2019-07-08T11:30:13-05:00 2018-08-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2017-09-01 366080833 Community Nursing Service of DuPage County COMM 3129269495 541 N Fairbanks Court Room 1630 Chicago IL 60611 John Orsini SVP/CFO 2019-07-08 true NICOLE BENCIK P00756195 3128997000 2017 2019-02-21 02:37:17Z Northwestern Medicine Home Health & Hospice Dean Harrison 541 N Fairbanks Court Room 1630 Chicago IL 60611 18007801 false X www.nm.org X 1958 IL Community Nursing Service of DuPage County (CNS) provides comprehensive, full-service home health care and hospice services to patients and families. 3 0 0 30 0 0 0 0 18368909 17699546 6416 0 382719 308255 18758044 18007801 0 0 0 16096261 0 0 0 0 9184042 24567455 25280303 24567455 -6522259 -6559654 26905738 27518517 22575515 29623778 4330223 -2105261 Community Nursing Service of DuPage County (CNS) provides comprehensive, full-service home health and hospice services to patients and families. These services are provided to patients regardless of their ability to pay. false false 17468721 0 18007801 Community Nursing Service of DuPage County (CNS) (dba Northwestern Medicine Home Health & Hospice) provides comprehensive, full-service home health and hospice services to patients in a home setting, regardless of the patient's ability to pay. Home Health Home Health services are available to individuals considered homebound. Our home health team is dedicated to helping you improve your quality of life after leaving the hospital or any other time you require assessment, education and skilled intermittent care. Our team offers a wide variety of services from personal care to high-tech infusion services-all in the comfort of your own home and provided by skilled nurses and therapists with diverse clinical backgrounds in the care of patients with acute and chronic illness. Benefits of Northwestern Medicine Home Health include: - Hospital-based program provides opportunity for prompt physician coordination and continuity of care - Initial assessment and meeting performed by registered nurses - In-home test results obtained instantly and sent to physician - Infusion services performed by registered nurses - Consultation from certified wound care nurse for complex wounds - Magnet recognition* from the American Nurses Credentialing Center, the highest standard for nursing excellence - Accreditation by The Joint Commission, the gold standard for quality healthcare institutions Our timely initiation of care is above the national average and our re-hospitalization rate below the national average. Skilled nursing A registered nurse will develop a care plan under the direction of your physician along with you and your family to assure that all needed aspects of medical care are provided. The Home Health services can include: Catheter care, Diabetic care and education, Medication management, NG/gastrostomy tube care, Ostomy care and education, Post-operative care and education, and Wound care education. Home health infusion services Northwestern Medicine Home Health registered nurses can administer infusion therapies in the comfort of your home, which can include Hydration, IV antibiotics, PICC line care and Total Parenteral Nutrition. Home medical equipment Northwestern Medicine Home Health has a full line of medical, convenience and safety equipment available for the home. Our team of certified and registered respiratory therapists is equipped to provide respiratory services and therapeutic procedures. Home health aides Under the direction and supervision of a registered nurse or therapist, a home health aide can provide and assist you with personal care and can help you maintain a safe environment. Home health aide services can include: assistance with bathing; household services essential to health care; simple dressing changes; assistance with transferring, walking and exercise to promote independence. Medical social workers A medical social worker can work with the home health team to provide Assistance with advance directives; Counseling; Long-term care planning; and Resource planning. Physical therapy A licensed physical therapist will provide an in-home assessment, evaluate your level of functioning and work with your physician to develop a home exercise program to restore functioning to the highest level. Physical therapist services can include: Evaluation of equipment needs; teaching safe use of equipment; Evaluation of gait, ambulation and home safety; Mobility, transfer and prosthetic training; Post-operative rehabilitation and education; and Therapeutic exercise. Occupational therapy A licensed occupational therapist will provide an in-home evaluation of your activities of daily living (ADLs) and works with your physician to develop activities that will help restore your ability to perform ADLs. The occupational therapist can: Adapt tools used in daily living (eating utensils, dressing devices); Provide exercises to promote ADL retraining; and Provide fine-motor skill training. Speech therapy A licensed speech therapist will evaluate your speech pattern and swallowing ability and will work with your physician to develop a therapy plan to improve your speech function to the highest level. Services of a speech therapist can include: Development of an in-home program to optimize the level of oral-motor skills, Dysarthria (slurred speech therapy), Dysphagia (swallowing therapy), and Treatment of cognitive disorders. Hospice Hospice is a philosophy of care that accepts death as the final stage of life. The goal of hospice is to enable patients to continue an alert, pain-free life and to manage other symptoms so that their last days may be spent with dignity and quality, surrounded by their loved ones. Hospice is not a place, but rather a special type of care that can be provided in a variety of locations, frequently right in the home. Hospice is designed to offer comfort and care, helping relieve issues that occur in the final phases of an end stage disease process, and is designed for people whose illnesses no longer respond to curative treatment but focuses on treating symptoms while increasing quality of life. Hospice care includes not only support for the patient, but also the family and loved ones. Northwestern Medicine Home Health & Hospice provides a caring hospice team that works with you to develop a care plan with goals to: improve quality of life; relieve pain, control symptoms and offer comfort and dignity; and, provide physical, emotional, social and spiritual support. Levels of hospice care Northwestern Medicine Hospice provides needs-based care in a variety of locations and may involve different levels of caregiving. Hospice care may be provided in your home, a hospice facility, hospital or nursing home, as appropriate. The Medicare Hospice levels of care include: * Routine care: the most common level of hospice care. The interdisciplinary hospice team, which includes skilled nurses, social workers, chaplains, home health aides, and volunteers, provides services in your home for assessment, medication management, personal care, emotional support and education. * General Inpatient care: Inpatient level of care is provided for pain control or other acute symptom management that cannot feasibly be provided in any other setting and begins when other efforts to manage symptoms have been ineffective. * Inpatient Respite care: a hospice patient may temporarily stay in a medical facility with 24-hour care so that caregivers can rest and recharge. * Continuous care: Care may begin only during periods of crisis to manage acute symptoms, requiring ongoing nursing care to help stabilize the symptoms and can be provided at home or in a hospital setting. The Northwestern Medicine hospice care team draws talents from a range of medical and professional areas, to offer a complete circle of care to meet your family's needs. Your care team includes: Medical director of hospice; Hospice nurses are educators and advocates who strive to provide comfort and grace throughout the final days; Hospice chaplains help your loved one and family focus on healing and forgiveness, and find a sense of meaning; Hospice social workers offer emotional support, care planning, problem solving, access to resources and assistance with financial issues; and, Hospice volunteers are carefully selected and trained to provide compassionate assistance, support and friendship. Northwestern Medicine hospice care staff are trained to meet the unique needs of seriously ill cancer patients, those suffering from advanced stages of Alzheimer's and other forms of dementia, and those with advanced heart disease. If someone you love is at the end-stage of life and is no longer receiving treatment, the compassionate skilled Northwestern Medicine Home Health & Hospice team can provide the care needed to control pain symptoms and make the final days as comfortable and meaningful as possible. Many times, your loved one can remain at home surrounded by family in a soothing, familiar environment. Striving to make every minute meaningful, Northwestern Medicine Hospice offers a range of therapy services which are both calming and comforting, including: a soothing spa bath experience; Aromatherapy; certified therapy dogs; and Music therapy. As experienced providers of end-of-life care, the staff and volunteers at Northwestern Medicine Home Health & Hospice recognize that grief is a powerful force-one that can leave you feeling alone, uncertain, frightened and sorrowful. Our trained staff provides support during this difficult period. 17468721 true false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 17 0 true 0 false false false false false false true false false false X 3 0 false true false false true true true true true false false true true true true true true false false false IL X Rob Gerecke Director Finance 3129269495 541 N Fairbanks Court Rm 1639 Chicago IL 60611 James Giblin MD Secretary (9/1/17 - 4/30/18) 1.0 39.0 X X 0 746604 139209 Dean M Harrison Chair 1.0 39.0 X X 0 6401987 689022 John A Orsini Vice Chair & Treasurer 1.0 39.0 X X 0 1360633 293678 Brian J Lemon Secretary (after 5/1/18) 1.0 39.0 X X 0 851111 104717 Teresa Jacobsen Director of Operations/Former KE 40.0 0 X 0 228929 39579 Sandra Berger Director, Clinical Services/Former HCE 40.0 0.0 X 0 178843 27716 Marcia Musgrove Director, Prof Prac, Quality & Educ/Former HCE 40.0 0 X 0 144809 15560 Mary K Pendleton Advanced Practice Nurse/Former HCE 40.0 0 X 0 124422 10374 Donna Dulkowski Registered Nurse/Former HCE 40.0 0 X 0 116806 12558 Jacqueline Anderson Manager, Clinical Ops/Former HCE 40.0 0 X 0 110895 15225 0 10265039 1347637 0 true true false Northwestern Memorial HealthCare 251 E Huron 541 Fairbanks Ct Rm 1639 Chicago IL 60611 Shared services and contracted personnel 21480606 CDH-Delnor Health System 27W353 Jewell Rd Winfield IL 60190 Shared services 491078 Medical Staffing Network 215 Shuman Blvd Suite 405 Naperville IL 60563 Staffing 323402 Navigant Healthcare Cymetrix 150 N Riverside Suite 2100 Chicago IL 60606 Consulting 140100 4 0 Net Patient Care Revenue 621610 17699546 17699546 0 0 0 0 17699546 0 0 0 0 Shared Services Fees Revenue 900099 303205 303205 Other Revenue 900099 5050 5050 0 0 0 0 308255 18007801 18007801 0 0 X 22309733 15571964 6737769 0 36 36 301884 208785 93099 12455 9964 2491 289656 101380 188276 296628 293662 2966 903 271 632 52202 23491 28711 191989 169229 22760 Patient care 962178 962178 Bad debt expense 108187 108187 Dues and fees 29692 14846 14846 11912 4764 7148 0 24567455 17468721 7098734 0 23672 0 15738869 17988142 3870294 2483899 0 0 0 720 120 293177 600 6979726 7045876 0 0 0 0 26905738 27518517 2314199 2083183 400118 474994 0 19861198 27065601 22575515 29623778 X 4330223 -2105261 4330223 -2105261 26905738 27518517 X -6559654 124170 X false true X true false X 51978 94621 0 0 0 146599 17932030 22110669 19208217 18368909 17699546 95319371 0 0 0 17984008 22205290 19208217 18368909 17699546 95465970 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95465970 158333 186065 0 0 0 344398 0 158333 186065 0 0 0 344398 0 445512 604964 397835 382719 308255 2139285 18587853 22996319 19606052 18751628 18007801 97949653 0.9746 0.9720 0.0035 0.0052 X Schedule A, Part III column (b) for 2014 In 2014, as a result of the acquisition of the filing organization's sole member, CDH-Delnor Health System, by Northwestern Memorial HealthCare, the tax year-end of the sole member and its affiliates changed from June 30th to August 31st. As a result of this change in accounting period, the filing organization filed two 2014 tax returns for the periods July 1- August 31, 2014 and September 1 - August 31, 2015. Schedule A, Part III, Column (b) represents amounts reported on both the 2014 tax form used for the two-month short tax year, as well as on the 2014 tax form for the tax period of September 1, 2014 - August 31, 2015. Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER REVENUE, COLUMN A - 25272.0, COLUMN B - 8218.0, COLUMN C - 3527.0, COLUMN D - 6171.0, COLUMN E - 5050.0, COLUMN F - 48238.0; DESCRIPTION - SHARED SERVICES FEE REVENUE, COLUMN A - 420240.0, COLUMN B - 596746.0, COLUMN C - 394308.0, COLUMN D - 376548.0, COLUMN E - 303205.0, COLUMN F - 2091047.0; 720 120 600 600 Due to related organizations 27065601 27065601 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) 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 $6,028,000 and $13,010,000 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. false true false false false false false false false James Giblin MD Secretary (9/1/17 - 4/30/18) 0 518289 0 223341 0 4974 0 110160 0 29049 0 885813 0 0 Dean M Harrison Chair 0 1671192 0 2362489 0 2368306 0 670970 0 18052 0 7091009 0 460979 John A Orsini Vice Chair & Treasurer 0 774824 0 565551 0 20258 0 275155 0 18522 0 1654310 0 162274 Brian J Lemon Secretary (after 5/1/18) 0 553322 0 257376 0 40413 0 76895 0 27821 0 955828 0 0 Teresa Jacobsen Director of Operations/Former KE 0 187892 0 37324 0 3713 0 14086 0 25493 0 268508 0 0 Sandra Berger Director, Clinical Services/Former HCE 0 148650 0 28756 0 1437 0 10959 0 16757 0 206559 0 0 Marcia Musgrove Director, Prof Prac, Quality & Educ/Former HCE 0 122121 0 21622 0 1066 0 6615 0 8945 0 160369 0 0 Mary K Pendleton Advanced Practice Nurse/Former HCE 0 121712 0 2402 0 308 0 3657 0 6717 0 134796 0 0 Donna Dulkowski Registered Nurse/Former HCE 0 110236 0 6016 0 554 0 4700 0 7858 0 129364 0 0 Jacqueline Anderson Manager, Clinical Ops/Former HCE 0 99979 0 9336 0 1580 0 6720 0 8505 0 126120 0 0 Schedule J, Part II, Column (B)(ii) BONUS & INCENTIVE COMPENSATION 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. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The filing organization relied on Northwestern Memorial HealthCare, a related tax exempt organization, which used a compensation committee, comparability data, independent compensation consultant, and approval by the board or compensation committee, to determine the compensation of the President of Northwestern Medicine West Region, who is an employee of Northwestern Memorial HealthCare and who also serves as the Chairperson of the filing organization's Board of Directors. See the narrative for Form 990, Part VI, line 15a in Schedule O for more information. 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 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. PLAN B THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE THE CURRENT YEAR CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: DEAN HARRISON, $318,780 BRIAN LEMON, $33,018 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 GIBLIN, $93,960 JOHN ORSINI, $147,672 Form 990, Part VI, Line 1a Delegating broad authority As the sole member of Community Nursing Service of DuPage County, CDH-Delnor Health System, a related tax-exempt organization, has broad authority to act on behalf of the governing body. Please see the narratives for Part VI, Lines 6, 7a and 7b for a description of such authority. Form 990, Part VI, Line 15a 15b - PROCESS TO ESTABLISH COMPENSATION CDH-Delnor Health System, a wholly owned subsidiary of Northwestern Memorial Heath Care (NMHC), is the parent organization and the sole corporate member of the filing organization. In accordance with this organizational structure, interested persons of the filing organization are subject to the policies and procedures of NMHC. Northwestern Memorial Healthcare Organization, NMHC, has established a Board-led executive compensation review and approval process for NMHC and all affiliates. This process for determining 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 subcommittee of the Board of Directors whose members are all disinterested, independent and non-paid; (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) compensation decisions and support are recorded in the compensation committee meeting minutes. In addition, a significant portion of compensation is at risk and is payable only upon achievement of substantial goals. 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. The compensation determination process described above also applies for the other officers of the filing organization. The compensation of the former key employee is determined by the parent organization's Human Resources department using a market-based analysis. Form 990, Part VI, Line 3 Delegation of management duties The parent organization of Community Nursing Service of DuPage County (CNS) is Northwestern Memorial HealthCare (NMHC). Beginning in 2017, all employees of CNS, the filing organization, became employees of NMHC and contracted back to CNS. Management services provided through NMHC by the former CNS employees include the hiring, firing and supervising personnel; planning and executing budgets and financial operations; and, supervising the exempt operations of the organization. The individuals listed as 'key employee' and 'highest compensated employees' in Part VII-A are the former CNS employees who are now NMHC employees but continue to provide services to CNS as contracted personnel. Form 990, Part VI, Line 6 Classes of members or stockholders The sole member of Community Nursing Service of DuPage County (CNS) is CDH-Delnor Health System, a related tax-exempt organization. CDH-Delnor Health System is a wholly-owned subsidiary of Northwestern Memorial Health Care (NMHC). Management duties performed by CDH-Delnor Health System and/or NMHC include: operational, strategic, budgeting, and long-range planning duties, as well as finance, internal audit, human resources, treasury and marketing services. The individuals providing these services, including the CEO, CFO and other senior management, are employees of and compensated by either NMHC or CDH-Delnor Health System. CNS pays a shared services fee to CDH-Delnor Health System and to NMHC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CDH-Delnor Health System, the sole member and parent organization, has the power to elect or remove all of the directors of Community Nursing Service of DuPage County. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Certain decisions of the Community Nursing Service of DuPage County (CNS) governing body are subject to approval by CDH-Delnor Health System, as the sole member of CNS. The member's authority includes the power to amend, alter, restate or repeal the Bylaws of the Corporation; to negotiate and execute contracts on behalf of the Corporation; to adopt a plan of merger, consolidation or corporate reorganization involving the Corporation; to adopt a plan of dissolution or liquidation of the Corporation and distribution of its assets; and, to amend, alter, restate or repeal the Articles of Incorporation of the Corporation. Actions by the Board of Directors requiring the approval of the Sole Member include: adoption of capital and operating budgets; adoption and execution of a strategic plan; and, authorization of a capital expenditure in excess of the limits established by the Sole Member from time to time. Form 990, Part VI, Line 11b Review of form 990 by governing body PRIOR TO FILING, A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY OUTSIDE TAX ADVISERS AND INTERNAL MANAGEMENT. AFTER THAT REVIEW IS COMPLETE, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS OF NORTHWESTERN MEMORIAL HEALTHCARE FOR ADDITIONAL REVIEW AND COMMENT. Form 990, Part VI, Line 12c Conflict of interest policy CDH-Delnor Health System, a wholly owned subsidiary of Northwestern Memorial Heath Care (NMHC), is the parent organization and the sole corporate member of the filing organization. In accordance with this organizational structure, interested persons of the filing organization are subject to the policies, processes and procedures of NMHC. 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 Corporate Compliance & Integrity (CCI) department. Once the annual certifications are complete, the CCI department reviews the disclosures for compliance with the policy and escalates any that are of a nature that require potential further remediation to manage or eliminate the disclosed conflict. 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 Northwestern Medicine website. The financial statements are also available from the Illinois Attorney General's office as part of its Annual Community Benefits Report and through Electronic Municipal Market Access System of the Municipal Securities Rulemaking Board. Form 990, Part IX, Line 5 10 and 11g - Contracted Personnel The parent organization of Community Nursing Service of DuPage County (CNS) is Northwestern Memorial HealthCare (NMHC). Beginning in 2017, all employees of CNS, the filing organization, became employees of NMHC and contracted back CNS. The total staffing costs paid to NMHC is reported on line 11g as Contracted Personnel. Form 990, Part IX, Line 11g Other Fees Shared services fees - Total Expense: 5138600, Program Service Expense: , Management and General Expenses: 5138600, Fundraising Expenses: ; Contracted personnel - Total Expense: 16279441, Program Service Expense: 14788757, Management and General Expenses: 1490684, Fundraising Expenses: ; Patient service - Total Expense: 542026, Program Service Expense: 542026, Management and General Expenses: , Fundraising Expenses: ; Professional fees - Total Expense: 225847, Program Service Expense: 225847, Management and General Expenses: , Fundraising Expenses: ; Temporary staffing - Total Expense: 19167, Program Service Expense: 15334, Management and General Expenses: 3833, Fundraising Expenses: ; Other purchased services - Total Expense: 104652, Program Service Expense: , Management and General Expenses: 104652, Fundraising Expenses: ; Form 990, Part X, Line 11 INVESTMENTS THE ORGANIZATION'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT MAINTAINED BY NORTHWESTERN MEMORIAL HEALTHCARE. THE POOLED ACCOUNT CONSISTS OF CASH, EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE FAIR VALUES AND ALL INVESTMENTS IN DEBT SECURITIES ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET OF THE FILING ORGANIZATION. HOWEVER, INTEREST INCOME AND BOTH REALIZED AND UNREALIZED GAINS AND LOSSES FROM THE POOLED INVESTMENTS ARE NOT REPORTED ON THE STATEMENT OF REVENUE OR RECONCILIATION OF NET ASSETS OF THE FILING ORGANIZATION. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Asset Transfer, Northwestern Memorial Foundation - 124170; 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 false NORTHWESTERN MEMORIAL FOUNDATION 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363155315 FUNDRAISING IL 501(c)(3) 7 NMHC false NORTHWESTERN LAKE FOREST HOSPITAL 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 362179779 HOSPITAL IL 501(c)(3) 3 NMHC false 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 false NORTHWESTERN MEDICAL FACULTY FOUNDATION 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363097297 HEALTHCARE IL 501(c)(3) 3 NMHC false CDH-DELNOR HEALTH SYSTEM 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363099698 MANAGEMENT IL 501(c)(3) Type II NMHC false CENTRAL DUPAGE HOSPITAL ASSOCIATION 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 362513909 HOSPITAL IL 501(c)(3) 3 CDH-DELNOR HLTH SYSTEM false DELNOR-COMMUNITY HOSPITAL 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363484281 HOSPITAL IL 501(c)(3) 3 CDH-DELNOR HLTH SYSTEM false CENTRAL DUPAGE PHYSICIAN GROUP 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363149833 HEALTHCARE IL 501(c)(3) 10 CDH-DELNOR HLTH SYSTEM false 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 false PAHCS II 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363887234 OCCUPATIONAL HEALTH IL 501(c)(3) 10 CDH-DELNOR HLTH SYSTEM false KISHHEALTH SYSTEM 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363649080 MANAGEMENT IL 501(c)(3) Type II NMHC false KISHWAUKEE COMMUNITY HOSPITAL 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 237087041 HOSPITAL IL 501(c)(3) 3 KISHHEALTH SYSTEM false VALLEY WEST COMMUNITY HOSPITAL 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 364244337 HOSPITAL IL 501(c)(3) 3 KISHHEALTH SYSTEM false KISHHEALTH FOUNDATION 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363649077 FUNDRAISING IL 501(c)(3) 7 KISHHEALTH SYSTEM false KISHWAUKEE PHYSICIAN GROUP INC 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 651293967 HEALTHCARE IL 501(c)(3) 3 KISHHEALTH SYSTEM false KISHHEALTH SYSTEM HOME CARE 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 371703513 HOME HEALTH IL 501(c)(3) 3 KISHHEALTH SYSTEM false DEKALB COUNTY HOSPICE INC 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363164329 HOSPICE IL 501(c)(3) 7 KISHHEALTH SYSTEM false DEKALB BEHAVIORAL HEALTH FOUNDATION INC 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 474579189 BEHAVIORAL HEALTH IL 501(c)(3) 3 KISHHEALTH SYSTEM false CENTER FOR FAMILY HEALTH - MALTA 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 800869393 HEALTHCARE IL 501(c)(3) 3 KISHHEALTH SYSTEM false MARIANJOY REHABILITATION HOSPITAL & CLINICS INC 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 362680776 HOSPITAL IL 501(c)(3) 3 NMHC false REHABILITATION MEDICINE CLINIC INC 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363236791 HOSPITAL IL 501(c)(3) 3 NMHC false MARIANJOY REHABILITATION CENTER AUXILIARY 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363896976 SUPPORTING IL 501(c)(3) Type I NMHC false GROSVENOR ALTERNATIVE INVESTMENTS LP 900 N MICHIGAN AVE STE 1100 CHICAGO IL 60611 800833919 INVESTMENTS DE CDH-DELNOR HEALTH SYSTEM N/A KISHWAUKEE AREA PHYSICIAN HOSPITAL ORGANIZATION 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 364205273 HEALTHCARE IL KISHWAUKEE COMM HOSPITAL N/A ILLINOIS REGIONAL CANCER CENTER LLP 10 HEALTH SERVICES DR DEKALB IL 60115 363847273 HEALTHCARE IL HEALTH PROGRESS INC N/A NORTHESTERN MEDICAL FACULTY FND DIALYSIS CENTER 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 462159685 HEALTHCARE DE NORTHWESTERN MED FACULTY FND N/A MIDLAND SURGICAL CENTER LLC 3085 WOLF CT DEKALB IL 60115 352194610 HEALTHCARE IL KISHWAUKEE COMM HOSPITAL N/A NORTHWESTERN HEALTHCARE CORPORATION 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363382383 HEALTHCARE SERVICE IL NORTHWESTERN MEMORIAL HOSPITAL C Corporation NORTHWESTERN MEMORIAL INSURANCE COMPANY 980384611 RISK TRANSFER CJ NORTHWESTERN MEMORIAL HOSPITAL C Corporation DUPAGE HEALTH SERVICES INC 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363270521 HEALTHCARE DE CDH-DELNOR HEALTH SYSTEM C Corporation DELCOM CORPORATION 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363334711 HEALTH MGMT IL CDH-DELNOR HEALTH SYSTEM C Corporation CORNERSTONE MEDICAL GROUP 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 364345453 PHYSICIAN SERVICES IL CENTRAL DUPAGE PHYSICIAN GROUP C Corporation HEALTH PROGRESS INC 541 N FAIRBANKS CT Rm 1630 CHICAGO IL 60611 363824138 HEALTHCARE IL KISHHEALTH SYSTEM C Corporation false false false false false false false false false false false true true true true true true true true