NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: NORTHWESTERN MEMORIAL HEALTHCARE (EIN 36-4724966)
Tax period: 2017-09-01 to 2018-08-31
Filed: 2019-06-28
IRS object ID: 201901799349301115
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-06-28T17:32:07-05:00	ReturnTs
Tax Period End	2018-08-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-09-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	364724966	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John A Orsini	PersonNm
Person Title	SVP/CFO	PersonTitleTxt
Signature	2019-06-28	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JACOB ZEHNDER	PreparerPersonNm
PTIN	P01564049	PTIN
Phone	3128792000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$5,535,704,560	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	5878	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.NM.Org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	THE PRIMARY MISSION OF THE NORTHWESTERN AFFILIATES INCLUDED IN THIS GROUP RETURN IS TO BE THE DESTINATION OF CHOICE FOR (CONTINUED IN SCHEDULE O)	ActivityOrMissionDesc
Voting Members Governing Body	160	VotingMembersGoverningBodyCnt
Voting Members Independent	127	VotingMembersIndependentCnt
Total Employee	23327	TotalEmployeeCnt
Total Volunteers	2200	TotalVolunteersCnt
Total Gross UBI	$72,031,602	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$18,478,934	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$49,727,631	PYContributionsGrantsAmt
CY Contributions Grants	$95,379,350	CYContributionsGrantsAmt
PY Program Service Revenue	$4,953,190,879	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,345,664,800	CYProgramServiceRevenueAmt
PY Investment Income	$10,357,864	PYInvestmentIncomeAmt
CY Investment Income	$7,713,968	CYInvestmentIncomeAmt
PY Other Revenue	$58,904,076	PYOtherRevenueAmt
CY Other Revenue	$71,851,898	CYOtherRevenueAmt
PY Total Revenue	$5,072,180,450	PYTotalRevenueAmt
CY Total Revenue	$5,520,610,016	CYTotalRevenueAmt
PY Grants And Similar Paid	$20,421,778	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$14,040,179	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,007,830,607	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,137,868,779	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$16,409,641	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,698,497,776	PYOtherExpensesAmt
CY Other Expenses	$3,036,943,488	CYOtherExpensesAmt
PY Total Expenses	$4,726,750,161	PYTotalExpensesAmt
CY Total Expenses	$5,188,852,446	CYTotalExpensesAmt
PY Revenues Less Expenses	$345,430,289	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$331,757,570	CYRevenuesLessExpensesAmt
Total Assets BOY	$9,994,738,417	TotalAssetsBOYAmt
Total Assets EOY	$9,984,226,689	TotalAssetsEOYAmt
Total Liabilities BOY	$3,644,491,423	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,725,172,406	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$6,350,246,994	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$7,259,054,283	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	NORTHWESTERN MEMORIAL HEALTHCARE IS AN INTEGRATED HEALTHCARE SYSTEM, CONSISTING OF MULTIPLE HOSPITALS (INCLUDING NORTHWESTERN MEMORIAL HOSPITAL, AN ACADEMIC MEDICAL CENTER) AND NETWORKS OF PHYSICIANS AND HEALTHCARE PROFESSIONALS, WHERE THE PATIENT COMES FIRST. WE ARE AN ORGANIZATION OF CAREGIVERS WHO ASPIRE TO CONSISTENTLY HIGH STANDARDS OF QUALITY, COST-EFFECTIVENESS AND PATIENT SATISFACTION. WE SEEK TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY DELIVERING A BROAD RANGE OF SERVICES WITH SENSITIVITY TO THE INDIVIDUAL NEEDS OF OUR PATIENTS AND THEIR FAMILIES. WE ARE BONDED IN AN ESSENTIAL ACADEMIC AND SERVICE RELATIONSHIP WITH FEINBERG SCHOOL OF MEDICINE OF NORTHWESTERN UNIVERSITY. THE QUALITY OF OUR SERVICES IS ENHANCED THROUGH THEIR INTEGRATION WITH EDUCATION AND RESEARCH IN AN ENVIRONMENT THAT ENCOURAGES EXCELLENCE OF PRACTICE, CRITICAL INQUIRY AND LEARNING.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	Yes (true)	SignificantChangeInd
Expense	$3,846,863,051	ExpenseAmt
Grant	$14,040,179	GrantAmt
Revenue	$5,366,584,103	RevenueAmt
Desc	THE NMHC GROUP RETURN REFLECTS THE COMBINED INFORMATION AND OPERATIONS OF TWENTY-ONE TAX EXEMPT ORGANIZATIONS. THIS INCLUDES SEVEN HOSPITAL FACILITIES, FOUR MEDICAL GROUPS, ONE FOUNDATION, AND VARIOUS OTHER RELATED ENTITIES SUPPORTING THE HEALTHCARE MISSION OF THE SYSTEM. NORTHWESTERN MEMORIAL HOSPITAL (EIN: 37-0960170) ("NMH") FOR MORE THAN 150 YEARS, NMH AND ITS PREDECESSOR INSTITUTIONS, PASSAVANT MEMORIAL AND WESLEY MEMORIAL HOSPITALS, HAVE SERVED THE RESIDENTS OF CHICAGO. THE COMMITMENT TO PROVIDE HEALTHCARE, REGARDLESS OF THE PATIENTS' ABILITY TO PAY, REACHES BACK TO THE FOUNDING PRINCIPLES OF PASSAVANT AND WESLEY AND CONTINUES TO BE INTEGRAL TO OUR MISSION TO PUT PATIENTS FIRST. NMH IS AN ACADEMIC MEDICAL CENTER (AMC) HOSPITAL AND SERVES AS THE PRIMARY TEACHING HOSPITAL FOR THE NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE ("FEINBERG"), WITH MORE THAN 1,800 PHYSICIANS ON THE MEDICAL STAFF WHO HAVE FACULTY APPOINTMENTS AT FEINBERG. NMH IS AMONG THE LIMITED NUMBER OF HOSPITALS IN THE UNITED STATES TO BE DESIGNATED AS A MAJOR TEACHING HOSPITAL BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC). ACCORDING TO THE AAMC, WHILE MAJOR TEACHING HOSPITALS REPRESENT ONLY 5 PERCENT OF ALL HOSPITALS, THEY ACCOUNT FOR 25 PERCENT AND 20 PERCENT OF ALL MEDICAID AND MEDICARE DISCHARGES, RESPECTIVELY, AS WELL AS PROVIDE 35 PERCENT OF THE COUNTRY'S CHARITY CARE. IN AGGREGATE, MAJOR TEACHING HOSPITALS SERVE A HIGHER PROPORTION OF LOW-INCOME, DUAL-ELIGIBLE, DISABLED AND MINORITY PATIENTS THAN OTHER HOSPITALS. AS AMCS SERVE AS MAJOR REFERRAL CENTERS AND HAVE VERY SPECIALIZED EXPERTISE, THEY PROVIDE CARE TO THOSE PATIENTS WHO ARE UNABLE TO SEEK NECESSARY CARE ELSEWHERE AND THEREFORE HAVE A PATIENT POPULATION THAT IS OFTEN MORE COMPLEX, SICKER AND MORE VULNERABLE THAN THE GENERAL PATIENT POPULATION. NMH IS AN 894-BED, ADULT ACUTE CARE HOSPITAL LOCATED IN CHICAGO'S GROWING DOWNTOWN AREA AND SAW MORE THAN 45,000 ADULTS ADMITTED AS INPATIENTS IN FISCAL YEAR 2018. AS AN ADULT LEVEL I TRAUMA CENTER IN DOWNTOWN CHICAGO WITH 24/7 SERVICE, NMH HAD MORE THAN 83,000 EMERGENCY DEPARTMENT (ED) VISITS IN FISCAL YEAR 2018. NMH IS ALSO THE ONLY AMC HOSPITAL IN CHICAGO PARTICIPATING IN BOTH CITY AND STATE LEVEL I TRAUMA NETWORKS AND AS A LEVEL III NEONATAL INTENSIVE CARE UNIT, ALLOWING US TO PROVIDE LIFESAVING CARE AND TREATMENT TO THE MOST SERIOUSLY INJURED ADULTS AND PREMATURE AND SICK INFANTS. NMH HAS THE LARGEST BIRTHING CENTER IN ILLINOIS, WITH MORE THAN 11,600 DELIVERIES IN FISCAL YEAR 2018. NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL (EIN: 36-2513909) ("CDH") CDH HAS A RICH HISTORY OF CARING FOR ITS COMMUNITY. THE 392-BED, TERTIARY-CARE FACILITY LOCATED IN WINFIELD, ILLINOIS OFFERS EMERGENCY, INPATIENT AND OUTPATIENT CARE IN MEDICAL AND SURGICAL SERVICES, OBSTETRICS, PEDIATRICS, BEHAVIORAL HEALTH, CARDIOLOGY, NEUROLOGY AND ONCOLOGY TO RESIDENTS OF DUPAGE COUNTY AND SURROUNDING AREAS. CDH IS DESIGNATED AS A LEVEL II TRAUMA CENTER AND PROVIDES LEVEL III NEONATAL INTENSIVE CARE; CDH EMS SERVES AS A STATE-DESIGNATED RESOURCE HOSPITAL. IT IS ALSO A REGIONAL DESTINATION FOR ONCOLOGY, ORTHOPEDIC, PEDIATRIC AND CARDIOLOGY CARE. CANCER PATIENTS ARE OFFERED HIGHLY ADVANCED TREATMENT AT THE STATE'S FIRST AND ONLY PROTON THERAPY CENTER. MORE THAN 1,290 PHYSICIANS ARE ON THE MEDICAL STAFF AND ARE TRAINED IN MORE THAN 90 SPECIALTY AREAS. IN FISCAL YEAR 2018, CDH HAD NEARLY 21,000 INPATIENT ADMISSIONS. CDH'S ED HAD MORE THAN 72,000 VISITS IN FISCAL YEAR 2018. NORTHWESTERN LAKE FOREST HOSPITAL (EIN: 36-2179779) ("LFH") WITH ROOTS IN THE NORTHERN CHICAGO REGION, LFH WAS FOUNDED IN 1899 AS ALICE HOME ON THE CAMPUS OF LAKE FOREST COLLEGE. SINCE ITS FOUNDING, LFH HAS UPHELD THE PROMISE TO PROVIDE LAKE COUNTY RESIDENTS WITH CONVENIENT ACCESS TO QUALITY CARE SUPPORTED BY ADVANCED DIAGNOSTICS AND TECHNOLOGY. IN FISCAL YEAR 2018, NORTHWESTERN MEDICINE OPENED A NEW LAKE FOREST HOSPITAL WHICH INCLUDES 114 PRIVATE INPATIENT ROOMS, 72 OUTPATIENT CARE SPACES, EIGHT OPERATING ROOMS AND 483,500 SQUARE FEET OF NEW CONSTRUCTION ON ITS 160-ACRE CAMPUS. LFH SERVES THE LAKE COUNTY, ILLLINOIS AND KENOSHA COUNTY, WISCONSIN AREA. MORE THAN 700 PHYSICIANS OFFER LAKE COUNTY RESIDENTS CONVENIENT ACCESS TO ADVANCED DIAGNOSTIC AND SPECIALTY SERVICES. CARE IS PROVIDED THROUGH THE MAIN HOSPITAL CAMPUS IN SUBURBAN LAKE FOREST, ABOUT 30 MILES NORTH OF DOWNTOWN CHICAGO, AT LARGE OUTPATIENT FACILITIES IN GRAYSLAKE, ILLINOIS AND GLENVIEW, ILLINOIS AND AT FOUR IMMEDIATE CARE CENTERS. IN FISCAL YEAR 2018, LFH PROVIDED CARE FOR OVER 8,000 INPATIENT ADMISSIONS. LFH'S BOARD-CERTIFIED EMERGENCY PHYSICIANS AND TRAUMA-TRAINED NURSES PROVIDE TRAUMA AND EMERGENCY CARE TO PATIENTS THROUGH THE LEVEL II TRAUMA CENTER AT LFH AND A FREE-STANDING EMERGENCY ROOM AT THE GRAYSLAKE OUTPATIENT CENTER, WHICH TOGETHER HAD MORE THAN 52,000 EMERGENCY VISITS IN FISCAL YEAR 2018. LAUNCHED IN 2015, LFH HAS WELCOMED ITS FOURTH CLASS OF RESIDENTS FROM THE NORTHWESTERN MCGAW FAMILY MEDICINE RESIDENCY PROGRAM IN FISCAL YEAR 2018 AND SERVES AS THE PROGRAM'S HOME SITE. LAKE FOREST HEALTH & FITNESS INSTITUTE (EIN: 36-3835030) ("LFHFI") LOCATED ON THE NORTHWESTERN MEDICINE LAKE FOREST HOSPITAL CAMPUS, LFHFI OFFERS MORE THAN 130 INTERACTIVE GROUP FITNESS CLASSES WEEKLY, HOLISTIC TOTAL-BODY FITNESS PROGRAMS, INDIVIDUALIZED PERSONAL TRAINING AND A WIDE VARIETY OF HEALTH AND WELLNESS PROGRAMMING. ADDITIONALLY, LFHFI ALSO IMPLEMENTS MEDICAL FITNESS PROGRAMS DESIGNED TO HELP MEMBERS WHO ARE LIVING WITH CANCER, ARTHRITIS, OSTEOPOROSIS, FIBROMYALGIA AND CARDIOVASCULAR DISEASE TO BETTER COPE WITH THE SIDE EFFECTS OF THEIR ILLNESS. NORTHWESTERN MEMORIAL FOUNDATION (EIN: 36-3155315) ("NMF") NMF RAISES FUNDS TO SUSTAIN THE MISSION AND STRATEGIC GOALS OF NORTHWESTERN MEMORIAL HEALTHCARE. NMF SUPPORTS THE SYSTEM'S DEDICATION TO CLINICAL INNOVATION, SCIENTIFIC DISCOVERY AND IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. NORTHWESTERN MEDICAL FACULTY FOUNDATION D/B/A NORTHWESTERN MEDICAL GROUP (EIN: 36-3097297) ("NMG") NORTHWESTERN MEDICAL GROUP IS A MULTISPECIALTY AND PRIMARY CARE PHYSICIAN PRACTICE WITH MORE THAN 1,360 PHYSICIANS AND 360 ADVANCED PRACTICE PROVIDERS WITH EXPERTISE IN 40 MEDICAL SPECIALTIES. SERVING ON THE FACULTY OF FEINBERG, PHYSICIANS CONTRIBUTE TO RESEARCH AND EDUCATION, AS WELL AS PROVIDE CLINICAL CARE. CDH-DELNOR HEALTH SYSTEM D/B/A CADENCE HEALTH (EIN: 36-3099698) ("CDHS") CDHS WAS INCORPORATED IN 1980 AND IS BASED IN WINFIELD, ILLINOIS WITH HOSPITALS IN WINFIELD AND GENEVA, ILLINOIS. AS OF SEPTEMBER 1, 2014, CDH-DELNOR HEALTH SYSTEM, INC. OPERATES AS A SUBSIDIARY OF NMHC. CENTRAL DUPAGE PHYSICIAN GROUP D/B/A NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP (EIN: 36-3149833) ("RMG" or "CDPG") CENTRAL DUPAGE PHYSICIAN GROUP IS A MULTI-SPECIALTY AND PRIMARY CARE NETWORK WITH MORE THAN 425 PHYSICIANS, INCLUDING 335 SPECIALISTS, WITH EXPERTISE IN 30 SPECIALTIES. RMG OFFERS MORE THAN 90 PRACTICES IN 36 LOCATIONS THROUGHOUT CHICAGO'S WESTERN SUBURBS. DELNOR-COMMUNITY HOSPITAL (EIN: 36-3484281) ("DCH") DCH OPENED 75 YEARS AGO AS THE RESULT OF A COMMUNITY-LED EFFORT TO BUILD A FACILITY TO MEET THE GROWING HEALTHCARE NEEDS OF RESIDENTS OF KANE COUNTY. NOW A 159-BED ACUTE CARE FACILITY, DCH IS A RECOGNIZED LEADER IN CLINICAL QUALITY AND PATIENT-CENTERED CARE LOCATED 37 MILES WEST OF DOWNTOWN CHICAGO IN GENEVA, ILLINOIS. THE DCH MEDICAL STAFF INCLUDES MORE THAN 670 PHYSICIANS IN 80 SPECIALTIES, PROVIDING COMPREHENSIVE MEDICAL CARE FOR ITS SURROUNDING COMMUNITIES. IN FISCAL YEAR 2018 DCH HAD MORE THAN 7,900 INPATIENT ADMISSIONS AND ITS ED HAD MORE THAN 42,000 VISITS. KISHWAUKEE COMMUNITY HOSPITAL (EIN: 23-7087041) ("KCH") KCH IS LOCATED IN DEKALB, ILLINOIS AND SERVES AS AN ACUTE-CARE, 98-BED COMMUNITY HOSPITAL WITH AN ENDURING COMMITMENT TO THE RESIDENTS OF DEKALB COUNTY. THE HOSPITAL PROVIDES CARE THROUGH A BROAD RANGE OF SPECIALTIES AND UNIQUE SERVICES, INCLUDING THROUGH ITS INNOVATIVE BREASTFEEDING CENTER AND ITS NEW, STATE-OF-THE-ART HEALTH AND WELLNESS CENTER THAT OPENED IN 2018. THE KISHWAUKEE MEDICAL STAFF IS COMPOSED OF MORE THAN 275 PHYSICIANS WHO TREATED MORE THAN 5,100 INPATIENT ADMISSIONS AND NEARLY 34,000 ED VISITS IN FISCAL YEAR 2018. VALLEY WEST COMMUNITY HOSPITAL (EIN: 36-4244337) ("VWCH") VWCH IS A CRITICAL-ACCESS, 25-BED HOSPITAL IN SANDWICH, ILLINOIS, SERVING THE FOX VALLEY COMMUNITY FOR MORE THAN 70 YEARS. MORE THAN 170 PHYSICIANS ARE ON STAFF WITH VALLEY WEST, REPRESENTING A WIDE RANGE OF SPECIALTIES. DURING FISCAL YEAR 2018, VALLEY WEST HAD 760 INPATIENT ADMISSIONS AND MORE THAN 8,700 ED VISITS. AS A CRITICAL-ACCESS HOSPITAL WITHIN THE NORTHWESTERN MEDICINE SYSTEM, VALLEY WEST CREATES A SEAMLESS PATHWAY TO SPECIALTY CARE ACROSS THE SYSTEM AND GREATLY EXPANDING ACCESS TO CARE FOR THE RURAL COMMUNITY.	Desc
Total Program Service Expenses	$3,846,863,051	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	Yes (true)	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
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	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	Yes (true)	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1150	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	23327	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	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	160	GoverningBodyVotingMembersCnt
Independent Voting Member	127	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3129269495	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (221 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAY ANDERSON
See Schedule O	40.0	0	Yes (X)	Yes (X)	$881,465	$0	$204,011
Marvin Barnes
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Tonda Bruch
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
JOHN A CANNING
See Schedule O	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
Howard B Chrisman MD
See Schedule O	40.0	0	Yes (X)	Yes (X)	$942,621	$0	$132,571
Seamus Collins
See Schedule O	40.0	0	Yes (X)	Yes (X)	$257,585	$0	$50,603
JULIE L CREAMER
See Schedule O	40.0	0	Yes (X)	Yes (X)	$1,751,195	$0	$133,933
Kent Dauten
See Schedule O	9.0	0	Yes (X)	Yes (X)	$0	$0	$0
Gary Evans
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Connie Falcone
See Schedule O	40.0	0	Yes (X)	Yes (X)	$263,003	$0	$31,124
WILLIAM P FLESCH
See Schedule O	7.0	0	Yes (X)	Yes (X)	$0	$0	$0
Matthew J Flynn
See Schedule O	39.0	1.0	Yes (X)	Yes (X)	$518,802	$0	$93,338
Richard Franco
See Schedule O	40.0	0	Yes (X)	Yes (X)	$394,113	$0	$58,186
James Giblin MD
See Schedule O	38.0	2.0	Yes (X)	Yes (X)	$746,604	$0	$139,209
Dean M Harrison
See Schedule O	38.0	2.0	Yes (X)	Yes (X)	$6,401,987	$0	$689,022
Staci Hoste
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Christine Johnson
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Emily J Kozak
See Schedule O	39.0	1.0	Yes (X)	Yes (X)	$355,788	$0	$51,553
DIANA KRAFT MD
See Schedule O	40.0	0	Yes (X)	Yes (X)	$72,826	$0	$0
Brian J Lemon
See Schedule O	38.0	2.0	Yes (X)	Yes (X)	$851,111	$0	$104,717
Karen Mason
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Thomas J McAfee
See Schedule O	40.0	0	Yes (X)	Yes (X)	$1,069,139	$0	$236,020
W James McNerney
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Eric G Neilson MD
See Schedule O	40.0	0	Yes (X)	Yes (X)	$996,149	$0	$32,614
John A Orsini
See Schedule O	38.0	2.0	Yes (X)	Yes (X)	$1,360,633	$0	$293,678
William A Osborn
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
HOMI B PATEL
See Schedule O	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
Kevin P Poorten
See Schedule O	39.0	1.0	Yes (X)	Yes (X)	$976,112	$0	$270,200
MK Pritzker
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Glenn F Tilton
See Schedule O	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
PATRICK TOWNE MD
See Schedule O	40.0	0	Yes (X)	Yes (X)	$680,679	$0	$110,934
EDWARD J WEHMER
See Schedule O	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
NANCY ALCORN-KELL
SEE SCHEDULE O	1.0	0	Yes (X)		$0	$0	$0
Dean Barrett
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
TODD BARROWCLIFT DO
See Schedule O	40.0	0	Yes (X)		$225,613	$0	$37,649
Roger L Benson
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Peter Bernick
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Carol Bernick
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Joan Bickner
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Andrew Bluhm
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
John Boies
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
CHARLES M BRENNAN
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
WILLIAM J BRODSKY
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
DAVID BROWN
See Schedule O	6.0	0	Yes (X)		$0	$0	$0
Cindy Capek
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
David R Casper
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Nicholas D Chabraja
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Dennis S Chookaszian
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Craig T Collins
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
SEAN M CONNOLLY
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Adam Cooper
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Mark Cozzi
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Stephen Crawford
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
KERMIT R CRAWFORD
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
PETER D CRIST
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Keating Crown
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Michael A Cullen
See Schedule O	10.0	0	Yes (X)		$0	$0	$0
William Cunningham
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Denise Curren
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Brett M Dale
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
William M Daley
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
WILLIAM G DALUGA
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
JOSEPH F DAMICO
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Matthew S Darnall
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Anthony B Davis
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Richard Davis
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Dan DeCanniere
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
PEDRO DEJESUS
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Michael F DeSantiago
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
JOHN H DICK
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Shawn M Donnelly
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Stephen W Elliott
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
John R Ettelson
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Manny Favela
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Ronald Feldmann MD
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Michael W Ferro
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Albert M Friedman
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Mark Furlong
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Lisa M Giles
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
James T Glerum
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Teresa Gobeli
See Schedule O	40.0	0	Yes (X)		$113,485	$0	$24,639
William Goldberg
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
James A Gordon
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
ILENE S GORDON
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Trina Gordon McCallister
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Judy Greffin
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
ROGER T HARRIS
See Schedule O	6.0	0	Yes (X)		$0	$0	$0
Brett J Hart
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Sandra L Helton
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Roberto R Herencia
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Mark Hilde
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Adam Hoeflich
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
WILLARD M HUNTER
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Peter S Hurst BDS
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Linda Johnson Rice
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Michael J Kachmer
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Rick H Kash
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Dennis Keane MD
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
ANTHONY K KESMAN
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
John A Kessler MD
See Schedule O	40.0	0	Yes (X)		$33,143	$0	$17,188
Sushil Keswani
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Ron Klein
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
JAY KLOOSTERBOER
See Schedule O	6.0	0	Yes (X)		$0	$0	$0
CATHERINE KOZIK
See Schedule O	6.0	0	Yes (X)		$0	$0	$0
Michael Kulisz DO
See Schedule O	40.0	0	Yes (X)		$745,244	$0	$65,547
William C Kunkler
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Julie Lampert
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Richard H Lenny
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Lawrence F Levy
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Robert A Livingston
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Timothy J Luby
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Dee A Manire
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Joseph D Mansueto
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Thomas Matya
See Schedule O	8.0	0	Yes (X)		$0	$0	$0
J Richard Maybury
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
PATRICK M MCCARTHY MD
See Schedule O	40.0	0	Yes (X)		$1,936,583	$0	$38,032
Richard Melman
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Ricardo Meza
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Becky Milliman
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Karen Mills
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
CHARLES N MILLS
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
LEE M MITCHELL
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Timothy P Moen
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Lou Jean Moyer
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
DENNIS MUILENBERG
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
James Murray III
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Phebe N Novakovic
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
ANDREW OLEKSYN DO
See Schedule O	6.0	0	Yes (X)		$0	$0	$0
Amy S Paller MD
See Schedule O	40.0	0	Yes (X)		$372,688	$0	$40,949
Robert J Parkinson Jr
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
JAGDISH PATEL MD
See Schedule O	40.0	0	Yes (X)		$34,350	$0	$0
TERRANCE D PEABODY MD
See Schedule O	40.0	0	Yes (X)		$781,273	$0	$40,273
WILLIAM D PEREZ
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Joseph M Persak MD
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Jane D Pigott
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Leonidas C Plantanias MD PhD
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
John Podjasek
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
ANNE PRAMAGGIORE
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Craig R Pryde
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Andrea Redmond-Ferguson
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
J Christopher Reyes
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
LARRY D RICHMAN
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Mary Beth Richmond MD
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Sue Richter
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
LEONETTA RIZZI
See Schedule O	7.0	0	Yes (X)		$0	$0	$0
Desiree Rogers
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Matthew W Ross
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Debbie S Saran
See Schedule O	2.0	0	Yes (X)		$0	$0	$0
Ron Saslow
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Muneer A Satter
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Terry Savage
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Morton O Schapiro
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
John Schmidt MD
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Marc S Schulman
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Samuel C Scott III
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
RONALD J SEVERINO MD
See Schedule O	40.0	0	Yes (X)		$377,779	$0	$41,987
DEAN P SHOENER MD
See Schedule O	40.0	0	Yes (X)		$600,757	$0	$41,443
Scott C Smith
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Greg Smith
See Schedule O	3.0	0	Yes (X)		$0	$0	$0
NATHANIEL J SOPER MD
See Schedule O	40.0	0	Yes (X)		$803,667	$0	$33,622
MARC STRAUSS
See Schedule O	6.0	0	Yes (X)		$0	$0	$0
ALEXANDER D STUART
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Robert J Stucker
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Robert Sullivan
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Timothy P Sullivan
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Shelia G Talton
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
DONALD L THOMPSON
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Michael Thornton MD
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Edward T Tilly
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
DEAN G TSARWHAS MD
See Schedule O	40.0	0	Yes (X)		$922,715	$0	$45,156
Jason Tyler
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Douglas E Vaughan
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Nicholas J Volpe MD
See Schedule O	40.0	0	Yes (X)		$522,446	$0	$41,269
WILLIAM A VONHOENE
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
FREDERICK H WADDELL
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Ruth WALKER
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Reeve Waud
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
JEFFREY D WAYNE MD
See Schedule O	40.0	0	Yes (X)		$495,941	$0	$41,269
Ann West MD
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Peter Whinfrey
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Forrest Whittaker
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
ABRA PRENTICE WILKIN
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Patricia A Woertz
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Corinne J Wood
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
JAMES P ZALLIE
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
Andrea Zopp
See Schedule O	1.0	0	Yes (X)		$0	$0	$0
MAUREEN BRYANT
See Schedule O	40.0	0		Yes (X)	$632,502	$0	$71,421
Danae K Prousis
See Schedule O	40.0	0		Yes (X)	$824,596	$0	$25,923
Mary Savaiano
See Schedule O	40.0	0		Yes (X)	$111,172	$0	$24,897
Maureen A Taus
See Schedule O	40.0	0		Yes (X)	$524,396	$0	$59,080
KATHLEEN YOSKO
See Schedule O	40.0	0		Yes (X)	$599,911	$0	$26,094
Aaron Bare
See Schedule O	40.0	0			$1,078,565	$0	$45,379	Yes (X)
Michael Lee MD
See Schedule O	40.0	0			$895,695	$0	$36,399	Yes (X)
Harish Shownkeen MD
See Schedule O	40.0	0			$1,637,869	$0	$36,497	Yes (X)
Regina Stein MD
See Schedule O	40.0	0			$841,275	$0	$40,134	Yes (X)
Claudia Tellez MD
See Schedule O	40.0	0			$917,317	$0	$35,464	Yes (X)
James Adams
See Schedule O	40.0	0			$899,728	$0	$68,275		Yes (X)
Roger Bell
See Schedule O	40.0	0			$446,486	$0	$56,408		Yes (X)
Steven Burandt MD
See Schedule O	40.0	0			$266,801	$0	$39,144		Yes (X)
Carl Christensen
See Schedule O	40.0	0			$686,559	$0	$155,904		Yes (X)
Brad Copple
See Schedule O	40.0	0			$562,645	$0	$51,426		Yes (X)
Mark Daniels MD
See Schedule O	40.0	0			$491,959	$0	$40,191		Yes (X)
Joseph Dant
See Schedule O	40.0	0			$75,154	$0	$26,262		Yes (X)
James C Dechene
See Schedule O	40.0	0			$916,147	$0	$28,384		Yes (X)
Pamela Duffy
See Schedule O	40.0	0			$415,291	$0	$35,351		Yes (X)
Erik Englehart MD
See Schedule O	40.0	0			$422,709	$0	$33,743		Yes (X)
Stephen Falk
See Schedule O	40.0	0			$735,834	$0	$28,580		Yes (X)
Loren Foelske
See Schedule O	40.0	0			$318,443	$0	$1,002		Yes (X)
Francis Fraher
See Schedule O	40.0	0			$419,201	$0	$41,800		Yes (X)
David Hensley
See Schedule O	40.0	0			$341,078	$0	$45,777		Yes (X)
John Hubbe
See Schedule O	40.0	0			$146,894	$0	$34,806		Yes (X)
Denise Majeski
See Schedule O	40.0	0			$356,693	$0	$20,922		Yes (X)
Dean Manheimer
See Schedule O	40.0	0			$2,202,561	$0	$39,287		Yes (X)
Peter McCanna
See Schedule O	40.0	0			$3,738,508	$0	$34,973		Yes (X)
Michele McClelland
See Schedule O	40.0	0			$225,233	$0	$0		Yes (X)
Gary Noskin MD
See Schedule O	40.0	0			$668,706	$0	$129,051		Yes (X)
Elizabeth Rosenberg
See Schedule O	40.0	0			$1,093,258	$0	$250,945		Yes (X)
Michael Vivoda
See Schedule O	40.0	0			$1,607,462	$0	$239,356		Yes (X)
Brian Walsh
See Schedule O	40.0	0			$544,924	$0	$64,384		Yes (X)
Jennifer Wooten Ierardi
See Schedule O	40.0	0			$427,288	$0	$59,292		Yes (X)
Douglas M Young
See Schedule O	40.0	0			$605,234	$0	$50,670		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$53,163,589	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,117,956	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3351	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
TURNER CONSTRUCTION COMPANY
55 E MONROE SUITE 1430	CHICAGO	IL	60603	CONSTRUCTION	$73,806,458
SKENDER CONSTRUCTION
200 W MADISON SUITE 1300	CHICAGO	IL	60606	CONSTRUCTION	$44,618,843
DELOITTE CONSULTING LLP
111 S WACKER DRIVE	CHICAGO	IL	60606	CONSULTING SERVICES	$18,654,203
LO DESTRO CONSTRUCTION COMPANY
211 E Ontario St 500	CHICAGO	IL	60604	CONSTRUCTION SERVICES	$18,139,947
MEDICAL STAFFING NETWORK
PO Box 840292	Dallas	TX	752840292	TEMPORARY STAFFING	$16,714,009

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	645	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Fundraising	$2,041,968	FundraisingAmt
Government Grants	$605,333	GovernmentGrantsAmt
All Other Contributions	$92,732,049	AllOtherContributionsAmt
Noncash Contributions	$7,445,455	NoncashContributionsAmt
Total Contributions	$95,379,350	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NMH - Patient Service and Other Revenue	621990	$2,014,559,648	$2,012,005,581	$2,554,067
CDH - Patient Service and Other Revenue	621990	$1,062,225,966	$999,328,964	$62,897,002
NMG - Patient Service and Other Revenue	621110	$924,608,470	$924,608,470
DCH - Patient Service and Other Revenue	621990	$354,806,130	$354,806,130
NLFH - Patient Service and Other Revenue	621990	$332,712,221	$332,666,416	$45,805

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$656,752,365	TotalRevenueColumnAmt
Related Or Exempt Func Income	$654,892,628	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,859,737	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,345,664,800	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,638,052	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,121,780	UnrelatedBusinessRevenueAmt
Exclusion	$16,516,272	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$48,823,932	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$48,823,932	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,823,932	TotalRevenueColumnAmt
Unrelated Business Revenue	$780,875	UnrelatedBusinessRevenueAmt
Exclusion	$48,043,057	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,114,124	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,678,895	SecuritiesAmt
Other	$10,359,313	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$564,771	SecuritiesAmt
Other	-$10,359,313	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$10,924,084	TotalRevenueColumnAmt
Exclusion	-$10,924,084	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$1,409,530	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,041,968	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,542,895	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$133,365	TotalRevenueColumnAmt
Exclusion	-$133,365	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$51,840	GamingGrossIncomeAmt
Gaming Direct Expenses	$4,454	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$47,386	TotalRevenueColumnAmt
Exclusion	$47,386	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$931,293	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$508,987	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$422,306	TotalRevenueColumnAmt
Exclusion	$422,306	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PROFESSIONAL SERVICE FEES	561000	$9,321,294	$9,321,294
PARKING REVENUE	812930	$10,529,780	$8,760,336	$1,769,444
PROFESSIONAL SERVICES TO AFFILIATES	561000	$2,814,598	$2,814,598

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,967	TotalRevenueColumnAmt
Related Or Exempt Func Income	$23,075	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,892	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$22,691,639	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,520,610,016	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,299,227,492	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$72,031,602	UnrelatedBusinessRevenueAmt
Exclusion	$53,971,572	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$13,528,560	TotalAmt
Program Services	$13,528,560	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$511,619	TotalAmt
Program Services	$511,619	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$29,589,502	TotalAmt
Program Services	$26,929,059	ProgramServicesAmt
Management And General	$2,560,003	ManagementAndGeneralAmt
Fundraising	$100,440	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$22,710,845	TotalAmt
Program Services	$20,439,761	ProgramServicesAmt
Management And General	$2,214,307	ManagementAndGeneralAmt
Fundraising	$56,777	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,728,917,416	TotalAmt
Program Services	$1,555,727,167	ProgramServicesAmt
Management And General	$168,894,422	ManagementAndGeneralAmt
Fundraising	$4,295,827	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$62,075,819	TotalAmt
Program Services	$55,868,237	ProgramServicesAmt
Management And General	$6,052,392	ManagementAndGeneralAmt
Fundraising	$155,190	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$188,154,811	TotalAmt
Program Services	$169,339,330	ProgramServicesAmt
Management And General	$18,345,094	ManagementAndGeneralAmt
Fundraising	$470,387	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$106,420,386	TotalAmt
Program Services	$95,778,347	ProgramServicesAmt
Management And General	$10,375,988	ManagementAndGeneralAmt
Fundraising	$266,051	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$889,710,557	TotalAmt
Management And General	$889,710,557	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$335,972	TotalAmt
Management And General	$335,972	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,610,946	TotalAmt
Management And General	$1,610,946	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$287,149	TotalAmt
Program Services	$287,149	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$233,049,666	TotalAmt
Program Services	$127,550,131	ProgramServicesAmt
Management And General	$96,786,006	ManagementAndGeneralAmt
Fundraising	$8,713,529	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,110,058	TotalAmt
Program Services	$329,517	ProgramServicesAmt
Management And General	$2,662,383	ManagementAndGeneralAmt
Fundraising	$118,158	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$40,311,834	TotalAmt
Program Services	$32,248,111	ProgramServicesAmt
Management And General	$7,783,262	ManagementAndGeneralAmt
Fundraising	$280,461	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,075,333	TotalAmt
Program Services	$1,307,267	ProgramServicesAmt
Management And General	$3,760,607	ManagementAndGeneralAmt
Fundraising	$7,459	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$218,121,113	TotalAmt
Program Services	$126,088,722	ProgramServicesAmt
Management And General	$91,443,442	ManagementAndGeneralAmt
Fundraising	$588,949	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,055,679	TotalAmt
Program Services	$3,843,763	ProgramServicesAmt
Management And General	$1,114,955	ManagementAndGeneralAmt
Fundraising	$96,961	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$6,483,866	TotalAmt
Program Services	$1,777,762	ProgramServicesAmt
Management And General	$3,758,153	ManagementAndGeneralAmt
Fundraising	$947,951	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$39,397,257	TotalAmt
Program Services	$39,380,827	ProgramServicesAmt
Management And General	$16,430	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$231,061,082	TotalAmt
Program Services	$221,145,897	ProgramServicesAmt
Management And General	$9,877,542	ManagementAndGeneralAmt
Fundraising	$37,643	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$99,887,115	TotalAmt
Program Services	$95,008,640	ProgramServicesAmt
Management And General	$4,862,990	ManagementAndGeneralAmt
Fundraising	$15,485	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$958,445,467	$958,445,467
MEDICAID TAX	$110,338,619	$110,338,619
BAD DEBT	$173,930,605	$173,930,605
INCOME TAXES	$4,030,572	$4,030,572

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,700,598	TotalAmt
Program Services	$13,027,922	ProgramServicesAmt
Management And General	$3,414,303	ManagementAndGeneralAmt
Fundraising	$258,373	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,188,852,446	TotalAmt
Program Services	$3,846,863,051	ProgramServicesAmt
Management And General	$1,325,579,754	ManagementAndGeneralAmt
Fundraising	$16,409,641	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$538,558,196	BOYAmt
EOY	$1,028,958,393	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$44,466,856	BOYAmt
EOY	$48,062,765	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$698,751,574	BOYAmt
EOY	$813,771,785	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	$17,500	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$3,595,586	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$64,241,358	BOYAmt
EOY	$71,476,227	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$133,944,498	BOYAmt
EOY	$206,219,525	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$5,197,627,635	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,955,147,566	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,080,350,069	BOYAmt
EOY	$3,242,480,069	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$48,206,263	BOYAmt
EOY	$50,437,021	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,939,944	BOYAmt
EOY	$28,450,908	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,355,279,659	BOYAmt
EOY	$4,490,756,910	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,994,738,417	BOYAmt
EOY	$9,984,226,689	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$670,208,042	BOYAmt
EOY	$387,645,226	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$93,025,335	BOYAmt
EOY	$72,565,233	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,616,526	BOYAmt
EOY	$10,702,180	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,249,724,261	BOYAmt
EOY	$541,864,829	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,629,917,259	BOYAmt
EOY	$1,712,394,938	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,644,491,423	BOYAmt
EOY	$2,725,172,406	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,953,867,985	BOYAmt
EOY	$6,833,825,818	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$221,299,054	BOYAmt
EOY	$242,596,234	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$175,079,955	BOYAmt
EOY	$182,632,231	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,350,246,994	BOYAmt
EOY	$7,259,054,283	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,994,738,417	BOYAmt
EOY	$9,984,226,689	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$331,757,570	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$31,467,270	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$545,582,449	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd
Supported Organizations	19	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (18 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
CENTRAL DUPAGE HOSPITAL ASSOCIATION
362513909	3	false	$0	$0
DELNOR-COMMUNITY HOSPITAL
363484281	3	false	$0	$0
KISHWAUKEE COMMUNITY HOSPITAL
237087041	3	false	$0	$0
VALLEY WEST COMMUNITY HOSPITAL
364244337	3	false	$0	$0
KISHHEALTH FOUNDATION
363649077	7	false	$0	$0
DEKALB BEHAVIORAL HEALTH FOUNDATION INC
474579189	3	false	$0	$0
DEKALB COUNTY HOSPICE
363164329	9	false	$0	$0
KISHHEALTH SYSTEM HOME CARE
371703513	3	false	$0	$0
KISHWAUKEE PHYSICIAN GROUP
651293967	3	false	$0	$0
CENTER FOR FAMILY HEALTH-MALTA
800869393	3	false	$0	$0
MARIANJOY REHABILITATION HOSPITAL & CLINICS INC
362680776	3	false	$0	$0
REHABILITATION MEDICINE CLINIC INC
363236791	3	false	$0	$0
NORTHWESTERN MEDICAL FACULTY FOUNDATION
363097297	9	Yes (true)	$0	$0
NORTHWESTERN MEMORIAL HOSPITAL
370960170	3	Yes (true)	$0	$0
NORTHWESTERN LAKE FOREST HOSPITAL
362179779	3	Yes (true)	$0	$0
LAKE FOREST HEALTH & FITNESS INSTITUTE
363835030	9	false	$0	$0
NORTHWESTERN MEMORIAL FOUNDATION
363155315	7	false	$0	$0
CENTRAL DUPAGE PHYSICIAN GROUP
363149833	9	false	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	18	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$23,749,768	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$25,212,380	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$28,919,061	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$48,893,913	CurrentTaxYearMinus1YearAmt
Current Tax Year	$83,043,128	CurrentTaxYearAmt
Total	$209,818,250	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

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

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

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

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$23,749,768	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$25,212,380	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$28,919,061	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$48,893,913	CurrentTaxYearMinus1YearAmt
Current Tax Year	$83,043,128	CurrentTaxYearAmt
Total	$209,818,250	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$26,115,162	SubstantialContributorsTotAmt
Public Support Total170	$183,703,088	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$20,017,161	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,722,673	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$20,397,994	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,141,681	CurrentTaxYearMinus1YearAmt
Current Tax Year	$12,413,256	CurrentTaxYearAmt
Total	$82,692,765	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

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

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$27,950	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$27,950	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$292,538,965	TotalSupportAmt
Gross Receipts Rltd Activities	$15,187,841	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.6280	PublicSupportCY170Pct
Public Support PY170	0.6145	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,357,394	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,129,452	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,938,157	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,565,947	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,985,684	CurrentTaxYearAmt
Total	$36,976,634	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$839,493,483	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$787,115,693	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,054,631,080	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,098,936,793	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,141,764,470	CurrentTaxYearAmt
Total	$4,921,941,519	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

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

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

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

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

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

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$851,850,877	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$795,245,145	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,060,569,237	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,104,502,740	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,146,750,154	CurrentTaxYearAmt
Total	$4,958,918,153	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

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

Field	Value	IRS element (for citing)
Public Support Total509	$4,958,918,153	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$11,247,540	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$319,784	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,530,886	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$589,616	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,949,628	CurrentTaxYearAmt
Total	$19,637,454	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,475,155	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,144,227	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$999,307	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,463,994	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,189,812	CurrentTaxYearAmt
Total	$6,272,495	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,722,695	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,464,011	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,530,193	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,053,610	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,139,440	CurrentTaxYearAmt
Total	$25,909,949	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

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

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,970,792	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$484,250	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,028,253	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$40,911,309	CurrentTaxYearMinus1YearAmt
Current Tax Year	$50,772,483	CurrentTaxYearAmt
Total	$103,167,087	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$867,544,364	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$797,193,406	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,075,127,683	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,147,467,659	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,200,662,077	CurrentTaxYearAmt
Total	$5,087,995,189	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.9746	PublicSupportCY509Pct
Public Support PY509	0.9830	PublicSupportPY509Pct
Investment Income CY	0.0051	InvestmentIncomeCYPct
Investment Income PY	0.0054	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

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

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

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
CY Adj Net Income Distributable	$0	CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income	$0	CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable	$0	CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum	$0	CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY	$0	CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part I PUBLIC CHARITY STATUS	THIS SCHEDULE A IS BEING FILED ON BEHALF OF A GROUP EXEMPTION AND INCLUDES MULTIPLE ENTITIES. THEY ARE GROUPED AS FOLLOWS: THE PRIMARY RESPONSE FOR SCHEDULE A REPRESENTS THOSE ORGANIZATIONS LISTED AS TYPE 3, HOSPITALS OR COOPERATIVE HOSPITAL SERVICE ORGANIZATIONS AS DESCRIBED IN SECTION 170(B)(1)(A)(III). - CENTER FOR FAMILY HEALTH-MALTA - CENTRAL DUPAGE HOSPITAL ASSOCIATION - DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. - DELNOR-COMMUNITY HOSPITAL - KISHHEALTH SYSTEM HOMECARE - KISHWAUKEE COMMUNITY HOSPITAL - KISHWAUKEE PHYSICIAN GROUP, INC. - MARIANJOY REHABILITATION HOSPITAL & CLINICS, INC. - NORTHWESTERN LAKE FOREST HOSPITAL - NORTHWESTERN MEMORIAL HOSPITAL - REHABILITATION MEDICINE CLINIC, INC. - VALLEY WEST COMMUNITY HOSPITAL THE FOLLOWING ORGANIZATIONS ARE GROUPED AS TYPE 7, ORGANIZATIONS THAT NORMALLY RECEIVE A SUBSTANTIAL PART OF THEIR SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). - NORTHWESTERN MEMORIAL FOUNDATION - KISHHEALTH FOUNDATION THEY ARE REPRESENTED IN TOTAL BY PART II OF THE SCHEDULE A. THE FOLLOWING ORGANIZATIONS ARE GROUPED AS TYPE 10, ORGANIZATIONS THAT NORMALLY RECEIVE: (1) MORE THAN 33 1/3% OF THEIR SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO THEIR EXEMPT FUNCTIONS-SUBJECT TO CERTAIN EXCEPTIONS, AND (2) NO MORE THAN 33 1/3% OF THEIR SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME (LESS SECTION 511 TAX) FROM BUSINESSES ACQUIRED BY THE ORGANIZATIONS AFTER JUNE 30, 1975. SEE SECTION 509(A)(2). - LAKE FOREST HEALTH & FITNESS INSTITUTE - NORTHWESTERN MEDICAL FACULTY FOUNDATION (NMG) - CENTRAL DUPAGE PHYSICIAN GROUP - DEKALB COUNTY HOSPICE, INC. THEY ARE REPRESENTED IN TOTAL BY PART III OF THE SCHEDULE A. TYPE I SUPPORTING ORGANIZATION UNDER SECTION 509(A)(3) INCLUDE: - MARIANJOY REHABILITATION CENTER AUXILIARY TYPE II SUPPORTING ORGANIZATIONS UNDER SECTION 509(A)(3) INCLUDE: - CDH-DELNOR HEALTH SYSTEM - KISHHEALTH SYSTEM
Schedule A, Part I, Line 12g(v) AMOUNT OF MONETARY AND OTHER SUPPORT TO SUPPORTED ORGANIZATIONS	THE ORGANIZATION DOES NOT BREAK OUT THE SPECIFIC MONETARY VALUE OF THE SUPPORT PROVIDED TO EACH ENTITY, AS THE ORGANIZATION EXISTS SOLELY TO SUPPORT THE MISSION AND OPERATIONS OF ITS SUPPORTED ORGANIZATIONS AND THEIR AFFILIATES, WHICH ARE ALL PART OF THE SAME INTEGRATED HEALTH CARE SYSTEM. AS A RESULT, ALL OF ITS ACTIVITIES AND EXPENSES DIRECTLY OR INDIRECTLY SUPPORT ITS SUPPORTED ORGANIZATIONS.
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name	ALL SUPPORTED ORGANIZATIONS OF THE TYPE II SUPPORTING ORGANIZATIONS ARE DESIGNATED BY CLASS IN THE RESPECTIVE ARTICLES OF INCORPORATION, WHICH STATE THAT THE CORPORATION'S PURPOSES SHALL BE LIMITED TO OPERATING EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR THE CARRY OUT THE PURPOSES OF THOSE ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY NORTHWESTERN MEMORIAL HEALTHCARE, PROVIDED THAT SUCH ORGANIZATIONS ARE EXEMPT FROM TAX UNDER SECTION 501(A) OF THE CODE AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND ARE CLASSIFIED AS OTHER THAN PRIVATE FOUNDATIONS UNDER SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE CODE (COLLECTIVELY, THE "SUPPORTED ORGANIZATIONS"). THE SUPPORTED ORGANIZATIONS LISTED IN THIS SCHEDULE ARE THOSE ORGANIZATIONS WHICH THE SUPPORTING ORGANIZATIONS HAVE HISTORICALLY AND CONTINUALLY SUPPORTED WITHIN THE NORTHWESTERN MEMORIAL HEALTHCARE SYSTEM.
Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org.	MARIANJOY FOUNDATION (35-2165613) WAS DISSOLVED AS OF 8/31/2017 AT THE CLOSE OF THE PRIOR TAX PERIOD FOLLOWING THE APPROVAL AND FILING OF ARTICLES OF MERGER WITH NORTHWESTERN MEMORIAL FOUNDATION.
Schedule A, Part IV, Section A, Line 6 Support to other supported orgs	THE SUPPORTING ORGANIZATIONS WITHIN THE SYSTEM PROVIDED GRANT FUNDS TO NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE AS INDICATED ON SCHEDULE I.
Schedule A, Part IV, Section B, Line 2 Benefit Of Supp. Org. Other Than The One Operating The Org.	MARIANJOY REHABILITATION CENTER AUXILIARY'S BOARD OF DIRECTORS IS APPOINTED BY MARIANJOY REHABILITATION HOSPITAL & CLINICS, PURSUANT TO CRITERIA ESTABLISHED BY NORTHWESTERN MEMORIAL HEALTHCARE, THE SOLE MEMBER OF THE REMAINING SUPPORTED ORGANIZATIONS LISTED IN THIS SCHEDULE A, PART I, LINE 12G. THE ORGANIZATION PROVIDES SUPPORT TO ALL OF ITS SUPPORTED ORGANIZATIONS, WHICH OPERATE FOR THE BENEFIT AND TO CARRY OUT THE MISSION OF INTEGRATED HEALTH CARE SYSTEM.
Schedule A, Part III, Line 12 Other Income	DESCRIPTION - SHARED SERVICES, COLUMN A - 2970792.0, COLUMN B - 484250.0, COLUMN C - 8028253.0, COLUMN D - 40911309.0, COLUMN E - 50772483.0, COLUMN F - XXX-XX-XXXX.0;
Schedule A, Part II, Line 10 Other Income	DESCRIPTION - OTHER INCOME, COLUMN A - 27950.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 27950.0;

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

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

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

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

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$287,149	FilingOrganizationsTotalAmt
Affiliated Group Total	$376,949	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$287,149	FilingOrganizationsTotalAmt
Affiliated Group Total	$376,949	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$5,188,565,297	FilingOrganizationsTotalAmt
Affiliated Group Total	$6,174,049,217	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$5,188,852,446	FilingOrganizationsTotalAmt
Affiliated Group Total	$6,174,426,166	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

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

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

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

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

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

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

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

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

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$529,932	CurrentYearMinus3Amt
Current Year Minus2	$412,411	CurrentYearMinus2Amt
Current Year Minus1	$394,401	CurrentYearMinus1Amt
Current Year	$376,949	CurrentYearAmt
Total	$1,713,693	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

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

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

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

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NORTHWESTERN MEMORIAL HOSPITAL ADDRESS: 251 E HURON CHICAGO, Illinois 60611 EIN: 37-0960170 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 86,855 TOTAL LOBBYING EXPENDITURES: 86,855 OTHER EXEMPT PURPOSE EXPENDITURES: 1,690,138,884 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,690,225,739 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NORTHWESTERN LAKE FOREST HOSPITAL ADDRESS: 1000 N WESTMORELAND ROAD LAKE FOREST, Illinois 60645 EIN: 36-2179779 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 35,454 TOTAL LOBBYING EXPENDITURES: 35,454 OTHER EXEMPT PURPOSE EXPENDITURES: 366,931,291 TOTAL EXEMPT PURPOSE EXPENDITURES: 366,966,745 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NORTHWESTERN MEDICAL FACULTY FOUNDATION ADDRESS: 251 E HURON CHICAGO, Illinois 60611 EIN: 36-3097297 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 1,086,203,978 TOTAL EXEMPT PURPOSE EXPENDITURES: 1,086,203,978 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: LAKE FOREST HEALTH & FITNESS INSTITUTE ADDRESS: 1200 N WESTMORELAND ROAD LAKE FOREST, Illinois 60645 EIN: 36-3835030 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 7,039,876 TOTAL EXEMPT PURPOSE EXPENDITURES: 7,039,876 LOBBYING NONTAXABLE AMOUNT: 501,994 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 125,498 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: NORTHWESTERN MEMORIAL FOUNDATION ADDRESS: 251 E HURON CHICAGO, Illinois 60611 EIN: 36-3155315 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 11,478,757 TOTAL EXEMPT PURPOSE EXPENDITURES: 11,478,757 LOBBYING NONTAXABLE AMOUNT: 723,938 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 180,984 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Donor Advised Funds Held	1	DonorAdvisedFundsHeldCnt
Funds And Other Accounts Held	1	FundsAndOtherAccountsHeldCnt
Donor Advised Funds Contri	$763	DonorAdvisedFundsContriAmt
Funds And Other Accounts Contri	$1,000,000	FundsAndOtherAccountsContriAmt
Donor Advised Funds Grants	$4,240	DonorAdvisedFundsGrantsAmt
Funds And Other Accounts Grants	$659,203	FundsAndOtherAccountsGrantsAmt
Donor Advised Funds Vl EOY	$16,396	DonorAdvisedFundsVlEOYAmt
Funds And Other Accounts Vl EOY	$12,494,747	FundsAndOtherAccountsVlEOYAmt
Disclosed Org Leg Ctrl	Yes (true)	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	Yes (true)	DisclosedForCharitablePrpsInd
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Coll Used Scholarly Rsrch	Yes (X)	CollUsedScholarlyRsrchInd
Collection Used Preservation	Yes (X)	CollectionUsedPreservationInd
Solicited Assets Sale	false	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$160,775,409	BeginningYearBalanceAmt
Contributions	$1,930,836	ContributionsAmt
Investment Earnings Or Losses	-$795,984	InvestmentEarningsOrLossesAmt
End Year Balance	$161,910,261	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$154,047,947	BeginningYearBalanceAmt
Contributions	$8,113,774	ContributionsAmt
Investment Earnings Or Losses	-$1,386,312	InvestmentEarningsOrLossesAmt
End Year Balance	$160,775,409	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$150,742,275	BeginningYearBalanceAmt
Contributions	$2,420,472	ContributionsAmt
Investment Earnings Or Losses	$885,200	InvestmentEarningsOrLossesAmt
End Year Balance	$154,047,947	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$347,816,172	OtherCostOrOtherBasisAmt
Book Value	$347,816,172	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,883,356,513	OtherCostOrOtherBasisAmt
Depreciation	$1,437,778,468	DepreciationAmt
Book Value	$2,445,578,045	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$836,415,374	OtherCostOrOtherBasisAmt
Depreciation	$500,171,057	DepreciationAmt
Book Value	$336,244,317	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$130,039,576	OtherCostOrOtherBasisAmt
Depreciation	$17,198,041	DepreciationAmt
Book Value	$112,841,535	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,242,480,069	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
I/C RECEIVABLE	$3,922,412,344
INSURANCE RECOVERABLE	$443,527,657
OTHER ASSETS	$18,244,415
DUE FROM AFFILIATES	$140,182
SECTION 457-B PLAN ASSET	$89,678,498
INVEST NON GROUP SUBS JV
BENEFICIAL INTEREST IN TRUSTS	$15,047,955
MEDICAID RECEIVABLE	$1,306,980
ARTWORK	$398,879

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$4,490,756,910	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$5,613,722	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
ACCRUED BOND INTEREST	$957,874
EST THIRD PARTY PAYOR SETTLEMENT	$544,167,953
SELF INSURANCE RESERVES	$946,535,103
INTEREST RATE SWAPS	$73,349,832
SECTION 457-B AND PENSION PLAN	$91,834,507
DEFERRED RENT	$0
OTHER	$10,034,655
DUE TO AFFILIATES	$39,901,292

Field	Value	IRS element (for citing)
Total Liability	$1,712,394,938	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part III, Line 1a Collections of Art	DUE TO IMMATERIALITY THERE IS NO SEPARATE FOOTNOTE IN THE FINANCIAL STATEMENTS REGARDING SFAS 116 (ASC 958) CONTRIBUTED ART.
Schedule D, Part III, Line 4 Collections of Art	NORTHWESTERN MEMORIAL HOSPITAL MAINTAINS ARTWORK THAT IS ON PUBLIC DISPLAY. THE ARTS PROGRAM WAS DEVELOPED IN RESPONSE TO RESEARCH THAT DEMONSTRATES THE HEALING VALUE OF REPRESENTATIONAL ART DEPICTING NATURAL LANDSCAPES AND POSITIVE HUMAN INTERACTIONS. OUR ART COLLECTION PROVIDES COMFORT, EVOKES POSITIVE EMOTIONS AND CAN HELP PROMOTE HEALING FOR OUR PATIENTS. THE HOSPITAL ALSO MAINTAINS HISTORICAL ITEMS THAT RELATE TO CARE SUCH AS HISTORICAL MEDICAL INSTRUMENTS AND NURSING UNIFORMS.
Schedule D, Part X, Line 2 Tax Footnote	Each of the NMHC not-for-profit entities is qualified under the Internal Revenue Code (the Code) as a tax-exempt organization and is exempt from tax on income related to its tax-exempt purposes under Section 501(a) of the Code. Accordingly, no income taxes are provided for the majority of the income in the accompanying consolidated financial statements for these corporations. Certain corporations had unrelated business income (UBI) generated primarily from the sale of certain services that are not directly related to patient care and through limited partnerships within the investment portfolio. Certain corporations have unused net operating loss carryforwards available to offset the UBI tax. The net operating loss carryforwards expire through 2037. The deferred tax assets associated with these net operating loss carryforwards of $10,844,000 and $6,802,000 at August 31, 2018 and 2017, respectively, are offset by valuation allowances on the accompanying consolidated balance sheets of $10,844,000 and $6,802,000 respectively. The total net operating loss carryforwards at August 31, 2018 and 2017 were $33,113,000 and $16,938,000 respectively. NMHC calculates income taxes for its taxable subsidiaries. Taxable income differs from pretax book income principally due to certain income and deductions for tax purposes being recorded in the consolidated financial statements in different periods. Deferred income tax assets and liabilities are recorded for the tax effect of these differences using enacted tax rates for the years in which the differences are expected to reverse. In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent on the generation of future taxable income during the periods in which those temporary differences become deductible. The Cayman Islands government does not impose any tax on income or capital gains. However, such corporations are subject to U.S. federal corporate taxation to the extent that they generate net income that is effectively connected with a U.S. trade or business. These corporations were not engaged in any such trade or business in the U.S. during fiscal year 2018 or 2017. Therefore, no income tax provision has been recorded related to these corporations and their operations. Provisions for federal and state income taxes of $6,028 and $13,010 for the years ended August 31, 2018 and 2017, respectively, are included within Other in Nonoperating gains (losses) in the accompanying consolidated statements of operations and changes in net assets.
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE NORTHWESTERN GROUP DISCLOSED THE ENDOWMENT FUNDS IN PART V IN ACCORDANCE WITH SFAS 117 (ASC 958). THE GROUP REPORTS BOARD DESIGNATED FUNDS OF $242,870,339 IN UNRESTRICTED NET ASSETS AS OF AUGUST 31, 2018. THESE AMOUNTS WERE NOT INCLUDED IN PART V SO THAT THE ENDOWMENT FUNDS MATCH THE FINANCIAL STATEMENTS. THE GROUP ALSO HAS TEMPORARILY RESTRICTED ASSETS GENERATED FROM ENDOWMENT FUNDS OF $55,800,533 AS OF AUGUST 31, 2018. IN ACCORDANCE WITH SFAS 117 (ASC 958) THESE AMOUNTS ARE NOT CONSIDERED ENDOWMENTS AND HAVE NOT BEEN INCLUDED IN PART V. THE 4 PRIOR YEARS ARE THE COMBINED GROUP MEMBERS ENDOWMENT INFORMATION.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Middle East and North Africa	0	Program Services	SEND AGENTS TO SEMINAR	$21,028
Europe (Including Iceland and Greenland)	0	Program Services	SEND AGENTS TO SEMINAR	$48,662
North America (Canada & Mexico only)	0	Program Services	SEND AGENTS TO SEMINAR	$30,485
Middle East and North Africa	1	Unrelated Business Activities		$958,028

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$1,058,203	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$1,058,203	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	Yes (true)	BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	WOMEN'S BOARD OF NLFH BENEFIT	Event1Nm
Gross Receipts Event1	$1,238,450	GrossReceiptsEvent1Amt
Charitable Contri Event1	$863,700	CharitableContriEvent1Amt
Gross Revenue Event1	$374,750	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$263,946	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$74,978	FoodAndBeverageEvent1Amt
Entertainment Event1	$80,890	EntertainmentEvent1Amt
Other Direct Expenses Event1	$65,772	OtherDirectExpensesEvent1Amt
Event2	CDH/DELNOR GALA	Event2Nm
Gross Receipts Event2	$442,007	GrossReceiptsEvent2Amt
Charitable Contri Event2	$269,010	CharitableContriEvent2Amt
Gross Revenue Event2	$172,997	GrossRevenueEvent2Amt
Food And Beverage Event2	$70,547	FoodAndBeverageEvent2Amt
Entertainment Event2	$4,681	EntertainmentEvent2Amt
Other Direct Expenses Event2	$108,251	OtherDirectExpensesEvent2Amt
Other Events Total	16	OtherEventsTotalCnt
Gross Receipts Other Events	$1,771,041	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$909,258	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$861,783	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$32,256	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$200,955	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$243,568	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$40,677	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$356,374	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$3,451,498	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,041,968	CharitableContributionsTotAmt
Gross Revenue Total Events	$1,409,530	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$32,256	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$464,901	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$389,093	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$126,248	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$530,397	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,542,895	DirectExpenseSummaryEventsAmt
Net Income Summary	-$133,365	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$51,840	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$2,355	CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming	$2,099	NonCashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	Yes (true)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.0	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$51,840	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$2,355	CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming	$2,099	NonCashPrizesTotalGamingAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	IL	StatesWhereGamingConductedCd
Member Of Other Entity	false	MemberOfOtherEntityInd
Gaming Other Facility	1.0	GamingOtherFacilityPct
Individual With Books	NORTHWESTERN MEMORIAL FOUNDATION	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	0S050 WINFIELD ROAD	AddressLine1Txt
City	WINFIELD	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60190	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd

Gaming Manager Business Name GamingManagerBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHWESTERN MEMORIAL FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gaming Manager Compensation	$0	GamingManagerCompensationAmt
Gaming Manager Services Prov	ASSIST VOLUNTEERS	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Distributed	$0	DistributedAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,916,007	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,986,731	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,929,276	NetCommunityBenefitExpnsAmt
Total Expense	0.0131	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$450,337,200	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$303,345,814	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$146,991,386	NetCommunityBenefitExpnsAmt
Total Expense	0.0293	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$524,253,207	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$311,332,545	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$212,920,662	NetCommunityBenefitExpnsAmt
Total Expense	0.0425	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,966,584	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,966,584	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,682,629	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,410,432	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,272,197	NetCommunityBenefitExpnsAmt
Total Expense	0.0052	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,124,123	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,124,123	NetCommunityBenefitExpnsAmt
Total Expense	0.0026	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,231,680	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,231,680	NetCommunityBenefitExpnsAmt
Total Expense	0.0044	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,121,415	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,121,415	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$80,126,431	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,410,432	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,715,999	NetCommunityBenefitExpnsAmt
Total Expense	0.0135	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$604,379,638	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$323,742,977	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$280,636,661	NetCommunityBenefitExpnsAmt
Total Expense	0.0560	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,946,878	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,946,878	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,946,878	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,946,878	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$42,281,000	BadDebtExpenseAmt
Reimbursed By Medicare	$1,181,664,064	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,647,218,756	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$465,554,692	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Kishwaukee Area PHO
Credentialing & Managed Care	0.6667	0.3333
Midland Surgical Center
Surgery Center	0.745	0.255
Lake Forest Managed Care Association
Credentialing & Managed Care	0.5	0.5

Field	Value	IRS element (for citing)
Hospital Facilities	7	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (7 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (7 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	OtherOtherInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Other MethodOtherMethodInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Provided Nonprofit ContactProvidedNonprofitContactInd
Northwestern Memorial Hospital
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	16	false	Yes (true)	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
NORTHWESTERN LAKE FOREST HOSPITAL
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (true)	16	false	Yes (true)	false	Yes (true)	Yes (X)	200.0	600.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	nm.org/patients-and-visitors/billing-and-insurance/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
CENTRAL DUPAGE HOSPITAL ASSOCIATION
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DELNOR-COMMUNITY HOSPITAL
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NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
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Northwestern Medicine Valley West Hospital
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Marianjoy Rehabilitation Hospital
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Supplemental Information SupplementalInformationGrp (58 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - Northwestern Memorial Hospital. The CHNA report also describes Northwestern Memorial Hospital's CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. To solicit input from key informants, defined as those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was conducted as part of the CHNA process. A list of recommended participants was compiled by NMH and the Metropolitan Chicago Healthcare Council; this list included names and contact information for individuals including physicians, public health representatives, other healthcare professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the population with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. In all, 37 community stakeholders took part in the Online Key Informant Survey including ten Public Health Experts, eight Community Leaders, eight Other Healthcare Providers, seven Social Service Representatives and four Physicians. Final participation included representatives from the following organizations: 1. A Save Haven Foundation 2. Austin Childcare Providers Network 3. Chicago Department of Public Health 4. Chicago Family Health Center 5. Enlace Chicago 6. Governors State University Department of Health Administration 7. Grand Prairie Services 8. Illinois Department of Public Health, Bellwood Office 9. La Rabida Children's Hospital 10. Loretto Hospital 11. Metropolitan Chicago Healthcare Council 12. New Moms, Inc 13. North Park University 14. PCC Community Wellness Center 15. Respond Now 16. Southland Ministerial Health Network 17. St. Joseph Services 18. Swedish Covenant Hospital 19. United Way of Metropolitan Chicago 20. West Humboldt Park Development Council Through this process, input was gathered from several individuals whose organizations work with low-income, minority populations, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might be better addressed. Results of their ratings, as well as their verbatim comments, are included in NMH's CHNA Report. Findings represent qualitative rather than quantitative data. The Online Key Informant Survey was designed to gather input from participants regarding their opinions and perceptions of the health of the residents in the area. Therefore, these findings are based on perceptions, not facts. To ensure that organizations impacting health in Chicago were meaningfully engaged in reviewing and interpreting the findings of the CHNA, developing priorities among the identified needs and forming a collaborative plan to address the top priority needs, the External Steering Committee (ESC) was established and maintained. Members include representatives from: 1. Alliance for Research in Chicagoland Communities 2. Chicago Department of Public Health 3. CommunityHealth 4. Consortium to Lower Obesity in Chicago Children 5. Erie Family Health Center 6. Health and Disability Advocates 7. Kelly Hall YMCA 8. Logan Square Neighborhood Association 9. Near North Health Services Corporation 10. Northwestern University Feinberg School of Medicine 11. West Humboldt Park Development Council
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. The assessment was conducted by Professional Research Consultants, Inc. (PRC). PRC is a nationally recognized healthcare consulting firm with extensive experience conducting Community Health Needs Assessments. The hiring of PRC was facilitated by the Metropolitan Chicago Healthcare Counsel (MCHC) on behalf of participating member hospitals and health systems. These hospitals and health systems include: Alexian Brothers Health System/Amita Health (Alexian Brothers Behavioral Health Hospital, Alexian Brothers Medical Center, St. Alexius Medical Center); Amita Health (Adventist Bolingbrook Hospital, Adventist GlenOaks Hospital, Adventist Hinsdale Hospital, Adventist LaGrange Memorial Hospital); Edward-Elmhurst Healthcare (Edward Hospital & Health Services, Elmhurst Memorial Hospital); Franciscan Alliance (Franciscan St. James Health); Ingalls Health System (Ingalls Memorial Hospital); Little Company of Mary Hospital and Health Care Centers; Loretto Hospital; Northwest Community Healthcare (Northwest Community Hospital); Northwestern Medicine (Central DuPage Hospital, Northwestern Memorial Hospital, Northwestern Lake Forest Hospital); Palos Community Hospital; Rush System for Health (Rush Oak Park Hospital, Rush University Medical Center); Saint Anthony Hospital; St. Bernard Hospital and Health Care Center; Swedish Covenant Hospital; Thorek Memorial Hospital; and the University of Chicago Medicine.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following groups: 1. Key community organizations 2. NMH External Steering Committee 3. Northwestern University Institute of Public Health and Medicine 4. Northwestern Medicine Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Northwestern Memorial Hospital. Through the prioritization process, NMH identified four Priority Health Needs: Access to Healthcare Services, Chronic Disease, Injury and Violence, and Mental Health. NMH identified health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which NMH is addressing the significant needs identified in its most recently conducted CHNA are defined as follows: 1 Access to Healthcare Services: NMH aims to improve access to quality, culturally appropriate healthcare services among underserved populations in the NMH service area. Efforts include improved alignment of current NMH care coordination programs; IT solutions to improve care coordination for Medicaid patients through the Emergency Department; continued innovation and process improvement to reduce barriers (such as office hours) relating to access to care for medically underserved populations; and collaboration with external workgroups and agencies to support efforts that increase access to care. 1.1 Improve alignment of current NMH care coordination programs. Transitioning between care settings or providers can be especially difficult for medically complex and vulnerable patients. Recognizing the need to improve care coordination for our vulnerable populations, NMH developed the Innovations in Managing Patients Across Care Transitions (IMPACT) initiative in FY17. Aligned with our mission to put patients first, IMPACT is a collaboration of care transition programs that address the needs of our most medically and psychosocially complex patients. The collaboration is composed of seven distinct programs focused on managing patients across care transitions. These programs include: Complex Discharge Team (CDT), Complex High Admission Management Program (CHAMP), CHI-CARE, Geriatric Home Visit, Heart Failure Bridge and Transition Team (HF BAT), Intensive Case Management (ICM), and Transitional Care (TC). Each IMPACT program focuses on a different patient population with unique individual needs. Patients who may be unable to succeed with standard health system resources are identified as eligible by the IMPACT team or by their care team and referred to the appropriate IMPACT program. By building trusting relationships, identifying and addressing barriers, providing patient-centered comprehensive care, and connecting with community resources, IMPACT is able to sustain partnerships with our patients across the healthcare continuum. In FY18, IMPACT collaborated with community-based organizations in Chicago in an effort to address the underlying social determinants of health that impact care coordination and to improve the health of our patients. One basic and powerful social determinant of health is access to safe, quality housing and the supports necessary to maintain that housing. To help address this need in FY18, IMPACT collaborated on two housing pilots with the Center for Housing and Health (CHH) and Thresholds, which are Chicago-based social, mental health and housing service providers. Through these pilots, eligible patients in IMPACT will be provided with supportive housing, ongoing case management and additional support services. NMH is proactively addressing the needs of our patients by improving care coordination of patient transfers among care sites and the community, and by addressing the social determinants of health. 1.2 Assess and implement information technology (IT) solutions to improve care coordination for Medicaid patients through the Emergency Department (ED). Vulnerable populations required a diverse set of clinical and social services. The inability to address these needs has proven to lead to unnecessary emergency department utilization and preventable readmissions for patients. NMH identified the need for an easy-to-use, standardized, and measureable solution to increase access to social services and improve care coordination. In FY17, NowPow was selected as NMH's IT solution to improve care coordination and connect patients to reliable community resources. NowPow has the ability to identify and assess patients at high-risk for social needs, keep an accurate, accessible list of community and system-based resources, develop a process through the EMR to facilitate bidirectional referrals with community-based organizations, and analyze the effectiveness of these referrals and their impact on patient outcomes. In FY18, the commitment between NowPow and NMHC was finalized, and the infrastructure was established to launch the NowPow pilot in FY19. In addition to securing a digital solution to standardize the process to address social needs of patients and the community, NMH identified the need for referring providers at two federally qualified health centers (FQHC) based in the community - Near North Health Service Corporation and Erie Family Health Center - to achieve direct ordering into the NMH care system through Epic Care Link. This access removes barriers related to patient scheduling such as a potential lack of patient knowledge regarding the procedure name or ordering physician, a lost fax order, and language barriers. Epic Care Link removes these barriers by automatically adding an external order directly into the NMH system so that the patient only has to know their own name when calling to schedule an appointment. This system was launched in FY18, including training and communication to the referring FQHC providers. However, there were many challenges with the system including variations with ICD10 codes and patient name differences (i.e. patients may use maiden name at NM but married name at the FQHC). Much of FY18 was spent working with FQHC partners to resolve these issues. 1.3 Continued innovation and process improvement to reduce barriers (such as office hours) relating to access to care for medically underserved populations. NMH has longstanding relationships with major federally qualified health centers (FQHC) and a free health clinic within the City of Chicago: Erie Family Health Centers (Erie), Near North Health Services Corporation (Near North) and CommunityHealth. NMH provides grant funding and care coordination to each of these organizations to support expanded access to health services for underserved patients in Chicago and the surrounding areas. Through support from NMH, Erie, Near North and CommmunityHealth are able to enhance their efforts to provide quality care in a local and culturally competent setting. This includes expanded access to clinical care, improved care coordination, and Education-Centered Medical Home (ECMH) student clinics. An ECMH embeds teams of medical students into primary care, community-based clinics to care for a panel of complex patients over time. The ECMH model serves the dual purpose of increasing the capacity of community clinics as well as providing early and comprehensive educational exposure to team-based medicine in an authentic outpatient environment. In collaboration with Northwestern University's Feinberg School of Medicine, NMH underwrote the cost of ECMHs at Erie, Near North and CommunityHealth in FY18. Through our collaborations with community health services providers, we learned that the greatest need of patients receiving care in the community setting is often access to subspecialty care and diagnostic services. To help address this need, much of the care provided to our patients who have been referred from a community partner is now provided by our physician groups. By building capacity for community organizations to provide primary care, while simultaneously increasing access to subspecialty care and diagnostic services at our physician groups, these collaborations ensure that the patient receives quality, efficient care in the most appropriate setting. Many patients who are referred to NMH for care from our community affiliations receive free or substantially discounted services. Other patients receive care that is underwritten as part of NMH's Community Service Expansion Program (CSEP), which covers costs associated with specialty consultations and services, and hospital-based diagnostic services. To enhance access to this care, NMHC continues to refine processes to make the transition of patients from community organizations to NMHC entities more efficient and to continue to incorporate presumptive eligibility requirements.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Northwestern Memorial Hospital. 1.4 Collaborate with external workgroups and agencies to support efforts that increase access to care. In FY18, Northwestern Memorial Hospital continued its partnership with the Alliance for Health Equity (AHE), a collaboration of 30 hospitals, six health departments, and nearly 100 community-based organizations across Chicago and Cook County. Through AHE, NMH partnered with external organizations to advance health equity and wellness through strategies that address pressing issues in our communities to achieve greater collective impact. Our main focus was to address the social determinants of health (SDOH), which are the conditions in which people are born, grow, live, learn, work, play, and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels and affect a wide range of health, functioning, and quality-of-life outcomes and risks. SDOHs are mostly responsible for health inequities, or the unfair and avoidable differences in health status seen between different geographic areas. Access to health care services is an example of an SDOH. In FY18, NMH participated on the AHE committee to address access to care. 2 Chronic Disease (Diabetes, Heart Disease, Stroke, and Obesity) NMH partners with area hospitals and community-based organizations to reduce the rate of heart disease, diabetes, and obesity through increased access to care and education interventions. Efforts include continued support and expansion of diagnostic and specialty care services related to stroke; continued support of community health partners efforts to reduce the rate of heart disease, diabetes, and obesity; continued support and expansion of the Healthy Community Initiative; and collaboration with external workgroups and agencies to support efforts that impact chronic disease prevention. 2.1 Continue to support and expand diagnostic and specialty care services related to stroke. Launched in 2013, the Northwestern Medicine Telestroke Network now provides 24/7/365 direct access to board-certified vascular neurologists via dedicated telemedicine technology. In FY18, there were eight NM Telestroke Network hospitals in the Chicagoland area - NM LFH, NM Grayslake Outpatient Center, Northwest Community Hospital, CGH Medical Center, Weiss Memorial Hospital, Swedish Covenant Hospital, Loretto Hospital and Saint Anthony Hospital. Expansion of the NM Telestroke Network is planned for the coming years. Through videoconference and advanced diagnostic tools, the NMHC vascular neurologist sees and consults with the emergency room physician and patient at the NM Telestroke Network hospital, which allows the vascular neurologist to determine what treatment should be administered in the emergency department, what should happen after the emergency department visit and whether the complexity of the stroke indicates the need to transfer to a designated stroke specialty hospital. NMH provides capital equipment including technology, upgrades and on-site training in telestroke protocols to NM Telestroke Network hospitals. Technology is provided to participating hospitals below cost, and technical support, maintenance and staff training are provided at no cost. Because many insurance companies will not pay for remote consults, NMH reimburses the vascular neurologists for consult services. In FY18 alone, the NM Telestroke Network provided more than 1,600 consults and transferred more than 225 patients for neurovascular intervention or to a dedicated neuro ICU setting for monitoring, regardless of their insurance status. Since the program began in 2013, the network has provided more than 4,300 consults and 575 transfers. Rapid decision-making for tissue plasminogen activator (tPA) administration has led to decreased door-to-needle time at every member hospital of the NM Telestroke Network. In FY18, 62 percent of NM Telestroke Network tPA cases achieved door-to-needle time in less than one hour. This is well ahead of the national average of about 30 percent. In partnership with the NM Telestroke Network, NM LFH, Weiss Memorial Hospital and Swedish Covenant Hospital maintained certification as Primary Stroke Centers. Northwest Community Hospital is certified as a Comprehensive Stroke Center. These certifications and the work of the network hospitals in receiving certification are a reflection of the hospitals' commitment to improving the quality of patient care in their respective communities, and enables them to receive reimbursement commensurate with higher levels of certification and to fulfill regulatory requirements. In 2018, NMH also implemented RAPID software at Northwest Community Hospital and Saint Anthony Hospital. Supported by two stroke treatment trials, this software provides an intuitive and easily interpretable real-time view of brain perfusion. Use of the software allows the hospitals the opportunity to offer stroke treatment for up to 24 hours. 2.2 Continue to support community health partner efforts to reduce the rate of heart disease, diabetes and obesity. NMH continued work to improve coordination of care for heart disease and stroke through strengthened high-quality, patient-centered medical homes. Programs such as the Keep Your Heart Healthy (KYHH) initiative were designed to identify Chicago residents most at risk for developing heart disease and work on an individual basis to empower those individuals to make lifestyle changes to reduce their health risks. This free program links individuals with healthcare services and medical homes through referrals in an effort to control health risk factors. Northwestern University's Institute for Public Health and Medicine (IPHAM) led the program, which was funded in part by grant funding from NMH. 2.3 Continue to support and expand the Healthy Community Initiative. To help address obesity in Humboldt Park, NMH has collaborated with community partners to create programs uniquely tailored to the neighborhood. The Humboldt Park Healthy Community Initiative (HCI) was developed to improve the health of the residents of Humboldt Park based on the specific needs and challenges of the community, which include limited health literacy, violence, cultural beliefs and language barriers. The model was grounded in improved access to health information as well as safe, convenient and affordable options for learning about nutrition and engaging in physical activity in an effort to impact chronic disease. NMH continues to be a trusted source for health education and works to increase awareness, provide educational tools and encourage healthy lifestyle choices. The HCI consists of a variety of community organizations that have joined together to expand a healthy lifestyle framework and develop a comprehensive, sustainable, and replicable model that will lead to measurable improvements in health outcomes. The goal of this work is to reduce risk factors and prevent/delay chronic disease; promote wellness and improve management of chronic conditions; and monitor, evaluate and make recommendations to strengthen established processes to ensure achievement of our shared community goals. In FY18, the HCI committee promoted healthy lifestyle behaviors through free nutrition programs, physical activity classes, and wellness events to the residents of Humboldt Park. This included 750 physical fitness classes that reached approximately 7,500 participants; 36 nutrition programs that reached approximately 393 participants; 3 resource fairs that reached approximately 400 attendees each; and 16 Farmers Markets that reached approximately 650 attendees. Also during FY18, NMH piloted adolescent mental health services in collaboration with Hartgrove Hospital and the Salvation Army. HCI continued to refine and utilize an electronic tool to track fitness and nutrition outcomes in order to gather valuable metrics to better understand the needs of the community. 2.4 Collaborate with external workgroups and agencies to support efforts that impact chronic disease prevention. In FY18, NMH participated in the Alliance for Health Equity (AHE), a collaboration of 30 hospitals, six health departments, and nearly 100 community-based organizations across Chicago and Cook County, to advance health equity and pressing issues in our communities to achieve greater collective impact. In order to address the root cause of many chronic diseases, NMH participated in the social determinants of health (SDOH) committee. This committee addressed social and structural determinants of health and identified collective impact objectives, including food access, housing, workforce development, and access to care.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - Northwestern Memorial Hospital. 3 Injury and Violence NMH aims to identify and implement best practices for addressing violence in collaboration with community-based organizations. Efforts include continued utilization of effective models for ensuring victims of violent trauma have clinic and mental health support following ED or inpatient care; participation in community-led efforts to address violence; and collaboration with external workgroups and agencies to support efforts that impact violence prevention. 3.1 Continue to utilize and seek effective models for ensuring victims of violent trauma have clinical and mental health support following ED or inpatient hospital-based care. In FY18, NMH continued to partner with Cure Violence, previously known as CeaseFire, an organization founded in Chicago, to reduce retaliatory actions following violent trauma. As one of only four level I trauma centers in Chicago, NMH provides care to hundreds of Chicago residents who have violence-related traumatic injuries each year. NMH pays an annual fee to Cure Violence and integrates its intervention services into the treatment protocol for appropriate violent trauma cases. Trained "violence interrupters" meet with violent trauma victims and their families at NMH and attempt to defuse feelings of anger as well as discourage victims and their families from retaliating. The violence interrupters work in tandem with violence interrupters in the victim's home community. 3.2 Participate in community-led efforts to address violence. In 2014, leaders from NMH joined with Bright Star Community Outreach (BSCO) and other healthcare leaders and community partners to support the launching of a community-based effort to reduce the rate of violence in the Bronzeville neighborhood on the south side of Chicago. The Urban Resilience Network (TURN) Model (formerly known as the Bronzeville Dream Center) offers a bridge to mental health services and focuses on the five core competencies of counseling, workforce, parenting, mentorship and advocacy, which collectively focus on reducing violence and providing opportunities to the residents of Greater Bronzeville. TURN utilizes local faith leaders to implement evidence-based programs based on the NATAL-Israel Trauma model and the Communities That Care (CTC) model. NMH has played an active role in developing the TURN Model. In addition to direct funding, NMH provides leadership and knowledge-transfer, convenes community support, established governance and operational structures, and supports fundraising efforts, including the development of grant applications. The TURN Model Trauma Counseling Program offers a bridge to mental health services. TURN utilizes local faith and community leaders to implement evidence-based programs based on the NATAL-Israel Trauma model and the Communities That Care (CTC) model. In July 2017, BSCO successfully launched its Trauma Helpline. The Helpline had 20 unique callers in its first year of operation. In 2018, that number increased to 52 callers. BSCO is continuing to build capacity, including training a second cohort of faith and community leaders capable of staffing the Trauma Helpline. It anticipates handling an increase in call volume commensurate to this increased capacity. Additionally, BSCO has worked with CPS Network 9, Chicago Police Department (CPD) and funeral staff, and other neighborhood entities to build resilience and trauma-informed counseling within the community. 3.3 Collaborate with external workgroups and agencies to support efforts that impact violence prevention. In FY18, NMH continued its collaboration with the Alliance for Health Equity (AHE), a collaboration of 30 hospitals, six health departments, and nearly 100 community-based organizations across Chicago and Cook County. AHE hosted a committee to address community safety, and NMH participated to identify collective impact objectives. NMH continues to work collaboratively with community leaders to develop health policies and advocacy related to violence prevention. NMH is committed to helping communities identify targeted interventions that reduce and prevent violence, and this committee will continue to work towards a phased approach and determine the scope and scale of the work plan. 4 Mental Health In support of national and local mental health service objectives, NMH will provide leadership, invest resources and work collaboratively with community partners to address mental health needs and increase access to culturally competent mental health services for underserved populations in the City of Chicago. Efforts include implementation of behavioral healthcare services within the primary care setting; feasibility evaluation of co-locating primary care and mental health services within the outpatient psychiatry clinic to increase alignment with best practices in mental health care; increased access to mental health services such as counseling and education programs; advocacy for adequate mental health services and reimbursement; and collaboration with external workgroups and agencies to support efforts that impact violence prevention. 4.1 Implement behavioral healthcare services within the primary care setting. Due to insurance limitations, a nationwide shortage of psychiatrists, and a tendency for patients to see their primary care physician for mood disorders, psychiatric care may not be pursued as often as it should be. In response, NMH implemented a pilot program, based on the Collaborative Care Model, to strengthen the linkage between primary care and mental health in an effort to improve access and reduce obstacles to receiving mental health services. The program brings psychiatric care to patients by embedding behavioral health screenings and services within the primary care setting. If the patient is a fit for the program based on depression screening scores and symptoms, the primary care physician (PCP) refers the patient to the behavioral health care manager (BHCM) who coordinates treatment with the consulting psychiatrist and communicates the plan to both the PCP and the patient. The team is in constant communication to address the patients' symptoms, medications, and progress. Treatment provided in the program is outcomes-oriented. The goal for the program's patients is to get to remission which is defined as having minimal to no symptoms of depression. Success of the program was defined as an increase in access to depression treatment within the primary care setting, as well as a reduced wait-time to be seen by a behavioral health resource. In FY18, the NMH branded the collaborative care model as the Collaborative Behavioral Health Program (CBHP), and prepared to expand the program to additional sites throughout the health system. There was a continued focus on creating performance dashboards to track clinical outcomes, utilization, and financial scaling.
Schedule H, Part V, Section B, Line 11 Facility , 4	Facility , 4 - Northwestern Memorial Hospital. 4.2 Evaluate the feasibility of co-locating primary care and mental health services within the outpatient psychiatry clinic to increase alignment with best practices in mental health care. In FY18, NMH provided funding and began work to evaluate the feasibility of offering primary care services within the Norman and Ida Stone Institute of Psychiatry- outpatient clinic. The goal of this initiative was to improve access to primary care and care coordination for individuals with serious and persistent mental illness; to promote healthy lifestyles including counseling on healthy eating, exercise, and tobacco cessation; and to implement guideline-based screening for common medical disorders in a chronically mentally ill population. The feasibility assessment would require a pilot project of physically locating two primary care providers to staff one-half day of the clinic (one full day total). The pilot include a medical assistant to support the providers by rooming patients, obtaining vital signs, and providing other medical support. In addition to staff support, the proposal included a description of clinical services, medical guidelines, and infrastructure development such as scheduling and marketing. The following metrics were established: Number of patients referred; time from referral to clinical encounter; access to care measured by number of completed primary care visits; engagement in care measured by patient activation survey instruments; and tracking of preventive health screenings. The team continued to secure necessary equipment such as exam tables, blood pressure cuffs, and other medical supplies. The pilot will launch in FY19, and will focus on increased primary care coordination for individuals with serious mental illness. We anticipate that increased access and engagement around preventable cardiac disease risk factors such as weight reduction, tobacco cessation and lipid control will enhance the overall health and well-being among this patient population. If the pilot proves successful, NMH will seek to make this initiative part of an elective rotation for internal medicine, family medicine, and psychiatry residents. 4.3 Increase access to mental health services (such as counseling and education programs) through the TURN model, a Bright Star Community Outreach initiative In FY18, because of funding from NMH, Bright Star Community Outreach (BSCO) was able to complete its second five-week training for an additional ten faith and community leaders to provide counseling and access to mental health services via the TURN Trauma Helpline. This second cohort of leaders, which were trained as both Helpline Counselors and Community Ambassadors, graduated on the same day that the helpline celebrated its one year launch anniversary. After training, outreach work began to target organizations and individuals that had been directly impacted by trauma such as suicide or gun violence. This increased outreach, which includes workshops and fliers to over 8,000 individuals, had a positive impact on the number of callers who accessed the Helpline. In FY18, TURN assisted 52 callers with over 250 total calls. This includes two successful discharges and 19 referrals to additional mental health services. In addition, BSCO continued to break down related barriers and de-stigmatize trauma and counseling through education and advocacy work. Continued growth and expansion of services offered by BSCO is expected over the next few years. NMH is committed to BSCO's mission and the TURN Model initiative. We will continue to support BSCO with dedicated funding, public health and mental health resources, and administrative support, and will continue to help plan for the delivery of mental health services. 4.4 Advocate for adequate mental health services and reimbursement NMH engages in advocacy efforts aimed at increasing access to behavioral health services. NMH is on the steering committee and behavioral health committee for the Alliance for Health Equity, an initiative of the Cook County collaborative. Through this initiative, NMH works with other community healthcare leaders to implement strategies to address the most pressing issues in the community, including mental health. In FY18, as part of the collaborative, NMH worked to identify gaps and opportunities to implement Mental Health First Aid training, as well as engaged in the development of a stigma awareness campaign to address the stigma surrounding mental health. In addition to advocacy for mental health services, NMH is also an advocate for patients through the Representative Payee (RP) Program. NMH's RP program provides free financial management to beneficiaries who are assessed by a psychiatrist as incapable of managing their Social Security or other government benefits. The goal of this program is to help patients in need manage their finances so that they can successfully manage their lives (have money for food, housing, and other necessities), until they are able to do so on their own. NMH pays bills directly on behalf of the patient and also provides financial counseling to participants so that they lean how to manage their finances. Once the patient is approved by the psychiatrist to manage their benefits independently, they graduate from the program. 4.5 Collaborate with external workgroups and agencies to support efforts that impact mental health NMH collaborates with community-based mental health organizations and at neighborhood sites, including the Chicago Alliance to End Homelessness, Catholic Charities and Help Ease Local Poverty (HELP), where mental health employees serve meals to the homeless and in this setting identify and engage those who may benefit from mental health services. For many, NMH's mental health programs provide a critical link to public health and social support services. For individuals who are homeless or experience mental health conditions that impair cognitive abilities, the process of gaining access to social welfare programs and accessing health coverage is often beyond their capabilities. Without access to social and welfare supportive programs, individuals are unlikely to be able to manage a mental health or substance abuse problem and are at high risk for homelessness. NMH's mental health employees are trained in the SSI/SSDI Outreach, Access and Recovery (SOAR) program that provides training and tools for mental health professionals across the country to help them assist the homeless or those at risk of homelessness gain access to health, income support and housing programs. NMH also provides transportation and food vouchers to patients receiving treatment if needed. In addition, NMH recognizes that mental and behavioral health conditions can significantly impact the families of those receiving care. NMH hosts a support group of the Illinois chapter of NAMI and provides educational presentations to parents and siblings of adults with serious mental illness. In addition, in FY18, NMH continued its partnership with Calm Classroom to provide mindfulness strategies to youth in our communities. Mindfulness is the practice of bringing one's focus to the experience occurring in the present moment, which has been shown to positively impact health conditions and promote healthy behaviors. NMH engaged Calm Classroom, the largest provider of school-wide mindfulness programming in the U.S., to teach mindfulness practices to students in Chicago Public Schools (CPS) Network 9. Network 9 schools are primarily located in Bronzeville, a neighborhood on Chicago's South Side that is plagued by persistent, high rates of violence. Calm Classroom offers accessible mindfulness techniques that help promote self-awareness, mental focus and emotional resilience in the classroom setting. In FY18, the collaboration between NMH, Calm Classroom and CPS Network 9 served more than 5,000 CPS students and their teachers at eight schools. Through their train-the-trainer model, Calm Classroom equipped CPS teachers with mindfulness techniques that can be taught in three minutes in the classroom. These practices supplement CPS's trauma-informed approach to creating supportive schools. Following implementation of the mindfulness practices, teachers who engaged in the program were surveyed and reported a positive impact on their students. Since practicing Calm Classroom, 90 percent of teachers reported their students seem calmer and more peaceful; 89 percent reported their students were more engaged and ready to learn; 81 percent believed the culture and the climate in their classroom had improved; and 76 percent stated students were better able to regulate their emotions. NMH will continue to sponsor Calm Classroom initiatives within CPS.
Schedule H, Part V, Section B, Line 11 Facility , 5	Facility , 5 - Northwestern Memorial Hospital. The CHNA report identified areas of opportunity for health improvement for which NMH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Cancer NMH provides a comprehensive range of clinical services to treat and screen for cancer. NMH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Chronic Kidney Disease (Kidney Disease Deaths) NMH provides clinical services to treat chronic kidney disease and will continue to sustain these services. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Hearing and Vision Problems NMH Supports access to vision screenings in medically underserved communities through its community health partners. The ESC recommended that NMH focus on strengthening and improving access to medical homes, where primary vision screenings can be effectively and conveniently provided. HIV (HIV Prevalence) NMH provides clinical services to treat chronic HIV/AIDS and collaborates with Feinberg in conducting research to better prevent, detect and treat HIV/AIDS. The ESC recommended focusing efforts on improving access to medical homes, where access to these services can be effectively coordinated. Immunization and Infectious Disease NMH provides clinical services to treat pneumonia, asthma and tuberculosis. The ESC recommended that NMH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Infant Health and Family Planning NMH provides a comprehensive range of outpatient and inpatient services to expectant women and teens, including family planning services. NMH will continue to sustain these services and work to strengthen community-based medical homes where family planning services can be conveniently accessed. The ESC recommended that NMH focus on strengthening and improving access to medical homes, where access to these services and other prenatal care can be effectively coordinated. Oral Health (Regular Dental Care) NMH does not provide office-based dental care services. Potentially Disabling Conditions NMH provides comprehensive rehabilitation services including physical, speech, and occupational therapy for patients. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Sexually Transmitted Diseases The ESC recommended that NMH focus on strengthening and improving access to medical homes, where counseling on prevention and screening for disease can be effectively coordinated and access to medically necessary specialty care can be facilitated. Sickle-Cell Anemia The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Substance Abuse NMH provides inpatient and outpatient substance abuse counseling. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Tobacco Use NMH supports public policies aimed at reducing tobacco use. NMH also offers a comprehensive Smoking Cessation Program, facilitated by an American Lung Association certified instructor. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1.Women, Infants and Children Nutrition Program (WIC); 2.Supplemental Nutrition Assistance Program (SNAP); 3.Illinois Free Lunch and Breakfast Program; 4.Low Income Home Energy Assistance Program (LIHEAP); 5.Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. The CHNA report also describes Northwestern Lake Forest Hospital's CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. To solicit input from key informants, defined as those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was conducted as part of the CHNA process. A list of recommended participants was compiled by Northwestern Lake Forest Hospital (LFH) and the Metropolitan Chicago Healthcare Council; this list included names and contact information for individuals including physicians, public health representatives, other healthcare professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the population with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. In all, 13 community stakeholders took part in the Online Key Informant Survey including six Public Health Experts, five Community Leaders, one Other Healthcare Provider, and one Social Service Representative. Final participation included representatives from the following organizations: 1. Antioch Area Healthcare Accessibility Alliance 2. Erie Family Health Center/Erie HealthReach Waukegan 3. Healthcare Foundation of Northern Lake County 4. Lake County Forest Preserves 5. Lake County Health Department 6. Lake County Community Health Center 7. Metropolitan Chicago Healthcare Council 8. Northwestern Lake Forest Hospital Through this process, input was gathered from several individuals whose organizations work with low-income, minority, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might be better addressed. Results of their ratings, as well as their verbatim comments, are included in LFH's CHNA Report. Findings represent qualitative rather than quantitative data. The Online Key Informant Survey was designed to gather input from participants regarding their opinions and perceptions of the health of the residents in the area. Therefore, these findings are based on perceptions, not facts. To ensure that organizations impacting health in Lake County were meaningfully engaged in reviewing and interpreting the findings of the CHNA, developing priorities among the identified needs and forming a collaborative plan to address the top priority needs, the External Steering Committee (ESC) was established and maintained. Members include representatives from: 1. Lake County Health Department 2. Live Well Lake County Steering Committee 3. Mano a Mano Family Resource Center 4. National Recreation Foundation 5. Youth Build Lake County 6. Waukegan Public Library
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - PROFESSIONAL RESEARCH CONSULTANTS, INC.. The assessment was conducted by Professional Research Consultants, Inc. (PRC). PRC is a nationally recognized healthcare consulting firm with extensive experience conducting Community Health Needs Assessments. The hiring of PRC was facilitated by the Metropolitan Chicago Healthcare Counsel (MCHC) on behalf of participating member hospitals and health systems. These hospitals and health systems include: Alexian Brothers Health System/Amita Health (Alexian Brothers Behavioral Health Hospital, Alexian Brothers Medical Center, St. Alexius Medical Center); Amita Health (Adventist Bolingbrook Hospital, Adventist GlenOaks Hospital, Adventist Hinsdale Hospital, Adventist LaGrange Memorial Hospital); Edward-Elmhurst Healthcare (Edward Hospital & Health Services, Elmhurst Memorial Hospital); Franciscan Alliance (Franciscan St. James Health); Ingalls Health System (Ingalls Memorial Hospital); Little Company of Mary Hospital and Health Care Centers; Loretto Hospital; Northwest Community Healthcare (Northwest Community Hospital); Northwestern Medicine (Central DuPage Hospital, Northwestern Memorial Hospital, Northwestern Lake Forest Hospital); Palos Community Hospital; Rush System for Health (Rush Oak Park Hospital, Rush University Medical Center); Saint Anthony Hospital; St. Bernard Hospital and Health Care Center; Swedish Covenant Hospital; Thorek Memorial Hospital; and the University of Chicago Medicine.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also provided to a variety of community partners, including: 1. Key community organizations 2. LFH External Steering Committee 3. Northwestern University Institute of Public Health and Medicine 4. Northwestern Medicine and LFH Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Northwestern Lake Forest Hospital. Northwestern Medicine Lake Forest Hospital (NMLFH) completed a comprehensive Community Health Needs Assessment (CHNA) in August 2016. The CHNA assessed a broad range of health issues and behaviors for residents of NMLFH's primary community, which was defined as Lake County, Illinois. Through the CHNA process, NMLFH identified high priority health needs that can be meaningfully addressed through collaborative planning and coordinated action together with organizations that impact health services in our community. In partnership with dedicated healthcare, social service, public health and policy organizations, we have developed a multi-year implementation plan, drawing on our collective resources to make an impact on some of the most critical health needs of the residents of Lake County. 1 ACCESS TO HEALTHCARE Access to comprehensive, quality health care services is important for the achievement of health equity and for increasing quality of life. It impacts overall physical, social and mental health status, as well as prevention of disease and disability; detection and treatment of health conditions; preventable death; and life expectancy. Improving health care services depends in part on ensuring that people have a usual and ongoing source of care. People with a usual source of care have better health outcomes and fewer disparities and costs. Improving health care services also includes increasing access to and use of evidence-based preventive services. Clinical preventive services are services that prevent illness by detecting early warning signs or symptoms before they develop into a disease (primary prevention) or detect a disease at an earlier and often more treatable stage (secondary prevention). Efforts to increase access to healthcare include: increasing capacity to provide quality medical care to underserved communities through the construction of a new hospital; providing targeted, community centered vaccination clinics for school-aged youth; and providing transportation assistance to medically underserved patients. 1.1 Northwestern Medicine Lake Forest Hospital (NMLFH) is committed to improving the health of Lake County. By emphasizing healthy lifestyles and primary and preventative care at a medical home, we can reduce overall healthcare expenditures and improve the health of our communities. Since the implementation of the Affordable Care Act, the uninsured rate in Lake County has dropped to nearly 8%, with many of the newly insured coming through Illinois's Medicaid expansion. However, despite becoming insured, many barriers to care continue to exist including appointment availability, phantom provider networks, and lack of specialty and sub-specialty care. Northwestern Medicine proudly opened its new Lake Forest Hospital in March of 2018. This state-of-the-art facility continues a long-standing commitment to deliver world-class medicine to the region, while using its natural surroundings to create a healing, tranquil environment for our patients, visitors and staff. The hospital features all private inpatient rooms, advanced technology and increased privacy for patients and visitors. It is part of a redeveloped campus that provides access to primary, specialty and emergency care, as well as a seamless pathway to specialty care from throughout the Northwestern Medicine network. This includes access to leading-edge clinical trials through Northwestern University Feinberg School of Medicine, an integration that also fosters an environment of world-class patient care, academic inquiry and innovative research. Over 700 physicians practice at Northwestern Medicine Lake Forest Hospital, board-certified in 68 medical specialties include regionally recognized specialties of geriatrics, orthopedics, and urology departments. - In FY18, 43.8% of inpatients and outpatients were on Medicaid, Medicare, or self-pay. - In FY18, 62.5% of emergency department encounters were on Medicaid, Medicare, or self-pay. - In FY18, 40% of emergency department encounters were to people from our service area's most disparate communities. - In FY18, 50% of births were to minority mothers. 1.2 Immunizations are one of our greatest defense against many serious illnesses. In the state of Illinois, all students entering, transferring, or advancing into kindergarten through 12th grades are required to show proof of receipt of 2 doses of mumps and 2 doses of rubella vaccine. In addition, students entering, transferring, or advancing into kindergarten, 6th, or 9th grades are required to show proof of receipt of 2 doses of varicella vaccine. If students cannot, are not vaccinated, or do not show proof or exemption, they are excluded from school until they are able to meet the requirements. According to the Illinois State Board of Education's most recent statistics (2015-2016), in the North Chicago School District 187, over 6 percent of the student population was excluded from school due to lack of vaccination compliance. NMLFH is helping address the need for access to vaccines for school-aged children in North Chicago. Working in collaboration with The Grainger Foundation, North Chicago Community Partners, and the North Chicago School District 187, NMLFH provided funding for, and has worked to develop, an efficient way to administer vaccines to elementary age children to ensure they are prepared to start the new school year. In FY2018 NMLFH began administering TDAP and MCV vaccinations to children in this school district. NMLFH administered over 20 vaccinations, free of charge, in FY18, accounting for nearly 10 percent of the excluded population. Expansion of the program is planned in FY19. 1.3 Transportation barriers are often cited in northern Lake County as a barrier to accessing quality and timely medical care. This barrier may lead to missed appointments, delayed care, or people not seeking care in the first place, and often forces people to wait hours for a bus that may not run routinely in order to get around. Consequences of lack of transportation can manifest in poorer management of chronic disease and poorer health outcomes. This social determinant of health mainly affects the poorer population in northern Lake County who may face additional barrier to care including access to insurance, language barriers, and cost. Because these patients are often seeking care at local clinics, NMLFH partnered with a local federally qualified health center (FQHC), Erie HealthCenter Waukegan, and Lyft, the ride share transportation company, to provide transportation vouchers to patients without access to a vehicle. In FY18, 409 Lyft rides were provided to patients for medical care for any patient needing transportation assistance.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Northwestern Lake Forest Hospital. 2 HEART DISEASE AND STROKE Heart disease is the leading cause of death in the United States, with stroke following as the third leading cause. These chronic conditions are among the most widespread and costly health problems facing the nation today. Fortunately, they are also among the most preventable. The risk of Americans developing and dying from cardiovascular disease would be substantially reduced if major improvements were made across the US population in diet, physical activity, and control of high blood pressure and cholesterol. In addition, obesity and cardiovascular disease are significantly influenced by physical and social environments and by public policies that affect the quality and safety of these environments. This includes access to educational opportunities; opportunities for physical activity (including access to safe and walkable communities); access to healthy foods; quality of working conditions and worksite health; availability of community support and resources; and access to affordable, quality healthcare. NMLFH continues to be a trusted source for heart health education and provides community programs that increase awareness and education and offer screenings for hypertension and related health conditions. Efforts include: continuing to support and expand diagnostic and specialty care services related to stroke; supporting a legislative agenda to address health risk behaviors including tobacco use policies; and the promotion of community physical activity events through Go Lake County expansion. 2.1 Stroke is the leading cause of disability and the fifth-leading cause of death in the United States according to the American Stroke Association. When a patient is suffering a stroke, every minute counts. Thanks to advances in technology, patients with stroke symptoms can now be rapidly assessed by a neurologist 24/7, even if the specialist is physically located many miles away. The Northwestern Medicine telestroke program features a two-way video and audio system that allows a board-certified neurologist from the comprehensive stroke centers at Northwestern Memorial Hospital and Northwestern Medicine Central DuPage Hospital to conduct a virtual physical exam and to collaborate with the emergency medicine teams at area hospitals. The Northwestern Medicine telestroke program is offered to several hospitals in Illinois, including Northwestern Medicine Lake Forest Hospital. The videoconferencing system connects the neurologist and patient through a secure internet connection. Using the camera, the neurologist can perform observational tests, such as gauging how a patient's pupils respond to light sources and monitoring how well the patient can move and speak. Simultaneously, through the electronic medical record, the neurologist has instant access to the patient's medical information, including vital signs, CT scans and lab results. In FY18, our NMLFH conducted 231 telestroke consultations and the Northwestern Medicine Grayslake Outpatient Center conducted 81 telestroke consultations. 2.2 Tobacco kills over 480,000 people each year, more than automobile crashes, gun violence and opiate overdoses combined and the developing teenage brain is particularly vulnerable to the effects of nicotine. In Lake County, 14 percent of residents are considered smokers. However, according to the most recent Illinois Youth Survey, youth tobacco use has doubled since 2010 with 31 percent of 12th graders having used an e-cigarette in the past 12 months. Medical efforts to address youth tobacco use have not been effective as rates continue to climb. Literature shows that the most effective interventions to curb youth tobacco use have been to raise the minimum legal sales age of tobacco products from 18 to 21. More than 95% of addicted smokers start before age 21. This intervention has been shown to decrease youth tobacco use in other communities and so it was adopted as a course of action by the Tobacco Prevention and Cessation Action Team as part of the Live Well Lake County Steering Committee. Through this action team, NMLFH has worked with local home-rule communities within Lake County to pass legislation raising the minimum legal sales age of tobacco products from 18 to 21. In FY18: - Four communities raised the minimum legal sales age of tobacco products from 18 to 21. - The total population covered by new tobacco 21 legislation is almost 150,000 people. - The total population under age 18 covered by new tobacco 21 legislation is almost 37,000 people. 2.3 The benefits of physical activity are well known: increased cardiovascular fitness; reduced risk of heart disease and stroke; improved management of conditions such as hypertension, high cholesterol, and diabetes; increased muscle strength; and reduced body fat. Joining a gym is a barrier for many that makes staying active difficult, especially through long winter months. In FY17, through the Be Active: Walking Action Team as part of the Live Well Lake County Steering Committee, NMLFH worked to create the Go Lake County initiative. GO Lake County is a walking initiative that promotes healthy and active living through programing and events within Lake County communities. GO enables everyone in Lake County to increase their level of daily physical activity and foster community engagement. GO events or programs are open to everyone in Lake County and are intended to be free. In FY18, NMLFH supported expansion of Go Lake County programming. - In FY18, the number of communities with active Go Lake County park districts and partnerships grew to 12. - Over 5,000 people across those communities were able to attend free walking events increasing physical activity. 3 MENTAL HEALTH DISORDERS AND SUBSTANCE ABUSE Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and cope with challenges. Mental health is essential to personal well-being, family and interpersonal relationships, and the ability to contribute to society. Mental disorders are health conditions that are characterized by alterations in thinking, mood, and/or behavior that are associated with distress and/or impaired functioning. Mental disorders contribute to a host of problems that may include disability, pain, or death. The resulting disease burden of mental illness is among the highest of all diseases. The existing model for understanding mental health and mental disorders emphasizes the interaction of social, environmental and genetic factors throughout the lifespan. In behavioral health, researchers identify risk factors (which predispose individuals to mental illness), and protective factors (which protect them from developing mental disorders). Researchers now know that the prevention of mental emotional, and behavioral (MEB) disorders is inherently interdisciplinary and draws on a variety of different strategies. NMLFH efforts to address mental health disorders include: expansion of psychiatric services; evaluating the feasibility of co-locating primary care and mental health services within the outpatient psychiatry clinic to increase alignment with best practices in mental health care; and drug education and prevention programming with students in our local schools, and with parents in our local community through Text-A-Tip.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - Northwestern Lake Forest Hospital. 3.1 Since FY16, NMLFH has seen a significant increase in behavioral health inpatient and emergency department patient volume. NMLFH seeks solutions that can be implemented in parallel to system planning, thereby offering these patients treatment in the appropriate care settings based on their diagnosis. After discharge from the hospital, outpatient care was needed to close the loop on referral visits. In FY18, NMLFH added additional psychiatric staff to provide behavioral health services, increasing capacity in our community. New outpatient and consultation clinic visits have increased with the onboarding of new providers. - Hired 2 new psychiatric APNs - 70% increase in unique patient visits 3.2 Due to insurance limitations, a nationwide shortage of psychiatrists, and a tendency for patients to see their primary care physician for mood disorders, psychiatric care may not be pursued as often as it should be. In response, NMLFH began work to evaluate the feasibility of offering behavioral healthcare services within the primary care setting, based on the Collaborative Care Model, to strengthen the linkage between primary care and mental health in an effort to improve access and reduce obstacles to receiving mental health services. The program brings psychiatric care to patients by embedding behavioral health screenings and services within the primary care setting. If the patient is a fit for the program based on depression screening scores and symptoms, the primary care physician (PCP) refers the patient to the behavioral health care manager (BHCM) who coordinates treatment with the consulting psychiatrist and communicates the plan to both the PCP and the patient. The team is in constant communication to address the patients' symptoms, medications, and progress. Treatment provided in the program is outcomes-oriented. The goal for the program's patients is to get to remission which is defined as having minimal to no symptoms of depression. Success of the program was defined as an increase in access to depression treatment within the primary care setting, as well as a reduced wait-time to be seen by a behavioral health resource. The pilot will launch in FY19, and will focus on increased behavioral health care coordination for individuals within the primary care setting. We anticipate that increased access and engagement will enhance the overall health and well-being among this patient population. If the pilot proves successful, NMLFH will seek to roll this clinical intervention out to its various outpatient primary care clinics. 3.3 NMLFH supports Lake Forest LEAD, a local non-profit organization dedicated to the promotion of healthy family relationships and the prevention of alcohol, drug use, and other risky behavior by youth. LEAD has served the Lake Forest, Lake Bluff, and Knollwood, IL communities for nearly 30 years. There are a variety of long-term issues that LEAD is seeking to address, including underage drinking and drug abuse; prevention of prescription, over-the-counter and illegal drug abuse by youth and adults; promotion of mental health and wellness; reducing stigma related to depression and other mental health issues; and the prevention of suicide. A significant and successful strategy in the NMFLH and LEAD partnership has been the 24/7 anonymous text crisis line, Text-A-Tip. LEAD has seen a dramatic increase in the number of people who benefit from its programming, both in our local Lake Forest and Lake Bluff community and across the nation. LEAD has conducted trainings, programs and workshops in nearly 20 states over the past two years, and our Text-A-Tip hotline is now accessible to over 7 million people, almost doubling in scope since this time last year, and including the entirety of Lake and McHenry Counties in Illinois. Finally, LEAD's online and social media presence has seen an increase of over 500% in the past 3 years. Text-A-Tip is now available to over 7 million people nationwide. Text-A-Tip has been able to deliver wellness checks and emergency personnel to teens in crisis, and has led to interventions in suicide and self-harm situations, violence situations, and situations of drug overdose. Aside from the actual lives saved to date, the resource allows students a 24/7 place to turn when they are in need of emotional support. It is safe, anonymous, and always available. The CHNA report identified areas of opportunity for health improvement for which NMLFH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. CANCER NMLFH provides a comprehensive range of clinical services to treat and screen for cancer. NMLFH will continue to sustain these services and work to strengthen community-based outreach both through the internal oncology department and through community partners. The ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact. DIABETES NMLFH provides clinical services to treat diabetes and will continue to sustain these services. While there is a lot of crossover between the preventable conditions that cause Diabetes and those that cause Heart Disease and Stroke, the ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact. Community work will continue through participation on the Diabetes Prevention and Management Action Team as part of the Live Well Lake County Steering Committee. IMMUNIZATION & INFECTIOUS DISEASES NMLHH provides clinical services to treat pneumonia, asthma, and tuberculosis, as well as other infectious diseases. The ESC recommended that NMLHH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. INJURY & VIOLENCE NMLFH will work to strengthen community-based outreach both through community partnerships to affect injury and violence. The ESC recommended focusing efforts on other determinants for which NMLFH could have a greater impact. NUTRITION, PHYSICAL ACTIVITY & WEIGHT NMLFH provides clinical services, nutritional counseling, and weight loss programming for patients and will continue to sustain these services. While there is a lot of crossover between these behaviors and those that cause Heart Disease and Stroke, the ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact. Community work will continue through participation on the various Action Teams as part of the Live Well Lake County Steering Committee. POTENTIALLY DISABLING CONDITIONS NMLFH provides comprehensive rehabilitation services including physical, speech, and occupational therapy for patients. The ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact. TOBACCO USE NMLFH supports public policies aimed at reducing tobacco use. NMLFH also offers a comprehensive Smoking Cessation Program, facilitated by an American Lung Association certified instructor. The ESC recommended focusing efforts on other health conditions for which NMLFH could have a greater impact.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. The CHNA report also describes Central DuPage Hospital's CHNA goals and objectives, public dissemination plan, and the process for the development of the implementation plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was implemented as part of the CHNA process. A list of recommended participants was provided by NMCDH; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the population with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. In all, 41 community stakeholders took part in the Online Key Informant Survey including representatives of the organizations below: 1. DuPage County Health Department 2. DuPage Federation on Human Services Reform 3. DuPagePads 4. American Cancer Society 5. B.R. Ryall YMCA of Northwestern DuPage County 6. Bartlett Park District 7. Benedictine Public Health Department 8. Breaking Free 9. Catholic Charities Diocese of Joliet 10. DuPage Foundation 11. DuPage Senior Citizens Council 12. DuPage United 13. Educare West DuPage 14. Fox Valley Special Recreation Association 15. NAMI DuPage 16. Northern Illinois Food Bank 17. People's Resource Center 18. Public School District, DuPage County 19. SamaraCare 20. Senior Services Associates, Inc. 21. Warrenville Park District 22. Western DuPage Special Recreation Association 23. West Chicago Public Library District 24. Winfield Park District 25. World Relief DuPage Aurora Through this process, input was gathered from several individuals whose organizations work with low-income, minority populations, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might be better addressed. Findings represent qualitative rather than quantitative data. The Online Key Informant Survey was designed to gather input from participants regarding their opinions and perceptions of the health of the residents in the area. Therefore, these findings are based on perceptions, not facts. To ensure that organizations impacting health in DuPage County were meaningfully engaged in reviewing and interpreting the findings of the CHNA, developing priorities among the identified needs and forming a collaborative plan to address the top priority needs, the External Steering Committee (ESC) was established and maintained.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: * Key community organizations and leaders * Central DuPage Hospital External Steering Committee * Central DuPage Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Central DuPage Hospital Association. Through the prioritization process, NMCDH identified three Priority Health Needs: Access to Healthcare Services, Chronic Disease, and Mental Health. NMCDH identified health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which NMCDH is addressing the significant needs identified in its most recently conducted CHNA are defined as follows: 1 MENTAL HEALTH Mental health and physical health are closely connected. Mental health plays an integral role in the ability to maintain physical health. Mental illnesses, such as depression, anxiety and addiction, affect people's ability to participate in health promoting behaviors. Subsequently, the presence of mental health problems can have a serious impact on chronic disease and decrease the ability to participate in treatment and recovery. To address the identified health needs related to Mental Health and Substance Abuse, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 1.1 Continue strategic planning efforts to evaluate the demand for hospital-based mental health services and identify appropriate NMCDH resources to address those needs. A comprehensive strategic plan is being developed to properly address the mental health needs of the NMCDH and Northwestern Medicine Delnor Hospital service areas. The plan continued to identify the needs and develop strategies to address those needs, including but not limited to expansion of inpatient behavioral health and addiction services and additional capacity in the outpatient mental health service line. 1.2 Provide Community Benefit Grant funding and further solidify relationships with community agencies that can provide outpatient mental health services to the medically underserved residents within the service area. Grants were provided to NAMI DuPage, Ecker Center, Samara Care and World Relief. The following outcomes were reported: A. NAMI DuPage Education and Resources Services grant outcomes: - 85% of the participants reported a greater understanding and changed in attitude towards mental illness; - 90% of the participants report increased knowledge of resources to help themselves and family members in recovery; - 80% of individuals with mental illness report to recognizing triggers and early warning signs of their illnesses. B. Ecker Center grant outcomes: - Medication Possession Ratio: baseline is 0.89 and it was measured to be consistently a 0.92 over the grant period; - Clients' symptoms improvement baseline is 72% and it was measured that 90% of clients reports symptom improvement. C. Individuals impacted by funding from the Samara Care: Mental Health Access Program reported: (NMCDH/NMDH) - 87% of clients experienced an increase in their GAF scale score; - 90% of those who completed the client satisfaction survey indicated that they agree/strongly agree, "I feel I was able to accomplish what I set out to do," "I am better able to handle conflict and stress." - 95% of those who completed the client satisfaction survey indicated that they agree/strongly agree, "My counselor interventions and interactions were helpful." D. Outcomes reported as the result of NMCDH funding to the World Relief Refugee Wellness Program: (NMCDH/NMDH) - 8% of participants were able to identify symptoms of mental illness; - 75% were to identify at least 3 helpful mainstream community resources and report stronger connectedness to members of their own community; - 68% of refugees receiving mental health treatment demonstrated an increased level of functioning, decreased symptoms and completed treatment goals 1.3 Participate in and support initiatives within Kane County that are focused on Mental Health. The Kane County Health Department is currently developing a Community Health Improvement Plan (CHIP) in collaboration with the hospitals and community agencies within the county. One of the identified priorities to be addressed is Mental Health and Substance Abuse. NMCDH will continue to participate in the CHIP Executive Committee and the Mental Health Subgroup to develop and implement the action plan to address the health priority of Mental Health and Substance Abuse. 1.4 Complete the planning phase and implement the Mental Health First Aid Program in the NMCDH service area. The Mental Health First Aid (MHFA) program is designed to teach residents of the community how to take action when a mental illness is suspected or identified. The intent is to reduce the wide reach and economic toll that mental health disorders and crises have on the community. Individuals within NMCDH are currently completing training and the certification process and will begin providing educational sessions to teach parents, family members, caregivers, teachers, school staff, peers and community members how to help an adolescent or adult experiencing a mental health or addiction challenge or crisis. These individuals can then intervene and direct the individual to appropriate resources. The overall goal is to increase awareness and early intervention to those in need of behavioral health services. One NMCDH/NMDH staff was trained to offer the nationally recognized evidence-based Mental Health First Aid program. - 17 classes were held; - 318 individuals (adults and youth) attended the programs; - 100% of MHFA participants scored a minimum of 85% on the MHFA course exam. 2 CHRONIC DISEASE Chronic conditions are responsible for 70% of deaths and 75% of healthcare spending. Chronic disease is a leading cause of disability and lost income. Chronic disease disproportionally affects low-income and minority populations. In the NMCDH service area, 35% of adults have been told that they have high blood pressure; 30% have been told they have a high cholesterol reading; 23% are obese; and chronic diseases of the heart are the second leading cause of death. To address the identified deficiencies in Chronic Disease, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 2.1 Provide resources and tools to patients diagnosed with heart failure in order to improve self-management skills and quality of life. NMCDH continued to provide a post-discharge community-based heart failure program designed to improve the quality of life and decrease readmission rates for patients diagnosed with heart failure. Efforts to improve the coordination of care for heart failure patients were expanded, and a system of referrals for specialty care and social service needs were implemented. A retrospective study of outcomes related to the program was completed to ensure maximum quality is achieved. Key outcomes of this program were: A. 382 individuals were enrolled in the Community-Based Heart Failure program: (NMCDH/NMDH) - 30-day readmission rate for heart failure diagnosis: 1% (markedly below the national rate); - 85% of clients demonstrated the ability to identify appropriate action in the event of a worsening of their condition; - 97% of clients utilized an effective medication management system; - 86% of clients demonstrated compliance with symptom tracking.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Central DuPage Hospital Association. 2.2 Continue to provide, participate and partner in community-based health education, nutrition and activity programs focused on reducing the risk of obesity and chronic disease. NMCDH provided community education related to chronic disease in the areas of evidence-based primary interventions (disease prevention, health promotion), evidence-based secondary interventions (screening) and evidence-based tertiary interventions (education to individuals affected with a chronic disease in an effort to promote an optimum state of individual wellness). Programmatic venues included the CATCH (Coordinated Approach to Child Health) program, the Dinner with the Doc series, clinician-led educational offerings, self-help groups, rehabilitation service programs and support programs. A comprehensive plan to increase patient compliance with physician and ancillary staff referrals to smoking cessation resources was also investigated and developed. Community Benefit Grants were also be provided to agencies that provide programming related to the priority health need of chronic disease. Key outcomes of these interventions include: A. A total of one educational seminars were offered in the areas of cardiovascular health. A total of 170 individuals attended these seminars. (NMCDH/NMDH combined data.) B. Meeting space was provided at no charge for 20 support groups. (NMCDH/NMDH) C. A total of two educational seminars were offered in the areas of cancer. A total of 102 individuals attended these seminars. (NMCDH/NMDH) D. A total of twelve additional educational seminars were offered. 1,343 individuals attended these seminars. (NMCDH/NMDH) E. Rehabilitation Services offered 18 community programs. 282 individuals attended. (NMCDH/NMDH) F. Diabetes Education Services offered 9 community programs. 78 individuals attended. (NMCDH/NMDH) G. 104 individuals participated in the Northern Illinois Food Bank's Diabetes Prevention Education Programs. H. Saint Charles Park District CATCH Kids Club utilized their new CATCH Early Childhood equipment set and curriculum to impact the health and wellness of the students and families that attended Baker Station. I. Fox Valley Food for Health built a network of adult and teen volunteers who helped in providing nutrient rich meals, nutrition education and personal caring support to individuals and families dealing with serious illness such as cancer. J. The CATCH Program reached over 778 students and teachers. 89% of children were able to verbalize 6 out of 8 GO foods. 84% of children recognized the importance of consuming GO foods daily. 95% of schools/programs adjusted their snack lists to include healthy (GO) foods. 100% of teachers organized 20 minutes of moderate physical activity. 96% of teachers continued to reinforce the GO-WHOA healthy food message in the classroom. (NMCDH/NMDH) K. A total of 10 community programs and 679 individuals participated in Community Stroke Education presentations. (NMCDH/NMDH) L. A total of 308 Kits for Kids were disseminated in the areas hand washing, bicycle safety and healthy nutrition. (NMCDH/NMDH) M. A total of 184 individuals participated in smoking cessation programs. 91% self-reported smoking cessation by the end of week 3. (NMCDH/NMDH) N. The Think First Curriculum was offered to 24,240 children from kindergarten through high school and 132,733 individuals participated in Think First community events. (NMCDH/NMDH): - A total of 6,549 children were fitted for and received bike helmets (NMCDH/NMDH); - A total of 77 couples attended child safety classes (NMCDH/NMDH); - A total of 1066 car seats were checked / distributed (NMCDH/NMDH); 3 ACCESS TO CARE An aging population, coupled with a challenging economy and an increasing prevalence of chronic disease, create access-to-care issues relating to both the affordability and availability of care. NMCDH seeks to promote access through a variety of initiatives identified below. NMCDH will continue to work with individuals and families to promote access to medically necessary services by maintaining an accessible financial assistance program. Additionally, staff and leadership will work collaboratively with key community partners to promote a seamless continuum of care into local medical home settings. To improve Access to Health Services, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 3.1 Strengthen and increase patient affiliation with high-quality patient-centered medical homes. NMCDH and its partners from the External Steering Committee focused efforts on strengthening the care coordination, availability, cultural competency and offerings available at the patient-centered medical homes operated by the Federally Qualified Health Centers and healthcare organizations that are closely aligned with Northwestern Medicine Delnor Hospital. By concentrating efforts on improving the most essential community-based component of the healthcare system - the patient-centered medical home - NMCDH focused on ensuring patients receive timely and appropriate care. NMCDH will implement evidence-based practices to address the health concern related to members of the community receiving age and gender-appropriate screenings and other preventive services, including recommended routine immunizations. 3.2 Investigate innovative ways to connect uninsured members of the community with applicable entitlement programs and available healthcare and social services to improve access to medical care. Patients in need of financial assistance were connected with appropriate resources and assisted in the completion of applications for government assistance programs. 3.3 Improve access to evidence-based preventive services, including age and gender-appropriate screenings and routine immunizations. A total of 48 vaccine clinics were provided in Tax Year 2017, as well as 385 free mammograms for patients in need. The CHNA report identified areas of opportunity for health improvement for which NMCDH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. CANCER NMCDH provides a comprehensive range of clinical services to treat and screen for cancer. NMCDH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMCDH could have a greater impact (heart failure and nutrition and weight). IMMUNIZATION AND INFECTIOUS DISEASE IN ADULTS NMCDH provides clinical services to treat pneumonia, asthma and tuberculosis. The ESC recommended that NMCDH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Vaccine services are provided to children as part of the access to care strategies. TOBACCO USE Tobacco use was incorporated into the strategies around chronic disease. INJURY AND VIOLENCE Injury prevention and car seat safety is addressed in our chronic disease initiatives through our ThinkFirst Injury Prevention program and Car Seat initiatives. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT Nutrition, physical activity and weight has been addressed through our preventative efforts in our strategies to address chronic disease. SUBSTANCE ABUSE Substance Abuse has been linked to the priority of mental health, as resources and initiatives to address both concerns are connected.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - DELNOR-COMMUNITY HOSPITAL. The CHNA report also describes Delnor Hospital's CHNA goals and objectives, public dissemination plan, and the process for the development of the implementation plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - DENOR-COMMUNITY HOSPITAL. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY NMDH; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 157 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY INCLUDING REPRESENTATIVES OF THE ORGANIZATIONS BELOW: 1. ADVOCATE SHERMAN HOSPITAL 2. AGENCY ON AGING NORTHEASTERN ILLINOIS 3. ASSOCIATION FOR INDIVIDUAL DEVELOPMENT 4. BATAVIA INTERFAITH FOOD PANTRY AND CLOTHES CLOSET 5. BATAVIA UNITED WAY 6. BENEDICTINE UNIVERSITY 7. BLACKBERRY TOWNSHIP 8. BATAVIA PUBLIC SCHOOL DISTRICT #101 9. CASA KANE COUNTY 10. CATHOLIC SOCIAL SERVICES (CATHOLIC CHARITIES) 11. CENTRO DE INFORMACION 12. CITY OF AURORA 13. COMMUNITY CONTACTS, INC. 14. COMMUNITY FOUNDATION OF THE FOX RIVER VALLEY 15. CONLEY OUTREACH COMMUNITY SERVICES 16. DAYONEPACT 17. ELDERDAY CENTER, INC. 18. ELGIN AREA CHAMBER OF COMMERCE 19. ELGIN PARTNERSHIP FOR EARLY LEARNING 20. ENVIRONMENTAL PROTECTION AGENCY 21. FAMILY SERVICE ASSOCIATION OF GREATER ELGIN AREA 22. FOX VALLEY SPECIAL RECREATION ASSOCIATION 23. GAIL BORDEN LIBRARY 24. GATEWAY FOUNDATION 25. GENEVA PARK DISTRICT 26. GREATER ELGIN FAMILY CARE CENTER 27. HERGET MIDDLE SCHOOL 28. HESED HOUSE 29. HIGHLAND AVENUE CHURCH OF THE BRETHREN 30. HOPE FOR TOMORROW, INC. 31. INC BOARD NFP 32. KANE COUNTY BOARD 33. KANE COUNTY DEVELOPMENT AND COMMUNITY SERVICES DEPARTMENT 34. KANE COUNTY DIVISION OF TRANSPORTATION 35. KANE COUNTY FARM BUREAU 36. KANE COUNTY HEALTH DEPARTMENT 37. KANE COUNTY MEDICAL SOCIETY 38. KANE COUNTY REGIONAL OFFICE OF EDUCATION 39. KANE COUNTY SHERIFF'S OFFICE 40. KANELAND COMMUNITY SCHOOL DISTRICT #302 41. LAO-AMERICAN ORGANIZATION OF ELGIN 42. LAZARUS HOUSE 43. LUTHERAN SOCIAL SERVICES (ELGIN) 44. MARIE WILKINSON FOOD PANTRY 45. MARKLUND HYDE CENTER 46. MUTUAL GROUND 47. NAMI - KANE, DEKALB AND KENDALL COUNTIES 48. NORTHEASTERN ILLINOIS AREA AGENCY ON AGING 49. OPEN DOOR CLINIC OF GREATER ELGIN 50. PADS AT HESED HOUSE 51. PR STRATEGIES AND COMMUNICATIONS/PMS ADVERTISING, INC. 52. PRESENCE MERCY MEDICAL CENTER (AURORA) 53. PRESENCE ST. JOSEPH HOSPITAL (ELGIN) 54. REBUILDING TOGETHER AURORA 55. RENZ ADDICTION COUNSELING CENTER 56. RUSH COPLEY MEDICAL CENTER 57. ST. CHARLES PARK DISTRICT 58. STC UNDERGROUND TEEN CENTER 59. SUICIDE PREVENTION SERVICES 60. SALVATION ARMY OF AURORA 61. TRI CITY FAMILY SERVICES 62. TRI CITY HEALTH PARTNERSHIP 63. U-46 SCHOOL DISTRICT (ELGIN) 64. UNIVERSITY OF ILLINOIS EXTENSION 65. VALLEY INDUSTRIAL ASSOCIATION 66. VILLAGE OF ALGONQUIN 67. VNA HEALTHCARE 68. WAUBONSEE COMMUNITY COLLEGE 69. WAYSIDE CROSS MINISTRIES 70. WELL CHILD CENTER 71. WELLBATAVIA INITIATIVE 72. WEST AURORA SCHOOL DISTRICT #129 73. YWCA ELGIN INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WITH SPECIAL EMPHASIS ON PERSONS WHO WORK WITH OR HAVE SPECIAL KNOWLEDGE ABOUT VULNERABLE POPULATIONS IN CENTRAL KANE COUNTY INCLUDING LOW-INCOME INDIVIDUALS, MINORITY POPULATIONS, THOSE WITH CHRONIC CONDITIONS AND OTHER MEDICALLY UNDERSERVED RESIDENTS. To ensure that organizations impacting health in central Kane County were meaningfully engaged in reviewing and interpreting the findings of the CHNA, developing priorities among the identified needs and forming a collaborative plan to address the top priority needs, the External Steering Committee (ESC) was established and maintained. This multidisciplinary committee was made up of key stakeholders who were selected based on strong collaborative efforts to improve the health of the community, including the medically underserved, minority and low-income populations.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - DELNOR-COMMUNITY HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: 1. Key community organizations and leaders 2. Delnor External Steering Committee 3. Delnor Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Delnor-Community Hospital. Through the prioritization process, NMDH identified three Priority Health Needs: Access to Healthcare Services, Chronic Disease, and Mental Health. NMDH identified health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which NMDH is addressing the significant needs identified in its most recently conducted CHNA are defined as follows: 1 MENTAL HEALTH Mental health and physical health are closely connected. Mental health plays an integral role in the ability to maintain physical health. Mental illnesses, such as depression, anxiety and addiction, affect people's ability to participate in health promoting behaviors. Subsequently, the presence of mental health problems can have a serious impact on chronic disease and decrease the ability to participate in treatment and recovery. To address the identified health needs related to Mental Health and Substance Abuse, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 1.1 Continue strategic planning efforts to evaluate the demand for hospital-based mental health services and identify appropriate NMDH resources to address those needs. A comprehensive strategic plan is being developed to properly address the mental health needs of the NMDH and Northwestern Medicine Central DuPage service areas. The plan will identify the needs and develop strategies to address those needs, including but not limited to expansion of inpatient behavioral health and addiction services and additional capacity in the outpatient mental health service line. 1.2 Provide Community Benefit Grant funding and further solidify relationships with community agencies that can provide outpatient mental health services to the medically underserved residents within the service area. Grants were provided to Tri City Family Services, Ecker Center, Samara Care and World Relief. The following outcomes were reported: A. Tri City Family Services grant outcomes: - 80% reported progress towards treatment plan goals; - 47.3% reported progress in Moods and Emotions which indicate a reduction of anxiety and/or depression symptoms; - 26.5% reported progress in Home/Family, which indicates improvements in family relationships and interactions; - 9.25% reported progress in Thinking, which indicated improved cognition relative to self and others. B. Ecker Center grant outcomes: - Medication Possession Ratio: baseline is 0.89 and it was measured to be consistently a 0.92 over the grant period; - Clients' symptoms improvement baseline is 72% and it was measured that 90% of clients reports symptom improvement. C. Individuals impacted by funding from the Samara Care: Mental Health Access Program reported: (NMDH/NMCDH) - 87% of clients experienced an increase in their GAF scale score; - 90% of those who completed the client satisfaction survey indicated that they agree/strongly agree, "I feel I was able to accomplish what I set out to do," "I am better able to handle conflict and stress." - 95% of those who completed the client satisfaction survey indicated that they agree/strongly agree, "My counselor interventions and interactions were helpful." D. Outcomes reported as the result of NMDH funding to the World Relief Refugee Wellness Program: (NMDH/NMCDH) - 8% of participants were able to identify symptoms of mental illness; - 75% were to identify at least 3 helpful mainstream community resources and report stronger connectedness to members of their own community; - 68% of refugees receiving mental health treatment demonstrated an increased level of functioning, decreased symptoms and completed treatment goals 1.3 Participate in and support initiatives within Kane County that are focused on Mental Health. The Kane County Health Department is currently developing a Community Health Improvement Plan (CHIP) in collaboration with the hospitals and community agencies within the county. One of the identified priorities to be addressed is Mental Health and Substance Abuse. NMDH will continue to participate in the CHIP Executive Committee and the Mental Health Subgroup to develop and implement the action plan to address the health priority of Mental Health and Substance Abuse. 1.4 Complete the planning phase and implement the Mental Health First Aid Program in the NMDH service area. The Mental Health First Aid (MHFA) program is designed to teach residents of the community how to take action when a mental illness is suspected or identified. The intent is to reduce the wide reach and economic toll that mental health disorders and crises have on the community. Individuals within NMDH are currently completing training and the certification process and will begin providing educational sessions to teach parents, family members, caregivers, teachers, school staff, peers and community members how to help an adolescent or adult experiencing a mental health or addiction challenge or crisis. These individuals can then intervene and direct the individual to appropriate resources. The overall goal is to increase awareness and early intervention to those in need of behavioral health services. One NMCDH/NMDH staff was trained to offer the nationally recognized evidence-based Mental Health First Aid program. - 17 classes were held; - 318 individuals (adults and youth) attended the programs; - 100% of MHFA participants scored a minimum of 85% on the MHFA course exam. 2 CHRONIC DISEASE Chronic conditions are responsible for 70% of deaths and 75% of healthcare spending. Chronic disease is a leading cause of disability and lost income. Chronic disease disproportionally affects low-income and minority populations. In the NMDH service area, 35% of adults have been told that they have high blood pressure; 30% have been told they have a high cholesterol reading; 23% are obese; and chronic diseases of the heart are the second leading cause of death. To address the identified deficiencies in Chronic Disease, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 2.1 Provide resources and tools to patients diagnosed with heart failure in order to improve self-management skills and quality of life. NMDH continued to provide a post-discharge community-based heart failure program designed to improve the quality of life and decrease readmission rates for patients diagnosed with heart failure. Efforts to improve the coordination of care for heart failure patients were expanded, and a system of referrals for specialty care and social service needs were implemented. A retrospective study of outcomes related to the program was completed to ensure maximum quality is achieved. Key outcomes of this program were: A. 382 individuals were enrolled in the Community-Based Heart Failure program: (NMDH/NMCDH) - 30-day readmission rate for heart failure diagnosis: 1% (markedly below the national rate); - 85% of clients demonstrated the ability to identify appropriate action in the event of a worsening of their condition; - 97% of clients utilized an effective medication management system; - 86% of clients demonstrated compliance with symptom tracking.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Delnor-Community Hospital. 2.2 Continue to provide, participate and partner in community-based health education, nutrition and activity programs focused on reducing the risk of obesity and chronic disease. NMDH provided community education related to chronic disease in the areas of evidence-based primary interventions (disease prevention, health promotion), evidence-based secondary interventions (screening) and evidence-based tertiary interventions (education to individuals affected with a chronic disease in an effort to promote an optimum state of individual wellness). Programmatic venues included the CATCH (Coordinated Approach to Child Health) program, the Dinner with the Doc series, clinician-led educational offerings, self-help groups, rehabilitation service programs and support programs. A comprehensive plan to increase patient compliance with physician and ancillary staff referrals to smoking cessation resources was also investigated and developed. Community Benefit Grants were also provided to agencies that provide programming related to the priority health need of chronic disease. Key outcomes of these interventions include: A. A total of one educational seminars were offered in the areas of cardiovascular health. A total of 170 individuals attended these seminars. (NMDH/NMCDH combined data.) B. Meeting space was provided at no charge for 20 support groups. (NMDH/NMCDH) C. A total of two educational seminars were offered in the areas of cancer. A total of 102 individuals attended these seminars. (NMDH/NMCDH) D. A total of twelve additional educational seminars were offered. 1,343 individuals attended these seminars. (NMDH/NMCDH) E. Rehabilitation Services offered 18 community programs. 282 individuals attended. (NMDH/NMCDH) F. Diabetes Education Services offered 9 community programs. 78 individuals attended. (NMDH/NMCDH) G. Making Kane County Fit for Kids - Provided parents and children with information on physical activity and eating habits; - Supported a culture of wellness and health promotion in schools, workplaces, and other institutions; - Developed land use, planning and policies to support physical activity; - Provide affordable and accessible fresh fruit and vegetables to all families. H. 104 individuals participated in the Northern Illinois Food Bank's Diabetes Prevention Education Programs. I. Saint Charles Park District CATCH Kids Club utilized their new CATCH Early Childhood equipment set and curriculum to impact the health and wellness of the students and families that attended Baker Station. J. Fox Valley Food for Health built a network of adult and teen volunteers who helped in providing nutrient rich meals, nutrition education and personal caring support to individuals and families dealing with serious illness such as cancer. K. The CATCH Program reached over 778 students and teachers. 89% of children were able to verbalize 6 out of 8 GO foods. 84% of children recognized the importance of consuming GO foods daily. 95% of schools/programs adjusted their snack lists to include healthy (GO) foods. 100% of teachers organized 20 minutes of moderate physical activity. 96% of teachers continued to reinforce the GO-WHOA healthy food message in the classroom. (NMDH/NMCDH) L. A total of 10 community programs and 679 individuals participated in Community Stroke Education presentations. (NMDH/NMCDH) M. A total of 308 Kits for Kids were disseminated in the areas hand washing, bicycle safety and healthy nutrition. (NMDH/NMCDH) N. A total of 184 individuals participated in smoking cessation programs. 91% self-reported smoking cessation by the end of week 3. (NMCDH/NMDH) O. The Think First Curriculum was offered to 24,240 children from kindergarten through high school and 132,733 individuals participated in Think First community events. (NMDH/NMCDH): - A total of 6,549 children were fitted for and received bike helmets (NMDH/NMCDH); - A total of 77 couples attended child safety classes (NMDH/NMCDH); - A total of 1066 car seats were checked / distributed (NMDH/NMCDH); 3 ACCESS TO CARE An aging population, coupled with a challenging economy and an increasing prevalence of chronic disease, create access-to-care issues relating to both the affordability and availability of care. NMDH seeks to promote access through a variety of initiatives identified below. NMDH will continue to work with individuals and families to promote access to medically necessary services by maintaining an accessible financial assistance program. Additionally, staff and leadership will work collaboratively with key community partners to promote a seamless continuum of care into local medical home settings. To improve Access to Health Services, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 3.1 Strengthen and increase patient affiliation with high-quality patient-centered medical homes. NMDH and its partners from the External Steering Committee focused efforts on strengthening the care coordination, availability, cultural competency and offerings available at the patient-centered medical homes operated by the Federally Qualified Health Centers and healthcare organizations that are closely aligned with Northwestern Medicine Delnor Hospital. By concentrating efforts on improving the most essential community-based component of the healthcare system - the patient-centered medical home - NMDH focused on ensuring patients receive timely and appropriate care. NMDH continued its long-established partnership with Tri City Health Partnership looked for ways to strengthen the patient-centered medical home. NMDH supported this partnership through grant funding, knowledge sharing efforts and streamlined access to medically appropriate diagnostic and specialty services at NMDH and within the Northwestern Medicine Regional Medical Group. In Tax Year 2017, 106 patients from TCHP received care at no charge at Northwestern Medicine facilities. NMDH will implement evidence-based practices to address the health concern related to members of the community receiving age and gender-appropriate screenings and other preventive services, including recommended routine immunizations. 3.2 Investigate innovative ways to connect uninsured members of the community with applicable entitlement programs and available healthcare and social services to improve access to medical care. Patients in need of financial assistance were connected with appropriate resources and assisted in the completion of applications for government assistance programs. 3.3 Improve access to evidence-based preventive services, including age and gender-appropriate screenings and routine immunizations. A total of 48 vaccine clinics were provided in Tax Year 2017, as well as 385 free mammograms for patients in need. The CHNA report identified areas of opportunity for health improvement for which NMDH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. CANCER NMDH provides a comprehensive range of clinical services to treat and screen for cancer. NMDH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMDH could have a greater impact (heart failure and nutrition and weight). IMMUNIZATION AND INFECTIOUS DISEASE IN ADULTS NMDH provides clinical services to treat pneumonia, asthma and tuberculosis. The ESC recommended that NMDH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Vaccine services are provided to children as part of the access to care strategies. TOBACCO USE Tobacco use was incorporated into the strategies around chronic disease. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT Nutrition, physical activity and weight has been addressed through our preventative efforts in our strategies to address chronic disease. SUBSTANCE ABUSE Substance Abuse has been linked to the priority of mental health, as resources and initiatives to address both concerns are connected.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - DELNOR-COMMUNITY HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - DELNOR-COMMUNITY HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. The CHNA report also describes Kishwaukee Hospital background, charity care, the mission, CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. PARTNERING WITH DEKALB COUNTY HEALTH DEPARTMENT, THE CHNA PROCESS INCLUDED A SURVEY ADMINISTERED TO COMMUNITY PARTNERS, THEIR EMPLOYEES, AND CLIENTS, TO ALLOW RESPONSES FROM LOW-INCOME AREAS, MENTAL HEALTH CLINICS, YOUTH ORGANIZATIONS AND FOOD PANTRIES. REPRESENTATIVES OF THE COMMUNITY INCLUDED: 1. ADVENTURE WORKS DEKALB 2. CITY OF DEKALB 3. CITY OF SYCAMORE 4. DEKALB COUNTY NON-PROFIT PARTNERSHIP 5. DEKALB COUNTY BOARD OF HEALTH 6. DEKALB COUNTY COMMUNITY DEVELOPMENT 7. DEKALB COUNTY COMMUNITY FOUNDATION 8. DEKALB COUNTY HEALTH DEPARTMENT 9. DEKALB COUNTY MENTAL HEALTH BOARD AND COMMUNITY ACTION 10. DEKALB CUSD 428 11. FAMILY FIRST PHYSICIANS 12. FOX VALLEY YMCA 13. KISHWAUKEE YMCA FINDINGS REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS. AN EXTERNAL STEERING COMMITTEE WAS CONVENED TO PROVIDE OVERSIGHT TO THE DEVELOPMENT OF THE CHNA AND ENGAGE THE COMMUNITY THROUGHOUT THE PROCESS UNDER THE LEADERSHIP AND DIRECTION OF MEMBERS FROM DEKALB COUNTY HEALTH DEPARTMENT, KISHWAUKEE HOSPITAL, AND NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. KISHWAUKEE HOSPITAL WORKED IN TANDEM WITH VALLEY WEST HOSPITAL AND SHARED RESPONSIBILITIES ON A JOINT STEERING COMMITTEE. SPECIFIC NEEDS AND CONCERNS OF KISHWAUKEE COMMUNITY HOSPITAL WERE IDENTIFIED AND ADDRESSED SEPARATELY.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. KISHWAUKEE HOSPITAL COMPLETED A CHNA IN PARTNERSHIP WITH DEKALB COUNTY HEALTH DEPARTMENT. THE TWO ORGANIZATIONS COLLABORATED UNDER THE NAME "TOGETHER FOR A HEALTHIER DEKALB COUNTY" FOR THE PURPOSE OF THE CHNA. THE TOGETHER FOR A HEALTHIER DEKALB COUNTY STEERING COMMITTEE, MADE UP OF EMPLOYEES FROM BOTH ORGANIZATIONS, UTILIZED THE ASSESSMENT TOOL OF MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) IN JANUARY 2018. MAPP IS A COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: * Key Community Organizations & Leaders * Internal & External Steering Committee Members * Kishwaukee Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - KISHWAUKEE HOSPITAL. Northwestern Medicine Kishwaukee Hospital (NMKH) completed a comprehensive Community Health Needs Assessment (CHNA) to identify the highest priority health needs of residents within our community, and use this information to guide new and existing efforts to improve the overall health of the populations served. The goals of the CHNA was to implement a structured data driven approach to determine health status, behaviors, and needs of all residents in the NMKH service area. Through this assessment and prioritization process NMKH identified three health priority needs; Cancer, Cardiovascular Disease and Maternal Child Health. Specific ways in which NMKH is addressing the needs identified in the CHNA are defined as follows: 1 CANCER Cancer remains the second leading cause of death in the United States (Center for Disease Control and Prevention, 2012) and of DeKalb County residents. By cancer site, lung cancer is the most common site for both genders. The leading male cancer site deaths are lung, colorectal, and prostate, while the leading female cancer site deaths are lung, breast, and colorectal. The Centers of Disease Control and Prevention reports adult smoking prevalence as the estimated percent of the adult population that currently smokes every day of "most days" and has smoked at least 100 cigarettes in their lifetime. According to the County Health Rankings 2015 approximately 20% of DeKalb County adults, aged 18 and older, self-reported tobacco use, this is higher than the averages of both the state and the U.S. According to the National Cancer Institute, smoking causes many types of cancer, including cancers of the throat, mouth, nasal cavity, esophagus, stomach, pancreas, kidney, bladder and cervix and acute myeloid leukemia. Screening refers to tests and exams used to find disease, such as cancer, in people who do not have any symptoms. Current American Cancer Society guidelines include methods for early detection of the cervix, breast, colon and rectum, endometrial and prostate. Cancer-related check-ups depending on age and gender may include exams for cancers of the thyroid, mouth, skin, lymph nodes, testes and ovaries. Among the population 50 years and older, 53.5% in 2010 received a colonoscopy or sigmoidoscopy. More than half of all cancer deaths can be prevented by making healthy choices such as, not smoking, maintaining a healthy weight, eating right and keeping active and participating in cancer screenings. 1.1 The American Respiratory Associations, Courage to Quit smoking cessation programs are offered throughout the year to the community and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. During the fiscal year there were six group cessation classes and two private presentations, which provide 21 people with some type of tobacco cessation opportunity. 1.2 NMKH works to support activities related to smoking prevention programs in school age children through collaboration with local school districts. Tar Wars is supported in part by a grant from the American Academy of Family Physicians Foundation. This program has shown to be effective in increasing students' knowledge of and attitudes toward tobacco use and advertising. The program is consistent with best practice guideline for youth tobacco prevention programs set forth by the Centers for Disease Control and Prevention. Locally was offered five times at middle school at the 6th grade level. CATCH My Breath is a prevention program that provides students with skills to resist peer pressure and media influences to try electronic nicotine delivery systems, commonly known as e-cigarettes. This program was offered 26 times and impacted 564 students at the middle school level during the fiscal year. 1.3 NMKH supports the work of DeKalb county Health Department's Women, Infants and Children (WIC) population on the effects of smoking during pregnancy. In partnership with the DeKalb County Health Department meetings were held and campaign material designed with messaging related to the effects of smoking during pregnancy and exposure to second hand smoking. Clients of the health department receive the information at each appointment at the health department. The health department saw approximately 400 clients of which 46 identified as smokers and were given targeted materials and resources at each appointment. Of those who reported smoking, 28 decreased or quit completely. 1.4 Efforts are made to promote free and reduced cost mammograms to women with the following criteria: between the ages of 40-64 years of age, reside within DeKalb County, and no insurance/under insured or high deductible plan. Information about this program is shared at various events throughout the community during the fiscal year, total women who qualified based on the criteria and received free screening was 11 women. 1.5 Information related to skin cancer prevention and education is provided at various community events. The information shared was from The American Academy of Dermatology on best practice on early detection and sun safety. Information was given at several community events and 250 people received information related to best practice behaviors for UV safety and early detection. 2 CARDIOVASCULAR DISEASE Cardiovascular Disease, principally heart disease and stroke, is the leading cause of death in the U.S. for both men and women among all racial and ethnic groups (Centers for Disease Control and Prevention, 2012). It is also the leading cause of death among DeKalb County residents. Cardiovascular disease is the most widespread and costly health problem, although heart disease and stroke are often preventable. High cholesterol is one of the major risk factors leading to heart disease, heart attack, and stroke, and uncontrolled high blood pressure can injure or kill. Over one-fourth of DeKalb County residents have high cholesterol (25.9%) or high blood pressure (27.3%) and almost two-thirds (64.4%) are overweight or obese based on body mass index (BMI). Overweight or obesity increases risk for high cholesterol, high blood pressure, and insulin resistance, and is a precursor of type 2 diabetes - all factors that heighten risk for cardiovascular disease. The proportions of DeKalb County residents who currently smoke is 20.0%, much higher than previous rates and slightly higher than the 18.0% rate of the state. The National Cancer Institute reports that people who smoke are up to six times more likely to suffer a heart attack than nonsmokers, and the risk increases with the number of cigarettes smoked. 2.1 Better prevention of and the management of high cholesterol, high blood pressure or diabetes to help lower the risk for heart disease is a key component to the Know Your Numbers biometric screening appointments. A screening designed to provide a participant with their individual cardiovascular risk factors including fasting glucose, total cholesterol, Body Mass Index (BMI), blood pressure and waist measurement. Lifestyle changes such as quitting or never smoking, limiting alcohol use, exercising and eating healthy all lower risk for cardiovascular disease and are thoroughly discussed during the screening appointments. Community members have access to this complimentary screening and appointments are available monthly. 138 community members participated in the screening. Additionally, blood pressure checks are offered weekly free of charge for community members and patients at two locations; Kishwaukee Hospital and NM Genoa clinic. The goal of offering the blood pressure checks is to improve awareness of one's own blood pressure number, an indicator used for heart disease risk factors. 1,907 people participated in blood pressure screenings during the fiscal year. 2.2 The Leishman Center for Culinary Health offers a variety of natural, whole foods cooking classes designed to help participants make simple changes for a healthier lifestyle. Classes offered in the center include disease specific offerings such as Eat to Beat: Cancer and Eat to Beat: Heart Disease. The philosophy of the Leishman Center is focused around eating real food, which support the mission of the department in tackling chronic illness, disease and obesity. The Leishman Center for Culinary Health reached more than 1,800 participants through 171 in-house classes and external programs.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Kishwaukee Hospital. 2.3 Increase awareness on the daily consumption of sodium and its impact on high blood pressure, which is a leading risk factor for cardiovascular disease. As part of larger community events, NMKH participated in seven community opportunities to share information related to sodium consumption, reading a nutrition label to identify sodium on the label, and helpful tips for reducing sodium in the diet, this evidence based information is from the American Heart Association. The development and implementation of the program called Managing your Blood Pressure with the DASH (Dietary Approaches to Stop Hypertension) Diet was also implemented. This 4-week educational series on how to manage hypertension using the DASH Eating Plan was offered four times throughout the year and had a total of 20 participants. The number of participants able to identify sodium on a food label by week 4 of the program was 20 participants. The number of the participants able to use/follow the DASH Eating Plan by week 4 was 20 participants. The class continues to be offered on a quarterly basis. 2.4 The hospital supports and collaborates with the DeKalb County Health Department and Northern Illinois University Departments of Nursing, Kinesiology and Physical Education to implement the CATCH program in local school districts. CATCH aims to impact the messaging a child receives in physical education, the lunchroom, the classroom, and at home, to influence a child's choices. This program seeks to motivate and educate students and families on eating healthy and moving more. During the fiscal year 13,329 students received lessons in the classroom from NMKH employees. In collaboration with the partners, 630 students received lessons in the classroom. Additionally, there were two family events for the community in which 250 people participated in learning about healthy eating and making healthier choices. 3 MATERNAL CHILD HEALTH According to the Centers for Disease Control and Prevention, safe motherhood begins before conception with good nutrition and a healthy lifestyle. It continues with appropriate prenatal care with the ideal result being a full-term pregnancy without unnecessary interventions and the delivery of a healthy baby. In addition, it includes a healthy postpartum period in a positive environment that supports the physical and emotional needs of the mother, baby and family. 2012 birth rates for DeKalb County by race/ethnicity were white non-Hispanic (72.2%), black non-Hispanic (9.0%), other non-Hispanic (2.6%) and Hispanic (16.2%). Over one-third (36.7%) of DeKalb County births were to unmarried mothers, a record high for the county and more than three times the 1980 proportion (9.7%). Almost one-third (32.3%) of DeKalb County births were to women ages 25-29 years, while one quarter (24.7%) were born to women ages 30-34 and another quarter (24.5%) to ages 20-24. The percentage of women in DeKalb County who smoke during pregnancy has increased 3% since 2012. Currently 12% of pregnant women smoke. 105 DeKalb County births were of low weight (less than 2,500 grams or five and one-half pounds). Low birth weight percentages by race/ethnicity for 2012 were white non-Hispanic (7.8%), black non-Hispanic (13.1%), other non-Hispanic (16.1%) and Hispanic (9.9%). The proportions of both black and Hispanic low birth weight births tripled from 2009 to 2012. Birth weight is a leading indicator for the health of a population. DeKalb County low birth weight babies reached a 30-year high and the proportion of both black and Hispanic low birth weights tripled from 2009 to 2012. In addition, the service area experienced a significant increase in pregnant women who smoke. Understanding and addressing maternal child health issues helps to improve the well-being of mothers and infants and children. Respiratory issues continuing to be the leading cause for ED visits in children under the age of 18. 3.1 NMKH community wellness continued to offer ongoing sessions of the Respiratory Health Association's Courage to Quit smoking cessation programs to women who are receiving services at the DeKalb County Health Department. 3.2 This evidence based program is aimed at discussing asthma signs, symptoms, management plans, and medication options to educate parents of asthmatic children to reduce costly emergency department visits. This program was planned, implemented and publicized in the community wellness program guide. No class was offered due to the lack of registration. Efforts are being made to increase awareness of a future program. 3.3 NMKH supports the work of DeKalb county Health Department's Women, Infants and Children (WIC) population on the effects of smoking during pregnancy. In partnership with the DeKalb County Health Department meetings were held and campaign material designed with messaging related to the effects of smoking during pregnancy and exposure to second hand smoking. This material is given to Clients of the health department at each visit to discuss the harmful effects of smoking, secondhand smoke, and the benefits of smoke free living spaces and vehicles. Approximately 400 clients in the WIC program received information. 3.4 The hospital supports and collaborates with the DeKalb County Health Department and Northern Illinois University Departments of Nursing, Kinesiology and Physical Education to implement the CATCH program in local school districts. CATCH aims to impact the messaging a child receives in physical education, the lunchroom, the classroom, and at home, to influence a child's choices. This program seeks to motivate and educate students and families on eating healthy and moving more. During the fiscal year, 13,329 students received lessons in the classroom from NMKH employees. In collaboration with the partners, 630 students received lessons in the classroom. Additionally, there were two family events for the community in which 250 people participated in learning about healthy eating and making healthier choices. The CHNA report identified area of opportunity for health improvement for which NMKH and its external committee determined it would not prepare an implementation plan and strategy. These identified areas and the reason for not addressing are listed below: Access to health services Access to health services ranked as a concern that will be addressed within the health priorities selected through the MAPP process. Environmental Health NMKH did not select this as a priority to address in the population, as there are programs and initiatives available through other organizations, such as the Local Health Department within DeKalb County. Health communication/Health Information Technology NMKH did not select this as a priority to address, however, the hospital does utilize tools such as an electronic medical record as a way to continue to assist patients and community members with Health Information Technology. Infectious Disease/Sexually transmitted infections NMKH did not select this as a priority to address in the population, as there are programs and initiatives available through other organizations within DeKalb County. Injury and violence NMKH did not select this as a priority to address in the population, as there are programs and initiatives available through the organizations within DeKalb County. Social determinants of health Social Determinants of Health ranked as a concern that will be address within the health priorities selected through the MAPP process.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - KISHWAUKEE COMMUNITY HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - KISHWAUKEE COMMUNITY HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. The CHNA report also describes Valley West Hospital background, charity care, the mission, CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. PARTNERING WITH DEKALB COUNTY HEALTH DEPARTMENT, THE CHNA PROCESS INCLUDED A SURVEY ADMINISTERED TO COMMUNITY PARTNERS, THEIR EMPLOYEES, AND CLIENTS, TO ALLOW RESPONSES FROM LOW-INCOME AREAS, MENTAL HEALTH CLINICS, YOUTH ORGANIZATIONS AND FOOD PANTRIES. REPRESENTATIVES OF THE COMMUNITY INCLUDED: 1. ADVENTURE WORKS DEKALB 2. CITY OF DEKALB 3. CITY OF SYCAMORE 4. DEKALB COUNTY NON-PROFIT PARTNERSHIP 5. DEKALB COUNTY BOARD OF HEALTH 6. DEKALB COUNTY COMMUNITY DEVELOPMENT 7. DEKALB COUNTY COMMUNITY FOUNDATION 8. DEKALB COUNTY HEALTH DEPARTMENT 9. DEKALB COUNTY MENTAL HEALTH BOARD AND COMMUNITY ACTION 10. DEKALB CUSD 428 11. FAMILY FIRST PHYSICIANS 12. FOX VALLEY YMCA 13. KISHWAUKEE YMCA FINDINGS REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS. AN EXTERNAL STEERING COMMITTEE WAS CONVENED TO PROVIDE OVERSIGHT TO THE DEVELOPMENT OF THE CHNA AND ENGAGE THE COMMUNITY THROUGHOUT THE PROCESS UNDER THE LEADERSHIP AND DIRECTION OF MEMBERS FROM DEKALB COUNTY HEALTH DEPARTMENT, KISHWAUKEE HOSPITAL, AND NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. VALLEY WEST HOSPITAL WORKED IN TANDEM WITH KISHWAUKEE HOSPITAL AND SHARED RESPONSIBILITIES ON A JOINT STEERING COMMITTEE. SPECIFIC NEEDS AND CONCERNS OF VALLEY WEST HOSPITAL WERE IDENTIFIED AND ADDRESSED SEPARATELY.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. VALLEY WEST HOSPITAL PARTNERED WITH DEKALB COUNTY HEALTH DEPARTMENT UNDER THE NAME "TOGETHER FOR A HEALTHIER DEKALB COUNTY" AND UTILIZED THE ASSESSMENT TOOL OF MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP). THIS COLLABORATION ENGENDERED BROADER THINKING ABOUT COMMUNITY NEEDS FOR THE VALLEY WEST COMMUNITY.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - VALLEY WEST HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: * Key Community Organizations & Leaders * NMVWH Internal & External Steering Committee Members * Northwestern Medicine Valley West Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Valley West Hospital. Northwestern Medicine Valley West Hospital (NMVW) completed a comprehensive Community Health Needs Assessment (CHNA) to identify the highest priority health needs of residents within our community, and use this information to guide new and existing efforts to improve the overall health of the populations served. The goals of the CHNA was to implement a structured data driven approach to determine health status, behaviors, and needs of all residents in the NMVW service area. Through this assessment and prioritization process NMVW identified three health priority needs; Cancer, Cardiovascular Disease and Diabetes. Specific ways in which NMVW is addressing the needs identified in the CHNA are defined as follows: 1 CANCER Cancer remains the second leading cause of death in the United States (Center for Disease Control and Prevention, 2012) and of DeKalb County residents. By cancer site, lung cancer is the most common site for both genders. The leading male cancer site deaths are lung, colorectal, and prostate, while the leading female cancer site deaths are lung, breast, and colorectal. The Centers of Disease Control and Prevention reports adult smoking prevalence as the estimated percent of the adult population that currently smokes every day of "most days" and has smoked at least 100 cigarettes in their lifetime. According to the County Health Rankings 2015 approximately 20% of DeKalb County adults, aged 18 and older, self-reported tobacco use, this is higher than the averages of both the state and the U.S. According to the National Cancer Institute, smoking causes many types of cancer, including cancers of the throat, mouth, nasal cavity, esophagus, stomach, pancreas, kidney, bladder and cervix and acute myeloid leukemia. Screening refers to tests and exams used to find disease, such as cancer, in people who do not have any symptoms. Current American Cancer Society guidelines include methods for early detection of the cervix, breast, colon and rectum, endometrial and prostate. Cancer-related check-ups depending on age and gender may include exams for cancers of the thyroid, mouth, skin, lymph nodes, testes and ovaries. Among the population 50 years and older, 53.5% in 2010 received a colonoscopy of sigmoidoscopy. More than half of all cancer deaths can be prevented by making healthy choices such as, not smoking, maintaining a healthy weight, eating right and keeping active and participating in cancer screenings. 1.1 The American Respiratory Association's Courage to Quit smoking cessation programs are offered throughout the year to the community and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. This program continues to be offered on a regular basis at NMVW. 1.2 NMVW works to support activities related to smoking prevention programs in school age children through collaboration with local school districts. This prevention program provides students with skills to resist peer pressure and media influences to try nicotine delivery systems, commonly known as E-Cigarettes. This program was offered to 73 students at the middle school to 7th grade level during the fiscal year. 1.3 NMVW supports the work of DeKalb county Health Department's Women, Infants and Children (WIC) population on the effects of smoking during pregnancy. In partnership with the DeKalb County Health Department meetings were held and campaign material designed with messaging related to the effects of smoking during pregnancy and exposure to second hand smoking. Clients of the health department receive the information at each appointment at the health department. The health department saw approximately 400 clients of which 46 identified as smokers and were given targeted materials and resources at each appointment. Of those who reported smoking, 28 decreased or quit completely. 1.4 Efforts are made to promote free and reduced cost mammograms to women with the following criteria: between the ages of 40-64 years of age, reside within DeKalb County, and no insurance/under insured or high deductible plan. Information about this program is shared at various events throughout the community during the fiscal year, total women who qualified based on the criteria and received free screening was four women. 1.5 Information related to skin cancer prevention and education is provided at various community events. The information shared was from The American Academy of Dermatology on best practice on early detection and sun safety. Information was shared at community events and 250 people received information related to best practice behaviors for UV safety and early detection. 2 CARDIOVASCULAR DISEASE Cardiovascular Disease, principally heart disease and stroke, is the leading cause of death in the U.S. for both men and women among all racial and ethnic groups (Centers for Disease Control and Prevention, 2012). It is also the leading cause of death among DeKalb County residents. Cardiovascular disease is the most widespread and costly health problem, although heart disease and stroke are often preventable. High cholesterol is one of the major risk factors leading to heart disease, heart attack, and stroke, and uncontrolled high blood pressure can injure or kill. Over one-fourth of DeKalb County residents have high cholesterol (25.9%) or high blood pressure (27.3%) and almost two-thirds (64.4%) are overweight or obese based on body mass index (BMI). Overweight or obesity increases risk for high cholesterol, high blood pressure, and insulin resistance, and is a precursor of type 2 diabetes - all factors that heighten risk for cardiovascular disease. The proportions of DeKalb County residents who currently smoke is 20.0%, much higher than previous rates and slightly higher than the 18.0% rate of the state. The National Cancer Institute reports that people who smoke are up to six times more likely to suffer a heart attack than nonsmokers, and the risk increases with the number of cigarettes smoked. 2.1 Better prevention of and the management of high cholesterol, high blood pressure or diabetes to help lower the risk for heart disease is a key component to the Know Your Numbers biometric screening appointments. A screening designed to provide a participant with their individual cardiovascular risk factors including fasting glucose, total cholesterol, Body Mass Index (BMI), blood pressure and waist measurement. Lifestyle changes such as quitting or never smoking, limiting alcohol use, exercising and eating healthy all lower risk for cardiovascular disease and are thoroughly discussed during the screening appointments. Community members have access to this complimentary screening and appointments are available monthly. 62 community members participated in the screening. NMVW works with local school districts to provide the biometric screening to district staff, there were five events held and 76 district employees who benefited from this complimentary screening on-site at the school locations. Additionally, blood pressure checks are offered weekly free of charge for community members and patients at NMVW aimed at improving awareness of one's own blood pressure number, an indicator used for heart disease risk factors. 704 people participated in blood pressure screenings during the fiscal year. 2.2 Increase awareness on the daily consumption of sodium and its impact on high blood pressure, which is a leading risk factor for cardiovascular disease. As part of larger community events, NMVW participated in six community opportunities to share information related to sodium consumption, reading a nutrition label to identify sodium on the label, and helpful tips for reducing sodium in the diet, this evidence based information is from the American Heart Association. The development and implementation of the program called Managing your Blood Pressure with the DASH (Dietary Approaches to Stop Hypertension) Diet was also implemented. This 4-week educational series on how to manager hypertension using the DASH Eating Plan was offered two times throughout the year and had a total of 3 participants. The number of participants able to identify sodium on a food label by week 4 of the program was 3 participants. The number of the participants able to use/follow the DASH Eating Plan by week 4 was 3 participants. Additionally, 35 community members participated in a blood pressure program aimed at increasing knowledge on lifestyle factors related to lowering blood pressure, incorporating more fruits and vegetables into their diet, and incorporating physical activity daily.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Valley West Hospital. 2.3 Founded by the American Heart Association and the Clinton Foundation, the Alliance for a Healthier Generation is a collaborative of change makers working to create a national where children thrive. The evidence based Health School Program is currently building healthier school environments for eleven local schools in NMVW primary service area. The Healthy Schools Program Framework of Criteria identifies best practices to create a healthier school environment. Three schools were recognized at the National Bronze level this year. To earn the award, schools must demonstrate implementation of specific best practices in each of the following modules that address school health: School Health and Safety Policies and Environment, Health Education, Physical Education and other Physical Activity Programs, Nutrition Services, Health Promotion for Staff, and Family and Community Involvement. These three schools joined six additional schools in the local districts who already have been awarded and carry this designation. As a best practice using the Healthy Schools Program, the hospital facilitates with the local school districts a walking challenge among the staff to engage faculty to become more physically active. These walking challenges offered in the spring had over 170 staff participate in the four-week challenge. 3 DIABETES/KIDNEY DISEASE Diabetes is a disease marked by high levels of blood glucose and can lead to serious complications and premature death. If untreated, diabetes can cause more serious health complications, including, but not limited to heart disease; stroke; eye, foot, and skin complication; high blood pressure; hearing loss, and kidney disease as defined by the American Diabetes Association. Almost two thirds (64.4%) of DeKalb County adults are overweight or obese based on body mass index (BMI) calculated from height and weight. The proportion of obese individuals has risen substantially since 2001, when the proportion stood at 18.8%. According to the Centers for Disease Control and Prevention, being overweight or obese increases the likelihood of developing diabetes and excess weight keeps the body from making and using insulin properly. Moderate exercise of about 30 minutes or more 5 days per week, or 150 minutes or more per week, resulting in a 5% to 7% weight loss can delay and possibly prevent type 2 diabetes. In DeKalb County, 4.4% of the population 18 years and older are afflicted with diabetes, with a significant increase to 18.9% in those aged 65 and over. Diabetes was noted as a top 10 health concern in the online community survey. Also, worth mentioning is the increase in diagnosis related groups with the health system for renal failure. Uncontrolled diabetes can contribute to kidney/renal issues. NMVW Center for Diabetes offers diabetes screenings, dietic and nutrition counseling, and mindful eating programs for prediabetes and diabetes to assist with management of this chronic issue. 3.1 Northwestern Medicine Kishwaukee and Valley West Hospital Diabetes Centers will provide diabetes education to school personnel, home care agencies, long-term care facilities, and other community/organizations upon request. Presentations are tailored to the organizations/establishment's request. Diabetes education was offered to 12 organizations and to 146 people. 3.2 Northwestern Medicine Valley West Hospital Diabetes Center will provide 6-week comprehensive Managing Diabetes Mindfully classes throughout the year regularly. This curriculum is approved by the American Diabetes Association meeting required diabetes self-management training and education criteria. Managing Diabetes Mindfully classes were offered 6 times to 11 people at Northwestern Medicine Valley West Hospital Diabetes Center. Additionally, this program is also offered at the Kishwaukee Hospital Diabetes Center and community members from the service area can also attend this program and location. At this location, Managing Diabetes Mindfully classes were offered 12 times to 112 people. 3.3 The Road to Health program was designed by the National Diabetes Education Program (NDEP), in partnership with the Center of Disease Control, the Department of Health and Human Services and the National Institutes of Health. The program is designed to preventatively educate Hispanic individuals on how to prevent or delay that may be at high risk for developing type 2 diabetes. It offers lessons in helping understand and identify at least 5 risk factors for type 2 diabetes, identify symptoms of type 2 diabetes, define serving and portion sizes for common foods, identify serving sizes, total calories, and saturated fat on a nutrition facts label, understand the importance of making small lifestyle changes to prevent or delay the onset of type 2 diabetes and use a NDEP Food and Activity Tracker to record food and drink intake and physical activity. The curriculum is specifically designed for the Hispanic community, offering culturally specific intervention methodologies. This program was done in partnership with a Spanish language church and at a local high school. The program impacted 32 individuals during the four sessions of the program that were offered. The CHNA report identified areas of opportunity for health improvement for which NMVW and its external committee determined it would not prepare an implementation plan and strategy. These identified areas and the reason for not addressing are listed below: Access to health services Access to health services ranked as a concern that will be addressed within the health priorities selected through the MAPP process. Environmental Health NMVW did not select this as a priority to address in the population, as there are programs and initiatives available through other organizations, such as the Local Health Department within DeKalb County. Health communication/Health Information Technology NMVW did not select this as a priority to address, however, the hospital does utilize tools such as an electronic medical record as a way to continue to assist patients and community members with Health Information Technology. Infectious Disease/Sexually transmitted infections NMKH did not select this as a priority to address in the population, as there are programs and initiatives available through other organizations within DeKalb County. Injury and violence NMVW did not select this as a priority to address in the population, as there are programs and initiatives available through the organizations within DeKalb County. Social determinants of health Social Determinants of Health ranked as a concern that will be address within the health priorities selected through the MAPP process.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. THE CHNA REPORT ALSO DESCRIBES MARIANJOY REHABILITATION HOSPITAL BACKGROUND, CHARITY CARE, THE MISSION, CHNA GOALS AND OBJECTIVES, PUBLIC DISSEMINATION PLAN, AND DEVELOPMENT OF THE IMPLEMENTATION PLAN.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS. THE LIST OF PARTICIPANTS WAS PROVIDED BY MARIANJOY REHABILITATION HOSPITAL AND INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 41 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY INCLUDING REPRESENTATIVES OF THE ORGANIZATIONS BELOW: 1. DUPAGE FOUNDATION 2. DUPAGE SENIOR CITIZENS COUNCIL 3. DUPAGE UNITED 4. EDUCARE WEST DUPAGE 5. FOX VALLEY SPECIAL RECREATION ASSOCIATION 6. NAMI DUPAGE 7. NORTHERN ILLINOIS FOOD BANK 8. PEOPLE'S RESOURCE CENTER 9. SAMARACARE 10. SENIOR SERVICES ASSOCIATES, INC. 11. WARRENVILLE PARK DISTRICT 12. WESTERN DUPAGE SPECIAL RECREATION ASSOCIATION 13. WEST CHICAGO PUBLIC LIBRARY DISTRICT 14. WINFIELD PARK DISTRICT THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFIED PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BE BETTER ADDRESSED. FINDING REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE ONLINE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FORM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. IN ADDITION TO PROVIDING THE CHNA REPORT ON THE WEBSITE AND MAKING IT AVAILABLE TO THE PUBLIC UPON REQUEST, THE CHNA REPORT WAS ALSO DISTRIBUTED TO THE FOLLOWING: * KEY COMMUNITY ORGANIZATIONS & LEADERS * MARIANJOY REHABILITATION HOSPITAL INTERNAL & EXTERNAL STEERING COMMITTEE MEMBERS * MARIANJOY REHABILITATION HOSPITAL LEADERSHIP
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Marianjoy Rehabilitation Hospital. Through the prioritization process, Marianjoy Rehabilitation Hospital (MRH) identified 4 priority health needs: 1. Access to healthcare services 2. Chronic disease management and rehabilitation 3. Promoting Independence in Individuals with Disabilities 4. Injury Prevention MRH identified priority health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which MRH is addressing the significant needs identified in its most recently conducted CHNA are below. 1 Access to healthcare services MRH ensures that residents of our community have access to high quality medically necessary healthcare services in the most appropriate setting. Dedicated to the delivery of physical medicine and rehabilitation, MRH offers specialty programs for adult and pediatric patients recovering from injury or illness in both the inpatient and outpatient settings. MRH is committed to developing and maintaining programs that address the affordability of and accessibility to healthcare services. Additionally, MRH offers a comprehensive financial assistance program to patients who are unable to afford the cost of necessary medical care. MRH seeks to engage and maintain a multicultural workforce of primary care providers, specialists, midlevel practitioners, registered professional nurses and other specialties committed to working in an evidence-based practice setting by providing a clinical site for educational experiences. The development and implementation of the DuPage County Access to Health Services Action Plan is led by the DuPage Health Coalition. Formerly known as Access DuPage, the Coalition is a collaborative effort by thousands of individuals and hundreds of organizations in DuPage County to provide access to medical services to the county's low-income, medically uninsured residents. The DuPage Health Coalition also operates the Silver Access Program, which provides financial help to lower income families purchasing Health Insurance through the Affordable Care Act's Healthcare Marketplace. In early 2017, the DuPage Health Coalition will open the DuPage Dispensary of Hope, a new free pharmacy program in Wheaton, offered in partnership with DuPage County. MRH leadership and staff work collaboratively with the DuPage Coalition to promote affordable access to care for all residents of DuPage County. MRH will continue to support national and local efforts to increase access to care by providing leadership, investing resources and working collaboratively with other community organizations throughout the county. In conjunction with DuPage Health Coalition's Access DuPage program and independent medical providers, MRH will support the maintenance of an efficient and effective continuum of care for individuals with disabilities, offering inpatient and outpatient rehabilitation services to those in need. 1.1 MRH will offer financial assistance policies that are easily accessible, user-friendly, respectful, and meet all regulatory requirements. In FY18, Marianjoy completed another audit and will expand communication of programs through the registration process. 1.2 MRH will continue to provide medically necessary inpatient and outpatient hospital services to uninsured and underinsured patients in accordance with the hospital's financial assistance policies. MRH tracked the number of individuals and the amount of rendered financial assistance annually. In FY18, 168 patients/services provided, in the amount of $1,547,991 of community care provided. 1.3 MRH will continue to address the needs of individuals identified as potentially eligible for public health insurance by facilitating their application for government-sponsored healthcare coverage via a trained in-person staff who will assist in facilitating enrollment. In FY18, MRH maintained 99% approval rate of applications submitted. 1.4 MRH leadership will continue representation on various task forces and work groups related to the collaborative work occurring on access to care issues. In FY18, MRH continued coordination of monetary support of Access DuPage services. 1.5 MRH will provide low-cost transportation to outpatient appointments. In FY18, MRH provided 13,662 rides through MRH transport services. 1.6 MRH will continue to provide free inpatient and outpatient care to all Access DuPage clients in accordance with presumptive eligibility and existing MRH financial assistance policies. Opportunities to promote coordinated care to needed services for Access DuPage will be evaluated. In FY18, 168 patients/services provided, in the amount of $1,547,991 of community care provided. 1.7 MRH will serve as a training center for physicians, nursing and other allied health professions. Quantitative data, such as the number and types of internships and staff time commitment, was tracked throughout FY18 and maintained 99% approval rate of applications submitted. 1.8 MRH will provide trained professional healthcare interpreters and offer language assistance programs. In FY18, MRH provided a total of $500,908 in interpreter services for MRH patients, including $10,070 on phone interpretation and the remainder on in-person interpretation. 2 Chronic disease management and rehabilitation In general, individuals with disabilities tend to experience higher percentages of health disparities than the larger population. These added challenges can result in further impaired mobility, nutritional deficits and an increased susceptibility to chronic medical conditions. Common precursors of chronic diseases, including physical inactivity, obesity, hypertension and high cholesterol, are more prevalent among persons with disabilities than those without. Despite increased health risks, people with disabilities are rarely targeted by specific health-promotion and disease-prevention efforts. Given the increasing prevalence of disability as the population ages, the need for community health services focusing on the rehabilitation needs of those served will likely increase at a proportional rate. A broad range of intervention exists to address the issue of chronic disease including health education, health screenings, supporting linkages to medical homes, and chronic disease management programs. MRH utilizes a collaborative, evidence-based approach to prevention, screening and chronic disease management aimed at reducing and eliminating many of the prominent contributors to mortality in the United States. Programs such as Access DuPage and Engage DuPage ensure access to routine healthcare, screening, primary care providers, specialists, medications and medical homes. MRH offers a comprehensive financial assistance program to individuals unable to afford the cost of their acute medical care. In addition, the hospital offers a comprehensive array of community education programing and services to support both primary and tertiary interventions. 2.1 MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities. In FY18, MRH staff developed curriculum for the five courses listed below. Follow-up based on course content was tracked through the support groups. A. Understanding Pediatric Spasticity B. Relaxation and meditation C. Balance and Fall Risks D. Posture training to increase flexibility and decrease lower back pain E. Behavioral Coaching 2.2 MRH will provide access to the Emerging Fitness Center, including specialty group classes for individuals with specific exercise needs. In FY18, 3,476 sessions were held in the MRH Fitness Center for individuals with disabilities. Many of the participants were prior MRH patients or family members. 2.3 MRH Medical Library will provide educational and supportive resources for the community. In FY18, MRH experienced 4,484 literature searches, 75 hours of education support, and 292 interlibrary load transactions. 2.4 MRH will offer evidence-based support programs in the areas of chronic disease management programmatic venues including but not limited to, self-help and support groups. In FY18, MRH provided the following support groups: A. Amputee (4 sessions; 43 participants) B. Parkinson's (5 sessions; 40 participants) C. Caregiver Support (13 sessions; 37 participants) D. Stroke (6 sessions; 45 participants) E. ALS (8 sessions; 185 participants) F. Aphasia (7 sessions; 189 participants) G. Connections-Peds (7 sessions; 83 participants) H. High Hopes- BI (7 sessions; 121 participants) I. Lives in Motion- SCI (7 sessions; 158 participants) J. MS (5 sessions; 72 participants)
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Marianjoy Rehabilitation Hospital. 3 Promoting Independence in Individuals with Disabilities The physicians and clinicians at MRH are trained in the provision of specialty treatments and rehabilitation for individuals with disabilities resulting from injuries, accidents, illnesses, or congenital defects. Fitness and wellness programs tailored to people with disabilities and other health issues help ensure these vulnerable populations are engaged in moderate physical activity designed to improve strength and increase flexibility, to protect against further disability and enhance functional independence. The addition of the Marianjoy Fitness Center has opened new opportunities for individuals who may not have felt physically able or comfortable in other exercise settings. Throughout the year, MRH offers a variety of free and public classes and lectures (focused on health and wellness) to support and promote the independence of disabled individuals. Additionally, MRH sponsors a variety of support groups at no cost and open to the public including: amputation, aphasia, brain injury, chronic pain, and stroke. MRH works closely with its community partners to promote independence of disabled individuals. Partners include, but are not limited to the DuPage County Health Department, DuPage Federation on Human Service Reform, local school districts, Office of the Secretary of State, DuPage Workforce Board and AbilityLinks, a national, web-based community where qualified job seekers with disabilities gain access to valuable networking opportunities. 3.1 MRH will provide aquatic programs in a group class setting for adults and children. In FY18, MRH provided 210 patient sessions (3,159 pool sessions provided). Individual goals were established, and PHI documented towards goal attainment. 3.2 MRH will provide a program that will seek to match qualified individuals to employers who embrace diversity. This program will also provide job-seeking skills through practice interviewing sessions and educational programs on finding employment. In FY18, MRH experienced 52,910 Ability Links Website visitors. A total of 450 resumes were submitted, and 51 individuals self-disclosed that they were placed. 3.3 MRH will provide services through the Tellabs Center for Neurorehabilitation and Neuroplasticity, an innovative rehab technology designed to support a wide range of patient conditions which benefit from the creation of lasting neuro-pathway changes derived through repetition. In FY18, MRH provided 5,373 sessions using the mobility and upper extremity robotic equipment available in the TCNN. In addition, patients were assessed by therapy experts and individual goals were established. 3.4 The Marianjoy Driver Rehabilitation Program will work with clients utilizing specialized equipment to promote the ability to drive for individuals with disabilities. Participants are provided with a comprehensive appraisal of a person's ability to drive safely. The Driver Rehabilitation Program also provides behind-the-wheel training for students that qualify, and will assist in obtaining the requirements for a driver's license. In FY18, MRH evaluated and/or provided drivers training to 171 students. In addition, a self-reported tracking process was implemented. 3.5 MRH will provide the GoBabyGo program, where therapists and engineers collaborate to retrofit powered toy vehicles to meet the needs of children with disabilities. In FY18, 37 volunteers from the community participated in MRH's GoBabyGo program which served 17 children, 10 of which were new recipients. The program provided three car upgrades from existing participants. 3.6 MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities, including but not limited to the following topic: Life after an amputation. In FY18, MRH staff developed curriculum for the five courses listed below. Follow-up based on course content was tracked through the support groups. A. Understanding Pediatric Spasticity B. Relaxation and meditation C. Balance and fall risks D. Posture training to increase flexibility and decrease lower back pain 3.7 MRH will offer evidence-based support programs in the areas of promoting independence in programmatic venues including but not limited to, self-help and support groups. In FY18, MRH provided the following support groups: A. Amputee B. Parkinson's C. Caregiver Support D. Stroke E. ALS F. Aphasia G. Connections-Peds H. High Hopes- BI I. Lives in Motion- SCI J. MS 4 Injury Prevention MRH offers a variety of programs, both through inpatient and outpatient services, to address injury prevention. Evidence-based, community health and wellness programming are offered by MRH in the areas of chronic disease management and rehabilitation and overcoming the limitations of chronic disabilities. Some topics include: Core Yoga to increase strength and balance in individuals with disabilities; Understanding, identifying and preventing running injuries; and how aging affects your balance. These programs address the prevention of injury for both persons with or without disabilities. MRH offers the CarFit program for seniors, which allows older adults the opportunity to check how well their personal vehicles fit them. The CarFit program is aimed at preventing injury for seniors. MRH works closely with its community partners to address the issue of injury prevention. Partners include, but are not limited to the DuPage County Health Department, Northwestern Memorial Central DuPage Hospital and local school districts. 4.1 MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities. In FY18, MRH developed and implemented curriculum for four courses: A. Yoga (10 five-week sessions were held; 152 participants) B. Running Injuries (1 course; 12 participants) C. Aging and Balance (2 courses; 84 participants) D. Therapeutic Golf Program (11 adult sessions; 161 participants) In addition, six youth events were offered with 14 registered participants. 4.2 MRH will offer the CarFit program for seniors, which allows older adults the opportunity to check how well their personal vehicles fit them. Evaluations will be provided by certified inspectors and occupational therapists. In FY18, MRH staff will be able to monitor and track program outcomes, as well as the number of programs offered and individuals attending when the program is implemented in FY19. 4.3 MRH will collaborate with Central DuPage Hospital (NMCDH) to offer evidence-based community-based injury prevention programming. In FY18, MRH collaborated with NMCDH and began to market programming in the shared NM program brochure. In order to increase efficiency, course registration was transitioned to the general NM registration line, and data will be collected in FY19 to measure the impact of this program.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - Marianjoy Rehabilitation Hospital. The CHNA report identified areas of opportunity for health improvement for which Marianjoy Rehabilitation Hospital and the external steering committee determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Mental health and substance abuse The DuPage behavioral health collaborative was formed in response to the mental health findings and needs noted in the DuPage county IPLAN. The mission of the group is to work collaboratively to identify and implement data-driven strategies that improve access and quality of behavioral health services for all DuPage county residents, advocate for aligning resources and funding, and to educate the community about the signs and symptoms of mental health issues. The collaborative is composed of two teams: the treatment leadership team (behavioral health) and the prevention leadership team (substance abuse). Northwestern Medicine Central DuPage Hospital (NMCDH) leadership and staff serve as integral members of both teams working both independently and collaboratively to address mental health and substance abuse issues in DuPage County. Both teams are comprised of members from local hospitals, public health, private and community sectors and represent a broad cross-section of the community united to respond to both issues. Additionally, the DuPage county health department crisis intervention unit is a mental health support system that deals with mental health emergencies on a 24-hour basis. This unit deals with urgent mental health issues that require immediate attention such as suicidal thoughts, homicidal threats, and symptoms of serious mental illness including depression, schizophrenia, bipolar disorder, anxiety and other issues that may require hospitalization. Individuals can contact the unit at any time and set up an appointment either by phone or in person. The crisis program also has a ten-bed respite unit available for short term stabilization. Psychiatric evaluations and short-term crisis counseling intervention are also available on a scheduled basis as needed. In the area of inpatient care, NMCDH offers immediate help, providing short-term psychiatric care for adults and teens (13 years of age and older) in a hospital setting. Short term inpatient care is provided in three secure hospital psychiatric units to help people who pose a risk to themselves or others and those who are unable to care for themselves. Following stabilization, NMCDH offers a full range of treatment including outpatient partial hospitalization, individual and family therapy, group therapy and follow-up services in the community. NMCDH also offers a full range of substance abuse services including inpatient detoxification, residential treatment and rehabilitation services, along with continued counseling to support long-term recovery. Immunization and infectious disease The DuPage County Health Department is responsible for monitoring the incidence of infectious diseases and providing childhood and adult immunizations. Immunization services are offered at the CPHC (Wheaton), SEPHC (Westmont), and EPHC (Lombard) offices. Childhood immunizations are available for all children who do not have insurance, or have insurance that does not cover immunizations, through the state of Illinois' Vaccines for Children (VFC) program. Additionally, immunizations and selected testing are also offered by the county's Federally Qualified Health Centers (FQHC), thereby assuring multiple opportunities for residents to receive screening and immunizations. Access to health promotion activities MRH works collaboratively to support the provision of health promotion and health education sessions to clients residing in the community. It is widely recognized that the most effective way to address chronic disease is to address the problem across its lifespan in a coordinated effort. Health education programs are offered by NMCDH and MRH in an effort to focus on health promotion and disease prevention. Local primary care providers and FQHCs provide medical homes and routine care aimed at screening, early detection and prompt treatment of disease and other health concerns. Local hospitals provide immediate and emergently needed acute care. Programs such as access DuPage and engage DuPage ensure access to routine healthcare, screening, primary care providers, specialists, medications and medical homes. Guided by the ESC, MRH will continue to support and work collaboratively with existing local organizations who are providing affordable primary healthcare to individuals experiencing the remaining healthcare issues noted above as we believe they are best positioned to lead the provision of these services.

Field	Value	IRS element (for citing)
Facility	182	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (182 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
Clark Street Galleria
1030 N Clark	Chicago	IL	60611	MOB
Garland Bldg
111 N Wabash	Chicago	IL	60602	MOB
111 W Washington
111 W Washington	Chicago	IL	60602	MOB
Northwestern Medicine South Loop
1135 S Delano Court	Chicago	IL	60605	MOB
Northwestern Medicine Lakeview
1333 W Belmont Avenue STE 100/200	Chicago	IL	60657	MOB
Northwestern Medicine Immediate Care
1333 W Belmont Avenue STE 100/200	Chicago	IL	60657	Urgent Care
Northwestern Medicine SoNO
1460 N Halsted Street STE 203/502/5	Chicago	IL	60642	MOB	04
Northwestern Medicine Chicago
150 E Huron Street	Chicago	IL	60611	MOB
Northwestern Medicine Crest Hill
16151 Weber Road STE 107	Crest Hill	IL	60403	MOB
Northwestern Medicine Bucktown
1776 Milwaukee Ave	Chicago	IL	60647	MOB
Bucktown North Ave Ofc
1913 W North Avenue	Chicago	IL	60622	OUTPATIENT
Northwestern Medicine Loop South Clark
20 S Clark Street STE 1100	Chicago	IL	60603	MOB
Northwestern Medicine Washington
201 N Cummings Lane	Washington	IL	61571	MOB
Northwestern Medicine Chicago Ave
211 E Chicago Ave	Chicago	IL	60611	MOB
Streeterville CTR
233 E Erie	Chicago	IL	60611	MOB
Northwestern Medicine Oak Brook
2425 W 22nd Street STE 203B	Oak Brook	IL	60523	MOB
Robert H Lurie Comprehensive Cancer CTR
250 E Superior St STE 420	Chicago	IL	60611	Cancer Center
Maggie Daley CTR for Women's Cancer Care
250 E Superior Street Fourth Floor	Chicago	IL	60611	Cancer Center
Northwestern Memorial Hospital -Lavin FP
259 E Erie Street	Chicago	IL	60611	MOB
2701 S Western Ave
2701 S Western Ave	Chicago	IL	60608	MOB
Lincoln Park Office
2835 N Sheffield	Chicago	IL	60657	MOB
River North Office
310 W Superior	Chicago	IL	60610	MOB
321 N Clark Street
321 N Clark Street	Chicago	IL	606545313	MOB
Halsted Radiology
3245 N Halsted	Chicago	IL	60657	MOB
CNA Bldg
333 S Wabash	Chicago	IL	60604	SUPPORT
Northwestern Medicine Portage Indiana
3691 Willowcreek Road STE 100	Portage	IN	46368	MOB
Northwestern Medicine River Forest
420 Thatcher Avenue	River Forest	IL	60305	MOB
Northwestern Medicine Laboratory Chicago
4255 W 63rd Street	Chicago	IL	60629	Laboratory
Northwestern Memorial Hospital
446 E Ontario St	Chicago	IL	60611	MOB
Northwestern Medicine Sauganash
4801 W Peterson STE 406	Chicago	IL	60646	MOB
Northwestern Medicine Moline
515 Valley View Drive	Moline	IL	61265	MOB
Northwestern Medicine River North
635 N Dearborn Street STE 100	Chicago	IL	60654	MOB
Northwestern Medicine Immediate Care Riv
635 N Dearborn Street STE 100	Chicago	IL	60654	Urgent Care
Northwestern Memorial Hospital Arkes
676 N St Clair Street	Chicago	IL	60611	MOB
Northwestern Medicine Streeterville
680 N Lake Shore Drive STE 810	Chicago	IL	60611	MOB
Northwestern Medicine Chicago N Michigan
737 N Michigan Avenue STE 700	Chicago	IL	60611	MOB
Northwestern Medicine Chicago
750 N Lake Shore Drive	Chicago	IL	60611	MOB
10024 Skokie Bldv
10024 Skokie Blvd STE 304	Skokie	IL	60077	MOB
Northwestern Medicine Lake Forest Health
1200 N Westmoreland	Lake Forest	IL	60045	Fitness Center
Northwestern Medicine Grayslake
1275 E Belvidere	Grayslake	IL	60030	MOB
Northwestern Medicine Grayslake - OP
1475 E Belvidere Road	Grayslake	IL	60030	MOB
Northwestern Medicine Emergency CTR
1475 E Belvidere Road	Grayslake	IL	60030	Urgent Care
Northwestern Medicince Cancer CTR
1475 East Belvidere Road	Grayslake	IL	60030	Cancer Center
Glenview Carillion Sq
1500 Waukegan Road	Glenview	IL	60025	MOB
1632 W Central Road
1632 W Central Road	Arlington Heights	IL	60005	MOB
Northwestern Medicine Evanston
1704 Maple Avenue	Evanston	IL	60021	MOB
Northwestern Medicine Immediate Care
1704 Maple Avenue	Evanston	IL	60021	Urgent Care
Northwestern Medicine Laboratory Vernon
175 E Hawhorth Parkway	Vernon Hills	IL	60061	Laboratory
Highland Park ofc
1770 1st Avenue	Highland Park	IL	60063	MOB
Libertyville Hollister
1800 Hollister Drive	Libertyville	IL	60048	MOB
Libertyville Med Bldg
1900 USG Drive	Libertyville	IL	60048	MOB
LFH Bannockburn
2151 Waukegan Road	Bannockburn	IL	60015	MOB
Northwestern Medicine Gurnee
25 Tower Court	Gurnee	IL	60031	Imaging
Northwestern Medicine Glenview
2501 Compass Road	Glenview	IL	60025	MOB
Northwestern Medicine Glenview - OP
2701 Patriot Boulevard	Glenview	IL	60026	MOB
Northwestern Medicine Immediate Care
2701 Patriot Boulevard	Glenview	IL	60026	Urgent Care
Northwestern Medicine Lindenhurst Health
3098 Fallingwaters Boulevard	Lindenhurst	IL	60046	Fitness Center
Northwestern Medicine Deerfield
350 S Waukegan	Deerfield	IL	60015	MOB
Northwestern Medicine Immediate Care
350 S Waukegan	Deerfield	IL	60015	Urgent Care
Northwestern Medicine Gurnee
36100 N Brookside	Gurnee	IL	60031	MOB
3633 W Lake Ave
3633 W Lake Ave	Glenview	IL	60026	MOB
Northwestern Medicine Highland Park
600 Central Avenue	Highland Park	IL	60035	MOB
LFH Womens CTR
660 N Westmoreland	Lake Forest	IL	60045	MOB
LFH Westmoreland Bldg
660 N Westmoreland	Lake Forest	IL	60045	OUTPATIENT
Northwestern Medicine Lake Forest Hosp
660 N Westmoreland Rd	Lake Forest	IL	60045	Urgent Care
Northwestern Medicine Lake Forest Hospit
700 N Westmoreland	Lake Forest	IL	60045	MOB
740 N Waukegan Road
740 N Waukegan Road	Deerfield	IL	60015	MOB
Northwestern Medicine Lake Forest Hospit
800 N Westmoreland	Lake Forest	IL	60045	MOB
Gurnee Radiology CTR
83 Ambrogio Drive	Gurnee	IL	60031	MOB
Northwestern Medicine Vernon Hills
870 N Milwaukee	Vernon Hills	IL	60061	MOB
Northwestern Medicine Immediate Care
870 N Milwaukee	Vernon Hills	IL	60061	Urgent Care
Vernon Hills Med Bldg
870 West End Ct	Vernon Hills	IL	60061	MOB
Northwestern Medicine Arlington Heights
880 W Central Road	Arlington Heights	IL	60005	MOB
Northwestern Medicine Lake Forest Hosp
900 N Westmoreland	Lake Forest	IL	60045	MOB
9555 Gross Point Road
9555 Gross Point Road	Skokie	IL	60076	MOB
Northwestern Medicine Naperville
101 E 75th Street	Naperville	IL	60563	MOB
Northwestern Medicine Lisle
1019 School Street	Lisle	IL	60532	MOB
Northwestern Medicine Batavia
1049 E Wilson Street	Batavia	IL	60510	MOB
Elmhurst Memorial Hosp
1200 York Road	Elmhurst	IL	60126	MOB
Northwestern Medicine HealthLab
1311 N Arlington Ave	Indianapolis	IN	46219	HealthLab - Draw Station
Oak Brook Regency
1415 West 22nd Street STE 750E	Oakbrook	IL	60523	MOB
CPG Rheumatology
1425 N McLean Blvd Suite 400	Elgin	IL	60123	MOB
Northwestern Medicine Elgin
1600 North Randall Road	Elgin	IL	60123	MOB
Wheaton Med MOB
1800 N Main St	Wheaton	IL	60187	MOB
Northwestern Medicine Sycamore
1830 Mediterranean Drive	Sycamore	IL	60178	MOB
Northwestern Medicine New Lenox
1890 Silver Cross Boulevard	New Lenox	IL	60451	MOB
Northwestern Medicine Wheaton
2001 Gary Avenue	Wheaton	IL	60187	MOB
Northwestern Medicine Wheaton
2001 Weisbrook Road	Wheaton	IL	60187	MOB
Northwestern Medicine Bloomingdale
235 S Gary Avenue	Bloomingdale	IL	60108	MOB
Northwestern Medicine Convenient Care
235 S Gary Avenue	Bloomingdale	IL	60108	Urgent Care
Prairie Medical CTR
2434 S Wolf Rd	Westchester	IL	60154	MOB
Northwestern Medicine Bloomingdale
245 S Gary Ave	Bloomingdale	IL	60108	MOB
Northwestern Medicine Aurora
2635 Church Road	Aurora	IL	60502	MOB
Northwestern Medicine Convenient Care
2635 Church Road	Aurora	IL	60502	Urgent Care
Northwestern Medicine Warrenville
27650 Ferry Road	Warrenville	IL	60555	MOB
Behaviorial Health Bldg
27W350 High Lake Rd	Winfield	IL	60190	BEHAVIORAL
Cantera Medical Bldg
28375 Davis Pkwy	Warrenville	IL	60555	MOB
Bloomindale Springfield
290 Springfield Drive	Bloomingdale	IL	60108	MOB
Northwestern Medicine St Charles
2900 Foxfield Drive	St Charles	IL	60174	MOB
Northwestern Medicine Convenient Care St
2900 Foxfield Drive	St Charles	IL	60174	Urgent Care
Northwestern Medicine Delnor Health
296 Randall Road	Geneva	IL	60134	Fitness Center
Delnor 302 MOB
302 Randall Rd	Geneva	IL	60134	MOB
Northwestern Medicine Delnor Hospital
304 Randall Road	Geneva	IL	60134	Cancer Center
Twin Dialysis Building
306 Randall Rd	Geneva	IL	60134	OUTPATIENT
Northwestern Medicine Delnor Hospital
308 Randall Road	Geneva	IL	60134	MOB
Northwestern Medicine HealthLab Highland
3100 45th Street	Highland	IN	46322	HealthLab - Draw Station
Wheaton Office CTR
311 South County Farm Rd	Wheaton	IL	60187	MOB
333 Chestnut Street
333 Chestnut Street	Hinsdale	IL	60521	MOB
Delnor 345 MOB
345 Randall Rd	Geneva	IL	60134	MOB
Delnor 351 MOB
351 Delnor Rd	Geneva	IL	60134	MOB
Northwestern Medicine HealthLab Buffalo
355 W Dundee Road STE 110B	Buffalo Grove	IL	60089	HealthLab - Draw Station
Batavia house
3S105 Wagner Rd	Batavia	IL	60510	BEHAVIORAL
Northwestern Medicine Sugar Grove
414 Division Street	Sugar Grove	IL	60554	MOB
Northwestern Medicine Cancer CTR Warrenv
4405 Weaver Parkway	Warrenville	IL	60555	Cancer Center
LivingWell Cancer Resource CTR
442 Williamsburg Avenue	Geneva	IL	60134	Cancer Center
Northwestern Medicine Glen Ellyn
444 Park Boulevard	Glen Ellyn	IL	60137	MOB
Northwestern Medicine Chicago Proton CTR
4455 Weaver Parkway	Warrenville	IL	60555	Cancer Center
Northwetsern Medicine Bloomingdale
455 Scott Drive	Bloomingdale	IL	60108	MOB
Northwestern Medicine HealthLab Blooming
471 W Army Trail Road STE 104	Bloomingdale	IL	60108	HealthLab - Draw Station
Northwestern Medicine Bloomingdale W Ar
471 W Army Trail Road	Bloomingdale	IL	60108	MOB
Northwestern Medicine DeKalb
5 Kish Hospital Drive	DeKalb	IL	60115	MOB
Winfield Town CTR
50 Winfield Rd	Winfield	IL	60190	MOB
Northwestern Medicine Carol Stream
501 Thornhill Drive	Carol Stream	IL	60188	MOB
Yorkville
502 Center Parkway	Yorkville	IL	60560	MOB
Northwestern Medicine Carol Stream
515 Thornhill Drive	Carol Stream	IL	60188	MOB
Northwestern Medicine South Elgin
552 Randall Road	South Elgin	IL	60177	MOB
Northwestern Medicine Naperville
636 Raymond Drive	Naperville	IL	60563	MOB
Northwestern Medicine Convenient Care
636 Raymond Drive	Naperville	IL	60563	Urgent Care
Northwestern Medicine HealthLab Crown PT
6625 Lincoln Highway	Crown Point	IN	46307	HealthLab - Draw Station
Northwestern Medicine Wheaton
7 Blanchard Circle	Wheaton	IL	60187	MOB
Northwestern Medicine Convenient Care
7 Blanchard Circle	Wheaton	IL	60187	Urgent Care
Batavia- Express Care
811 North Randall Rd	Batavia	IL	60510	MOB
Northwestern Medicine Bartlett
820 S Rt 59	Bartlett	IL	60103	MOB
Northwestern Medicine Convenient Care
820 S Rt 59	Bartlett	IL	60103	Urgent Care
Medical Plaza of Porter
85 East HU Hwy 6 STE 330	Valparaiso	IN	46383	MOB
Northwestern Medicine Glen Ellyn
875 Roosevelt Road	Glen Ellyn	IL	60137	MOB
Northwestern Medicine Glen Ellyn
885 Roosevelt Road	Glen Ellyn	IL	60137	MOB
Northwestern Medicine Convenient Care
885 Roosevelt Road	Glen Ellyn	IL	60137	Urgent Care
Elburn MOB
905 N First St	Elburn	IL	60119	MOB
Northwestern Medicine St Charles
964 N 5th Avenue	St Charles	IL	60174	MOB
Delnor Glen Senior Livi
975 N 5th Ave	St Charles	IL	60174	SENIOR
Stratford North Outlook
235 S Gary Ave	Bloomingdale	IL	60108	MOB
KishHealth System Physical Therapy CTR -
1 E County Line Road	Sandwich	IL	60548	MOB
KishHealth System Cancer CTR DeKalb
10 Health Services Drive	DeKalb	IL	60115	Cancer Center
KishHealth System - Ben Gordon CTR
100 S Latham Street STE 204	Sandwich	IL	60548	MOB
KishHealth System Physician Group
10003 US Rt 30	Waterman	IL	60556	MOB
BHS Ben Gordon Cental Ofc
12 Health Services Dr	DeKalb	IL	60115	BEHAVIORAL
KishHealth System Physician Group
1209 Starfire Drive Unit 2	Ottawa	IL	61350	MOB
KishHealth System Physician Group -Plano
12700 US Highway 34	Plano	IL	60545	MOB
KishHealth System Cancer CTR Sandwich
1310 North Main Street STE 201	Sandwich	IL	60548	Cancer Center
KishHealth System Cancer CTR Aurora
1315 N Highland Ave STE 201	Aurora	IL	60506	Cancer Center
Plank Road Clinic
165 E Plank Rd	Sycamore	IL	60178	MOB
KishHealth System Physician Group
1850 Gateway Drive	Sycamore	IL	60178	MOB
KishHealth System Physician Group
1850 Gateway Drive	Sycamore	IL	60178	Urgent Care
KishHealth System Physical Therapy CTR
2111 Midlands Court	Sycamore	IL	60178	MOB
KishHealth System CTR for Family Health
21193 Malta Road	Malta	IL	60150	MOB
Midlands Surgical CTR
2120 Midlands Court	Sycamore	IL	60178	OUTPATIENT
BHS Discovery House
220 College Ave	DeKalb	IL	60115	BEHAVIORAL
KishHealth System Physician Group
224 E Railroad Street	Sandwich	IL	60548	MOB
KishHealth System HospiceHomecareEMS
2727 Sycamore Road	DeKalb	IL	60115	MOB
KishHealth System Physical Therapy CTR
3875 Edlamain Road	Plano	IL	60545	MOB
KishHealth System Physician Group - Peru
4040 Progress Boulevard	Peru	IL	61354	MOB
KishHealth System Physician Group
450 Coronado Drive	Rochelle	IL	61068	MOB
KishHealth System Cancer CTR
450 Coronado Drive	Rochelle	IL	61068	Cancer Center
KishHealth System Physician Group
599 Pearson Drive	Genoa	IL	60135	MOB
KishHealth System - Ben Gordon CTR
631 S 1st Street	DeKalb	IL	60115	MOB
KishHealth System Behavior Health Svcs
760 Foxpointe Drive	Sycamore	IL	60178	MOB
KishHealth System Physician Group Prof
8 Health Services Drive	DeKalb	IL	60115	MOB
KishHealth System Physical Therapy CTR -
895 S State Street	Hampshire	IL	60140	MOB
Marianjoy at Park Pl Health & Wellness
1150 S Euclid Avenue	Elmhurst	IL	60126	MOB
Marianjoy at Victorian Village
12525 Renaissance Circle	Homer Glen	IL	60491	MOB
Marianjoy at Providence Healthcare
13259 S Central Avenue	Palos Heights	IL	60464	MOB
Marianjoy Physical Therapy & Outpatient
17W682 Butterfield Road	Oakbrook Terrace	IL	60181	MOB
Marianjoy at Rush Copley Medical CTR
2020 W Ogden Avenue STE 365	Aurora	IL	60504	MOB
Marianjoy at Loyola University Medical
2160 S 1st Ave	Maywood	IL	60153	MOB
Marianjoy Outpt bldg
26W171 Roosevelt Rd	Wheaton	IL	60187	OUTPATIENT
Elmhurst Orthopedics
300 W Butterfield Rd	Elmhurst	IL	60126	MOB
Marianjoy at Providence Healthcare
3450 Saratoga Avenue	Downers Grove	IL	60515	MOB
Marianjoy at RUSH Oak Park Hospital
520 S Maple	Oak Park	IL	60304	MOB
Marianjoy at RUSH Medical Offc Building
610 S Maple STE 3420	Oak Park	IL	60304	MOB
7411 Lake Street STE 2210
7411 Lake Street	River Forest	IL	60305	MOB
NORTHWESTERN MEDICINE HEALTHLAB ST LOUIS
916 OLIVE ST	ST LOUIS	MO	63101	HEALTHLAB - DRAW STATION

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT	Northwestern Memorial HealthCare and Subsidiaries (NMHC) submit a community benefit report to the Illinois attorney general according to the requirements for the state of Illinois. Northwestern Memorial Hospital (NMH), Northwestern Lake Forest Hospital (NLFH), Central DuPage Hospital (NWCDH), Delnor Community Hospital (Delnor), Kishwaukee Community Hospital (KCH), Valley West Hospital (VWH), Kishwaukee Physicians Group (KPG), Marianjoy Rehabilitation Hospital and Clinics (MJRH), Marianjoy Medical Group (MMG) and all other NMHC non-profit subsidiaries' results are included in this report.
Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES	THE BENEFITS REPORTED ARE PRIMARILY ASSOCIATED WITH OPERATING LOSSES SUPPORTING NMH'S MENTAL HEALTH PROGRAMS. NMHC DOES NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
Schedule H, Part I, Line 3c DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE	Northwestern Memorial Hospital, Northwestern Lake Forest Hospital, Central DuPage Hospital, Delnor-Community Hospital, Kishwaukee Community Hospital, and Valley West Hospital 09/01/2017-08/31/2018 NMH, NLFH, CDH, Delnor, Kishwaukee and Valley West shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance. A. Homelessness B. Deceased with no estate C. Mental incapacitation with no one to act on the patient's behalf D. Medicaid eligibility, but not on date of service for non-covered service E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines; 1. Women, Infants and Children Nutrition Program (WIC) 2. Supplemental Nutrition Assistance Program (SNAP) 3. Illinois Free Lunch and Breakfast Program 4. Low Income Home Energy Assistance Program (LIHEAP) 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial 6. Receipt of grant assistance for medical services Marianjoy Rehabilitation Hospital & Clinics: 09/01/2017 - 08/31/2018 In addition to FPG guidelines, Marianjoy Rehabilitation Hospital & Clinics utilizes other factors to determine eligibility for free or discounted care per the organization's charity care policy. These factors include: 1. Family income relative to family size and other related factors such as current financial obligations 2. Employment status, including, but not limited to, future earning capacity sufficient to meet the patient's financial obligations in an acceptable period of time 3. Future and current ability to pay 4. Medical expenses, including pharmaceutical expenses, as a percentage of a patient's annual gross income, the amount of total medical bills outstanding, and the frequency of payments to be made in relation to the factors above 5. Credit report information 6. Actual cost of care provided 7. Other factors deemed appropriate by the health system. Marianjoy Rehabilitation Hospital & Clinics do not consider the patient's assets in determining ability to pay or eligibility for charity care.
Schedule H, Part VI, Line 2 NEEDS ASSESSMENT, CONTINUED	Northwestern Medicine Valley West Hospital: NM Valley West collaborates with diverse organizations to identify a common vision and plan to create a collective impact on the overall health of the community. This includes striving to coordinate efforts focusing on community priorities with community stakeholders including the DeKalb County Health Department, the Kendall County Health Department, Fox Valley Older Adults, and other medical, not-for-profit, community and faith-based organizations. Marianjoy Rehabilitation Hospital: MRH coordinates strategies with community partners and key stakeholders who include, but are not limited to, the DuPage County Health Department, DuPage Federation on Human Services Reform, AbilityLinks, the People's Resource Center, and local school districts and public entities. MRH's Pediatric Community Groups continue to be highly utilized by parents/caregivers to work on achieving functional goals for children with special needs.
Schedule H, Part VI Rev. Proc. 2015-21 Disclosure	During the August 31, 2018 fiscal year, Kishwaukee Community Hospital (KCH) received an IRS notice indicating a Compliance Check of the Financial Assistance Policy. The Compliance Check focused on the availability of a Provider Listing in addition to the basis for patient charges and discounts. A response was prepared on the basis of the FAP at the time of response when KCH had been fully incorporated in the overall FAP designated by NM Healthcare. The response was provided to the IRS on a timely basis and discussed with the Agent initiating the Compliance Check. The Agent acknowledged that the FAP language discussing patient charges and discounts was adequate and did not require update or clarification at this time. It was noted that the Provider List was required to more fully describe the providers who are or are not subject to the FAP, on either the basis of the physician or the department. The List was also acknowledged as required to be available more directly through the FAP or a website connected to the FAP. Although not meeting the disclosure requirements, the FAP met the spirit of serving the emergency and medically necessary care needs of patients. It is estimated that no patient was adversely affected, and was able to access this detail with the assistance of Hospital staff as needed. The Provider List was posted to the website for access prior to July 1, 2018 and is updated on a monthly basis, exceeding the quarterly basis as suggested by IRS guidance. The FAP will continue to direct users to access the List in this manner and clarify any necessary paths to obtaining or navigating the List.
Schedule H, Part V, Section B Marianjoy Rehabilitation Hospital and Clinics	As of September 1, 2018, Marianjoy was added and incorporated within the broader NMHC policies, particularly the Financial Assistance Policy. This return is completed with a historical approach as of August 31, 2018 responses pertaining to Marianjoy. Internet links are no longer active but will redirect to the current policy followed by Marianjoy. The active link redirect is: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	173930605
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST OF CHARITY CARE FOR THE HOSPITALS WAS CALCULATED BY APPLYING THE TOTAL COST-TO-CHARGE RATIO FROM EACH HOSPITAL'S MEDICARE COST REPORT (CMS 2552-96 WORKSHEET C, PART 1, CONSISTENT WITH THE STATE OF ILLINOIS ATTORNEY GENERAL'S OFFICE DEFINITION) TO THE CHARGES ON ACCOUNTS IDENTIFIED AS QUALIFYING FOR CHARITY CARE (AS DEFINED IN THE AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS ACCOUNTING AND AUDITING GUIDE - HEALTHCARE ORGANIZATIONS). THE RESULTANT CALCULATED COST WAS THEN OFFSET BY ANY PAYMENTS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF PATIENT BILLS QUALIFYING FOR A CHARITY CARE DISCOUNT (AS DEFINED IN THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION'S PRINCIPLES AND PRACTICES BOARD STATEMENT 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS) NMG IS NOT REQUIRED TO FILE A MEDICARE COST REPORT. AN INTERNALLY CALCULATED COST-TO-CHARGE RATIO SPECIFIC TO NMG WAS USED TO DETERMINE THE COST OF CHARITY CARE FOR NMG. THE RESULTANT CALCULATED COST WAS THEN OFFSET BY ANY PAYMENTS, CONSISTENT WITH THE METHODOLOGY FOR THE HOSPITALS. THE UNREIMBURSED COST OF BAD DEBT, MEDICAID, MEDICARE OR ANY OTHER FEDERAL, STATE OR LOCAL INDIGENT HEALTHCARE PROGRAM IS NOT INCLUDED IN THE UNREIMBURSED COST FIGURE FOR CHARITY CARE. THE COSTS OF CHARITY CARE IN THIS REPORT DIFFER FROM NMHC'S NOTES TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR FISCAL YEAR 2018 WHERE THEY WERE CALCULATED BY APPLYING A COST-TO-CHARGE RATIO DEVELOPED PRIOR TO FILING NMH'S, NLFH'S, CDH'S, DELNOR'S, KISH'S, AND MARIANJOY'S FISCAL YEAR 2018 MEDICARE COST REPORTS TO CHARGES FOREGONE FOR CHARITY CARE. THE FISCAL YEAR 2018 MEDICARE COST REPORTS WERE COMPLETED AFTER THE AUDITED FINANCIAL STATEMENTS WERE ISSUED. THE COSTS OF CHARITY CARE FOR THE HOSPITALS INCLUDED IN THIS REPORT WERE CALCULATED USING THE COST-TO-CHARGE RATIOS FROM NMH'S, NLFH'S, CDH'S, DELNOR'S, KISH'S, AND MARIANJOY'S COST REPORTS FILED IN FEBRUARY OF 2019 FOR FISCAL YEAR 2018. COMMUNITY HEALTH IMPROVEMENT SERVICES - THE COST OF LANGUAGE ASSISTANCE PROGRAMS INCLUDES BOTH THE COST OF EMPLOYEES AND NONEMPLOYEES TO PROVIDE TRANSLATION SERVICES TO NMHC HOSPITAL PATIENTS AND FAMILY MEMBERS. EDUCATION - UNREIMBURSED EDUCATION COSTS INCLUDE THE COST OF NMHC'S MEDICAL RESIDENCY, FELLOWSHIP AND INTERNSHIP PROGRAMS LESS ANY THIRD-PARTY PAYOR REIMBURSEMENTS AND FEES RECEIVED. SUBSIDIZED HEALTH SERVICES - SUBSIDIZED HEALTH SERVICES INCLUDE THE UNCOMPENSATED COST OF PROVIDING BEHAVIORAL HEALTH SERVICES, HEALTH EDUCATION AND INFORMATION AND PROGRAMS TO POSITIVELY IMPACT THE WELLNESS OF THE COMMUNITY. COSTS CALCULATED WERE OFFSET BY ANY REIMBURSEMENT RECEIVED FOR SERVICES PROVIDED. THE UNREIMBURSED COST FOR BEHAVIORAL HEALTH SERVICES WAS ALSO ADJUSTED TO EXCLUDE THE UNREIMBURSED COST OF CHARITY CARE AND GOVERNMENT SPONSORED INDIGENT HEALTHCARE. RESEARCH - NMHC PROVIDES SUPPORT TO ADVANCE MEDICAL AND SCIENTIFIC RESEARCH AND ACADEMIC PURSUITS. THE REPORTED SUPPORT INCLUDES THE UNREIMBURSED COST OF FUNDS PROVIDED FOR RESEARCH PROJECTS AND UNREIMBURSED OPERATIONAL INFRASTRUCTURE COSTS TO SUPPORT CLINICAL RESEARCH THAT OCCURS AT NMH, NMG, CDH AND MJRH. DONATIONS - DONATIONS INCLUDE THE DOLLAR AMOUNT RECORDED DURING FISCAL YEAR 2018 IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AS CONTRIBUTIONS TO CHARITABLE AND OTHER COMMUNITY OR CIVIC ORGANIZATIONS FOR FURTHERANCE OF THEIR CHARITABLE PURPOSES.
Schedule H, Part II Community Building Activities	NMHC HOSPITALS PROVIDE A BROAD RANGE OF TRAINING PROGRAMS AND SUPERVISED PATIENT CARE EXPERIENCES TO ENSURE THAT A HIGHLY TRAINED HEALTHCARE WORKFORCE OF ADEQUATE CAPACITY IS IN PLACE TO SERVE THE RESIDENTS OF THE REGION. IMPORTANTLY, THESE PROGRAMS CREATE PATHWAYS FOR AT-RISK MEMBERS OF THE COMMUNITY TO SEEK JOBS WITHIN THE HEALTHCARE SYSTEM AND ALSO ARE IN PLACE FOR YOUNG PEOPLE TO LEARN ABOUT AND POTENTIALLY EXPLORE HEALTHCARE CAREERS. ALLIED HEALTH SCHOOLS AT NMH NMH OPERATES FOUR ACCREDITED ALLIED HEALTH SCHOOLS - DIAGNOSTIC MEDICAL SONOGRAPHY, NUCLEAR MEDICINE TECHNOLOGY, RADIATION THERAPY AND RADIOLOGY - AS WELL AS A COMPUTED TOMOGRAPHY TRAINING PROGRAM. THE 21-MONTH CERTIFICATE PROGRAMS ARE OPEN TO EMPLOYEES AND THE GENERAL PUBLIC. MANY STUDENTS COME FROM THE LOCAL COMMUNITY, AS WELL AS FROM AFFILIATED COLLEGES AND UNIVERSITIES. LEADERS OF THESE PROGRAMS VISIT CITY HIGH SCHOOLS, COLLEGES AND UNIVERSITIES TO INTRODUCE VARIOUS MEDICAL FIELDS TO PROSPECTIVE STUDENTS AND INCREASE THEIR GENERAL KNOWLEDGE OF VARIOUS ALLIED HEALTH FIELDS. THE CERTIFICATE PROGRAMS AIM TO ADDRESS THE NEED FOR ALLIED HEALTH PROFESSIONALS IN THE FIELD. CLINICAL EXPERIENCE AT NMHC HOSPITALS NMHC HOSPITALS PROVIDE THE IMPORTANT CLINICAL SETTING FOR THE EDUCATION OF THE NEXT GENERATION OF HEALTHCARE WORKERS, INCLUDING PHYSICIANS, NURSES, PHARMACISTS, LABORATORY PROFESSIONALS, ALLIED HEALTH WORKERS AND SKILLED TECHNICIANS. THROUGH CLINICAL AFFILIATIONS WITH TOP REGIONAL UNIVERSITIES AND COLLEGES AND ESTABLISHED CLINICAL ROTATIONS, MENTORING, CLINICIAN SHADOWING, TRADITIONAL DIDACTIC LECTURES AND OTHER TEACHING PROGRAMS, WE PROVIDE CLINICAL SETTINGS FOR THE EDUCATION OF THOUSANDS OF STUDENTS, MANY OF WHOM WILL BECOME PROFESSIONALS IN FIELDS IDENTIFIED AS AREAS OF CURRENT OR FUTURE WORKFORCE SHORTAGE IN THE NATIONAL HEALTHCARE SYSTEM. NMHC PROVIDES EDUCATION TO A WIDE RANGE OF STUDENTS INCLUDING: - UNDERGRADUATE AND GRADUATE NURSING STUDENTS - STUDENTS FROM UNIVERSITY-BASED PHARMACY PROGRAMS - RESPIRATORY THERAPY STUDENTS - GRADUATE SOCIAL WORK INTERNS - PSYCHOLOGY PHD CANDIDATES WITH CLINICAL EMPHASES IN ADULT CLINICAL PSYCHOLOGY, BEHAVIORAL MEDICINE (HEALTH PSYCHOLOGY), CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY AND CLINICAL NEUROPSYCHOLOGY - INTERNS IN BIOMEDICAL ENGINEERING - PASTORAL CARE STUDENTS - PHYSICAL AND OCCUPATIONAL THERAPY ASSISTANT, BACHELOR, MASTERS AND PHD STUDENTS - STUDENTS IN A BROAD ARRAY OF OTHER CLINICAL PROGRAMS ON-THE-JOB TRAINING AND YOUTH EDUCATION PROGRAMS SINCE 1997, NMH HAS PARTNERED WITH THE CARA PROGRAM TO HELP HOMELESS AND OTHER AT-RISK ADULTS IN THEIR EFFORTS TO ACHIEVE LONG-TERM EMPLOYMENT SUCCESS BY PROVIDING ON-THE-JOB TRAINING SKILLS THAT READY THEM TO MOVE INTO THE WORKFORCE. NMH HAS HIRED MORE THAN 120 EMPLOYEES THROUGH THIS PARTNERSHIP SINCE IT BEGAN. NMHC OFFERS ONGOING, COMPREHENSIVE YOUTH PROGRAMS THAT EXPOSE STUDENTS TO POTENTIAL HEALTHCARE CAREERS. - THE NM SCHOLARS PROGRAM IS A UNIQUE PARTNERSHIP BETWEEN NMHC AND THE CHICAGO PUBLIC SCHOOL (CPS) WESTINGHOUSE COLLEGE PREPARATORY HIGH SCHOOL (WESTINGHOUSE), A SELECTIVE ENROLLMENT HIGH SCHOOL LOCATED IN GARFIELD PARK ON THE CITY'S WEST SIDE. THE PROGRAM PROVIDES TALENTED HIGH SCHOOL STUDENTS WITH THE OPPORTUNITY TO LEARN ABOUT AND PURSUE POST-HIGH SCHOOL EDUCATION IN HEALTHCARE CAREERS. STUDENTS ARE EXPOSED TO FEINBERG FACULTY AND HOSPITAL EMPLOYEES AND PROVIDED A BEHIND-THE-SCENES UNDERSTANDING OF CLINICAL AREAS AND POTENTIAL CAREERS. A GROUP OF HIGH-ACHIEVING HIGH SCHOOL FRESHMEN ARE SELECTED EACH YEAR TO PARTICIPATE IN THE FOUR-YEAR PROGRAM WHICH INCLUDES MENTORING BY SENIOR FACULTY MEMBERS, AN INTENSIVE THREE-WEEK SUMMER PROGRAM, DISTANCE LEARNING, ACT TEST PREPARATION AND LEADERSHIP AND LIFE SKILLS DEVELOPMENT; 17 STUDENTS PARTICIPATED IN FISCAL YEAR 2018. - NMHC FORMALIZED ITS PARTNERSHIP WITH WESTINGHOUSE'S MEDICAL AND IT CAREER ACADEMIES AND WILL HELP TO STRENGTHEN CURRICULUM AND PROVIDE EXPOSURE TO HEALTH AND IT CAREERS THROUGH SITE VISITS, JOB SHADOWING, SPEAKERS AND INTERNSHIPS. THIS ACTIVITY IS FUNDED IN PART BY THE MICHAEL REESE HEALTH TRUST. - THE NM DISCOVERY PROGRAM, FORMERLY KNOWN AS MEDICAL EXPLORERS, HAS BEEN AN NMHC INSTITUTION SINCE 1996, NOW OPERATED THROUGH TWO CHAPTERS: NM DISCOVERY PROGRAM CENTRAL AND NM DISCOVERY PROGRAM WEST. THROUGHOUT THE TWO YEAR PROGRAM, STUDENTS ARE EXPOSED TO A BROAD RANGE OF ACTIVITIES DESIGNED TO ENCOURAGE THEIR INTEREST IN HEALTHCARE CAREERS. IN ADDITION, THE PROGRAM FOSTERS CHARACTER AND PROFESSIONAL DEVELOPMENT, CULTIVATES LIFE SKILLS, PROVIDES COMMUNITY SERVICE AND LEADERSHIP EXPERIENCE, OFFERS MENTORSHIP AND NETWORKING OPPORTUNITIES. ONCE MONTHLY ACTIVITIES INCLUDE TOURS, GUEST SPEAKERS, GROUP DISCUSSION AND HANDS-ON PROJECTS. TO DATE, OVER 1,000 HIGH SCHOOL STUDENTS HAVE PARTICIPATED IN THE PROGRAM, WITH 109 PARTICIPANTS IN FISCAL YEAR 2018, INCLUDING 49 STUDENTS FROM THE CENTRAL CHAPTER AND 60 PARTICIPANTS FROM THE WEST CHAPTER. ADDITIONALLY, EACH SUMMER A SELECT NUMBER OF NM DISCOVERERS ARE OFFERED INTERNSHIPS IN VARIOUS DEPARTMENTS THROUGHOUT NMH; NMH HOSTED SEVEN SUMMER INTERNS IN FISCAL YEAR 2018 FROM THE DISCOVERY PROGRAM. SINCE THE PROGRAM BEGAN, MANY PARTICIPANTS HAVE PURSUED CAREERS IN NURSING AND MEDICINE AND SEVERAL ARE NOW EMPLOYED AT NMH. ADDITIONAL EXPANSION OF THE PROGRAM AND THE PROGRAM INTERNSHIP ARE EXPECTED IN THE COMING YEARS. - NMCDH WORKS WITH NAPERVILLE CENTRAL HIGH SCHOOL TO PROVIDE INFORMATION ON HEALTHCARE CAREERS AND OFFER HOSPITAL TOURS TO INTERESTED STUDENTS. - LFH STAFF PROVIDE MEDICAL CAREER ADVISORY TRAINING AT LAKE COUNTY HIGH SCHOOL'S TECHNICAL CAMPUS AND ASSIST STUDENTS AND PARENTS IN EXPLORING EDUCATIONAL PATHS TO SUPPORT CAREER GOALS. - LAKE FOREST HOSPITAL VOLUNTEER SERVICES DEPARTMENT COLLABORATES WITH AREA HIGH SCHOOLS ON THEIR TRANSITION STUDENT VOLUNTEER INITIATIVE. THE INITIATIVE MATCHES SPECIAL EDUCATION STUDENTS WITH VOLUNTEER POSITIONS TO BUILD THE STUDENTS' JOB SKILLS IN PREPARING FOR ENTERING THE WORKFORCE. IN FY18, TWO STUDENTS WERE INVOLVED IN THE INITIATIVE, HOLDING POSITIONS AT LAKE FOREST HOSPITAL AND LAKE FOREST HEALTH & FITNESS CENTER. - NMHC CONTINUES TO OFFER COMPREHENSIVE INTERNSHIPS AND FELLOWSHIPS FOR COLLEGE STUDENTS AND POST-GRADUATES. - FOR MORE THAN 20 YEARS, NMH HAS BEEN A SPONSOR OF THE INROADS PROGRAM, WHICH PROVIDES PROGRESSIVE INTERNSHIPS, YEAR-ROUND ACADEMIC INSTRUCTION AND SUMMER WORKSHOPS TO PREPARE MINORITY COLLEGE STUDENTS FOR THE CORPORATE WORK SETTING. INITIALLY DEVELOPED UNDER THE FEDERAL "HIRE THE FUTURE" PROGRAM, NMH WAS THE FIRST CHICAGO HOSPITAL TO PARTICIPATE IN THIS PROGRAM. STUDENTS BENEFIT FROM MENTORING AND LEADERSHIP TRAINING TO PREPARE THEM FOR FUTURE POSITIONS IN A HEALTHCARE CAREER. - CHICAGO SCHOLARS IS A NOT-FOR-PROFIT ORGANIZATION THAT PROVIDES A COMPREHENSIVE FIVE-YEAR PROGRAM OF MENTORING, INTERNSHIP PLACEMENT, NETWORKING, COLLEGE ADMISSION ASSISTANCE AND SCHOLARSHIPS TO COLLEGE-BOUND AND COLLEGE-LEVEL CHICAGO YOUTH FROM PRIMARILY LOW-INCOME BACKGROUNDS. NMHC IS A "HIGH FIVE PARTNER" OF THE PROGRAM, CONTRIBUTING $20,000 EACH YEAR FOR FOUR YEARS. MEMBERS OF THE HUMAN RESOURCES DEPARTMENT AT NMHC PROVIDED SUPPORT TO THIS PROGRAM BY PARTICIPATING IN THE APPLICANT INTERVIEW AND SELECTION PROCESS AND VOLUNTEERING AT THE CAREER FAIR. - NMHC OFFERS SUMMER INTERNSHIPS FOR HIGH SCHOOL AND UNDERGRADUATE STUDENTS IN BOTH CLINICAL AND ADMINISTRATIVE SETTINGS THROUGHOUT THE SYSTEM. THE SUMMER INTERNSHIP PROGRAM OFFERS AN OPPORTUNITY FOR COLLEGE JUNIORS AND SENIORS TO SHADOW AND OBSERVE A VARIETY OF SPECIALTY PROGRAMS WITHIN THEIR RESPECTIVE HOSPITALS AND OTHER NMHC AFFILIATES IN THE WESTERN SUBURBS. THE EIGHT-WEEK PROGRAM FOCUSES ON SPECIALTY ROTATIONS, WITH EACH WEEKLY ROTATION PROVIDING A BEHIND-THE-SCENES LOOK AT THE CARE OUR PATIENTS RECEIVE IN HOSPITAL AND OFFICE SETTINGS. THERE WERE 12 PARTICIPANTS IN THE SUMMER INTERNSHIP PROGRAM IN FY18.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	NET PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, AND NET PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED PRIMARILY ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, ALONG WITH THE AGING STATUS FOR EACH MAJOR PAYOR SOURCE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF NORTHWESTERN MEMORIAL'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, A PROVISION IS RECORDED FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO THESE PATIENTS. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH NORTHWESTERN MEMORIAL'S POLICIES, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, NORTHWESTERN MEMORIAL RECORDS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. BAD DEBTS REPRESENT THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS REPORTED IN NMHC'S FISCAL YEAR 2018 AUDITED FINANCIAL STATEMENTS RELATED TO PATIENT CARE SERVICES ADJUSTED TO COST CONSISTENT WITH THE METHODOLOGY USED TO CALCULATE GOVERNMENT SPONSORED INDIGENT HEALTHCARE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	NET PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, AND NET PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED PRIMARILY ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, ALONG WITH THE AGING STATUS FOR EACH MAJOR PAYOR SOURCE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF NORTHWESTERN MEMORIAL'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, A PROVISION IS RECORDED FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO THESE PATIENTS. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH NORTHWESTERN MEMORIAL'S POLICIES, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, NORTHWESTERN MEMORIAL RECORDS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. BAD DEBTS REPRESENT THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS REPORTED IN NMHC'S FISCAL YEAR 2018 AUDITED FINANCIAL STATEMENTS RELATED TO PATIENT CARE SERVICES ADJUSTED TO COST CONSISTENT WITH THE METHODOLOGY USED TO CALCULATE GOVERNMENT SPONSORED INDIGENT HEALTHCARE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE UNREIMBURSED COST OF MEDICARE IS DEFINED BY THE STATE OF ILLINOIS ATTORNERY GENERAL'S OFFICE ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT AS A COMMUNITY BENEFIT. THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION ALSO VIEWS THE UNREIMBURSED COSTS OF MEDICARE AS PART OF A HOSPITAL'S COMMUNITY BENEFIT PROGRAM. NMHC PROVIDES MEDICAL CARE TO MEDICARE PATIENTS AT A COST HIGHER THAN THE REIMBURSEMENT IT RECEIVES FROM MEDICARE. THE AMOUNTS LISTED FOR PART III, LINE 5 THRU 7, ARE CALCULATED CONSISTENT WITH THE METHODOLOGY DESCRIBED FOR CALCULATING UNREIMBURSED COST OF MEDICAID FOR FISCAL 2018.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	NMHC'S CREDIT AND COLLECTION POLICY CONTAINS A PROVISION FOR FINANCIAL COUNSELING. THE POLICY STATES THAT PATIENTS WITH SELF-PAY BALANCES AND WITHOUT THE RESOURCES TO PAY THEIR OBLIGATIONS WILL BE ASSESSED FOR FREE AND DISCOUNTED CARE ELIGIBILITY BY THE FINANCIAL COUNSELING DEPARTMENTS. THE ASSESSMENT INVOLVES AND EVALUATION OF ALL LEVELS OF ASSISTANCE INCLUDING GOVERNMENTAL ASSISTANCE, EXTENDED PAY ALTERNATIVES, AND FREE OR DISCOUNTED CARE. IF THE PATIENT QUALIFIES FOR FREE CARE, THE ACCOUNT IS ADJUSTED TO ZERO SO NO COLLECTION ACTIVITY OCCURS. IF FINANCIAL ASSISTANCE RESULTS IN A DISCOUNTED OR REDUCED BALANCE, ONLY THE REDUCED BALANCE WILL BE SUBJECT TO THE COLLECTION PROCESS.
Schedule H, Part V, Section B, Line 16a FAP website	- Northwestern Memorial Hospital: Line 16a URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16a URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16a URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16a URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16a URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16a URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16a URL: http://marianjoy.org/patients-visitors/billing-insurance.aspx;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Northwestern Memorial Hospital: Line 16b URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16b URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16b URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16b URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16b URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16b URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16b URL: http://marianjoy.org/patients-visitors/billing-insurance.aspx;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Northwestern Memorial Hospital: Line 16c URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16c URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16c URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16c URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16c URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16c URL: nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16c URL: http://marianjoy.org/patients-visitors/billing-insurance.aspx;
Schedule H, Part VI, Line 2 Needs assessment	NMHC's mission sets forth our commitment to improve the health of the communities we serve and to advance medical research and education. The Community Benefits Plan describes the broad-reaching goals that support this commitment and address our responsibility as a tax-exempt organization. The Department of Community Affairs develops and maintains a Community Benefits Plan for the Health System, which is executed at the hospital level to best meet the needs of our local communities. Reviewed annually and revised as needed, the objectives of the Community Benefits Plan are to: 1. Provide quality medical care, regardless of the patients' ability to pay. 2. Honor Northwestern Medicine's Mission and Commitment to the Community. 3. Be responsive to the assessed needs of the local community served by each hospital. 4. Forge relationships with local community organizations to help address social determinants of health. 5. Evaluate the public health impact of Northwestern Medicine programming and replicate by geography and/or disease state with sensitivity to the individual needs of our patients, their families and the communities we serve. 6. Leverage our strengths as a premier Academic Health System to train the next generation of caregivers and utilize evidence-based models for community health engagement. 7. Leverage our bond with Northwestern University Feinberg School of Medicine to be leaders in quality, academic excellence, scientific discovery, patient safety and research-informed treatment. Aligned with our missions and Community Benefits Plan, and in accordance with the requirements of the Affordable Care Act, each of the NMHC Health System hospitals works with community and campus partners every three years to complete a comprehensive Community Health Needs Assessment (CHNA) that identifies the highest priority health needs of residents of their communities. With Feinberg, NMHC brings to bear the resources of a world-class integrated academic health system to advance our Community Benefits Plan and CHNA initiatives in ways that could not be achieved as stand-alone hospitals. Providing better care, closer to home allows our communities access to the latest developments in education and research that previously may not have been available at the community level. This includes: 1. Seeking root causes to health conditions and collaborating with scientists and clinicians to develop solutions; 2. Enhancing access to health care; 3. Improving clinical quality; 4. Advancing medical innovation; and 5. Ensuring that a highly skilled healthcare workforce is in place for decades to come. CHNAs provide information that enables hospitals to identify health issues of greatest concern among all residents in the identified community and decide how best to commit resources to those areas, thereby making the greatest possible impact on community health status. They employ a systematic, data-driven approach to determine the health status, behaviors and needs of the residents of each hospital's Service Area. Each CHNA serves as a tool toward reaching three goals: 1. To improve residents' health status, increase their life spans and elevate their overall quality of life. A healthy community is one where its residents suffer little from physical and mental illness and also enjoy a high quality of life. 2. To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at risk for various diseases and injuries. Intervention plans aimed at targeting these segments may then be developed to combat some of the socio-economic factors that have historically had a negative impact on residents' health. 3. To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care. The CHNAs and corresponding implementation plans were developed with feedback from community healthcare organizations and other social services and public organizations who understand and help represent the wide-ranging healthcare needs of the residents in our communities. The CHNA implementation plans are grounded in public health models developed with our community partners, in which residents of our communities are informed and able to make healthy lifestyle choices, manage their chronic health conditions and receive medically necessary healthcare services in the most appropriate setting. We believe that our mission to improve the health of the communities we serve is best accomplished in collaboration with partners in both the community and within the organizations that comprise Northwestern Medicine including the Health System and Feinberg. Our affiliations with community-based healthcare and community partners enable the Health System's organizations to meaningfully improve access to high-quality health care and implement targeted programs that address the highest-priority health needs of the community. We have implemented large-scale programs throughout our communities using this framework to target high-priority health conditions and will continue to use public health models to address priority health needs identified through our CHNAs. Ongoing efforts draw on NMHC's and Feinberg's strengths in public health, communication and education, and include programs to address identified priority health needs across the Health System. Our hospitals have enduring relationships, often decades old, with local healthcare and community organizations. Through these partnerships, we collaborate on determining priority health needs through the CHNA process and work together to develop solutions that respect the varied cultural, socioeconomic and practical needs of our diverse communities. Northwestern Memorial Hospital: NMH collaborates with community-based health, education and social service organizations to provide health education, outreach services and focused disease management programs, and to ensure that the residents of our communities have convenient access to high-quality medical homes. NMH has formal and longstanding affiliations with two federally qualified health centers (FQHC) based in the community - Near North Health Service Corporation and Erie Family Health Center - as well as with CommunityHealth, the largest free health clinic in Illinois. Vital community partnerships are also in place among various health and community partners, including Bright Star Community Outreach and Kelly Hall YMCA, among many more. Northwestern Medicine Lake Forest Hospital: Through charity care, outreach services and health education programs, NM LFH improves access to healthcare services and responds to the priority health needs of the residents of Lake County, especially among the uninsured or underinsured. NM LFH has deep roots in Lake County and strong relationships with community partners including Erie HealthReach Waukegan Health Center and the Lake County Health Department, among others. Northwestern Medicine Central DuPage Hospital: NM CDH has enduring relationships with several community-led, county-wide health collaboratives, the DuPage County Health Department, local school districts and social services organizations. Longstanding collaborations include the DuPage Health Coalition/Access DuPage and the Village of Winfield. Through these partnerships, and many more, NM CDH provides health education, navigation and outreach services. Northwestern Medicine Delnor Hospital: NM Delnor regularly engages with Kane County organizations committed to improving the health of its residents, including the Kane County Health Department and the Tri City Health Partnership, among others. Northwestern Medicine Kishwaukee Hospital: NM Kishwaukee works closely with many community partners including the DeKalb County Community Mental Health Board, DeKalb County Health Department, Northern Illinois University, Kishwaukee College, area school districts, and many other local medical providers, not-for-profit organizations, and community groups. Together, NM Kishwaukee collaborates with these diverse organizations to identify a common vision and plan to create a collective impact on the overall health of the community.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THERE ARE MANY WAYS THAT PATIENTS OF THE HOSPITALS ARE INFORMED OR MADE AWARE OF THE AVAILABILITY OF THE HOSPITAL'S VARIOUS FINANCIAL ASSISTANCE PROGRAMS. A. TO INCREASE AWARENESS OF FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITALS HAVE DEVELOPED BROCHURES (IN ENGLISH AND SPANISH) THAT ARE PROVIDED TO PATIENTS UPON ADMISSION AND AVAILABLE AT REGISTRATION POINTS-OF-ENTRY B. ENGLISH- AND SPANISH-LANGUAGE SIGNS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE ARE PRESENT AT EVERY PATIENT REGISTRATION AREA, INCLUDING THE EMERGENCY DEPARTMENT. C. AS PART OF THE REGISTRATION PROCESS, PATIENTS ARE PROVIDED WITH A FINANCIAL ASSISTANCE INFORMATION BROCHURE WHICH DESCRIBES THE TYPES OF ASSISTANCE AVAILABLE AND HOW TO QUALIFY FOR ONE OR MORE OF THE PROGRAMS. D. THE GENERAL CONSENT FORMS THAT EVERY PATIENT SIGNS CONTAINS INFORMATION ABOUT THE NMHC FINANCIAL ASSISTANCE PROGRAMS, AND IS AVAILABLE IN ENGLISH, SPANISH, RUSSIAN, AND POLISH AT NMH, WHILE NLFH, CDH, DELNOR, KCH, VWH, AND MJRH HAVE PROGRAMS IN ENGLISH AND SPANISH. E. INPATIENTS RECEIVE A PATIENT WELCOME PACKAGE THAT INCLUDES THE FINANCIAL ASSISTANCE INFORMATION. F. PATIENTS CAN LEARN ABOUT AND ASSESS THEIR ELIGIBILITY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS WITH THE HELP OF THE HOSPITAL'S TEAM OF FINANCIAL COUNSELING AND PATIENT INQUIRY REPRESENTATIVES. THESE REPRESENTATIVES ARE AVAILABLE ON A WALK-IN BASIS OR THROUGH A TOLL-FREE NUMBER. G. PROCESSES ARE IN PLACE TO LINK PATIENTS WITH FINANCIAL COUNSELORS AND PATIENT INQUIRY REPRESENTATIVES WHEN FINANCIAL HARDSHIP IS IDENTIFIED AS A CONCERN DURING SOCIAL SERVICES ASSESSMENTS. H. THE ENTRY PORTAL TO THE NMHC WEBSITE CONTAIN A PROMINENT LINK TO INFORMATION ABOUT NMHC'S VARIOUS FINANCIAL ASSISTANCE PROGRAMS, THE FINANCIAL ASSISTANCE BROCHURE AND DOWNLOADABLE APPLICATIONS IN MULTIPLE LANGUAGES. I. WORKING IN CONJUNCTION WITH CLINICAL STAFF, FINANCIAL COUNSELORS VISIT INPATIENTS NOT ENROLLED IN GOVERNMENT OR PRIVATE HEALTH PLANS WHILE THEY ARE STILL IN THE HOSPITAL TO ASSIST THEM IN DETERMINING THEIR ELIGIBILITY FOR BOTH GOVERNMENT HEALTH PROGRAMS AND FOR HOSPITAL FREE AND DISCOUNTED CARE PROGRAMS. J. THE HOSPITALS INFORM UNINSURED PATIENTS, AND PATIENTS WITH AN OUTSTANDING BALANCE AFTER INSURANCE, OF THE AVAILABILITY OF VARIOUS FINANCIAL ASSISTANCE PROGRAMS, INCLUDING THE FREE CARE AND DISCOUNTED CARE PROGRAM, AND THE CATASTROPHIC PROGRAM OFFERED BY THE HOSPITALS, IN WRITTEN CORRESPONDENCE SENT TO THOSE PATIENTS. THIS INFORMATION INCLUDES THE TOLL-FREE PHONE NUMBER TO THE TEAM OF PATIENT ACCOUNT REPRESENTATIVES. K. THE HOSPITALS HAVE ON-SITE PATIENT ACCOUNT STAFF WHO ARE TRAINED AND AVAILABLE TO ASSIST PATIENTS WITH FINANCIAL ASSISTANCE. L. THE HOSPITALS PROVIDE PROACTIVE FINANCIAL COUNSELING FOR SELF-PAY PATIENTS WHO HAVE A SCHEDULED INPATIENT ADMISSION. FINANCIAL COUNSELING INCLUDES ASSESSMENT FOR PUBLICLY OR PRIVATELY FUNDED INSURANCE AND THE HOSPITALS' FINANCIAL ASSISTANCE PROGRAMS. FINANCIAL ASSISTANCE PROGRAMS, INCLUDES THE FREE CARE AND DISCOUNTED CARE PROGRAMS, AND THE CATASTROPHIC PROGRAM OFFERED BY THE HOSPITALS, IN WRITTEN CORRESPONDENCE SENT TO THOSE PATIENTS. THIS INFORMATION INCLUDES THE TOLL-FREE PHONE NUMBER TO THE TEAM OF PATIENT ACCOUNT REPRESENTATIVES.
Schedule H, Part VI, Line 4 Community information	The communities served by NMHC hospitals are complex and diverse, encompassing rural, suburban and urban areas, with a range of socioeconomic statuses and the social determinants of health that correspond to these demographics. NMHC is committed to providing culturally competent care that is responsive to the needs of all of our patients. NMHC works closely with community partners, including community health centers, to identify priority health concerns and jointly develop community-based health initiatives designed to address healthcare disparities. NMHC defined its communities based on the Hospital Service Areas outlined below. NMHC Service Areas NMHC defines Hospital Service Area as a combination of the Primary Service Area (PSA) and the Secondary Service Area (SSA) that account for a percentage of inpatient admissions to each hospital. The Hospital Service Area of each hospital is defined in further detail, below. Northwestern Memorial Hospital Service Area NMH serves a large, complex and diverse area with patients coming from the City of Chicago and surrounding counties. NMH's Hospital Service Area is defined as the Cities of Chicago and Evanston, which provides 69 percent of inpatient admissions. The community in NMH's Hospital Service Area is ethnically and racially diverse with large Black and Hispanic populations as well as large Polish and Spanish-speaking populations. Within NMH's Hospital Service Area, the population is expected to grow at a rate of 0.9 percent over the next five years. Significantly, nearly 20 percent of families live below the poverty level in NMH's Hospital Service Area. NMH is committed to providing culturally competent care that is responsive to the needs of all our patients, regardless of the ability to pay. NMH works with community health centers in some of Chicago's medically underserved areas to identify priority health concerns and jointly develop community-based health initiatives designed to address healthcare disparities. Northwestern Medicine Lake Forest Hospital Service Area NM LFH primarily serves Lake County, which has a fairly stable population of around 704,000 residents; nearly 73 percent of inpatient admissions at NM LFH are derived from Lake County. While NM LFH's Hospital Service Area population is only expected to grow by 0.7 percent over the next five years, the over-65 population is growing rapidly. Between 2010 and 2015 (the most recent information available), the number of persons in Lake County 65 years and older increased by more than 2 percent. A total of 20.2% of Lake County residents are Hispanic or Latino. In looking at race independent of ethnicity, 78.7% of residents of Lake County are White and 14.4% are Black. Northwestern Medicine Central DuPage Hospital Service Area Located in Winfield, Illinois, NMCDH serves the residents of central and western DuPage County and beyond. NMCDH's Hospital Service Area accounts for 70 percent of inpatient admissions. Age distribution in the County includes 23.8 percent infants, children or adolescents (up 0.4 percent from the 2015 CHNA), 63.3 percent of residents are age 18 to 64 (up 1.1 percent), and the 12.9 percent of age 65 or older (up 0.6 percent). In looking at race independent of ethnicity, 79.4% of residents in DuPage County are White and 4.7% are Black. When considering ethnicity, 13.9% of DuPage residents are Hispanic or Latino. The county has a higher proportion of white residents and a lower proportion of black residents than the state and US. The percentage of Hispanic and Latino residents is also lower than found in the state and US. Northwestern Medicine Delnor Hospital Service Area NMDH primarily serves the residents of Kane County. Kane County is the seventh-youngest county in Illinois and notable for its age distribution. The median age remains 34.5 years as compared to the 2015 current Census Bureau average of 36.7 years. Those aged 18 to 24 comprise 61.1 percent of the population; 27.1 percent are age 0 to 17, and 11.7 percent are age 65 or older. Non-Hispanic whites now constitute 72.5 percent of the total population, an increase from 59 percent in the prior CHNA report, and Hispanics now comprise 31.4 percent of the total population. When compared to Illinois and the US in general, the proportion of Hispanics is double in Kane County, and the county has the largest proportion of Hispanics in the state. Northwestern Medicine Kishwaukee Hospital Service Area NMKH serves a majority of DeKalb County residents; the greater part of the county's residents live in the cities of DeKalb and Sycamore. The median age of DeKalb County residents is significantly lower than that of Illinois overall, at 30.3 years, or seven years less than the median age of an Illinois or US resident. 21.4 percent of residents are aged 20 to 29 years and 16.3 percent are aged from 10 to 19 years. Additionally, 11 percent of the population is aged 30 to 39, 11.8 percent comprises 40 to 49 years, 2.4 percent from 50 to 59 years, and 15.8 percent are over 60 years. The county population is 87 percent white, 8 percent black, 3 percent Asian and 2 percent is two or more races. When considering ethnicity, 11 percent of the population identified as Hispanic or Latino. Northwestern Medicine Valley West Hospital Service Area A critical access hospital in Sandwich, Illinois, NMVW primarily serves residents of DeKalb County, demographics as detailed with NMKH. NMVW's Hospital Service Area accounts for 72 percent of inpatient admissions. Marianjoy Rehabilitation Hospital Service Area Located in Wheaton, Illinois, MRH largely serves the residents of DuPage County, demographics as discussed with regards to the NMCDH service area of DuPage County as well. However, due to the specialty nature of the hospital, MRH also serves as a destination hospital receiving patient referrals from surrounding counties including Cook, Will, Kane, Kendall, DeKalb and LaSalle.
Schedule H, Part VI, Line 5 Promotion of community health	As described in earlier sections, NMHC believes that its mission to improve the health of the communities it serves is best accomplished in collaboration with partners in the community. The CHNA process and ongoing input from community partners inform how NMHC hospitals prioritize and address community health needs. Along with our many care locations, our community affiliations help us to provide care to residents near where they live or work, with streamlined pathways to access medically necessary hospital-based care. NMHC also sponsors numerous programs to provide mental health services, promote health and wellness, prevent injury and trauma, and provide healthcare career training, youth mentoring, language assistance and volunteer programs to enhance the quality and accessibility of care. Net unreimbursed cost for these activities for FY18 was more than $19 million.
Schedule H, Part VI, Line 6 Affiliated health care system	AS DESCRIBED THROUGHOUT THIS FORM 990, THE SUBORDINATES REPORTED IN THIS GROUP RETURN ARE ALL PART OF NORTHWESTERN MEMORIAL HEALTHCARE. THE COMMUNITY BENEFIT PLAN AND COMMUNITY HEALTH NEEDS ASSESSMENT, DESCRIBED EARLIER IN SCHEDULE H, GIVE DETAILS ABOUT EACH SUBORDINATE'S RESPECTIVE ROLE IN PROMOTING THE HEALTH OF THE COMMUNITIES WE SERVE.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (82 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Northwestern University
750 N Lake Shore Dr	Chicago	IL	60611	362167817	501(c)3	$10,208,183	Academic support
DuPage Health Coalition
511 Thornhill Dr	Carol Stream	IL	60188	364448208	501(c)3	$641,377	Access to healthcare	Ste E
Erie Family Health Center
1701 W Superior St	Chicago	IL	60622	363088628	501(c)3	$330,000	Access to healthcare
Near North Health Svcs Corp
1276 N Clybourn Ave	Chicago	IL	60610	363197647	501(c)3	$325,000	Access to healthcare
Northern Illinois University Fnd
Altgeld Hall 134	DeKalb	IL	60115	366086819	501(c)3	$274,368	Community and Education Support
Winfield Fire Protection District
27W560 High Lake Rd	Winfield	IL	60190	362797572	Government	$150,000	Community safety and education
CommunityHealth
2611 W Chicago Ave	Chicago	IL	60622	363831793	501(c)3	$115,000	Access to healthcare
TRI CITY HEALTH PARTNERSHIP INC
318 Walnut St	St Charles	IL	60174	364475369	501(c)3	$110,000	Access to healthcare
Kane County
719 S Batavia Ave	Geneva	IL	60134	366006585	Government	$102,912	Community health and education
YMCA of Metropolitan Chicago
824 N Hamlin Ave	Chicago	IL	60651	362179782	501(c)3	$100,000	Community health and education
PARENTS ALLIANCE EMPLOYMENT PROJECT
2525 Cabot Dr	Lisle	IL	60532	363003311	501(c)3	$94,600	Support adults with disabilities
Ann & Robert H Lurie Children's Hospital of Chicago
225 E Chicago Ave	Chicago	IL	60611	362170833	501(c)3	$75,000	Health and well-being of children
American Cancer Society
143 First St	Batavia	IL	60510	131788491	501(c)3	$50,000	Support Relay for Life event
Sycamore Park District
940 E State St	Sycamore	IL	60178	366006122	Government	$45,500	Support park district programs
COMMUNITY FOUNDATION OF THE FOX RIVER VALLEY
111 W Downer Pl	Aurora	IL	60506	366086742	501(c)3	$40,750	Support community education
Kishwaukee Family YMCA
2500 W Bethany Rd	Sycamore	IL	60178	362379643	501(c)3	$34,500	Community health and education
Sandwich Park District
1001 N Latham Rd	Sandwich	IL	60548	362646087	Government	$29,000	Support for park district programs
Family Service Agency of DeKalb County
14 Health Services Dr	DeKalb	IL	60115	362360012	501(c)3	$25,000	Community health
Fox Valley Food For Health
PO Box 532	Geneva	IL	60134	460961627	501(c)3	$25,000	Community health and education
Lazarus House
214 Walnut St	St Charles	IL	60174	364187609	501(c)3	$25,000	Shelter and meals for homeless
KISHWAUKEE COLLEGE FOUNDATION
21193 Malta Rd	Malta	IL	60150	237433949	501(c)3	$19,260	Community and Education Support
World Business Chicago
177 N State St	Chicago	IL	60601	364313685	501(c)3	$17,840	Community support
DEKALB COUNTY COMMUNITY FOUNDATION
475 DeKalb Ave	Sycamore	IL	60178	363788167	501(c)3	$17,500	Community support
Luster Learning Institute
1126 Hillcrest Ave	Highland Park	IL	60035	364604965	501(c)3	$16,750	Community support
Northern Illinois Food Bank
273 Dearborn	Geneva	IL	60134	363203648	501(c)3	$16,060	Community health and nutrition
DeKalb County Economic Development Corporation
421 N California St	Sycamore	IL	60178	363524353	501(c)3	$15,880	Support economic development
American Heart Association
205 N Michigan Ave	Chicago	IL	60604	135613797	501(c)3	$15,000	Education/research/support
DEKALB COUNTY YOUTH SERVICES BUREAU
330 Grove St	DeKalb	IL	60115	363034427	501(c)3	$15,000	Support for youth programs
Safe Passage
PO Box 621	DeKalb	IL	60115	363108372	501(c)3	$15,000	Prevention of domestic violence
VNA Healthcare
400 N Highland Ave	Aurora	IL	60506	362182095	501(c)3	$15,000	Healthcare support
Young Mens Christian Association of Northwestern DuPage County
49 Diecke Dr	Glen Ellyn	IL	60137	362470895	501(c)3	$15,000	Community health and education
DUPAGE COUNTY CONVALESCENT CENTER
400 N County Farm Rd	Wheaton	IL	60187	366006553	Government	$14,000	Community health
Fox Valley YMCA
3875 Eldamain Rd	Plano	IL	60545	363028169	501(c)3	$13,000	Promote healthy lifestyle
Fox Valley Older Adult Services
1406 Suydam Rd	Sandwich	IL	60548	362738669	501(c)3	$13,000	Programs for seniors
CASA - DeKalb County
407 W State St	Sycamore	IL	60178	363903898	501(c)3	$12,500	Well-being of abused and neglected children
SYCAMORE EDUCATION FOUNDATION
245 W Exchange St	Sycamore	IL	60178	363329746	501(c)3	$12,500	Community and Education Support
Thresholds
4101 N Ravenswood	Chicago	IL	60613	362518901	501(c)3	$12,000	Support for mental health programs
Chicago Youth Symphony Orchestra
410 S Michigan Ave	Chicago	IL	60605	366109808	501(c)3	$10,000	Community support
LAKE COUNTY PARTNERS
1 Overlook Pt	Lincolnshire	IL	60069	364206288	501(c)3	$10,000	Community support
Pulmonary Fibrosis Foundation
230 E Ohio St	Chicago	IL	60611	841558631	501(c)3	$10,000	Research and education
DEKALB COUNTY COMMUNITY GARDENS
PO Box 348	DeKalb	IL	60115	463681206	501(c)3	$10,000	Community support
HOPE HAVEN OF DEKALB COUNTY INC
1145 Rushmoore Dr	DeKalb	IL	60115	363537762	501(c)3	$10,000	Shelter and meals for homeless
KISHWAUKEE UNITED WAY
115 N First St	DeKalb	IL	60115	366158489	501(c)3	$10,000	Support programs for community health
VOLUNTARY ACTION CENTER OF DEKALB COUNTY
1606 Bethany Rd	Sycamore	IL	60178	362798257	501(c)3	$10,000	Transportation and nutrition needs
Common Threads
3811 Bee Caves Rd	Austin	TX	78746	200106847	501(c)3	$10,000	Community health and education
DuPage PADS
601 W Liberty	Wheaton	IL	60187	363675494	501(c)3	$10,000	Shelter and meals for homeless
DeKalb Chamber of Commerce
164 E Lincoln Hwy	DeKalb	IL	60115	360981630	501(c)6	$9,500	Community support
United Way
205 W Wacker Dr	Chicago	IL	60606	300200478	501(c)3	$9,350	Community support
SPECTRIOS INSTITUTE for low vision
219 E Cole Ave	Wheaton	IL	60187	363083157	501(c)3	$9,340	Support for those with low vision
Winfield Lions Club
PO Box 252	Winfield	IL	60190	363332525	501(c)4	$9,000	Vision and hearing assistance programs
GILDAS CLUB CHICAGO
537 N Wells St	Chicago	IL	60654	364115144	501(c)3	$8,900	Support for cancer patients
Navy Pier Inc
600 E Grand Ave	Chicago	IL	60611	274813461	501(c)3	$8,500	Community support
The Civic Federation
205 W Wacker Dr	Chicago	IL	60606	362170124	501(c)3	$8,000	Improve government efficiency
MIDTOWN EDUCATIONAL FOUNDATION
718 S Loomis Ave	Chicago	IL	60607	363417278	501(c)3	$8,000	Community and Education Support
RONALD MCDONALD HOUSE
1301 W 22nd St	Oak Brook	IL	60523	363532553	501(c)3	$8,000	Community support
Opportunity House
202 Lucas St	Sycamore	IL	60178	362476231	501(c)3	$8,000	Support adults with disabilities
SYCAMORE CHAMBER OF COMMERCE
407 W State St	Sycamore	IL	60178	361848940	501(c)6	$7,800	Community support
Catholic Charities of the Archdiocese of Chicago
721 N LaSalle St	Chicago	IL	60610	362170821	501(c)3	$7,500	Community and Education Support
Family Shelter Service
605 E Roosevelt Rd	Wheaton	IL	60187	362883552	501(c)3	$7,500	Support for victims of domestic abuse
Habitat for Humanity
233 N Michigan Ave	Chicago	IL	60601	364257107	501(c)3	$7,500	Shelter for homeless
Jackson Chance Foundation
200 N Michigan Ave	Chicago	IL	60601	461400798	501(c)3	$7,500	Community support
Wings Program
PO Box 95615	Palatine	IL	60095	363456061	501(c)3	$7,500	Support for victims of domestic violence
HOSPITAL SISTER MISSION OUTREACH CORP
PO Box 1665	Springfield	IL	62705	352271729	501(c)3	$6,886	Medical assistance for the underserved
Roman Catholic Diocese of Joliet-St John the Baptist
0S259 Church St	Winfield	IL	60190	362167849	501(c)3	$6,500	Community support
GENOA CHAMBER OF COMMERCE
113 N Genoa St	Genoa	IL	60135	362355846	501(c)6	$6,300	Community support
BEARS CARE
1920 Football Dr	Lake Forest	IL	60045	203902715	501(c)3	$6,000	Community support
Friends for Therapeutic Equine Activities
28W051 Liberty St	Winfield	IL	60190	364095011	501(c)3	$5,500	Support for children/adults with special needs
Special Camps for Special Citizens
26W684 Lindsey	Winfield	IL	60190	364002804	501(c)3	$5,500	Recreational programs for youth with special needs
Digestive Health Foundation
251 E Huron	Chicago	IL	60611	474178944	501(c)3	$5,300	Research and education
Winfield Park District
0N020 County Farm Rd	Winfield	IL	60190	363303703	Government	$5,098	Community health
Winfield in Action
0S623 Jefferson St	Winfield	IL	60190	237359257	501(c)3	$5,020	Recreational program support
FEED MY STARVING CHILDREN
401 93rd Ave NW	Coon Rapids	MN	55433	411601449	501(c)3	$5,000	Community health and nutrition
KISHWAUKEE SYMPHONY ORCHESTRA
PO Box 310	DeKalb	IL	60115	363069093	501(c)3	$5,000	Community support
TriCities Family Services
1120 Randall Ct	Geneva	IL	60134	237310008	501(c)3	$5,000	Mental health program for low income
Ecker Center for Mental Health
1845 Grandstand Pl	Elgin	IL	60123	362312495	501(c)3	$5,000	Mental health program for low income
EPILEPSY FOUNDATION OF GREATER CHICAGO
17 N State St	Chicago	IL	60602	362317619	501(c)3	$5,000	Research and education
World Relief
7 E Baltimore St	Baltimore	MD	21202	236393344	501(c)3	$5,000	Support for Refugee programs
Almost Home Kids
7S721 State Rte 53	Naperville	IL	60540	363822010	501(c)3	$5,000	Support for children with special-needs
NAMI of DuPage County
115 N County Farm Rd	Wheaton	IL	60187	363412057	501(c)3	$5,000	Support for mental health programs
Samaritan Interfaith Counseling Center
1819 Bay Scott Cir	Naperville	IL	60540	362846570	501(c)3	$5,000	Support for mental health programs
Western DuPage Special Recreation Association Foundation
116 N Schmale Rd	Carol Stream	IL	60188	363932924	501(c)3	$5,000	Recreation scholarships for those with special needs
Knights of Columbus
0S233 Church St	Winfield	IL	60190	363180409	501(c)8	$5,000	Community support

Field	Value	IRS element (for citing)
Total501c3 Org	77	Total501c3OrgCnt
Total Other Org	5	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	106	$247,800
EMPLOYEE CRISIS ASSISTANCE	116	$181,941
PATIENT BILL ASSISTANCE	18	$50,730
PATIENT TRANSPORTATION ASSISTANCE	284	$5,787
FOOD AND MEDICINE FOR INDIVIDUALS	188	$25,361

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

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

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

THE MAJORITY OF THE GRANTS FROM THE NORTHWESTERN MEMORIAL HEALTHCARE GROUP ARE ADMINISTERED THROUGH NORTHWESTERN MEMORIAL FOUNDATION ("NMF"). NMF MAINTAINS DETAILED RECORDS AND INTERNAL CONTROL PROCEDURES TO ENSURE GRANT RECIPIENTS ARE QUALIFIED, AWARD AMOUNTS ARE DOCUMENTED AND SELECTION CRITERIA ARE CLEAR. ONCE A GRANT HAS BEEN AWARDED, NMF INITIATES A WRITTEN AGREEMENT WITH THE GRANT RECIPIENT THAT INCORPORATES A BUDGET AND TIME PERIOD FOR SPENDING THE GRANT DOLLARS. REASONABLE DIRECT COSTS, SUPPORTED BY DIRECT BUDGET JUSTIFICATION AND RELATED TO THE PROJECT'S PURPOSE, ARE ALLOWABLE. RECIPIENTS AGREE TO ABIDE BY THE BUDGET AND ALL RELEVANT POLICIES IN EFFECT AT NORTHWESTERN MEMORIAL HEALTHCARE. GRANT EXPENDITURES ARE MONITORED FOR COMPLIANCE WITH THEIR RESPECTIVE AGREEMENTS, AT LEAST ONCE A YEAR TO ENSURE THAT BUDGETS ARE FOLLOWED AND EXPENSES ARE APPROPRIATE. AT THE END OF EACH BUDGET PERIOD, NMF REQUIRES THE GRANT RECIPIENT TO SUBMIT A WRITTEN NARRATIVE AND FINANCIAL REPORT OUTLINING PROJECT ACCOMPLISHMENTS AND HOW THE GRANT DOLLARS WERE EXPENDED. UNEXPENDED FUNDS ARE RETURNED TO NMF. GRANTS PROVIDED BY NORTHWESTERN MEMORIAL HOSPITAL AND NORTHWESTERN LAKE FOREST HOSPITAL TO OTHER QUALIFYING TAX-EXEMPT ORGANIZATIONS ARE SUPPORTED BY A GRANT AGREEMENT THAT DEFINES ANY RESTRICTIONS ASSOCIATED WITH THE GRANT AND ANY RELATED REPORTING REQUIREMENTS. IN ADDITION, CDH-DELNOR HEALTH SYSTEM AND KISHHEALTH SYSTEM ALSO PROVIDE GRANTS UNDER THEIR COMMUNITY BENEFIT GRANT PROGRAMS TO NONPROFIT, GOVERNMENTAL OR PUBLIC ORGANIZATIONS WITHIN THEIR LOCAL COMMUNITIES WHO ARE WORKING TO ADDRESS IDENTIFIED COMMUNITY HEALTH PRIORITIES, BASED ON THEIR LOCAL COMMUNITY HEALTH NEEDS ASSESSMENTS AND/OR COMMUNITY HEALTH IMPROVEMENT PLANS. THE GUIDING PHILOSOPHY OF THE CHARITABLE GRANT ACTIVITY IS TO NOT ONLY CONTRIBUTE OUR RESOURCES BUT TO ACTIVELY ENGAGE PARTNERS TO ASSESS, PLAN FOR AND MEET COMMUNITY HEALTH NEEDS. THE NMHC GROUP ORGANIZATIONS WORK CLOSELY WITH THEIR PARTNERS IN THE PROGRAMS THAT ARE AWARDED GRANTS. MONITORING THE USE OF GRANT FUNDS IS ACHIEVED THROUGH VARIOUS MEANS, INCLUDING ACTIVE PARTICIPATION IN PROGRAM IMPLEMENTATION, WRITTEN CONTRIBUTION AGREEMENTS, PERFORMANCE REPORTS AND BOARD PARTICIPATION IN SOME INSTANCES.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (60 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAY ANDERSON
See Schedule O	$494,685	$0	$322,619	$0	$64,160	$0	$178,642	$0	$25,369	$0	$1,085,476	$0	$0	$0
Howard B Chrisman MD
See Schedule O	$631,122	$0	$309,699	$0	$1,800	$0	$127,200	$0	$5,371	$0	$1,075,192	$0	$0	$0
Seamus Collins
See Schedule O	$200,858	$0	$55,907	$0	$820	$0	$24,412	$0	$26,191	$0	$308,188	$0	$0	$0
JULIE L CREAMER
See Schedule O	$627,325	$0	$435,848	$0	$688,022	$0	$108,600	$0	$25,333	$0	$1,885,128	$0	$126,149	$0
Connie Falcone
See Schedule O	$199,576	$0	$62,118	$0	$1,310	$0	$19,802	$0	$11,322	$0	$294,127	$0	$0	$0
Matthew J Flynn
See Schedule O	$348,303	$0	$166,173	$0	$4,327	$0	$67,800	$0	$25,538	$0	$612,141	$0	$0	$0
Richard Franco
See Schedule O	$276,425	$0	$115,638	$0	$2,050	$0	$33,336	$0	$24,850	$0	$452,299	$0	$0	$0
James Giblin MD
See Schedule O	$518,289	$0	$223,341	$0	$4,974	$0	$110,160	$0	$29,049	$0	$885,813	$0	$0	$0
Dean M Harrison
See Schedule O	$1,671,192	$0	$2,362,489	$0	$2,368,306	$0	$670,970	$0	$18,052	$0	$7,091,009	$0	$460,979	$0
Emily J Kozak
See Schedule O	$207,779	$0	$125,742	$0	$22,267	$0	$26,073	$0	$25,479	$0	$407,340	$0	$0	$0
Brian J Lemon
See Schedule O	$553,322	$0	$257,376	$0	$40,413	$0	$76,895	$0	$27,821	$0	$955,828	$0	$0	$0
Thomas J McAfee
See Schedule O	$572,984	$0	$395,897	$0	$100,259	$0	$209,063	$0	$26,957	$0	$1,305,159	$0	$231,453	$0
Eric G Neilson MD
See Schedule O	$559,359	$0	$405,375	$0	$31,415	$0	$16,200	$0	$16,414	$0	$1,028,763	$0	$0	$0
John A Orsini
See Schedule O	$774,824	$0	$565,551	$0	$20,258	$0	$275,155	$0	$18,522	$0	$1,654,310	$0	$162,274	$0
Kevin P Poorten
See Schedule O	$622,699	$0	$275,740	$0	$77,674	$0	$243,078	$0	$27,122	$0	$1,246,313	$0	$10,000	$0
PATRICK TOWNE MD
See Schedule O	$457,607	$0	$217,785	$0	$5,287	$0	$87,009	$0	$23,925	$0	$791,613	$0	$0	$0
TODD BARROWCLIFT DO
See Schedule O	$188,622	$0	$35,710	$0	$1,280	$0	$11,769	$0	$25,880	$0	$263,262	$0	$0	$0
Michael Kulisz DO
See Schedule O	$412,781	$0	$161,876	$0	$170,588	$0	$41,235	$0	$24,312	$0	$810,791	$0	$50,703	$0
PATRICK M MCCARTHY MD
See Schedule O	$1,355,631	$0	$551,250	$0	$29,702	$0	$16,200	$0	$21,832	$0	$1,974,615	$0	$0	$0
Amy S Paller MD
See Schedule O	$222,667	$0	$130,791	$0	$19,229	$0	$16,200	$0	$24,749	$0	$413,637	$0	$0	$0
TERRANCE D PEABODY MD
See Schedule O	$608,837	$0	$165,476	$0	$6,960	$0	$16,200	$0	$24,073	$0	$821,546	$0	$0	$0
RONALD J SEVERINO MD
See Schedule O	$277,476	$0	$0	$0	$100,303	$0	$16,200	$0	$25,787	$0	$419,765	$0	$0	$0
DEAN P SHOENER MD
See Schedule O	$492,995	$0	$0	$0	$107,763	$0	$16,200	$0	$25,243	$0	$642,200	$0	$0	$0
NATHANIEL J SOPER MD
See Schedule O	$619,247	$0	$155,327	$0	$29,093	$0	$16,200	$0	$17,422	$0	$837,289	$0	$0	$0
DEAN G TSARWHAS MD
See Schedule O	$914,925	$0	$0	$0	$7,790	$0	$16,200	$0	$28,956	$0	$967,871	$0	$0	$0
Nicholas J Volpe MD
See Schedule O	$380,136	$0	$121,133	$0	$21,177	$0	$16,200	$0	$25,069	$0	$563,716	$0	$0	$0
JEFFREY D WAYNE MD
See Schedule O	$409,547	$0	$60,000	$0	$26,394	$0	$16,200	$0	$25,069	$0	$537,210	$0	$0	$0
MAUREEN BRYANT
See Schedule O	$413,238	$0	$188,853	$0	$30,411	$0	$62,446	$0	$8,975	$0	$703,923	$0	$0	$0
Danae K Prousis
See Schedule O	$517,415	$0	$256,585	$0	$50,595	$0	$16,200	$0	$9,723	$0	$850,519	$0	$0	$0
Maureen A Taus
See Schedule O	$324,595	$0	$147,441	$0	$52,360	$0	$35,640	$0	$23,440	$0	$583,476	$0	$16,667	$0
KATHLEEN YOSKO
See Schedule O	$408,906	$0	$156,478	$0	$34,527	$0	$16,200	$0	$9,894	$0	$626,006	$0	$0	$0
Aaron Bare
See Schedule O	$803,243	$0	$0	$0	$275,322	$0	$16,200	$0	$29,179	$0	$1,123,944	$0	$0	$0
Michael Lee MD
See Schedule O	$868,176	$0	$0	$0	$27,519	$0	$16,200	$0	$20,199	$0	$932,094	$0	$0	$0
Harish Shownkeen MD
See Schedule O	$1,208,193	$0	$0	$0	$429,676	$0	$16,200	$0	$20,297	$0	$1,674,366	$0	$0	$0
Regina Stein MD
See Schedule O	$711,324	$0	$0	$0	$129,951	$0	$16,200	$0	$23,934	$0	$881,410	$0	$0	$0
Claudia Tellez MD
See Schedule O	$770,601	$0	$0	$0	$146,716	$0	$16,200	$0	$19,264	$0	$952,781	$0	$0	$0
James Adams
See Schedule O	$592,669	$0	$280,675	$0	$26,384	$0	$59,460	$0	$8,815	$0	$968,003	$0	$0	$0
Roger Bell
See Schedule O	$304,159	$0	$140,442	$0	$1,886	$0	$34,203	$0	$22,205	$0	$502,895	$0	$0	$0
Steven Burandt MD
See Schedule O	$135,479	$0	$0	$0	$131,322	$0	$15,873	$0	$23,271	$0	$305,946	$0	$0	$0
Carl Christensen
See Schedule O	$471,729	$0	$210,240	$0	$4,590	$0	$133,122	$0	$22,782	$0	$842,464	$0	$0	$0
Brad Copple
See Schedule O	$216,554	$0	$118,037	$0	$228,054	$0	$34,971	$0	$16,455	$0	$614,071	$0	$20,860	$0
Mark Daniels MD
See Schedule O	$320,021	$0	$136,262	$0	$35,677	$0	$16,200	$0	$23,991	$0	$532,151	$0	$0	$0
James C Dechene
See Schedule O	$165,194	$0	$146,565	$0	$604,388	$0	$9,648	$0	$18,736	$0	$944,531	$0	$0	$0
Pamela Duffy
See Schedule O	$180,359	$0	$87,520	$0	$147,413	$0	$26,356	$0	$8,995	$0	$450,642	$0	$7,563	$0
Erik Englehart MD
See Schedule O	$258,151	$0	$30,715	$0	$133,843	$0	$10,094	$0	$23,649	$0	$456,452	$0	$0	$0
Stephen Falk
See Schedule O	$331,577	$0	$200,774	$0	$203,483	$0	$16,200	$0	$12,380	$0	$764,414	$0	$0	$0
Loren Foelske
See Schedule O	$10,565	$0	$0	$0	$307,878	$0	$322	$0	$680	$0	$319,445	$0	$0	$0
Francis Fraher
See Schedule O	$273,652	$0	$119,760	$0	$25,788	$0	$16,200	$0	$25,600	$0	$461,001	$0	$0	$0
David Hensley
See Schedule O	$232,120	$0	$100,620	$0	$8,337	$0	$28,264	$0	$17,513	$0	$386,855	$0	$0	$0
John Hubbe
See Schedule O	$124,578	$0	$4,119	$0	$18,198	$0	$9,337	$0	$25,469	$0	$181,700	$0	$0	$0
Denise Majeski
See Schedule O	$240,291	$0	$97,731	$0	$18,670	$0	$11,174	$0	$9,748	$0	$377,615	$0	$0	$0
Dean Manheimer
See Schedule O	$394,395	$0	$542,117	$0	$1,266,050	$0	$16,200	$0	$23,087	$0	$2,241,848	$0	$361,807	$0
Peter McCanna
See Schedule O	$728,582	$0	$685,416	$0	$2,324,510	$0	$16,200	$0	$18,773	$0	$3,773,480	$0	$426,058	$0
Michele McClelland
See Schedule O	$0	$0	$0	$0	$225,233	$0	$0	$0	$0	$0	$225,233	$0	$0	$0
Gary Noskin MD
See Schedule O	$430,659	$0	$212,313	$0	$25,733	$0	$102,600	$0	$26,451	$0	$797,757	$0	$0	$0
Elizabeth Rosenberg
See Schedule O	$632,655	$0	$450,289	$0	$10,314	$0	$222,902	$0	$28,043	$0	$1,344,203	$0	$134,188	$0
Michael Vivoda
See Schedule O	$939,913	$0	$656,608	$0	$10,941	$0	$211,848	$0	$27,508	$0	$1,846,817	$0	$227,495	$0
Brian Walsh
See Schedule O	$361,608	$0	$172,670	$0	$10,646	$0	$37,794	$0	$26,590	$0	$609,308	$0	$0	$0
Jennifer Wooten Ierardi
See Schedule O	$265,428	$0	$137,260	$0	$24,600	$0	$34,200	$0	$25,092	$0	$486,580	$0	$0	$0
Douglas M Young
See Schedule O	$367,299	$0	$156,190	$0	$81,744	$0	$16,200	$0	$34,470	$0	$655,904	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 8 INITIAL CONTRACT EXCEPTION	WHILE THERE ARE NO AMOUNTS REPORTED ON FORM 990, PART VII, FOR WHICH THE INITIAL CONTRACT EXCEPTION EXPRESSLY APPLIES, THE ORGANIZATION RESERVES THE RIGHT TO ASSERT AT ANY TIME THAT THE INITIAL CONTRACT EXCEPTION APPLIES TO AN AMOUNT PROVIDED A PERSON LISTED IN PART VII AND/OR ON SCHEDULE J.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	HEALTH CLUB DUES EMPLOYEES OF NORTHWESTERN LAKE FOREST HOSPITAL ARE OFFERED DISCOUNTED HEALTH AND FITNESS CLUB DUES AT LAKE FOREST HEALTH AND FITNESS INSTITUTE. THE AMOUNT OF THE DISCOUNT IS TREATED AS TAXABLE INCOME FOR EACH OF THE EMPLOYEES. MATTHEW J. FLYNN AND DENISE MAJESKI RECEIVED THIS BENEFIT. COUNTRY CLUB DUES COUNTRY CLUB DUES WERE REIMBURSED FOR CERTAIN KISHWAUKEE HEALTH EMPLOYEES. THIS AMOUNT IS TREATED AS TAXABLE INCOME FOR EACH OF THESE EMPLOYEES. BRAD COPPLE AND KEVIN POORTEN RECEIVED THIS BENEFIT.
Schedule J, Part I, Line 4a Severance or change-of-control payment	SEVERANCE PAYMENTS THE FOLLOWING PERSONS RECEIVED SEVERANCE PAYMENTS: Dean Manheimer, $165,592 James Dechene, $423,520 Michele McClelland, $225,233 Pamela Duffy, $43,820 Brad Copple, $121,532 Loren Foelske, $279,309
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THERE ARE TWO DIFFERENT NONQUALIFIED DEFERRED COMPENSATION PLANS SPONSORED BY NORTHWESTERN MEMORIAL HEALTHCARE, WHICH PROVIDE SUPPLEMENTAL, COMPETITIVE RETIREMENT BENEFITS. THE EMPLOYER PAYS THE COST OF PARTICIPATION, AND THE BENEFITS AND CONTRIBUTIONS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE BASED ON THE COMPLETION OF SUBSTANTIAL FUTURE SERVICE REQUIREMENTS. THE AMOUNTS EARNED BY PARTICIPANTS FLUCTUATE FROM YEAR TO YEAR BASED ON A VARIETY OF FACTORS INCLUDING CHANGES IN MARKET INTEREST RATES. PLAN A JULIA CREAMER IS VESTED IN A NON-QUALIFIED PLAN. AS SUCH, ANY CONTRIBUTIONS ARE TAXED CURRENTLY AND THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $606,772. DEAN HARRISON IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH, ANY CONTRIBUTIONS ARE TAXED CURRENTLY AND THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $1,989,073. DEAN MANHEIMER IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH, ANY CONTRIBUTIONS ARE TAXED CURRENTLY AND THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $461,393. PETER MCCANNA IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH, ANY CONTRIBUTIONS ARE TAXED CURRENTLY AND THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $810,655. PLAN B THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE THE CURRENT YEAR CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: MAUREEN BRYANT, $24,744 JULIA CREAMER, $74,160 JAMES DECHENE, $109,752 STEPHEN FALK, $81,192 FRANCIS FRAHER, $16,542 DEAN HARRISON, $318,780 BRIAN LEMON, $33,018 DENISE MAJESKI, $14,526 DEAN MANHEIMER, $67,980 PETER MCCANNA, $150,645 DANAE PROUSIS, $29,220 KATHLEEN YOSKO, $24,720 DOUGLAS YOUNG, $55,968 THE FOLLOWING EMPLOYEES ARE NOT VESTED IN THE PLAN, AND FOR SUCH EMPLOYEES THE CURRENT YEAR EARNED AMOUNT (WHICH REMAINS AT RISK BECAUSE OF THE REQUIREMENT OF SUBSTANTIAL FUTURE SERVICES) WAS: JAMES ADAMS, $43,260 JAY ANDERSON, $87,432 ROGER BELL, $18,450 HOWARD CHRISMAN, $37,080 CARL CHRISTENSEN, $81,456 BRAD COPPLE, $18,771 JOSEPH DANT, $17,838 PAMELA DUFFY, $13,613 CONNIE FALCONE, $12,250 MATTHEW FLYNN, $51,600 RICHARD FRANCO, $17,136 JAMES GIBLIN, $93,960 DAVID HENSLEY, $14,232 EMILY KOZAK, $13,542 MICHAEL KULISZ, $25,035 THOMAS MCAFEE, $106,392 GARY NOSKIN, $43,200 JOHN ORSINI, $147,672 KEVIN POORTEN, $116,501 ELIZABETH ROSENBERG, $118,152 MAUREEN TAUS, $19,440 PATRICK TOWNE, $27,000 MICHAEL VIVODA, $195,648 BRIAN WALSH, $21,594 JENNIFER WOOTEN IERARDI, $18,000
Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization	CERTAIN LISTED INDIVIDUALS ARE EMPLOYED AS PHYSICIANS. THE COMPENSATION LISTED IN SCHEDULE J IS PROVIDED SOLELY IN CONNECTION WITH THEIR EMPLOYMENT AS PHYSICIANS, AND IS IN PART BASED ON REVENUES ASSOCIATED WITH THEIR PERSONALLY PERFORMED SERVICES. THE COMPENSATION LISTED IS FOR THE CLINICAL AND ADMINISTRATIVE SERVICES PROVIDED WITHIN THE NORTHWESTERN MEMORIAL HEALTHCARE GROUP. THE MAJORITY OF THESE PHYSICIANS ARE ALSO COMPENSATED BY AN UNRELATED ORGANIZATION (NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE) THROUGH A COMMON PAYMASTER FOR THEIR ACADEMIC AND RESEARCH EFFORTS. THE COMPENSATION LISTED IN SCHEDULE J DOES NOT INCLUDE ACADEMIC AND RESEARCH COMPENSATION FROM THE UNRELATED ORGANIZATION.
Schedule J, Part I, Line 7 Non-fixed payments	THE BONUS AND INCENTIVE COMPENSATION AMOUNTS LISTED IN COLUMN (B)(II) FOR ALL LISTED INDIVIDUALS WERE DETERMINED USING A SPECIFIED FORMULA. THIS FORMULA AND THE CALCULATION OF THEIR ANNUAL BONUS IS BASED ON TWO COMPONENTS: THE EMPLOYEE'S TITLE/POSITION (STAFF, MANAGER, DIRECTOR, VP, ETC.) AND THE DEGREE TO WHICH ESTABLISHED PERFORMANCE GOALS WERE ACHIEVED. INCENTIVE COMPENSATION AMOUNTS ARE AT RISK AND ARE NOT PAID UNLESS THERE IS EXCEPTIONAL INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE IN ACCORDANCE WITH SUBSTANTIAL PRE-APPROVED GOALS. THE INCENTIVE COMPENSATION LISTED FOR CERTAIN PHYSICIANS IS FOR PERSONAL PROFESSIONAL PRODUCTIVITY AND FOR PERFORMANCE IN IMPROVING THE QUALITY OF PATIENT CARE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A	861091967	45200FBZ1	2007-12-19	$214,500,000	REFUND BONDS ISSUED 05/27/2004	false	false	false
ILLINOIS FINANCE AUTHORITY
B	861091967	45200FTB5	2009-01-13	$207,360,000	REFUND BONDS ISSUED 05/27/2004	false	false	false
ILLINOIS FINANCE AUTHORITY
C	861091967		2011-08-05	$127,150,000	REFUND SERIES 2004A BONDS	false	false	false
ILLINOIS FINANCE AUTHORITY
D	861091967		2011-08-24	$58,415,000	REFUND SERIES 2008 BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt
A	$11,100,000	$269,866,112	$1,871,062	$267,995,050	2007	false	Yes (true)	Yes (true)	Yes (true)
B	$138,030,000	$207,360,000	$1,985,000	$205,350,000	2007	Yes (true)	false	Yes (true)	Yes (true)	$25,000
C	$12,550,000	$127,150,000		$127,150,000	2006	Yes (true)	false	Yes (true)	Yes (true)
D	$2,365,000	$58,415,000		$58,415,000	2011	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
JPMORGAN & BARCLAYS
A	Yes (true)	Yes (true)	Yes (true)	34.7	false	false	false	false	Yes (true)	Yes (true)
(no name)
B	false	Yes (true)	false				false		false	Yes (true)	false	Yes (true)	false
(no name)
C	false	Yes (true)	false				false		false	Yes (true)	false	Yes (true)	false
(no name)
D	false	Yes (true)	false				false		false	Yes (true)	false	Yes (true)	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) LINE A, COLUMN F, GROUP II	Refund series 2009B, reimburse for the construction of health facilities
Schedule K, Part II, Line 3 2007 Bond Issue	The total proceeds of issue reported at Part II, Line 3, exceed the issue price of Part I due to interest earnings related to this issue.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 02/27/2018

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A	861091967	45203HPT3	2013-02-27	$119,589,286	SEE SUPPLEMENTAL INFORMATION	false	false	false
ILLINOIS FINANCE AUTHORITY
B	861091967		2015-03-02	$12,300,000	BUILDING ACQUISITION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt
A	$119,738,878	$1,667,403	$65,004,825	$53,066,650	2011	false	Yes (true)	Yes (true)	Yes (true)
B	$12,300,000		$12,300,000		2015	false	false	Yes (true)	Yes (true)	$1,638,424

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0	0.0	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)			0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	Yes (true)	Yes (true)
B	false	false	Yes (true)	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOACQUIN BRIEVA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship With Org	FORMER DIRECTOR	RelationshipWithOrgTxt
Loan Purpose	RETENTION	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$50,000	OriginalPrincipalAmt
Balance Due	$17,500	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	false	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$17,500	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JAMES TOWNE
JAMES TOWNE, EMPLOYEE OF THE ORG AND BROTHER OF PATRICK TOWNE, A DIRECTOR OF NMRMG	$277,566	EMPLOYEE	false
WILLIAM TOWNE
WILLIAM TOWNE, EMPLOYEE OF THE ORG AND BROTHER OF PATRICK TOWNE, A DIRECTOR OF NMRMG	$644,468	EMPLOYEE	false
MEDLINE
CHARLES N. MILLS, A DIRECTOR NLFH, INDIRECTLY OWNS A GREATER THAN 35% INTEREST	$845,690	MEDICAL PRODUCTS	false
CHRISTINE E ENGLEHART
EMPLOYEE OF THE ORG AND DAUGHTER OF ERIK ENGLEHART, M.D., A FORMER OFFICER OF KCH	$44,146	EMPLOYEE	false
Hailey Orsini
HAILEY ORSINI, EMPLOYEE OF NMHC AND DAUGHTER OF JOHN ORSINI, CURRENT DIRECTOR OF NMHC	$64,675	EMPLOYEE	false

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$3,291	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$303,375	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Selling cost	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	65	ContributionCnt
Noncash Contributions Rpt F990	$7,094,255	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	3	ContributionCnt
Noncash Contributions Rpt F990	$3,175	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (8 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Gym Membership	1	$1,000	Market value
Yes (X)	Dinner	2	$1,600	Market value
Yes (X)	Lighting	1	$10,870	Market value
Yes (X)	TRAVEL	2	$9,600	Market value
Yes (X)	EVENT TICKETS	3	$16,190	Market value
Yes (X)	GIFTCARD	1	$500	Market value
Yes (X)	CIGAR BASKET	1	$500	Market value
Yes (X)	TV	1	$1,099	Market value

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (256 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 1 Mission Statement	PEOPLE SEEKING QUALITY HEALTHCARE. WITH A MISSION-DRIVEN COMMITMENT TO PROVIDING QUALITY MEDICAL CARE, REGARDLESS OF THE PATIENTS' ABILITY TO PAY, NMHC MAINTAINS ITS DEDICATION TO IMPROVE THE HEALTH OF THE MOST MEDICALLY UNDERSERVED MEMBERS OF OUR COMMUNITY BY: 1. PROVIDING MORE THAN $846.5 MILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2018 INCLUDING CHARITY CARE, OTHER UNREIMBURSED CARE, RESEARCH, EDUCATION AND OTHER COMMUNITY ACTIVITIES; 2. SUPPORTING THOSE RECENTLY INSURED UNDER THE AFFORDABLE CARE ACT (ACA) AND MEDICAID EXPANSION BY CONTINUING TO PROVIDE MEDICALLY NECESSARY HEALTHCARE AND ASSISTING PATIENTS IN DETERMINING ELIGIBILITY AND UNDERSTANDING COVERAGE AND PROVIDER NETWORKS IN THE CHANGING FACE OF HEALTHCARE; 3. PROVIDING $104.7 MILLION IN FUNDING FOR RESEARCH AND MEDICAL EDUCATION IN FISCAL YEAR 2018, INCLUDING PARTICIPATING IN MORE THAN 4,500 CLINICAL RESEARCH STUDIES AND TRAINING MORE THAN 1,660 MEDICAL STUDENTS, RESIDENTS AND FELLOWS; 4. EXPANDING ACCESS TO HEALTHCARE SERVICES THROUGH ESTABLISHMENT OF PRIMARY CARE IN THE COMMUNITY, PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS DETERMINED TO INCREASE ACCESS TO CARE, CONNECTING PATIENTS WITH MEDICAL HOMES, UNDERWRITING MEDICALLY NECESSARY DIAGNOSTIC SPECIALTY CARE, DEVELOPING TARGETED PROGRAMS TO HELP INDIVIDUALS BETTER MANAGE PREVALENT CHRONIC CONDITIONS AND SUPPORTING VOLUNTEER EFFORTS; 5. PARTICIPATING IN COMMUNITY-BASED HEALTH INITIATIVES AIMED AT PROMOTING HEALTHY LIFESTYLES TO REDUCE RISK FACTORS FOR HEART DISEASE, STROKE, CARDIOVASCULAR DISEASE AND OTHER CHRONIC DISEASES, PROMOTING MATERNAL CHILD HEALTH, ADDRESSING MENTAL HEALTH AND SUBSTANCE ABUSE, PROMOTING INDEPENDENCE IN INDIVIDUALS WITH DISABILITIES AND REDUCING VIOLENCE. MANY THAT WE HAVE TRADITIONALLY CARED FOR IN OUR COMMUNITIES GAINED ACCESS TO COVERAGE THROUGH HEALTHCARE INSURANCE PLANS OFFERED UNDER THE ACA - EITHER THROUGH THE LAW'S MEDICAID EXPANSION OR THE HEALTH INSURANCE MARKETPLACE - THUS REDUCING THE TOTAL COST OF CHARITY CARE PROVIDED UNDER OUR FINANCIAL ASSISTANCE PROGRAMS. BAD DEBT IS DRIVEN IN PART BY PATIENTS UNDER ACTIVE TREATMENT WHO ENCOUNTERED NETWORK RESTRICTIONS OR CHANGES IN COVERAGE LIMITS WHEN THEY GAINED COVERAGE UNDER THESE PLANS. NMHC CONTINUED TO PROVIDE CARE FOR THESE PATIENTS EVEN IF NOT REIMBURSABLE, CONTRIBUTING TO THE COST OF BAD DEBT. ALSO, DRIVEN BY THE CONTINUED PARTICIPATION OF NMHC ENTITIES IN ILLINOIS' MEDICAID PROGRAM AND THE INCREASED NUMBER OF MEDICAID PATIENTS CARED FOR AS A RESULT OF THE ACA, THE TOTAL COST OF CHARITY CARE PROVIDED TO GOVERNMENT SPONSORED MEDICAID AND MEDICARE PROGRAMS INCREASED IN FISCAL YEAR 2018. NMHC IS POSITIONED TO ADVANCE GROUNDBREAKING WORK THAT CAN ONLY BE ACCOMPLISHED WITH THE RESOURCES OF AN INTEGRATED ACADEMIC MEDICAL HEALTH SYSTEM. AS AN INTEGRATED ACADEMIC MEDICAL HEALTH SYSTEM, NMHC CAN TAKE ACTION BEYOND PROVIDING CLINICAL CARE. WORKING WITH SCIENTISTS AND EXPERTS IN PUBLIC HEALTH, WE ARE STRIVING TO DETERMINE ROOT CAUSES AND DEVELOP SOLUTIONS TO ERADICATE SOME OF THE MOST WIDESPREAD, GROWING AND COMPLEX PUBLIC HEALTH ISSUES FACING THE UNITED STATES TODAY - FROM CHRONIC DISEASES INCLUDING CARDIOVASCULAR DISEASE, CANCER AND DIABETES, TO THE UNDERLYING CAUSES OF OBESITY, POOR MENTAL HEALTH AND PERSISTENT VIOLENCE IN OUR COMMUNITIES. NMHC SUPPORTS SOME OF THE NATION'S MOST ADVANCED RESEARCH PROGRAMS, LED BY PHYSICIAN SCIENTISTS AT FEINBERG, WHO ARE PUSHING THE BOUNDARIES OF SCIENCE AND MEDICINE THROUGH NATIONALLY RECOGNIZED RESEARCH PROGRAMS AS WELL AS ENTIRELY NEW SCIENTIFIC DISCIPLINES THAT ARE PIONEERING DIRECTIONS FOR PREVENTING AND CURING DISEASE. NMHC IS A GROWING, NATIONALLY RECOGNIZED HEALTH SYSTEM THAT PROVIDES ACCESS TO WORLD-CLASS CARE ONE PATIENT AT A TIME AT MORE THAN 100 LOCATIONS, INCLUDING ITS SEVEN HOSPITALS THROUGHOUT CHICAGO, ITS NORTH AND WEST SUBURBS AND NORTHERN ILLINOIS. MORE THAN 29,000 PHYSICIANS,NURSES, STAFF AND VOLUNTEERS PROVIDED CARE FOR MORE THAN 91,000 INPATIENT ADMISSIONS AND MORE THAN 2.4 MILLION OUTPATIENT ENCOUNTERS IN FISCAL YEAR 2018. THE GEOGRAPHICAL REACH OF NMHC MEETS THE GROWING DEMAND FOR QUALITY HEALTHCARE CLOSE TO WHERE PEOPLE LIVE AND WORK. OUR PATIENTS HAVE ACCESS TO EVIDENCE-BASED MEDICINE AND RESEARCH THAT IS TRANSLATED TO CLINICAL PRACTICE, OFFERING NEW HOPE THROUGH LEADING-EDGE APPROACHES TO HEALTH,WELLNESS AND DISEASE. THE NMHC MEDICAL STAFF OF MORE THAN 4,250 INCLUDES MORE THAN 900 RESIDENTS AND FELLOWS AND NEARLY 1,900 EMPLOYED PHYSICIANS WHO ARE PART OF NMG, RMG, KMG OR MMG. FOR GENERATIONS, NMHC HOSPITALS AND HEALTHCARE ORGANIZATIONS HAVE SERVED THE VITAL ROLE OF PROVIDING TRUSTED MEDICAL CARE IN THEIR COMMUNITIES. THEY HAVE CONTINUALLY EXPANDED IN RESPONSE TO THE NEEDS OF THEIR COMMUNITIES, PROVIDING ACCESS TO MEDICALLY NECESSARY CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY.
Form 990, Part III, Line 4a PROGRAM SERVICES CONTINUED	MARIANJOY REHABILITATION HOSPITAL AND CLINICS, INC. (EIN: 36-2680776) ("MJRH") MJRH IS A SPECIALTY AND TEACHING HOSPITAL IN WHEATON, ILLINOIS, DEDICATED TO THE DELIVERY OF PHYSICAL MEDICINE AND REHABILITATION. RESIDENTS TRAIN IN THE HIGHLY SPECIALIZED FIELD THROUGH CLINICAL EXPERIENCE, EDUCATIONAL OPPORTUNITIES AND RESEARCH ACTIVITIES. MARIANJOY IS A DESTINATION HOSPITAL LOCATED IN DUPAGE COUNTY, SERVING THE RESIDENTS OF DUPAGE AND NEARBY COUNTIES. MORE THAN 90 PHYSICIANS PROVIDE HIGHLY SPECIALIZED PROGRAMS FOCUSED ON TREATMENT OF STROKE, SPINAL CORD INJURY, BRAIN INJURY, PEDIATRIC CONDITIONS AND ORTHOPAEDIC/MUSCULOSKELETAL CONDITIONS, WITH 127 LICENSED BEDS INCLUDING 100 ACUTE INPATIENT REHABILITATION BEDS AND 27 MEDICARE-LICENSED, SUBACUTE BEDS. FISCAL YEAR 2018 SAW MORE THAN 3,000 INPATIENT ADMISSIONS AND MORE THAN 4,000 OUTPATIENT REGISTRATIONS. REHABILITATION MEDICINE CLINIC, INC (EIN: 36-3236791) ("RMC") REHABILITATION MEDICINE CLINIC, INC. IS A MEDICAL GROUP THAT HAS 6 PRACTICE MEDICAL OFFICES LOCATED IN 5 GEOGRAPHIC LOCATIONS. THERE ARE 37 HEALTH CARE PROVIDERS, SPECIALIZING IN PHYSICAL MEDICINE AND REHABILITATION. MARIANJOY REHABILITATION CENTER AUXILIARY (36-3896976) ("MJRCA") THE MARIANJOY AUXILIARY SUPPORTS THE EFFORTS OF THE MARIANJOY REHABILITATION HOSPITAL AND CLINICS. THIS GROUP OF DEVOTED INDIVIDUALS ORGANIZES AND HOSTS SEVERAL FUNDRAISING EVENTS, INCLUDING SPRING AND FALL LUNCHEONS, AND RUNS THE MARIANJOY GIFT SHOP. KISHHEALTH SYSTEM (EIN: 36-3649080) ("KHS") FORMERLY KISHWAUKEE HEALTH SYSTEM, KISHHEALTH SYSTEM OPERATES TWO COMMUNITY HOSPITALS, KISHWAUKEE AND VALLEY WEST, WHICH HAVE A COMBINED 125 STAFFED BEDS, AS WELL AS SEVERAL CANCER CENTERS, IMAGING FACILITIES, AND AN EYE INSTITUTE THAT SERVE DEKALB COUNTY AND SURROUNDING AREAS IN NORTHERN ILLINOIS. SPECIALTY SERVICES INCLUDE CARDIOLOGY, EMERGENCY CARE, NEUROSURGERY, OBSTETRICS, AND ORTHOPEDICS. KISHHEALTH BECAME PART OF NMHC IN LATE 2015. KISHHEALTH FOUNDATION (EIN: 36-3649077) ("KHF") KISHHEALTH FOUNDATION, PART OF NORTHWESTERN MEDICINE SUPPORTS THE CARING MISSION OF NORTHWESTERN MEDICINE HOSPICE-DEKALB (FORMERLY KISHHEALTH HOSPICE). FUNDS RAISED THROUGH DEKALB COUNTY WILL BENEFIT DONOR SUPPORTED PROGRAMS AND SERVICES SUCH AS MUSIC THERAPY, BEREAVEMENT PROGRAMS AND VOLUNTEER TRAINING. BECAUSE OF GENEROUS COMMUNITY SUPPORT, THE HOSPICE IS ABLE TO TOUCH THE LIVES OF MANY AS THEY JOURNEY WITH LOVED ONES DEALING WITH END-OF-LIFE ISSUES. ALL DONATIONS STAY LOCAL AND ARE USED TO HELP ALL FAMILIES IN NEED OF HOSPICE SERVICES REGARDLESS OF THEIR ABILITY TO PAY. DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. (EIN: 47-4579189) ("DBHF") DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. PROVIDES A VARIETY OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES. PROFESSIONAL MENTAL HEALTH COUNSELING FOR ADULTS INCLUDES MARITAL, INDIVIDUAL, GROUP AND FAMILY COUNSELING AS WELL AS THERAPY GROUPS. DEKALB COUNTY HOSPICE (EIN: 36-3164329) ("DKCH") LOCATED IN DEKALB, IL, DEKALB COUNTY HOSPICE IS A COMMUNITY BASED HOSPICE PROGRAM THAT HAS BEEN PROVIDING QUALITY END-OF-LIFE CARE AND BEREAVEMENT SUPPORT TO THE COMMUNITY SINCE 1982. KISHHEALTH SYSTEM HOME CARE (EIN: 37-1703513) ("KSHC") KISHHEALTH SYSTEM HOME CARE PROVIDES HOME HEALTH SERVICES TO DEKALB COUNTY AND NORTHERN ILLINOIS AREA RESIDENTS WHO PREFER TO RECEIVE CARE IN THE COMFORT OF THEIR HOME. KISHWAUKEE PHYSICIAN GROUP (EIN: 65-1293967) ("KPG") KISHWAUKEE PHYSICIAN GROUP IS A BRANCH OF KISHHEALTH SYSTEM, EMPLOYING PRIMARY CARE AND SPECIALIST PHYSICIANS IN THE NORTHERN ILLINOIS COMMUNITIES THAT IT SERVES. CENTER FOR FAMILY HEALTH-MALTA (EIN: 80-0869393) ("CFHM") CENTER FOR FAMILY HEALTH-MALTA IS DESIGNED TO PROVIDE COMPASSIONATE, INNOVATIVE, AND AFFORDABLE MEDICAL CARE AND TO COLLABORATE WITH PARTNERS TO SERVE THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. CFHM OFFERS CARE TO ADULTS AND CHILDREN OF ALL AGES AND INCLUDES AN ON-SITE LABORATORY.
Form 990, Part III, Line 3 Significant changes in program services	ARTICLES OF MERGER WERE FILED ON BEHALF OF MARIANJOY, INC, MARIANJOY FOUNDATION AND NORTHWESTERN FOUNDATION FOR RESEARCH AND EDUCATION AS OF 8/31/2017. ADDITIONALLY, CDH-DELNOR HEALTH SYSTEM, KISHWAUKEE PHYSICIAN GROUP, INC, AND KISHHEALTH FOUNDATION FILED ARTICLES OF MERGER AS OF 8/31/2018. THE MERGER OF THESE ENTITIES REPRESENTS A REALLOCATION OF RESOURCES RATHER THAN A CESSATION OF SERVICE.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	ANNE R. PRAMAGGIORE AND WILLIAM A. VON HOENE - Business relationship, DONALD THOMPSON, FREDERICK H. WADDELL, AND DEAN M. HARRISON - Business relationship, TERRY SAVAGE AND DENNIS CHOOKASZIAN - Business relationship, DEAN M. HARRISON, JOHN ORSINI AND EMILY KOZAK - Business relationship, ALBERT FRIEDMAN AND RICHARD MELMAN - Business relationship, DEAN M. HARRISON AND JOHN CANNING, JR - Business relationship, JAMES MURRAY III AND BRETT DALE - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents	THE ARTICLES OF NORTHWESTERN MEDICAL FACULTY FOUNDATION (NMFF) WERE AMENDED AS OF 8/30/2017 TO REFLECT THE MERGER OF NORTHWESTERN FOUNDATION FOR RESEARCH AND EDUCATION (NFRE) INTO NMFF. THE ARTICLES OF NORTHWESTERN MEMORIAL HEALTHCARE WERE AMENDED AS OF 8/30/2017 TO RECORD THE MERGER OF MARIANJOY, INC. WITH NMHC. ARTICLES OF MERGER WERE FILED AS OF 8/31/2018 ON BEHALF OF CDH-DELNOR HEALTH SYSTEM AND KISHWAUKEE PHYSICIAN GROUP, INC, BOTH HAVE MERGED INTO NMHC. KISHWAUKEE FOUNDATION FILED ARTICLES OF MERGER AS OF 8/31/2018 WITH NORTHWESTERN MEMORIAL FOUNDATION. NMF NOW ACTS AS ADMINISTRATOR FOR PURPOSES OF FUNDRAISING, GRANTMAKING, PROPERTY AND REAL ESTATE, CONTRACTING AND OTHER ACTIVITIES NECESSARY TO THE KISHWAUKEE FOUNDATION'S CONTINUED ROLE AS A DIVISION OF NMF AND THE NM HEALTH SYSTEM. NMF WILL USE PRIOR FUNDS TO SERVE THE KISHWAUKEE POPULATION.
Form 990, Part VI, Line 6 Classes of members or stockholders	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) SERVES AS THE SOLE MEMBER OF THE FOLLOWING ENTITIES IN THE GROUP RETURN: - NORTHWESTERN MEMORIAL HOSPITAL - NORTHWESTERN LAKE FOREST HOSPITAL - NORTHWESTERN MEMORIAL FOUNDATION - NORTHWESTERN MEDICAL GROUP - CDH-DELNOR HEALTH SYSTEM - KISHHEALTH SYSTEM - MARIANJOY REHABILITATION HOSPITAL & CLINICS, INC. - REHABILITATION MEDICINE CLINIC, INC. NORTHWESTERN LAKE FOREST HOSPITAL SERVES AS THE SOLE MEMBER OF NORTHWESTERN LAKE FOREST HEALTH AND FITNESS INSTITUTE. CDH-DELNOR HEALTH SYSTEM SERVES AS THE SOLE MEMBER OF THE FOLLOWING SUBSIDIARIES IN THE GROUP RETURN: - CENTRAL DUPAGE HOSPITAL ASSOCIATION - CENTRAL DUPAGE PHYSICIAN GROUP - DELNOR-COMMUNITY HOSPITAL KISHHEALTH SYSTEM SERVES AS THE SOLE MEMBER OF THE FOLLOWING SUBSIDIARIES IN THE GROUP RETURN: - KISHWAUKEE COMMUNITY HOSPITAL - VALLEY WEST COMMUNITY HOSPITAL - KISHHEALTH FOUNDATION - DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. - DEKALB COUNTY HOSPICE - KISHHEALTH SYSTEM HOME CARE - KISHWAUKEE PHYSICIAN GROUP Marianjoy Rehabilitation Hospital & Clinics, Inc. serves as the sole member of Marianjoy Rehabilitation Center Auxiliary. Kishwaukee Community Hospital serves as the sole member of Center for Family Health-Malta.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), AS THE ULTIMATE PARENT OF THE HEALTH SYSTEM, HAS THE AUTHORITY TO DIRECTLY OR INDIRECTLY APPOINT THE DIRECTORS OF ALL ENTITIES IN THE GROUP. OTHER THAN EX-OFFICIO DIRECTORS, NMHC APOINTS THE DIRECTORS FOR ALL ENTITIES FOR WHICH IT SERVES AS SOLE MEMBER, AS IDENTIFIED ABOVE. THE DIRECTORS OF CERTAIN OTHER ENTITIES IN THE SYSTEM IDENTIFIED ABOVE WHICH HAVE SOLE MEMBERS OTHER THAN NMHC MAY BE APPOINTED BY THEIR INTERMEDIARY MEMBERS, HOWEVER CONTROL OVER THOSE MEMBERS' BOARDS ULTIMATELY RESTS IN NMHC. MANY OF THE ENTITIES IN THE GROUP ALSO HAVE DIRECTORS WHO SERVE EX OFFICIO IN THEIR CAPACITY AS OFFICERS OR ADMINISTRATORS OF THEIR RESPECTIVE CORPORATIONS, OR IN THEIR CAPACITY AS OFFICERS OR ADMINISTRATORS OF RELATED ORGANIZATIONS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), AS THE ULTIMATE PARENT OF ALL ENTITIES IN THIS GROUP RETURN HAS BROAD RESERVED POWERS. FOR ENTITIES WHICH NMHC DOES NOT SERVE AS SOLE MEMBER, THESE RESERVED POWERS ARE DELEGATED TO THE INTERMEDIARY CORPORATE MEMBER OF EACH AFFILIATE INCLUDED IN THIS GROUP, AND NMHC IS ULTIMATELY THE MEMBER OF THOSE INTERMEDIARIES. THE METHOD OF EXERCISING SUCH POWERS CAN OCCUR THROUGH VARIOUS PROCESSES AS DELINEATED IN THE BYLAWS OF NMHC'S AFFILIATES, ALL OF WHICH MUST BE SUPPORTED BY RESOLUTIONS COMMUNICATED TO THE AFFILIATE. NMHC, AS THE ULTIMATE SOLE MEMBER OF THE ENTITIES IN THIS GROUP RETURN, SHALL HAVE THE EXCLUSIVE POWER AND AUTHORITY TO GOVERN, DIRECT, AND OVERSEE THE PROPERTY, FUNDS, BUSINESS, AND AFFAIRS OF EVERY NMHC SUBSIDIARY, FOR THOSE POWERS THAT ARE SPECIFICALLY DELEGATED TO THE BOARD OF DIRECTORS IN EACH SUBSIDIARY'S BYLAWS. THESE RESERVED POWERS MAY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: - REMOVE DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - ADOPT AN AMENDMENT TO THE ARTICLES OF INCORPORATION OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - AMEND THE BYLAWS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - ADOPT A PLAN OF MERGER OR CONSOLIDATION OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION WITH ANOTHER CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - AUTHORIZE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS RECOMMENDED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; - AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION; AND - ADOPT A PLAN PROVIDING FOR THE DISTRIBUTION OF ASSETS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION AS RECOMMENDED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY NOT-FOR-PROFIT CORPORATION. - REMOVE DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; - ADOPT AN AMENDMENT TO THE ARTICLES OF INCORPORATION OF THE SUBSIDIARY BUSINESS CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; - AMEND THE BYLAWS OF THE SUBSIDIARY BUSINESS CORPORATION; - AUTHORIZE A BUSINESS COMBINATION AS SUCH TERM IS DEFINED IN 805 ILCS 5/7.85(D)(10); - ADOPT A PLAN OF MERGER, CONSOLIDATION, OR SHARE EXCHANGE OF THE SUBSIDIARY BUSINESS CORPORATION WITH ANOTHER CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; - AUTHORIZE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE SUBSIDIARY BUSINESS CORPORATION AS RECOMMENDED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION; AND - AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE SUBSIDIARY BUSINESS CORPORATION AS PROPOSED BY THE BOARD OF DIRECTORS OF THE SUBSIDIARY BUSINESS CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 (FORM) IS GENERATED INTERNALLY BY THE FINANCE DEPARTMENT WITH SUPPORT FROM VARIOUS DEPARTMENTS WITHIN THE ORGANIZATION. VARIOUS SECTIONS OF THE FORM ARE REVIEWED BY SENIOR MANAGEMENT OF NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), AS THE PARENT ORGANIZATION, AND VARIOUS COMMITTEES. AS EXAMPLES, THE CHIEF INTEGRITY EXECUTIVE REVIEWS DISCLOSURES FOR RELATED PARTY TRANSACTIONS, THE TAX AND REGULATORY REVIEW COMMITTEE REVIEWS THE COMMUNITY BENEFIT REPORT THAT DESCRIBES THE EXEMPT PURPOSE ACHIEVEMENTS, AND LOBBYING EXPENDITURES ARE REVIEWED BY THE SVP EXTERNAL AFFAIRS. THE EXECUTIVE COMPENSATION SUBCOMMITTEE OF THE BOARD OF DIRECTORS OF NMHC IS PROVIDED THE COMPENSATION DISCLOSURES. THE ORGANIZATION THEN WORKS WITH A NATIONAL, INDEPENDENT PUBLIC ACCOUNTING FIRM AS THE PAID PREPARER OF THE FORM 990 FILING. THE FINAL FORM IS REVIEWED BY MEMBERS OF THE FINANCE DEPARTMENT PRIOR TO REVIEW BY THE NMHC VICE PRESIDENT, FINANCE AND BY THE SENIOR VICE PRESIDENT & CHIEF FINANCIAL OFFICER. PRIOR TO FILING, THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS THROUGH A SECURE WEBSITE.
Form 990, Part VI, Line 12c Conflict of interest policy	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) MAINTAINS BOTH A CONFLICT OF INTEREST POLICY AND AN INTERMEDIATE SANCTIONS POLICY. THESE POLICIES HAVE BEEN APPROVED BY ITS BOARD OF DIRECTORS AND APPLY TO ALL ENTITIES, DIRECTORS, OFFICERS, EMPLOYEES AND TRANSACTIONS WHICH TAKE PLACE WITHIN THE NMHC SYSTEM. THE POLICIES WERE WRITTEN TO ASSIST BOARD MEMBERS AND MANAGEMENT WITH THE IDENTIFICATION OF THOSE TRANSACTIONS THAT WARRANT ATTENTION AND CONSIDERATION TO ENSURE PROPER ADHERENCE TO THE TAX LAWS IMPACTING TAX-EXEMPT ORGANIZATIONS. THE CONFLICT OF INTEREST POLICY REQUIRES COMPLETION OF AN ANNUAL CERTIFICATION WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED, READ AND UNDERSTANDS THE CONFLICT OF INTEREST POLICY, HAS AGREED TO COMPLY, HAS DISCLOSED ANY MATTERS REQUIRED TO BE DISCLOSED UNDER THE POLICY, AND AGREES TO REPORT ANY CHANGES PROMPTLY TO THE CHIEF INTEGRITY EXECUTIVE. ONCE THE ANNUAL CERTIFICATIONS ARE COMPLETE, THE CHIEF INTEGRITY EXECUTIVE REVIEWS THE DISCLOSURES FOR COMPLIANCE WITH THE POLICY.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC) HAS ESTABLISHED A BOARD-LED EXECUTIVE COMPENSATION REVIEW AND APPROVAL PROCESS FOR NMHC AND ALL AFFILIATES. THIS PROCESS FOR REVIEWING AND APPROVING EXECUTIVE COMPENSATION: (1) IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL TAX LAW INTERMEDIATE SANCTIONS RULES AND OTHERWISE COMPLIES WITH IRS GUIDELINES FOR TAX-EXEMPT ORGANIZATIONS; (2)IS CONDUCTED BY A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS WHOSE MEMBERS ARE ALL DISINTERESTED, INDEPENDENT AND UNPAID; (3) EVALUATES THE REASONABLENESS OF COMPENSATION ANNUALLY BASED ON COMPENSATION DATA GATHERED BY EXTERNAL CONSULTANTS FROM A PEER GROUP COMPRISED OF SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS; AND (4) ALL COMPENSATION DECISIONS AND SUPPORT ARE RECORDED IN THE MINUTES OF THE COMMITTEE'S MEETINGS. IN ADDITION, A SIGNIFICANT PORTION OF COMPENSATION IS AT RISK AND IS PAYABLE ONLY UPON ACHIEVEMENT OF A BROAD ARRAY OF DIFFICULT PERFORMANCE GOALS TIED TO THE STRATEGIC VISION OF NORTHWESTERN MEDICINE AND ACHIEVEMENT OF ITS TAX-EXEMPT PURPOSES. THE BOARD PLACES A HIGH PRIORITY ON ITS ABILITY TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM TO ENSURE WE SERVE OUR MISSION AND ACHIEVE OUR GOALS. THE OFFICERS OF NORTHWESTERN MEMORIAL HEALTHCARE ALSO FULFILL SUBSTANTIAL OFFICER AND EXECUTIVE FUNCTIONS FOR NMHC'S SUBSIDIARIES.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	SEE RESPONSE TO 15A.
Form 990, Part VI, Line 19 Required documents available to the public	THE CORPORATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE CONSOLIDATED FINANCIAL STATEMENTS OF NORTHWESTERN MEMORIAL HEALTHCARE AND SUBSIDIARIES ARE AVAILABLE ON THE HEALTH SYSTEM WEBSITE, NM.ORG. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE FROM THE ILLINOIS ATTORNEY GENERAL'S OFFICE AS PART OF ITS ANNUAL COMMUNITY BENEFITS REPORT AND THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM OF THE MUNICIPAL SECURITIES RULEMAKING BOARD.
Form 990, Part VII, Section A, Line 1a GROUP TITLES AND COMPENASTION PRESENTATION	NORTHWESTERN MEMORIAL HEALTHCARE (NMHC), IS THE DIRECT PARENT ORGANIZATION FOR NORTHWESTERN MEMORIAL HOSPITAL (NMH), NORTHWESTERN MEMORIAL FOUNDATION (NMF), NORTHWESTERN MEDICAL FACULTY FOUNDATION, DOING BUSINESS AS NORTHWESTERN MEDICAL GROUP (NMG), NORTHWESTERN LAKE FOREST HOSPITAL (NLFH), CDH-DELNOR HEALTH SYSTEM (CDHS), AND KISHHEALTH SYSTEM (KHS). NMHC IS ALSO THE INDIRECT PARENT FOR LAKE FOREST HEALTH AND FITNESS INSTITUTE (HFI), CENTRAL DUPAGE HOSPITAL ASSOCIATION (CDHA), CENTRAL DUPAGE PHYSICIAN GROUP (CDPG), DELNOR -COMMUNITY HOSPITAL (DCH), MARIANJOY REHABILITATION HOSPITAL AND CLINICS (MJRH), MARIANJOY REHABILITATION CENTER AUXILIARY (MJAUX), REHABILITATION MEDICINE CLINIC (RMC), KISHWAUKEE COMMUNITY HOSPITAL (KCH), CENTER FOR FAMILY HEALTH-MALTA (CFHM), VALLEY WEST COMMUNITY HOSPITAL (VW), KISHHEALTH FOUNDATION (KHF), DEKALB BEHAVIORAL HEALTH FOUNDATION (DBHF), DEKALB COUNTY HOSPICE (KHH), KISHHEALTH SYSTEM HOME CARE (KHHC), AND KISHWAUKEE PHYSICIANS GROUP (KPG). THESE 21 CORPORATIONS HAVE COMBINED THROUGH THE ELECTION UNDER REGULATION 1.6033-2 (D) (5) TO REPORT THE DIRECTORS, OFFICERS, KEY EMPLOYEES AND FIVE HIGHLY COMPENSATED EMPLOYEES UNDER THE GROUP RETURN REQUIREMENTS FOR FORM 990 FOR THE FISCAL YEAR ENDED 8/31/2018. NO ORGANIZATION IN THIS GROUP RETURN COMPENSATES ITS DIRECTORS FOR SERVICES PERFORMED AS DIRECTORS. WHERE COMPENSATION IS REPORTED FOR A DIRECTOR, THE COMPENSATION IS ASSOCIATED WITH ANOTHER POSITION HELD WITHIN THE CORPORATIONS. CERTAIN INDIVIDUALS HOLD MULTIPLE POSITIONS THROUGHOUT THESE 21 CORPORATIONS. THE DETAIL IS HIGHLIGHTED BY INDIVIDUAL WITHIN SCHEDULE O.
Form 990, Part VII, Section A ANDERSON, JAY ADDITIONAL POSITIONS HELD	Organization Name: Valley West Community Hospital, Title: PRESIDENT , AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: PRESIDENT , AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: DIRECTOR (1/17/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Barnes, Marvin ADDITIONAL POSITIONS HELD	Organization Name: Dekalb County Hospice, Title: Chair & Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Bruch, Tonda ADDITIONAL POSITIONS HELD	Organization Name: KishHealth Foundation, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A CANNING, JOHN A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: CHAIR & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial HealthCare, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Chrisman, Howard B., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Collins, Seamus ADDITIONAL POSITIONS HELD	Organization Name: Lake Forest Health and Fitness Institute, Title: Secretary & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A CREAMER, JULIE L. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: PRESIDENT & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Dauten, Kent ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Physician Group, Title: Chair & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Chair and Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Physician Group, Inc., Title: Chair & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Evans, Gary ADDITIONAL POSITIONS HELD	Organization Name: KishHealth Foundation, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Falcone, Connie ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A FLESCH, WILLIAM P. ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CDH-Delnor Health System, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Valley West Community Hospital, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Hospital Association, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial HealthCare, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Flynn, Matthew J. ADDITIONAL POSITIONS HELD	Organization Name: Center for Family Health-Malta, Title: Vice Chair & Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Franco, Richard ADDITIONAL POSITIONS HELD	Organization Name: Lake Forest Health and Fitness Institute, Title: Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Giblin, James, MD ADDITIONAL POSITIONS HELD	Organization Name: Dekalb County Hospice, Title: Secretary and Director (1/1/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Illinois Proton Center Holdings, LLC , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: PRESIDENT & Director (2/1/18-4/30/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System Home Care, Title: Secretary & DIRECTOR (9/1/17 to 4/30/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: PRESIDENT & Director (2/1/18-4/30/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Harrison, Dean M. ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Hospital, Title: CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Dekalb County Hospice, Title: Chair & Director (1/1/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CDH-Delnor Health System, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Valley West Community Hospital, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Hospital Association, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Central Dupage Physician Group, Title: CEO & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Chair & CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Community Hospital , Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: CEO and Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial HealthCare, Title: President, CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Lake Forest Hospital, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System Home Care, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Foundation, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: Chair & CEO & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: CEO & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Physician Group, Inc., Title: CEO & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hoste, Staci ADDITIONAL POSITIONS HELD	Organization Name: Dekalb County Hospice, Title: Vice Chair & Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Johnson, Christine ADDITIONAL POSITIONS HELD	Organization Name: KishHealth Foundation, Title: Secretary & Director (9/1/17 to 1/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Kozak, Emily J. ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Center for Family Health-Malta, Title: Secretary & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Memorial Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: CDH-Delnor Health System, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: Assistant Secretary , AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Asst. Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial HealthCare, Title: Assistant Secretary, AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer Organization Name: Kishwaukee Physician Group, Inc., Title: Assistant Secretary , AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: ASSISTANT SECRETARY, AverageHours: 1.000; Officer
Form 990, Part VII, Section A KRAFT, DIANA, MD ADDITIONAL POSITIONS HELD	Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Lemon, Brian J. ADDITIONAL POSITIONS HELD	Organization Name: Dekalb County Hospice, Title: DIRECTOR (5/1/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Illinois Proton Center Holdings, LLC , Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: PRESIDENT , AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: President & DIRECTOR (5/1/18-8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System Home Care, Title: Secretary & DIRECTOR (5/1/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: President & DIRECTOR (5/1/18-8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Mason, Karen ADDITIONAL POSITIONS HELD	Organization Name: Dekalb County Hospice, Title: Secretary/Treasurer & Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A McAfee, Thomas J. ADDITIONAL POSITIONS HELD	Organization Name: Lake Forest Health and Fitness Institute, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Northwestern Lake Forest Hospital, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A McNerney, W. James ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Neilson, Eric G., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Medical Faculty Foundation, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Orsini, John A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Dekalb County Hospice, Title: Vice Chair, Treasurer, Director (1/1/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Illinois Proton Center Holdings, LLC , Title: Secretary & Treasurer, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: CDH-Delnor Health System, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Delnor-Community Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial HealthCare, Title: Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: TREASURER, AverageHours: 1.000; Officer Organization Name: KishHealth System Home Care, Title: Vice Chair & Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: Treasurer & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Kishwaukee Physician Group, Inc., Title: TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: TREASURER, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Osborn, William A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Vice Chair & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A PATEL, HOMI B. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Lake Forest Hospital, Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Poorten, Kevin P. ADDITIONAL POSITIONS HELD	Organization Name: Center for Family Health-Malta, Title: Chair & Director , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Dekalb County Hospice, Title: President & Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Illinois Proton Center Holdings, LLC , Title: President & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: CDH-Delnor Health System, Title: DIRECTOR & PRESIDENT, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Valley West Community Hospital, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: CHAIR (9/1/17 to 2/4/18) & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth System, Title: DIRECTOR & PRESIDENT, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: KishHealth Foundation, Title: President & Director, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Kishwaukee Physician Group, Inc., Title: President , AverageHours: 1.000; Officer
Form 990, Part VII, Section A Pritzker, M.K. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR AND CHAIR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Tilton, Glenn F. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Medical Faculty Foundation, Title: VICE CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A TOWNE, PATRICK, MD ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Physician Group, Title: PRESIDENT & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A WEHMER, EDWARD J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: CHAIR & DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A ALCORN-KELL, NANCY ADDITIONAL POSITIONS HELD	Organization Name: Illinois Proton Center Holdings, LLC , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Barrett, Dean ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BARROWCLIFT, TODD, DO ADDITIONAL POSITIONS HELD	Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Benson, Roger L. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bernick, Peter ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bernick, Carol ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bickner, Joan ADDITIONAL POSITIONS HELD	Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bluhm, Andrew ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Boies, John ADDITIONAL POSITIONS HELD	Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BRENNAN, CHARLES M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BRODSKY, WILLIAM J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BROWN, DAVID ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Capek, Cindy ADDITIONAL POSITIONS HELD	Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Casper, David R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Chabraja, Nicholas D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Chookaszian, Dennis S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Collins, Craig T. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CONNOLLY, SEAN M . ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cooper, Adam ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cozzi, Mark ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Crawford, Stephen ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CRAWFORD, KERMIT R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A CRIST, PETER D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Crown, Keating ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cullen, Michael A. ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Physician Group, Title: Director (11/8/17 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Physician Group, Inc., Title: Director (11/8/17 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Cunningham, William ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Curren, Denise ADDITIONAL POSITIONS HELD	Organization Name: Dekalb County Hospice, Title: Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Dale, Brett M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Daley, William M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DALUGA, WILLIAM G. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DAMICO, JOSEPH F. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Darnall, Matthew S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Davis, Anthony B. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Davis, Richard ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DeCanniere, Dan ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DEJESUS, PEDRO ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DeSantiago, Michael F. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DICK, JOHN H. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Donnelly, Shawn M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Elliott, Stephen W. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ettelson, John R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Favela, Manny ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Feldmann, Ronald, MD ADDITIONAL POSITIONS HELD	Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ferro, Michael W. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Friedman, Albert M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Furlong, Mark ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR (9/1/17 to 6/30/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Giles, Lisa M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Glerum, James T. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gobeli, Teresa ADDITIONAL POSITIONS HELD	Organization Name: Dekalb County Hospice, Title: Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Goldberg, William ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gordon, James A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A GORDON, ILENE S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Gordon McCallister, Trina ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Greffin, Judy ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HARRIS, ROGER T. ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hart, Brett J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Helton, Sandra L. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Herencia, Roberto R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hilde, Mark ADDITIONAL POSITIONS HELD	Organization Name: Dekalb County Hospice, Title: Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hoeflich, Adam ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HUNTER, WILLARD M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hurst, Peter S., BDS ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Johnson Rice, Linda ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kachmer, Michael J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kash, Rick H. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Keane, Dennis, MD ADDITIONAL POSITIONS HELD	Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A KESMAN, ANTHONY K. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kessler, John A., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Keswani, Sushil ADDITIONAL POSITIONS HELD	Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Klein, Ron ADDITIONAL POSITIONS HELD	Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A KLOOSTERBOER, JAY ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A KOZIK, CATHERINE ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kulisz, Michael, DO ADDITIONAL POSITIONS HELD	Organization Name: Kishwaukee Physician Group, Inc., Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kunkler, William C. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Lampert, Julie ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Lenny, Richard H. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Levy, Lawrence F. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Livingston, Robert A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Luby, Timothy J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Manire, Dee A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Mansueto, Joseph D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Matya, Thomas ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Maybury, J. Richard ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MCCARTHY, PATRICK M., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Melman, Richard ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Meza, Ricardo ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Milliman, Becky ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Mills, Karen ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MILLS, CHARLES N. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MITCHELL, LEE M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Moen, Timothy P. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Moyer, Lou Jean ADDITIONAL POSITIONS HELD	Organization Name: KishHealth Foundation, Title: Director (9/1/17 to 2/15/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MUILENBERG, DENNIS ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Murray, James, III ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Novakovic, Phebe N. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A OLEKSYN, ANDREW, DO ADDITIONAL POSITIONS HELD	Organization Name: Valley West Community Hospital, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: CDH-Delnor Health System, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR (9/1/17 to 5/1/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Paller, Amy S., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Parkinson, Robert J., Jr. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PATEL, JAGDISH, MD ADDITIONAL POSITIONS HELD	Organization Name: CDH-Delnor Health System, Title: DIRECTOR (7/18/18 TO 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR (7/18/18 TO 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR (7/18/18 TO 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR (7/18/18 TO 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR (7/18/18 TO 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR (7/18/18 TO 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PEABODY, TERRANCE D., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PEREZ, WILLIAM D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Persak, Joseph M., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Pigott, Jane D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Plantanias, Leonidas C., MD, PhD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Podjasek, John ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PRAMAGGIORE, ANNE ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Pryde, Craig R. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Redmond-Ferguson, Andrea ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Reyes, J. Christopher ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A RICHMAN, LARRY D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Richmond, Mary Beth, MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Richter, Sue ADDITIONAL POSITIONS HELD	Organization Name: Dekalb County Hospice, Title: Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A RIZZI, LEONETTA ADDITIONAL POSITIONS HELD	Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: DIRECTOR (1/17/18 to 8/31/18), AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Rogers, Desiree ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Ross, Matthew W. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Saran, Debbie S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Saslow, Ron ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Satter, Muneer A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Savage, Terry ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schapiro, Morton O. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schmidt, John, MD ADDITIONAL POSITIONS HELD	Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Schulman, Marc S. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Scott, Samuel C., III ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SEVERINO, RONALD J., MD ADDITIONAL POSITIONS HELD	Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SHOENER, DEAN P., MD ADDITIONAL POSITIONS HELD	Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Scott C. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Greg ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Physician Group, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Physician Group, Inc., Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SOPER, NATHANIEL J., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A STRAUSS, MARC ADDITIONAL POSITIONS HELD	Organization Name: CDH-Delnor Health System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Valley West Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Delnor-Community Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Central Dupage Hospital Association, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Kishwaukee Community Hospital , Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: KishHealth System, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A STUART, ALEXANDER D. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Stucker, Robert J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Sullivan, Robert ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Sullivan, Timothy P. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Talton, Shelia G. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A THOMPSON, DONALD L. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Thornton, Michael, MD ADDITIONAL POSITIONS HELD	Organization Name: Dekalb County Hospice, Title: Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Tilly, Edward T. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A TSARWHAS, DEAN G., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Tyler, Jason ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Vaughan, Douglas E. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Volpe, Nicholas J., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A VONHOENE, WILLIAM A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WADDELL, FREDERICK H. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WALKER, Ruth ADDITIONAL POSITIONS HELD	Organization Name: Dekalb County Hospice, Title: Director (9/1/17 to 12/31/17), AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Waud, Reeve ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WAYNE, JEFFREY D., MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A West, Ann, MD ADDITIONAL POSITIONS HELD	Organization Name: KishHealth Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Whinfrey, Peter ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Whittaker, Forrest ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WILKIN, ABRA PRENTICE ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Woertz, Patricia A. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial HealthCare, Title: Director, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Wood, Corinne J. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ZALLIE, JAMES P . ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Zopp, Andrea ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation, Title: DIRECTOR, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BRYANT, MAUREEN ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital, Title: PRESIDENT , AverageHours: 1.000; Officer
Form 990, Part VII, Section A Prousis, Danae K. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: CDH-Delnor Health System, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Memorial HealthCare, Title: Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Secretary, AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: SECRETARY, AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Kishwaukee Physician Group, Inc., Title: SECRETARY , AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: SECRETARY , AverageHours: 1.000; Officer
Form 990, Part VII, Section A Savaiano, Mary ADDITIONAL POSITIONS HELD	Organization Name: Illinois Proton Center Holdings, LLC , Title: Assistant Secretary, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Taus, Maureen A. ADDITIONAL POSITIONS HELD	Organization Name: Illinois Proton Center Holdings, LLC , Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital, Title: ASSISTANT TREASURER , AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group, Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: CDH-Delnor Health System, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial HealthCare, Title: Assistant Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital , Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: DeKalb Behavioral Health Foundation, Inc., Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: KishHealth System, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer Organization Name: Kishwaukee Physician Group, Inc., Title: Assistant Treasurer , AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation, Title: ASSISTANT TREASURER, AverageHours: 1.000; Officer
Form 990, Part VII, Section A YOSKO, KATHLEEN ADDITIONAL POSITIONS HELD	Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc, Title: PRESIDENT (9/1/17-12/31/17), AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc, Title: President, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc, Title: PRESIDENT (9/1/17-12/31/17), AverageHours: 1.000; Officer
Form 990, Part VII, Section A Bare, Aaron ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Physician Group, Title: Physician, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Lee, Michael, MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Physician, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Shownkeen, Harish, MD ADDITIONAL POSITIONS HELD	Organization Name: Central Dupage Physician Group, Title: Physician, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Stein, Regina, MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Physician, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Tellez, Claudia, MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital, Title: Physician, AverageHours: 40.000; HighestCompensatedEmployee
Form 990, Part VII, Section A Adams, James ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former CMO, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Bell, Roger ADDITIONAL POSITIONS HELD	Organization Name: Kishwaukee Community Hospital (Former), Title: Former CIO, AverageHours: 1.000; Officer Organization Name: Kishwaukee Physician Group, Inc.(Former), Title: Former CIO, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Burandt, Steven, MD ADDITIONAL POSITIONS HELD	Organization Name: CDH-Delnor Health System(Former), Title: Former Secretary and Treasurer, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Christensen, Carl ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former CIO, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Copple, Brad ADDITIONAL POSITIONS HELD	Organization Name: Kishwaukee Community Hospital (Former), Title: Former President, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Daniels, Mark, MD ADDITIONAL POSITIONS HELD	Organization Name: CDH-Delnor Health System(Former), Title: Former Secretary, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Dant, Joseph ADDITIONAL POSITIONS HELD	Organization Name: Center for Family Health-Malta(Former), Title: Former Chair/Secretary, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Dechene, James C. ADDITIONAL POSITIONS HELD	Organization Name: Delnor-Community Hospital(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Hospital(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: CDH-Delnor Health System(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Lake Forest Health and Fitness Institute(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital (Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: KishHealth System(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Kishwaukee Physician Group, Inc.(Former), Title: Former Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former Secretary, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Duffy, Pamela ADDITIONAL POSITIONS HELD	Organization Name: KishHealth System Home Care(Former), Title: Former President, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Englehart, Erik, MD ADDITIONAL POSITIONS HELD	Organization Name: Kishwaukee Physician Group, Inc.(Former), Title: Former Vice Chair, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Falk, Stephen ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation(Former), Title: Former President, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Foelske, Loren ADDITIONAL POSITIONS HELD	Organization Name: Kishwaukee Community Hospital (Former), Title: Former VP Finance, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Fraher, Francis ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital(Former), Title: Former Asst Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital(Former), Title: Former Asst Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation(Former), Title: Former Asst Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former Asst Treasurer, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Hensley, David ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Foundation(Former), Title: Former President, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Hubbe, John ADDITIONAL POSITIONS HELD	Organization Name: Kishwaukee Community Hospital (Former), Title: Fmr General Counsel, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Majeski, Denise ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Lake Forest Hospital(Former), Title: Former CNO, AverageHours: 40.000; Officer
Form 990, Part VII, Section A Manheimer, Dean ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former Sr VP HR, AverageHours: 1.000; Officer
Form 990, Part VII, Section A McCanna, Peter ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital(Former), Title: Former Chair, AverageHours: 1.000; Officer
Form 990, Part VII, Section A McClelland, Michele ADDITIONAL POSITIONS HELD	Organization Name: Kishwaukee Community Hospital (Former), Title: Former VP HR, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Noskin, Gary, MD ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital(Former), Title: Former CMO, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation(Former), Title: SVP, Quality and CMO, NMH, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Rosenberg, Elizabeth ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former Key Employee, AverageHours: 40.000; KeyEmployee
Form 990, Part VII, Section A Vivoda, Michael ADDITIONAL POSITIONS HELD	Organization Name: CDH-Delnor Health System(Former), Title: Former President, AverageHours: 1.000; Officer Organization Name: Central Dupage Physician Group(Former), Title: Former Chair, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Walsh, Brian ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former CFO, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Wooten Ierardi, Jennifer ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital(Former), Title: Former Asst. Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital(Former), Title: Former Asst. Secretary, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former Asst. Secretary, AverageHours: 1.000; Officer
Form 990, Part VII, Section A Young, Douglas M. ADDITIONAL POSITIONS HELD	Organization Name: Northwestern Memorial Hospital(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Hospital and Clinics, Inc(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Valley West Community Hospital(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Rehabilitation Medicine Clinic, Inc(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Delnor-Community Hospital(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Lake Forest Hospital(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Central Dupage Hospital Association(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: CDH-Delnor Health System(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Memorial Foundation(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Kishwaukee Community Hospital (Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Marianjoy Rehabilitation Center Auxiliary, Inc(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: KishHealth System(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer Organization Name: Northwestern Medical Faculty Foundation(Former), Title: Former Asst. Treasurer, AverageHours: 1.000; Officer
Form 990, Part VIII, Line 2f Other Program Service Revenue	all other program service - Total Revenue: XXX-XX-XXXX, Related or Exempt Function Revenue: XXX-XX-XXXX, Unrelated Business Revenue: 1859737, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Misc Revenue - Total Revenue: 25967, Related or Exempt Function Revenue: 23075, Unrelated Business Revenue: 2892, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN INTEREST RATE SWAPS - 31265133; TRANSFER TO/FROM AFFILIATES - XXX-XX-XXXX; NET ASSET RELEASE FROM RESTRICTION - -31457018; CHANGE IN FV OF SPLIT-INTEREST AGREEMENT - 936151; PURCHASE OF PROTON CENTER INTEREST - -5686476; CHANGE IN PENSION - 33822508; DISTRIBUTION OF NCI-NMH & KISH - -1242859; MSC DEFERRED RENT ADJUSTMENT - -635812; OTHER - -3732059; Investment in CORNERSTONE MEDICAL GROUP - -11778727;
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CDH-DELNOR HEALTH SYSTEM ADDRESS: 25 N WINFIELD ROAD WINFIELD, Illinois 60190 EIN: 36-3099698 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 52,040,624 TOTAL EXEMPT PURPOSE EXPENDITURES: 52,040,624 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTRAL DUPAGE HOSPITAL ASSOCIATION ADDRESS: 25 N WINFIELD ROAD WINFIELD, Illinois 60190 EIN: 36-2513909 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 72,325 TOTAL LOBBYING EXPENDITURES: 72,325 OTHER EXEMPT PURPOSE EXPENDITURES: 936,731,348 TOTAL EXEMPT PURPOSE EXPENDITURES: 936,803,673 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: DELNOR-COMMUNITY HOSPITAL ADDRESS: 300 RANDALL ROAD GENEVA, Illinois 60134 EIN: 36-3484281 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 37,334 TOTAL LOBBYING EXPENDITURES: 37,334 OTHER EXEMPT PURPOSE EXPENDITURES: 339,639,455 TOTAL EXEMPT PURPOSE EXPENDITURES: 339,639,455 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTRAL DUPAGE PHYSICIAN GROUP ADDRESS: 25 N WINFIELD ROAD WINFIELD, Illinois 60190 EIN: 36-3149833 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 268,377,840 TOTAL EXEMPT PURPOSE EXPENDITURES: 268,377,840 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: COMMUNITY NURSING SERVICES OF DUPAGE ADDRESS: 690 E NORTH AVE CAROL STREAM, Illinois 60188 EIN: 36-6080833 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 24,567,454 TOTAL EXEMPT PURPOSE EXPENDITURES: 24,567,454 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTRAL DUPAGE SPECIAL HEALTH ASSOC ADDRESS: 27W353 JEWELL RD WINFIELD, Illinois 60190 EIN: 36-4310557 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 4,570,046 TOTAL EXEMPT PURPOSE EXPENDITURES: 4,570,046 LOBBYING NONTAXABLE AMOUNT: 378,502 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 94,626 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: PAHCS II ADDRESS: 27W353 JEWELL RD WINFIELD, Illinois 60190 EIN: 36-3887234 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 10,279,875 TOTAL EXEMPT PURPOSE EXPENDITURES: 10,279,875 LOBBYING NONTAXABLE AMOUNT: 663,994 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 663,994 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: KISHHEALTH SYSTEM HOMECARE ADDRESS: 100 E WASHINGTON ST SPRINGFIELD, Illinois 62701 EIN: 37-1703513 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 2,914,216 TOTAL EXEMPT PURPOSE EXPENDITURES: 2,914,216 LOBBYING NONTAXABLE AMOUNT: 295,711 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 73,928 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: KISHWAUKEE COMMUNITY HOSPITAL ADDRESS: ONE KISH HOSPITAL DR DEKALB, Illinois 60115 EIN: 23-7087041 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 30,131 TOTAL LOBBYING EXPENDITURES: 30,131 OTHER EXEMPT PURPOSE EXPENDITURES: 194,793,250 TOTAL EXEMPT PURPOSE EXPENDITURES: 194,823,381 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: VALLEY WEST COMMUNITY HOSPITAL ADDRESS: ONE KISH HOSPITAL DR DEKALB, Illinois 60115 EIN: 36-4244337 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 14,833 TOTAL LOBBYING EXPENDITURES: 14,833 OTHER EXEMPT PURPOSE EXPENDITURES: 46,068,823 TOTAL EXEMPT PURPOSE EXPENDITURES: 46,068,823 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: MARIANJOY REHAB HOSPITAL & CLINICS, INC. ADDRESS: 26W171 ROOSEVELT RD WHEATON, Illinois 60187 EIN: 36-2680776 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: 10,217 TOTAL LOBBYING EXPENDITURES: 10,217 OTHER EXEMPT PURPOSE EXPENDITURES: 88,570,062 TOTAL EXEMPT PURPOSE EXPENDITURES: 88,580,279 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: KISHHEALTH SYSTEM FOUNDATION ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3649077 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: TOTAL EXEMPT PURPOSE EXPENDITURES: LOBBYING NONTAXABLE AMOUNT: TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: KISHHEALTH PHYSICIAN GROUP ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 65-1293967 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 33,043,574 TOTAL EXEMPT PURPOSE EXPENDITURES: 33,043,574 LOBBYING NONTAXABLE AMOUNT: 1,000,000 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 250,000 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: DEKALB BEHAVIORAL HEALTH FOUNDATION ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 47-4579189 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 7,403,428 TOTAL EXEMPT PURPOSE EXPENDITURES: 7,403,428 LOBBYING NONTAXABLE AMOUNT: 520,171 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 130,043 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: CENTER FOR FAMILY HEALTH - MALTA ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 80-0869393 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 437,695 TOTAL EXEMPT PURPOSE EXPENDITURES: 437,695 LOBBYING NONTAXABLE AMOUNT: 87,539 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 21,885 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: KISHHEALTH SYSTEM HOSPICE ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3164329 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 2,420,792 TOTAL EXEMPT PURPOSE EXPENDITURES: 2,420,792 LOBBYING NONTAXABLE AMOUNT: 271,040 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 67,760 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: REHABILITATION MEDICINE CLINIC ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3236791 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: 14,914,029 TOTAL EXEMPT PURPOSE EXPENDITURES: 14,914,029 LOBBYING NONTAXABLE AMOUNT: 895,701 TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: 223,925 TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:
Schedule C, Part II-A, Line 1b, Column (a) AFFILIATED ORGANIZATIONS	ORGANIZATION NAME: MARIANJOY AUXILIARY ADDRESS: 541 N FAIRBANKS CT, RM 1639 CHICAGO, IL 60611 EIN: 36-3896976 ORGANIZATION IS AN ELECTING ORGANIZATION GRASSROOTS LOBBYING AMOUNT: DIRECT LOBBYING AMOUNT: TOTAL LOBBYING EXPENDITURES: OTHER EXEMPT PURPOSE EXPENDITURES: TOTAL EXEMPT PURPOSE EXPENDITURES: LOBBYING NONTAXABLE AMOUNT: TOTAL GRASSROOTS LESS NONTAXABLE AMOUNT: TOTAL EXPENDITURES LESS NONTAXABLE AMOUNT: SHARE OF EXCESS LOBBYING EXPENDITURES:

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CADENCE AMBULATORY SURGERY CENTER LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	800838376	HEALTHCARE	IL	$10,524,164	$23,395,272	CDH-DELNOR HEALTH SYSTEM
CADENCE MEDICAL PARTNERS LLC
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	900917479	HEALTHCARE	IL	$27,214,301	$16,935,370	CDH-DELNOR HEALTH SYSTEM
CADENCE HEALTH ACO
541 N Fairbanks Ct	Rm 1630	CHICAGO	IL	60611	352507700	HEALTHCARE	IL	$0	$0	CDH-DELNOR HEALTH SYSTEM
ILLINOIS PROTON CENTER LLC
4455 Weaver Pkwy		WARRENVILLE	IL	60555	260876468	HEALTHCARE	DE	$16,520,453	$91,475,578	ILLINOIS PROTON CENTER HOLDINGS LLC
ILLINOIS PROTON CENTER HOLDINGS LLC
4455 Weaver Pkwy		WARRENVILLE	IL	60555	260876420	HEALTHCARE	DE	$16,520,453	$91,475,578	CENTRAL DUPAGE HOSPITAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
NORTHWESTERN MEMORIAL HEALTHCARE
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363152959	MANAGEMENT	IL	501(c)(3)	Type III-FI	NA	false
NORTHWESTERN MEMORIAL HOSPITAL
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	370960170	HOSPITAL	IL	501(c)(3)	3	NMHC	Yes (true)
NORTHWESTERN MEMORIAL FOUNDATION
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363155315	FUNDRAISING	IL	501(c)(3)	7	NMHC	Yes (true)
NORTHWESTERN LAKE FOREST HOSPITAL
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	362179779	HOSPITAL	IL	501(c)(3)	3	NMHC	Yes (true)
LAKE FOREST HEALTH & FITNESS INST
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363835030	HEALTH	IL	501(c)(3)	10	NORTHWESTERN LAKE FOREST HOSP	Yes (true)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363097297	HEALTHCARE	IL	501(c)(3)	3	NMHC	Yes (true)
CDH-DELNOR HEALTH SYSTEM
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363099698	MANAGEMENT	IL	501(c)(3)	Type II	NMHC	Yes (true)
CENTRAL DUPAGE HOSPITAL ASSOCIATION
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	362513909	HOSPITAL	IL	501(c)(3)	3	CDH-DELNOR HLTH SYSTEM	Yes (true)
DELNOR-COMMUNITY HOSPITAL
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363484281	HOSPITAL	IL	501(c)(3)	3	CDH-DELNOR HLTH SYSTEM	Yes (true)
CENTRAL DUPAGE PHYSICIAN GROUP
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363149833	HEALTHCARE	IL	501(c)(3)	10	CDH-DELNOR HLTH SYSTEM	Yes (true)
CENTRAL DUPAGE SPECIAL HEALTH ASSOC
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	364310557	PHARMACY	IL	501(c)(3)	10	CDH-DELNOR HLTH SYSTEM	Yes (true)
COMMUNITY NURSING SERVICE OF DUPAGE COUNTY
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	366080833	HOME HEALTH	IL	501(c)(3)	10	CDH-DELNOR HLTH SYSTEM	Yes (true)
PAHCS II
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363887234	OCCUPATIONAL HEALTH	IL	501(c)(3)	10	CDH-DELNOR HLTH SYSTEM	Yes (true)
KISHHEALTH SYSTEM
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363649080	MANAGEMENT	IL	501(c)(3)	Type II	NMHC	Yes (true)
KISHWAUKEE COMMUNITY HOSPITAL
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	237087041	HOSPITAL	IL	501(c)(3)	3	KISHHEALTH SYSTEM	Yes (true)
VALLEY WEST COMMUNITY HOSPITAL
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	364244337	HOSPITAL	IL	501(c)(3)	3	KISHHEALTH SYSTEM	Yes (true)
KISHHEALTH FOUNDATION
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363649077	FUNDRAISING	IL	501(c)(3)	7	KISHHEALTH SYSTEM	Yes (true)
KISHWAUKEE PHYSICIAN GROUP INC
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	651293967	HEALTHCARE	IL	501(c)(3)	3	KISHHEALTH SYSTEM	Yes (true)
KISHHEALTH SYSTEM HOME CARE
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	371703513	HOME HEALTH	IL	501(c)(3)	3	KISHHEALTH SYSTEM	Yes (true)
DEKALB COUNTY HOSPICE INC
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363164329	HOSPICE	IL	501(c)(3)	7	KISHHEALTH SYSTEM	Yes (true)
DEKALB BEHAVIORAL HEALTH FOUNDATION INC
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	474579189	BEHAVIORAL HEALTH	IL	501(c)(3)	3	KISHHEALTH SYSTEM	Yes (true)
CENTER FOR FAMILY HEALTH - MALTA
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	800869393	HEALTHCARE	IL	501(c)(3)	3	KISHHEALTH SYSTEM	Yes (true)
MARIANJOY REHABILITATION HOSPITAL & CLINICS INC
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	362680776	HOSPITAL	IL	501(c)(3)	3	NMHC	Yes (true)
REHABILITATION MEDICINE CLINIC INC
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363236791	HOSPITAL	IL	501(c)(3)	3	NMHC	Yes (true)
MARIANJOY REHABILITATION CENTER AUXILIARY
541 N FAIRBANKS CT	Rm 1630	CHICAGO	IL	60611	363896976	SUPPORTING	IL	501(c)(3)	Type I	NMHC	Yes (true)
FRIENDS OF PRENTICE
251 E HURON		CHICAGO	IL	60611	363930139	SUPPORTING	IL	501(c)(3)	Type III-O	NA	false
MCGAW MEDICAL CENTER NORTHWESTERN UNIV
645 N MICHIGAN		CHICAGO	IL	60611	362656113	SUPPORTING	IL	501(c)(3)	Type I	NA	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	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Address Line2USAddress/AddressLine2Txt
GROSVENOR ALTERNATIVE INVESTMENTS LP
900 NORTH MICHIGAN AVE SUITE 1	CHICAGO	IL	60611	800833919	INVESTMENTS	DE	CDH-DELNOR HEALTH SYSTEM	Excluded	$0	$0	false	$0	false	1
KISHWAUKEE AREA PHYSICIAN HOSPITAL ORGANIZATION LLC
541 N FAIRBANKS CT	CHICAGO	IL	60611	364205273	HEALTHCARE	IL	KISHWAUKEE COMM HOSP	Related	-$40,648	-$41,043	false	$0	false	0.6667	RM 1630
ILLINOIS REGIONAL CANCER CENTER LLP
10 HEALTH SERVICES DR	DEKALB	IL	60115	363847273	HEALTHCARE	IL	NA	N/A			false		false
NORTHWESTERN MEDICAL FACULTY FOUNDATION DIALYSIS CENTER
541 N FAIRBANKS CT	CHICAGO	IL	60611	462159685	HEALTHCARE	DE	NMFF	Related	$1,996,176	$3,354,923	false	$0	false	0.8	RM 1630
MIDLAND SURGICAL CENTER LLC
3085 WOLF CT	DEKALB	IL	60115	352194610	HEALTHCARE	IL	KISHWAUKEE COMM HOSP	Related	$450,853	$639,872	false	$0	false	0.745

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
NORTHWESTERN HEALTHCARE CORPORATION
541 N FAIRBANKS CT	SUITE 1630	CHICAGO	IL	60611	363382383	HEALTHCARE	IL	NMH	C Corporation	$973,540	$2,239,634	1.00	Yes (true)
NORTHWESTERN MEMORIAL INSURANCE COMPANY
					980384611	RISK TRANSFER		NMHC	C Corporation			1.00		CJ
DUPAGE HEALTH SERVICES INC
541 N FAIRBANKS CT	SUITE 1630	CHICAGO	IL	60611	363270521	HEALTHCARE	IL	CDH-DELNOR HEALTH SYS	C Corporation	-$532	$994,118	1.00	Yes (true)
DELCOM CORPORATION
541 N FAIRBANKS CT	SUITE 1630	CHICAGO	IL	60611	363334711	HEALTH MGMT	IL	CDH-DELNOR HEALTH SYS	C Corporation	$5,242,070	$13,893,506	1.00	Yes (true)
CORNERSTONE MEDICAL GROUP
541 N FAIRBANKS CT	SUITE 1630	CHICAGO	IL	60611	364345453	HEALTHCARE	IL	CDPG	C Corporation	$5,369,139	$0	1.00	Yes (true)
HEALTH PROGRESS INC
541 N FAIRBANKS CT	SUITE 1630	CHICAGO	IL	60611	363824138	HEALTHCARE	IL	KISH HEALTH SYSTEM	C Corporation	$3,121,619	$22,778,341	1.00	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Northwestern Healthcare Corporation
M	$299,192	Cost
Community Nursing Services of DuPage County
L	$469,732	Cost
Central DuPage Special Health Association
L	$95,638	Cost
PAHCS II
L	$182,089	Cost
Northwestern Healthcare Corporation
A	$65,077	Cost

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Electing OrganizationElectingOrganizationInd	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
Northwestern Memorial HealthCare Group
541 N Fairbanks Ct 1630	Chicago	IL	606113319	364724966	Yes (X)	$0	$287,149	$287,149	$5,188,565,297	$5,188,852,446	$1,000,000	$250,000	$0	$0	$0
NORTHWESTERN MEMORIAL HEALTHCARE
251 E HURON	CHICAGO	IL	60611	363152959	Yes (X)	$0	$89,800	$89,800	$985,483,920	$985,573,720	$1,000,000	$250,000	$0	$0	$0