provides use of space in-kind to operate its clinic. The fair market value of the space is $223,332. Additionally, the Family Health Partnership Clinic, a Free and Charitable Clinic located in Crystal Lake received and in-kind donation in the amount of $17,500 to support its operations of serving the uninsured of McHenry County. 1.2: The Regional Medical Group (RMG) Residency Clinic will expand with Rosalind Franklin University to increase access to follow-up care for patients who are discharged from NMMH, NMHH and NMWH. Currently NM partners with Rosalind Franklin University Chicago Medical School. Residents are licensed physicians who graduated from medical school with a degree of Medical Doctor (MD) or Doctor of Osteopathy (DO). Residents have met all the requirements to continue their graduate medical training in order to become board certified physicians. Residents work with an attending NM physician to provide care to patients seeking follow up care post discharge from the hospital and/or to those that are in need of a primary care provider. Residents work with an attending NM physician to provide care to patients seeking follow up care post discharge from the hospital and/or to those that are in need of a primary care provider. During FY21, there were 13 presentations made to community organizations whose clientele could benefit from utilization of the Residency Clinic. As part of that outreach activity, the intention was to increase the number of individuals that would benefit from the care received at the clinic. As a result of these outreach activities, the following represents the increase of number of new patient visits by quarter, along with an increase in the number of established patient visits by quarter. In addition to the community presentations, 155 patients were identified as "new" having visited the clinic. In addition, there were 2,970 visits to the clinic by established patients. 1.3: NMMH, NMHH and NMWH will provide information sessions on healthy weight and nutrition through community lectures and programs. Obesity is a growing problem throughout the population. The association of income with obesity varies by age, gender and race/ethnicity. Interventions that promote opportunities for physical activity can help prevent unhealthy weight gain or facilitate weight loss among obese people. They can be delivered in multiple settings, including healthcare settings, worksites or schools. (Source: Healthy People 2020) NM MH, NM HH and NM WH provided the following services and programs to address obesity. Individuals receive immense value from participating in our wellness challenges and programs. These individual and group programs include: "Eat Right for Life", "New Dimensions", "Functional Foods," and "28 Days to a New You". These 4-8 week programs focus on each dimension of health (emotional, environmental, intellectual, occupation, physical, social, spiritual, and financial) to provide a comprehensive approach to change and goal attainment. Participants work with Wellness Technicians to create an individualized action plan for success through weekly challenges and education topics. If they reach their goal, they not are not only rewarded with great new habits but also with individual prizes such as fitness gear. These programs are cash pay to hold our participants accountable to a successful outcome. Sixty individuals that had scheduled appointments with a dietetic technician, and there were 15 that were referred to a registered dietitian for care. In addition to these medical appointments, there were 232 individuals that participated in 44 education presentations during the year. 1.4: NMMH, NMHH and NMWH will provide information and education on diabetes through community lectures and screenings and diabetes support groups. NM MH, NM HH and NM WH provided the following programs or services to address diabetes in its service areas. Community lectures and screenings: "Sugar the Not so Sweet Truth", "Diabetes Awareness", and glucose screenings A variety of lectures were offered to the community focusing on managing diabetes and also prevention given by CDCES (Certified Diabetes Care and Education Specialist) Complimentary diabetes support groups -Support groups were lead by CDCES that discuss topics related to diabetes while receiving support for their overall health in a safe and non-threatening environment. Complimentary School Management Training -The team of CDCES will coordinated with members of the faculty to ensure that everyone is competent in handling the care for students and staff member with diabetes. Areas included but are not limited to : student rights, emergency situations, technology that may be worn and an understanding of diabetes so that staff, students and parents feel confident Individual training, group training for diabetes self-management skills - The program holds an accreditation with the American Diabetes Association and offers 3 convenient locations in McHenry, Crystal Lake, Huntley and now Telehealth. Services offered include education on taking control and self-managing diabetes throughout the life cycle. We manage care on all types of diabetes and our CDCES are all certified on every non-surgical technology devices on the market. We offer group classes and one on one appointments centered on your individual needs. We also offer Medical Nutrition Therapy to facilitate an all-encompassing approach to care with our Registered Dietitians. This past year, there was an increase in primary care referrals for patients needing diabetes education from 55% to 67%. In addition, the program slowly reintroduced support groups as part of its community programming. With 9 session offered throughout the year. Unfortunately, the ongoing pandemic did affect participation by school districts in that the staff were not requested to complete education and training to staff and faculty. 1.5: NMMH, NMHH and NMWH will provide information on cardiovascular disease and hypertension through community lectures, screenings and individual training. Cardiovascular disease is the third leading cause of death in the United States and is the second leading cause of death in McHenry County. Fortunately, deaths from cardiovascular disease are preventable, especially if intervention is provided across the lifespan of the disease-from early education, prevention and screening to early diagnosis, prompt treatment and comprehensive aftercare. NM MH, NM HH and NM WH provided the following programs and services to address cardiovascular disease in its service areas. * Community presentations such as "A Healthy Heart", "HIIT don't Sit", and "Exercise 101" focus on the basic knowledge for cardiovascular health at any age. We educate community members on taking a proactive approach by making smart choices now, which will pay off for the rest of their life. Following each presentation we allow time to work with each participant to provide them resources to put this education into action. These presentations are complimentary through the Community Benefit Application process. There were two community presentations related to heart healthy programming and there were 30 participants at those events. The ongoing pandemic did affect the number of offerings and the participants at these events. * Know your numbers! Blood pressure and cholesterols screenings are one of most highly requested screenings performed by Worksite Wellness Technicians.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - NORTHERN ILLINOIS MEDICAL CENTER. These quick screenings offer immediate results and on the spot coaching for patients to understand, the basic, yet important, factors related to their health. These screenings are complimentary through the Community Benefit Application process. During the past year, there were 19 offerings of Know Your Numbers blood pressure screenings and three biometric screenings offered to the community. These participant numbers were impacted by the ongoing pandemic and as a result, the offerings were limited * For a more in-depth screening service, patients can elect heart related screenings such as EKG, Vascular Ultrasound, and Echocardiograms performed by Northwestern Medicine Imaging Technicians and interpreted by a Northwestern Medicine Cardiologists/Radiologists. The goal of these noninvasive screenings is to identify risk for heart disease and stroke so action can be taken early for a healthier future. EKGs can be performed on patients as young at 13 years old in partnership with Lurie Children's. The number of participants that received heart-related screenings ( i.e., EKG, vascular ultrasound, echocardiograms) was 68. Priority 2: Behavioral health. 2.1: NMMH, NMHH and NMWH will address and integrate trauma informed care into practice, including providing employee resources for coping with trauma or vicarious trauma. Trauma does not discriminate. It can affect anyone, and nearly 70% of the population report experiencing some type of trauma in their lifetime. Whether the trauma results from a single event, a series of events, or a set of physically or emotionally harmful circumstances, it can have serious implications on well-being, social functioning, physical and mental health, and life expectancy. In addition, the more an individual is exposed to stressful or traumatic experiences, the greater the risk for chronic health conditions. Trauma-informed care acknowledges that understanding a patient's life experiences is key to delivering effective care and improving health outcomes. Trauma informed care is the open-mindedness and compassion that all patients deserve, because anyone can have a history that affects their encounter with the health system. Building a trauma-informed health care system will create a safe, caring and inclusive environment for all NM patients and staff. During the year, a group submitted an application to assist in delivering Trauma Informed Care as part of its teaching for staff and clinicians. The grant was not awarded to Northwestern Medicine and the work related to Trauma-Informed Care is continuing to evolve within the system. 2.2: NMMH, NMHH and NMWH will improve access to mental health resources through patient care programs, support groups and community lectures. NMMH, NMHH and NMWH will promote behavioral health partnerships with high quality community-based organizations and providers. Mental health is essential to personal well-being, family and interpersonal relationships, and the ability to contribute to community or society. Mental disorders are health conditions that are characterized by alterations in thinking, mood, and/or behavior that are associated with distress and/or impaired functioning. Mental illness is the term that refers collectively to all diagnosable mental disorders. The resulting disease burden of mental illness is among the highest of all diseases. Mental health and physical health are closely connected. Mental health plays a major role in people's ability to maintain good physical health. Mental illnesses, such as depression and anxiety, affect people's ability to participate in health-promoting behaviors. (Source: Healthy People 2020) NM MH, NM HH and NM WH will provide the following programs to address mental behavioral health issues in its respective service areas. * Psychiatric Emergency Services provides assessment, disposition, and referral for patients presenting to the Emergency Departments within the Northwest Region. Referrals include service levels ranging from outpatient programming all the way up through behavioral health inpatient programming. During the last year, psychiatric behavioral health services experienced referrals in the following populations: 267 Individuals aged 0-17, 786 individuals aged 18-29, 699 individuals aged 30-44, 630 individuals 45-64, 108 individuals aged 54-74, and 53 individuals age 75+. * Partial Hospital and Intensive Outpatient Hospital Programming provides outpatient level services to patients that do not meet criteria for an inpatient stay, but need increased support to prevent the next level of treatment or as a step down from an inpatient level of care. This program offers a variety of services to address mental health and substance use disorders. During the last year, the program the program provided these services to 211 individuals aged 18-29, 181 individuals aged 30-44, 147 individuals aged 45-64, 13 individuals aged 65-74 and to two individuals aged 7+. * The Behavioral Health Unit provides a safe, intensive level of care for patients that are not able to maintain their safety in the community. Through the use of evidence-based therapies, psychiatric and nursing interventions and groups, patients are stabilized to transition to a lower level of care. During the past year, there were 1,116 inpatient admissions on this unit. There were 406 individuals aged 18-29, 323 individuals aged 30-44, 335 individuals aged 45-64, 43 aged 65-74 and nine aged 75+. * Our Behavioral Health Community (BHC) Navigator links our patients seen in all three areas to long-term services that are appropriate to their needs and fills in gaps between internal services provided to successful linkages in the community. Total referrals for the BHC Navigator was 405. 2.3: NMMH, NMHH and NMWH will improve access to substance use treatment resources through patient care programs, support groups and community lectures. NMMH, NMHH and NMWH will promote behavioral health and substance use partnerships with high-quality community based organizations and providers. Substance abuse refers to a set of related conditions associated with the consumption of mind-and behavior-altering substances that have negative behavioral and health outcomes. Social attitudes and political and legal responses to the consumption of alcohol and illicit drugs make substance abuse one of the most complex public health issues. In addition to the considerable health implications, substance abuse has been a flash point in the criminal justice system and a major focal point in discussions about social values; people argue over whether substance abuse is a disease with genetic and biological foundations or a matter of personal choice. Improved evaluation of community-level prevention has enhanced researchers' understanding of environmental and social factors that contribute to the initiation and abuse of alcohol and illicit drugs, leading to a more sophisticated understanding of how to implement evidence-based strategies in specific social and cultural settings. (Source: Healthy People 2020) NM MH, NM HH and NM WH will provide support and programs to address substance abuse in it service areas by: * Substance Use Nurse is liaison to the Narcan program for first responder police departments that are participating in McHenry County. There were 26 police departments participating in the program. * Substance Use Nurse attends the McHenry County Substance Abuse Coalition meetings to interface with other substance use resources in the county and to participate in community awareness focused events. During the last year there were two trainings offered to law enforcement officers. * Substance Use Nurse is currently the co-chair of the Substance Abuse Coalition Education Committee. This committee is creating education for the community around substance use, effects of substances, consequences and laws, addiction information, vaping, and resources to a variety of audiences including middle-school aged children, high school aged adolescents, parents and other community members. **As of Q4, NM will no longer be affiliated with the Narcan program Priority 3: Social determinants of health. 3.1: NMMH, NMHH and NMWH will implement an electronic tool that is integrated with NM's electronic medical record (EMR) system to capture SDOH for patients, train staff members and advocates to screen and use SDOH data, and refer patients to appropriate services to address SDOH. NMMH, NMHH and NMWH will partner with community-based organizations that are able to screen individuals for SDOH.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - NORTHERN ILLINOIS MEDICAL CENTER. Health starts in our homes, schools, workplaces, neighborhoods and communities. Taking care of ourselves by eating well, staying active and making regular visits to the doctor influence our health. Our health is also determined in part by access to social and economic opportunities, community resources, quality education, workplace safety and environmental factors. The condition in which we live explain, in part, why some are healthier than others are. Disparities in community conditions, including income, poverty, employability, food access and housing have been identified as health concerns in McHenry County. A NM system-wide approach will be developed around assessing and collecting SDOH on patients in order to treat the whole patient. Additionally a process will be articulated to make appropriate referrals to community based agencies and organizations that can provide assistance with SDOH. During the Pilot phase of the program, there 2,234 patients screened from March 2021 to May 2021. The age ranges for these individuals were from 2 weeks to 100 years old. Of the social determinants of health screened for, 65% of the patients indicated "no concern." However, the following voiced concern in the following order, mental health 16%, medical home 8%, medication affordability 7%, social connections 7%, food insecurity 6%, transportation 6%, and housing insecurity 4%. Pilot screenings took place from March to May 2021 3.2: NMMH, NMHH and NMWH will increase youth pipeline opportunities by introducing students to healthcare-related careers through presentations and internship experiences. NMMH, NMHH and NMWH will create hiring pipelines for youth and adults in hardship communities to connect to jobs through training programs, targeted outreach and partnerships, and inclusive, local hiring practices. NM will work with internal and external stakeholders and community partners to advocate for reduced barriers to educational attainment and for support to fill workforce gaps. The Project SEARCH Transition-to-Work Program is a unique, business-led, one-year employment preparation program for individuals with developmental disabilities, which takes place entirely at the workplace. Total workplace immersion facilitates a seamless combination of classroom instruction, career exploration, and hands-on training through worksite rotations. The program culminates in individualized job development. The goal for each program participant is competitive employment. To reach that goal, the program provides real-life work experience combined with training in employability and independent-living skills to help young people with significant disabilities make successful transitions to productive adult life. The Project SEARCH model involves an extensive period of skills training and career exploration, innovative adaptations, long-term job coaching, and continuous feedback from teachers, skills trainers, and employers. As a result, at the completion of the training program, students with significant intellectual disabilities are employed in nontraditional, complex and rewarding jobs. In addition, the presence of a Project SEARCH program can bring about long-term changes in business culture that have far-reaching positive effects on attitudes about hiring people with disabilities and the range of jobs in which they can be successful. The Project Search program had eight participants enrolled at the start of the program with a retention rate of 100% and the end of the program. Because of the program, seven of the interns gained employment outside of the organizations and Northwestern Medicine hired one individual. The NM Discovery Program creates a pathway for the next generation of NM leaders by drawing on the talents of our incredible team of health care professionals to provide STEM career exposure. Throughout the two-year Program, students are exposed to a broad range of health care careers through activities including tours, guest speakers, group discussion, and hands-on projects. In addition, the Program fosters character and professional development, cultivates life skills, provides community service and leadership experience, and offers mentorship and networking opportunities. Meetings are held once a month, most often on Saturday mornings. The Program's Northwest Chapter is open to high school students who meet the below eligibility criteria and who reside in Lake and McHenry counties. Meetings are held once a month at Northwestern Medicine Lake Forest Hospital. First Year Applicants must: * Be at least 15 years of age. * Be a resident of McHenry County. * Be entering sophomore or junior year of high school. * Have an academic GPA of at least 3.0 on a 4.0 GPA scale or 3.8 on a 5.0 GPA scale. * Commit to the two-year program, including attendance at all Discovery Program meetings and community service activities. No more than two excused absences are permitted per year. This program was in its inaugural year with 15 students participating at the beginning of the program and a retention rate of 100%. In partnership with McHenry High School (MHS) and Huntley High School (HHS), the Youth Residency Program provides select High School students the opportunity to gain an authentic experience by shadowing alongside medical professionals in numerous healthcare settings. The program follows a blended format that allows students the flexibility to substitute time typically spent in the classroom, at Northwestern Medicine (NM) healthcare facilities. During the first quarter of instruction, students spend time in the classroom completing orientation and learning prerequisite knowledge and skills before rotations begin. Some of these learnings include CPR and Medical Terminology. Beginning with the second quarter, students typically schedule and attend one two-hour rotation per week. There are about 21 medical rotations in total ranging from Cath Lab to Wound Care. Independent time and in-class time is spent researching in preparation for rotations, reflecting on learning experiences, and deepening understanding of the science behind various procedures and technologies observed. The application process differs at each High School, but it is a high demand and selective program to be admitted to. HHS is in their 5th year of the program and MHS is in their 3rd. Both schools will remain doing virtual education until we receive clearance that on-site rotations are safe to continue. The program participants from MHS was 29 and HHS was 29 with 17 Northwestern Medicine Hospital departments providing experiences for the students. 3.3: NMMH, NMHH and NMWH will establish a diversity and inclusion (D&I) infrastructure with partnerships across the organization to promote, support, and activate inclusive strategy, culture and behavior that differentiates NM as an inclusive values-driven organization. The NM Diversity and Inclusion program seeks to embed D&I practices and behaviors into what employees do each day by establishing a D&I infrastructure with partnership across the organization to promote, support, and activate inclusive strategy, culture, and behavior that differentiates NM as an inclusive values-driven organization. This will foster engagement, mitigate bias, engender a day-to-day sense of belonging in the workplace, and evolve an internal environment that reflects the outside. During the pilot program there were six individuals identified and trained as facilitators. Additionally the program boasted over 65 e-learnings around diversity and inclusion. As part of the ongoing efforts to engage Northwestern Medicine's workforce four Champion Networks were established, with over 800 employees participating on these culturally sensitive networking offerings. 3.4: NMMH, NMHH and NMWH will foster collaborations with community-based organizations. Individuals interacting with these agencies will be screened for income based programs or food insecurity and, when positively identified, will receive vouchers to purchase fresh fruits and vegetables at area farmers' markets. NM MH, NM HH and NM WH has established relationships with local food pantries, food distribution partners and other local support systems to help bridge the gap of food insecurity. Along with these partnerships, a Farmer's Market Coupon Program was implemented as well. Since 2018, the Farmers Market Coupon Program has helped area residents with limited budgets purchase fresh fruits and vegetables from local farmers markets. In cooperation with community partners, NM MH, NM HH and NM WH distributes coupons to specific populations within McHenry County. Recipients then redeem the coupons with farmers' market vendors in McHenry County.
Schedule H, Part V, Section B, Line 11 Facility , 4	Facility , 4 - NORTHERN ILLINOIS MEDICAL CENTER. NM MH, NM HH and NM WH reimburses the farm vendors for their produce sold, and as a result, more families benefit from fresh fruits and vegetables into their daily diets. NM MH, NM HH and NM WH identified four community partners to serve as distributions points for the coupons. These agencies were selected as they provide support to low-income residents of McHenry County. The number of vouchers distributed was 900 with a redemption amount of $8,100 paid to local farmers. Since Farmers Markets were not as active given the ongoing pandemic, NM MH NM HH and NM WH provided $15 grocery vouchers to community partners with a face value of $8,500. Additionally, in-kind donations were made to the Northern Illinois Food bank for $12,000 and to the United Way of McHenry County for $5,000 to support food insecurity activities in McHenry County. 3.5 NMMH, NMHH and NMWH will foster collaborations with community-based organizations that address housing instability. Housing instability encompasses a number of challenges, such as trouble paying rent, overcrowding, moving frequently, staying with relatives, or spending of household income on housing expenses. Households are considered cost burdened if they spend more than 30 percent of their income on housing and severely burdened if they spend more than 50 percent of their income on housing. Cost-burdened households have little left over each month to spend on other necessities, such as food, clothing, utilities and health care. NM MH, NM HH and NM WH will identify agencies and provide in-kind support to programs that support housing instability for McHenry County residents. Northwestern medicine provided in-kind donations to local organizations that are regularly engaged in supporting individuals facing housing instability. These organizations and the amounts provided include Habitat for Humanity McHenry County $2,500, Refuge for Women, Inc. $250, United Way of McHenry County $5,000, Elderwerks $2,000, Veterans Path to Hope $1,000 and Home of the Sparrow $10,000. NON-PRIORITY AREAS: The CHNA report identified areas of opportunity for health improvement for which NM NWR and the community health council (CHC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Arthritis: This condition is addressed through the NM NWR care delivery system. Asthma: This condition is addressed through the NM NWR care delivery system. Caregiver Support: This need was assessed by the community as a relatively low priority and is better addressed through external community agencies who provide these services. e-Cigarette and tobacco use: This need was assessed by the community as a relatively low priority and is address through the NM NWR care delivery system. Transportation: This need was assessed by the community as a relatively low priority and is address through the NM NWR care delivery system along with other community agencies.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. IN ADDITION TO THE DOCUMENTED 200% OF FPG, WE ALSO PROVIDE A SLIDING SCALE DISCOUNT OF 80% FOR THOSE WHO HAVE FPG UP TO 350%. IN ADDITION WE HAVE PRESUMPTIVE CHARITY WHICH ALLOWS FOR CHARITY DISCOUNTS/FINANCIAL ASSISTANCE TO THOSE WHO CURRENTLY MEET MEDICAID ELIGIBILITY OR OTHER STATE PROGRAMS BASED ON FPG WHO MAY NOT HAVE HAD INSURANCE COVERAGE AT THE TIME OF THE SERVICE WE PROVIDED.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured or underinsured. Those who do not qualify for free care will receive a sliding scale discount off the gross charges for their medically necessary services based on their family income as a percent of the Federal Poverty Guidelines. These patients are expected to pay their remaining balance for care, and may work with financial counselors to set up a payment plan based on their financial situation. Patients seeking assistance may first be asked to apply for other external programs (such as Medicaid or insurance through the public marketplace) as appropriate before eligibility under this policy is determined. Additionally, any uninsured patients who are believed to have the financial ability to purchase health insurance may be encouraged to do so to help ensure healthcare accessibility and overall well-being. NMHC will not bill patients who have been deemed eligible for financial assistance coverage for eligible care or services, including care or services that are emergent or medically necessary, more than the amounts generally billed to insured patients. Patients who are uninsured or underinsured and have a household income at or below the thresholds per Federal Poverty Guidelines will receive full or partial discount off their balance. The policy is updated on an annual basis to represent the most current federal poverty guideline levels and the appropriate sliding scale for full and partial discounts. To be considered eligible for financial assistance, patients may be required to cooperate with NMHC to explore alternative means of assistance if necessary, including Medicare and Medicaid. Patients will be required to provide necessary information and documentation when applying for hospital financial assistance or other private or public payment programs. NMHC may seek to determine eligibility for financial assistance prior to rendering non-emergent services. In certain non-emergent circumstances it may be necessary to provide care or evaluation to the patient before eligibility can be determined. When determining patients' eligibility, NMHC does not take into account race, gender, age, sexual orientation, religious affiliation, national origin or social or immigrant status. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Presumptive Homelessness; B. Presumptive Mental incapacitation with no one to act on the patient's behalf; C. Presumptive Scoring when NMHC can utilize publically available information as well as internal payment and documentation history to determine if a patient is eligible for presumptive financial assistance without completion of an application. D. Presumptive Deceased with no estate; E. Presumptive State Program: Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services. F. Presumptive Out of State Program for patients who are eligible for out of state programs based on FPG where NMHC does not participate; G. Additional Presumptive Criteria may also be recommended, including the following: 1. Recent Personal Bankruptcy; 2. Incarceration; 3. Affiliation with a religious order which includes a vow of poverty; 4. Enrollment in temporary assistance for needy families (TANF); or 5. Enrollment in IHDA's Rental Housing Support Program. NMHC also partners with third-parties and other eligibility vendors, to help identify patients who may be eligible for financial assistance, presumptive financial assistance under this policy or through other public and private programs including identifying other sources of third party payment, i.e. health insurance coverage. NMHC may also use previous financial assistance eligibility determinations as a basis for determining eligibility in the event that the patient does not provide sufficient documentation to support an eligibility determination. Financial assistance applications on file at NMHC may be used for a time period of up to six months after the date of submission. All patients presumptively determined to be eligible for less than the most generous amount of assistance available under this policy (free care) will be informed about how the discount amount was calculated and given a reasonable amount of time to submit an application for further financial assistance.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 2	ON JANUARY 1, 2021, NMHC BECAME THE SOLE MEMBER OF PALOS COMMUNITY HOSPITAL. THE ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD UNANIMOUSLY APPROVED THE APPLICATION FOR PALOS TO JOIN NMHC IN NOVEMBER 2020.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - Northwestern Medicine Palos Hospital. The CHNA report also describes NMPH CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Northwestern Medicine Palos Hospital. The hospital facility took into account input from persons who represent the community, including uninsured persons, low-income persons and minority groups, through community input surreys, community focus groups, healthcare and social service provider focus groups, and stakeholder assessments. The NMPH TY2020 CHNA was conducted in collaboration with Professional Research Consultants, Inc. (PRC). Together, we completed a comprehensive analysis of the collected data. This included soliciting input from target populations such as medically underserved, low-income and minority populations. Once the data analysis was complete, community representatives were formally engaged to participate in the NMPH prioritization process. Key stakeholders were selected based on strong collaborative efforts to improve the health of the community, and their varied backgrounds provided diverse insight into prioritizing the identified health needs. These stakeholders used a structured process to inform prioritization, which included a review of guiding principles and CHNA data findings, as well as participation in robust conversations regarding community health needs for the NMPH CSA. Following the prioritization process, NMPH applied a systematic approach to develop strategies to address the priority health needs. Working with the NMPH Community Health Council, a multidisciplinary committee of internal stakeholders, the team identified actions, resources, anticipated impacts and planned collaborations to have the greatest possible effect. In developing these strategies, NMPH was mindful of its own strengths and those of other organizations in our CSA. Identified strategies supplement and work in tandem with existing Community Benefit strategies and operations at NMPH and NMHC. This Implementation Plan will be reviewed and updated as needed during the year-long span of the NMPH 2021 CHNA to ensure viability and impact. The next NMPH CHNA will be conducted in 2022, at which time a three year CHIP will be adopted. NMPH efforts will be communicated regularly to reporting agencies and our community.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - Northwestern Medicine Palos Hospital. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also shared with the following: 1. Key community organizations 2. Northwestern University Institute of Public Health and Medicine 3. Palos Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Northwestern Medicine Palos Hospital. NMPH adopted a new implementation strategy in FY2022 (TY 2021) in alignment with the most recent CHNA. For Line 11, we are reporting on TY 2019 implementation strategies as this is the most recent outcomes data available. Through the 2019 prioritization process, Palos identified four Priority Health Needs: 1. Access to Health Services 2. Mental Health and Substance Use 3. Chronic Disease - Heart Disease, Stroke, Diabetes, Cancer - Prevention Initiatives related to Food and Nutrition 4. Transportation and Housing Palos identified health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which Palos is addressing the significant needs identified in its CHNA conducted in 2019 are defined as follows: Priority Need 1: Access to Health Services 1.1: Strategy: Continue to grow the Palos Medical Group (PMG) in terms of number of providers and locations including primary care and specialties, while improving efficiencies to reduce wait times for appointments. PMG continued its strategy of growth, both in terms of providers and specialties. At the outset of fiscal year (FY) 2019 until March 2021, PMG added 16 providers and new specialties that include Colorectal Surgery and Pulmonology. The most significant addition, with respect to addressing priority issues chosen for action in the FY2019-FY2021 period, was the establishment of the Cardiovascular Institute, which consists of eight physicians and six advanced practice providers. New procedures were also put in place to reduce patient wait times by obtaining patient information prior to a patient's appointment. 1.2: Strategy: Inform patients during the scheduling process about availability of exams at the free-standing Imaging Center to offering patients a lower-cost option. The Scheduling department continued the process of proactively informing about the lower-cost option available at the Palos Imaging and Diagnostic Center patients about a lower-cost option available a few miles from the hospital. 1.3 Strategy: Introduce a cardiac diagnostics at the free standing Imaging Center to offer new lower cost options to patients. Non-Invasive Cardiology testing at the South campus provides patients an alternative, convenient place for the same high level of cardiac testing as available at the hospital. Cardiology exams available at the South Campus include EKG, Holter and event monitoring, exercise stress, stress-echo and cardiac nuclear testing. PMG cardiologists also have appointments available to see patients at this convenient location. Providers belonging to the clinically integrated network received information about this option available for their patients. 1.4 Strategy: Collaborate through the clinical affiliation with Loyola to assure the availability of specialists and specialty programs in the local community. Palos utilizes a telestroke service by which Loyola University Medical Center (LUMC) provided real-time remote physician access and consultation services through a robotic process for patients presenting at the Emergency Department with stroke symptoms. Through the joint-venture entity, South Campus Partners, radiation oncology services were provided to patients on a local basis, including access to an MRI-guided linear accelerator. The option of a licensed ambulatory surgical center, the Palos Health Surgery Center, with Palos Hospital, LUMC and United Surgical Partners, is available. LUMC provided infusion services at the Palos Health facility located in Orland Park. Each of these initiatives resulted in enhancing access to more specialized care and physicians for the residents of the Palos service area. 1.5 Strategy: Encourage use of Palos My Chart to facilitate access to relevant patient specific clinical information to promote continuity and efficiency in the delivery of care. My Chart (EMR): In February 2021, PMG patients age 65 and older received an invitation to schedule a COVID-19 vaccination appointment. Invitations were based on vaccine supply and sent on a rolling basis. When patients became eligible to schedule an appointment, they were notified through Palos MyChart. If patients did not have a MyChart account, invitations were sent via phone call or email. As of January 2021, more than 50,000 patients were using the Palos MyChart patient portal. This represents a 36.0% increase in utilization from January 2020. Telehealth: Palos launched the patient telephone and telehealth video visits at the end of March 2020 through 2021 to reduce in-person visits during the COVID-19 pandemic. In the early months, PMG providers conducted about 1,100 virtual visits per month. Endocrinology, Behavioral Health and the Cardiovascular Institute used this technology the most. Usage has since declined, but telehealth functionality remains as an alternative to in-person visits. 1.6 Strategy: Expand care coordination efforts to manage patient acuity and deploy resources intended to provide support to patients in dealing with disease and reduce acute episodic treatment. Care Coordination: Care coordination is an integral part of the Chicago Health Colleagues' population health initiatives. Registered nurse care coordinators employed by Palos Health conduct phone outreach to the patients of the Chicago Health Colleagues employed and independently participating providers. Some topics addressed with patients include assessing barriers to care, assistance with appointment setting, education on disease management and post-discharge planning. As a result of the COVID-19 pandemic, care coordination services became even more critical. Patients could not rely on a caregiver to assist them with recalling and understanding hospital discharge instructions because of limited visitation policies. Patients diagnosed with COVID-19 needed ongoing education, support and connection to healthcare services after their discharge from the hospital or Emergency Department (ED). As a result of changes in staffing and the integration to Northwestern Medicine, information on this strategy is unavailable. Health Equity and Unconscious Bias Training: Chicago Health Colleagues engaged in a project with our commercial Accountable Care Organization (ACO) to offer Health Equity and Unconscious Bias Training to both the employed and independently practicing primary care providers in Chicago Health Colleagues network. The purpose of the Health Equity and Unconscious Bias Training was to increase clinicians' knowledge on unconscious bias and other health-equity, practice-based skills, by applying learned knowledge in case-based learning scenarios. A benchmark completion rate of 80% was set as a measure of success for the network's eligible providers, which Chicago Health Colleagues providers exceeded. As a result of changes in staffing and the integration to Northwestern Medicine, information on this strategy is unavailable. Race, Ethnicity and Language Health Disparity Analysis: Chicago Health Colleagues conducted an analysis of the race, ethnicity and language demographics of our commercial ACO population. The analysis sought to identify the race, ethnicity and language makeup of the ACO population and to identify any potential disparities in care observed for common preventive health measures. Using claims data for our commercial ACO population and demographics information collected and stored in the Epic electronic health record (EHR), Chicago Health Colleagues was able to stratify patients into their respective racial, ethnic and language groups and analyze these groups against gaps in care. Chicago Health Colleagues did not observe any disparities in the analyzed population related to race, ethnicity or language across health metrics such as rates of breast, cervical and colorectal cancer screening. We did identify the need for further opportunities to expand the selection of ethnic groups available in the Epic EHR. This could add more refinement and sensitivity for future analyses. As a result of changes in staffing and the integration to Northwestern Medicine, information on this strategy is unavailable. 1.7 Strategy: Improve relations with area skilled-nursing facilities to enhance continuity of patient care. Palos providers, a combination of physicians and advance practice registered nurses, oversaw the care of post-acute Palos Hospital patients in eight area skilled nursing facilities. When patients transition home, continuity in care is provided through home healthcare. In the event patients require long-term skilled nursing care, they may wish to transition to palliative care, which is also available through our community-based medicine program.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Northwestern Medicine Palos Hospital. 1.8 Strategy: Explore alternative delivery models and provide new options to reduce costs to patients. Chronic Care Management Pilot Project: Chicago Health Colleagues, along with leaders of Palos Home Health, Community-Based Medicine and Care Coordination, developed a pilot plan for the implementation of a chronic care management (CCM) program. The mission of this program was to develop the technical, clinical and administrative infrastructure needed to enroll, monitor and care for patients eligible for CCM as stipulated by Medicare CCM program guidelines. A central goal of the program is to deliver personalized, interactive outreach and care planning to patients with multiple chronic conditions between their regular provider appointments. The purpose of this individualized patient engagement is to reduce avoidable ED visits, hospital admissions and improve the quality of life for patients. As a result of changes in staffing and the integration to Northwestern Medicine, information on this strategy is unavailable. Commercial ACO ED Avoidance Pilot Project: Chicago Health Colleagues was engaged by our commercial Accountable Care Organization (ACO) to take part in a pilot project for intervention with patients who have chronic lung disease. The pilot program uses predictive modeling to identify patients who may be at risk for an ED encounter in the near future. Leaders of care coordination and the Heart and Lung Wellness Center engaged with our commercial ACO to offer insights, feedback and strategies to enhance the effectiveness of the predictive model. Collaboration between clinical leaders and our commercial ACO continues. We hope to use this information to be able to reach patients with the tools at the disposal of our care coordination team, before an event leading to a potentially avoidable ED encounter or hospital admission. As a result of changes in staffing and the integration to NM, information on this strategy is unavailable. 1.9 Strategy: Use clinically integrated network to improve the coordination of care between the hospital and physicians. Provider Educational Opportunities: Chicago Health Colleagues engaged in the creation and distribution of several important educational opportunities for the provider network. Educational opportunities on a variety of subjects, diseases, therapies and treatments were created in conjunction with our network providers. These events brought together employed and independent providers to learn about best practices that could be used to inform their patient care practices. To improve accessibility the Chicago Health Colleagues continued to use a virtual format to deliver CME education. Overall, these efforts resulted in a 30% increase in providers meeting Chicago Health Colleagues annual participation criteria. Priority Need 2: Mental Health and Substance Use 2.1 Strategy: Provide a broad range of outpatient services including partial hospitalization, intensive outpatient programming and counseling. Inpatient services: Crisis stabilization, structure group, individual and family therapy, medication evaluation and management, detox services, aftercare coordination and introduction to the 12-step program. Outpatient services: Partial hospitalization program (PHP), intensive outpatient program (IOP), and the substance use disorder intensive outpatient program (SUDIOP). Outpatient behavioral health appointments (PMG Behavioral Health Services): Medication-assisted treatment for addictions, psychiatric medication management, individual and family therapy and eye movement desensitization and reprocessing (EMDR) therapy. Transcranial magnetic stimulation (TMS): A noninvasive treatment for depression. 2.2 Strategy: Promote the availability of mental health providers (including psychiatrists) to meet the growing demand for services. FY2021 saw an overall increase of 1 mental health provider. There was no change in the number of psychiatrists available at the beginning of FY2021 to the end of FY2021 (7); 1 additional advanced practice registered nurse (5); one fewer addiction specialists (0); no change in psychologists (0); and an increase of 1 licensed social worker (4). 2.3 Strategy: Provide free community-based seminars on issues impacting mental health and substance abuse. While many community education classes were halted during COVID-19, Palos offered Smart Recovery to help patients struggling with substance use during the pandemic. Most in-person opportunities were halted due to safety protocols. 2.4 Strategy: Improve awareness of mental health and substance abuse and address issues related to stigma. Palos Hospital utilized social media and direct mail to provide education about mental health and services available. 2.5 Strategy: Develop stronger relationships with referring agencies such as PLOWS and Crisis Center for South Suburbia Crisis Center for South Suburbia: Staff Christmas donations National Suicide Prevention Lifeline: Crisis line phone number included on all discharge paperwork, after-visit summaries and patient safety plans Alcoholics Anonymous (AA): Provided referrals for outpatients and offered on the hospital unit for inpatients Emotions Anonymous (EA): Provided referrals for outpatients and offered on the hospital unit for inpatients Trinity Services, Inc.: Mutual participation in the Reducing Risk and Recidivism initiative, which is a three-year federal grant focusing on developing a mobile crisis response unit; providing training to officers, behavioral health providers and the community; and holding resource awareness events to connect community members to services. This initiative began in October 2019, and Maria Singer, RN, represents Palos on the interagency committee. Palos committed to a working relationship with the police departments and Trinity Services for patients with mental health and substance use disorders in the community. This collaboration includes: Police departments (six): Orland Park, Orland Hills, Palos Park, Palos Heights, Oak Forest, Midlothian Hospitals (three): Palos, Ingalls, Silver Oaks Trinity Services, Inc. EMS and first responders Representatives from local community agencies Office of the State's Attorney Office of Guardianship and Advocacy (Illinois). 2.6 Strategy: Expand support group offerings to increase options for family members with loved ones facing mental health or substance use issues AA (referral) Al-Anon (referral) Emotions Anonymous (referral) Smart Recovery (in-person at Palos facility) Smart Recovery Family & Friends (in-person at Palos facility) Recovery Group (patients discharged from SUDIOP or PHP/IOP Dual Diagnosis) Mental Health Recovery Group (PMG) Family Wellness Recovery Group (family members of current patients in PHP/IOP) Aftercare - Staying on your Path (patients who successfully completed SUDIOP or Co-Occurring Programs) Priority Need 3: Chronic Disease 3.1 Strategy: Enhance care coordination program to help patients manage their condition through appointments and resources available. Caregiver Resource Center fielded received 230 visits/phone calls to provide resources Caregiver Support Group had 40 attendees More than 100 participants attended the Bereavement Support Group Nearly 400 bereaved loved ones participated in the bereavement program 3.2 Strategy: Improve relationship with area food pantries to educate clients about how nutrition impacts long-term health. Community outreach to local pantries continues to evolve. 3.3 Strategy: Work with area homeless shelter to provide nutritious meals. Food donations to local homeless shelter was paused due to the shelter's COVID-19 safety protocols. 3.4 Strategy: Review opportunity for growth of Palos Hospital's Home Delivered Meal Program. The Home-Delivered Meal program provides access to nutritious food, in addition to a wellness check for participants. Any changes in a client's health or other issues are reported. Clients have reported appreciation for the kind-hearted volunteers. A total of 9,498 meals were served during this reporting year. During the pandemic, the need for this service was amplified because of an increased number of seniors sheltering in place and needing access to food. Clients have the option to receive a protein drink, free of charge, with their meal. Priority Need 4: Transportation and Housing 4.1: Strategy: Grow community-based medicine to address the health care needs of homebound patients The Community-Based Medicine program has a census of more than 750 patients and provides a combination of house calls and palliative care. 4.2 Strategy: Launch pilot discounted transportation program for rehabilitation therapy patients. This strategy was not addressed due to unforeseen circumstances.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - Northwestern Medicine Palos Hospital. Non-Priority Areas: The CHNA report identified areas of opportunity for health improvement for which Palos determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. In acknowledging the wide range of priority health issues that emerged from the CHNA process, Palos Community Hospital determined that it could only effectively focus on those which it deemed most pressing, most under-addressed, and most within its ability to influence. Age-related Illness As an acute care hospital, it is Palos' role to provide medical services for all patients who present for care. Many age-related illnesses are chronic. Palos is focusing on food and nutrition and the relationship to chronic disease. Palos offers a class that focuses on balance to help prevent falls in the aging populations. Palos works with Pathlights (formerly known as PLOWS) to develop programming related to age-related illness. Palos has limited resources to address all health care and social needs of the population. Other community organizations and resources are available and have programs and infrastructures in place to better meet this need. Cancers Palos offers an array of programs and services related to cancer prevention, diagnosis and treatment. The integrating with Northwestern Medicine has improved patient access to quaternary level of cancer care. Lung Disease/Tobacco Use Palos offers access to smoking cessation information and education and incorporates smoking cessation information in inpatient and outpatient settings. Therefore, it was determined that a separate set of initiatives for lung health/tobacco use is not necessary. Motor Vehicle Crash Injuries Data for the Palos service area did not indicate a higher than expected percentage of persons at risk for motor vehicle crash injuries. Palos has limited resources to address all health care and social needs of the population. Oral Health Palos has limited resources, services and expertise to address oral health issues including dental visits for adults. There are significant resources available to the community to provide dental services.

Field	Value	IRS element (for citing)
Facility	291	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (291 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
541 Fairbanks
541 N Fairbanks	Chicago	IL	60611	Admin
Lavin
259 E Erie St	Chicago	IL	60611	MOB
Arkes
676 N St Clair	Chicago	IL	60611	Admin
441445 East Ontario
441/445 East Ontario	Chicago	IL	60611	Parking Garage
Ambulatory Svc Pav
25 N Winfield Road	Winfield	IL	60190	MOB
633 N St Clair
633 N St Clair	Chicago	IL	60611	Other
Lavin Garage
259 E Erie St	Chicago	IL	60611	Parking Garage
Erie-McClurg Parking
425 E Erie	Chicago	IL	60611	Parking Garage
15300 West Ave
15300 West Ave	Orland Park	IL	60462	MOB
LFHospital Grayslake Outpatient Center
1475 E Belvidere Rd	Grayslake	IL	60030	Clinical
211 Ontario
211 Ontario	Chicago	IL	60611	Admin
Marianjoy MOB
26W171 Roosevelt Road	Wheaton	IL	60187	MOB
Patriot Bldg
2701 Patriot Blvd	Glenview	IL	60026	MOB
Health Bridge Huntley
10450 Haligus Road	Huntley	IL	60142	Other
Delnor 351 MOB
351 Delnor Rd	Geneva	IL	60134	MOB
Kish Wellness Center
626 Bethany Rd	DeKalb	IL	60115	Other
1000 Westmoreland - PAV B
1000 Westmoreland Rd Pav C	Lake Forest	IL	60045	MOB
NLFH Bays 900 N A Wing
900 N Westmoreland Rd	Lake Forest	IL	60045	MOB
680 Bldg
680 Lake Shore Drive	Chicago	IL	60611	MOB
Health Bridge Crystal Lake
200 E Congress Parkway	Crystal Lake	IL	60014	Other
Keystone MOB
4525 Weaver Parkway	Warrenville	IL	60555	Admin
Delnor 302 MOB
302 Randall Rd	Geneva	IL	60134	MOB
NLFH Westmoreland Bldg
600 N Westmoreland	Lake Forest	IL	60045	MOB
1475 E Belvidere (MOB)
1475 E Belvidere Rd	Grayslake	IL	60030	MOB
Oak Brook Commons MOB
2111 McDonalds Drive	Oak Brook	IL	60523	MOB
KPG Dekalb Clinic
1850 Gateway Dr	Sycamore	IL	60178	MOB
River North MOB
636 Raymond Drive	Naperville	IL	60563	MOB
Delnor Health & Wellness Ctr
296 Randall Rd	Geneva	IL	60134	Other
Danada MOB
7 Blanchard Circle	Wheaton	IL	60187	MOB
1840 Oak Avenue
1840 Oak Avenue	Evanston	IL	60201	MOB
Cantera Offices
27650 Ferry Road	Warrenville	IL	60555	MOB
Huntley ACM
10350 Haligus Road	Huntley	IL	60142	MOB
Warrenville Cancer Center Bldg
4405 Weaver Parkway	Warrenville	IL	60555	MOB
Northwestern Health & Fitness Institute
1200 N Westmoreland	Lake Forest	IL	60045	Other
Northwestern Health & Fitness Institute
3098 Falling Waters Blvd	Lindenhurst	IL	60046	Other
Grayslake OutPt- BLDG A - 1475
1475 E Belvidere Rd	Grayslake	IL	60030	MOB
1033 University Place
1033 University Place	Evanston	IL	60201	MOB
St Charles MOB
2900 Foxfield Road	St Charles	IL	60174	MOB
Proton Center
4455 Weaver Parkway	Warrenville	IL	60555	MOB
17333 S La Grange Rd AlphaMed
17333 S La Grange Rd	Tinley Park	IL	60487	MOB
Winfield MOB
0S036 Church St	Winfield	IL	60190	MOB
Stratford North MOB
215-235 Gary Ave	Bloomingdale	IL	60108	MOB
Behaviorial Health Bldg
27W350 High Lake Rd	Winfield	IL	60190	MOB
21202 S Owens Road
21202 S Owens Road	Mokena	IL	60448	MOB
Westmoreland - PAV A
1000 Westmoreland Rd Pav B	Lake Forest	IL	60045	MOB
2111 Midlands
2111 Midlands Ct	Sycamore	IL	60178	MOB
1880 Oak Avenue
1880 Oak Avenue	Evanston	IL	60201	MOB
Q CenterWoodlands Office Bldg
1405 North 5th Avenue	St Charles	IL	60174	Admin
FeinbergGalter
251 E Huron St	Chicago	IL	60611	MOB
MOB-B 4309 Medical Center Drive
4309 Medical Center Dr	McHenry	IL	60050	MOB
Kish Pavillion
5 Kish Hospital Dr	DeKalb	IL	60115	MOB
Grayslake Prof Bldg - 1275 MOB
1275 E Belvidere Rd	Grayslake	IL	60030	MOB
Prentice
250 E Superior St	Chicago	IL	60611	MOB
Wheaton Med MOB
1800 N Main Street	Wheaton	IL	60187	MOB
1325-41 West Belmont
1325-41 West Belmont	Chicago	IL	60657	MOB
Glen Ellyn MOB
885 Roosevelt Road	Glen Ellyn	IL	60137	MOB
Support Svc Building
371 Schmale Road	Carol Stream	IL	60188	Admin
Aurora MOB
2635 Church Road	Aurora	IL	60502	MOB
420 N IL RT 31
420 N IL Rt 31	Crystal Lake	IL	60012	MOB
NLFH McGaw 800 Bldg
800 N Westmoreland Rd	Lake Forest	IL	60045	MOB
360 Station Drive
360 Station Drive	Crystal Lake	IL	60014	MOB
10370 Haligus Road
10370 Haligus Rd	Huntley	IL	60142	MOB
Delnor Cancer Center
304 Randall Road	Geneva	IL	60134	MOB
Stratford South MOB
245 S Gary Avenue	Bloomingdale	IL	60108	MOB
Woodstock MOB2 - 3707 Doty Rd
3707 Doty Rd	Woodstock	IL	60098	MOB
2507 Richmond Road
2507 Richmond Rd	McHenry	IL	60050	MOB
1630 Sherman
1630 Sherman	Evanston	IL	60201	MOB
IRCC (Health Progress JV)
10 Health Services Dr	DeKalb	IL	60115	MOB
7340 W College Drive
7340 W College Drive	Palos Heights	IL	60463	MOB
633 Emerson
633 Emerson St	Evanston	IL	60201	MOB
1460 North Halsted
1460 North Halsted	Chicago	IL	60642	MOB
Mona Kea Medical Park
501/515/517 Thornhill	Carol Stream	IL	60188	MOB
6155 Grand Ave
6155 Grand Ave	Gurnee	IL	60031	MOB
Snyder Building
27W353 Jewell Road	Winfield	IL	60190	Admin
NLFH CEP (Central Energy Plant)
660 N Westmoreland	Lake Forest	IL	60045	Other
St Charles Medical Park
XXX-XX-XXXX N 5th Avenue	St Charles	IL	60174	MOB
Delnor Family Residency Bldg
298 S Randall Rd	Geneva	IL	60134	MOB
150 West Roosevelt
150 West Roosevelt	Chicago	IL	60605	MOB
1704 Maple Avenue
1704 Maple Avenue	Chicago	IL	60021	MOB
Fresh Market
285 W Roosevelt	Glen Ellyn	IL	60137	MOB
Bartlett MOB
820 S Route 59	Bartlett	IL	60103	MOB
850 N Milwaukee
850 N Milwaukee	Vernon Hills	IL	60061	MOB
213 Front Street
213 Front Street	McHenry	IL	60050	Admin
7500 College Dr
7500 College Dr	Palos Heights	IL	60463	Admin
350 Waukegan
350 Waukegan Rd	Deerfield	IL	60015	MOB
12255 S 80th Avenue
12255 S 80th Avenue	Palos Heights	IL	60463	Clinical
Sage Cancer Center
4305 Medical Center Dr	McHenry	IL	60050	MOB
Cornerstone MOB
2001 Wiesbrook Road	Wheaton	IL	60187	MOB
Valley West MOB
1310 N Main St	Sandwich	IL	60548	MOB
737 N Michigan
737 N Michigan	Chicago	IL	60611	MOB
South Naperville MOB
101 E 75th Street	Naperville	IL	60565	MOB
645 North Michigan
645 North Michigan	Chicago	IL	60611	MOB
MOB A 4309 Medical Center Drive
4309 Medical Center Dr	McHenry	IL	60050	MOB
260 E Congress Parkway
260 E Congress Parkway	Crystal Lake	IL	60014	MOB
Delnor Cancer Resource Ctr (Living Well)
442 Williamsburg Ave	Geneva	IL	60134	MOB
1776 North Milwaukee
1776 North Milwaukee	Chicago	IL	60647	MOB
650 Dakota Street
650 Dakota Street	Crystal Lake	IL	60012	MOB
710 N Lake Shore Dr
710 N Lake Shore Dr	Chicago	IL	60611	MOB
27332737 Sycamore
2731/2733/2737 Sycamore Rd	DeKalb	IL	60115	MOB
BHS Ben Gordon Cental Ofc
12 Health Services Dr	DeKalb	IL	60115	MOB
Delnor Surgery Center
345 Delnor Drive	Geneva	IL	60134	MOB
0N040 Church Street (Winfield Parking)
0N040 Winfield Rd	Winfield	IL	60190	Parking Garage
Fargo MOB
2425 Fargo Blvd	Geneva	IL	60134	MOB
25 North Third Street
25 N Third St	Geneva	IL	60134	MOB
NLFH East&West 700 Bldg
700 N Westmoreland Rd	Lake Forest	IL	60045	MOB
385 Wirtz Drive
385 Wirtz Drive	DeKalb	IL	60115	Other
20 South Clark
20 South Clark	Chicago	IL	60603	MOB
Woodstock MOB1 3703 Doty Rd
3703 Doty Rd	Woodstock	IL	60098	MOB
2120 Midlands
2120 Midlands Court	Sycamore	IL	60178	MOB
Gary Medical LLC
2001 Gary Avenue	Wheaton	IL	60187	MOB
Plank Road Clinic
165 E Plank Rd	Sycamore	IL	60178	MOB
394 Federal Drive
394 Federal Drive	Crystal Lake	IL	60014	MOB
NLFH Dearhaven Bldg
1100 N Westmoreland Rd	Lake Forest	IL	60045	Other
329 West 18th Street
329 West 18th Street	Chicago	IL	60611	Admin
27272729 Sycamore
2727/2729 Sycamore Rd	DeKalb	IL	60115	MOB
Rochelle Crossings
450 Coronado Dr	Rochelle	IL	61068	MOB
NLFH Grounds Building
940 N Westmoreland	Lake Forest	IL	60045	Other
525 Rockland Rd
525 Rockland Rd	Lake Bluff	IL	60044	MOB
4732 North Lincoln
4732 North Lincoln	Chicago	IL	60625	MOB
Elburn MOB
905 N First Street	Elburn	IL	60119	MOB
Healthtrack Offices
875 Roosevelt Road	Glen Ellyn	IL	60137	MOB
150 East Huron
150 East Huron	Chicago	IL	60611	MOB
1513 DeKalb
1513 Dekalb Ave	Sycamore	IL	60178	MOB
South Elgin - Express Care
542-552 Randall Road	South Elgin	IL	60177	MOB
211 E Chicago
211 E Chicago	Chicago	IL	60611	MOB
14 Health Services Drive
14 Health Services Dr	DeKalb	IL	60115	MOB
11650 S Route 47
11650 S Rte 47 Huntley	Huntley	IL	60142	MOB
4201 Medical Center Drive
4201 Medical Center Dr	McHenry	IL	60050	Other
15295 E 127th St
15295 E 127th St	Lemont	IL	60439	MOB
Twin MOB
308 Randall Road	Geneva	IL	60134	MOB
Twin Dialysis Building
306 Randall Road	Geneva	IL	60134	MOB
KHS Office Annex
2475 Bethany Rd	DeKalb	IL	60178	MOB
360 Terra Cotta Road
360 Terra Cotta Rd	Crystal Lake	IL	60012	MOB
111 West Washington
111 West Washington	Chicago	IL	60602	Inactive
500 Coventry Lane
500 Coventry Lane	Crystal Lake	IL	60014	MOB
Port Clinton Square - 600 Central
600 Central Ave	Highland Park	IL	60035	MOB
1925 to 1947 Huntley Road
1925-1947 Huntley Rd	West Dundee	IL	60118	MOB
Foxpointe
760 Foxpointe Dr	Sycamore	IL	60178	MOB
1122 N Main Street
1122 N Main Street Suite D	Algonquin	IL	60102	MOB
2127 Midland Court
2127 Midland Court	Sycamore	IL	60178	MOB
Two Transam Plaza
2 Transam Plaza Drive	Oakbrook Terrace	IL	60181	Other
BHS Community Support
631 S First St	DeKalb	IL	60115	MOB
1952 Aberdeen
1952 Aberdeen	Sycamore	IL	60178	MOB
Elgin MOB
1600 Randall Road	Elgin	IL	60123	MOB
171 North Aberdeen
171 North Aberdeen	Chicago	IL	60607	MOB
625 N Michigan
625 N Michigan	Chicago	IL	60611	MOB
St Charles Executive Ctr
2570 Foxfield Dr	St Charles	IL	60174	MOB
Lisle MOB (CDPG)
1019 School Street	Lisle	IL	60532	MOB
Genoa
599 Pearson Dr	Genoa	IL	60135	MOB
635 Dearborn
635 Dearborn	Chicago	IL	60654	MOB
IT Data Center - 2200 Busse
2200 Busse Rd	Elk Grove	IL	60007	Other
Sugar Grove Bldg (The Landings)
414 Division Street	Sugar Grove	IL	60554	MOB
750 E Terra Cotta 60012
750 E Terra Cotta Suite B	Crystal Lake	IL	60012	MOB
1465 Commerce Drive
1465 Commerce Drive	Algonquin	IL	60142	MOB
BHS Discovery House
220 College Ave	DeKalb	IL	60115	MOB
RMG Pediatrics Geneva
2800 Keslinger	Geneva	IL	60134	MOB
Batavia East
1049 E Wilson	Batavia	IL	60150	MOB
15430 West Ave
15430 West Ave	Orland Park	IL	60462	Clinical
2015 Dean Street
2015 Dean Street	St Charles	IL	60174	MOB
2530 Hauser Ross Dr
2530 Hauser Ross Dr	Sycamore	IL	60178	MOB
KPG Plano
12700 Route 34	Plano	IL	60545	MOB
Streeterville ICC
635 N Fairbanks Court	Chicago	IL	60611	MOB
Kishwaukee Warehouse
2445 W Bethany Rd	Sycamore	IL	60178	Warehouse
Sycamore MOB
1830 Mediterranean Dr	Sycamore	IL	60178	MOB
Glenbard Medical
444 Park Blvd	Glen Ellyn	IL	60137	MOB
2615 Three Oaks Road
2615 Three Oaks Rd Suite 1A 1B	Cary	IL	60013	MOB
KPG Waterman
10003 US Route 30	Waterman	IL	60556	MOB
South Elgin Briargate MOB
472 Briargate Drive	South Elgin	IL	60177	MOB
375 E Chicago (Rubloff)
375 E Chicago	Chicago	IL	60611	MOB
1000 Westmoreland - PAV C
1000 Westmoreland	Lake Forest	IL	60045	MOB
NLFH Deerpath House
720 Deerpath Rd	Lake Forest	IL	60045	Other
880 W Central Rd
880 W Central Rd	Arlington Heights	IL	60005	MOB
QTS Data Center
2800 S Ashland Ave	Chicago	IL	60608	Admin
Elmhurst Memorial Hosp
1200 York Rd	Elmhurst	IL	60126	MOB
7-Eleven building
0S027 Winfield Rd	Winfield	IL	60190	Other
Decatur lab office
544 W Pershing Suite B	Decatur	IL	62526	Clinical
KPG Englehart
224 E RailRoad St	Sandwich	IL	60548	MOB
333 Front Street
333 Front Street	McHenry	IL	60050	MOB
7404 Hancock Drive
7404 Hancock Drive	Wonder Lake	IL	60097	MOB
201 Throop Street
201 Throop Street	Woodstock	IL	60098	MOB
1021 Carrick Lane
1021 Carrick Lane	McHenry	IL	60050	Patient Housing
585 Cimmaron Circle
585 Cimmaron Circle	Crystal Lake	IL	60012	Other
Kish PT Hampshire
895 S State St	Hampshire	IL	60140	MOB
1074 Old Des Peres Road
1074 Old Des Peres Road	St Louis	MO	63131	Clinical
650 Dickinson Road
650 Dickinson Road	Chesterton	IN	46304	MOB
Olson
710 N Fairbanks Ct	Chicago	IL	60611	MOB
616 35th Ave Healthlab
616 35th Ave	Moline	IL	61265	Clinical
Highland IN Healthlab 2213 Main St
2213 Main Street	Highland	IN	46322	Clinical
Hinsdale Lab Building
534 Chestnut	Hinsdale	IL	60521	Clinical
Belvidere lab space
2188 N State Street	Belvidere	IL	61008	Clinical
16151 Weber Road
16151 Weber Road	Crest Hill	IL	60403	Clinical
Lab lease Schaumburg
129 S Roselle Rd	Schaumburg	IL	60074	Clinical
111 N Wabash
111 N Wabash	Chicago	IL	60602	Clinical
7177 Crimson Ridge
7177 Crimson Ridge Drive Suite 8	Rockford	IL	61107	Clinical
Rama Place Building
2060 N Shadeland Ave	Indianapolis	IN	46219	Clinical
Rush Copley MOB
2020 Ogden Ave Suite 365	Aurora	IL	60504	MOB
555 West Pine Street
555 West Pine Street	Farmington	MO	63640	Clinical
2425 W 22nd St
2425 W 22nd St	Oakbrook Terrace	IL	60523	Clinical
633 N St Clair
633 N St Clair	Chicago	IL	60611	Other
2172 Blackberry Dr #108 Geneva
2172 Blackberry Dr 108	Geneva	IL	60134	Clinical
Elmhurst Ortho MOB
300 W Butterfield Rd	Elmhurst	IL	60126	Clinical
100 S Latham Street
100 S Latham 204	Sandwich	IL	60548	MOB
St John Timeshare
9615 Keilman Street	St John	IN	46373	Clinical
St Louis Lab site
916 Olive Street	St Louis	MO	63101	Clinical
755 W Carmel Drive
755 W Carmel	Carmel	IN	46032	Clinical
Urbana Timeshare
611 W Park	Urbana	IL	61801	Clinical
12920 Del Webb
12920 Del Webb	Huntley	IL	60142	MOB
HealthLab Buffalo Grove
355 W Dundee Rd	Buffalo Grove	IL	60089	Clinical
Mirshed Clinic
4255 W 63rd Street	Chicago	IL	60629	Clinical
Evergreen Park MOB
9760 S Kedzie Ave	Evergreen Park	IL	60805	Clinical
201 N Cummings
201 N Cummings	Washington	IL	61572	Clinical
1030 North Clark
1030 North Clark	Chicago	IL	60611	Clinical
Vernon Hills Lab Lease
175 E Hawthorn Pkwy	Vernon Hills	IL	60061	Clinical
1935 N Capital Avenue
1935 N Capital Avenue	Indianapolis	IN	46202	Clinical
305 Front Street
305 Front Street	McHenry	IL	60050	Warehouse
Vale Park Medical Ctr
401 Wall Street	Valparaiso	IN	46383	Clinical
4350 7th Street
4350 7th Street Suite B	Moline	IL	61265	Clinical
13000 W Rt 176
13000 W Rt 176	Lake Bluff	IL	60044	Other
The Sheridan at Green Oaks
29330 N Waukegan Rd	Lake Bluff	IL	60044	Inactive
NLFH Gurnee Tower Court
25 Court Tower	Gurnee	IL	60031	Inactive
Land - FKA NLFH Employee Apt Bldg
600 N Westmoreland	Lake Forest	IL	60045	Land
554 N Westmoreland
554 N Westmoreland	Lake Forest	IL	60045	Land
Land - FKA NLFH Laundry Building
600 N Westmoreland	Lake Forest	IL	60045	Land
Country Squire Land
19133 E Belvidere Rd	Grayslake	IL	60030	Land
Oakbrook Outpatient (MJ)
17W682 Butterfield Rd	Oakbrook Terrace	IL	60523	Inactive
West Chicago Warehouse
245 W Roosevelt Rd Unit 70	West Chicago	IL	60185	Inactive
4418 W Diversey
4418 W Diversey	Chicago	IL	60641	Clinical
T5 Data Center
200 Innovation Dr	Elk Grove Village	IL	60007	Admin
Delcom Billing Office
3755 E Main St	St Charles	IL	60174	Inactive
Winfield Town Center
50 Winfield Rd	Winfield	IL	60190	Inactive
4441-63 W Irving Park Road
4441-63 W Irving Park Road	Chicago	IL	60641	Land
4800 S Cottage Grove (Bronzeville)
4800 S Cottage Grove	Chicago	IL	60615	Land
3739 West Elm Street
3739 West Elm Street	McHenry	IL	60050	Inactive
446448 Ontario Bldg
446/448 Ontario Bldg	Chicago	IL	60611	Inactive
VA-A Land
333 E Huron St	Chicago	IL	60611	Land
VA-B Land
400 E Ontario St	Chicago	IL	60611	Land
201 East Walton
201 East Walton	Chicago	IL	60611	Clinical
2701 S Western
2701 S Western	Chicago	IL	60608	Clinical
303 East Superior
303 East Superior	Chicago	IL	60611	Clinical
560 N Fairbanks
560 N Fairbanks	Chicago	IL	60611	Clinical
385 Millennium Drive
385 Millennium Drive	Crystal Lake	IL	60012	Inactive
690 E Terra Cotta
690 E Terra Cotta	Crystal Lake	IL	60012	Inactive
3901 Mercy Drive
3901 Mercy Drive	McHenry	IL	60050	Clinical
2615 Three Oaks Road Sub portion of Suite 1B
2615 Three Oaks Rd Suite 1A 1B	Cary	IL	60013	Inactive
527 South Street
527 South Street	Woodstock	IL	60098	Inactive
WR1 Hwy 14 and Doty Road
WR1 Hwy 14 and Doty Road	Woodstock	IL	60098	Land
285 Memorial Drive
285 Memorial Drive	Crystal Lake	IL	60014	Land
Rt 176
Rt 176	Island Lake	IL	60042	Land
921 Tara Drive (Catulpa Lane)
921 Tara Drive Catulpa Lane	Woodstock	IL	60098	Inactive
7811 W 121st Street
7811 W 121st Street	Palos Heights	IL	60463	Patient Housing
10210 W 153rd
10210 W 153rd	Orland Park	IL	60462	Land
15327 W 143rd
15327 W 143rd	Homer Glen	IL	60491	Land
10448 South Pulaski Rd
10448 South Pulaski Rd	Oak Lawn	IL	60453	Clinical
20060 Governors Drive
20060 Governors Drive	Olympia Fields	IL	60461	Clinical
225 E Chicago
225 E Chicago	Chicago	IL	60611	Inactive
2315 Campus Drive
2315 Campus Drive	Evanston	IL	60208	Inactive
4885 Hoffman Blvd
4885 Hoffman Blvd	Hoffman Estates	IL	60192	Inactive
420 Thatcher
420 Thatcher	River Forest	IL	60305	Clinical
15 W Pleasant Ave
15 W Pleasant	Sandwich	IL	60548	MOB
3625 3675 Drew Ave
3625 / 3675 Drew Ave	Sandwich	IL	60548	Land
KPG St Margarets Health (Baum Peru)
4040 Progress Blvd	Peru	IL	61354	Inactive
Valley West MOB Land
1310 N Main St	Sandwich	IL	60548	Land
0S233 Church Street
0S233 Church Street	Winfield	IL	60190	Parking Garage
199 S Addison
199 S Addison	Wood Dale	IL	60191	Clinical
Cantera Medical Bldg
28375 Davis Parkway	Warrenville	IL	60555	Inactive
Lifetime Fitness Office
455 Scott Drive	Bloomingdale	IL	60108	Inactive
Oak Brook Regency Towers
1415 West 22nd St Ste 750E	Oak Brook	IL	60523	Inactive
Soutlake Medical MOB
8127 Merrillville Raod	Merillville	IN	46410	Clinical
Wheaton Bible Church
27W500 North Ave	West Chicago	IL	60185	Inactive
Warrenville Land Condo
4405/4455 Weaver Parkway	Warrenville	IL	60555	Land
0S028 Church Street
0S028 Church Street	Winfield	IL	60190	Land
0S036 Church Street
0S036 Church Street	Winfield	IL	60190	Land
27W364 Jewell Road
27W364 Jewell Road	Winfield	IL	60190	Land
27W374 Jewell Road
27W374 Jewell Road	Winfield	IL	60190	Land
27W375 Jewell Road
27W375 Jewell Road	Winfield	IL	60190	Land
27W404-406 Jewell Road
27W404-406 Jewell Road	Winfield	IL	60190	Land
27W405 High Lake Road
27W405 High Lake Road	Winfield	IL	60190	Land
27W480-482 Jewell Road
27W480-482 Jewell Road	Winfield	IL	60190	Land
27W560 High Lake
27W560 High Lake	Winfield	IL	60190	Land
LAND River North Lot 3
636 Raymond Drive	Naperville	IL	60563	Land
LAND River North Lot 6
636 Raymond Drive	Naperville	IL	60563	Land
LAND McKevett Estate
Nan Street	Aurora	IL	60502	Land
Ronald McDonald House
150 Winfield Rd	Winfield	IL	60190	Land
Hi-Hat Building
227 Hamilton St	Geneva	IL	60134	Inactive
LAND STC vacant lot
2850 Foxfield Road	St Charles	IL	60174	Land
LAND Sugar Grove
Captial Dr and Galena Blvd	Sugar Grove	IL	60554	Land
LAND Williamsburg
Williamsburg Ave and Fisher Rd	Geneva	IL	60134	Land
Batavia Land
Wagner Rd	Batavia	IL	60150	Land
LAND Bartlett
100 Naperville Road	Bartlett	IL	60103	Land
KPG Ottawa (Baum)
1209 Starfire Dr	Ottawa	IL	61350	Inactive
2680 Sycamore Road
2680 Sycamore Road	Sycamore	IL	60178	Inactive

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT	Northwestern Memorial HealthCare and Subsidiaries (NMHC) submit a community benefit report to the Illinois attorney general according to the requirements for the state of Illinois. Northwestern Memorial Hospital (NMH), Northwestern Lake Forest Hospital (NLFH), Central DuPage Hospital (NWCDH), Delnor Community Hospital (Delnor), Kishwaukee Community Hospital (KCH), Valley West Hospital (VWH), Marianjoy Rehabilitation Hospital and Clinics (MJRH), Northern Illinois Medical Center (NIMC), Palos Community Hospital (PCH) and all other NMHC non-profit subsidiaries' results are included in this report.
Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES	THE BENEFITS REPORTED ARE PRIMARILY ASSOCIATED WITH OPERATING LOSSES SUPPORTING NMH'S MENTAL HEALTH PROGRAMS. NMHC DOES NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
Schedule H, Part I, Line 3c DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE	Northwestern Memorial Hospital, Northwestern Lake Forest Hospital, Central DuPage Hospital, Delnor-Community Hospital, Kishwaukee Community Hospital, Valley West Hospital, Marianjoy Rehabilitation Hospital and Clinics, Northern Illinois Medical Center, and Palos Community Hospital 09/01/2020 - 08/31/2021 NMH, NLFH, CDH, Delnor, Kishwaukee, Valley West, MJRH, NIMC, and PCH shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. As of 9/1/2020, the combined NMHC policy applies to NIMC. In accordance with Illinois regulations, the PCH Financial Assistance Policy will remain in effect for two years following the Palos affiliation with NM as of January 1, 2021. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Illinois Residents. The separate PCH policy in place similarly reflects a residency requirement. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance. A. Homelessness B. Deceased with no estate C. Mental incapacitation with no one to act on the patient's behalf D. Medicaid eligibility, but not on date of service for non-covered service E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines; 1. Women, Infants and Children Nutrition Program (WIC) 2. Supplemental Nutrition Assistance Program (SNAP) 3. Illinois Free Lunch and Breakfast Program 4. Low Income Home Energy Assistance Program (LIHEAP) 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial 6. Receipt of grant assistance for medical services
Schedule H, Part VI, Line 2 NEEDS ASSESSMENT, CONTINUED	Northwestern Medicine Valley West Hospital: NM Valley West collaborates with diverse organizations to identify a common vision and plan to create a collective impact on the overall health of the community. This includes striving to coordinate efforts focusing on community priorities with community stakeholders including the DeKalb County Health Department, the Kendall County Health Department, Fox Valley Older Adults, and other medical, not-for-profit, community and faith-based organizations. Marianjoy Rehabilitation Hospital: MRH coordinates strategies with community partners and key stakeholders who include, but are not limited to, the DuPage County Health Department, DuPage Federation on Human Services Reform, AbilityLinks, the People's Resource Center, and local school districts and public entities. MRH's Pediatric Community Groups continue to be highly utilized by parents/caregivers to work on achieving functional goals for children with special needs. Northern Illinois Medical Center: NIMC represents the three hospitals of the legacy Centegra Health System (CHS), including Northwestern Medicine McHenry Hospital, Northwestern Medicine Huntley Hospital and Northwestern Medicine Woodstock Hospital. McHeny Hospital works with the Chicago Medical School Internal Medicine Residency program to provide training to the next generation of caregivers. The Woodstock campus is home to Aunt Martha's Woodstock Community Health Center, a federally qualified health center, offering comprehensive primary care and mental health services to the uninsured and underinsured members of the broader McHenry Community. Palos Community Hospital: PCH is situated in the South Suburbs of Chicago, including the Palos Heights and Orland Park communities. PCH has worked with partners and stakeholders from that area including, but not limited to, the City of Palos Heights, the Villages of Chicago Ridge, Crestwood, Midlothian, Orland Park, Palos Park, and Worth, as well as local school districts and public entities.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	87919127
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST OF CHARITY CARE FOR THE HOSPITALS WAS CALCULATED BY APPLYING THE TOTAL COST-TO-CHARGE RATIO FROM EACH HOSPITAL'S MEDICARE COST REPORT (CMS 2552-96 WORKSHEET C, PART 1, CONSISTENT WITH THE STATE OF ILLINOIS ATTORNEY GENERAL'S OFFICE DEFINITION) TO THE CHARGES ON ACCOUNTS IDENTIFIED AS QUALIFYING FOR CHARITY CARE (AS DEFINED IN THE AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS ACCOUNTING AND AUDITING GUIDE - HEALTHCARE ORGANIZATIONS). THE RESULTANT CALCULATED COST WAS THEN OFFSET BY ANY PAYMENTS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF PATIENT BILLS QUALIFYING FOR A CHARITY CARE DISCOUNT (AS DEFINED IN THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION'S PRINCIPLES AND PRACTICES BOARD STATEMENT 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS). THE PHYSICIAN GROUPS, INCLUDING NMG AND RMG ARE NOT REQUIRED TO FILE A MEDICARE COST REPORT. AN INTERNALLY CALCULATED COST-TO-CHARGE RATIO SPECIFIC TO THE PHYSICIAN GROUPS WAS USED TO DETERMINE THE COST OF CHARITY CARE FOR NMG. THE RESULTANT CALCULATED COST WAS THEN OFFSET BY ANY PAYMENTS, CONSISTENT WITH THE METHODOLOGY FOR THE HOSPITALS. THE UNREIMBURSED COST OF BAD DEBT, MEDICAID, MEDICARE OR ANY OTHER FEDERAL, STATE OR LOCAL INDIGENT HEALTHCARE PROGRAM IS NOT INCLUDED IN THE UNREIMBURSED COST FIGURE FOR CHARITY CARE. THE COSTS OF CHARITY CARE IN THIS REPORT DIFFER FROM NMHC'S NOTES TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR FISCAL YEAR 2021 WHERE THEY WERE CALCULATED BY APPLYING A COST-TO-CHARGE RATIO DEVELOPED PRIOR TO FILING NMH'S, NLFH'S, CDH'S, DELNOR'S, KISH'S, MARIANJOY'S, NIMC'S, AND PCH'S FISCAL YEAR 2021 MEDICARE COST REPORTS TO CHARGES FOREGONE FOR CHARITY CARE. THE FISCAL YEAR 2021 MEDICARE COST REPORTS WERE COMPLETED AFTER THE AUDITED FINANCIAL STATEMENTS WERE ISSUED. THE COSTS OF CHARITY CARE FOR THE HOSPITALS INCLUDED IN THIS REPORT WERE CALCULATED USING THE COST-TO-CHARGE RATIOS FROM NMH'S, NLFH'S, CDH'S, DELNOR'S, KISH'S, MARIANJOY'S, NIMC'S, AND PCH'S COST REPORTS FILED IN MARCH OF 2022 FOR FISCAL YEAR 2021. COMMUNITY HEALTH IMPROVEMENT SERVICES - THE COST OF LANGUAGE ASSISTANCE PROGRAMS INCLUDES BOTH THE COST OF EMPLOYEES AND NONEMPLOYEES TO PROVIDE TRANSLATION SERVICES TO NMHC HOSPITAL PATIENTS AND FAMILY MEMBERS. EDUCATION - UNREIMBURSED EDUCATION COSTS INCLUDE THE COST OF NMHC'S MEDICAL RESIDENCY, FELLOWSHIP AND INTERNSHIP PROGRAMS LESS ANY THIRD-PARTY PAYOR REIMBURSEMENTS AND FEES RECEIVED. SUBSIDIZED HEALTH SERVICES - SUBSIDIZED HEALTH SERVICES INCLUDE THE UNCOMPENSATED COST OF PROVIDING BEHAVIORAL HEALTH SERVICES, HEALTH EDUCATION AND INFORMATION AND PROGRAMS TO POSITIVELY IMPACT THE WELLNESS OF THE COMMUNITY. COSTS CALCULATED WERE OFFSET BY ANY REIMBURSEMENT RECEIVED FOR SERVICES PROVIDED. THE UNREIMBURSED COST FOR BEHAVIORAL HEALTH SERVICES WAS ALSO ADJUSTED TO EXCLUDE THE UNREIMBURSED COST OF CHARITY CARE AND GOVERNMENT SPONSORED INDIGENT HEALTHCARE. RESEARCH - NMHC PROVIDES SUPPORT TO ADVANCE MEDICAL AND SCIENTIFIC RESEARCH AND ACADEMIC PURSUITS. THE REPORTED SUPPORT INCLUDES THE UNREIMBURSED COST OF FUNDS PROVIDED FOR RESEARCH PROJECTS AND UNREIMBURSED OPERATIONAL INFRASTRUCTURE COSTS TO SUPPORT CLINICAL RESEARCH THAT OCCURS AT NMH, NMG, CDH AND MJRH. DONATIONS - DONATIONS INCLUDE THE DOLLAR AMOUNT RECORDED DURING FISCAL YEAR 2021 IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AS CONTRIBUTIONS TO CHARITABLE AND OTHER COMMUNITY OR CIVIC ORGANIZATIONS FOR FURTHERANCE OF THEIR CHARITABLE PURPOSES.
Schedule H, Part II Community Building Activities	NMHC HOSPITALS PROVIDE A BROAD RANGE OF TRAINING PROGRAMS AND SUPERVISED PATIENT CARE EXPERIENCES TO ENSURE THAT A HIGHLY TRAINED HEALTHCARE WORKFORCE OF ADEQUATE CAPACITY IS IN PLACE TO SERVE THE RESIDENTS OF THE REGION. IMPORTANTLY, THESE PROGRAMS CREATE PATHWAYS FOR AT-RISK MEMBERS OF THE COMMUNITY TO SEEK JOBS WITHIN THE HEALTHCARE SYSTEM AND ALSO ARE IN PLACE FOR YOUNG PEOPLE TO LEARN ABOUT AND POTENTIALLY EXPLORE HEALTHCARE CAREERS. ALLIED HEALTH SCHOOLS AT NMH NMH OPERATES FOUR ACCREDITED ALLIED HEALTH SCHOOLS - DIAGNOSTIC MEDICAL SONOGRAPHY, NUCLEAR MEDICINE TECHNOLOGY, RADIATION THERAPY AND RADIOLOGY - AS WELL AS A HISTOTECHNOLOGY PROGRAM, POST-PRIMARY CT AND MRI PROGRAMS, AND A MEDICAL ASSISTANT PROGRAM. THE 21-MONTH CERTIFICATE PROGRAMS ARE OPEN TO EMPLOYEES AND THE GENERAL PUBLIC. MANY STUDENTS COME FROM THE LOCAL COMMUNITY, AS WELL AS FROM AFFILIATED COLLEGES AND UNIVERSITIES. LEADERS OF THESE PROGRAMS VISIT CITY HIGH SCHOOLS, COLLEGES AND UNIVERSITIES TO INTRODUCE VARIOUS MEDICAL FIELDS TO PROSPECTIVE STUDENTS AND INCREASE THEIR GENERAL KNOWLEDGE OF VARIOUS ALLIED HEALTH FIELDS. THE CERTIFICATE PROGRAMS AIM TO ADDRESS THE NEED FOR ALLIED HEALTH PROFESSIONALS IN THE FIELD. IN ADDITION TO TRAINING THE NATION'S FUTURE PHYSICIANS, FEINBERG HAS FURTHER RESPONDED TO THE ANTICIPATED SHORTAGE OF MEDICAL PROVIDERS BY OFFERING A MASTER'S-LEVEL PHYSICIAN ASSISTANT PROGRAM. PHYSICIAN ASSISTANTS ARE HIGHLY EFFECTIVE MEMBERS OF PRIMARY CARE TEAMS THAT INCLUDE MANY LEVELS OF PROVIDERS AND CAN EFFICIENTLY DELIVER THE HIGHEST QUALITY OF CARE TO EXTENDED GROUPS OF PATIENTS. THROUGH FEINBERG'S PROGRAM, PHYSICIAN ASSISTANTS ARE EDUCATED AND TRAINED WITHIN THE MEDICAL SCHOOL SETTING AND GAIN CLINICAL EXPERIENCE AT NMHC HOSPITALS. CLINICAL EXPERIENCE AT NMHC HOSPITALS NMHC HOSPITALS PROVIDE THE IMPORTANT CLINICAL SETTING FOR THE EDUCATION OF THE NEXT GENERATION OF HEALTHCARE WORKERS, INCLUDING PHYSICIANS, NURSES, PHARMACISTS, LABORATORY PROFESSIONALS, ALLIED HEALTH WORKERS AND SKILLED TECHNICIANS. THROUGH CLINICAL AFFILIATIONS WITH TOP REGIONAL UNIVERSITIES AND COLLEGES AND ESTABLISHED CLINICAL ROTATIONS, MENTORING, CLINICIAN SHADOWING, TRADITIONAL DIDACTIC LECTURES AND OTHER TEACHING PROGRAMS, WE PROVIDE CLINICAL SETTINGS FOR THE EDUCATION OF THOUSANDS OF STUDENTS, MANY OF WHOM WILL BECOME PROFESSIONALS IN FIELDS IDENTIFIED AS AREAS OF CURRENT OR FUTURE WORKFORCE SHORTAGE IN THE NATIONAL HEALTHCARE SYSTEM. NMHC PROVIDES EDUCATION TO A WIDE RANGE OF STUDENTS INCLUDING: - UNDERGRADUATE AND GRADUATE NURSING STUDENTS - STUDENTS FROM UNIVERSITY-BASED PHARMACY PROGRAMS - RESPIRATORY THERAPY STUDENTS - GRADUATE SOCIAL WORK INTERNS - PSYCHOLOGY PHD CANDIDATES WITH CLINICAL EMPHASES IN ADULT CLINICAL PSYCHOLOGY, BEHAVIORAL MEDICINE (HEALTH PSYCHOLOGY), CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY AND CLINICAL NEUROPSYCHOLOGY - INTERNS IN BIOMEDICAL ENGINEERING - PASTORAL CARE STUDENTS - PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, SPEECH LANGUAGE PATHOLOGISTS, PHYSICAL THERAPIST ASSISTANTS AND OCCUPATIONAL THERAPY ASSISTANTS THROUGH A MASTER CLINICIAN PROGRAM - PHYSICAL AND OCCUPATIONAL THERAPY ASSISTANT, BACHELOR, MASTERS AND PHD STUDENTS - STUDENTS IN A BROAD ARRAY OF OTHER CLINICAL PROGRAMS ON-THE-JOB TRAINING AND YOUTH EDUCATION PROGRAMS RESEARCH ON THE SOCIAL DETERMINANTS OF HEALTH INDICATES THAT ACCESS TO EDUCATIONAL AND ECONOMIC OPPORTUNITIES IS A KEY FACTOR IMPACTING INDIVIDUALS' QUALITY OF LIFE. NMHC OFFERS A MULTITUDE OF OPPORTUNITIES TO EXPOSE STUDENTS TO POTENTIAL HEALTHCARE CAREERS AND TO FOSTER PROFESSIONAL DEVELOPMENT IN THE FIELD. ONGOING, COMPREHENSIVE, ON-THE-JOB TRAINING AND YOUTH PROGRAMS FOR HIGH SCHOOL, COLLEGE AND POST-GRADUATE STUDENTS ARE OFFERED AT EVERY HOSPITAL IN THE HEALTH SYSTEM IN BOTH CLINICAL AND ADMINISTRATIVE SETTINGS. NM HAS LONG INVESTED IN PROGRAMS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, INCLUDING PROVIDING EDUCATIONAL AND EMPLOYMENT OPPORTUNITIES FOR YOUTH. IN 2011, NMH EMBARKED ON AN EDUCATIONAL PARTNERSHIP WITH WESTINGHOUSE COLLEGE PREPARATORY HIGH SCHOOL (WESTINGHOUSE), A SELECTIVE-ENROLLMENT HIGH SCHOOL ON CHICAGO'S WEST SIDE, TO PROVIDE TALENTED HIGH SCHOOL STUDENTS WITH THE OPPORTUNITY TO LEARN ABOUT AND PURSUE POST-HIGH-SCHOOL EDUCATION IN HEALTHCARE CAREERS. STUDENTS MEET FEINBERG FACULTY AND HOSPITAL EMPLOYEES, AND ARE PROVIDED A BEHIND-THE-SCENES UNDERSTANDING OF CLINICAL AREAS AND POTENTIAL CAREERS. THE PROGRAM ALSO INCLUDES MENTORING, AN INTENSIVE SUMMER PROGRAM, DISTANCE LEARNING, ACT TEST PREPARATION, AND LEADERSHIP AND LIFE SKILLS DEVELOPMENT. THE PROGRAM HAD 21 PARTICIPANTS IN FY21. IN FY21, THE OFFERED PROGRAMS TO THE WESTINGHOUSE COMMUNITY INCLUDED: - THE COMMUNITY GRAND ROUNDS SESSION PROVIDED THE OPPORTUNITY FOR NM FACULTY TO DIRECTLY SHARE MEDICAL INFORMATION AND KNOWLEDGE. - THE ANATOMY LAB SESSION PROVIDED STUDENTS WITH THEIR FIRST GLANCE OF MEDICAL SCHOOL AND EXPOSURE TO A REAL HUMAN BODY. - THE MEN IN MEDICINE AND SCIENCE (MIMS) PROGRAM EXPOSED WESTINGHOUSE FRESHMAN MALE STUDENTS TO THE WORLD OF MEDICINE AND SCIENCE. REFLECTING THE GEOGRAPHICAL EXPANSION OF THE HEALTH SYSTEM, THE NM DISCOVERY PROGRAM, FORMERLY KNOWN AS MEDICAL EXPLORERS, GREW TO FIVE CHAPTERS IN FY21 WITH OVER 150 STUDENT PARTICIPANTS AT: NM DISCOVERY PROGRAM CENTRAL, NM DISCOVERY PROGRAM WEST, NM DISCOVERY PROGRAM NORTH, NM DISCOVERY PROGRAM GREATER DEKALB, AND NM DISCOVERY PROGRAM NORTHWEST. THROUGHOUT THE TWO-YEAR PROGRAM, STUDENTS ARE EXPOSED TO A BROAD RANGE OF ACTIVITIES DESIGNED TO ENCOURAGE THEIR INTEREST IN HEALTHCARE CAREERS. IN ADDITION, THE PROGRAM FOSTERS CHARACTER AND PROFESSIONAL DEVELOPMENT, CULTIVATES LIFE SKILLS, PROVIDES COMMUNITY SERVICE AND LEADERSHIP EXPERIENCE, AND OFFERS MENTORSHIP AND NETWORKING OPPORTUNITIES. ONCE-MONTHLY ACTIVITIES INCLUDE TOURS, GUEST SPEAKERS, GROUP DISCUSSION AND HANDS-ON PROJECTS. SINCE THE PROGRAM BEGAN, MANY PARTICIPANTS HAVE PURSUED CAREERS IN NURSING AND OTHER HEALTHCARE FIELDS, AND SEVERAL ARE NOW EMPLOYED AT NMH. ADDITIONAL EXPANSION OF BOTH THE NM DISCOVERY PROGRAM IS EXPECTED IN COMING YEARS. SINCE 2016, NM HUNTLEY AND NM MCHENRY HOSPITALS HAVE OFFERED THE YOUTH RESIDENCY PROGRAM. WORKING WITH LOCAL HIGH SCHOOLS, THE PROGRAM PROVIDES INTENSIVE JOB SHADOWING AND MENTORSHIP WITH THE GOAL OF SPARKING STUDENTS' INTEREST IN HEALTH CAREERS AND ULTIMATELY RETURNING TO WORK IN THE LOCAL COMMUNITY. FROM LEARNING TO READ A MRI, TO INSPECTING CELL TISSUES FOR TUMORS, STUDENTS ARE IMMERSED IN A PROFESSIONAL MEDICAL ENVIRONMENT IN CONJUNCTION WITH THE HIGH-SCHOOL BASED CURRICULUM. EACH CHAPTER SERVES UP-TO 30 STUDENTS ANNUALLY. NM CDH, NM DELNOR, NM KISHWAUKEE, NM MCHENRY, AND NM WOODSTOCK OFFER PROJECT SEARCH, A PROGRAM FOR STUDENT INTERNS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. PROJECT SEARCH IS AN EMPLOYABILITY SKILLS TRAINING PROGRAM THAT ASSISTS STUDENTS WHO HAVE INTELLECTUAL AND DEVELOPMENTAL DISABILITIES TRANSITION FROM HIGH SCHOOL TO PRODUCTIVE EMPLOYMENT. THE HALLMARK OF PROJECT SEARCH IS TOTAL WORKPLACE IMMERSION, WHICH FACILITATES A SEAMLESS COMBINATION OF CLASSROOM INSTRUCTION, CAREER EXPLORATION AND HANDS-ON TRAINING. DURING THE ONE-YEAR PROGRAM, STUDENTS WHO ARE IN THEIR LAST YEAR OF HIGH SCHOOL PARTICIPATE IN THREE 10-WEEK INTERNSHIPS WITHIN THE HOSPITAL TO EXPLORE THEIR VOCATIONAL SKILLS, ABILITIES AND POTENTIAL CAREER PATHS. THE GOAL OF THE PROGRAM IS TO ACHIEVE 100% EMPLOYMENT AT THE END OF THE INTERNSHIP. PROJECT SEARCH IS CONTINUING TO EXPAND ACROSS THE HEALTH SYSTEM. COMMUNITY HEALTH EDUCATION COMMUNITY-BASED EDUCATION PROGRAMS ARE OFFERED ACROSS THE HEALTH SYSTEM AND IN COORDINATION WITH OUR COMMUNITY PARTNERS. THESE INITIATIVES RANGE FROM DISEASE-SPECIFIC INFORMATION PROGRAMS, TO MENTAL HEALTH AND SUBSTANCE ABUSE COMMUNITY EDUCATION, TO MINDFULNESS TRAINING, AMONG MANY MORE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	NET PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, AND NET PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED PRIMARILY ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, ALONG WITH THE AGING STATUS FOR EACH MAJOR PAYOR SOURCE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF NORTHWESTERN MEMORIAL'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, A PROVISION IS RECORDED FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO THESE PATIENTS. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH NORTHWESTERN MEMORIAL'S POLICIES, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, NORTHWESTERN MEMORIAL RECORDS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. BAD DEBTS REPRESENT THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS REPORTED IN NMHC'S FISCAL YEAR 2021 AUDITED FINANCIAL STATEMENTS RELATED TO PATIENT CARE SERVICES ADJUSTED TO COST CONSISTENT WITH THE METHODOLOGY USED TO CALCULATE GOVERNMENT SPONSORED INDIGENT HEALTHCARE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	NET PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, AND NET PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED PRIMARILY ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, ALONG WITH THE AGING STATUS FOR EACH MAJOR PAYOR SOURCE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF NORTHWESTERN MEMORIAL'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, A PROVISION IS RECORDED FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO THESE PATIENTS. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH NORTHWESTERN MEMORIAL'S POLICIES, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, NORTHWESTERN MEMORIAL RECORDS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. BAD DEBTS REPRESENT THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS REPORTED IN NMHC'S FISCAL YEAR 2021 AUDITED FINANCIAL STATEMENTS RELATED TO PATIENT CARE SERVICES ADJUSTED TO COST CONSISTENT WITH THE METHODOLOGY USED TO CALCULATE GOVERNMENT SPONSORED INDIGENT HEALTHCARE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE UNREIMBURSED COST OF MEDICARE IS DEFINED BY THE STATE OF ILLINOIS ATTORNERY GENERAL'S OFFICE ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT AS A COMMUNITY BENEFIT. THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION ALSO VIEWS THE UNREIMBURSED COSTS OF MEDICARE AS PART OF A HOSPITAL'S COMMUNITY BENEFIT PROGRAM. NMHC PROVIDES MEDICAL CARE TO MEDICARE PATIENTS AT A COST HIGHER THAN THE REIMBURSEMENT IT RECEIVES FROM MEDICARE. THE AMOUNTS LISTED FOR PART III, LINE 5 THRU 7, ARE CALCULATED CONSISTENT WITH THE METHODOLOGY DESCRIBED FOR CALCULATING UNREIMBURSED COST OF MEDICAID FOR FISCAL 2021.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	NMHC'S CREDIT AND COLLECTION POLICY CONTAINS A PROVISION FOR FINANCIAL COUNSELING. THE POLICY STATES THAT PATIENTS WITH SELF-PAY BALANCES AND WITHOUT THE RESOURCES TO PAY THEIR OBLIGATIONS WILL BE ASSESSED FOR FREE AND DISCOUNTED CARE ELIGIBILITY BY THE FINANCIAL COUNSELING DEPARTMENTS. THE ASSESSMENT INVOLVES AND EVALUATION OF ALL LEVELS OF ASSISTANCE INCLUDING GOVERNMENTAL ASSISTANCE, EXTENDED PAY ALTERNATIVES, AND FREE OR DISCOUNTED CARE. IF THE PATIENT QUALIFIES FOR FREE CARE, THE ACCOUNT IS ADJUSTED TO ZERO SO NO COLLECTION ACTIVITY OCCURS. IF FINANCIAL ASSISTANCE RESULTS IN A DISCOUNTED OR REDUCED BALANCE, ONLY THE REDUCED BALANCE WILL BE SUBJECT TO THE COLLECTION PROCESS.
Schedule H, Part V, Section B, Line 16a FAP website	- Northwestern Memorial Hospital: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHERN ILLINOIS MEDICAL CENTER: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - PALOS COMMUNITY HOSPITAL: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Northwestern Memorial Hospital: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHERN ILLINOIS MEDICAL CENTER: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - PALOS COMMUNITY HOSPITAL: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Northwestern Memorial Hospital: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHERN ILLINOIS MEDICAL CENTER: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - PALOS COMMUNITY HOSPITAL: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	NMHC'S MISSION SETS FORTH OUR COMMITMENT TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND TO ADVANCE MEDICAL RESEARCH AND EDUCATION, ONE PATIENT AT A TIME. THE COMMUNITY BENEFITS PLAN DESCRIBES THE BROAD-REACHING GOALS THAT SUPPORT THIS COMMITMENT AND ADDRESS OUR RESPONSIBILITY AS A TAX-EXEMPT ORGANIZATION. THE DEPARTMENT OF EXTERNAL AFFAIRS DEVELOPS AND MAINTAINS A COMMUNITY BENEFITS PLAN FOR THE HEALTH SYSTEM, WHICH IS EXECUTED AT THE HOSPITAL LEVEL TO BEST MEET THE NEEDS OF OUR LOCAL COMMUNITIES. REVIEWED ANNUALLY AND REVISED AS NEEDED, THE OBJECTIVES OF THE COMMUNITY BENEFITS PLAN ARE TO: 1. PROVIDE QUALITY MEDICAL CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 2. HONOR NORTHWESTERN MEDICINE'S MISSION AND COMMITMENT TO THE COMMUNITY. 3. BE RESPONSIVE TO THE ASSESSED NEEDS OF THE LOCAL COMMUNITY SERVED BY EACH HOSPITAL. 4. FORGE RELATIONSHIPS WITH LOCAL COMMUNITY ORGANIZATIONS TO HELP ADDRESS SOCIAL DETERMINANTS OF HEALTH. 5. EVALUATE THE PUBLIC HEALTH IMPACT OF NORTHWESTERN MEDICINE PROGRAMMING, AND REPLICATE BY GEOGRAPHY AND/OR DISEASE STATE WITH SENSITIVITY TO THE INDIVIDUAL NEEDS OF OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITIES WE SERVE. 6. LEVERAGE OUR STRENGTHS AS A PREMIER ACADEMIC HEALTH SYSTEM TO TRAIN THE NEXT GENERATION OF CAREGIVERS AND UTILIZE EVIDENCE-BASED MODELS FOR COMMUNITY HEALTH ENGAGEMENT. 7. LEVERAGE OUR BOND WITH NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE TO BE LEADERS IN QUALITY, ACADEMIC EXCELLENCE, SCIENTIFIC DISCOVERY, PATIENT SAFETY AND RESEARCH-INFORMED TREATMENT. ALIGNED WITH OUR MISSIONS AND COMMUNITY BENEFITS PLAN, AND IN ACCORDANCE WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA), EACH OF THE HEALTH SYSTEM HOSPITALS WORKS WITH COMMUNITY AND CAMPUS PARTNERS EVERY THREE YEARS TO COMPLETE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT IDENTIFIES THE HIGHEST PRIORITY HEALTH NEEDS OF RESIDENTS OF ITS COMMUNITY. WITH FEINBERG, NMHC BRINGS TO BEAR THE RESOURCES OF A WORLD-CLASS, INTEGRATED ACADEMIC HEALTH SYSTEM TO ADVANCE OUR COMMUNITY BENEFITS PLAN AND CHNA INITIATIVES IN WAYS THAT COULD NOT BE ACHIEVED AS STAND-ALONE HOSPITALS. PROVIDING BETTER CARE CLOSER TO HOME ALLOWS OUR COMMUNITIES ACCESS TO THE LATEST DEVELOPMENTS IN EDUCATION AND RESEARCH THAT PREVIOUSLY MAY NOT HAVE BEEN AVAILABLE AT THE COMMUNITY LEVEL. THIS INCLUDES: - SEEKING ROOT CAUSES TO HEALTH CONDITIONS, AND COLLABORATING WITH SCIENTISTS AND CLINICIANS TO DEVELOP SOLUTIONS - ENHANCING ACCESS TO HEALTH CARE - IMPROVING CLINICAL QUALITY - ADVANCING MEDICAL INNOVATION - ENSURING THAT A HIGHLY SKILLED HEALTHCARE WORKFORCE IS IN PLACE FOR DECADES TO COME - ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH CHNAS PROVIDE INFORMATION THAT ENABLES HOSPITALS TO IDENTIFY HEALTH ISSUES OF GREATEST CONCERN AMONG RESIDENTS IN THEIR COMMUNITIES AND DECIDE HOW BEST TO COMMIT RESOURCES TO THOSE AREAS, THEREBY MAKING THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. NMHC EMPLOYS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINE THE HEALTH STATUS, BEHAVIORS AND NEEDS OF THE RESIDENTS OF EACH HOSPITAL'S COMMUNITY. EACH CHNA SERVES AS A TOOL TOWARD REACHING THREE GOALS: 1. IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS AND ELEVATE THEIR OVERALL QUALITY OF LIFE. A HEALTHY COMMUNITY IS ONE WHERE ITS RESIDENTS SUFFER LITTLE FROM PHYSICAL AND MENTAL ILLNESS AND ALSO ENJOY A HIGH QUALITY OF LIFE. 2. REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS. BY GATHERING DEMOGRAPHIC INFORMATION ALONG WITH HEALTH STATUS AND BEHAVIOR DATA, IT IS POSSIBLE TO IDENTIFY POPULATION SEGMENTS THAT ARE MOST AT RISK FOR VARIOUS DISEASES AND INJURIES. INTERVENTION PLANS AIMED AT TARGETING THESE SEGMENTS MAY THEN BE DEVELOPED TO COMBAT SOME OF THE SOCIOECONOMIC FACTORS THAT HAVE HISTORICALLY HAD A NEGATIVE IMPACT ON RESIDENTS' HEALTH. 3. INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. MORE ACCESSIBLE PREVENTIVE SERVICES ARE BENEFICIAL IN ACCOMPLISHING THE FIRST GOAL (IMPROVING HEALTH STATUS, INCREASING LIFE SPANS AND ELEVATING THE QUALITY OF LIFE), AS WELL AS LOWERING THE COSTS ASSOCIATED WITH CARING FOR LATE-STAGE DISEASES RESULTING FROM A LACK OF PREVENTIVE CARE. THE CHNAS AND CORRESPONDING IMPLEMENTATION STRATEGIES WERE DEVELOPED WITH FEEDBACK FROM COMMUNITY HEALTHCARE ORGANIZATIONS AND OTHER SOCIAL SERVICES AND PUBLIC ORGANIZATIONS THAT UNDERSTAND AND HELP REPRESENT THE WIDE-RANGING HEALTHCARE NEEDS OF THE RESIDENTS IN OUR COMMUNITIES. THE CHNA IMPLEMENTATION PLANS ARE GROUNDED IN PUBLIC HEALTH MODELS DEVELOPED WITH OUR COMMUNITY PARTNERS AND FEINBERG FACULTY, IN WHICH RESIDENTS OF OUR COMMUNITIES ARE INFORMED AND ABLE TO MAKE HEALTHY LIFESTYLE CHOICES, MANAGE THEIR CHRONIC HEALTH CONDITIONS AND RECEIVE MEDICALLY NECESSARY HEALTHCARE SERVICES IN THE MOST APPROPRIATE SETTING. WE BELIEVE THAT OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IS BEST ACCOMPLISHED IN COLLABORATION WITH PARTNERS IN BOTH THE COMMUNITY AND WITHIN THE ORGANIZATIONS THAT COMPRISE NORTHWESTERN MEDICINE, INCLUDING THE HEALTH SYSTEM AND FEINBERG. OUR AFFILIATIONS WITH COMMUNITY-BASED HEALTHCARE AND COMMUNITY PARTNERS ENABLE THE HEALTH SYSTEM'S ORGANIZATIONS TO MEANINGFULLY IMPROVE ACCESS TO HIGH-QUALITY HEALTH CARE AND IMPLEMENT TARGETED PROGRAMS THAT ADDRESS THE HIGHEST-PRIORITY HEALTH NEEDS OF THE COMMUNITY. WE HAVE IMPLEMENTED LARGE-SCALE PROGRAMS THROUGHOUT OUR COMMUNITIES USING THIS FRAMEWORK TO TARGET HIGH-PRIORITY HEALTH CONDITIONS AND WILL CONTINUE TO USE PUBLIC HEALTH MODELS TO ADDRESS PRIORITY HEALTH NEEDS IDENTIFIED THROUGH OUR CHNAS. ONGOING EFFORTS DRAW ON NMHC'S AND FEINBERG'S STRENGTHS IN PUBLIC HEALTH, COMMUNICATION AND EDUCATION, AND INCLUDE PROGRAMS TO ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS IN COMMUNITIES SERVED ACROSS THE HEALTH SYSTEM. OUR HOSPITALS HAVE ENDURING RELATIONSHIPS, OFTEN DECADES OLD, WITH LOCAL HEALTHCARE AND COMMUNITY ORGANIZATIONS. THROUGH THESE PARTNERSHIPS, WE COLLABORATE ON DETERMINING PRIORITY HEALTH NEEDS THROUGH THE CHNA PROCESS AND WORK TOGETHER TO DEVELOP SOLUTIONS THAT RESPECT THE VARIED CULTURAL, SOCIOECONOMIC AND PRACTICAL NEEDS OF OUR DIVERSE COMMUNITIES. NORTHWESTERN MEMORIAL HOSPITAL: NMH COLLABORATES WITH COMMUNITY-BASED HEALTH, EDUCATION AND SOCIAL SERVICE ORGANIZATIONS TO PROVIDE HEALTH EDUCATION, OUTREACH SERVICES AND FOCUSED DISEASE MANAGEMENT PROGRAMS, AND TO ENSURE THAT THE RESIDENTS OF OUR COMMUNITIES HAVE CONVENIENT ACCESS TO HIGH-QUALITY MEDICAL HOMES. NMH HAS FORMAL AND LONGSTANDING AFFILIATIONS WITH TWO FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) BASED IN THE COMMUNITY - NEAR NORTH HEALTH SERVICE CORPORATION AND ERIE FAMILY HEALTH CENTER - AS WELL AS WITH COMMUNITYHEALTH, THE LARGEST FREE HEALTH CLINIC IN ILLINOIS. VITAL COMMUNITY PARTNERSHIPS ARE ALSO IN PLACE AMONG VARIOUS HEALTH AND COMMUNITY PARTNERS, INCLUDING BRIGHT STAR COMMUNITY OUTREACH AND KELLY HALL YMCA, AMONG MANY MORE. NORTHWESTERN MEDICINE LAKE FOREST HOSPITAL: THROUGH CHARITY CARE, OUTREACH SERVICES AND HEALTH EDUCATION PROGRAMS, NM LFH IMPROVES ACCESS TO HEALTHCARE SERVICES AND RESPONDS TO THE PRIORITY HEALTH NEEDS OF THE RESIDENTS OF LAKE COUNTY, ESPECIALLY AMONG THE UNINSURED OR UNDERINSURED. NM LFH HAS DEEP ROOTS IN LAKE COUNTY AND STRONG RELATIONSHIPS WITH COMMUNITY PARTNERS INCLUDING ERIE HEALTHREACH WAUKEGAN HEALTH CENTER AND THE LAKE COUNTY HEALTH DEPARTMENT, AMONG OTHERS. NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL: NM CDH HAS ENDURING RELATIONSHIPS WITH SEVERAL COMMUNITY-LED, COUNTY-WIDE HEALTH COLLABORATIVES, THE DUPAGE COUNTY HEALTH DEPARTMENT, LOCAL SCHOOL DISTRICTS AND SOCIAL SERVICES ORGANIZATIONS. LONGSTANDING COLLABORATIONS INCLUDE THE DUPAGE HEALTH COALITION/ACCESS DUPAGE AND THE VILLAGE OF WINFIELD. THROUGH THESE PARTNERSHIPS, AND MANY MORE, NM CDH PROVIDES HEALTH EDUCATION, NAVIGATION AND OUTREACH SERVICES. NORTHWESTERN MEDICINE DELNOR HOSPITAL: NM DELNOR REGULARLY ENGAGES WITH KANE COUNTY ORGANIZATIONS COMMITTED TO IMPROVING THE HEALTH OF ITS RESIDENTS, INCLUDING THE KANE COUNTY HEALTH DEPARTMENT AND THE TRI CITY HEALTH PARTNERSHIP, AMONG OTHERS. NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL: NM KISHWAUKEE WORKS CLOSELY WITH MANY COMMUNITY PARTNERS INCLUDING THE DEKALB COUNTY COMMUNITY MENTAL HEALTH BOARD, DEKALB COUNTY HEALTH DEPARTMENT, NORTHERN ILLINOIS UNIVERSITY, KISHWAUKEE COLLEGE, AREA SCHOOL DISTRICTS, AND MANY OTHER LOCAL MEDICAL PROVIDERS, NOT-FOR-PROFIT ORGANIZATIONS, AND COMMUNITY GROUPS. TOGETHER, NM KISHWAUKEE COLLABORATES WITH THESE DIVERSE ORGANIZATIONS TO IDENTIFY A COMMON VISION AND PLAN TO CREATE A COLLECTIVE IMPACT ON THE OVERALL HEALTH OF THE COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THERE ARE MANY WAYS THAT PATIENTS OF THE HOSPITALS ARE INFORMED OR MADE AWARE OF THE AVAILABILITY OF THE HOSPITAL'S VARIOUS FINANCIAL ASSISTANCE PROGRAMS. A. TO INCREASE AWARENESS OF FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITALS HAVE DEVELOPED BROCHURES (IN ENGLISH AND SPANISH) THAT ARE PROVIDED TO PATIENTS UPON ADMISSION AND AVAILABLE AT REGISTRATION POINTS-OF-ENTRY B. ENGLISH- AND SPANISH-LANGUAGE SIGNS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE ARE PRESENT AT EVERY PATIENT REGISTRATION AREA, INCLUDING THE EMERGENCY DEPARTMENT. C. AS PART OF THE REGISTRATION PROCESS, PATIENTS ARE PROVIDED WITH A FINANCIAL ASSISTANCE INFORMATION BROCHURE WHICH DESCRIBES THE TYPES OF ASSISTANCE AVAILABLE AND HOW TO QUALIFY FOR ONE OR MORE OF THE PROGRAMS. D. THE GENERAL CONSENT FORMS THAT EVERY PATIENT SIGNS CONTAINS INFORMATION ABOUT THE NMHC FINANCIAL ASSISTANCE PROGRAMS, AND IS AVAILABLE IN ENGLISH, SPANISH, RUSSIAN, AND POLISH AT NMH, WHILE NLFH, CDH, DELNOR, KCH, VWH, AND MJRH HAVE PROGRAMS IN ENGLISH AND SPANISH. E. INPATIENTS RECEIVE A PATIENT WELCOME PACKAGE THAT INCLUDES THE FINANCIAL ASSISTANCE INFORMATION. F. PATIENTS CAN LEARN ABOUT AND ASSESS THEIR ELIGIBILITY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS WITH THE HELP OF THE HOSPITAL'S TEAM OF FINANCIAL COUNSELING AND PATIENT INQUIRY REPRESENTATIVES. THESE REPRESENTATIVES ARE AVAILABLE ON A WALK-IN BASIS OR THROUGH A TOLL-FREE NUMBER. G. PROCESSES ARE IN PLACE TO LINK PATIENTS WITH FINANCIAL COUNSELORS AND PATIENT INQUIRY REPRESENTATIVES WHEN FINANCIAL HARDSHIP IS IDENTIFIED AS A CONCERN DURING SOCIAL SERVICES ASSESSMENTS. H. THE ENTRY PORTAL TO THE NMHC WEBSITE CONTAIN A PROMINENT LINK TO INFORMATION ABOUT NMHC'S VARIOUS FINANCIAL ASSISTANCE PROGRAMS, THE FINANCIAL ASSISTANCE BROCHURE AND DOWNLOADABLE APPLICATIONS IN MULTIPLE LANGUAGES. I. WORKING IN CONJUNCTION WITH CLINICAL STAFF, FINANCIAL COUNSELORS VISIT INPATIENTS NOT ENROLLED IN GOVERNMENT OR PRIVATE HEALTH PLANS WHILE THEY ARE STILL IN THE HOSPITAL TO ASSIST THEM IN DETERMINING THEIR ELIGIBILITY FOR BOTH GOVERNMENT HEALTH PROGRAMS AND FOR HOSPITAL FREE AND DISCOUNTED CARE PROGRAMS. J. THE HOSPITALS INFORM UNINSURED PATIENTS, AND PATIENTS WITH AN OUTSTANDING BALANCE AFTER INSURANCE, OF THE AVAILABILITY OF VARIOUS FINANCIAL ASSISTANCE PROGRAMS, INCLUDING THE FREE CARE AND DISCOUNTED CARE PROGRAM, AND THE CATASTROPHIC PROGRAM OFFERED BY THE HOSPITALS, IN WRITTEN CORRESPONDENCE SENT TO THOSE PATIENTS. THIS INFORMATION INCLUDES THE TOLL-FREE PHONE NUMBER TO THE TEAM OF PATIENT ACCOUNT REPRESENTATIVES. K. THE HOSPITALS HAVE ON-SITE PATIENT ACCOUNT STAFF WHO ARE TRAINED AND AVAILABLE TO ASSIST PATIENTS WITH FINANCIAL ASSISTANCE. L. THE HOSPITALS PROVIDE PROACTIVE FINANCIAL COUNSELING FOR SELF-PAY PATIENTS WHO HAVE A SCHEDULED INPATIENT ADMISSION. FINANCIAL COUNSELING INCLUDES ASSESSMENT FOR PUBLICLY OR PRIVATELY FUNDED INSURANCE AND THE HOSPITALS' FINANCIAL ASSISTANCE PROGRAMS. FINANCIAL ASSISTANCE PROGRAMS, INCLUDES THE FREE CARE AND DISCOUNTED CARE PROGRAMS, AND THE CATASTROPHIC PROGRAM OFFERED BY THE HOSPITALS, IN WRITTEN CORRESPONDENCE SENT TO THOSE PATIENTS. THIS INFORMATION INCLUDES THE TOLL-FREE PHONE NUMBER TO THE TEAM OF PATIENT ACCOUNT REPRESENTATIVES.
Schedule H, Part VI, Line 4 Community information	The communities served by NMHC hospitals are complex and diverse, encompassing rural, suburban and urban areas, with a range of socioeconomic statuses and social determinants of health that correspond to these demographics. NMHC is committed to providing care that takes into consideration the cultures and environments in which our patients live and is responsive to their needs. NMHC works closely with community partners, including health and social service partners, to identify priority health concerns and jointly develop community-based health initiatives designed to address healthcare disparities. Each NMHC hospital considers a variety of factors when defining its distinctive community. These factors include: geographic area served, principal functions of the hospital, areas of high hardship and the population served, the location of existing NM and community assets, and the service areas of other healthcare providers. By considering each of these factors, each NMHC hospital defined its own Community Service Area (CSA) and is working to meet the unique needs of the community it serves. Northwestern Memorial Hospital Service Area NMH serves a large, complex and diverse area with patients coming from the City of Chicago and surrounding counties. NMH's Hospital Service Area was previously defined as the Cities of Chicago and Evanston. This was re-evaluated to determine a 7-mile radius around the Hospital which maximizes the opportunity to identify and address health needs for communities serviced by the Hospital. The community comprises 34 ZIP codes, 92.30 square miles, or 57% of Chicago's total population. NMH's Hospital Service Area is ethnically and racially diverse with large Black and Hispanic populations as well as large Polish and Spanish-speaking populations. Significantly, 21 percent of families live below the poverty level in NMH's Hospital Service Area. NMH is committed to providing culturally competent care that is responsive to the needs of all our patients, regardless of the ability to pay. NMH works with community health centers in some of Chicago's medically underserved areas to identify priority health concerns and jointly develop community-based health initiatives designed to address healthcare disparities. Northwestern Medicine Lake Forest Hospital Service Area NM LFH primarily serves Lake County, which has a fairly stable population of around 704,000 residents; nearly 73 percent of inpatient admissions at NM LFH are derived from Lake County. While NM LFH's Hospital Service Area population is only expected to grow by 0.7 percent over the next five years, the over-65 population is growing rapidly. Between 2010 and 2017 (the most recent information available), the number of persons in Lake County 65 years and older increased from 8.5 percent of the population to 13.7 percent. A total of 21.9% of Lake County residents are Hispanic or Latino. In looking at race independent of ethnicity, 61.4% of residents of Lake County are White and 6.6% are Black. NM LFH defines its community as Lake County in order to facilitate alignment with the Lake County Health Department (LCHD). Northwestern Medicine Central DuPage Hospital Service Area Located in Winfield, Illinois, NMCDH serves the residents of central and western DuPage County and beyond. NMCDH's Hospital Service Area accounts for 70 percent of inpatient admissions. Age distribution in the County includes 23.8 percent infants, children or adolescents (up 0.4 percent from the 2015 CHNA), 63.3 percent of residents are age 18 to 64 (up 1.1 percent), and the 12.9 percent of age 65 or older (up 0.6 percent). In looking at race independent of ethnicity, 79.4% of residents in DuPage County are White and 4.7% are Black. When considering ethnicity, 13.9% of DuPage residents are Hispanic or Latino. The county has a higher proportion of white residents and a lower proportion of black residents than the state and US. The percentage of Hispanic and Latino residents is also lower than found in the state and US. Northwestern Medicine Delnor Hospital Service Area NMDH primarily serves the residents of Kane County. Kane County is the seventh-youngest county in Illinois and notable for its age distribution. The median age remains 34.5 years as compared to the 2015 current Census Bureau average of 36.7 years. Those aged 18 to 24 comprise 61.1 percent of the population; 27.1 percent are age 0 to 17, and 11.7 percent are age 65 or older. Non-Hispanic whites now constitute 72.5 percent of the total population, an increase from 59 percent in the prior CHNA report, and Hispanics now comprise 31.4 percent of the total population. When compared to Illinois and the US in general, the proportion of Hispanics is double in Kane County, and the county has the largest proportion of Hispanics in the state. Northwestern Medicine Kishwaukee Hospital Service Area NMKH serves a majority of DeKalb County residents; the greater part of the county's residents live in the cities of DeKalb and Sycamore. The median age of DeKalb County residents is significantly lower than that of Illinois overall, at 30.3 years, or seven years less than the median age of an Illinois or US resident. 21.4 percent of residents are aged 20 to 29 years and 16.3 percent are aged from 10 to 19 years. Additionally, 11 percent of the population is aged 30 to 39, 11.8 percent comprises 40 to 49 years, 2.4 percent from 50 to 59 years, and 15.8 percent are over 60 years. The county population is 87 percent white, 8 percent black, 3 percent Asian and 2 percent is two or more races. When considering ethnicity, 11 percent of the population identified as Hispanic or Latino. Northwestern Medicine Valley West Hospital Service Area A critical access hospital in Sandwich, Illinois, NMVW primarily serves residents of DeKalb County, demographics as detailed with NMKH. NMVW's Hospital Service Area accounts for 72 percent of inpatient admissions. NM CDH, NM Delnor, NM Kishwaukee and NM Valley West define their CSA based on their Primary Service Area (PSA). The PSA is a contiguous set of ZIP codes within a defined geographical area that accounts for a majority percentage of inpatient admissions. Marianjoy Rehabilitation Hospital Service Area Located in Wheaton, Illinois, MRH largely serves the residents of DuPage County, demographics as discussed with regards to the NMCDH service area of DuPage County as well. However, due to the specialty nature of the hospital, MRH also serves as a destination hospital receiving patient referrals from surrounding counties including Cook, Will, Kane, Kendall, DeKalb and LaSalle. Due to the unique services offered by MRH, the hospital does not use a PSA to define its community. MRH considers DuPage County its CSA, but also serves as a destination hospital for surrounding counties. Patients often travel from Cook, Will, Kane, Kendall, DeKalb and LaSalle counties, among many more, to receive care at MRH. Northern Illinois Medical Center The hospitals comprising NIMC define their primary service area as McHenry County, the sixth-most populous county in Illinois, estimated at 308,570 residents as of 2018 data. The overall population of the service area increased by 18.7% from 2000 to 2010 Census records, significantly greater than the state or national trends for the same time period. The age distribution of the population was 24.6% aged 0-17, 62.5% aged 18-64, and 12.9% aged 65 and older as of the latest data available in 2017. When looking at race independent of ethnicity, 92.4% of residents are White, 2.7 percent are Asian and 1.3 percent are Black. A total of 12.5% of Hospital service area residents are Hispanic or Latino. McHenry County uninsured rates in 2017 were just 5.5% compared to the state uninsured rate of 7.8%. McHenry County also enjoys a relatively high socioeconomic status in comparison to the state at large, with median household income of $82,230 compared to the average $61,229. Together, the three NM hospitals in Chicago's northwest suburbs - NM McHenry, NM Huntley and NM Woodstock - serve the same CSA of McHenry County, which accounts for a majority of inpatient admissions. Palos Community Hospital PCH serves the areas surrounding its campus in Palos Heights, Illinois and includes 26 residential ZIP codes in southwest Cook County and northwest Will County. Cook County age distribution indicates 22.2% of the population to be aged 0-17, 63.9% aged 18-64, and only 13.9% aged 65 and older. Reviewing for race independent of ethnicity, 56.6% of residents are White, 23.6% are Black, 17.3% are some other race and 2.6% are multiple races. The Hispanic population for the area increased 16.2% from 2000 to 2010, greater than state or national averages. A total of 6.25% of service area residents believe their overall health is fair or poor. This is less than proportions reported statewide (12.6%) or nationwide (17.7%).
Schedule H, Part VI, Line 5 Promotion of community health	As described in earlier sections, NMHC believes that its mission to improve the health of the communities it serves is best accomplished in collaboration with partners in the community. The CHNA process and ongoing input from community partners inform how NMHC hospitals prioritize and address community health needs. Along with our many care locations, our community affiliations help us to provide care to residents near where they live or work, with streamlined pathways to access medically necessary hospital-based care. NMHC also sponsors numerous programs to provide mental health services, promote health and wellness, prevent injury and trauma, and provide healthcare career training, youth mentoring, language assistance and volunteer programs to enhance the quality and accessibility of care. Net unreimbursed cost for these activities for FY21 was more than $54 million.
Schedule H, Part VI, Line 6 Affiliated health care system	AS DESCRIBED THROUGHOUT THIS FORM 990, THE SUBORDINATES REPORTED IN THIS GROUP RETURN ARE ALL PART OF NORTHWESTERN MEMORIAL HEALTHCARE. THE COMMUNITY BENEFIT PLAN AND COMMUNITY HEALTH NEEDS ASSESSMENT, DESCRIBED EARLIER IN SCHEDULE H, GIVE DETAILS ABOUT EACH SUBORDINATE'S RESPECTIVE ROLE IN PROMOTING THE HEALTH OF THE COMMUNITIES WE SERVE.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (71 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
NORTHWESTERN UNIVERSITY
750 N Lake Shore Dr	Chicago	IL	60611	362167817	501(C)3	$7,157,510	Academic support
WINFIELD FIRE PROTECTION DISTRICT
27W560 High Lake Rd	Winfield	IL	60190	362797572	Government	$1,794,492	Community safety and education
AUNT MARTHA'S HEALTH AND WELLNESS INC
19990 Governors Hwy	Olympia Fields	IL	60461	237188150	501(C)3	$1,692,946	Community health and access to healthcare
VILLAGE OF WINFIELD
27W465 Jewell Rd	Winfield	IL	60190	366009519	Government	$900,000	Community support
DUPAGE HEALTH COALITION
511 Thornhill	Carol Stream	IL	60188	364448208	501(C)3	$883,951	Access to healthcare
INNER-CITY MUSLIM ACTION NETWORK
3344 W 63rd	Chicago	IL	60629	364167433	501(C)3	$400,000	Community health
ERIE FAMILY HEALTH CENTER
1701 W Superior St	Chicago	IL	60622	363088628	501(C)3	$391,362	Access to healthcare
JOSSELYN CENTER
405 Central Ave	Northfield	IL	60093	362217996	501(C)3	$175,000	Community support for mental health services
MCHC CHICAGO HOSPITAL COUNCIL
1151 E Warrenville Rd	Naperville	IL	60563	362167008	501(C)3	$133,477	Support for Illinois Poison Center
YMCA OF METROPOLITAN CHICAGO
824 N Hamlin Ave	Chicago	IL	60651	362179782	501(C)3	$131,529	Community health and education
ACCLIVUS INC
1640 W Roosevelt	Chicago	IL	60608	273108215	501(C)3	$100,000	Violence prevention and conflict intervention
FRIENDS OF LAKE FOREST PARKS
400 Hastings Rd	Lake Forest	IL	60045	364202592	501(C)3	$80,000	Community health and wellness
WINFIELD SCHOOL DISTRICT 34
0S150 Winfield Rd	Winfield	IL	60190	366004497	Government	$77,004	Student health and safety
ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO
225 E Chicago Ave	Chicago	IL	60611	362170833	501(C)3	$54,510	Health and well-being of children
MANO A MANO FAMILY RESOURCE CENTER
6 E Main St	Round Lake Park	IL	60073	364418084	501(C)3	$50,000	Community health for low income and immigrant communities
FAMILY SERVICE AGENCY
1325 Sycamore Rd	DeKalb	IL	60115	362360012	501(C)3	$50,000	Community support
SPECTRIOS INSTITUTE FOR LOW VISION
219 E Cole Ave	Wheaton	IL	60187	363083157	501(C)3	$50,000	Support for those with low vision
NORTHERN ILLINOIS FOOD BANK
273 Dearborn	Geneva	IL	60134	363203648	501(C)3	$43,500	Community health and nutrition
WAUKEGAN PUBLIC LIBRARY FOUNDATION
128 N County St	Waukegan	IL	60085	363446040	501(C)3	$40,000	Community support
KISHWAUKEE FAMILY YMCA
2500 W Bethany Rd	Sycamore	IL	60178	362379643	501(C)3	$35,000	Support programs for community health
LADIES OF VIRTUE GRANT
1245 S Michigan	Chicago	IL	60605	800530610	501(C)3	$30,000	Community health and wellness
KISHWAUKEE COLLEGE FOUNDATION
21193 Malta Rd	Malta	IL	60150	237433949	501(C)3	$30,000	Community education and support
DEKALB COUNTY ECONOMIC DEVELOPMENT CORP
2179 Sycamore Rd	DeKalb	IL	60115	363524353	501(C)3	$30,000	Support for economic development of the community
THE THRESHOLDS
4101 N Ravenswood	Chicago	IL	60613	362518901	501(C)3	$27,600	Assistance for those with severe mental illiness
CONNECTIONS FOR ABUSED WOMEN AND THEIR CHILDREN
1116 N Kedzie	Chicago	IL	60651	362950380	501(C)3	$26,750	Access to healthcare for victims of domestic violence
APNA GHAR INC OUR HOME
4350 N Broadway	Chicago	IL	60613	363698770	501(C)3	$26,750	Support for safe spaces for those experiencing violence
MUJERES LATINAS
2124 W 21st Pl	Chicago	IL	60608	362877520	501(C)3	$26,750	Support for safe spaces for those experiencing violence
FRIENDS OF THE HIGHWOOD PUBLIC LIBRARY
102 Highwood Ave	Highwood	IL	60040	834409594	501(C)3	$25,000	Community support
ECKER CENTER FOR BEHAVIORAL HEALTH
1845 Grandstand Pl	Elgin	IL	60123	362312495	501(C)3	$22,553	Support for behavioral health services for low income
KISHWAUKEE UNITED WAY
115 N 1st St	DeKalb	IL	60115	366158489	501(C)3	$21,000	Community support
FAMILY HEALTH PARTNERSHIP
401 E Congress Pkwy	Crystal Lake	IL	60014	364277029	501(C)3	$15,000	Support for access to care
LINKING EFFORTS AGAINST DRUGS (LEAD)
400 E Illinois Rd	Lake Forest	IL	60045	311501805	501(C)3	$15,000	Drug abuse prevention and education
COLLEGE OF LAKE COUNTY FOUNDATION
19351 W Washington	Grayslake	IL	60030	362852334	501(C)3	$15,000	Support for healthcare education
HOPE HAVEN OF DEKALB COUNTY INC
1145 Rushmore Dr	DeKalb	IL	60115	363537762	501(C)3	$15,000	Shelter and meals for homeless
VOLUNTARY ACTION CENTER
1606 Bethany Rd	Sycamore	IL	60178	362798257	501(C)3	$15,000	Community support
KENDALL COUNTY HEALTH DEPARTMENT
811 W John St	Yorkville	IL	60560	366006598	Government	$15,000	Community health and support
TRI CITY HEALTH PARTNERSHIP INC
318 Walnut St	St Charles	IL	60174	364475369	501(C)3	$15,000	Support for care to diabetic patients
THE MARFAN FOUNDATION INC
22 Manhasset Ave	Port Washington	NY	11050	521265361	501(C)3	$14,000	Support for those afflicted with aortic conditions
SANDWICH PARK DISTRICT
1001 N Latham St	Sandwich	IL	60548	362646087	Government	$13,000	Programs to promote healthy lifestyle
LUSTER LEARNING INSTITUTE
1126 Hillcrest Ave	Highland Park	IL	60035	364604965	501(C)3	$12,279	Community support
DUPAGE PADS
601 W Liberty	Wheaton	IL	60187	363675494	501(C)3	$12,000	Shelter and meals for homeless
LAKE COUNTY PARTNERSHIP FOR ECONOMIC DEVELOPMENT
1 Overlook Pt	Lincolnshire	IL	60069	364206288	501(C)3	$10,000	Support economic development in the community
DEKALB COUNTY COMMUNITY FOUNDATION
475 DeKalb Ave	Sycamore	IL	60178	363788167	501(C)3	$10,000	Community support
CASA DEKALB COUNTY INC
407 W State St	Sycamore	IL	60178	363903898	501(C)3	$10,000	Advocates for abused and neglected children
SENIOR SERVICES ASSOCIATES INC
101 S Grove Ave	Elgin	IL	60120	362775102	501(C)3	$10,000	Community support for adult day care for low income
BATAVIA COMMUNITY CHEST
PO Box 372	Batavia	IL	60510	363208945	501(C)3	$10,000	Community support
AMERICAN CANCER SOCIETY ILL DIV
1801 Meyers Rd	Oakbrook Terrace	IL	60181	131788491	501(C)3	$10,000	Support for research and education
BRIDGE COMMUNITIES INC
505 Crescent Blvd	Glen Ellyn	IL	60137	363705951	501(C)3	$10,000	Shelter and meals for homeless
SAMARITAN INTERFAITH
1819 Bay Scott Circle	Naperville	IL	60540	362846570	501(C)3	$10,000	Support for mental health services to those facing financial challenges
BOYS & GIRLS CLUB OF DUNDEE TOWNSHIP
PO Box 173	Carpentersville	IL	60110	364184937	501(C)3	$10,000	Community support
HOME OF THE SPARROW INC
4209 W Shamrock Ln	McHenry	IL	60050	363494491	501(C)3	$10,000	Support for homelessness programs
NEW DIRECTIONS ADDICTION RECOVERY SERVIC
14411 Kishwaukee Valley Rd	Woodstock	IL	60098	274469700	501(C)3	$10,000	Support for addiction services
GILDAS CLUB CHICAGO
537 N Wells St	Chicago	IL	60654	364115144	501(C)3	$9,000	Support community health and education
CROHN'S & COLITIS FOUNDATION INC
733 Third Ave	New York	NY	10017	136193105	501(C)3	$8,720	Support community health and education
PIONEER CENTER FOR HUMAN SERVICES
4031 W Dayton St	McHenry	IL	60050	362480845	501(C)3	$8,200	Support for behavioral health services
NORTHERN ILLINOIS UNIVERSITY FOUNDATION
810 N 1st St	DeKalb	IL	60115	366086819	501(C)3	$8,000	Community support
ELDERCARE LAKE COUNTY
410 Grand Ave	Waukegan	IL	60085	814278360	501(C)3	$7,550	Health and independence of needy elderly residents of Lake County
TURNING POINT
PO Box 723	Woodstock	IL	60098	363163296	501(C)3	$7,500	Support for mental health programs
SYCAMORE PARK DISTRICT
480 S Airport Rd	Sycamore	IL	60178	366006122	Government	$5,500	Community health and support
METROPOLITAN PLANNING COUNCIL
140 S Dearborn	Chicago	IL	60603	362382849	501(C)3	$5,000	Community support
CHICAGO YOUTH SYMPHONY ORCHESTRAS
410 S Michigan Ave	Chicago	IL	60605	366109808	501(C)3	$5,000	Support community youth education
Make A Difference DKC
1015 Bethany Rd	Sycamore	IL	60178	462730003	501(C)3	$5,000	Community health and nutrition
DEKALB PARK DISTRICT
1403 Sycamore Rd	DeKalb	IL	60115	366005844	Government	$5,000	Community health
ADVENTURE WORKS OF DEKALB CO
1211 Sycamore Rd	DeKalb	IL	60115	271897885	501(C)3	$5,000	Support for youth behavioral health services
OPPORTUNITY HOUSE INC
357 N California St	Sycamore	IL	60178	362476231	501(C)3	$5,000	Support for those with intellectual and development disabilities
DEKALB CHAMBER OF COMMERCE
130 W Lincoln Hwy	DeKalb	IL	60115	360981630	501(C)6	$5,000	Community support
OPEN DOOR REHABILITATION CENTER
405 S Wells St	Sandwich	IL	60548	362535682	501(C)3	$5,000	Programs for seniors in the community
THE WINFIELD FOUNDATION
27W338 Churchill Rd	Winfield	IL	60190	844986112	501(C)3	$5,000	Community support
CASA OF MCHENRY COUNTY
70 N Williams St	Crystal Lake	IL	60014	201387762	501(C)3	$5,000	Well-being of children
THE HARVARD COMMUNITY SENIOR CENTER
6817 Harvard Hills Rd	Harvard	IL	60033	460683783	501(C)3	$5,000	Community support
UNITED WAY OF GREATER MCHENRY COUNTY
4508 Prime Pkwy	McHenry	IL	60050	366147909	501(C)3	$5,000	Community support

Field	Value	IRS element (for citing)
Total501c3 Org	70	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
SCHOLARSHIPS	84	$198,250
EMPLOYEE CRISIS ASSISTANCE	226	$275,326
PATIENT BILL ASSISTANCE	12	$40,800
PATIENT TRANSPORTATION ASSISTANCE	320	$17,608
FOOD FOR INDIVIDUALS	500	$16,182
MEDICINE FOR INDIVIDUALS	1860		$650,913	COST	PRESCRIPTIONS FILLED FOR PATIENTS UNABLE TO AFFORD THE COST
MEDICAL EQUIPMENT FOR INDIVIDUALS	11		$32,972	COST	MEDICAL EQUIPMENT PURCHASED FOR PATIENTS UNABLE TO AFFORD THE COST.

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule I, Part III, Column (b) Number of recipients

The number of scholarship recipients is known. For the other types of assistance to domestic individuals the number of recipients benefiting was estimated based on an average or typical amount of assistance provided.

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.

Northwestern Memorial HealthCare (NMHC) contributes financial support to tax-exempt organizations and other agencies which support our mission to improve the health and quality of life for those within our communities. Grants and donations from NMHC are administered through Office of External Affairs and its Community Affairs team. The Community Affairs team maintains detailed records and internal control procedures to ensure grant recipients are qualified, award amounts are documented and selection criteria are clear. Requests for donations of $10,000 or less are evaluated to ensure that the donations will have a positive impact on the health and well-being of our communities in addressing an identified community health need. Donations of $1000 or more require an Accountability Report from the recipient which identifies how the funds were used to address the community health need as proposed. Larger donations are awarded through the Northwestern Medicine grant program and are handled through a formal application process, which includes identifying the community health need to be addressed through the grant, requires a detailed budget for the proposed program, and the measurable outcomes expected. Once a grant has been awarded, a written agreement is created which incorporates a budget and time period for spending the grant dollars. Reasonable direct costs, supported by direct budget justification and related to the project's purpose, are allowable. Recipients agree to abide by the budget and all relevant policies in effect at NMHC. Grant expenditures are monitored for compliance with their respective agreements, at least once a year to ensure that budgets are followed and expenses are appropriate. At the end of each budget period, the grant recipient is required to submit an Accountability Report which includes a written narrative and financial report outlining project accomplishments and how the grant dollars were expended.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (40 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jay M Anderson
See Schedule O	$537,347	$0	$355,002	$0	$127,290	$0	$231,789	$0	$26,679	$0	$1,278,106	$0	$0	$0
Howard B Chrisman MD
See Schedule O	$739,599	$0	$604,353	$0	$28,497	$0	$232,738	$0	$7,544	$0	$1,612,731	$0	$0	$0
Julie L Creamer
See Schedule O	$792,654	$0	$605,194	$0	$611,446	$0	$184,738	$0	$28,195	$0	$2,222,227	$0	$0	$0
Matthew J Flynn
See Schedule O	$440,751	$0	$189,187	$0	$54,640	$0	$86,478	$0	$28,772	$0	$799,828	$0	$34,080	$0
Dean M Harrison
See Schedule O	$2,119,651	$0	$3,043,233	$0	$467,420	$0	$1,323,100	$0	$18,956	$0	$6,972,360	$0	$0	$0
Michael Kokott
See Schedule O	$233,941	$0	$97,948	$0	$3,446	$0	$22,285	$0	$21,368	$0	$378,987	$0	$0	$0
Emily J Kozak
See Schedule O	$345,540	$0	$209,856	$0	$2,040	$0	$38,738	$0	$29,975	$0	$626,148	$0	$0	$0
Thomas J McAfee
See Schedule O	$706,221	$0	$524,919	$0	$153,692	$0	$299,762	$0	$29,667	$0	$1,714,261	$0	$99,672	$0
William J McCune MD
See Schedule O	$262,173	$0	$0	$0	$25,128	$0	$6,112	$0	$20,823	$0	$314,236	$0	$0	$0
Eric G Neilson MD
See Schedule O	$545,524	$0	$516,557	$0	$22,914	$0	$17,100	$0	$27,968	$0	$1,130,064	$0	$0	$0
John A Orsini
See Schedule O	$980,608	$0	$724,026	$0	$183,287	$0	$428,228	$0	$13,059	$0	$2,329,208	$0	$118,200	$0
Kevin P Poorten
See Schedule O	$742,607	$0	$537,125	$0	$9,087	$0	$310,770	$0	$28,421	$0	$1,628,010	$0	$10,000	$0
Patrick Towne MD
See Schedule O	$581,480	$0	$420,769	$0	$3,854	$0	$217,550	$0	$26,860	$0	$1,250,513	$0	$0	$0
Anthony Altimari MD
See Schedule O	$631,674	$0	$0	$0	$77,524	$0	$17,100	$0	$26,926	$0	$753,224	$0	$0	$0
Todd Barrowclift DO
See Schedule O	$210,122	$0	$37,280	$0	$1,398	$0	$7,388	$0	$29,675	$0	$285,864	$0	$0	$0
Daniel Brat
See Schedule O	$240,742	$0	$131,871	$0	$20,905	$0	$0	$0	$10,490	$0	$404,008	$0	$0	$0
Dolly Devara MD
See Schedule O	$457,541	$0	$0	$0	$199,296	$0	$17,100	$0	$28,282	$0	$702,218	$0	$0	$0
Scott Helm MD
See Schedule O	$266,186	$0	$0	$0	$0	$0	$0	$0	$0	$0	$266,186	$0	$0	$0
Amy S Paller MD
See Schedule O	$336,426	$0	$142,595	$0	$30,538	$0	$17,100	$0	$39,809	$0	$566,469	$0	$0	$0
TERRANCE D PEABODY MD
See Schedule O	$630,984	$0	$182,750	$0	$8,654	$0	$17,100	$0	$34,297	$0	$873,784	$0	$0	$0
Leonidas C Platanias MD PhD
See Schedule O	$0	$0	$182,731	$0	$4,458	$0	$11,106	$0	$3,104	$0	$201,399	$0	$0	$0
Mahesh Ramachandran MD
See Schedule O	$324,115	$0	$89,426	$0	$80,142	$0	$13,564	$0	$26,698	$0	$533,945	$0	$0	$0
Michael Schmidt MD
See Schedule O	$359,707	$0	$52,961	$0	$21,149	$0	$17,100	$0	$28,252	$0	$479,169	$0	$0	$0
Douglas E Vaughan MD
See Schedule O	$371,746	$0	$170,759	$0	$27,899	$0	$17,100	$0	$21,191	$0	$608,695	$0	$0	$0
Nicholas J Volpe MD
See Schedule O	$384,431	$0	$138,461	$0	$26,105	$0	$17,100	$0	$33,084	$0	$599,181	$0	$0	$0
Jack A Wagoner MD
See Schedule O	$469,964	$0	$64,485	$0	$104,948	$0	$17,100	$0	$28,229	$0	$684,726	$0	$0	$0
Maureen Bryant
See Schedule O	$454,156	$0	$280,934	$0	$37,247	$0	$89,665	$0	$9,123	$0	$871,126	$0	$0	$0
Connie D Falcone
See Schedule O	$447,780	$0	$176,176	$0	$4,792	$0	$41,978	$0	$27,191	$0	$697,916	$0	$0	$0
Leah V Hobson
See Schedule O	$340,799	$0	$146,079	$0	$2,119	$0	$32,429	$0	$30,390	$0	$551,816	$0	$0	$0
Danae K Prousis
See Schedule O	$768,877	$0	$367,861	$0	$163,065	$0	$17,100	$0	$9,973	$0	$1,326,877	$0	$0	$0
Maureen Taus
See Schedule O	$379,394	$0	$168,828	$0	$2,802	$0	$35,634	$0	$26,731	$0	$613,389	$0	$0	$0
Aaron Bare
See Schedule O	$916,927	$0	$0	$0	$433,356	$0	$17,100	$0	$31,529	$0	$1,398,912	$0	$0	$0
Daniel Derman
Senior Vice President	$568,313	$0	$420,570	$0	$114,427	$0	$145,895	$0	$24,959	$0	$1,274,164	$0	$0	$0
Harish Shownkeen
See Schedule O	$1,256,412	$0	$0	$0	$435,478	$0	$17,100	$0	$18,590	$0	$1,727,580	$0	$0	$0
Elizabeth Rosenberg
SVP, Administration	$697,766	$0	$461,226	$0	$141,589	$0	$308,756	$0	$30,163	$0	$1,639,500	$0	$88,200	$0
Patrick McCarthy MD
SEE SCHEDULE O	$1,766,875	$0	$785,257	$0	$32,293	$0	$50,433	$0	$17,672	$0	$2,652,530	$0	$33,333	$0
James Giblin
See Schedule O	$560,778	$0	$330,314	$0	$7,549	$0	$212,804	$0	$28,298	$0	$1,139,743	$0	$0	$0
Brian J Lemon
See Schedule O	$29,786	$0	$218,699	$0	$597	$0	$14,924	$0	$959	$0	$264,965	$0	$0	$0
Michael S Eesley
See Schedule O	$981,556	$0	$484,639	$0	$218,800	$0	$88,811	$0	$21,706	$0	$1,795,512	$0	$0	$0
Michael Vivoda
See Schedule O	$0	$0	$0	$0	$1,019,900	$0	$0	$0	$0	$0	$1,019,900	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	HEALTH CLUB DUES EMPLOYEES OF NORTHWESTERN MEMORIAL HEALTHCARE ARE OFFERED DISCOUNTED HEALTH AND FITNESS CLUB DUES AT NORTHWESTERN MEDICINE LAKE FOREST HEALTH AND FITNESS CENTER. THE AMOUNT OF THE DISCOUNT IS TREATED AS TAXABLE INCOME FOR EACH OF THE EMPLOYEES. MATTHEW J. FLYNN RECEIVED THIS BENEFIT. COUNTRY CLUB DUES COUNTRY CLUB DUES WERE REIMBURSED FOR CERTAIN NMHC EMPLOYEES. THIS AMOUNT IS TREATED AS TAXABLE INCOME FOR EACH OF THESE EMPLOYEES. KEVIN POORTEN RECEIVED THIS BENEFIT.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THERE ARE TWO DIFFERENT NONQUALIFIED DEFERRED COMPENSATION PLANS SPONSORED BY NORTHWESTERN MEMORIAL HEALTHCARE, WHICH PROVIDE SUPPLEMENTAL, COMPETITIVE RETIREMENT BENEFITS. THE EMPLOYER PAYS THE COST OF PARTICIPATION, AND THE BENEFITS AND CONTRIBUTIONS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE BASED ON THE COMPLETION OF SUBSTANTIAL FUTURE SERVICE REQUIREMENTS. THE AMOUNTS EARNED BY PARTICIPANTS FLUCTUATE FROM YEAR TO YEAR BASED ON A VARIETY OF FACTORS INCLUDING CHANGES IN MARKET INTEREST RATES. PLAN A JULIA CREAMER IS VESTED IN A NON-QUALIFIED PLAN. AS SUCH, ANY CONTRIBUTIONS ARE TAXED CURRENTLY AND THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $504,319 PLAN B THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE THE CURRENT YEAR CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: MAUREEN BRYANT, $27,000 JULIA CREAMER, $96,000 MICHAEL EESLEY, $202,680 DEAN HARRISON, $428,450 PATRICK MCCARTHY, $107,628 DANAE PROUSIS, $150,600 THE FOLLOWING EMPLOYEES ARE NOT VESTED IN THE PLAN, AND FOR SUCH EMPLOYEES THE CURRENT YEAR EARNED AMOUNT (WHICH REMAINS AT RISK BECAUSE OF THE REQUIREMENT OF SUBSTANTIAL FUTURE SERVICES) WAS: JAY ANDERSON, $94,848 HOWARD CHRISMAN, $48,000 CONNIE FALCONE, $26,718 MATTHEW FLYNN, $71,400 JAMES GIBLIN, $101,232 LEAH HOBSON, $20,640 MICHAEL KOKOTT, $14,184 EMILY KOZAK, $27,600 THOMAS MCAFEE, $137,400 JOHN ORSINI, $201,000 KEVIN POORTEN, $145,800 ELIZABETH ROSENBERG, $134,760 MAUREEN TAUS, $22,680 PATRICK TOWNE, $106,920 THE FOLLOWING NMHC EMPLOYEES RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN DURING CALENDAR YEAR 2020: JAY ANDERSON, $121,856 MATTHEW FLYNN, $48,475 THOMAS MCAFEE, $145,138 JOHN ORSINI, $172,118 ELIZABETH ROSENBERG, $128,433
Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization	CERTAIN LISTED INDIVIDUALS ARE EMPLOYED AS PHYSICIANS. THE COMPENSATION LISTED IN SCHEDULE J IS PROVIDED SOLELY IN CONNECTION WITH THEIR EMPLOYMENT AS PHYSICIANS, AND IS IN PART BASED ON REVENUES ASSOCIATED WITH THEIR PERSONALLY PERFORMED SERVICES. THE COMPENSATION LISTED IS FOR THE CLINICAL AND ADMINISTRATIVE SERVICES PROVIDED WITHIN THE NORTHWESTERN MEMORIAL HEALTHCARE GROUP. THE MAJORITY OF THESE PHYSICIANS ARE ALSO COMPENSATED BY AN UNRELATED ORGANIZATION (NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE) THROUGH A COMMON PAYMASTER FOR THEIR ACADEMIC AND RESEARCH EFFORTS. THE COMPENSATION LISTED IN SCHEDULE J DOES NOT INCLUDE ACADEMIC AND RESEARCH COMPENSATION FROM THE UNRELATED ORGANIZATION.
Schedule J, Part I, Line 7 Non-fixed payments	THE BONUS AND INCENTIVE COMPENSATION AMOUNTS LISTED IN COLUMN (B)(II) FOR ALL LISTED INDIVIDUALS WERE DETERMINED USING A SPECIFIED FORMULA. THIS FORMULA AND THE CALCULATION OF THEIR ANNUAL BONUS IS BASED ON TWO COMPONENTS: THE EMPLOYEE'S TITLE/POSITION (STAFF, MANAGER, DIRECTOR, VP, ETC.) AND THE DEGREE TO WHICH ESTABLISHED PERFORMANCE GOALS WERE ACHIEVED. INCENTIVE COMPENSATION AMOUNTS ARE AT RISK AND ARE NOT PAID UNLESS THERE IS EXCEPTIONAL INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE IN ACCORDANCE WITH SUBSTANTIAL PRE-APPROVED GOALS. THE INCENTIVE COMPENSATION LISTED FOR CERTAIN PHYSICIANS IS FOR PERSONAL PROFESSIONAL PRODUCTIVITY AND FOR PERFORMANCE IN IMPROVING THE QUALITY OF PATIENT CARE.
Schedule J, Part I, Line 8 INITIAL CONTRACT EXCEPTION	WHILE THERE ARE NO AMOUNTS REPORTED ON FORM 990, PART VII, FOR WHICH THE INITIAL CONTRACT EXCEPTION EXPRESSLY APPLIES, THE ORGANIZATION RESERVES THE RIGHT TO ASSERT AT ANY TIME THAT THE INITIAL CONTRACT EXCEPTION APPLIES TO AN AMOUNT PROVIDED A PERSON LISTED IN PART VII AND/OR ON SCHEDULE J.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	ILLINOIS FINANCE AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	861091967	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2015-10-01	BondIssuedDt
Issue Price	$232,015,000	IssuePriceAmt
Purpose	REFINANCE 2015A BONDS AND ADVANCE REFUND SERIES 2007A BONDS	PurposeDesc
Defeased	Yes (true)	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$160,605,000	RetiredAmt
Bond Defeased	$37,530,000	BondDefeasedAmt
Total Proceeds	$233,197,752	TotalProceedsAmt
Issuance Costs From Proceeds	$1,149,829	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$232,047,923	OtherSpentProceedsAmt
Substantial Completion	2015	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (true)	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	Yes (true)	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (g) LINE A	2015F BONDS WERE DEFEASED AND 2015B, C AND D REDEEMED.
Schedule K, Part II, Line 3 BOND TOTAL PROCEEDS	THE TOTAL PROCEEDS OF ISSUES REPORTED AT PART II, LINE 3, EXCEED THE ISSUE PRICE OF PART I DUE TO INTEREST EARNINGS RELATED TO THE ISSUES.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 10/12/2020

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JAMES TOWNE
JAMES TOWNE, EMPLOYEE OF THE ORG AND BROTHER OF PATRICK TOWNE, A DIRECTOR OF RMG	$333,963	EMPLOYEE	false
WILLIAM TOWNE
WILLIAM TOWNE, EMPLOYEE OF THE ORG AND BROTHER OF PATRICK TOWNE, A DIRECTOR OF RMG	$784,230	EMPLOYEE	false
MEDLINE
CHARLES N. MILLS, A DIRECTOR OF NMH, INDIRECTLY OWNS A GREATER THAN 35% INTEREST	$847,597	MEDICAL PRODUCTS	false
CAREY ELECTRIC CONTRACTING LLC
TOM A. CAREY, A DIRECTOR OF CHS, NIMC, MMC, CHHH, INDIRECTLY OWNS A GREATER THAN 35% INTEREST	$866,744	ELECTRICAL SERVICES	false

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$1,941	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	70	ContributionCnt
Noncash Contributions Rpt F990	$4,074,978	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1403	ContributionCnt
Noncash Contributions Rpt F990	$63	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	9901	ContributionCnt
Noncash Contributions Rpt F990	$294,142	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Giftcards	Desc
Contribution	6	ContributionCnt
Noncash Contributions Rpt F990	$1,905	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule M, Part I, Line 31 GIFT ACCEPTANCE POLICY	MEMBERS OF THE NORTHWESTERN MEMORIAL HEALTHCARE GROUP HAVE A GIFT ACCEPTANCE POLICY THAT REQUIRES THE REVIEW OF GIFTS OF REAL OR PERSONAL PROPERTY AND OTHER NON-STANDARD CONTRIBUTIONS. ALL GIFTS MUST BE FULLY CONSISTENT WITH THE MISSION AND OBJECTIVES OF NORTHWESTERN MEMORIAL HEALTHCARE. ALL GIFTS OF PERSONAL PROPERTY VALUED AT $5,000 OR MORE, REAL ESTATE, LIFE INSURANCE, OTHER ASSETS, NON-PUBLICLY TRADED SECURITIES, OTHER INCOME PRODUCING ASSETS, CONTINGENT BEQUESTS AND OTHER NON-STANDARD CONTRIBUTIONS REQUIRE APPROVAL BY NORTHWESTERN MEMORIAL HEALTHCARE GROUP'S MEMBER EXECUTIVE COMMITTEE PRIOR TO ACCEPTANCE.
Schedule M, Part I Column (b)	The amount in column (b) represents the number of contributions during the period.
Schedule M, Part I, Line 32b Third parties used to solicit, process, or sell noncash contributions	MEMBERS OF THE NORTHWESTERN MEMORIAL HEALTHCARE GROUP DO NOT USE THIRD PARTIES TO SOLICIT OR PROCESS NONCASH CONTRIBUTIONS. HOWEVER THIRD PARTIES ARE USED TO SELL CONTRIBUTIONS OF REAL OR PERSONAL PROPERTY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (202 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 1 Mission Statement	PEOPLE SEEKING QUALITY HEALTHCARE. WITH A MISSION-DRIVEN COMMITMENT TO PROVIDING QUALITY MEDICAL CARE, REGARDLESS OF THE PATIENTS' ABILITY TO PAY, NMHC MAINTAINS ITS DEDICATION TO IMPROVE THE HEALTH OF THE MOST MEDICALLY UNDERSERVED MEMBERS OF OUR COMMUNITY BY: 1. PROVIDING OVER $1.15 BILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2021 INCLUDING CHARITY CARE, OTHER UNREIMBURSED CARE, RESEARCH, EDUCATION AND OTHER COMMUNITY ACTIVITIES; 2. SUPPORTING THOSE RECENTLY INSURED UNDER THE AFFORDABLE CARE ACT (ACA) AND MEDICAID EXPANSION BY CONTINUING TO PROVIDE MEDICALLY NECESSARY HEALTHCARE AND ASSISTING PATIENTS IN DETERMINING ELIGIBILITY AND UNDERSTANDING COVERAGE AND PROVIDER NETWORKS IN THE CHANGING FACE OF HEALTHCARE; 3. PROVIDING $137.5 MILLION IN FUNDING FOR RESEARCH AND MEDICAL EDUCATION IN FISCAL YEAR 2021, INCLUDING PARTICIPATING IN MORE THAN 5,700 CLINICAL RESEARCH STUDIES AND TRAINING NEARLY 1,000 MEDICAL STUDENTS, RESIDENTS AND FELLOWS; 4. EXPANDING ACCESS TO HEALTHCARE SERVICES THROUGH ESTABLISHMENT OF PRIMARY CARE IN THE COMMUNITY, PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS DETERMINED TO INCREASE ACCESS TO CARE, CONNECTING PATIENTS WITH MEDICAL HOMES, UNDERWRITING MEDICALLY NECESSARY DIAGNOSTIC SPECIALTY CARE, DEVELOPING TARGETED PROGRAMS TO HELP INDIVIDUALS BETTER MANAGE PREVALENT CHRONIC CONDITIONS AND SUPPORTING VOLUNTEER EFFORTS; 5. PARTICIPATING IN COMMUNITY-BASED HEALTH INITIATIVES AIMED AT PROMOTING HEALTHY LIFESTYLES TO REDUCE RISK FACTORS FOR HEART DISEASE, STROKE, CARDIOVASCULAR DISEASE AND OTHER CHRONIC DISEASES, PROMOTING MATERNAL CHILD HEALTH, ADDRESSING MENTAL HEALTH AND SUBSTANCE ABUSE, PROMOTING INDEPENDENCE IN INDIVIDUALS WITH DISABILITIES AND REDUCING VIOLENCE. MANY THAT WE HAVE TRADITIONALLY CARED FOR IN OUR COMMUNITIES GAINED ACCESS TO COVERAGE THROUGH HEALTHCARE INSURANCE PLANS OFFERED UNDER THE ACA - EITHER THROUGH THE LAW'S MEDICAID EXPANSION OR THE HEALTH INSURANCE MARKETPLACE - THUS REDUCING THE TOTAL COST OF CHARITY CARE PROVIDED UNDER OUR FINANCIAL ASSISTANCE PROGRAMS. BAD DEBT IS DRIVEN IN PART BY PATIENTS UNDER ACTIVE TREATMENT WHO ENCOUNTERED NETWORK RESTRICTIONS OR CHANGES IN COVERAGE LIMITS WHEN THEY GAINED COVERAGE UNDER THESE PLANS. NMHC CONTINUED TO PROVIDE CARE FOR THESE PATIENTS EVEN IF NOT REIMBURSABLE, CONTRIBUTING TO THE COST OF BAD DEBT. ALSO, DRIVEN BY THE CONTINUED PARTICIPATION OF NMHC ENTITIES IN ILLINOIS' MEDICAID PROGRAM AND THE INCREASED NUMBER OF MEDICAID PATIENTS CARED FOR AS A RESULT OF THE ACA, THE TOTAL COST OF CHARITY CARE PROVIDED TO GOVERNMENT SPONSORED MEDICAID AND MEDICARE PROGRAMS INCREASED IN FISCAL YEAR 2021. NMHC IS POSITIONED TO ADVANCE GROUNDBREAKING WORK THAT CAN ONLY BE ACCOMPLISHED WITH THE RESOURCES OF AN INTEGRATED ACADEMIC MEDICAL HEALTH SYSTEM. AS AN INTEGRATED ACADEMIC MEDICAL HEALTH SYSTEM, NMHC CAN TAKE ACTION BEYOND PROVIDING CLINICAL CARE. WORKING WITH SCIENTISTS AND EXPERTS IN PUBLIC HEALTH, WE ARE STRIVING TO DETERMINE ROOT CAUSES AND DEVELOP SOLUTIONS TO ERADICATE SOME OF THE MOST WIDESPREAD, GROWING AND COMPLEX PUBLIC HEALTH ISSUES FACING THE UNITED STATES TODAY - FROM CHRONIC DISEASES INCLUDING CARDIOVASCULAR DISEASE, CANCER AND DIABETES, TO THE UNDERLYING CAUSES OF OBESITY, POOR MENTAL HEALTH AND PERSISTENT VIOLENCE IN OUR COMMUNITIES. NMHC SUPPORTS SOME OF THE NATION'S MOST ADVANCED RESEARCH PROGRAMS, LED BY PHYSICIAN SCIENTISTS AT FEINBERG, WHO ARE PUSHING THE BOUNDARIES OF SCIENCE AND MEDICINE THROUGH NATIONALLY RECOGNIZED RESEARCH PROGRAMS AS WELL AS ENTIRELY NEW SCIENTIFIC DISCIPLINES THAT ARE PIONEERING DIRECTIONS FOR PREVENTING AND CURING DISEASE. NMHC IS A GROWING, NATIONALLY RECOGNIZED HEALTH SYSTEM THAT PROVIDES ACCESS TO WORLD-CLASS CARE ONE PATIENT AT A TIME AT MORE THAN 100 LOCATIONS, INCLUDING ITS NINE HOSPITALS THROUGHOUT CHICAGO, ITS NORTH, WEST AND SOUTH SUBURBS AND NORTHERN ILLINOIS. THIS COUNT OF NINE HOSPITALS IS BASED ON THE NUMBER OF HOSPITAL FACILITY LICENSES FOR SCHEDULE H REPORTING - THERE ARE THREE HOSPITALS IN THE NORTHWEST REGION OPERATING UNDER A SINGLE LICENSE. MORE THAN 33,300 PHYSICIANS, NURSES, STAFF AND VOLUNTEERS PROVIDED CARE FOR MORE THAN 120,700 INPATIENT ADMISSIONS AND MORE THAN 3 MILLION OUTPATIENT ENCOUNTERS IN FISCAL YEAR 2021. THE GEOGRAPHICAL REACH OF NMHC MEETS THE GROWING DEMAND FOR QUALITY HEALTHCARE CLOSE TO WHERE PEOPLE LIVE AND WORK. OUR PATIENTS HAVE ACCESS TO EVIDENCE-BASED MEDICINE AND RESEARCH THAT IS TRANSLATED TO CLINICAL PRACTICE, OFFERING NEW HOPE THROUGH LEADING-EDGE APPROACHES TO HEALTH, WELLNESS AND DISEASE. THE NMHC MEDICAL STAFF OF MORE THAN 4,860 INCLUDES MORE THAN 1,200 RESIDENTS AND FELLOWS AND OVER 2,000 EMPLOYED PHYSICIANS WHO ARE PART OF NMG, RMG, OR MMG. FOR GENERATIONS, NMHC HOSPITALS AND HEALTHCARE ORGANIZATIONS HAVE SERVED THE VITAL ROLE OF PROVIDING TRUSTED MEDICAL CARE IN THEIR COMMUNITIES. THEY HAVE CONTINUALLY EXPANDED IN RESPONSE TO THE NEEDS OF THEIR COMMUNITIES, PROVIDING ACCESS TO MEDICALLY NECESSARY CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY.
Form 990, Part III, Line 4a PROGRAM SERVICES CONTINUED	MARIANJOY REHABILITATION HOSPITAL AND CLINICS, INC. (EIN: 36-2680776) ("MJRH") MJRH IS A SPECIALTY AND TEACHING HOSPITAL IN WHEATON, ILLINOIS, DEDICATED TO THE DELIVERY OF PHYSICAL MEDICINE AND REHABILITATION. RESIDENTS TRAIN IN THE HIGHLY SPECIALIZED FIELD THROUGH CLINICAL EXPERIENCE, EDUCATIONAL OPPORTUNITIES AND RESEARCH ACTIVITIES. MARIANJOY IS A DESTINATION HOSPITAL LOCATED IN DUPAGE COUNTY, SERVING THE RESIDENTS OF DUPAGE AND NEARBY COUNTIES. MORE THAN 80 PHYSICIANS PROVIDE HIGHLY SPECIALIZED PROGRAMS FOCUSED ON TREATMENT OF STROKE, SPINAL CORD INJURY, BRAIN INJURY, PEDIATRIC CONDITIONS AND ORTHOPAEDIC/MUSCULOSKELETAL CONDITIONS, WITH 125 LICENSED BEDS INCLUDING 111 ACUTE INPATIENT REHABILITATION BEDS AND 14 MEDICARE-LICENSED, SUBACUTE BEDS. FISCAL YEAR 2021 SAW NEARLY 3,000 INPATIENT ADMISSIONS. MJRH PROVIDED POST-COVID-19 REHABILITATIVE CARE FOR PATIENTS THROUGHOUT THE HEALTH SYSTEM, DEMONSTRATING AN ABILITY TO PROVIDE A FULL SPECTRUM OF CARE FROM DIAGNOSIS AND TREATMENT THROUGH REHABILITATION. DURING FISCAL YEAR 2021, 18 RESIDENTS TRAINED AT MJRH. REHABILITATION MEDICINE CLINIC, INC (EIN: 36-3236791) ("RMC") REHABILITATION MEDICINE CLINIC, INC. d/b/a MARIANJOY MEDICAL GROUP IS A MEDICAL GROUP THAT HAS SIX PRACTICE MEDICAL OFFICES LOCATED IN 5 GEOGRAPHIC LOCATIONS. THERE ARE 37 HEALTH CARE PROVIDERS, SPECIALIZING IN PHYSICAL MEDICINE AND REHABILITATION. THE OPERATIONS OF RMC WERE MERGED WITH THOSE OF CENTRAL DUPAGE PHYSICIAN GROUP AS OF 11/30/2020. MARIANJOY REHABILITATION CENTER AUXILIARY (36-3896976) ("MJRCA") THE MARIANJOY AUXILIARY SUPPORTS THE EFFORTS OF THE MARIANJOY REHABILITATION HOSPITAL AND CLINICS. THIS GROUP OF DEVOTED INDIVIDUALS ORGANIZES AND HOSTS SEVERAL FUNDRAISING EVENTS, INCLUDING SPRING AND FALL LUNCHEONS, AND RUNS THE MARIANJOY GIFT SHOP. THIS ENTITY WAS DISSOLVED AS OF 8/31/2021. KISHHEALTH SYSTEM (EIN: 36-3649080) ("KHS") FORMERLY KISHWAUKEE HEALTH SYSTEM, KISHHEALTH SYSTEM OPERATED TWO COMMUNITY HOSPITALS, KISHWAUKEE AND VALLEY WEST, WHICH HAVE A COMBINED 125 STAFFED BEDS, AS WELL AS SEVERAL CANCER CENTERS, IMAGING FACILITIES, AND AN EYE INSTITUTE THAT SERVE DEKALB COUNTY AND SURROUNDING AREAS IN NORTHERN ILLINOIS. SPECIALTY SERVICES INCLUDE CARDIOLOGY, EMERGENCY CARE, NEUROSURGERY, OBSTETRICS, AND ORTHOPEDICS. KISHHEALTH BECAME PART OF NMHC IN LATE 2015 AND WAS MERGED INTO THE OPERATIONS OF NMHC AS OF 1/31/2021. DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. (EIN: 47-4579189) ("DBHF") DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. PROVIDES A VARIETY OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES. PROFESSIONAL MENTAL HEALTH COUNSELING FOR ADULTS INCLUDES MARITAL, INDIVIDUAL, GROUP AND FAMILY COUNSELING AS WELL AS THERAPY GROUPS. DEKALB COUNTY HOSPICE (EIN: 36-3164329) ("DKCH") LOCATED IN DEKALB, IL, DEKALB COUNTY HOSPICE IS A COMMUNITY BASED HOSPICE PROGRAM THAT HAS BEEN PROVIDING QUALITY END-OF-LIFE CARE AND BEREAVEMENT SUPPORT TO THE COMMUNITY SINCE 1982. AS OF JUNE 1, 2019, THE BUSINESS OPERATIONS OF THIS ENTITY WERE SOLD AND THE CORPORATION WAS FORMALLY DISSOLVED AS OF 8/31/2021. KISHHEALTH SYSTEM HOME CARE (EIN: 37-1703513) ("KSHC") KISHHEALTH SYSTEM HOME CARE PROVIDES HOME HEALTH SERVICES TO DEKALB COUNTY AND NORTHERN ILLINOIS AREA RESIDENTS WHO PREFER TO RECEIVE CARE IN THE COMFORT OF THEIR HOME. AS OF JUNE 1, 2019, THE BUSINESS OPERATIONS OF THIS ENTITY WERE SOLD AND THE CORPORATION WAS FORMALLY DISSOLVED AS OF 12/31/2020. NORTHERN ILLINOIS MEDICAL CENTER (EIN: 36-2338884) ("NIMC") NORTHERN ILLINOIS MEDICAL CENTER INCORPORATES THE THREE HOSPITALS OF THE LEGACY CENTEGRA HEALTH SYSTEM AS AFFILIATED WITH NORTHWESTERN MEDICINE ON SEPTEMBER 1, 2018. THE HOSPITALS ARE NORTHWESTERN MEDICINE MCHENRY HOSPITAL ("NM MCHENRY"), NORTHWESTERN MEDICINE HUNTLEY HOSPITAL ("NM HUNTLEY") AND NORTHWESTERN MEDICINE WOODSTOCK HOSPITAL ("NM WOODSTOCK"). THE THREE HOSPITALS OPERATE THROUGH NIMC UNDER A SINGLE STATE HOSPITAL FACILITY LICENSE AND PROVIDE CARE ACROSS THE GREATER MCHENRY COUNTY AREA. OVER 730 PHYSICIANS SERVE THROUGH NIMC. NM MCHENRY IS A 166-BED, ACUTE-CARE TEACHING HOSPITAL WITH 34 RESIDENTS IN THE CHICAGO MEDICAL SCHOOL INTERNAL MEDICINE RESIDENCY PROGRAM DURING FISCAL YEAR 2021. NM MCHENRY PROVIDED CARE THROUGH MORE THAN 8,400 INPATIENT ADMISSIONS AND NEARLY 25,525 ED VISITS IN THE FISCAL PERIOD. NM HUNTLEY IS A 128-BED HOSPITAL, OPENED IN 2016, AND TREATED AS AN EXTENSION OF THE SERVICE PROVIDED BY NM MCHENRY. THE FACILITY HAD MORE THAN 7,500 INPATIENT ADMISSIONS AND MORE THAN 27,400 ED VISITS. NM WOODSTOCK OFFERS COMPREHENSIVE PRIMARY CARE AND MENTAL HEALTH SERVICES TO THE UNINSURED AND UNDERINSURED MEMBERS OF MCHENRY COUNTY. THIS 56-BED HOSPITAL IS A REGIONAL DESTINATION FOR INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES, AS WELL HOME TO AUNT MARTHA'S WOODSTOCK COMMUNITY HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER. DURING FISCAL YEAR 2021, WOODSTOCK HAD NEARLY 1,500 INPATIENT ADMISSIONS, MORE THAN 53,000 OUTPATIENT REGISTRATIONS AND NEARLY 11,800 ED VISITS. CENTEGRA HEALTH SYSTEM (EIN: 36-3196559) ("CHS") CHS IS THE LEGACY PARENT ORGANIZATION OF CENTEGRA. OPERATIONS OF THE PARENT WERE CONSOLIDATED WITH NMHC AS OF 10/2/2020 AND THE SEPARATE LEGAL ENTITY CEASED TO EXIST. MEMORIAL MEDICAL CENTER (EIN: 36-2179764) ("MMC") MMC IS PART OF THE LEGACY CENTEGRA HEALTH SYSTEM AND REPRESENTS THE FORMER WOODSTOCK HOSPITAL OPERATIONS, PRIOR TO AFFILIATION WITH NMHC AND CONSOLIDATION OF THE HOSPITAL LICENSE WITH NORTHERN ILLINOIS MEDICAL CENTER. CENTEGRA HOSPITAL HUNTLEY HOLDINGS (EIN: 45-3449737) ("CHHH") CHHH IS A LEGACY ENTITY ESTABLISHED BY CENTEGRA HEALTH SYSTEM TO SUPPORT NORTHERN ILLINOIS MEDICAL CENTER. CHHH WAS INVOLVED WITH THE DEVELOPMENT OF THE HUNTLEY HOSPITAL FACILITY AND HAS CEASED OPERATIONS FOLLOWING THE HOSPITAL CONSTRUCTION AND OPENING. PALOS COMMUNITY HOSPITAL (EIN: 36-2169179) ("PCH") PCH JOINED THE HEALTH SYSTEM AS OF JANUARY 1, 2021, SERVING CHICAGO'S SOUTHWEST SUBURBS. PCH IS A 425-BED, ACUTE-CARE HOSPITAL LOCATED IN PALOS HEIGHTS, ILLINOIS, WITH TWO OUTPATIENT LOCATIONS IN ORLAND PARK AND MOKENA. NEARLY 600 AFFILIATED PHYSICIANS PROVIDE A COMPLETE RANGE OF SERVICES IN A COMPREHENSIVE FACILITY, INCLUDING AN ED, INTENSIVE CARE UNIT, CARDIOVASCULAR SERVICES, HOME HEALTH, ORTHOPAEDICS, ONCOLOGY, MATERNITY CARE AND WOMEN'S HEALTH, PEDIATRICS, PHYSICAL AND OCCUPATIONAL THERAPY, AND PSYCHIATRY AND BEHAVIORAL HEALTH. DURING FISCAL YEAR 2021, PCH HAD MORE THAN 11,300 INPATIENT ADMISSIONS AND MORE THAN 37,033 ED VISITS. PCH IS THE SOLE MEMBER OF PALOS MEDICAL GROUP, A SINGLE MEMBER LLC, DISREGARDED FOR TAX PURPOSES.
Form 990, Part III, Line 2 New program services	AN AFFILIATION AGREEMENT BETWEEN NORTHWESTERN MEMORIAL HEALTHCARE AND PALOS HEALTH WAS EFFECTIVE AS OF 1/1/2021.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	DONALD L. THOMPSON, FREDERICK H. WADDELL, AND DEAN M. HARRISON - Business relationship, DEAN M. HARRISON, JOHN A. ORSINI AND EMILY J. KOZAK - Business relationship, DEAN M. HARRISON AND JOHN A. CANNING, JR - Business relationship, JAMES C. MURRAY III AND BRETT DALE - Business relationship, BRETT J. HART AND GLENN F. TILTON - Business relationship, PHEBE N. NOVAKOVIC AND GLENN F. TILTON - Business relationship, DEAN M. HARRISON AND MICHAEL W. FERRO - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents	THE ARTICLES OF NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) WERE AMENDED AS OF 12/31/2020 TO REFLECT THE AFFILIATION OF PALOS COMMUNITY HOSPITAL WITH NMHC AS OF 1/1/2021. CENTEGRA HEALTH SYSTEM FILED ARTICLES OF MERGER AS OF 10/2/2020 WITH NORTHWESTERN MEMORIAL HEALTHCARE. NMHC MAINTAINS THE ROLE AS PARENT ORGANIZATION. REHABILITATION MEDICINE CLINIC FILED ARTICLES OF MERGER AS OF 11/30/2020 WITH CENTRAL DUPAGE PHYSICIAN GROUP. CDPG CONTINUES THE PREVIOUSLY SEPARATE ACTIVITY OF RMC. KISHHEALTH SYSTEM HOME CARE FILED ARTICLES OF DISSOLUTION AS OF 12/31/2020. KISHHEALTH SYSTEM FILED ARTICLES OF MERGER AS OF 1/31/20201 WITH NORTHWESTERN MEMORIAL HEALTHCARE. NMHC NOW MAINTAINS THE ROLE AS PARENT ORGANIZATION. DEKALB COUNTY HOSPICE FILED ARTICLES OF DISSOLUTION AS OF 8/31/2021 WHILE HOSPICE ACTIVITIES ARE NO LONGER OPERATED WITHIN THE HEALTH SYSTEM. MARIANJOY REHABILITATION CENTER AUXILIARY FILED ARTICLES OF DISSOLUTION AS OF 8/31/2021. MARIANJOY REHABILIATION HOSPITAL AND CLINICS ABSORBED ANY REMAINING ACTIVITIES CARRIED ON SEPARATELY.
Form 990, Part VI, Line 6 Classes of members or stockholders	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) SERVES AS THE SOLE MEMBER OF THE FOLLOWING ENTITIES IN THE GROUP RETURN: - CENTEGRA-HOSPITAL HUNTLEY HOLDINGS - CENTRAL DUPAGE HOSPITAL ASSOCIATION - CENTRAL DUPAGE PHYSICIAN GROUP - CENTRAL DUPAGE SPECIAL HEALTH ASSOCIATION - DELNOR-COMMUNITY HOSPITAL - KISHWAUKEE COMMUNITY HOSPITAL - MARIANJOY REHABILITATION HOSPITAL & CLINICS, INC. - MEMORIAL MEDICAL CENTER - NORTHERN ILLINOIS MEDICAL CENTER - NORTHWESTERN LAKE FOREST HOSPITAL - NORTHWESTERN MEDICAL GROUP - NORTHWESTERN MEMORIAL FOUNDATION - NORTHWESTERN MEMORIAL HOSPITAL - PALOS COMMUNITY HOSPITAL - VALLEY WEST COMMUNITY HOSPITAL KISHWAUKEE COMMUNITY HOSPITAL SERVES AS THE SOLE CORPORATE MEMBER OF DEKALB BEHAVIORAL FOUNDATION, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), AS THE ULTIMATE PARENT OF THE HEALTH SYSTEM, HAS THE AUTHORITY TO DIRECTLY OR INDIRECTLY APPOINT THE DIRECTORS OF ALL ENTITIES IN THE GROUP. OTHER THAN EX-OFFICIO DIRECTORS, NMHC APOINTS THE DIRECTORS FOR ALL ENTITIES FOR WHICH IT SERVES AS SOLE MEMBER, AS IDENTIFIED ABOVE. THE DIRECTORS OF CERTAIN OTHER ENTITIES IN THE SYSTEM IDENTIFIED ABOVE WHICH HAVE SOLE MEMBERS OTHER THAN NMHC MAY BE APPOINTED BY THEIR INTERMEDIARY MEMBERS, HOWEVER CONTROL OVER THOSE MEMBERS' BOARDS ULTIMATELY RESTS IN NMHC. MANY OF THE ENTITIES IN THE GROUP ALSO HAVE DIRECTORS WHO SERVE EX OFFICIO IN THEIR CAPACITY AS OFFICERS OR ADMINISTRATORS OF THEIR RESPECTIVE CORPORATIONS, OR IN THEIR CAPACITY AS OFFICERS OR ADMINISTRATORS OF RELATED ORGANIZATIONS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), AS THE ULTIMATE PARENT OF ALL ENTITIES IN THIS GROUP RETURN HAS BROAD RESERVED POWERS. FOR ENTITIES WHICH NMHC DOES NOT SERVE AS SOLE MEMBER, THESE RESERVED POWERS ARE DELEGATED TO THE INTERMEDIARY CORPORATE MEMBER OF EACH AFFILIATE INCLUDED IN THIS GROUP, AND NMHC IS ULTIMATELY THE MEMBER OF THOSE INTERMEDIARIES. THE METHOD OF EXERCISING SUCH POWERS CAN OCCUR THROUGH VARIOUS PROCESSES AS DELINEATED IN THE BYLAWS OF NMHC'S AFFILIATES, ALL OF WHICH MUST BE SUPPORTED BY RESOLUTIONS COMMUNICATED TO THE AFFILIATE. NMHC, AS THE ULTIMATE SOLE MEMBER OF THE ENTITIES IN THIS GROUP RETURN, SHALL HAVE THE EXCLUSIVE POWER AND AUTHORITY TO GOVERN, DIRECT, AND OVERSEE THE PROPERTY, FUNDS, BUSINESS, AND AFFAIRS OF EVERY NMHC SUBSIDIARY, FOR THOSE POWERS THAT ARE SPECIFICALLY DELEGATED TO THE BOARD OF DIRECTORS IN EACH SUBSIDIARY'S BYLAWS. THESE RESERVED POWERS MAY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: - REMOVE DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - ADOPT AN AMENDMENT TO THE ARTICLES OF INCORPORATION OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - AMEND THE BYLAWS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - ADOPT A PLAN OF MERGER OR CONSOLIDATION OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION WITH ANOTHER CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - AUTHORIZE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS RECOMMENDED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; AND - ADOPT A PLAN PROVIDING FOR THE DISTRIBUTION OF ASSETS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS RECOMMENDED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION. - REMOVE DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; - ADOPT AN AMENDMENT TO THE ARTICLES OF INCORPORATION OF THE SUBSIDIARY BUSINESS CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; - AMEND THE BYLAWS OF THE SUBSIDIARY BUSINESS CORPORATION; - AUTHORIZE A BUSINESS COMBINATION AS SUCH TERM IS DEFINED IN 805 ILCS 5/7.85(D)(10); - ADOPT A PLAN OF MERGER, CONSOLIDATION, OR SHARE EXCHANGE OF THE SUBSIDIARY BUSINESS CORPORATION WITH ANOTHER CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; - AUTHORIZE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE SUBSIDIARY BUSINESS CORPORATION AS RECOMMENDED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; AND - AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE SUBSIDIARY BUSINESS CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 (FORM) IS GENERATED INTERNALLY BY THE FINANCE DEPARTMENT WITH SUPPORT FROM VARIOUS DEPARTMENTS WITHIN THE ORGANIZATION. VARIOUS SECTIONS OF THE FORM ARE REVIEWED BY SENIOR MANAGEMENT OF NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), AS THE PARENT ORGANIZATION, AND VARIOUS COMMITTEES. AS EXAMPLES, THE CHIEF INTEGRITY EXECUTIVE REVIEWS DISCLOSURES FOR RELATED PARTY TRANSACTIONS, THE TAX AND REGULATORY REVIEW COMMITTEE REVIEWS THE COMMUNITY BENEFIT REPORT THAT DESCRIBES THE EXEMPT PURPOSE ACHIEVEMENTS, AND LOBBYING EXPENDITURES ARE REVIEWED BY THE SVP EXTERNAL AFFAIRS. THE EXECUTIVE COMPENSATION SUBCOMMITTEE OF THE BOARD OF DIRECTORS OF NMHC IS PROVIDED THE COMPENSATION DISCLOSURES. THE ORGANIZATION THEN WORKS WITH A NATIONAL, INDEPENDENT PUBLIC ACCOUNTING FIRM AS THE PAID PREPARER OF THE FORM 990 FILING. THE FINAL FORM IS REVIEWED BY MEMBERS OF THE FINANCE DEPARTMENT PRIOR TO REVIEW BY THE NMHC VICE PRESIDENT, FINANCE AND BY THE SENIOR VICE PRESIDENT & CHIEF FINANCIAL OFFICER. PRIOR TO FILING, THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS THROUGH A SECURE WEBSITE.
Form 990, Part VI, Line 12c Conflict of interest policy	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) MAINTAINS BOTH A CONFLICT OF INTEREST POLICY AND AN INTERMEDIATE SANCTIONS POLICY. THESE POLICIES HAVE BEEN APPROVED BY ITS BOARD OF DIRECTORS AND APPLY TO ALL ENTITIES, DIRECTORS, OFFICERS, EMPLOYEES AND TRANSACTIONS WHICH TAKE PLACE WITHIN THE NMHC SYSTEM. THE POLICIES WERE WRITTEN TO ASSIST BOARD MEMBERS AND MANAGEMENT WITH THE IDENTIFICATION OF THOSE TRANSACTIONS THAT WARRANT ATTENTION AND CONSIDERATION TO ENSURE PROPER ADHERENCE TO THE TAX LAWS IMPACTING TAX-EXEMPT ORGANIZATIONS. THE CONFLICT OF INTEREST POLICY REQUIRES COMPLETION OF AN ANNUAL CERTIFICATION WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED, READ AND UNDERSTANDS THE CONFLICT OF INTEREST POLICY, HAS AGREED TO COMPLY, HAS DISCLOSED ANY MATTERS REQUIRED TO BE DISCLOSED UNDER THE POLICY, AND AGREES TO REPORT ANY CHANGES PROMPTLY TO THE CHIEF INTEGRITY EXECUTIVE. ONCE THE ANNUAL CERTIFICATIONS ARE COMPLETE, THE CHIEF INTEGRITY EXECUTIVE REVIEWS THE DISCLOSURES FOR COMPLIANCE WITH THE POLICY.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) HAS ESTABLISHED A BOARD-LED EXECUTIVE COMPENSATION REVIEW AND APPROVAL PROCESS FOR NMHC AND ALL AFFILIATES. THIS PROCESS FOR REVIEWING AND APPROVING EXECUTIVE COMPENSATION: (1) IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL TAX LAW INTERMEDIATE SANCTIONS RULES AND OTHERWISE COMPLIES WITH IRS GUIDELINES FOR TAX-EXEMPT ORGANIZATIONS; (2)IS CONDUCTED BY A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS WHOSE MEMBERS ARE ALL DISINTERESTED, INDEPENDENT AND UNPAID; (3) EVALUATES THE REASONABLENESS OF COMPENSATION ANNUALLY BASED ON COMPENSATION DATA GATHERED BY EXTERNAL CONSULTANTS FROM A PEER GROUP COMPRISED OF SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS; AND (4) ALL COMPENSATION DECISIONS AND SUPPORT ARE RECORDED IN THE MINUTES OF THE COMMITTEE'S MEETINGS. IN ADDITION, A SIGNIFICANT PORTION OF COMPENSATION IS AT RISK AND IS PAYABLE ONLY UPON ACHIEVEMENT OF A BROAD ARRAY OF DIFFICULT PERFORMANCE GOALS TIED TO THE STRATEGIC VISION OF NORTHWESTERN MEDICINE AND ACHIEVEMENT OF ITS TAX-EXEMPT PURPOSES. THE BOARD PLACES A HIGH PRIORITY ON ITS ABILITY TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM TO ENSURE WE SERVE OUR MISSION AND ACHIEVE OUR GOALS. THE OFFICERS OF NORTHWESTERN MEMORIAL HEALTHCARE ALSO FULFILL SUBSTANTIAL OFFICER AND EXECUTIVE FUNCTIONS FOR NMHC'S SUBSIDIARIES.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	SEE RESPONSE TO 15A.
Form 990, Part VI, Line 19 Required documents available to the public	THE CORPORATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE CONSOLIDATED FINANCIAL STATEMENTS OF NORTHWESTERN MEMORIAL HEALTHCARE AND SUBSIDIARIES ARE AVAILABLE ON THE HEALTH SYSTEM WEBSITE, NM.ORG. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE FROM THE ILLINOIS ATTORNEY GENERAL'S OFFICE AS PART OF ITS ANNUAL COMMUNITY BENEFITS REPORT AND THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM OF THE MUNICIPAL SECURITIES RULEMAKING BOARD.
Form 990, Part VII, Section A, Line 1a GROUP TITLES AND COMPENSATION PRESENTATION	AS OF 8/31/2021, NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), IS THE DIRECT PARENT ORGANIZATION FOR NORTHWESTERN MEMORIAL HOSPITAL (NMH), NORTHWESTERN MEMORIAL FOUNDATION (NMF), NORTHWESTERN MEDICAL FACULTY FOUNDATION, DOING BUSINESS AS NORTHWESTERN MEDICAL GROUP (NMG), NORTHWESTERN LAKE FOREST HOSPITAL (NLFH), CENTRAL DUPAGE HOSPITAL ASSOCIATION (CDH), DELNOR-COMMUNITY HOSPITAL (DCH), MARIANJOY REHABILITATION HOSPITAL AND CLINICS (MJRH), CENTRAL DUPAGE PHYSICIAN GROUP (CDPG), KISHWAUKEE COMMUNITY HOSPITAL (KCH), VALLEY WEST COMMUNITY HOSPITAL (VWCH), NORTHERN ILLINOIS MEDICAL CENTER (NIMC), AND PALOS COMMUNITY HOSPITAL (PCH). NMHC IS ALSO THE INDIRECT PARENT FOR DEKALB BEHAVIORAL HEALTH FOUNDATION (DBHF), MEMORIAL MEDICAL CENTER (MMC), AND CENTEGRA HOSPITAL HUNTLEY HOLDINGS (CHHH). DURING THE FISCAL YEAR ENDED 8/31/2021, ADDITIONAL ORGANIZATIONS WERE PRESENT THOUGH DISSOLVED OR MERGED AS PART OF THE BUSINESS OPERATIONS. THOSE ENTITIES INCLUDE REHABILIATION MEDICINE CLINIC (RMC), MARIANJOY REHABILIATION CENTER AUXILIARY (MJRCA), KISHHEALTH SYSTEM (KHS), DEKALB COUNTY HOSPICE (DKCH), KISHHEALTH SYSTEM HOME CARE (KSHC), AND CENTEGRA HEALTH SYSTEM (CHS). THESE 21 CORPORATIONS HAVE COMBINED THROUGH THE ELECTION UNDER REGULATION 1.6033-2 (D) (5) TO REPORT THE DIRECTORS, OFFICERS, KEY EMPLOYEES AND FIVE HIGHLY COMPENSATED EMPLOYEES UNDER THE GROUP RETURN REQUIREMENTS FOR FORM 990 FOR THE FISCAL YEAR ENDED 8/31/2021. NO ORGANIZATION IN THIS GROUP RETURN COMPENSATES ITS DIRECTORS FOR SERVICES PERFORMED AS DIRECTORS. WHERE COMPENSATION IS REPORTED FOR A DIRECTOR, THE COMPENSATION IS ASSOCIATED WITH ANOTHER POSITION HELD WITHIN THE CORPORATIONS. CERTAIN INDIVIDUALS HOLD MULTIPLE POSITIONS THROUGHOUT THESE 21 CORPORATIONS. THE DETAIL IS HIGHLIGHTED BY INDIVIDUAL WITHIN SCHEDULE O.
Form 990, Part VII, Section A Anderson, Jay M. ADDITIONAL POSITIONS HELD	Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: Chair & DIRECTOR (9/1/20 - 6/30/21), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , Title: President, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: President, AverageHours: 38.000; Officer
Form 990, Part VII, Section A CANNING, JOHN A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Chrisman, Howard B., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: PRESIDENT & DIRECTOR, AverageHours: 40.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Creamer, Julie L. ADDITIONAL POSITIONS HELD	Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: President &Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: Director , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial Hospital, Title: PRESIDENT & Director, AverageHours: 38.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Cullen, Michael A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: Chair & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Hospital Association, Title: Chair & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Delnor-Community Hospital, Title: Chair & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , Title: Chair & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Valley West Community Hospital, Title: Chair & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A FLESCH, WILLIAM P. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Flynn, Matthew J. ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Special Health Association, Title: Vice Chair & Treasurer, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Dekalb County Hospice, Title: Vice Chair & Treasurer, AverageHours: 36.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System Home Care, Title: Vice Chair & Treasurer, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Harrison, Dean M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: President, CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Chair & CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: Chair & CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Lake Forest Hospital, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Health System, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northern Illinois Medical Center, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Hospital Huntley Holdings , Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Physician Group, Title: CEO & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: CEO & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Palos Community Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Hospital Association, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Delnor-Community Hospital, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Valley West Community Hospital, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Foundation, Title: CEO, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: CEO & Director, AverageHours: 22.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Kokott, Michael ADDITIONAL POSITIONS HELD	Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: Director & Vice Chair, AverageHours: 40.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Kozak, Emily J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Assistant Secretary, AverageHours: 1.000; Officer Organization Name: Central Dupage Special Health Association, Title: Secretary , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Dekalb County Hospice, Title: Secretary , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: KishHealth System Home Care, Title: Secretary , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Assistant Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Centegra Health System, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northern Illinois Medical Center, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Memorial Medical Center, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Centegra Hospital Huntley Holdings , Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: Assistant Secretary , AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Assistant Secretary , AverageHours: 1.000; Officer Organization Name: Palos Community Hospital, Title: Assistant Secretary , AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: ASSISTANT SECRETARY, AverageHours: 17.000; Officer
Form 990, Part VII, Section A McAfee, Thomas J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: PRESIDENT & DIRECTOR, AverageHours: 36.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Health System, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northern Illinois Medical Center, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Hospital Huntley Holdings , Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A McCune, William J., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR & President, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Health System, Title: DIRECTOR & President, AverageHours: 36.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northern Illinois Medical Center, Title: DIRECTOR & President, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center, Title: DIRECTOR & President, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Hospital Huntley Holdings , Title: DIRECTOR & President, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Moisan, Terrence, MD ADDITIONAL POSITIONS HELD	Organization Name: Palos Community Hospital, Title: Director & President (1/1/21-7/9/21), AverageHours: ; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Neilson, Eric G., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Medical Faculty Foundation, Title: CHAIR & DIRECTOR, AverageHours: 38.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Orsini, John A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Treasurer, AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Medical Faculty Foundation, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Centegra Health System, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Northern Illinois Medical Center, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Memorial Medical Center, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Centegra Hospital Huntley Holdings , Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: DIRECTOR & TREASURER, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: DIRECTOR & TREASURER, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Palos Community Hospital, Title: Assistant Secretary , AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: TREASURER, AverageHours: 21.000; Officer
Form 990, Part VII, Section A Osborn, William A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A PATEL, HOMI B. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Health System, Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northern Illinois Medical Center, Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center, Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Hospital Huntley Holdings , Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Poorten, Kevin P. ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Special Health Association, Title: Chair , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Dekalb County Hospice, Title: Chair , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System Home Care, Title: Chair , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: DIRECTOR & PRESIDENT, AverageHours: 31.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Hospital Association, Title: DIRECTOR & PRESIDENT, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Delnor-Community Hospital, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Reyes, J. Christopher ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A RICHMAN, LARRY D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director & Chair, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Tilton, Glenn F. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Medical Faculty Foundation, Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Towne, Patrick, MD ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Physician Group, Title: PRESIDENT & DIRECTOR, AverageHours: 39.000; IndividualTrusteeOrDirectorOfficer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Whittaker, Forrest R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR & Chair, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Health System, Title: DIRECTOR & Chair, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northern Illinois Medical Center, Title: DIRECTOR & Chair, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center, Title: DIRECTOR & Chair, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Centegra Hospital Huntley Holdings , Title: DIRECTOR & Chair, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Zanck, Charie A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Palos Community Hospital, Title: Director & Chair, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Zopp, Andrea ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Altimari, Anthony, MD ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: DIRECTOR (9/1/21-6/30/21), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR (9/1/21-6/30/21), AverageHours: 39.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bade, Douglas ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Barrett, Dean ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Barrowclift, Todd, DO ADDITIONAL POSITIONS HELD	Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: DIRECTOR, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Benson, Roger L. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bernick, Carol L. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bernick, Peter ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bluhm, Andrew G. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Brat, Daniel ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Campagna, Daniel P. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 36.000; IndividualTrusteeOrDirector Organization Name: Centegra Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Carey, Tom A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Health System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Casper, David R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Chabraja, Nicholas D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Chorneyko, Michael-Dean ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CONNOLLY, SEAN M . ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cooper, Adam ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cozzi, Mark ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Crane, Joe ADDITIONAL POSITIONS HELD	Organization Name: Palos Community Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Crawford, Stephen ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CRAWFORD, KERMIT R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CRIST, PETER D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Crown, Keating ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cunningham, William F. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Daley, William M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Daluga, William G. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DAMICO, JOSEPH F. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Darnall, Matthew S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Dauten, Kent ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Davis, Anthony B. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Davis, Stephen ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Davis, Richard A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DeJesus, Pedro ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DeSantiago, Michael F. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Devara, Dolly, MD ADDITIONAL POSITIONS HELD	Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Director (as of 10/1/19), AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DICK, JOHN H. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Donnelly, Shawn M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ettelson, John R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Favela, Manny ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ferro, Michael W. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Friedman, Albert M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gallagher, J. Christopher ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR (1/1/21), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Giles, Lisa M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Glerum, James T. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Goldberg, William S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gonzalez-Mendez, J.C. ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gordon, James A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gordon McCallister, Trina ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Greffin, Judy P. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gwilliam, Scott L. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hart, Brett J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Helm, Scott, MD ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR , AverageHours: 36.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Helton, Sandra L. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Herencia, Roberto R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hoeflich, Adam ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hunt, Lawrence ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director ( 1/1/21), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Palos Community Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HUNTER, WILLARD M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hurst, Peter S., BDS ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kachmer, Michael J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A KESMAN, ANTHONY K. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kessler, John A., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Koenig, Theodore L. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kunkler, William C. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Leahy, Christine ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Lenny, Richard H. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Leonard, Mike ADDITIONAL POSITIONS HELD	Organization Name: Palos Community Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Lux, Jane ADDITIONAL POSITIONS HELD	Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Mansueto, Joseph D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Matya, Thomas ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Palos Community Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Meza, Ricardo ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Mills, Karen R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Mills, Charles ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Moen, Timothy P. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Murray, James C., III ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Novakovic, Phebe N. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Odelbo, Catherine ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director (1/1/21), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A O'Grady, Michael G. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Paller, Amy S., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PEABODY, TERRANCE D., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PEREZ, WILLIAM D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Pigott, Jane D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Platanias, Leonidas C., MD, PhD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Podjasek, John F. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Price, Richard S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Quinn, Thomas F. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ramachandran, Mahesh, MD ADDITIONAL POSITIONS HELD	Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Director (as of 2/1/20), AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Redmond-Ferguson, Andrea ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Reyes, Stephen ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR (1/1/21), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Rice, Linda Johnson ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Richmond, Mary Beth, MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Rogers, Desiree ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ruth, Charles ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Saran, Debbie S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Saslow, Ron M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Satter, Muneer A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schapiro, Morton O. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schatte, Beverly ADDITIONAL POSITIONS HELD	Organization Name: Palos Community Hospital, Title: Director (1/1/21 - 8/17/21), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schmidt, Michael, MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schulman, Marc S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Scott, Samuel C., III ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Serota, Scott ADDITIONAL POSITIONS HELD	Organization Name: Palos Community Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Shankar, Layanya, MD ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: Director, AverageHours: 36.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Scott C. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Eric ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Gregory ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Sreckovic, George, MD ADDITIONAL POSITIONS HELD	Organization Name: Palos Community Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A STRAUSS, MARC ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Stuart, Alexander D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Stucker, Robert J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Sullivan, Timothy P. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Szklarek, Abby J. ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Talton, Shelia G. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A THOMPSON, DONALD L. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Thorpe, James ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Tilly, Edward T. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Tyler, Jason ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Vaughan, Douglas E., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Volpe, Nicholas J., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 40.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A VONHOENE, WILLIAM A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WADDELL, FREDERICK H. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Wagoner, Jack A., MD ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: Director, AverageHours: 36.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Waud, Reeve ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Whinfrey, Peter K. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Woertz, Patricia A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Wood, Corinne J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ZALLIE, JAMES P . ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northern Illinois Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Centegra Hospital Huntley Holdings , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bryant, Maureen ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital, Title: President, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Falcone, Connie D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: PRESIDENT , AverageHours: 40.000; Officer
Form 990, Part VII, Section A Hobson, Leah V. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Assistant Treasurer, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Assistant Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: Assistant Treasurer , AverageHours: 23.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Centegra Health System, Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Northern Illinois Medical Center, Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Memorial Medical Center, Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Centegra Hospital Huntley Holdings , Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Palos Community Hospital, Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: ASSISTANT TREASURER , AverageHours: 1.000; Officer
Form 990, Part VII, Section A Manire, Dee A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: Vice Chair, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Prousis, Danae K. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Secretary, AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: SECRETARY, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Secretary , AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Centegra Health System, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northern Illinois Medical Center, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Memorial Medical Center, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Centegra Hospital Huntley Holdings , Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Palos Community Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: Secretary, AverageHours: 22.000; Officer
Form 990, Part VII, Section A Taus, Maureen ADDITIONAL POSITIONS HELD	Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: Assistant Treasurer, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Wehmer, Edward J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: Chair, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Bare, Aaron ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Physician, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Derman, Daniel ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Senior Vice President, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Shownkeen, Harish ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: PHYSICIAN, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Rosenberg, Elizabeth ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: SVP, Administration, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A McCarthy, Patrick, MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Radiologist, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Eesley, Michael S. ADDITIONAL POSITIONS HELD	Organization Name: Centegra Hospital Huntley Holdings (Former), Title: Former President, Director (9/1/19-10/3/19), AverageHours: 40.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Giblin, James ADDITIONAL POSITIONS HELD	Organization Name: Dekalb County Hospice(Former), Title: Former Secretary & Director, AverageHours: 39.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System Home Care(Former), Title: Former Secretary & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Lemon, Brian J. ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Hospital Association(Former), Title: Former President (9/1/19-12/31/19), AverageHours: 40.000; Officer
Form 990, Part VII, Section A Vivoda, Michael ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Physician Group(Former), Title: FORMER PRESIDENT & DIRECTOR (9/1/19-8/31/20), AverageHours: 40.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VIII, Line 2f Other Program Service Revenue	All Other - Total Revenue: 1432048609, Related or Exempt Function Revenue: 1431048086, Unrelated Business Revenue: 1000523, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All Other - Total Revenue: 1240992, Related or Exempt Function Revenue: 1174551, Unrelated Business Revenue: 66441, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	NET ASSET RELEASE - -213811; CHANGE IN PENSION OBLIGATION - 143001450; CHANGE IN INVESTMENT POOL - 55825806; TRANSFERS FROM MEMBER ORGANIZATIONS - XXX-XX-XXXX; TRANSFER OF CONTROL - -33578305; PURCHASE OF NONCONTROLLING INTEREST - -2935866; CONTRIBUTION OF PALOS COMMUNITY HOSPITAL - 61794642; ALL OTHER CHANGES - -259872;
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: DELNOR-COMMUNITY HOSPITAL ADDRESS: 300 RANDALL ROAD GENEVA, Illinois 60134 EIN: 36-3484281 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 48,458 TOTAL LOBBYING EXPENDITURES: 48,458 OTHER EXEMPT PURPOSE EXPENDITURES: 370,313,701 TOTAL EXEMPT PURPOSE EXPENDITURES: 370,362,159 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTRAL DUPAGE PHYSICIAN GROUP ADDRESS: 25 N WINFIELD ROAD WINFIELD, Illinois 60190 EIN: 36-3149833 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 529,368,597 TOTAL EXEMPT PURPOSE EXPENDITURES: 529,368,597 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: PAHCS II ADDRESS: 27W353 JEWELL RD WINFIELD, Illinois 60190 EIN: 36-3887234 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 789 TOTAL EXEMPT PURPOSE EXPENDITURES: 789 LOBBYING NONTAXABLE AMOUNT: 158 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT:39 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: KISHHEALTH SYSTEM HOMECARE ADDRESS: 100 E WASHINGTON ST SPRINGFIELD, Illinois 62701 EIN: 37-1703513 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: TOTAL EXEMPT PURPOSE EXPENDITURES: LOBBYING NONTAXABLE AMOUNT: TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: KISHWAUKEE COMMUNITY HOSPITAL ADDRESS: ONE KISH HOSPITAL DR DEKALB, Illinois 60115 EIN: 23-7087041 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 39,111 TOTAL LOBBYING EXPENDITURES: 39,111 OTHER EXEMPT PURPOSE EXPENDITURES: 227,884,348 TOTAL EXEMPT PURPOSE EXPENDITURES: 227,923,459 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: VALLEY WEST COMMUNITY HOSPITAL ADDRESS: ONE KISH HOSPITAL DR DEKALB, Illinois 60115 EIN: 36-4244337 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 14,669 TOTAL LOBBYING EXPENDITURES: 14,669 OTHER EXEMPT PURPOSE EXPENDITURES: 45,827,022 TOTAL EXEMPT PURPOSE EXPENDITURES: 45,841,691 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: MARIANJOY REHAB HOSPITAL & CLINICS, INC. ADDRESS: 26W171 ROOSEVELT RD WHEATON, Illinois 60187 EIN: 36-2680776 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 8,834 TOTAL LOBBYING EXPENDITURES: 8,834 OTHER EXEMPT PURPOSE EXPENDITURES: 89,007,801 TOTAL EXEMPT PURPOSE EXPENDITURES: 89,016,635 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: DEKALB BEHAVIORAL HEALTH FOUNDATION ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 47-4579189 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 6,725,973 TOTAL EXEMPT PURPOSE EXPENDITURES: 6,725,973 LOBBYING NONTAXABLE AMOUNT: 486,299 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 121,575 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: KISHHEALTH SYSTEM HOSPICE ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3164329 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: TOTAL EXEMPT PURPOSE EXPENDITURES: LOBBYING NONTAXABLE AMOUNT: TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: REHABILITATION MEDICINE CLINIC ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3236791 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 167 TOTAL EXEMPT PURPOSE EXPENDITURES: 167 LOBBYING NONTAXABLE AMOUNT: 33 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 8 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: MARIANJOY AUXILIARY ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3896976 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: TOTAL EXEMPT PURPOSE EXPENDITURES: LOBBYING NONTAXABLE AMOUNT: TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NORTHERN ILLINOIS MEDICAL CENTER ADDRESS: 4201 W MEDICAL CENTER DR MCHENRY, IL 60050 EIN: 36-2338884 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 73,894 TOTAL LOBBYING EXPENDITURES: 73,894 OTHER EXEMPT PURPOSE EXPENDITURES: 587,167,941 TOTAL EXEMPT PURPOSE EXPENDITURES: 587,241,835 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: MEMORIAL MEDICAL CENTER ADDRESS: 3703 DOTY RD WOODSTOCK, IL 60098 EIN: 36-2179764 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: TOTAL EXEMPT PURPOSE EXPENDITURES: LOBBYING NONTAXABLE AMOUNT: TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTEGRA HEALTH SYSTEM ADDRESS: 10350 HALIGUS RD HUNTLEY, IL 60142 EIN: 36-3196559 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: TOTAL EXEMPT PURPOSE EXPENDITURES: LOBBYING NONTAXABLE AMOUNT: TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: COMMUNITY NURSING SERVICES OF DUPAGE COUNTY ADDRESS: 690 E NORTH AVE CAROL STREAM, IL 60188 EIN: 36-6080833 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 151 TOTAL EXEMPT PURPOSE EXPENDITURES: 151 LOBBYING NONTAXABLE AMOUNT: 30 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 8 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTRAL DUPAGE SPECIAL HEALTH ASSOCIATION ADDRESS: 27W353 JEWELL ROAD WINFIELD, IL 60190 EIN: 36-4310557 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 6,457,166 TOTAL EXEMPT PURPOSE EXPENDITURES: 6,457,166 LOBBYING NONTAXABLE AMOUNT: 472,858 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT:118,215 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTEGRA HOSPITAL HUNTLEY HOLDINGS ADDRESS: 10350 HALIGUS RD HUNTLEY, IL 60142 EIN: 45-3449737 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 0 TOTAL EXEMPT PURPOSE EXPENDITURES: 0 LOBBYING NONTAXABLE AMOUNT: 0 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 0 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: PALOS COMMUNITY HOSPITAL ADDRESS: 12251 South 80th Avenue Palos Heights, Illinois 60463 EIN: 36-2169179 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 50,562 TOTAL LOBBYING EXPENDITURES: 50,562 OTHER EXEMPT PURPOSE EXPENDITURES: 268,905,998 TOTAL EXEMPT PURPOSE EXPENDITURES: 268,956,560 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: KISH HEALTH SYSTEM ADDRESS: 541 N FAIRBANKS CT, STE 1630 CHICAGO, IL 60611 EIN: 36-3649080 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: TOTAL EXEMPT PURPOSE EXPENDITURES: LOBBYING NONTAXABLE AMOUNT: TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ILLINOIS PROTON CENTER LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	260876468	HEALTHCARE	DE	$33,733,528	$71,372,655	CENTRAL DUPAGE HOSPITAL
PALOS MEDICAL GROUP LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	271472342	HEALTHCARE	IL	$20,891,682	$2,845,676	PALOS COMMUNITY HOSPITAL
MIDLAND SURGICAL CENTER LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	352194610	HEALTHCARE	IL	$2,451,816	$745,569	KISHWAUKEE COMMUNITY HOSPITAL
PALOS IMAGING LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	364836347	HEALTHCARE	IL	$6,610,042	$1,744,013	PALOS COMMUNITY HOSPITAL
CHICAGO HEALTH COLLEAGUES LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	384017932	HEALTHCARE	IL	$612,746	$1,131,896	PALOS COMMUNITY HOSPITAL
CADENCE AMBULATORY SURGERY CENTER LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	800838376	HEALTHCARE	IL	$10,786,999	$30,022,244	CENTRAL DUPAGE HOSPITAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
AUXILIARY BOARD OF NORTHWESTERN MEMORIAL HOSPITAL
541 N FAIRBANKS CT	Ste 800	CHICAGO	IL	60611	237241270	SUPPORTING	IL	501(c)(3)	Type I	NA	false
SOUTH CAMPUS PARTNERS INC
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	320517854	HEALTHCARE	IL	501(c)(3)	3	PALOS COMMUNITY HOSPITAL	Yes (true)
MCGAW MEDICAL CENTER NORTHWESTERN UNIV
420 E SUPERIOR ST	Ste 9 900	CHICAGO	IL	60611	362656113	SUPPORTING	IL	501(c)(3)	Type I	NA	false
NORTHWESTERN MEMORIAL HEALTHCARE
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363152959	MANAGEMENT	IL	501(c)(3)	Type III-FI	NA	false
PAHCS II
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363887234	OCCUPATIONAL HEALTH	IL	501(c)(3)	10	Northwestern Medical FACULTY FOUNDATION	Yes (true)
COMMUNITY NURSING SERVICE OF DUPAGE COUNTY
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	366080833	HOME HEALTH	IL	501(c)(3)	10	CENTRAL DUPAGE HOSPITAL	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
KISHWAUKEE AREA PHYSICIAN HOSPITAL ORGANIZATION LLC
541 N FAIRBANKS CT	RM 1630	CHICAGO	IL	60611	364205273	HEALTHCARE	IL	KISHWAUKEE COMM HOSP	Related	$0	$0	false	$0	false	0.75
NORTHWESTERN MEDICAL FACULTY FOUNDATION DIALYSIS CENTER
541 N FAIRBANKS CT	RM 1630	CHICAGO	IL	60611	462159685	HEALTHCARE	DE	NMFF	Related	$2,755,549	$7,237,962	false	$0	false	0.8
PALOS HEALTH SURGERY CENTER LLC
541 N FAIRBANKS CT	RM 1630	CHICAGO	IL	60611	352634976	HEALTHCARE	IL	PALOS COMM HOSPITAL	Related		-$2,655,764	false	$0	false	0.505

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
NORTHWESTERN HEALTHCARE CORPORATION
541 N FAIRBANKS CT	SUITE 1630	CHICAGO	IL	60611	363382383	HEALTHCARE	IL	NORTHWESTERN MEMORIAL HOSPITAL	C Corporation	$0	$0	1.00	Yes (true)
DUPAGE HEALTH SERVICES INC
541 N FAIRBANKS CT	SUITE 1630	CHICAGO	IL	60611	363270521	HEALTHCARE	IL	HEALTH PROGRESS INC	C Corporation
DELCOM CORPORATION
541 N FAIRBANKS CT	SUITE 1630	CHICAGO	IL	60611	363334711	HEALTH MGMT	IL	HEALTH PROGRESS INC	C Corporation
HEALTH PROGRESS INC
541 N FAIRBANKS CT	SUITE 1630	CHICAGO	IL	60611	363824138	HEALTHCARE	IL	NORTHWESTERN MEMORIAL HEALTHCARE	C Corporation
NORTHWESTERN MEDICINE HOLDINGS CO
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	834687208	MANAGEMENT	IL	NORTHWESTERN MEMORIAL HEALTHCARE	C Corporation
ST GEORGE ASSURANCE LTD
541 N FAIRBANKS CT	RM 1630	CHICAGO	IL	60611	981313176	RISK MGMT		PALOS COMMUNITY HOSPITAL	C Corporation	$7,226,053	$53,077,160	1.00	Yes (true)	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (true)	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Electing OrganizationElectingOrganizationInd	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
Northwestern Memorial HealthCare Group
541 N Fairbanks Ct Rm 1630	Chicago	IL	606113319	364724966	Yes (X)	$0	$444,633	$444,633	$7,264,994,034	$7,265,438,667	$1,000,000	$250,000	$0	$0	$0
NORTHWESTERN MEMORIAL HEALTHCARE
251 E HURON	CHICAGO	IL	60611	363152959	Yes (X)	$0	$77,960	$77,960	$1,432,325,263	$1,432,403,223	$1,000,000	$250,000	$0	$0	$0