NORTHWEST COMMUNITY HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: NORTHWEST COMMUNITY HOSPITAL (EIN 36-2340313)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-17
IRS object ID: 202012309349301611
Schema version: 2018v3.3
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 H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-17T13:31:02-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362340313	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Northwest Community Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CHRISSIE ERDMANN	InCareOfNm
Business Name Control	NORT	BusinessNameControlTxt
Phone	8476181000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3040 Salt Creek Ln	AddressLine1Txt
City	Arlington Heights	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60005	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN SKEANS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8476181000	PhoneNum
Signature	2020-08-17	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JESSICA WAGENER	PreparerPersonNm
PTIN	P01622613	PTIN
Phone	3128792000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	69.136.161.74	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	36964520202305000143	FederalOriginalSubmissionId
Federal Original Submission Id	2020-08-17	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	5E7F9DD93198631C3122B93EB4F57886D16FA546	AtSubmissionCreationDeviceId
At Submission Filing Device Id	34163F381DEDE5EE0CABDD6E8F3BD042227F3C04	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-11-06 18:47:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STEPHEN O SCOGNA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 West Central Road	AddressLine1Txt
City	ARLINGTON HEIGHTS	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60005	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$545,818,628	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	NCH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	NCH OPERATES AN ACUTE HOSPITAL IN ARLINGTON HEIGHTS, IL. THE HOSPITAL EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND TO MEET INDIVIDUALS' HEALTHCARE NEEDS.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	4883	TotalEmployeeCnt
Total Volunteers	884	TotalVolunteersCnt
Total Gross UBI	$904,879	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,293,352	PYContributionsGrantsAmt
CY Contributions Grants	$4,541,954	CYContributionsGrantsAmt
PY Program Service Revenue	$500,978,177	PYProgramServiceRevenueAmt
CY Program Service Revenue	$534,283,597	CYProgramServiceRevenueAmt
PY Investment Income	$20,700	PYInvestmentIncomeAmt
CY Investment Income	$34,283	CYInvestmentIncomeAmt
PY Other Revenue	$4,584,784	PYOtherRevenueAmt
CY Other Revenue	$5,434,226	CYOtherRevenueAmt
PY Total Revenue	$507,877,013	PYTotalRevenueAmt
CY Total Revenue	$544,294,060	CYTotalRevenueAmt
PY Grants And Similar Paid	$116,770	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$167,419	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$242,292,062	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$250,304,309	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$243,665,707	PYOtherExpensesAmt
CY Other Expenses	$261,422,797	CYOtherExpensesAmt
PY Total Expenses	$486,074,539	PYTotalExpensesAmt
CY Total Expenses	$511,894,525	CYTotalExpensesAmt
PY Revenues Less Expenses	$21,802,474	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$32,399,535	CYRevenuesLessExpensesAmt
Total Assets BOY	$508,737,790	TotalAssetsBOYAmt
Total Assets EOY	$509,146,585	TotalAssetsEOYAmt
Total Liabilities BOY	$373,320,147	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$380,747,168	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$135,417,643	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$128,399,417	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	NORTHWEST COMMUNITY HOSPITAL EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND TO MEET INDIVIDUALS' HEALTHCARE NEEDS. IT STRIVES TO BE KNOWN FOR ITS SINGULAR FOCUS ON PROVIDING A COMPREHENSIVE, PATIENT-CENTERED SYSTEM OF CARE THAT SURPASSES EVERY EXPECTATION FOR EXCELLENCE (IN QUALITY AND SERVICE).	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$49,688,443	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$59,177,823	RevenueAmt
Desc	CARDIOLOGY NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) CARDIAC SERVICE LINE PROVIDED QUALITY, PATIENT CENTERED, COMPASSIONATE CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 50,000 INPATIENTS AND OUTPATIENTS DURING FY 2019. THE TREATMENT WAS PROVIDED IN HOSPITAL'S STATE-OF-THE-ART DIGITAL CARDIAC CATH LAB SUITES, INCLUSIVE OF ITS HIGH TECH OPERATING ROOMS AND PRIVATE FAMILY CENTERED PATIENT CARE ROOMS ALL AT A COST OF NEARLY $50,000,000. AN ON-CALL TEAM OF NURSES, RADIOLOGY TECHS, OR TECHS, CARDIOLOGISTS AND SURGEONS WERE READILY AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK, TO PROVIDE EMERGENT CARE TO THOSE WITH CARDIAC DISEASE. THE CARDIAC TEAM WORKS WITH THE EMERGENCY ROOM AND MULTIPLE NEIGHBORING COMMUNITY PARAMEDICS AND EMERGENCY PERSONNEL TO CONSISTENTLY EXCEED THE NATIONAL BENCHMARK OF DOOR TO BALLOON TIME (OR OPEN ARTERY) IN LESS THAN 90 MINUTES FOR PATIENTS PRESENTING IN HOSPITAL'S EMERGENCY ROOM HAVING AN ACUTE MI. NCH HAS BEEN RECOGNIZED AS AN ACCREDITED ECHO LAB BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOGRAPHY LABORATORIES (ICAEL) SINCE 2000. NOT ONLY DOES NCH PROVIDE THE FULL SCOPE ON NON INVASIVE CARDIAC DIAGNOSTIC TESTING AT MULITPLE SITES IN THE COMMUNITY BUT IN 2014, NCH OPENED THE ATHERTON HEART FAILURE CLINIC. THE HF CLINIC PROVIDES A TRANSITIONAL CARE MODEL THAT IS BASED ON PATIENTS WITH HF BEING SEEN IN THE CLINIC BY ADVANCED CARE PRATCTIONERS AND CARDIOLOGISTS WITH 24 HOURS OF HOSPITAL DISCHARGE. THE MULTIDISCIPLINARY TEAM INCLUDING DIETICIANS, SOCIAL WORKERS, PHARMACISTS AND NURSES PROVIDE ONGOING CARE TO PATIENTS AND THEIR FAMILIES IN THE COMMUNITY SETTING ENSURING CARE IS DELIVERED IN THE APPROPRIATE SETTING AND REDUCING AVOIDABLE READMISSSIONS TO THE ACUTE CARE SETTING. NCH HAS EXPERIENCED A SIGNIFICANT DECREASE IN HOSPITAL READMISSIONS FOR BOTH THE HEART FAILURE AND ACUTE MI PATIENT POPULATIONS DIRECLTY RELATED TO STRATEGIES DURING THE HOSPITALIZATION AND IN THE POST ACUTE CARE SETTING. TELEHEALTH MEDICINE AND HOME HEALTH ARE INTEGRAL PART OF THE POST ACUTE CARE MODEL NCH HAS IMPLEMENTED FOR CARDIAC PATIENTS. IN ADDITION, NCH HAS ONE OF THE LARGEST CARDIAC AND PULMONARY REHAB PROGRAMS IN THE STATE OF ILLINOIS THAT HAS FURTHER ASSISTED CARDIAC AND PULMONARY PATIENTS IN RETURNING AND MAINTAINING AN OPTIMAL STATE OF HEALT FOLLOWING A CADIAC EVENT. THE CARDIAC DEPARTMENT ALSO PROVIDES MULTIPLE SCREENING AND EDUCATION PROGRAMS. DURING 2015, HOSPITAL HOSTED A COMMUNITY EVENT WHERE BLOOD PRESSURE, CHOLESTEROL AND BMI SCREENINGS WERE USED TO CALCULATE AN INDIVIDUAL'S RISK OF DEVELOPING HEART DISEASE FOR A MINIMAL FEE. IN ADDITION, PHYSICIANS PROVIDED EDUCATION ON HEART HEALTH AND WELLNESS. OVER 300 PEOPLE PARTICIPATED IN THE EVENT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$43,599,682	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$41,866,497	RevenueAmt
Desc	NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) INFECTIOUS DISEASE DEPARTMENT PROVIDED QUALITY, PATIENT CENTERED, COMPASSIONATE CARE, REGARDLESS OF ABILITY TO PAY. IN FY 2019, THE INFECTIOUS DISEASE SERVICE LINE INCURRED APPROXIMATELY 42,000 CASES AT A COST OF APPROXIMATELY 44,000,000 .	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$39,081,507	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$41,399,624	RevenueAmt
Desc	ORTHOPEDICS NORTHWEST COMMUNITY HOSPITAL'S ORTHOPEDIC SERVICE LINE PROVIDES QUALITY, PATIENT CENTERED, COMPASSIONATE CARE FOR PATIENTS, REGARDLESS OF ABILITY TO PAY, WHO ARE IN NEED OF SPECIALIZED ORTHOPEDIC MEDICAL CARE AND SURGICAL PROCEDURES. PATIENTS HAVE ACCESS TO SUPERIOR QUALITY CARE AND BENEFIT FROM THE LATEST TECHNOLOGIES AND ADVANCED PAIN MANAGEMENT TECHNIQUES. PHYSICIANS ARE BOARD CERTIFIED. PREOPERATIVE EDUCATION, CARE PROVISION ON A DEDICATED ORTHOPEDIC UNIT WITH SPECIALTY NURSES AND EXTENSIVE POST SURGICAL REHABILITATION AND HOME CARE SERVICES ARE INCLUDED IN OUR ORTHOPEDIC SERVICES. HOSPITAL'S ORTHOPEDIC SERVICE LINE TEAM IS LED BY AN EXPERT BOARD CERTIFIED ORTHOPEDIC SURGEON. THE ORTHOPEDIC DEPARTMENT PERFORMS GREATER THAN 800 ELECTIVE JOINT PROCEDURES A YEAR. QUALITY CARE, EXCELLENCE IN PATIENT EXPERIENCE AND FAVORABLE OUTCOMES MAKES HOSPITAL A TOP CHOICE IN THE CHICAGO LAND AREA. IN FY 2019, THE ORTHOPEDIC SERVICE LINE INCURRED APPROXIMATELY 26,000 PATIENT CASES AT A COST OF APPROXIMATELY $39,000,000	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$305,659,064	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$167,419	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$391,839,653	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$438,028,696	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	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	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	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	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	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
IRP Document	268	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4883	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	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	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	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	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	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CHRISSIE ERDMANN	PersonNm
Phone	8476184606	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3040 SALT CREEK LANE	AddressLine1Txt
City	Arlington Heights	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60005	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 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
Stephen O Scogna
PRESIDENT/SECRETARY/CEO	10.0	30.0	Yes (X)	Yes (X)	$893,387	$0	$195,747
Thomas P MacCarthy
Director	1.0	1.0	Yes (X)		$0	$0	$0
Marla F Glabe
Director	1.0	1.0	Yes (X)		$0	$0	$0
Craig E Christell
Director	1.0	1.0	Yes (X)		$0	$0	$0
Jay S Cowen MD
Director	1.0	1.0	Yes (X)		$0	$0	$0
Guy W Eisenhuth
Director	1.0	1.0	Yes (X)		$0	$0	$0
Ann K Ford
Director	1.0	1.0	Yes (X)		$0	$0	$0
Louis A Gatta Phd
Director (Through 12/31/18)	1.0	1.0	Yes (X)		$0	$0	$0
Charles A Hempfling
Director (Through 12/31/18)	1.0	1.0	Yes (X)		$0	$0	$0
Diane G Hill
Chairperson	10.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Richard D Hoffman
Director	1.0	1.0	Yes (X)		$0	$0	$0
E Quinn Regan MD
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
Mary R Sheahen MS RN
Vice Chairperson	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Nhat Q Tran
Director	1.0	1.0	Yes (X)		$0	$0	$0
KENNETH A SPERO MD
DIRECTOR	1.0	1.0	Yes (X)		$23,400	$0	$0
THOMAS G WISCHHUSEN
DIRECTOR (Beginning 1/1/2019)	1.0	1.0	Yes (X)		$0	$0	$0
John L Gatta
Director (Beginning 1/1/2019)	1.0	1.0	Yes (X)		$0	$0	$0
John L Skeans
CFO/Treasurer	30.0	10.0		Yes (X)	$430,476	$0	$87,932
Michael C Hartke
Executive VP/COO	30.0	10.0			$521,213	$0	$97,652	Yes (X)
Alan B Loren MD
Executive VP - CMO	30.0	10.0			$798,145	$0	$80,877	Yes (X)
Mary Dano
Exec VP - Chief Legal Counsel	30.0	10.0			$369,961	$0	$50,708	Yes (X)
Susan E Nelson MD
VP Physician Operations	30.0	10.0			$369,433	$0	$39,672		Yes (X)
Bradford Buxton Trm 319
VP Strategy & Business Dev.	40.0	0.0			$418,337	$0	$41,160		Yes (X)
Glen J Malan
VP Info Tech & CIO	40.0	0.0			$317,711	$0	$37,159		Yes (X)
Joseph Alappattu Trm 1118
Chief Medical Physicist	40.0	0.0			$437,762	$0	$12,841		Yes (X)
TERRY SOLEM
VP HUMAN RESOURCES	30.0	10.0			$302,141	$0	$37,233		Yes (X)
Wendy L Rubas trm 717
Exec VP - Chief Legal Counsel	0.0	0.0			$121,313	$0	$0			Yes (X)
Kimberly Nagy Trm 918
Executive VP - PT Serv & CNO	40.0	0.0			$559,999	$0	$18,174			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,563,278	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$699,155	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	313	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
Pricewaterhouse Coopers LLP
PO Box 75647	CHICAGO	IL	60675	consulting	$5,753,023
Sodexo Inc Affiliates
PO BOX 360170	PITTSBURGH	PA	152516170	Dietary and Biomed	$3,915,877
SODEXO CTM INC
7100 COMMERCE WAY STE 280	BRENTWOOD	TN	37027	BIOMED SERVICE	$3,806,690
LEOPARDO COMPANIES INC
5200 PRAIRIE STONE PKWY	HOFFMAN ESTATES	IL	60192	CONSTRUCTION	$5,695,413
REHABCARE GROUP EAST INC
PO BOX 502096	ST LOUIS	MO	63150	PATIENT CARE	$2,644,640

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	109	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,541,954	RelatedOrganizationsAmt
Total Contributions	$4,541,954	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES	622110	$516,253,935	$516,253,935
REFERENCE LAB	621511	$10,908,780	$10,562,972	$345,808
CAPITATION REVENUE	622110	$2,483,138	$2,483,138
INTERCOMPANY RENTS	532000	$1,203,873	$1,203,873
OTHER RENT INCOME	532000	$2,076,140	$2,076,140

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,357,731	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,357,731	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$534,283,597	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20	TotalRevenueColumnAmt
Exclusion	$20	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,076,140	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,243,819	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$832,321	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$832,321	TotalRevenueColumnAmt
Exclusion	$832,321	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$34,263	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$34,263	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,263	TotalRevenueColumnAmt
Exclusion	$34,263	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$302,447	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$280,749	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,698	TotalRevenueColumnAmt
Exclusion	$21,698	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722212	$1,881,991	$1,881,991
JOINT VENTURE MANAGEMENT FEE	541611	$960,263	$400,451	$559,812
OUTPATIENT PHARMACY	446110	$96,698	$97,439	-$741

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,641,255	TotalRevenueColumnAmt
Exclusion	$1,641,255	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,580,207	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$544,294,060	TotalRevenueColumnAmt
Related Or Exempt Func Income	$533,937,789	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$904,879	UnrelatedBusinessRevenueAmt
Exclusion	$4,909,438	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$167,419	TotalAmt
Program Services	$167,419	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,526,098	TotalAmt
Management And General	$3,526,098	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$699,486	TotalAmt
Management And General	$699,486	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$201,179,650	TotalAmt
Program Services	$192,138,269	ProgramServicesAmt
Management And General	$9,041,381	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,691,025	TotalAmt
Program Services	$6,258,857	ProgramServicesAmt
Management And General	$432,168	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,769,063	TotalAmt
Program Services	$22,233,838	ProgramServicesAmt
Management And General	$1,535,225	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,438,987	TotalAmt
Program Services	$13,506,384	ProgramServicesAmt
Management And General	$932,603	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$294,734	TotalAmt
Management And General	$294,734	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$377,629	TotalAmt
Management And General	$377,629	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$84,884	TotalAmt
Management And General	$84,884	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,067	TotalAmt
Program Services	$1,067	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$34,861,065	TotalAmt
Program Services	$9,091,736	ProgramServicesAmt
Management And General	$25,769,329	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,719,067	TotalAmt
Management And General	$2,719,067	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,593,842	TotalAmt
Program Services	$5,335,313	ProgramServicesAmt
Management And General	$1,258,529	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,402,182	TotalAmt
Program Services	$7,859,492	ProgramServicesAmt
Management And General	$542,690	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,090,327	TotalAmt
Program Services	$5,527,894	ProgramServicesAmt
Management And General	$1,562,433	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$386,236	TotalAmt
Program Services	$48,708	ProgramServicesAmt
Management And General	$337,528	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$373,436	TotalAmt
Program Services	$373,436	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,533,009	TotalAmt
Program Services	$8,533,009	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$36,216,718	TotalAmt
Program Services	$21,703,184	ProgramServicesAmt
Management And General	$14,513,534	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,065,999	TotalAmt
Program Services	$8,892,625	ProgramServicesAmt
Management And General	$173,374	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$59,414,242	$59,414,242
PHARMACEUTICALS	$18,236,431	$18,236,431
BAD DEBT - PATIENT SERVICES	$27,243,138	$27,243,138
ILLINOIS PROVIDER TAX	$22,298,211	$22,298,211

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,230,580	TotalAmt
Program Services	$9,165,443	ProgramServicesAmt
Management And General	$10,065,137	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$511,894,525	TotalAmt
Program Services	$438,028,696	ProgramServicesAmt
Management And General	$73,865,829	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,315,826	BOYAmt
EOY	$3,620,875	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$71,243,551	BOYAmt
EOY	$68,621,830	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	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,765,876	BOYAmt
EOY	$9,163,195	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,428,314	BOYAmt
EOY	$3,955,419	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$830,104,483	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$452,977,631	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$377,995,598	BOYAmt
EOY	$377,126,852	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$12,204,387	BOYAmt
EOY	$23,808,908	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,940,000	BOYAmt
EOY	$3,061,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$14,844,238	BOYAmt
EOY	$19,788,506	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$508,737,790	BOYAmt
EOY	$509,146,585	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$58,325,729	BOYAmt
EOY	$58,932,821	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$371,399	BOYAmt
EOY	$206,187	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$251,359,489	BOYAmt
EOY	$242,961,630	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$63,263,530	BOYAmt
EOY	$78,646,530	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$373,320,147	BOYAmt
EOY	$380,747,168	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$125,934,661	BOYAmt
EOY	$115,631,285	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,026,438	BOYAmt
EOY	$11,311,588	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,456,544	BOYAmt
EOY	$1,456,544	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$135,417,643	BOYAmt
EOY	$128,399,417	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$508,737,790	BOYAmt
EOY	$509,146,585	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$32,399,535	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$39,417,761	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)
Hospital	Yes (X)	HospitalInd

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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
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	$84,884	OtherActivitiesAmt
Total Lobbying Expenditures	$84,884	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990 Schedule C Part II-B, Line 1i	FormAndLineReferenceDesc
Explanation	NORTHWEST COMMUNITY HOSPITAL PAYS DUES TO CERTAIN HOSPITAL ASSOCIATIONS WHICH USE A PORTION OF THESE DUES FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,243,431	BeginningYearBalanceAmt
Contributions	$260,000	ContributionsAmt
Investment Earnings Or Losses	$74,854	InvestmentEarningsOrLossesAmt
Other Expenditures	$142,400	OtherExpendituresAmt
End Year Balance	$4,435,885	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,941,522	BeginningYearBalanceAmt
Contributions	$5,000	ContributionsAmt
Investment Earnings Or Losses	$296,909	InvestmentEarningsOrLossesAmt
End Year Balance	$4,243,431	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,504,586	BeginningYearBalanceAmt
Contributions	$5,000	ContributionsAmt
Investment Earnings Or Losses	$431,936	InvestmentEarningsOrLossesAmt
End Year Balance	$3,941,522	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,068,523	BeginningYearBalanceAmt
Contributions	$5,820	ContributionsAmt
Investment Earnings Or Losses	-$462,764	InvestmentEarningsOrLossesAmt
Other Expenditures	$106,993	OtherExpendituresAmt
End Year Balance	$3,504,586	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,438,946	BeginningYearBalanceAmt
Contributions	$2,351	ContributionsAmt
Investment Earnings Or Losses	$696,815	InvestmentEarningsOrLossesAmt
Other Expenditures	$69,589	OtherExpendituresAmt
End Year Balance	$4,068,523	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.44980	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.46150	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.08870	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$89,072	OtherCostOrOtherBasisAmt
Book Value	$89,072	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$318,218,898	OtherCostOrOtherBasisAmt
Depreciation	$158,349,694	DepreciationAmt
Book Value	$159,869,204	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,480,507	OtherCostOrOtherBasisAmt
Depreciation	$2,409,691	DepreciationAmt
Book Value	$1,070,816	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$469,809,215	OtherCostOrOtherBasisAmt
Depreciation	$279,603,729	DepreciationAmt
Book Value	$190,205,486	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,506,791	OtherCostOrOtherBasisAmt
Depreciation	$12,614,517	DepreciationAmt
Book Value	$25,892,274	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$377,126,852	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO THIRD-PARTY PAYORS	$45,938,281
ASSET RETIREMENT OBLIGATION	$859,769
PENSION OBLIGATION	$10,439,896
INSURANCE LIABILITY	$19,200,055
SERP	$2,208,529

Field	Value	IRS element (for citing)
Total Liability	$78,646,530	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Intended use of endowment funds	FormAndLineReferenceDesc
Explanation	Schedule D, Part V, Line 4 ENDOWMENT FUNDS ARE CREATED ACCORDING TO HOSPITAL NEEDS AND DESIGNATION OR PREFERENCES OF THE DONOR(S) SUPPORTING THE ENDOWMENT FUND. SCHOLARSHIP FUNDS, CONTINUED EDUCATION, OR FUNDS FOR PATIENT CARE IN A HOSPITAL DEPARTMENT DESIGNATED BY THE ENDOWMENT FUND ARE EXAMPLES OF FUND USES. THE ENDOWMENT FUNDS REPORTED ON THE HOSPITAL'S 990 ARE ALSO REPORTED ON NORTHWEST COMMUNITY HOSPITAL FOUNDATION'S FORM 990, SCHEDULE D.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.	FreeCareOtherPct

Field	Value	IRS element (for citing)
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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$4,754,077	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,754,077	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,256,347	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,295,115	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,961,232	NetCommunityBenefitExpnsAmt
Total Expense	0.01230	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,010,424	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,295,115	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,715,309	NetCommunityBenefitExpnsAmt
Total Expense	0.02210	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	53	ActivitiesOrProgramsCnt
Persons Served	44083	PersonsServedCnt
Total Community Benefit Expns	$1,720,512	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$194,118	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,526,394	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	22	ActivitiesOrProgramsCnt
Persons Served	538	PersonsServedCnt
Total Community Benefit Expns	$3,274,098	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$285,005	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,989,093	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1921	PersonsServedCnt
Total Community Benefit Expns	$471,355	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$277,229	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$194,126	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	45	PersonsServedCnt
Total Community Benefit Expns	$163,084	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$163,084	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	1237	PersonsServedCnt
Total Community Benefit Expns	$611,979	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$611,979	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	86	ActivitiesOrProgramsCnt
Persons Served	47824	PersonsServedCnt
Total Community Benefit Expns	$6,241,028	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$756,352	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,484,676	NetCommunityBenefitExpnsAmt
Total Expense	0.01130	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	86	ActivitiesOrProgramsCnt
Persons Served	47824	PersonsServedCnt
Total Community Benefit Expns	$71,251,452	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,051,467	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,199,985	NetCommunityBenefitExpnsAmt
Total Expense	0.03340	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,118	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,118	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$2,615	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,615	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$16,855	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,855	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	155	PersonsServedCnt
Total Community Benefit Expns	$17,565	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,565	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	205	PersonsServedCnt
Total Community Benefit Expns	$44,153	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,153	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$27,243,138	BadDebtExpenseAmt
Reimbursed By Medicare	$191,971,681	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$222,156,309	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$30,184,628	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
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHWEST COMMUNITY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 W CENTRAL ROAD	AddressLine1Txt
City	ARLINGTON HEIGHTS	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60005	ZIPCd

Field	Value	IRS element (for citing)
Website Address	nch.org	WebsiteAddressTxt
State License	0001701	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHWEST COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	NCH.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	NCH.org	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	600.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	NCH.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	NCH.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	NCH.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H- PART V, SECTION B, LINE 3(E)	THE SIGNIFICANT HEALTH NEEDS OF OUR PATIENTS AND COMMUNITY ARE IDENTIFIED THROUGH PRIORITIZED DESCRIPTIONS REFLECTED IN THE CHNA. SCHEDULE H - PART V, SECTION B, LINE 5 AN ONLINE SURVEY WAS IMPLEMENTED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS SPECIFICALLY TO SOLICIT INPUT FROM KEY INFORMANTS; INDIVIDUALS WHO ARE CONSIDERED EXPERTS IN PUBLIC HEALTH. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE COMMUNITY, INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS SERVED BY THE HOSPITAL. IN FEBRUARY 2018, 30 POTENTIAL KEY INFORMANTS WERE IDENTIFIED WHICH INCLUDED GOVERNMENT OFFICIALS, PHYSICIANS, OTHER HEALTH PROVIDERS, PUBLIC HEALTH EXPERTS AND SOCIAL SERVICE AGENCIES. A LETTER WAS SENT FROM THE HOSPITAL'S PRESIDENT AND CEO TO THE KEY INFORMANTS TO EXPLAIN THE PURPOSE OF THE SURVEY AND TO INVITE THEM TO PARTICIPATE. A LINK TO THE ONLINE SURVEY WAS THEN EMAILED TO EACH KEY INFORMANT AND WAS OPEN FROM FEBRUARY 12-26, 2018. A REMINDER EMAIL WAS SENT TO ENCOURAGE PARTICIPATION. THE KEY INFORMANTS WERE ASKED A SERIES OF HEALTH RELATED QUESTIONS, ASKED TO "GRADE" THEIR COMMUNITIES OVERALL HEALTH AND PROVIDE FEEDBACK ON ACCESS TO CARE, BEHAVIORAL HEALTH, CHRONIC DISEASE/HEALTH ISSUES, FAMILY ISSUES AND MODIFIABLE RISK FACTORS. IT ALSO ASKED THEM TO RANK THEIR "TOP FIVE HEALTH CONCERNS" FOR THE COMMUNITY. RESULTS FROM THE SURVEY WERE SUMMARIZED IN BOTH A QUANTITATIVE AND QUALITATIVE REPORT AND USED TO IDENTIFY MAJOR HEALTH PROBLEMS, GAPS IN SERVICES AND OTHER FACTORS WHICH MAY CONTRIBUTE TO LESS THAN OPTIMAL HEALTH STATUS FOR THE RESIDENTS OF OUR COMMUNITY. IN ALL, 18 OF THE 30 INVITED PARTICIPANTS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS COMPLETED THE ONLINE SURVEY: ARLINGTON HEIGHTS HEALTH DEPARTMENT, ASIAN HUMAN SERVICES, BRIDGE YOUTH AND FAMILY SERVICES, COOK COUNTY HEALTH AND HOSPITAL SYSTEM, ELK GROVE TOWNSHIP, HEARTLAND, LINDEN OAKS, JOURNEYS THE ROAD HOME, NORTHWEST COMMUNITY HEALTHCARE, SCHAUMBURG TOWNSHIP, ST. MARY'S SERVICES, AND WHEELING TOWNSHIP. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME POPULATIONS, MINORITY POPULATIONS (INCLUDING AFRICAN-AMERICANS, ASIANS, EASTERN EUROPEANS, HISPANICS, INDIAN, JAPANESE, POLISH AND RUSSIAN), OR OTHER MEDICALLY UNDERSERVED POPULATIONS (INCLUDING THE DISABLED, THE ELDERLY, THE HOMELESS, MEDICAID/MEDICARE BENEFICIARIES, THE MENTALLY ILL, PREGNANT TEENS, SUBSTANCE ABUSERS, UNDOCUMENTED INDIVIDUALS, UNINSURED/UNDERINSURED RESIDENTS, VETERANS, YOUNG ADULTS AND WOMEN). THE HOSPITAL ALSO SOLICITED INPUT FROM VULNERABLE POPULATIONS IN THE COMMUNITY THROUGH FOCUS GROUPS. A PROFESSIONAL MODERATOR WAS HIRED TO CONDUCT THREE FOCUS GROUPS IN FEBRUARY 2018: ONE WITH SENIORS; ONE WITH SPANISH-SPEAKING UNDER-RESOURCED COMMUNITY MEMBERS AND ONE WITH ENGLISH-SPEAKING UNDER-RESOURCED COMMUNITY MEMBERS. POTENTIAL PARTICIPANTS WERE GIVEN A SHORT SCREENING QUESTIONNAIRE TO ENSURE THEY LIVED IN THE HOSPITAL'S SERVICE AREA AND SO THAT PARTICIPANTS WOULD VARY IN AGE, GENDER, INSURANCE STATUS, INCOME AND EDUCATIONAL LEVELS. THE FOCUS GROUPS FOLLOWED A GUIDELINE WHICH MIRRORED THE QUESTIONS INCLUDED IN THE COMMUNITY AND KEY INFORMANT SURVEYS SO THAT THE INFORMATION GATHERED COULD BE USED TO COMPARE WITH THE SURVEY RESULTS. THE MODERATOR SUMMARIZED THE RESULTS OF THE FOCUS GROUPS WHICH WERE USED AS ONE OF THE TOOLS IN IDENTIFYING THE MOST PREDOMINANT COMMUNTIY NEEDS.
SCHEDULE H - PART V, SECTION B, LINE 7A	HTTPS://WWW.NCH.ORG/ABOUT-NCH/COMMUNITY-SERVICES/COMMUNITY-HEALTH-NEEDS-AS SESSMENT
SCHEDULE H - PART V, SECTION B, LINE 10A	HTTPS://WWW.NCH.ORG/ABOUT-NCH/COMMUNITY-SERVICES/COMMUNITY-HEALTH-NEEDS-AS SESSMENT
SCHEDULE H - PART V, SECTION B, LINE 11	TAKING INTO ACCOUNT HOSPITAL RESOURCES AND OVERALL ALIGNMENT WITH THE HOSPITAL'S MISSION, GOALS AND STRATEGIC PRIORITIES - IT WAS DETERMINED THAT NCH WOULD FOCUS THE MAJORITY OF ITS EFFORTS ON DEVELOPING AND/OR SUPPORTING STRATEGIES AND INITIATIVES TO IMPROVE THE FOLLOWING PRIORITY AREAS: ACCESS TO CARE FOR THE UNDER-RESOURCED, BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE), OBESITY/PHYSICAL ACTIVITY/WEIGHT, CANCER (SMOKING/TOBACCO) AND CHRONIC DISEASE (DIABETES, HEART DISEASE, STROKE, RESPIRATORY AND KIDNEY). KEY INDIVIDUALS WERE IDENTIFIED TO SERVE ON ISSUE SPECIFIC COMMITTEES TO DEVELOP IMPLEMENTATION STRATEGIES FOR EACH OF THE PRIORITY AREAS FOR THE HOSPITAL'S FISCAL YEARS 2019 THROUGH 2021. THESE INDIVIDUALS ALSO DEVELOPED METRICS TO MEASURE THE SUCCESS OF THE STRATEGIES WHICH WILL BE MONITORED AND UPDATED ANNUALLY. IMPLEMENTATION STRATEGIES FOR ACCESS TO CARE FOR THE UNDER-RESOURCED INCLUDE A COMMUNITY NURSING AND COMMUNITY HEALTH WORKER PROGRAM. THE HOSPITAL'S DEDICATED CASE MANAGEMENT TEAM ALONG WITH TWO COMMUNITY HEALTH NURSES AND A COMMUNITY HEALTH WORKER PROVIDE OUTREACH AND ASSIST VULNERABLE PATIENTS AND COMMUNITY MEMBERS WITH ACCESSING CARE. THE HOSPITAL ALSO FUNDS A CHARITABLE PRESCRIPTION PROGRAM TO FURTHER ASSIST THESE INDIVIDUALS. ACCESS TO ORAL HEALTH CARE FOR THE UNDER-RESOURCED IS ADDRESSED THROUGH A COLLABORATIVE MOBILE DENTAL CLINIC PROGRAM THAT IS OPERATED BY THE HOSPITAL WITH SUPPORT FROM FOUR LOCAL TOWNSHIPS, UNIVERSITY OF CHICAGO DENTAL SCHOOL, HARPER COLLEGE, ADVANTAGE AMBULANCE AS WELL AS PROFESSIONAL VOLUNTEERS. IMPLEMENTATION STRATEGIES FOR BEHAVIORAL HEALTH INCLUDE FREE, IN PERSON MENTAL HEALTH ASSESSMENTS AND A FREE 24/7 RESOURCE AND REFERRAL PHONE LINE TO ASSIST COMMUNITY MEMBERS IN CRISIS. THE HOSPITAL ALSO CONDUCTS FREE BEHAVIORAL HEALTH ASSESSMENTS AND CARE COORDINATION FOR HOSPITALIZED PATIENTS WITH SUBSTANCE ABUSE DISORDERS AND HAS AN OUTPATIENT ADDICTIONS PROGRAM PROVIDING MEDICATION ASSISTED TREATMENT FOR ALCOHOL, OPIOID, AND OTHER SUBSTANCE USE DISORDERS. IMPLEMENTATION STRATEGIES FOR OBESITY, NUTRITION AND PHYSICAL ACTIVITY INCLUDE A COMPREHENSIVE WEIGHT LOSS CLINIC, A COLLABORATIVE COMMUNITY FOOD PANTRY, LOW COST MEMBERSHIPS AT THE NCH WELLNESS CENTER, FINANCIAL SUPPORT OF SUMMER NUTRITION PROGRAMS FOR UNDER-RESOURCED STUDENTS AND THE LAUNCH OF A FOOD INSECURITY INPATIENT SCREENING PROGRAM. IMPLEMENTATION STRATEGIES FOR CANCER INCLUDE A MULTI-DISCIPLINARY CANCER CLINIC TO HELP PATIENTS NEWLY DIAGNOSED WITH BREAST OR LUNG CANCER. TEN SUPPORT GROUPS AND ANNUAL CANCER SURVIVOR EVENTS ARE FACILITATED BY THE HOSPITAL. THE GIFT-A-MAMMOGRAM PROGRAM PROVIDES FREE SCREENINGS AND DIAGNOSTIC TESTING FOR UNDER-RESOURCED PATIENTS. THE HOSPITAL ALSO OFFERS LUNG SCREENINGS AND FREE TOBACCO CESSATION COUNSELING AND SUPPORT GROUPS TO AID WITH LUNG CANCER PREVENTION. LASTLY, THE HOSPITAL DEVELOPED IMPLEMENTATION STRATEGIES TO ADDRESS A NUMBER OF CHRONIC DISEASES INCLUDING DIABETES, HEART DISEASE, STROKE AND RESPIRATORY. THESE INITIATIVES INCLUDE A COMPREHENSIVE OUTPATIENT CLINIC FOR INDIVIDUALS WITH HEART FAILURE OR AFIB, SUPPORT GROUPS AND FREE STROKE RISK ASSESSMENTS. STAFF ALSO PROVIDES EDUCATION IN THE COMMUNITY FOCUSED ON PREVENTION AND PLANS TO LAUNCH A MOBILE INTEGRATED HEALTH PILOT IN PARTNERSHIP WITH LOCAL MUNICIPALITIES IN 2020. THE KEY PRIORITY AREAS ALONG WITH THE IMPLEMENTATION STRATEGIES AND METRICS CAN BE FOUND ON THE HOSPITAL'S WEBSITE (NCH.ORG). IN ACKNOWLEDGING THE WIDE RANGE OF HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, THE HOSPITAL DETERMINED IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER-ADDRESSED, AND MOST WITHIN ITS ABILITY TO INFLUENCE. THE COMMUNITY HEALTH NEEDS THAT THE HOSPITAL IS UNABLE TO ADDRESS ARE: ACCESS TO SPECIALTY AND VISION CARE, CHRONIC KIDNEY DISEASE, DEMENTIA/ALZHEIMERS, CHILD ABUSE AND DOMESTIC VIOLENCE. THE HOSPITAL BELIEVES ACCESS TO SPECIALTY AND VISION CARE WILL BE ADDRESSED THROUGH REFERRALS FROM PRIMARY CARE PHYSICIANS. THE HOSPITAL BELIEVES THAT CHRONIC KIDNEY DISEASE WILL BE ADDRESSED THROUGH THE HEART FAILURE AND DIABETES INITIATIVES THAT WERE DEVELOPED. THE HOSPITAL BELIEVES THERE ARE SUFFICIENT COMMUNITY RESOURCES INCLUDING PRIMARY CARE PHYSICIANS TO DIAGNOSE AND NURSING HOMES AND MEMORY CARE FACILITIES TO TREAT DEMENTIA AND ALZHEIMERS. THE HOSPITAL COLLABORATES WITH THREE LOCAL NOT-FOR-PROFIT COMMUNITY AGENCIES (CHILDREN'S ADVOCACY CENTER, NORTHWEST CASA AND WINGS) TO ADDRESS CHILD ABUSE AND DOMESTIC VIOLENCE. THE HOSPITAL SUPPORTS THE EFFORTS OF OTHERS TO ADDRESS THESE AREAS AND WILL FOCUS ITS LIMITED RESOURCES ON THE MORE PREDOMINANT NEEDS IDENTIFIED. FOR A COMPLETE LIST OF NEEDS AND IMPLEMENTATION STRATEGIES VISIT THE HOSPITAL'S WEBSITE (NCH.ORG).
SCHEDULE H - PART V, SECTION B, LINE 13H	PRESUMED ELIGIBLE PATIENTS RECEIVE 100% FINANCIAL ASSISTANCE FOR THE ACCOUNT BALANCE. A PATIENT MUST PROVIDE DOCUMENTATION LISTING ELIGIBILITY OR QUALIFICATION OR PRINT SCREEN OF WEB PAGE LISTINGS ELIGIBILITY. A PATIENT IS PRESUMED ELIGIBLE IF THEY HAVE ONE OF THE FOLLOWING: - PARTICIPATION IN STATE-FUNDED PRESCRIPTION PROGRAMS; - PARTICIPATION IN WOMEN'S, INFANT'S, AND CHILDREN'S PROGRAMS (WIC); - FOOD STAMP ELIGIBILITY (LINK CARD); - ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAM THAT IS UNFUNDED; - LOW INCOME/SUBSIDIZED HOUSING ARE PROVIDED AS A VALID ADDRESS; - PATIENT IS DECEASED WITH NO KNOWN ESTATE; - AFFILIATION WITH HOMELESS ASSISTANCE ORGANIZATION (I.E. JOURNEYS THE ROAD HOME); - ENROLLED IN SNAP, ILLINOIS FREE BREAKFAST/LUNCH, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, OR A COMMUNITY-BASED MEDICAL ASSISTANCE PROGRAM WITH LOW-INCOME CRITERIA; - RECEIVING GRANT ASSISTANCE FOR MEDICAL SERVICES; - RECENT PERSONAL BANKRUPTCY, INCARCERATION, RELIGIOUS ORDER AFFILIATION AND VOW OF POVERTY OR ENROLLMENT IN TANF OR IHDA'S RENTAL HOUSING SUPPORT PROGRAM; - A PATIENT WHO HAS BEEN UNRESPONSIVE TO EFFORTS TO APPLY FOR FINANCIAL ASSISTANCE BUT HAS BEEN ASSESSED UNDER THE POST-CARE PROCESS AND MEETS THE CRITERIA; - PATIENT IS MENTALLY OR PHYSICALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS/HER BEHALF; - PATIENT IS ELIGIBLE FOR SUBSIDIZED SCHOOL LUNCH PROGRAMS; OR - MEDICAID ELIGIBILITY THAT DOES NOT APPLY TO THIS SERVICE (I.E. DHS SOCIAL SERVICES, MOMS AND BABIES). - RELIGIOUS ORDER AFFILIATION AND A VOW OF POVERTY.
SCHEDULE H - PART V, SECTION B, LINE 16	HTTPS://WWW.NCH.ORG/PATIENTS-VISITORS/FEES-AND-BILL-PAYMENT/PATIENT-FINANC IAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	16	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
NCH Imaging Center
880 W Central Road	Arlington Heights	IL	60005	Imaging Services
NCH Immediate Care & Imaging Center
199 W Rand Road	Mount Prospect	IL	60056	WALK IN URGENT CARE CENTER, Lab,Imaging,Physical & Speech Therapy & Heart Care Services
NCH Imaging Center
1450 Busch Parkway	Buffalo Grove	IL	60089	Imaging Services
NCH IMMEDIATE CARE & IMAGING CENTER
519 S Roselle Road	Schaumburg	IL	60193	WALK IN URGENT CARE CENTER, Lab,Imaging,Physical Therapy Services
NCH BEHAVIORAL HEALTH
901 W Kirchhoff Road	ARLINGTON HEIGHTS	IL	60005	Behavioral Health Services
NCH Cardiac & Physical Rehabilitation
900 W Central Road	Arlington Heights	IL	60005	Cardiac & Physical Rehabilitation Services
NCH Home Health
3060 Salt Creek Lane	Arlington Heights	IL	60005	Home Healthcare Services
NCH Breast Vein care Weight Management
1410 N Arlington Heights Road	Arlington Heights	IL	60004	Breast Center, Vein care & Comprehensive Weight Management Services
NCH Immediate Care & Imaging Center
15 S McHenry Road	ARLINGTON HEIGHTS	IL	60089	Walk in Urgent Care Center Lab, Imaging, Physical Therapy Services
NCH OUTPATIENT CENTER
3300 Kirchoff Road	Rolling Meadows	IL	60008	Physical, Occupational, & Speech Therapy Services
NCH Immediate Care & Imaging Center
1201 S Rand Road	Lake Zurich	IL	60047	WALK IN URGENT CARE CENTER, Lab,Imaging,Physical Therapy Services
NCH Physical Rehabilitation
455 S Roselle Road	Schaumburg	IL	60193	Physical Therapy Services
NCH Physical Rehabilitation
1249 S Rand Road	Lake Zurich	IL	60047	Physical Therapy Services
NCH Pediatric Physical Rehabilitation
1590 N Arlington Heights Road	Arlington Heights	IL	60005	Pediatric Physical, Speech & Language, Occupational Therapy Services
NCH Imaging Center
1632 W Central Road	Arlington Heights	IL	60005	Imaging Services
NCH Diabetes Services
605 W Central Road	Arlington Heights	IL	60005	Diabetes Services

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H - PART I, LINE 3C - CHARITY CARE POLICY	THE HOSPITAL PROVIDES EMERGENT AND MEDICALLY NECESSARY SERVICES TO ALL PATIENTS WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THE WRITTEN CHARITY CARE POLICY IS WIDELY DISTRIBUTED AND COMMUNICATED TO THE COMMUNITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE AMOUNT OF FREE CARE PROVIDED IS DETERMINED BY FINANCIAL NEED AND IS NOT LIMITED BY BUDGETED AMOUNTS. PATIENTS EARNING LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES RECEIVE FREE CARE AND THOSE BETWEEN 300% AND 600% OF THE GUIDELINES RECEIVE DISCOUNTED CARE ON A SLIDING SCALE. THE FINANCIAL ASSISTANCE PROGRAM LOOKS AT THE CURRENT INCOME AND THEN CALCULATES THE POTENTIAL BENEFIT. THE PATIENT'S LIABILITY IS CAPPED AT 25% OF THE FAMILY'S ANNUAL INCOME. PLEASE SEE SCHEDULE H PART V, SECTION B, LINE 13H NARRATIVE FOR MORE DETAIL. SCHEDULE H - PART I, LINE 6A-COMMUNITY BENEFIT REPORT THE HOSPITAL ANNUALLY PRODUCES A COMMUNITY BENEFIT REPORT WHICH HIGHLIGHTS THE COMMUNITY BENEFIT DOLLARS REPORTED IN THE ILLINOIS ATTORNEY GENERAL ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT. THIS INCLUDES CHARITY CARE, LANGUAGE ASSISTANT SERVICES, GOVERNMENT SPONSORED INDIGENT HEALTH CARE, DONATIONS, VOLUNTEER SERVICES, EDUCATION, RESEARCH, SUBSIDIZED HEALTH SERVICES AND OTHER COMMUNITY BENEFITS. IT ALSO HIGHLIGHTS THE MOST PREDOMINANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. COPIES OF THE REPORT ARE PRINTED AND MAILED TO KEY STAKEHOLDERS INCLUDING LOCAL GOVERNMENT, SOCIAL SERVICE AGENCIES, HOSPITAL SUPPORTERS AND MORE. A COPY OF THE REPORT IS ALSO POSTED ON THE HOSPITAL WEBSITE (NCH.ORG) AND IS AVAILABLE IN HARD COPY TO ANYONE WHO REQUESTS ONE. A PRESS RELEASE WAS ALSO RUN IN THE LOCAL NEWSPAPER LETTING COMMUNITY MEMBERS KNOW THAT THE NEW REPORT WAS AVAILABLE ON THE HOSPITAL'S WEBSITE.
SCHEDULE H - PART I, LINE 7 - FINANCIAL ASSISTANCE	THE FOLLOWING METHODOLOGIES WERE USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR LINE 7: PART I, LINES 7A - 7D RATIO OF COST TO CHARGES WAS DETERMINED USING WORKSHEET 2 IN THE FORM 990, SCHEDULE H INSTRUCTIONS. PART I, LINES 7E - 7I COSTS WERE DETERMINED USING THE DIRECT AND INDIRECT COSTS FOR SPECIFIC PROGRAMS OR SERVICES. THESE COSTS WERE MAINTAINED/IDENTIFIED IN THE HOSPITAL'S "COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY SOFTWARE" (CBISA). THE INDIRECT PORTION OF THESE COSTS WAS CALCULATED UTILIZING THE INDIRECT COST RATIO FROM THE HOSPITAL'S LATEST AVAILABLE MEDICARE COST REPORT. THE "INDIRECT" RATIOS WERE ENTERED INTO CBISA FOR THE CALCULATION OF INDIRECT COSTS. Part I, Line 7g - SUBSIDIZED HEALTH SERVICES THE HOSPITAL PROVIDES A MOBILE DENTAL CLINIC PROGRAM STAFFED BY A HOSPITAL-EMPLOYED FULL TIME DENTIST, DENTAL ASSISTANT AND PROGRAM MANAGER AND A PART TIME DENTAL HYGIENIST. EVIDENCE BASED RESEARCH DEMONSTRATES THAT GUM DISEASE AND ORAL HEALTH PROBLEMS ARE LINKED TO OTHER SYSTEMIC MEDICAL PROBLEMS SUCH AS CARDIOVASCULAR DISEASE, STROKE, AND BACTERIAL PNEUMONIA, AS WELL AS INCREASED RISK OF DELIVERING PRE-TERM OR LOW BIRTH-WEIGHT BABIES. THE HOSPITAL, WITH FINANCIAL SUPPORT FROM LOCAL TOWNSHIPS AND OTHER DONORS, PROVIDES PREVENTIVE AND RESTORATIVE CARE TO UNINSURED AND UNDERINSURED MEMBERS OF THE COMMUNITY 4-5 DAYS PER WEEK IN A MOBILE DENTAL CLINIC. PART I, LINE 7, Column (F) $27,243,138 of bad debt expense was excluded from total expenses reported on Form 990, Part IX, Line 25, column (A) in the calculation to determine the percentage of net community benefit expenses in relation to total expenses.
SCHEDULE H - PART II, COMMUNITY BUILDING ACTIVITIES	PART II - LINE 2 - ECONOMIC DEVELOPMENT THE HOSPITAL'S VICE PRESIDENT OF OPERATIONS REPRESENTS THE ORGANIZATION THROUGH PARTICIPATION IN THE ARLINGTON HEIGHTS ECONOMIC ALLIANCE COMMISSION. THE COMMISSION IS MADE UP OF 13 LOCAL BUSINESS OWNERS AND REPRESENTATIVES WHO ARE TASKED WITH IMPROVING THE COMMUNITY'S ECONOMIC CLIMATE BY ADVISING THE VILLAGE BOARD AND STAFF THROUGH A BUSINESS PERSPECTIVE. THE ORGANIZATION ALSO IS A MEMBER OF AND SUPPORTS THE ARLINGTON HEIGHTS CHAMBER OF COMMERCE (AHCC). THE AHCC IS DEDICATED TO FOSTERING BUSINESS GROWTH AND STRENGTHENING THE LOCAL ECONOMY AND COMMUNITY. PART II - LINE 6 - COALITION BUILDING THE HOSPITAL'S EXECUTIVE DIRECTOR OF COMMUNITY SERVICES REPRESENTS THE ORGANIZATION THROUGH PARTICIPATION IN THE ARLINGTON HEIGHTS ROTARY CLUB IN THE HOSPITAL'S PRIMARY SERVICE AREA. ROTARY CLUB MEMBERS ARE PREDOMINATELY BUSINESS AND PROFESSIONAL LEADERS WHO COME TOGETHER TO SUPPORT ORGANIZATIONS THAT ADDRESS NEED AND DISPARITY IN THE COMMUNITY. AREAS ADDRESSED INCLUDE HUNGER, HOMELESSNESS, MENTAL HEALTH ISSUES, CANCER, TROUBLED YOUTH, DEVELOPMENTALLY DISABLED, DOMESTIC VIOLENCE AND MANY MORE. NOTE THAT THE MAJORITY OF HOURS WAS NOT REPORTED IN THE COMMUNITY BUILDING SECTION OF THIS REPORT BECAUSE THE SALARY IS ALREADY CAPTURED IN COMMUNITY BENEFIT OPERATIONS IN PART I, LINE 7J. PART II - LINE 7 - ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT/SAFETY THE HOSPITAL'S PRESIDENT AND CEO REPRESENTS THE ORGANIZATION THROUGH PARTICIPATION ON THE BOARD OF DIRECTORS FOR THE ILLINOIS HOSPITAL ASSOCIATION (IHA) THE IHA WORKS WITH OVER 200 HOSPITALS AND 50 HEALTH CARE SYSTEMS TO IMPROVE THE HEALTH AND WELL-BEING OF PATIENTS AND COMMUNITIES. THE CEO ALSO PARTICIPATES IN THE LEADERSHIP BOARD OF THE CHILDREN'S ADVOCACY CENTER (CAC). THE CAC IS THE LEADING RESOURCE TO EMPOWER AND HEAL ABUSED CHILDREN AND TO PREVENT VIOLENCE AGAINST CHILDREN. THE HOSPITAL'S VICE PRESIDENT OF OPERATIONS REPRESENTS THE ORGANIZATION THROUGH PARTICIPATION ON THE BOARD OF ST. MARY'S SERVICES. THE LOCAL NOT FOR PROFIT ORGANIZATION PROVIDES MATERNITY COUNSELING AND PARENTING EDUCATION, AS WELL AS GUIDANCE AND SUPPORT FOR FAMILIES SEEKING ADOPTION. PART II - LINE 8 - WORKFORCE DEVELOPMENT THE HOSPITAL HAS A PROGRAM TO ENCOURAGE HIGH SCHOOL STUDENTS TO EXPLORE CAREERS IN HEALTHCARE. THE PROGRAM PROVIDES LOCAL HIGH SCHOOL STUDENTS THE OPPORTUNITY TO SPEND 14 WEEKS IN THE HOSPITAL SHADOWING 14 DIFFERENT DEPARTMENTS. AS THE STUDENTS ROTATE THROUGH THE VARIOUS DEPARTMENTS THEY ARE EXPOSED TO AN ARRAY OF CLINICAL FIELDS, PROVIDING THEM WITH AN IN-DEPTH LOOK AT JUST SOME OF THE MANY CAREER TRACKS THEY COULD PURSUE. THE HOSPITAL ALSO PARTICIPATES IN VOCATIONAL FAIRS AT LOCAL HIGH SCHOOLS AND COMMUNITY COLLEGES AND HOSTS OTHER ONE-TIME EVENTS FOR STUDENTS TO VISIT THE HOSPITAL, HEAR PRESENTATIONS FROM DIFFERENT DEPARTMENTS AND ASK QUESTIONS AS A WAY TO EXPLORE DIFFERENT CAREERS IN HEALTHCARE. SCHEDULE H - PART III, BAD DEBT, MEDICARE & COLLECTION PRACTICES SECTION A, LINE 2, 3, 4 NORTHWEST COMMUNITY HOSPITAL IS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS OF NORTHWEST COMMUNITY HEALTHCARE (NCH) AND SUBSIDIARIES. THE TEXT OF THE FOOTNOTE #4, REFERENCING UNCOLLECTIBLE ACCOUNTS IN THE FY 2019 AUDITED FINANCIAL STATEMENT IS AS FOLLOWS: "[NCH] ANALYSES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS MONTHLY USING A HINDSIGHT CALCULATION THAT UTILIZES WRITE-OFF DATA FOR ALL PAYER CLASSES DURING THE LATEST 18-MONTH PERIOD, WITH WRITE-OFF ACTIVITY TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AT A POINT IN TIME. THE PERCENTAGES USED IN THE COMPUTATION OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS CHANGE EACH MONTH GIVEN CHANGES IN TRENDS FROM THESE ANALYSES OR POLICY CHANGES." ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. WRITE-OFFS ARE SHOWN NET OF CONTRACTUALS AND DISCOUNTS. THE HOSPITAL'S BAD DEBT EXPENSE AS REPORTED ON LINE 2 IS REPORTED AT THE REMAINING CHARGES. FOR FY 2019, THE HOSPITAL RECORDED PROVISIONS FOR BAD DEBT EXPENSE OF $27,243,137. IN 2013, THE HOSPITAL BEGAN USING A FINANCIAL TOOL TO DETERMINE "PRESUMPTIVE ELIGIBILITY" FOR CHARITY CARE WRITE-OFFS. THIS TOOL UTILIZES VARIOUS CRITERIA TO HELP DETERMINE PATIENTS THAT WOULD BE ELIGIBLE FOR FINANCIAL ASSISTANCE EVEN IF THOSE PATIENTS HAVE NOT COMPLETED A FINANCIAL ASSISTANCE APPLICATION. IT IS BELIEVED THAT ALL PATIENTS WHO WOULD QUALIFY FOR CHARITY HAVE BEEN IDENTIFIED AND THAT LITTLE TO NONE OF THE AMOUNTS WRITTEN OFF AS BAD DEBT COULD BE CLASSIFIED AS CHARITY AS A RESULT OF THE USE OF THIS NEW FINANCIAL TOOL. PART III, SECTION B, LINE 8 THE MEDICARE SHORTFALL REPORTED IN PART III, LINE 7 REPRESENTS THE EXCESS COST OF PROVIDING SERVICES TO MEDICARE BENEFICIARIES OVER THE PAYMENTS RECEIVED FROM THE MEDICARE PROGRAM. ACCESS TO QUALITY HEALTHCARE IS IMPERATIVE FOR ALL MEDICARE RECIPIENTS, MANY OF WHOM ARE LIVING ON A FIXED INCOME. AS SUCH, THE COSTS ABSORBED BY THE HOSPITAL IN PROVIDING THESE SERVICES IS A BENEFIT TO THE MEMBERS OF THE COMMUNITY WE SERVE. PART III SECTION C. COLLECTION PRACTICES, LINE 9B IT IS THE POLICY OF THE HOSPITAL TO OFFER PATIENTS A PAYMENT PLAN OR FINANCIAL ASSISTANCE WHEN IT BECOMES KNOWN OR SUSPECTED THAT A PATIENT NEEDS SUCH ASSISTANCE. FINANCIAL COUNSELORS CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP DETERMINE IF THERE ARE ANY THIRD PARTY PAYERS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS, SUCH AS MEDICAID, COBRA, WORKERS COMPENSATION, OR SPECIALIZED GRANT PROGRAMS. IF NO THIRD PARTY PROGRAMS ARE IDENTIFIED, THE FINANCIAL COUNSELORS WORK WITH THE PATIENT TO HELP THEM APPLY FOR CHARITY DISCOUNTS OR PAYMENT PLANS. FORMS ARE AVAILABLE IN ENGLISH, SPANISH, RUSSIAN, POLISH, GERMAN, JAPANESE AND TRANSLATION SERVICES ARE PROVIDED IN MANY LANGUAGES. IN ADDITION, ALL PATIENT BILLS AND STATEMENTS INCLUDE INFORMATION ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE AND THE INFORMATION IS ALSO POSTED ON THE HOSPITAL'S WEBSITE (NCH.ORG). COLLECTION ACTIVITY WILL BE SUSPENDED DURING THE CONSIDERATION OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION OR AN APPLICATION FOR OTHER HEALTHCARE BRACKET (I.E., MEDICARE, MEDICAID, ETC.) UNTIL FINANCIAL ASSISTANCE CAN BE DETERMINED. ACCOUNTS IN THE FINANCIAL ASSISTANCE PROCESS WILL BE MONITORED AND, UPON THE DECISION TO APPROVE OR DENY FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT WILL BE UPDATED. IF THE FINANCIAL ASSISTANCE APPLICATION IS APPROVED WITH A PERCENTAGE LESS THAN 100% OR DENIED, THE PATIENT'S ACCOUNT WILL BE NOTED AND THE HOSPITAL WILL RESUME THE SELF-PAY COLLECTION ACTIVITY IN COMPLIANCE WITH ITS SELF PAY FOLLOW-UP PROCEDURES.
SCHEDULE H - PART VI, LINE 2 - NEEDS ASSESSMENT	THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED INDEPENDENTLY BY THE HOSPITAL INSTEAD OF BEING OUTSOURCED TO A VENDOR. THE HOSPITAL BELIEVED DOING ITS OWN ASSESSMENT WOULD YIELD MORE MEANINGFUL RESULTS AND A CLEARER SNAPSHOT OF THE COMMUNITY IT SERVES. THE ASSESSMENT WAS COMPRISED OF DATA COLLECTED FROM QUANTITATIVE, QUALITATIVE OR A COMBINATION OF BOTH RESOURCES. THE HOSPITAL CONTRACTED WITH SG2, AN INDUSTRY LEADER IN HEALTHCARE ANALYTICS AND CONSULTING, FOR QUANTITATIVE DATA. SG2 PROVIDED COMPREHENSIVE DEMOGRAPHIC INFORMATION OF THE HOSPITAL'S SERVICE AREA. THEY ALSO PROVIDED POPULATION GROWTH PROJECTIONS FOR THE COMMUNITY BY TOWN, AGE, GENDER, ETHNICITY/RACE, INCOME AND EDUCATION. IN ADDITION, THEY FORECASTED THE PROJECTED GROWTH OF CHRONIC DISEASE AREAS BY BOTH INPATIENT AND OUTPATIENT FOR THE HOSPITAL'S SERVICE AREA. CHANGES IN COMMUNITY DEMOGRAPHICS HAVE A DIRECT CORRELATION WITH HEALTHCARE NEEDS AND HOW TO ADDRESS THEM. ADDITIONAL QUANTITATIVE DATA WAS COLLECTED THROUGH COMMUNITY COMMONS, A WEB PORTAL (COMMUNITYCOMMONS.ORG) THAT ALLOWS ACCESS TO DATA IN MULTIPLE CATEGORIES WHICH CAN BE USED TO EXPLORE COMMUNITY HEALTH. THESE CATEGORIES INCLUDE DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, CLINICAL CARE, HEALTH BEHAVIORS AND HEALTH OUTCOMES. THE GOAL OF COMMUNITY COMMONS IS TO INCREASE THE IMPACT OF THOSE WORKING TOWARD HEALTHY, EQUITABLE, AND SUSTAINABLE COMMUNITIES. CUSTOM TOOLS ALLOWED THE HOSPITAL TO FILTER DATA BY ZIP CODE AND CREATE A REPORT SPECIFICALLY FOR ITS COMMUNITY. IT ALSO ALLOWED THE HOSPITAL TO CREATE A CUSTOM REPORT WHICH HIGHLIGHTS ITS COMMUNITY'S GREATEST AREAS OF CONCERN. THE LAST SOURCE OF QUANTITATIVE DATA WAS THE 2018 COUNTY HEALTH RANKINGS AND ROADMAPS REPORT (COUNTYHEALTHRANKINGS.ORG), COLLABORATION BETWEEN THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. THIS REPORT RANKS U.S. COUNTIES IN EVERY STATE ON VARIOUS HEALTH OUTCOMES, HEALTH FACTORS, SOCIAL AND ECONOMIC CONDITIONS, AND THE PHYSICAL ENVIRONMENT. THE MAJOR GOAL OF THE RANKINGS IS TO RAISE AWARENESS ABOUT THE MANY FACTORS THAT INFLUENCE HEALTH AND THAT HEALTH VARIES FROM PLACE TO PLACE. BECAUSE THE COUNTY WHERE THE HOSPITAL IS LOCATED (COOK) IS SO LARGE AND DIVERSE, THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH RECOGNIZED THE UNIQUENESS AND IDENTIFIED INDICATORS FROM THE RANKINGS FOR WHICH LOCAL DATA EXISTED AND CREATED A REPORT SPECIFICALLY FOR SUBURBAN COOK COUNTY. THE HOSPITAL UTILIZED THIS REPORT AS WELL. QUALITATIVE DATA WAS PRIMARY COLLECTED THROUGH FOCUS GROUPS. THE HOSPITAL REALIZED THE IMPORTANCE OF GATHERING OPINIONS AND FEEDBACK FROM VULNERABLE POPULATIONS IN THE COMMUNITY WHO HAVE SOME OF THE GREATEST HEALTHCARE NEEDS. A PROFESSIONAL MODERATOR WAS HIRED TO CONDUCT THREE FOCUS GROUPS IN FEBRUARY 2018: ONE WITH SENIORS; ONE WITH SPANISH- SPEAKING UNDER-RESOURCED COMMUNITY MEMBERS AND ONE WITH ENGLISH-SPEAKING UNDER-RESOURCED COMMUNITY MEMBERS. POTENTIAL PARTICIPANTS WERE GIVEN A SHORT SCREENING QUESTIONNAIRE TO ENSURE THEY LIVED IN THE HOSPITAL'S SERVICE AREA AND SO THAT PARTICIPANTS WOULD VARY IN AGE, GENDER, INSURANCE STATUS, INCOME AND EDUCATIONAL LEVELS. THE FOCUS GROUPS FOLLOWED A GUIDELINE WHICH MIRRORED QUESTIONS INCLUDED IN THE COMMUNITY AND KEY INFORMANT SURVEYS SO THAT THE INFORMATION GATHERED COULD BE USED TO COMPARE WITH THE SURVEY RESULTS. THE MODERATOR SUMMARIZED THE RESULTS OF THE FOCUS GROUPS WHICH WERE USED AS ONE OF THE TOOLS IN IDENTIFYING THE MOST PREDOMINANT COMMUNITY NEEDS. TWO DIFFERENT SURVEYS WERE DEVELOPED TO COLLECT A COMBINATION OF BOTH QUANTITATIVE AND QUALITATIVE DATA. A COMPREHENSIVE ONLINE COMMUNITY HEALTH SURVEY WAS CONDUCTED IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. THE SURVEY ASKED PARTICIPANTS TO "GRADE" THEIR COMMUNITIES OVERALL HEALTH AND PROVIDE FEEDBACK ON ACCESS TO CARE, BEHAVIORAL HEALTH, CHRONIC DISEASE/HEALTH ISSUES, FAMILY ISSUES AND MODIFIABLE RISK FACTORS. IT ALSO ASKED THE PARTICIPANTS TO RANK THEIR "TOP FIVE HEALTH CONCERNS" FOR THE COMMUNITY. THE COMMUNITY WAS INVITED TO PARTICIPATE IN THE ONLINE SURVEY THROUGH A MEDIA RELEASE AND A PAID ADVERTISEMENT IN A LOCAL NEWSPAPER, THE HOSPITAL'S ELECTRONIC COMMUNITY NEWSLETTER "A HEALTHIER YOU", THE HOSPITAL'S ELECTRONIC VOLUNTEER AND EMPLOYEE NEWSLETTERS AND THROUGH SOCIAL MEDIA. THE SURVEY LINK, LOCATED ON THE HOME PAGE OF THE HOSPITAL'S WEBSITE (NCH.ORG), WAS OPEN FROM FEBRUARY 21 TO MARCH 14, 2018 AND 414 PEOPLE RESPONDED. IN ADDITION, AN ONLINE SURVEY FOR KEY INFORMANTS WAS CONDUCTED SPECIFICALLY TO SOLICIT INPUT FROM KEY INFORMANTS AS DESCRIBED IN PART V, SECTION B, QUESTION 5. IN APRIL 2018, THE HOSPITAL CONVENED AN INTERNAL, MULTIDISCIPLINARY COMMITTEE WHICH MET MULTIPLE TIMES TO REVIEW THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, AFFIRM AND PRIORITIZE NEEDS AND TO IDENTIFY THE MOST QUALIFIED INTERNAL AND EXTERNAL PERSONS TO DEVELOP IMPLEMENTATION PLANS TO ADDRESS EACH PRIORITY NEED. REPRESENTATIVES FROM THE FOLLOWING DEPARTMENTS SERVED ON THE COMMITTEE: BEHAVIORAL HEALTH, CARE COORDINATION, COMMUNITY SERVICES, COMPLIANCE, DECISION SUPPORT, DIABETES SERVICES, EMERGENCY DEPARTMENT, EMS, FOUNDATION, GUEST SERVICES, IMMEDIATE CARE CENTERS, MARKETING, MEDICAL GROUP, NURSING, PATIENT ACCESS SERVICES, RESEARCH, AND PATIENT EXPERIENCE. IN ADDITION, THE CHAIRMAN OF THE NCH BOARD OF DIRECTORS AND THE EXECUTIVE VICE PRESIDENT CHIEF LEGAL COUNSEL PARTICIPATED IN THE COMMITTEE. THE COMMITTEE MEMBERS RECEIVED A SUMMARY AND COMPARISON DOCUMENT WHICH WAS USED AS A TOOL TO REVIEW ALL OF THE QUANTITATIVE AND QUALITATIVE FINDINGS. THE FINDINGS FROM THE FOCUS GROUPS, COMMUNITY SURVEY AND KEY INFORMANT SURVEY WERE COMPARED AND THE SECONDARY DATA PROVIDED SUPPLEMENTAL INFORMATION. THE MOST COMMON THEMES AND COMMENTS FROM THE NARRATIVE PORTION OF THE SURVEYS WERE ALSO HIGHLIGHTED IN THE DOCUMENT. IN ADDITION, THE COMMITTEE WAS GIVEN WEB ACCESS TO THE COMPLETE SURVEY RESULTS, FOCUS GROUPS SUMMARIES AND ALL SECONDARY DATA. THE COMMITTEE WAS GIVEN TWO WEEKS TO REVIEW THE SUMMARY AND COMPARISON DOCUMENT AND TO ACCESS THE ADDITIONAL RESOURCES AND THEN RECONVENED TO RANK OR PRIORITIZE THE ISSUES. THE COMMITTEE USED MAGNITUDE, IMPACT/SERIOUSNESS, FEASIBILITY AND CONSEQUENCES OF INACTION AS THE CRITERIA TO IDENTIFY WHICH HEALTH NEEDS WOULD BE ADDRESSED OVER THE NEXT THREE YEARS. TAKING INTO ACCOUNT HOSPITAL RESOURCES AND OVERALL ALIGNMENT WITH THE HOSPITAL'S MISSION, GOALS AND STRATEGIC PRIORITIES - IT WAS DETERMINED THAT NCH WOULD FOCUS THE MAJORITY OF ITS EFFORTS ON DEVELOPING AND/OR SUPPORTING STRATEGIES AND INITIATIVES TO IMPROVE THE FOLLOWING PRIORITY AREAS: ACCESS TO CARE FOR THE UNDER-RESOURCED, BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE), OBESITY/PHYSICAL ACTIVITY/WEIGHT, CANCER (SMOKING/TOBACCO) AND CHRONIC DISEASE (DIABETES, HEART DISEASE, STROKE, RESPIRATORY AND KIDNEY). INTERNAL COMMITTEES WERE FORMED TO DEVELOP IMPLEMENTATION PLANS FOR EACH OF THE PRIORITY AREA AS DESCRIBED IN PART V, SECTION C, QUESTION 11. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WAS REVIEWED AND APPROVED BY THE COMMUNITY HEALTH AND OUTREACH COMMITTEE OF THE BOARD ON JUNE 13, 2018 AND PRESENTED TO THE ENTIRE BOARD OF DIRECTORS ON JUNE 25, 2018. IT WAS ALSO PRESENTED FOR APPROVAL TO THE COMMUNITY BENEFIT REGULATORY COMMITTEE, A COMMITTEE THAT ENSURES THE HOSPITAL IS MEETING ALL OF THE MANDATED REGULATORY REQUIREMENTS ON JUNE 12, 2018. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WAS POSTED ON THE HOSPITAL'S WEBSITE, (NCH.ORG) IN JULY 2018 WHICH THE COMMUNITY WAS MADE AWARE OF THROUGH PRESS RELEASES. THE IMPLEMENTATION PLAN IS ASSESSED AND UPDATED ON THE HOSPITAL'S WEBSITE ON AN ANNUAL BASIS. THE WEBSITE ALSO HAS A LINK WHICH PROVIDES THE COMMUNITY WITH THE OPPORTUNITY TO OFFER COMMENTS AND FEEDBACK ABOUT THE ASSESSMENT AND/OR IMPLEMENTATION PLAN. NO COMMENTS HAVE BEEN RECEIVED SINCE THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WERE POSTED. THE HOSPITAL WILL PROVIDE ANY INDIVIDUAL REQUESTING A COPY OF THE WRITTEN REPORT WITH THE DIRECT WEBSITE ADDRESS, OR URL, WHERE THE DOCUMENT CAN BE ACCESSED. NCH WILL ALSO MAINTAIN AT ITS FACILITIES A HARD COPY OF THE REPORTS THAT MAY BE VIEWED BY ANY WHO REQUEST IT. AS MENTIONED PREVIOUSLY, THE HOSPITAL MAINTAINS A FULL TIME COMMUNITY SERVICES DEPARTMENT WHO IS IN CONSTANT COLLABORATION WITH COMMUNITY ORGANIZATIONS, LOCAL GOVERNMENT, SCHOOLS, CHURCHES AND SOCIAL SERVICE AGENCIES TO IDENTIFY AND ADDRESS UNMET NEEDS. THE EXECUTIVE DIRECTOR OF THE COMMUNITY SERVICES DEPARTMENT IS ON THE BOARD OF DIRECTORS OF PARTNERS FOR OUR COMMUNITIES (POC), A LOCAL NOT FOR PROFIT THAT HELPS THE HOSPITAL RUN A COMMUNITY RESOURCE CENTER IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE RESOURCE CENTER HOUSES ELEVEN NOT FOR PROFIT AGENCIES INCLUDING COMMUNITY CARES, A FOOD AND CLOTHING PANTRY FOR UNDER-RESOURCED MEMBERS OF THE COMMUNITY. PROVIDE
SCHEDULE H - PART VI, LINE 3 - PATIENT EDUCATION OF ELIG. FOR ASSISTANCE	THE FINANCIAL ASSISTANCE PROGRAM AT NORTHWEST COMMUNITY HOSPITAL IS COMMUNICATED WIDELY TO PATIENTS AND VISITORS IN ENGLISH AND SPANISH USING THE FOLLOWING METHODS: 1. SIGNAGE IN ENGLISH AND SPANISH IS POSTED THROUGHOUT THE ORGANIZATION AT ALL ACCESS POINTS, INCLUDING THE EMERGENCY DEPARTMENT AND OUTPATIENT REGISTRATION AREAS. THESE AREAS ALSO STOCK AND MAKE AVAILABLE A BROCHURE, PRINTED IN ENGLISH AND SPANISH, DESCRIBING THE HOSPITAL'S POLICY. THE HOSPITAL PROVIDES A COMPREHENSIVE LANGUAGE ASSISTANCE PROGRAM WHICH INCLUDES VIDEO REMOTE AND IN-PERSON TRANSLATORS WHO CAN ASSIST THOSE WHO NEED ADDITIONAL INFORMATION ON FINANCIAL ASSISTANCE. 2. IN FY 2019 THE INFORMATION BELOW WAS POSTED ON THE HOSPITAL WEBSITE. "FINANCIAL ASSISTANCEOTHER RELATED TERMS CAN ALSO BE SEARCHED FOR FROM ANY PAGE OF THE HOSPITAL WEBSITE TAKING USERS TO THE INFORMATION INCLUDING APPLICATIONS FOR FINANCIAL ASSISTANCE (AVAILABLE IN ENGLISH, SPANISH, GERMAN, POLISH, JAPANESE, AND RUSSIAN), FINANCIAL ASSISTANCE POLICIES, AND WAYS TO REACH THE NCH FINANCIAL COUNSELOR BY EMAIL, PHONE OR IN PERSON. PATIENT FINANCIAL ASSISTANCE PAGE: TO APPLY FOR PATIENT FINANCIAL ASSISTANCE AT NCH, PLEASE PRINT THE FINANCIAL ASSISTANCE APPLICATION (TAMBIEN DISPONIBLE EN ESPAOL) AND COMPLETE ALL NECESSARY FIELDS. PLEASE BE SURE TO PROVIDE ALL REQUESTED DOCUMENTATION TO BE CONSIDERED FOR FINANCIAL ASSISTANCE. NORTHWEST COMMUNITY HOSPITAL IS A CHARITABLE ORGANIZATION AND PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. THE DAY SURGERY CENTER IS A FOR-PROFIT ORGANIZATION AND ALSO PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. MAIN FEES AND BILL PAYMENT PAGE: FOR FAMILIES WITHOUT INSURANCE WHO NEED HELP WITH MEDICAL BILLS, WE ACCEPT ILLINOIS PUBLIC AID. IN ADDITION, YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE FOR MEDICAL BILLS THROUGH NORTHWEST COMMUNITY HOSPITAL. NORTHWEST COMMUNITY HOSPITAL IS A CHARITABLE ORGANIZATION AND PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. THE DAY SURGERY CENTER IS A FOR-PROFIT ORGANIZATION AND ALSO PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. 3. EACH PATIENT INVOICE OR OTHER SUMMARY OF CHARGES TO A PATIENT SHALL INCLUDE WITH IT OR ON IT A STATEMENT REGARDING HOW A PATIENT MAY APPLY FOR CONSIDERATION UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE PATIENT IS PROVIDED A CONTACT NUMBER FOR FINANCIAL ASSISTANCE AND OUR WEBPAGE TO DOWNLOAD AN APPLICATION. 4. FINANCIAL COUNSELORS PROVIDE FINANCIAL ASSISTANCE INFORMATION TO PATIENTS DURING THEIR REGISTRATION AND WORK WITH PATIENTS IDENTIFIED AT REGISTRATION OR AFTER ADMISSION TO HELP THEM GET THE ASSISTANCE THEY NEED, ANSWER QUESTIONS, SET UP PAYMENT PLANS AND FACILITATE APPLICATIONS FOR GOVERNMENT PROGRAMS SUCH AS MEDICAID.
SCHEDULE H - PART VI, LINE 4 - COMMUNITY INFORMATION	NORTHWEST COMMUNITY HOSPITAL IS LOCATED IN ARLINGTON HEIGHTS, ILLINOIS, A SUBURB LOCATED APPROXIMATELY 25 MILES NORTHWEST OF CHICAGO. IT'S PRIMARY SERVICE AREA CONSISTS OF ARLINGTON HEIGHTS AND THE SURROUNDING SUBURBS OF MT. PROSPECT, PALATINE, AND ROLLING MEADOWS. THE HOSPITAL'S SECONDARY SERVICE AREA IS COMPRISED OF BARRINGTON, BUFFALO GROVE, DES PLAINES, ELK GROVE VILLAGE, HOFFMAN ESTATES, LAKE ZURICH, PROSPECT HEIGHTS, SCHAUMBURG AND WHEELING. THE POPULATION OF THE HOSPITAL'S TOTAL SERVICE AREA IS APPROXIMATELY 673,337 AND IS PROJECTED TO REMAIN RELATIVELY STABLE WITH A PROJECTED GROWTH OF ONLY 1% OVER THE NEXT FIVE YEARS (THROUGH 2022). THE HIGHEST UTILIZERS OF HEALTH CARE SERVICES ARE PATIENTS AGED 65 AND OVER, AND THIS AGE GROUP IS EXPECTED TO GROW 14% IN THE HOSPITAL'S PRIMARY SERVICE AREA AND 18% IN THE HOSPITAL'S SECONDARY AREA. THE HOSPITAL'S TOTAL SERVICE AREA IS PREDOMINATELY NON-HISPANIC WHITE (65.3%), FOLLOWED BY HISPANIC (15.7%) AND ASIAN (14.9%). THE BLACK AND NON-HISPANIC WHITE POPULATION IS PROJECTED TO DECREASE 5.2% AND 3.7% RESPECTIVELY. THE POPULATIONS THAT ARE PROJECTED TO HAVE THE LARGEST GROWTH ARE THE ASIAN/PACIFIC ISLANDERS (11.8%) AND HISPANIC (7.7%) POPULATIONS. HOUSEHOLDS IN THE UPPER INCOME BRACKETS, $100K AND HIGHER, ARE PROJECTED TO INCREASE WHILE ALL LOWER INCOME BRACKETS ARE PROJECTED TO DECREASE. THE PROJECTED CHANGE IN THE EDUCATION LEVEL FORECASTS THE LEVEL WITH THE LARGEST PROJECTED GROWTH IS FOR THOSE NOT ACHIEVING A HIGH SCHOOL DIPLOMA. THERE ARE 21,694 INDIVIDUALS WHO LACK HEALTH INSURANCE IN THE HOSPITAL'S TOTAL SERVICE AREA. THE HOSPITAL'S SERVICE AREA PROJECTIONS PREDICT NOTABLE GROWTH IN THE FOLLOWING CHRONIC DISEASES: HEART DISEASE, CANCER (BREAST AND COLORECTAL), DIABETES, OBESITY AND ASTHMA. ALTHOUGH THE HOSPITAL'S SERVICE AREA EXCEEDS STATE AND NATIONAL AVERAGES FOR ANNUAL AVERAGE INCOME, THERE ARE STILL MANY SIGNIFICANT POCKETS OF VULNERABLE POPULATIONS BASED ON INCOME AND ATTAINMENT OF A HIGH SCHOOL DEGREE. IN ADDITION, THE ENTIRE PRIMARY SERVICE AREA AND A SIGNIFICANT PORTION OF THE SECONDARY SERVICE AREA HAVE BEEN DESIGNATED AS A MEDICALLY-UNDERSERVED POPULATION. THE HOSPITAL WORKS CLOSELY WITH TWO FEDERALLY QUALIFIED HEALTH CENTERS AND A COUNTY RUN PRIMARY CARE CLINIC, ALL LOCATED IN THE HOSPITAL'S SERVICE AREA. THERE ARE NO OTHER HOSPITALS IN THE PRIMARY SERVICE AREA AND THREE IN THE SECONDARY SERVICE AREA OF THE HOSPITAL.
SCHEDULE H - PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF ITS COMMUNITY IN MANY WAYS AS FOLLOWS: (1) A MAJORITY OF THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO LIVE OR WORK IN THE HOSPITAL'S PRIMARY SERVICE AREA AND ARE NOT EMPLOYEES OR CONTRACTORS OF THE HOSPITAL, NOR FAMILY MEMBERS. (2) THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. (3) A STANDING COMMUNITY HEALTH AND OUTREACH COMMITTEE OF THE HOSPITAL BOARD REVIEWS THE COMMUNITY HEALTH NEEDS ASSESSMENT AND ENSURES THE IMPLEMENTATION PLAN ADDRESSES IDENTIFIED NEEDS. THE COMMITTEE, COMPRISED OF BOARD MEMBERS, SENIOR EXECUTIVES, PHYSICIANS, COMMUNITY MEMBERS AND STAFF, PROVIDES OVERSIGHT IN MONITORING AND EVALUATING THE EFFECTIVENESS OF STRATEGIES AND INITIATIVES INCLUDED IN THE IMPLEMENTATION PLAN. THE COMMITTEE MONITORS THE AMOUNT OF DOLLARS INVESTED IN COMMUNITY BENEFIT INCLUDING CHARITY CARE, COMMUNITY HEALTH EDUCATION, AND OTHER COMMUNITY HEALTH IMPROVEMENT INITIATIVES. (4) THE HOSPITAL HAS A COMMUNITY BENEFIT REGULATORY COMMITTEE COMPRISED OF STAFF FROM COMMUNITY SERVICES, FINANCE, LEGAL, COMPLIANCE AND PATIENT ACCESS SERVICES. THIS COMMITTEE REVIEWS THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE DEVELOPMENT OF THE IMPLEMENTATION PLAN AND THE ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT FOR THE STATE OF ILLINOIS TO ENSURE ALL REGULATORY REQUIREMENTS ARE BEING MET. (5) THE PATIENT FAMILY ADVISORY COUNCIL, COMPRISED OF COMMUNITY MEMBERS WHO HAVE UTILIZED THE HOSPITAL'S SERVICES, MEETS MONTHLY TO HELP THE HOSPITAL IDENTIFY AND IMPROVE KEY DRIVERS THAT IMPACT PATIENT EXPERIENCE. THE COMMITTEE REVIEWS CURRENT PROCESSES AND PROPOSED CHANGES AND THEN PROVIDES FEEDBACK, COMMENTS AND SUGGESTIONS. (6) THE HOSPITAL MAINTAINED AN AVERAGE OF 275 DAYS CASH OR CASH EQUIVALENT ON HAND IN THE HOSPITAL ITSELF OR AT NORTHWEST COMMUNITY HEALTHCARE (A 501(C)(3) SUPPORTING ORGANIZATION AND SOLE MEMBER OF THE HOSPITAL) FOR FUNDING CAPITAL IMPROVEMENTS IN TECHNOLOGY, FACILITIES OR PATIENT CARE EQUIPMENT, AND SUPPORTING HOSPITAL OPERATIONS OR COMMUNITY OUTREACH INITIATIVES. (7) THE HOSPITAL HAS DEDICATED STAFF THAT SERVE AS MEMBERS, CHAIRPERSONS, OFFICERS, AND BOARD MEMBERS OF LOCAL AND NATIONAL ORGANIZATIONS DEVOTED TO IMPROVING THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS. THESE ORGANIZATIONS INCLUDE: THE CHILDREN'S ADVOCACY CENTER LEADERSHIP COMMITTEE, CHICAGO DENTAL SOCIETY, HARPER COLLEGE LEARNING AND CAREER CENTER ADVISORY COMMITTEE, ILLINOIS HOSPITAL ASSOCIATION BOARD OF DIRECTORS, KENNETH YOUNG CENTER BOARD OF DIRECTORS, PARTNERS FOR OUR COMMUNITIES BOARD OF DIRECTORS, ST. MARY'S SERVICES BOARD OF DIRECTORS, UNITED PALATINE AND ARLINGTON HEIGHTS ROTARY CLUB BOARD OF DIRECTORS. (8) COLLABORATIVE PARTNERSHIPS ARE THE FOUNDATION TO MANY OF THE HOSPITAL'S COMMUNITY HEALTH INITIATIVES AIMED TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. THESE PARTNERSHIPS INCLUDE A COLLABORATION WITH GREATER ELGIN FAMILY CARE CENTER AND ACCESS COMMUNITY HEALTH NETWORK (TWO LOCAL FEDERALLY QUALIFIED HEALTH CENTER), AND COOK COUNTY HEALTH AND HOSPITAL SYSTEM TO BRING PRIMARY CARE SERVICES FOR THE UNINSURED AND UNDERINSURED TO THE COMMUNITY. THE HOSPITAL ALSO PARTNERS WITH ELK GROVE, PALATINE, SCHAUMBURG, AND WHEELING TOWNSHIPS ON A MOBILE DENTAL CLINIC PROGRAM WHICH PROVIDED 1,921 PATIENT VISITS IN FY 2019 WITH THE HOSPITAL ABSORBING $194,100 OF THE OPERATING COSTS. NORTHWEST COMMUNITY HEALTHCARE, AN AFFILIATE OF THE HOSPITAL, ALSO PARTNERS WITH PARTNERS FOR OUR COMMUNITIES (POC), A LOCAL 501(C)(3) ORGANIZATION, TO OPERATE AND RUN THE COMMUNITY RESOURCE CENTER WHICH PROVIDES DIRECT SERVICES, REFERRALS, AND OTHER ASSISTANCE TO THE UNDER-RESOURCED. THE HOSPITAL OWNS AND MAINTAINS THE BUILDING AND PROVIDES FREE OR LOW-COST RENT TO LOCAL NOT FOR PROFIT AGENCIES, INCLUDING: ALL SAINTS LUTHERAN CHURCH, ASIAN HUMAN SERVICES, BUEHLER YMCA, THE CENTER-RESOURCES FOR TEACHING AND LEARNING (ECDEC PROGRAM), COMMUNITY CONSOLIDATED SCHOOL DISTRICT 15, HARPER COLLEGE, HIAS CHICAGO, PALATINE TOWNSHIP SENIOR CITIZENS COUNCIL, PALATINE POLICE DEPARTMENT, PALATINE PARK DISTRICT, PALATINE PUBLIC LIBRARY, PATH (PALATINE ASSISTING THROUGH HOPE), AND WINGS (WOMEN IN NEED GROWING STRONGER). SOME OF THE MANY PROGRAMS AND SERVICES OFFERED AT THE RESOURCE CENTER INCLUDE GED AND CITIZENSHIP CLASSES, HEALTHCARE SERVICES, COMPUTER LITERACY, AFTER-SCHOOL YOUTH PROGRAM, BILINGUAL COUNSELING, PARENTING CLASSES, JOB PLACEMENT, CAREER EDUCATION, RECREATION AND A FOOD AND CLOTHING PANTRY. IN FY 2019, THE COMMUNITY RESOURCE CENTER HAD MORE THAN 200,000 CLIENT VISITS. IN ADDITION TO THE COMMUNITY RESOURCE CENTER, THE HOSPITAL WORKS WITH POC ON MANY COLLABORATIVE HEALTH INITIATIVES INCLUDING THE COMMUNITY HEALTH WORKER (CHW) PROGRAM WHICH PROVIDES HEALTH EDUCATION AND SUPPORT FOR THE LATINO POPULATION. THIS PROGRAM IDENTIFIES LATINA WOMEN WHO DEMONSTRATE THE POTENTIAL TO BECOME LEADERS IN THE COMMUNITY WHO THEN RECEIVE LEADERSHIP TRAINING AND EDUCATION ON SPECIFIC HEALTH TOPICS. THE CHW MEETS PATIENT'S BEDSIDE AND THEN PROVIDES POST DISCHARGE SUPPORT TO HELP THEM UNDERSTAND AND COMPLY WITH DISCHARGE INSTRUCTIONS WHICH CAN OFTEN BE DIFFICULT DUE TO ECONOMIC AND LANGUAGE BARRIERS. IN FY 2019 THE CHW HAD 2,518 CLIENT INTERACTIONS AND THE HOSPITAL PROVIDED $42,800 IN FINANCIAL SUPPORT OF THE PROGRAM. THE HOSPITAL, POC AND SCHAUMBURG TOWNSHIP ALSO COLLABORATIVELY PROVIDE THE SERVICES OF TWO COMMUNITY HEALTH NURSES; ONE OF WHICH IS BILINGUAL IN SPANISH. THESE OUTREACH PROFESSIONALS FOCUS ON HELPING VULNERABLE POPULATIONS (UNDER-RESOURCED AND SENIORS) NAVIGATE HEALTHCARE RESOURCES, PROVIDE HEALTH EDUCATION AND CHRONIC DISEASE MANAGEMENT, AND HELP PATIENTS OBTAIN LOW-COST PRESCRIPTIONS. IN FY 2019, THE TWO PART-TIME COMMUNITY NURSES HAD 7,744 CLIENT INTERACTIONS AND THE HOSPITAL PROVIDED $92,800 IN FINANCIAL SUPPORT OF THE PROGRAM. THE HOSPITAL ALSO DEDICATES RESOURCES TO ENHANCE ITS HEALTH AND WELLNESS OFFERINGS FOR OLDER ADULTS IN THE COMMUNITY. A FULL TIME, DEDICATED SENIOR SERVICES LIAISON SCHEDULES AND OVERSEES LECTURES, PROGRAMS AND SCREENINGS AT LOCAL SENIOR CENTERS AND OTHER COMMUNITY LOCATIONS THAT SERVE OLDER ADULTS. IN FY 2019, THE HOSPITAL PROVIDED MORE THAN 200 HEALTH AND WELLNESS PROGRAMS AND SUPPORT GROUPS WITH 3,585 ENCOUNTERS AT THE ARLINGTON HEIGHTS SENIOR CENTER ALONE. THE "ASK-THE-NURSE" PROGRAM AT THE SENIOR CENTER PROVIDES SENIORS WITH THE OPPORTUNITY TO ASK HEALTHCARE QUESTIONS AND SHARE CONCERNS, ESPECIALLY REGARDING MEDICATIONS, TREATMENT PLANS AND UPCOMING TESTS AND PROCEDURES. A NURSE ALSO PROVIDES FREE BLOOD PRESSURE CHECKS AND OFFER HELP WITH CHRONIC DISEASE MANAGEMENT FOR DIABETES AND OTHER ILLNESSES. OTHER OFFERINGS INCLUDED PHYSICIAN LECTURES, SCREENINGS, WALKERS CLUB AND PARKINSON'S PROGRAMS. SENIORS FROM THE COMMUNITY RECEIVED CUTTING EDGE HEALTH INFORMATION FROM PHYSICIANS AND STAFF ON VARIOUS HEALTH TOPICS SUCH AS DIABETES, HEART DISEASE, SKIN CANCER, STROKE, MENTAL HEALTH AND MORE. THE SENIOR SERVICES SPECIALIST IS ALSO A TRAINED SENIOR HEALTH INSURANCE PROGRAM COUNSELOR (SHIP), WHICH PROVIDES FREE MEDICARE EDUCATION TO SENIORS. (9) THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK AND SERVES ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. (10) THE HOSPITAL PARTICIPATES IN BOTH THE MEDICARE AND MEDICAID GOVERNMENT-SPONSORED HEALTHCARE PROGRAMS. THE HOSPITAL CONTRACTS WITH MIRA MED ASSISTANCE PROGRAM TO PROVIDE ASSISTANCE TO PATIENTS, FREE OF CHARGE, THROUGHOUT THE MEDICAID APPLICATION PROCESS WHEN APPLYING FOR MEDICAL COVERAGE THROUGH THE ILLINOIS MEDICAID PROGRAM. THE ASSISTANCE PROVIDED IS INCLUSIVE OF COMPLETING THE APPLICATION, GATHERING ALL OF THE APPROPRIATE ADDITIONAL DOCUMENTS THAT MUST BE SUBMITTED, WORKING WITH THE STATE ON THE PATIENT'S BEHALF AND, IN SOME CASES, WORKING THROUGH AN APPEAL PROCESS. IN FY 2019, 1,021 INDIVIDUALS RECEIVED ASSISTANCE AT A COST OF $193,684. (11) THE HOSPITAL PROVIDES SERVICES FREE OR AT A REDUCED RATE TO INDIVIDUALS WITH LIMITED FINANCIAL RESOURCES WHO ARE UNABLE TO ACCESS ENTITLEMENT PROGRAMS. INDIVIDUALS ARE ELIGIBLE FOR FREE OR DISCOUNTED MEDICALLY NECESSARY HEALTHCARE SERVICES BASED ON ESTABLISHED CRITERIA AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS WIDELY DISTRIBUTED AND COMMUNICATED TO THE COMMUNITY. (12) CELEBRATING 60 YEARS OF EXCEPTIONAL CARE, NCH IS AN INDEPENDENT COMMUNITY HOSPITAL THAT PROVIDES ACUTE CARE AND IS RECOGNIZED FOR THE FOLLOWING OUTSTANDING DISTINCTIONS: 2019 HEALTHGRADES AMERICA'S 250 BEST HOSPITALS AWARD; 2019 HEALTHGRADES AMERICA'S 100 BEST HOSPITALS AWARD FOR CARDIAC CARE, CRITICAL CARE, PULMONARY CARE AND STROKE CARE; 2019 HEALTHGRADES CORONARY INTERVENTION EXCELLENCE AWARD; 2019 HEALTHGRADES CARDIAC INTERVENTION EXCELLENCE AWARD; 2019 HEALTHGRADES CRITICAL CARE EXCELLENCE AWARD; 2019 HEALTHGRADES NEUROSCIENCES EXCELLENCE AWARD (TOP 5% IN NATION THREE YEARS IN A ROW); 2019 HEALTHGRADES FIVE-STAR RECIPIENT FOR MULTIPL
SCHEDULE H - PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	NORTHWEST COMMUNITY HEALTHCARE AND SUBSIDIARIES (HEALTHCARE), A NOT-FOR-PROFIT ENTITY, WAS ESTABLISHED TO OWN, OPERATE, CONTROL, AND OTHERWISE COORDINATE THE DELIVERY OF HEALTHCARE WITHIN THE SERVICE AREA OF NORTHWEST COMMUNITY HOSPITAL (THE HOSPITAL), AND COORDINATE THE ACTIVITIES OF THE VARIOUS CORPORATIONS AFFILIATED WITH HEALTHCARE. THE HOSPITAL, LOCATED IN ARLINGTON HEIGHTS, ILLINOIS, IS A 496-BED ACUTE CARE FACILITY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES PRIMARILY TO RESIDENTS OF ARLINGTON HEIGHTS AND THE SURROUNDING COMMUNITIES. SUBSIDIARIES OF HEALTHCARE INCLUDE THE HOSPITAL, NORTHWEST COMMUNITY HOSPITAL FOUNDATION (THE FOUNDATION), CENTRAL INSURANCE COMPANY, LTD. (CICL), AND NORTHWEST COMMUNITY HEALTHCARE PHO, LLC (PHO). HEALTHCARE'S OTHER SUBSIDIARIES INCLUDE NORTHWEST COMMUNITY HEALTH SERVICES, INC. (HEALTH SERVICES), NPC-CYBERKNIFE, LLC (CYBERKNIFE), NORTHWEST COMMUNITY DAY SURGERY CENTER II, LLC (DSC-II), NORTHWEST ENDO CENTER LLC (ENDO), NORTHWEST COMMUNITY FOOT AND ANKLE CENTER, LLC (FOOT), AND ENVISION MEDICAL IMAGING, LLC (ENVISION). NORTHWEST COMMUNITY PHYSICIANS ASSOCIATION, LLC (NCPA) IS AN INACTIVE, NOT-FOR-PROFIT SUBSIDIARY OF THE HOSPITAL. CICL IS A CAPTIVE INSURANCE COMPANY ESTABLISHED JANUARY 1, 2013, TO PROVIDE GENERAL AND PROFESSIONAL LIABILITY COVERAGE AND WORKERS' COMPENSATION COVERAGE FOR THE RISKS OF HEALTHCARE. CICL IS A FOREIGN CORPORATION ORGANIZED IN THE CAYMAN ISLANDS THAT DOES NOT TAX ITS ACTIVITIES. HEALTH SERVICES OWNS AND OPERATES PHYSICIAN PRACTICES WITHIN THE HOSPITAL'S GEOGRAPHIC AREA. THE NCH MEDICAL GROUP (NCHMG) MULTI-SPECIALTY PHYSICIAN PRACTICE (THAT WAS ESTABLISHED IN 2010) HAS OFFICES IN ARLINGTON HEIGHTS, BUFFALO GROVE, MT. PROSPECT, LAKE ZURICH, PALATINE, AND SCHAUMBURG, ILLINOIS. CYBERKNIFE WAS FORMED IN JUNE 2006 FOR THE PURPOSE OF PURCHASING AND OWNING A STEREOTACTIC RADIOSURGERY SYSTEM AND LEASING IT TO THE HOSPITAL. CYBERKNIFE IS A LIMITED LIABILITY CORPORATION THAT IS OWNED BY HEALTHCARE (74% AT SEPTEMBER 30, 2019 AND 2018) AND PHYSICIAN INVESTORS (26% AT SEPTEMBER 30, 2019 AND 2018). HEALTHCARE CONSOLIDATES CYBERKNIFE, AS HEALTHCARE OWNS A MAJORITY OF THE UNITS OUTSTANDING. DSC-II WAS FORMED IN 2014 FOR THE PURPOSE OF OWNING AND OPERATING AN AMBULATORY SURGERY CENTER. DSC-II IS A LIMITED LIABILITY COMPANY THAT IS OWNED BY HEALTHCARE (59.25% AND 51.75% AT SEPTEMBER 30, 2019 AND 2018, RESPECTIVELY) AND PHYSICIAN INVESTORS (40.75% AND 48.25% AT SEPTEMBER 30, 2019 AND 2018, RESPECTIVELY). HEALTHCARE CONSOLIDATES DSC-II, AS HEALTHCARE OWNS A MAJORITY OF THE UNITS OUTSTANDING. ENDO WAS ESTABLISHED IN DECEMBER 2015 AND BEGAN OPERATIONS IN MARCH 2017. ENDO IS A LIMITED LIABILITY CORPORATION THAT IS OWNED BY HEALTH SERVICES (51% AT SEPTEMBER 30, 2019 AND 2018) AND PHYSICIAN INVESTORS (49% AT SEPTEMBER 30, 2019 AND 2018). HEALTH SERVICES CONSOLIDATES ENDO BECAUSE IT OWNS A CONTROLLING INTEREST. FOOT WAS ESTABLISHED AND BEGAN OPERATIONS IN JULY 2017. FOOT IS A LIMITED LIABILITY CORPORATION THAT IS OWNED BY HEALTH SERVICES (51% AT SEPTEMBER 30, 2019 AND 2018) AND PHYSICIAN INVESTORS (49% AT SEPTEMBER 30, 2019 AND 2018). HEALTH SERVICES CONSOLIDATES FOOT BECAUSE IT OWNS A CONTROLLING INTEREST. ENVISION WAS ESTABLISHED AND BEGAN OPERATIONS IN JULY 2018. ENVISION IS A LIMITED LIABILITY CORPORATION THAT IS OWNED BY HEALTH SERVICES (51% AT SEPTEMBER 30, 2019 AND 2018) AND PHYSICIAN INVESTORS (49% AT SEPTEMBER 30, 2019 AND 2018). HEALTH SERVICES CONSOLIDATES ENVISION BECAUSE IT OWNS A CONTROLLING INTEREST.
SCHEDULE H - PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	NORTHWEST COMMUNITY HOSPITAL FILES AN ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT WITH THE ILLINOIS ATTORNEY GENERAL'S OFFICE IN ACCORDANCE WITH ILLINOIS LAW.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Shelter Inc
826 E Old Willow Rd	PROSPECT HTS	IL	60070	237399596	501(c)(3)	$10,000	Sponsor
WINGS
887 E Wilmette Rd	Palatine	IL	60070	750800699	501(c)(3)	$8,000	Sponsor
Partners for Our Communities
1585 N Rand Rd	Palatine	IL	60074	363881109	501(c)(3)	$8,000	Sponsor
The Childrens Advocacy Center
105 S York Rd	ELMHURST	IL	60126	752389095	501(c)(3)	$6,000	SPONSOR
GREATER ELGIN FAMILY CARE CENTER
370 SUMMIT ST	ELGIN	IL	60120	364249586	501(c)(3)	$20,300	SPONSOR
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
1717 Rand Rd	Des Plaines	IL	60016	362170821	501(c)(3)	$7,000	Sponsor

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990, Schedule I, Part I, Line 2 - Org. Proc. for Monitoring grants	FormAndLineReferenceDesc
Explanation	GRANTS IN SUPPORT OF NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) MISSION ARE MONITORED BY NORTHWEST COMMUNITY'S FINANCE COMMITTEE AND BOARD OF DIRECTORS AS PART OF THE MONTHLY REVIEW OF HOSPITAL'S FINANCIAL RESULTS. SIGNIFICANT GRANTS TO UNRELATED 501(C)(3) OR GOVERNMENTAL ORGANIZATIONS ARE APPROVED BY HOSPITAL'S COMMUNITY SERVICES DEPARTMENT AND ARE MONITORED THROUGH ONGOING INTERACTIONS WITH OFFICIALS OF THOSE RECIPIENTS REGARDING PROGRAM SERVICES PROVIDED IN HOSPITAL'S SERVICE AREA.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	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 (12 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
Stephen O Scogna
PRESIDENT/SECRETARY/CEO	$756,946	$0	$132,541	$0	$3,900	$0	$166,033	$0	$29,714	$0	$1,089,134	$0	$0	$0
John L Skeans
CFO/Treasurer	$379,388	$0	$47,878	$0	$3,210	$0	$59,000	$0	$28,932	$0	$518,408	$0	$0	$0
Michael C Hartke
Executive VP/COO	$460,622	$0	$57,951	$0	$2,640	$0	$68,810	$0	$28,842	$0	$618,865	$0	$0	$0
Wendy L Rubas trm 717
Exec VP - Chief Legal Counsel	$0	$0	$0	$0	$121,313	$0	$0	$0	$0	$0	$121,313	$0	$0	$0
Kimberly Nagy Trm 918
Executive VP - PT Serv & CNO	$226,406	$0	$39,530	$0	$294,063	$0	$11,105	$0	$7,069	$0	$578,173	$0	$222,995	$0
Alan B Loren MD
Executive VP - CMO	$427,951	$0	$366,294	$0	$3,900	$0	$64,292	$0	$16,585	$0	$879,022	$0	$0	$0
Susan E Nelson MD
VP Physician Operations	$285,643	$0	$80,963	$0	$2,827	$0	$30,751	$0	$8,921	$0	$409,105	$0	$0	$0
Bradford Buxton Trm 319
VP Strategy & Business Dev.	$367,619	$0	$45,300	$0	$5,418	$0	$40,669	$0	$491	$0	$459,497	$0	$0	$0
Glen J Malan
VP Info Tech & CIO	$293,442	$0	$21,976	$0	$2,293	$0	$32,010	$0	$5,149	$0	$354,870	$0	$0	$0
Joseph Alappattu Trm 1118
Chief Medical Physicist	$315,092	$0	$119,167	$0	$3,503	$0	$12,375	$0	$466	$0	$450,603	$0	$0	$0
TERRY SOLEM
VP HUMAN RESOURCES	$277,718	$0	$20,681	$0	$3,742	$0	$34,752	$0	$2,481	$0	$339,374	$0	$0	$0
Mary Dano
Exec VP - Chief Legal Counsel	$346,997	$0	$20,000	$0	$2,964	$0	$46,961	$0	$3,747	$0	$420,669	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

COMPENSATION DETERMINATION PROCESS FOR TOP MANAGEMENT OFFICIALS

FORM 990, SCHEDULE J, LINE 3 THE COMPENSATION COMMITTEE OF THE PARENT CORPORATION (HEALTHCARE) ANNUALLY REVIEWS AND MAKES RECOMMENDATIONS TO THE BOARD REGARDING THE COMPENSATION OF THE PRESIDENTS, OTHER VICE PRESIDENTS AND OTHER KEY MANAGEMENT OFFICERS AS DETERMINED BY THE BOARD. AN INDEPENDENT REASONABLENESS OPINION IS OBTAINED ANNUALLY REGARDING THE CHIEF EXECUTIVE OFFICER'S COMPENSATION AND THAT OF OTHER EXECUTIVES AS DETERMINED BY THE COMMITTEE. SEVERANCE PAYMENTS FORM 990, SCHEDULE J, LINE 4A IN 2018, THE FOLLOWING INDIVIDUALS RECEIVED a SEVERANCE PAYMENT AS PART OF Their COMPENSATION ARRANGEMENT: Wendy L. Rubas $121,313; Kimberly Nagy $67,861. FORM 990, SCHEDULE J, LINE 4B A SERP PLAN WAS CREATED AND WAS EFFECTIVE ON JANUARY 1, 2014. BENEFITS UNDER THE SERP VEST IN THE AMOUNT CREDITED TO HIS OR HER ACCOUNT BALANCE ON JANUARY 1 OF THE FIFTH PLAN YEAR FOLLOWING THE YEAR FOR WHICH A CONTRIBUTION WAS CREDITED TO THE PARTICIPANT'S ACCOUNT. FOR EXAMPLE, A JANUARY 1, 2014 CONTRIBUTION, A PARTICIPANT WILL VEST IN THAT CONTRIBUTION, AS ADJUSTED FOR EARNINGS AND LOSSES, ON JANUARY 1, 2019. HOWEVER, A PARTICIPANT WILL AUTOMATICALLY VEST IN HIS OR HER ACCOUNT BALANCE IN THE EVENT OF INVOLUNTARY SEPARATION FROM SERVICE OR HIS OR HER ATTAINMENT OF AGE 65 WHILE STILL EMPLOYED BY NCH. PARTICIPANTS WHO VOLUNTARILY RESIGN OR ARE TERMINATED WITH CAUSE BEFORE THE VESTING PERIOD ARE NO LONGER ELIGIBLE FOR THE AMOUNT ACCRUED. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE SERP AND EARNED UNVESTED BENEFITS DURING 2018 WHICH ARE REPORTED IN COLUMN (C): STEPHEN O. SCOGNA $ 153,658 JOHN L. SKEANS $ 46,625 MICHAEL C. HARTKE $ 56,435 ALAN B. LOREN, MD $ 51,917 MARY DANO $ 43,802 SUSAN E. NELSON, MD $ 24,832 BRADFORD A. BUXTON $ 29,410 GLEN J. MALAN $ 23,779 TERRY SOLEM $ 22,377

NON-FIXED COMP PAYMENTS

FORM 990, SCHEDULE J, LINE 7 THE CEO AND VICE PRESIDENTS OF THE HOSPITAL ARE ELIGIBLE FOR AN ANNUAL INCENTIVE COMPENSATION PAYMENT THAT IS ALIGNED WITH THE STRATEGIC, FINANCIAL AND OPERATIONAL GOALS OF THE ORGANIZATION. THRESHOLD MEASURES, WHICH CONSTITUTE THE MINIMUM REQUIREMENTS, MUST BE ACHIEVED IN ORDER TO HAVE AN INCENTIVE PAYOUT. AWARD OPPORTUNITY LEVELS VARY AS A PERCENT OF BASE SALARY. ACTUAL AMOUNTS AWARDED ARE BASED ON A COMBINATION OF DEFINED TARGETS. MAXIMUM PAYABLE IS 150% OF THE TARGET. AMOUNTS TO BE PAID ARE SUBJECT TO APPROVAL OF THE COMPENSATION COMMITTEE OF NORTHWEST COMMUNITY HEALTHCARE, THE SOLE MEMBER OF THE HOSPITAL. The Compensation Committee retains the discretion to recommend for Board approval adjustments to payouts (either higher or lower) at plan cycle end, to reflect extraordinary performance or unanticipated circumstances.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
ILLINOIS FINANCIAL AUTHORITY
A	861091967	2011-12-01	$53,100,000	SEE PART VI	false	false	false
ILLINOIS FINANCIAL AUTHORITY
B	861091967	2008-10-17	$86,820,000	SEE PART VI	false	false	false	45200FNU9
ILLINOIS FINANCIAL AUTHORITY
C	861091967	2016-06-15	$157,336,237	SEE PART VI	false	false	false	45204EDN5

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$7,900,000	$0	$53,100,000	$0	$0	$0	$434,279	$0	$0	$0	$52,665,721	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
B	$28,220,000	$0	$86,820,000	$0	$0	$0	$598,075	$93,000	$0	$86,128,925	$0	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$157,336,237	$0	$0	$155,497,835	$1,838,402	$0	$0	$0	$0	$0		false	Yes (true)	false	false

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd
A
B	false	false	Yes (true)
C	false	false	Yes (true)	false	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	false	Yes (true)	false	false	0	false	Yes (true)
0
C	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4D - Desc. of Other Program Services	INCLUDES REVENUE, EXPENSES, AND GRANTS OF $167,419 FROM ALL OTHER PROGRAM SERVICE SPECIALITIES ALONG WITH REFERENCE LAB REVENUE, CAPITATION REVENUE, INTERCOMPANY RENTS AND OTHER RENTAL INCOME NOT DESCRIBED ON FORM 990, PART III, LINES 4A-4C.
Form 990, Part VI, Section A. Line 6 - Desc. of Members	NORTHWEST COMMUNITY HEALTHCARE (NCH) IS THE SOLE CORPORATE MEMBER OF NORTHWEST COMMUNITY HOSPITAL (HOSPITAL). AS SUCH, IT ELECTS OR APPOINTS THE MEMBERS OF HOSPITAL'S GOVERNING BODY AND APPROVES SIGNIFICANT DECISIONS.
Form 990, Part VI, Section A. Line 7a - Power to elect members	NCH IS THE SOLE CORPORATE MEMBER OF HOSPITAL. AS SUCH, IT ELECTS OR APPOINTS THE MEMBERS OF THE GOVERNING BODY OF HOSPITAL PERIODICALLY OR AS VACANCIES ARISE.
Form 990, Part VI, Section A. Line 7b - Governance Decisions	NCH IS THE SOLE CORPORATE MEMBER OF HOSPITAL. AS SUCH, IT MUST APPROVE CERTAIN ACTIONS OF HOSPITAL. ACTION IS TAKEN BY A MAJORITY VOTE OF THE NCH BOARD WITH A QUORUM PRESENT. NCH MUST APPROVE THE FOLLOWING TYPES OF DECISIONS BY HOSPITAL: VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION OR SALE OR TRANSFER OF 10% OR MORE OF HOSPITAL'S ASSETS; SALE OF REAL PROPERTY OR INTEREST THEREIN; CREATION OF A SUBSIDIARY OR AFFILIATE; ANNUAL AND LONG-TERM CAPITAL AND OPERATING BUDGETS; AMENDMENT, ALTERATION OR REPEAL OF HOSPITAL'S ARTICLES OF INCORPORATION OR BYLAWS; SELECTION OF AUDITORS; APPOINTMENT, REMOVAL AND EVALUATION OF HOSPITAL DIRECTORS; DEBT OR INDEBTEDNESS, GUARANTEES OR BORROWINGS; APPOINTMENT, COMPENSATION, BENEFITS AND EVALUATION OF OFFICERS; APPOINTMENT AND EMPLOYMENT OF THE PRESIDENT; AND ACTIONS TAKEN BY TRUSTEES OF THE NORTHWEST COMMUNITY HOSPITAL EMPLOYEES RETIREMENT PLAN.
Form 990, Part VI, Section B. Line 11b - Review of Form 990	A COPY OF FORM 990 WAS MADE AVAILABLE TO THE MEMBERS OF HOSPITAL'S BOARD PRIOR TO FILING. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD HAS BEEN ASSIGNED THE RESPONSIBILITY OF REVIEWING FORMS 990 FOR ALL AFFILIATES OF NCH. THIS COMMITTEE REVIEWED FORM 990 PRIOR TO DISTRIBUTION TO THE FULL BOARD. SPECIFIC SECTIONS OF THE TAX RETURN ARE ALSO REVIEWED BY HUMAN RESOURCES, LEGAL, AND COMPLIANCE.
Form 990, Part VI, Section B. Line 12c - Conflict of Interest	EACH YEAR, THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE IS SENT TO DIRECTORS, OFFICERS AND KEY EMPLOYEES. EACH RESPONSE IS REVIEWED BY THE GENERAL COUNSEL AND THOSE IN WHICH ANY ACTUAL OR APPARENT CONFLICT WITH THE PRESENT ROLE IS DISCLOSED, ARE REVIEWED BY THE PRESIDENT/CEO AND BOARD CHAIRPERSON. IN THE CASE OF ANY CONFLICT INVOLVING AN ENTITY OR PARTY WITH WHICH HOSPITAL IS DEALING OR COMPETING, THE PERSON WITH THE CONFLICT MAY NOT PARTICIPATE IN ANY DECISIONS REGARDING THAT PARTY. INDIVIDUALS WHO ARE INDEPENDENT CONTRACTORS, OFFICERS, DIRECTORS, OR EMPLOYEES OF OTHER HEALTHCARE FACILITIES IN HOSPITAL'S SERVICE AREA MAY NOT SERVE ON NCH'S OR ANY RELATED ORGANIZATION'S BOARD OR BOARD COMMITTEE. IN ADDITION, THE POLICY INCLUDES A SAMPLE CONFLICT OF INTEREST DISCLOSURE LETTER TO BE USED IF A CONFLICT ARISES AFTER SUBMISSION OF THE ANNUAL QUESTIONNAIRE AND BEFORE SUBMISSION OF THE NEXT ANNUAL QUESTIONNAIRE. SUCH DISCLOSURE LETTERS WOULD BE REVIEWED AS NOTED ABOVE AT THE TIME THEY ARE RECEIVED.
Form 990, Part VI, Section B Line 15a & 15b - Comp. Determination	The Compensation Committee of the Board of Directors (the "Committee") of Northwest Community Healthcare, which is the parent corporation of Northwest Community Hospital and who has identical board members as Northwest Community Healthcare, is responsible for preparing the total compensation paid to the Organization's senior executives (collectively, "Executives") to ensure that compensation paid to such Executives is reasonable and does not result in excessive and inappropriate benefit to private individuals. The Committee shall, on an annual basis, review and recommend to the Board for approval executive compensation consistent with the process described below. This process is intended to result in compensation decisions that are consistent with the Organization's fulfillment of its mission as set forth in the Organization's Articles of Incorporation, as well as the Organization's compensation philosophy and related principles set forth in this document. The Compensation philosophy is intended to result in the determination and payment of total compensation, including benefits, for Executives based on the following objectives: Compensation that is objectively fair and reasonable compared to similar executives at similar institutions; Compensation that contributes to the attraction and retention of qualified and talented individuals in Executive positions; Compensation that rewards the attainment of performance goals and expectations; and Compensation that reinforces the commitment to the Organization's mission, purpose and values. In assessing the reasonableness of an Executive's total compensation, the Committee shall endeavor to set base salary at or near the market 60th percentile. The Committee shall target total compensation, including but not limited to, salary, any bonus or incentive payments and deferred and noncash compensation, as well as all compensatory benefits such as payments to medical, dental, life, annuity, retirement and disability benefit plans, and any fringe benefits such as housing, automobile, and computer allowances to approximate the market 75th percentile. The Committee shall conduct an annual performance review of the CEO, the results of which shall be used in determining a reasonable total compensation for him or her. The CEO will formulate a compensation recommendation for each Executive who reports to him or her. The CEO will present compensation recommendations based on an evaluation of each Executive's job performance in accordance with criteria established by him or her. When reviewing or assessing the total compensation of any Executive, the Committee shall obtain sufficient information, taking into consideration the knowledge and expertise of its members, to determine whether total compensation of each Executive is reasonable (i.e., whether such compensation is comparable to that of similar executives at similar institutions). To assist in the determination of reasonable compensation, the Committee will select and engage a qualified independent compensation consultant ("Consultant") to annually review and analyze the total compensation, including benefits, of each Executive. The terms of the Consultant's engagement shall provide that the Consultant is to report to the Committee, and that the Consultant shall have no reporting responsibilities to any Executive with respect to any engagement in connection with the executive total compensation program. The Committee shall instruct the Consultant to compile appropriate comparability data, which may include compensation and benefits paid by similarly situated organizations for positions that are functionally comparable to those of each Executive. The Committee shall direct the Consultant to analyze a number of different variables in assessing comparability, including but not limited to organizational size, geographic location, the nature of the services provided, the level of experience and specific responsibilities of the position considered, and the components of the compensation offered. If a Consultant is retained, the Consultant should be directed to provide written analysis and recommendations with respect to a reasonable total compensation for each Executive. The Committee may additionally request that the Consultant be available to present a written analysis and recommendations and to take questions from Board or Committee members. In addition to the reports and analyses of the Consultant, the Committee shall also consider additional comparability data, including but not limited to: the availability of similar services in the geographic area, current compensation surveys compiled by independent firms, and actual written offers from similar institutions competing for services of the applicable Executive.
Form 990, Part VI, Section C. Line 19 - Availability of Documents	GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE PUBLIC. HOSPITAL'S FINANCIAL STATEMENTS ARE INCLUDED IN THE ANNUAL CONSOLIDATED AUDIT REPORT OF NCH AND SUBSIDIARIES. THESE CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE MUNICIPAL SECURITIES RULEMAKING BOARD'S ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE AT WWW.EMMA.MSRB.ORG.
Form 990, Part XI, Line 9	RECONCILIATION OF NET ASSETS - OTHER CHANGES IN NET ASSETS TRANSFER TO AFFILIATES ($ 37,000,000) PERIODIC PENSION COST ($ 5,051,148) PENSION EXPENSE ($ 3,661,620) NET ASSETS RELEASED FROM UNRESTRICTED $ 3,009,858 NET ASSETS RELEASED FROM TEMP RESTRICTED ($ 3,566,390) CHANGE IN NET ASSETS OF FOUNDATION TEMP RESTRICTED $ 5,851,539 CHANGE IN NET ASSETS OF FOUNDATION PERM RESTRICTED $ 1,000,000 -------------------------------------------------------------- TOTAL OTHER CHANGES IN NET ASSETS ($ 39,417,761)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Direct Controlling NADirectControllingNACd
NORTHWEST COMMUNITY PHYSICIANS ASSN LLC
3040 SALT CREEK LN	ARLINGTON HTS	IL	60005	510457240	PATIENT CARE	IL	$0	$0	NWC Hospital
Northwest Service Company LLC
3040 Salt Creek LN	Arlington Heights	IL	60005	263791362	Inactive	IL	$0	$0		N/A

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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
NORTHWEST COMMUNITY HEALTHCARE
3040 SALT CREEK LN	ARLINGTON HEIGHTS	IL	60005	363125209	SUPPORT ORG.	IL	501(c)(3)	12B	NWC Hlthcare	false
NORTHWEST COMMUNITY HOSPITAL FOUNDATION
3040 SALT CREEK LN	ARLINGTON HEIGHTS	IL	60005	363125193	FUNDRAISING	IL	501(c)(3)	7	NWC Hlthcare	false

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
NPC-CYBERKNIFE LLC
3040 SALT CREEK LN	ARLINGTON HTS	IL	60005	204462828	EQUIPMENT LEASING	IL	NWC HEALTHCARE
NWC Day Surgery
3040 SALT CREEK LN	ARLINGTON HTS	IL	60005	300798249	OUTPATIENT CARE	IL	NWC HEALTHCARE
NW ENDO CENTER LLC
3040 SALT CREEK LN	ARLINGTON HTS	IL	60005	812338623	SURGICAL CARE	IL	NWC HEALTHCARE
NWC FOOT & ANKLE
3040 SALT CREEK LN	ARLINGTON HTS	IL	60005	352567039	AMB SRGCAL CNTER	IL	NWC HEALTHCARE
ENVISION MED IMG
8930 WAUKEGAN RD STE 130	MORTON GROVE	IL	60053	822067179	IMAGING SERVICES	IL	NWC HEALTHCARE

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
NORTHWEST COMMUNITY HEALTH SERVICES INC
800 WEST CENTRAL ROAD	ARLINGTON HEIGHTS	IL	60005	363312906	HEALTHCARE SERV	IL	NWC HEALTHCARE	C Corp
CENTRAL INSURANCE COMPANY LTD
				981109518	INSURANCE		NWC Healthcare	C Corp	PO Box 10233	Grand Cayman	CJ	KY1-1002	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	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	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd