ENDEAVOR HEALTH MEDICAL GROUP: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ENDEAVOR HEALTH MEDICAL GROUP (EIN 36-3738206)
- Tax period
- 2021-10-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202243199349323084
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T16:11:32-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 South Sixth Street Suite 2800 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363738206 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NorthShore University HealthSystem Faculty Practice Associates | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 8475702000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 Central Street | AddressLine1Txt |
| City | Evanston | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Brian M Schoen | PersonNm |
| Person Title | Board Treasurer | PersonTitleTxt |
| Phone | 8475702000 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Brian | PersonFirstNm |
| Person Last | Schoen | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Anne Fulton | PreparerPersonNm |
| PTIN | P00941863 | PTIN |
| Phone | 6123974000 | PhoneNum |
| Preparation | 2020-08-05 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | 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 | Joseph Golbus | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 Central Street | AddressLine1Txt |
| City | Evanston | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $178,421,264 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | northshore.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | NorthShore University HealthSystem Faculty Practice Associates follows the mission of NorthShore University HealthSystem to "preserve and improve human life." | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $131,499,817 | PYContributionsGrantsAmt |
| CY Contributions Grants | $30,106,789 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $511,571,944 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $148,314,475 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $643,071,761 | PYTotalRevenueAmt |
| CY Total Revenue | $178,421,264 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,085,864 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $846,479 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $483,775,519 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $140,174,879 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $126,925,662 | PYOtherExpensesAmt |
| CY Other Expenses | $35,083,561 | CYOtherExpensesAmt |
| PY Total Expenses | $616,787,045 | PYTotalExpensesAmt |
| CY Total Expenses | $176,104,919 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $26,284,716 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,316,345 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $359,925,022 | TotalAssetsBOYAmt |
| Total Assets EOY | $344,765,338 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $50,898,774 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $33,422,857 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $309,026,248 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $311,342,481 | NetAssetsOrFundBalancesEOYAmt |
| Mission | See Schedule O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $153,527,364 | ExpenseAmt |
| Grant | $846,479 | GrantAmt |
| Revenue | $148,314,475 | RevenueAmt |
| Desc | See Schedule O | Desc |
| Total Program Service Expenses | $153,527,364 | 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 | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | 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 | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | 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 |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | 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 | false | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jeff Biesczat | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8475705798 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 Central Street | AddressLine1Txt |
| City | Evanston | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Joseph Golbus | ||||||||||
| President and Physician | 41.0 | 0.0 | Yes (X) | Yes (X) | $1,485,706 | $508,200 | $292,360 | |||
| Karen L Kaul | ||||||||||
| Board Chairman and Physician | 17.0 | 24.0 | Yes (X) | Yes (X) | $397,729 | $597,768 | $46,212 | |||
| Richard K Silver | ||||||||||
| Board Vice Chairman and Physician | 6.0 | 35.0 | Yes (X) | Yes (X) | $142,988 | $928,445 | $47,645 | |||
| Bernard G Ewigman | ||||||||||
| Director and Physician | 1.0 | 40.0 | Yes (X) | $18,010 | $417,818 | $45,137 | ||||
| Brigham Temple | ||||||||||
| Director and Physician | 41.0 | 0.0 | Yes (X) | $502,198 | $22,433 | $56,636 | ||||
| Carl Buccellato | ||||||||||
| Director and Physician | 36.0 | 5.0 | Yes (X) | $722,344 | $64,360 | $55,960 | ||||
| Frederick E Miller | ||||||||||
| Director and Physician | 9.0 | 32.0 | Yes (X) | $125,430 | $539,462 | $46,880 | ||||
| Gerald P Gallagher | ||||||||||
| Director | 1.0 | 43.0 | Yes (X) | $0 | $3,083,846 | $1,301,804 | ||||
| Jason L Koh | ||||||||||
| Director and Physician | 15.0 | 27.0 | Yes (X) | $816,798 | $987,578 | $56,678 | ||||
| John Erwin III | ||||||||||
| Director and Physician | 9.0 | 33.0 | Yes (X) | $629,104 | $995,000 | $46,033 | ||||
| John Linn | ||||||||||
| Director and Physician | 38.0 | 3.0 | Yes (X) | $986,962 | $56,277 | $52,819 | ||||
| Joseph Szokol | ||||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Julian E Bailes | ||||||||||
| Director and Physician | 12.0 | 29.0 | Yes (X) | $551,397 | $1,382,771 | $56,250 | ||||
| Katharine Yao | ||||||||||
| Director and Physician | 40.0 | 1.0 | Yes (X) | $601,289 | $13,764 | $28,523 | ||||
| Mark S Talamonti | ||||||||||
| Director and Physician | 10.0 | 32.0 | Yes (X) | $332,296 | $1,170,311 | $45,116 | ||||
| Michael S Caplan | ||||||||||
| Director and Physician | 6.0 | 35.0 | Yes (X) | $133,083 | $807,923 | $29,485 | ||||
| Mohammed Minhaj | ||||||||||
| Director and Physician | 16.0 | 25.0 | Yes (X) | $197,816 | $95,461 | $32,560 | ||||
| Neil Freedman | ||||||||||
| Director and Physician | 23.0 | 18.0 | Yes (X) | $505,741 | $387,776 | $55,771 | ||||
| Robert R Edelman | ||||||||||
| Director and Physician | 3.0 | 38.0 | Yes (X) | $228,238 | $1,055,272 | $56,250 | ||||
| Sharon Robinson | ||||||||||
| Director and Physician | 30.0 | 11.0 | Yes (X) | $285,339 | $52,493 | $28,846 | ||||
| Susan Rubin | ||||||||||
| Director and Physician | 10.0 | 31.0 | Yes (X) | $175,393 | $515,464 | $28,857 | ||||
| Takijah Heard | ||||||||||
| Director and Physician | 35.0 | 6.0 | Yes (X) | $196,788 | $28,056 | $43,596 | ||||
| Wanda Cruz-Knight | ||||||||||
| Director and Physician | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Brian M Schoen | ||||||||||
| Board Treasurer | 1.0 | 40.0 | Yes (X) | $9,839 | $549,066 | $41,879 | ||||
| Cory Tabachow | ||||||||||
| Board Assistant Secretary and SVP, Clinical Operations | 41.0 | 0.0 | Yes (X) | $416,282 | $18,000 | $58,117 | ||||
| Tyler Bauer | ||||||||||
| Board Secretary and SVP, Clinical Operations | 41.0 | 0.0 | Yes (X) | $417,821 | $18,000 | $48,073 | ||||
| Deborah L Kirkorsky | ||||||||||
| SVP, Physician Revenue Cycle and Patient Access | 40.0 | 0.0 | $305,421 | $145,000 | $35,796 | Yes (X) | ||||
| Kelly Eiden | ||||||||||
| Vice President, Medical Group | 40.0 | 0.0 | $314,704 | $12,500 | $35,143 | Yes (X) | ||||
| Gregg Menaker | ||||||||||
| Physician, Dermatology | 40.0 | 0.0 | $1,393,675 | $0 | $59,244 | Yes (X) | ||||
| Joel Retsky | ||||||||||
| Physician, Medicine | 40.0 | 0.0 | $1,332,662 | $0 | $51,757 | Yes (X) | ||||
| Mark K Bowen | ||||||||||
| Physician, Orthopaedics | 38.0 | 2.0 | $1,482,516 | $100,860 | $44,888 | Yes (X) | ||||
| Michael J Musacchio Jr | ||||||||||
| Physician, Neurosurgery | 40.0 | 0.0 | $1,552,621 | $0 | $58,978 | Yes (X) | ||||
| Ross Levy | ||||||||||
| Physician, Dermatology | 40.0 | 0.0 | $1,440,852 | $0 | $59,641 | Yes (X) | ||||
| Patricia Leonard | ||||||||||
| Former Board Secretary | 0.0 | 0.0 | $345,162 | $0 | $14 | Yes (X) | ||||
| Theodore Mazzone | ||||||||||
| Former Board Past Chairman | 0.0 | 0.0 | $180,352 | $55,868 | $8,783 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $18,226,556 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $14,609,772 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,955,731 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1121 | 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 |
|---|---|---|---|---|---|
| Conifer Health Solutions | |||||
| PO Box 655025 | Dallas | TX | 75265 | Patient Billing Services | $18,287,202 |
| TMX Healthcare Technologies LLC | |||||
| 5451 Lakeview Parkway S Drive | Indianapolis | IN | 46268 | Healthcare Technology Services | $680,806 |
| Uptodate Inc | |||||
| 230 Third Avenue | Waltham | MA | 02451 | Healthcare Technology Services | $438,393 |
| Flare Health Inc | |||||
| 180 N Wacker Drive Suite 400 | Chicago | IL | 60606 | Healthcare Technology Services | $408,000 |
| Optuminsight | |||||
| PO Box 84019 | Chicago | IL | 60689 | Claims Management Services | $396,364 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $30,106,789 | RelatedOrganizationsAmt |
| Total Contributions | $30,106,789 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Revenue | 621110 | $115,887,821 | $115,887,821 |
| Medicare and Medicaid Revenue | 621110 | $32,426,654 | $32,426,654 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $148,314,475 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $178,421,264 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $148,314,475 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $846,479 | TotalAmt |
| Program Services | $846,479 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,009,893 | TotalAmt |
| Program Services | $3,284,505 | ProgramServicesAmt |
| Management And General | $725,388 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,423,478 | TotalAmt |
| Program Services | $5,328,090 | ProgramServicesAmt |
| Management And General | $95,388 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,368,834 | TotalAmt |
| Program Services | $96,489,461 | ProgramServicesAmt |
| Management And General | $11,879,373 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,070,623 | TotalAmt |
| Program Services | $16,545,149 | ProgramServicesAmt |
| Management And General | $1,525,474 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,302,051 | TotalAmt |
| Program Services | $3,893,697 | ProgramServicesAmt |
| Management And General | $408,354 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,566,901 | TotalAmt |
| Management And General | $6,566,901 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,732 | TotalAmt |
| Management And General | $4,732 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,510,693 | TotalAmt |
| Program Services | $3,013,803 | ProgramServicesAmt |
| Management And General | $496,890 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427 | TotalAmt |
| Management And General | $427 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950,133 | TotalAmt |
| Program Services | $798,554 | ProgramServicesAmt |
| Management And General | $151,579 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,598 | TotalAmt |
| Program Services | $38,867 | ProgramServicesAmt |
| Management And General | $3,731 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,810,733 | TotalAmt |
| Program Services | $8,810,733 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,496 | TotalAmt |
| Program Services | $76,031 | ProgramServicesAmt |
| Management And General | $2,465 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,406 | TotalAmt |
| Program Services | $242,943 | ProgramServicesAmt |
| Management And General | $1,463 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,663 | TotalAmt |
| Program Services | $247,307 | ProgramServicesAmt |
| Management And General | $268,356 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,743,384 | TotalAmt |
| Program Services | $7,743,384 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $6,155,011 | $6,155,011 | |
| Dues and Subscriptions | $447,034 | $447,034 | |
| Sales Tax | $13,350 | $13,350 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,104,919 | TotalAmt |
| Program Services | $153,527,364 | ProgramServicesAmt |
| Management And General | $22,577,555 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,791,899 | BOYAmt |
| EOY | $3,798,722 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,746,832 | BOYAmt |
| EOY | $52,545,958 | 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) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $536,007 | BOYAmt |
| EOY | $531,091 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,023,714 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,490,215 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,166,604 | BOYAmt |
| EOY | $18,533,499 | 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 | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $288,683,680 | BOYAmt |
| EOY | $269,356,068 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $359,925,022 | BOYAmt |
| EOY | $344,765,338 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,086,921 | BOYAmt |
| EOY | $32,611,004 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $811,853 | BOYAmt |
| EOY | $811,853 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,898,774 | BOYAmt |
| EOY | $33,422,857 | 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 | $309,026,248 | BOYAmt |
| EOY | $311,342,481 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $309,026,248 | BOYAmt |
| EOY | $311,342,481 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $359,925,022 | BOYAmt |
| EOY | $344,765,338 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,316,345 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$112 | 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NorthShore University HealthSystem | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362167060 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (true) | GoverningDocumentListedInd |
| Support | $153,527,364 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $153,527,364 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | 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 | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | 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 | false | OperateBenefitNonSuprtOrgInd |
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) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $24,439 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $24,439 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | NorthShore University HealthSystem Faculty Practice Associates (FPA) and its employees are members of various organizations that advocate on legal and policy issues that affect healthcare. A portion of the annual membership dues paid by FPA to these organizations are attributable to lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,110,398 | OtherCostOrOtherBasisAmt |
| Depreciation | $853,249 | DepreciationAmt |
| Book Value | $6,257,149 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,895,133 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,222,188 | DepreciationAmt |
| Book Value | $6,672,945 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,018,183 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,414,778 | DepreciationAmt |
| Book Value | $5,603,405 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,533,499 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due from Affiliates | Desc |
| Book Value | $269,356,068 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $269,356,068 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Investment-NPA Inc | Desc |
| Amt | $811,853 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $811,853 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $177,574,785 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$846,479 | OtherRevenueAmt |
| Revenue Not Reported | -$846,479 | RevenueNotReportedAmt |
| Revenue Subtotal | $178,421,264 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $178,421,264 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $175,258,440 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $175,258,440 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $846,479 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $846,479 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $176,104,919 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | NorthShore, FPA, RMI, Swedish Hospital, SHF, NCH, NCH Hospital, and NCH Foundation have been determined to qualify as tax-exempt organizations under Section 501(c)(3) of the Internal Revenue Code (IRC). Most of the income received by the Corporation is exempt from taxation under Section 501(a) of the IRC, as income related to the mission of the organization. Accordingly, there is no material provision for income tax for this entities. Some of the income received by exempt entities is subject to taxation as unrelated business income. NorthShore and its subsidiaries file federal income tax returns and returns for various states in the U.S. ASC 740-10, Income Taxes, requires that realization of an uncertain income tax position is more likely than not (i.e., greater than 50% likelihood of receiving a benefit) before it can be recognized in the financial statements. Furthermore, this interpretation prescribes the benefit to be recorded in the financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax-related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the three months ended December 31, 2021. For the three months ended December 31, 2021, the Corporation has a net operating loss carryforward of $336,752,118, which generated assets of $94,968,178. These assets are offset by a valuation allowance of $93,268,351. |
| Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 | Transfers with related organization - -846479 |
| Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements | Transfers with related organization - 846479 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NorthShore University HealthSystem | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 Central Street | AddressLine1Txt |
| City | Evanston | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 362167060 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $846,479 | CashGrantAmt |
| Purpose Of Grant | General Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | NorthShore University HealthSystem Faculty Practice Associates (FPA) provides cash support to NorthShore University HealthSystem (NorthShore). Support to NorthShore is monitored through the FPA budget and reporting procedures for the consolidated financial statements. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (33 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Joseph Golbus | ||||||||||||||
| President and Physician | $968,344 | $0 | $478,200 | $508,200 | $39,162 | $0 | $271,644 | $0 | $20,716 | $0 | $1,778,066 | $508,200 | $508,200 | $0 |
| Richard K Silver | ||||||||||||||
| Board Vice Chairman and Physician | $118,486 | $813,445 | $0 | $115,000 | $24,502 | $0 | $3,299 | $22,651 | $2,758 | $18,937 | $149,045 | $970,033 | $0 | $0 |
| Karen L Kaul | ||||||||||||||
| Board Chairman and Physician | $281,356 | $416,768 | $100,000 | $181,000 | $16,373 | $0 | $10,458 | $15,492 | $8,166 | $12,096 | $416,353 | $625,356 | $0 | $0 |
| Gerald P Gallagher | ||||||||||||||
| Director | $0 | $1,389,035 | $0 | $1,685,590 | $0 | $9,221 | $0 | $1,259,784 | $0 | $42,020 | $0 | $4,385,650 | $0 | $792,990 |
| Julian E Bailes | ||||||||||||||
| Director and Physician | $488,535 | $1,280,771 | $0 | $102,000 | $62,862 | $0 | $7,165 | $18,785 | $8,366 | $21,934 | $566,928 | $1,423,490 | $0 | $0 |
| Jason L Koh | ||||||||||||||
| Director and Physician | $488,019 | $885,578 | $312,173 | $102,000 | $16,606 | $0 | $9,220 | $16,730 | $10,917 | $19,811 | $836,935 | $1,024,119 | $0 | $0 |
| John Erwin III | ||||||||||||||
| Director and Physician | $213,472 | $880,000 | $400,000 | $115,000 | $15,632 | $0 | $5,066 | $20,884 | $3,921 | $16,162 | $638,091 | $1,032,046 | $0 | $0 |
| Mark S Talamonti | ||||||||||||||
| Director and Physician | $284,004 | $1,037,311 | $0 | $133,000 | $48,292 | $0 | $5,578 | $20,372 | $4,120 | $15,046 | $341,994 | $1,205,729 | $0 | $0 |
| Robert R Edelman | ||||||||||||||
| Director and Physician | $39,376 | $915,272 | $150,000 | $140,000 | $38,862 | $0 | $1,070 | $24,880 | $1,250 | $29,050 | $230,558 | $1,109,202 | $0 | $0 |
| John Linn | ||||||||||||||
| Director and Physician | $705,819 | $56,277 | $278,523 | $0 | $2,620 | $0 | $24,034 | $1,916 | $24,885 | $1,984 | $1,035,881 | $60,177 | $0 | $0 |
| Michael S Caplan | ||||||||||||||
| Director and Physician | $110,000 | $696,923 | $0 | $111,000 | $23,083 | $0 | $3,538 | $22,412 | $482 | $3,053 | $137,103 | $833,388 | $0 | $0 |
| Neil Freedman | ||||||||||||||
| Director and Physician | $418,239 | $326,414 | $77,511 | $61,362 | $9,991 | $0 | $14,575 | $11,375 | $16,749 | $13,072 | $537,065 | $412,223 | $0 | $0 |
| Carl Buccellato | ||||||||||||||
| Director and Physician | $493,845 | $63,360 | $164,200 | $0 | $64,299 | $1,000 | $22,999 | $2,951 | $26,598 | $3,412 | $771,941 | $70,723 | $0 | $0 |
| Susan Rubin | ||||||||||||||
| Director and Physician | $124,998 | $413,464 | $26,538 | $102,000 | $23,857 | $0 | $6,024 | $19,926 | $675 | $2,232 | $182,092 | $537,622 | $0 | $0 |
| Frederick E Miller | ||||||||||||||
| Director and Physician | $102,259 | $412,462 | $0 | $127,000 | $23,171 | $0 | $5,155 | $20,795 | $4,158 | $16,772 | $134,743 | $577,029 | $0 | $0 |
| Katharine Yao | ||||||||||||||
| Director and Physician | $441,330 | $13,764 | $155,961 | $0 | $3,998 | $0 | $25,165 | $785 | $2,495 | $78 | $628,949 | $14,627 | $0 | $0 |
| Brigham Temple | ||||||||||||||
| Director and Physician | $457,961 | $0 | $38,684 | $12,433 | $5,553 | $10,000 | $25,950 | $0 | $30,686 | $0 | $558,834 | $22,433 | $0 | $0 |
| Bernard G Ewigman | ||||||||||||||
| Director and Physician | $0 | $306,818 | $0 | $111,000 | $18,010 | $0 | $0 | $25,950 | $0 | $19,187 | $18,010 | $462,955 | $0 | $0 |
| Sharon Robinson | ||||||||||||||
| Director and Physician | $146,113 | $52,493 | $70,502 | $0 | $68,724 | $0 | $19,091 | $6,859 | $2,131 | $765 | $306,561 | $60,117 | $0 | $0 |
| Mohammed Minhaj | ||||||||||||||
| Director and Physician | $57,862 | $95,461 | $133,350 | $0 | $6,604 | $0 | $9,793 | $16,157 | $2,495 | $4,115 | $210,104 | $115,733 | $0 | $0 |
| Takijah Heard | ||||||||||||||
| Director and Physician | $158,147 | $28,056 | $38,043 | $0 | $598 | $0 | $17,187 | $3,049 | $19,840 | $3,520 | $233,815 | $34,625 | $0 | $0 |
| Brian M Schoen | ||||||||||||||
| Board Treasurer | $0 | $374,766 | $0 | $174,300 | $9,839 | $0 | $0 | $25,950 | $0 | $15,929 | $9,839 | $590,945 | $0 | $0 |
| Cory Tabachow | ||||||||||||||
| Board Assistant Secretary and SVP, Clinical Operations | $294,168 | $0 | $120,800 | $18,000 | $1,314 | $0 | $25,950 | $0 | $32,167 | $0 | $474,399 | $18,000 | $0 | $0 |
| Tyler Bauer | ||||||||||||||
| Board Secretary and SVP, Clinical Operations | $295,497 | $0 | $120,800 | $18,000 | $1,524 | $0 | $25,950 | $0 | $22,123 | $0 | $465,894 | $18,000 | $0 | $0 |
| Deborah L Kirkorsky | ||||||||||||||
| SVP, Physician Revenue Cycle and Patient Access | $302,515 | $0 | $0 | $145,000 | $2,906 | $0 | $25,950 | $0 | $9,846 | $0 | $341,217 | $145,000 | $0 | $0 |
| Kelly Eiden | ||||||||||||||
| Vice President, Medical Group | $244,777 | $0 | $68,700 | $12,500 | $1,227 | $0 | $25,950 | $0 | $9,193 | $0 | $349,847 | $12,500 | $0 | $0 |
| Mark K Bowen | ||||||||||||||
| Physician, Orthopaedics | $1,450,632 | $84,193 | $11,688 | $16,667 | $20,196 | $0 | $24,527 | $1,423 | $17,899 | $1,039 | $1,524,942 | $103,322 | $0 | $0 |
| Michael J Musacchio Jr | ||||||||||||||
| Physician, Neurosurgery | $1,329,293 | $0 | $218,716 | $0 | $4,612 | $0 | $25,950 | $0 | $33,028 | $0 | $1,611,599 | $0 | $0 | $0 |
| Ross Levy | ||||||||||||||
| Physician, Dermatology | $1,022,994 | $0 | $413,268 | $0 | $4,590 | $0 | $25,950 | $0 | $33,691 | $0 | $1,500,493 | $0 | $0 | $0 |
| Gregg Menaker | ||||||||||||||
| Physician, Dermatology | $1,164,216 | $0 | $196,347 | $0 | $33,112 | $0 | $25,950 | $0 | $33,294 | $0 | $1,452,919 | $0 | $0 | $0 |
| Joel Retsky | ||||||||||||||
| Physician, Medicine | $1,001,239 | $0 | $318,265 | $0 | $13,158 | $0 | $21,260 | $0 | $30,497 | $0 | $1,384,419 | $0 | $0 | $0 |
| Patricia Leonard | ||||||||||||||
| Former Board Secretary | $345,162 | -$253,120 | $0 | $253,120 | $0 | $0 | $0 | $0 | $14 | $0 | $345,176 | $0 | $0 | $0 |
| Theodore Mazzone | ||||||||||||||
| Former Board Past Chairman | $164,681 | $16,701 | $1,961 | $39,167 | $13,710 | $0 | $0 | $0 | $6,837 | $1,946 | $187,189 | $57,814 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | The President of NorthShore University HealthSystem Faculty Practice Associates is included in the compensation review of NorthShore University HealthSystem. A detailed compensation review of the top 17 executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market data for base and variable compensation is assessed annually for local, regional and national hospitals, integrated delivery systems, and academic medical centers. A detailed total compensation market review is conducted every two years. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation. A detailed compensation review of the 13 Clinical Chairs is also conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting for physicians within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market compensation data for each physician's specialized area of training is assessed annually. A detailed total compensation and Fair Market Value review is conducted every two years. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | The following individual participated in a supplemental nonqualified retirement plan and accrued the following benefits: Gerald P Gallagher - $823,981 |
| Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization | Certain physicians receive bonuses based on a percentage of their individual collections. The revenues are received by NorthShore University HealthSystem Faculty Practice Associates. |
| Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization | Certain physicians receive bonuses based on their individual net earnings or the net earnings of their practice group. The net earnings are received by NorthShore University HealthSystem Faculty Practice Associates. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Leslie Mendoza Temple | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Family Member - Brigham Temple | RelationshipDescriptionTxt |
| Transaction | $95,388 | TransactionAmt |
| Transaction | Employment | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 1 Organization's Mission | NorthShore University HealthSystem Faculty Practice Associates follows the mission of NorthShore University HealthSystem (NorthShore). The core mission of NorthShore University HealthSystem is to "preserve and improve human life." This mission will be achieved through the provision of superior clinical care, academic excellence, and innovative research. NorthShore is a not-for-profit organization principally formed to provide quality healthcare services for the communities it serves. The delivery of healthcare services is provided in a wide range of inpatient and ambulatory healthcare settings, community-wide, employing modern technology and expertise. Support for qualified patients who may not be able to pay the entire cost of their care is a part of the organization's commitment. In support of its primary mission of patient care, the organization engages in a wide range of academic activities in medical education and research. This statement recognizes the Board of Directors' responsibility to maintain the organization's viability to meet its long-term commitment to the communities it serves. It further recognizes the responsibility to maintain technologically current assets for this purpose. This includes the cultivation and development of our physicians, graduate medical students, employees, physical plant, equipment and other resources to assure orderly growth of our services. |
| Form 990, Part III, Line 4a Program Service Description | NorthShore University HealthSystem Faculty Practice Associates (FPA) is being operated exclusively for charitable, educational, and scientific purposes within the meaning of section 501(c)(3) of the Internal Revenue Code. FPA conducts health care and health care related activities which support and benefit the operation of NorthShore University HealthSystem (NorthShore). NorthShore is a comprehensive, fully integrated, healthcare delivery system that serves the Chicago region. NorthShore includes four Hospitals: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital. NorthShore is the sole corporate member of FPA, and the NorthShore President and Chief Executive Officer is a member of the Board of Directors of FPA. In order to increase the efficiency and quality of health care NorthShore provides, FPA was organized to serve as an integral part of its health care mission and activities. FPA represents more than 900 physicians with over 130 offices in virtually every specialty all on staff at the hospitals of NorthShore. FPA physicians provide professional health care services for patients of NorthShore, as well as conduct medical education and research activities on behalf of NorthShore. |
| Form 990, Part VI, Line 15 Process to Establish Compensation of Top Official and Other Employees | The President and officers of NorthShore University HealthSystem Faculty Practice Associates are included in the compensation review of NorthShore University HealthSystem. A detailed compensation review of the top 17 executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market data for base and variable compensation is assessed annually for local, regional and national hospitals, integrated delivery systems, and academic medical centers. A detailed total compensation market review is conducted every two years. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation. A detailed compensation review of the 13 Clinical Chairs is also conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting for physicians within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market compensation data for each physician's specialized area of training is assessed annually. A detailed total compensation and Fair Market Value review is conducted every two years. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | Julian E Bailes, Michael S Caplan, Robert R Edelman, Bernard G Ewigman, Neil Freedman, Gerald P Gallagher, Karen L Kaul, Jason L Koh, Frederick E Miller, Susan Rubin, Richard K Silver, Joseph Szokol, and Mark S Talamonti - Business relationship, Neil Freedman, Gerald P Gallagher, Jason L Koh, Brian M Schoen, and Mark S Talamonti - Business relationship, Karen L Kaul and Deborah L Kirkorsky - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | The sole member of NorthShore University HealthSystem Faculty Practice Associates is NorthShore University HealthSystem, a not-for-profit corporation. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The Board of Directors of NorthShore University HealthSystem Faculty Practice Associates is appointed by NorthShore University HealthSystem. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | The election of the NorthShore University HealthSystem Faculty Practice Associates (FPA) Chairman of the Board, the Vice Chairman, and the President are subject to the approval of NorthShore University HealthSystem (NorthShore). In addition, the compensation of the FPA officers must be approved by NorthShore. Any amendments to the FPA bylaws must also be approved by NorthShore. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The NorthShore University HealthSystem Faculty Practice Associates Form 990 was reviewed by executive management and an outside accounting firm prior to filing. |
| Form 990, Part VI, Line 12c Conflict of interest policy | NorthShore University HealthSystem Faculty Practice Associates follows the Conflict of Interest Policy and procedures of NorthShore University HealthSystem. All officers, directors and key employees are required to report any potential or actual conflicts of interest as they arise, promptly and in writing, to the Chief Compliance Officer. In addition, on an annual basis, the Chief Compliance Officer requires all officers, directors, and key employees to complete, sign and return a Conflict of Interest Disclosure Statement requiring information about any and all potential or actual conflicts. Timely and accurate completion of the Statement is mandatory, and completed Statements must be returned to the Chief Compliance Officer within 15 days. Any disclosures included on the Statements are reviewed and acted upon as necessary by the Chief Compliance Officer and the Corporate Compliance Committee. |
| Form 990, Part VI, Line 19 Required documents available to the public | The NorthShore University HealthSystem Faculty Practice Associates (FPA) governing documents, conflict of interest policy, and financial statements are available to the public upon request. The FPA financial statements are also available to the public through the Illinois Attorney General's Office website as part of the state filing. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Other Net Asset Changes - -112; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| NorthShore University HealthSystem | ||||||||||
| 1301 Central Street | Evanston | IL | 60201 | 362167060 | Healthcare | IL | 501(c)(3) | 3 | NA | false |
| Radiation Medicine Institute | ||||||||||
| 1301 Central Street | Evanston | IL | 60201 | 363815543 | Healthcare | IL | 501(c)(3) | Type I | NorthShore University HealthSystem | Yes (true) |
| Swedish Covenant Health | ||||||||||
| 5145 N California Avenue | Chicago | IL | 60625 | 362179813 | Healthcare | IL | 501(c)(3) | 3 | NorthShore University HealthSystem | Yes (true) |
| Swedish Covenant Hospital Foundation | ||||||||||
| 5145 N California Avenue | Chicago | IL | 60625 | 205055155 | Support of Swedish Covenant Health | IL | 501(c)(3) | 7 | Swedish Covenant Health | Yes (true) |
| Northwest Community Healthcare | ||||||||||
| 3040 Salt Creek Lane | Arlington Heights | IL | 60005 | 363125209 | Support of Northwest Community Hospital | IL | 501(c)(3) | Type II | NorthShore University HealthSystem | Yes (true) |
| Northwest Community Hospital | ||||||||||
| 3040 Salt Creek Lane | Arlington Heights | IL | 60005 | 362340313 | Hospital | IL | 501(c)(3) | 3 | Northwest Community Healthcare | Yes (true) |
| Northwest Community Hospital Foundation | ||||||||||
| 3040 Salt Creek Lane | Arlington Heights | IL | 60005 | 363125193 | Fundraising | IL | 501(c)(3) | 7 | Northwest Community Healthcare | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| Ravine Way Surgery Center LLC | |||||||||
| 2401 Ravine Way | Glenview | IL | 60025 | 201245279 | Healthcare | IL | NA | N/A | |
| NPC Cyberknife LLC | |||||||||
| 3040 Salt Creek Lane | Arlington Heights | IL | 60005 | 204462828 | Equipment Leasing | IL | Northwest Community Healthcare | N/A | |
| NWC Day Surgery Center II LLC | |||||||||
| 3040 Salt Creek Lane | Arlington Heights | IL | 60005 | 300798249 | Outpatient Care | IL | Northwest Community Healthcare | N/A | |
| Northwest Endo Center LLC | |||||||||
| 3040 Salt Creek Lane | Arlington Heights | IL | 60005 | 812338623 | Surgical Care | IL | NWC Health Services Inc | N/A | |
| Envision Medical Imaging LLC | |||||||||
| 8930 Waukegan Road | Morton Grove | IL | 60053 | 822067179 | Imaging Services | IL | NWC Health Services Inc | N/A | Suite 130 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Swedish Covenant Management Services Inc | |||||||||||||
| 5145 N California Avenue | Chicago | IL | 60625 | 364073303 | Physician Practice Management | IL | Swedish Covenant Health | C Corporation | Yes (true) | ||||
| Swedish Covenant Physician Partners Ltd | |||||||||||||
| 5145 N California Avenue | Chicago | IL | 60625 | 363120220 | Managed Healthcare Provider | IL | Swedish Covenant Health | C Corporation | Yes (true) | ||||
| NorthShore Physician Associates Inc | |||||||||||||
| 1301 Central Street | Evanston | IL | 60201 | 363648026 | Healthcare | IL | NorthShore University HealthSystem Faculty Practice Associates | C Corporation | Yes (true) | $110,630,576 | $20,284,781 | 1 | |
| NorthShore Physician Associates Value Based Care LLC | |||||||||||||
| 1301 Central Street | Evanston | IL | 60201 | 822268872 | Healthcare | IL | NorthShore Physician Associates Inc | C Corporation | Yes (true) | $13,089,596 | $13,089,596 | 1 | |
| NorthShore University HealthSystem Insurance International | |||||||||||||
| 980419452 | Insurance | NorthShore University HealthSystem | C Corporation | Yes (true) | CJ | ||||||||
| Central Insurance Company Ltd | |||||||||||||
| 981109518 | Insurance | Northwest Community Healthcare | C Corporation | Yes (true) | CJ | ||||||||
| Northwest Community Health Services Inc | |||||||||||||
| 800 West Central Road | Arlington Heights | IL | 60005 | 363312906 | Healthcare | IL | Northwest Community Healthcare | C Corporation | Yes (true) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | 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 | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| NorthShore University HealthSystem | ||
| B | $846,479 | FMV |
| NorthShore University HealthSystem | ||
| C | $30,106,789 | FMV |
| NorthShore University HealthSystem | ||
| K | $6,495,747 | FMV |
| NorthShore University HealthSystem | ||
| P | $5,071,961 | Cost |
| NorthShore University HealthSystem | ||
| Q | $14,116,692 | Cost |
| NorthShore University HealthSystem | ||
| R | $150,419,272 | FMV |
| NorthShore University HealthSystem | ||
| S | $145,699,625 | FMV |
| NorthShore Physician Associates Inc | ||
| S | $2,489,086 | FMV |