2019-08-13T17:30:12-05:00 2018-09-30 Deloitte Tax LLP 50 South Sixth Street Suite 2800 Minneapolis MN 55402 990 2017-10-01 362167060 NorthShore University HealthSystem NORT 8475702000 1301 Central Street Evanston IL 60201 Douglas D Welday Treasurer & Chief Financial Officer 2019-08-13 true Anne Fulton P00941863 6123974000 2018-08-07 2017 2019-02-21 02:37:17Z Gerald P Gallagher 1301 Central Street Evanston IL 60201 2444029617 false X northshore.org X 1891 IL The core mission of NorthShore University HealthSystem is to "preserve and improve human life." 24 17 12061 1069 3315416 0 18602427 17440540 1544577536 1565515095 90533003 162871381 11729230 12655197 1665442196 1758482213 96991468 93169634 0 681549765 719529172 0 2908455 814840090 791800664 1593381323 1604499470 72060873 153982743 3627951189 3851568380 1356072164 1382049596 2271879025 2469518784 See Schedule O false false 1207222849 92368004 1536932256 Patient Care - See Schedule O 58782252 0 12588821 Education - See Schedule O 29913631 801630 16849730 Research - See Schedule O 1295918732 true true false true false false false false true true true false false true true false true false false true false false false true true true true true true true true false false false false false false false false true false true true false false false true true true false false true 736 1 true 12061 true true true true CJ false false false true true true false false false X 24 17 true false false false false false false true true false false true true true true true true true true true true IL X Jeff Biesczat 8475705798 1301 Central Street Evanston IL 60201 Mark R Neaman Executive Chairman 41.0 2.0 X X 4250435 0 34788 Lester B Knight III Board Vice Chairman 1.0 0.0 X X 0 0 0 Percy L Berger Sr Board Past Chairman 1.0 0.0 X X 0 0 0 Gerald P Gallagher President and Chief Executive Officer 41.0 2.0 X X 1617998 0 456152 Toure S Claiborne Director 1.0 0.0 X 0 0 0 David A Dohnalek Director 1.0 0.0 X 0 0 0 Connie K Duckworth Director/Prior Board Secretary 1.0 0.0 X 0 0 0 William M Farrow III Director 1.0 0.0 X 0 0 0 Catherine Guthrie Director 1.0 0.0 X 0 0 0 Gregory K Jones Director 1.0 0.0 X 0 0 0 Morris S Kharasch Director and Physician 8.0 34.0 X 67495 398511 47825 Harry M Jansen Kraemer Jr Director 1.0 0.0 X 0 0 0 Theodore Mazzone Director and Clinical Chairman 38.0 4.0 X 801718 109645 40848 Samuel M Mencoff Director 1.0 0.0 X 0 0 0 Frederick E Miller Director and Clinical Chairman 40.0 2.0 X 500880 27305 41216 Andrew J Mills Director 1.0 0.0 X 0 0 0 Samuel M Parnass Director and Physician 3.0 38.0 X 20000 668735 49239 Michael Reinsdorf Director 1.0 0.0 X 0 0 0 Thomas S Ricketts Director 1.0 0.0 X 0 0 0 Scott C Schweighauser Director/Prior Board Assistant Secretary 1.0 0.0 X 0 0 0 Susan B Sentell Director 1.0 0.0 X 0 0 0 Mark S Talamonti Director and Clinical Chairman 32.0 10.0 X 1087078 307991 47672 J Mikesell Thomas Director 1.0 0.0 X 0 0 0 Sona Wang Director 1.0 0.0 X 0 0 0 Kevin Willer Director 1.0 0.0 X 0 0 0 John G Zern Director 1.0 0.0 X 0 0 0 David F Zucker Director 1.0 0.0 X 0 0 0 A Steven Crown Board Secretary/Prior Past Chairman 1.0 0.0 X 0 0 0 Gary E Weiss Board Treasurer and Chief Financial Officer 41.0 0.0 X 1489510 0 70101 Julian E Bailes Clinical Chairman 25.0 16.0 X 1083000 632541 52482 William D Bloomer Clinical Chairman 24.0 17.0 X 393030 444195 44263 Michael S Caplan Clinical Chairman 33.0 8.0 X 645172 123672 26695 Robert R Edelman Clinical Chairman 38.0 3.0 X 926414 242264 57482 Bernard G Ewigman Clinical Chairman 0.0 1.0 X 449252 0 127638 Mahalakshmi Halasyamani Chief Quality and Transformation Officer 40.0 0.0 X 555767 0 46045 Thomas H Hodges Chief Investment Officer 40.0 0.0 X 743460 0 33144 Karen L Kaul Clinical Chairman 21.0 20.0 X 420438 399839 50396 Mary Keegan Chief Nursing Officer 40.0 0.0 X 455632 0 50893 Jason L Koh Clinical Chairman 21.0 20.0 X 635568 933731 52710 William R Luehrs Chief Human Resources Officer 40.0 0.0 X 937592 0 58672 Demetrius (Jim) Maraganore Clinical Chairman 30.0 11.0 X 521505 160556 48595 Kristen Murtos Chief Administrative and Strategy Officer 40.0 0.0 X 958299 0 135810 Sean O'Grady Chief Clinical Operations Officer 40.0 0.0 X 955455 0 616815 Jesse Peterson Hall President, Glenbrook Park Hospital 40.0 0.0 X 964857 0 67548 Richard K Silver Clinical Chairman 35.0 6.0 X 838006 145371 45035 Douglas M Silverstein President, Evanston Hospital 40.0 0.0 X 1489338 0 60506 Steven Smith Chief Information Officer 40.0 0.0 X 1020753 0 219475 Joseph Szokol Clinical Chairman 25.0 16.0 X 425002 484924 50973 Brian Washa Senior Vice President 40.0 0.0 X 741603 0 64444 Pablo Gejman Vice President, Genomic Research 40.0 0.0 X 507512 0 40265 Harry L Jones Chief Compliance Officer 40.0 0.0 X 412960 0 44107 Janardan D Khandekar Medical Director, Molecular Medical Center 36.0 4.0 X 562615 44960 40844 David F Lovinger Hospitalist 32.0 8.0 X 334325 70794 45416 Jianfeng Xu Vice President, Translational Research 40.0 0.0 X 482257 0 44526 Jeffery S Vender Former Clinical Chairman 18.0 22.0 X 270208 669680 43379 27565134 5864714 2955999 1011 true true true Aramark Management Services 27310 Network Place Chicago IL 60673 Facilities/Diet Management 59662160 Pepper Construction Company 411 Lake Zurich Road Barrington IL 60010 Construction Management 30356508 Power Construction Company LLC 2360 North Palmer Drive Schaumburg IL 60173 Construction Management 20054567 University of Chicago Medical Center 5841 South Maryland Avenue Chicago IL 60637 Medical Education 18226527 Bulley & Andrews LLC 1755 West Armitage Avenue Chicago IL 60622 Construction Management 10757257 260 X 741900 445858 9980115 179835 6092832 483709 17440540 Patient Revenue 621990 915507437 915507437 Medicare and Medicaid Revenue 621990 606621074 606621074 Rent from Affiliated Exempt Organizations 900003 25154321 25154321 Fees and Contracts from Government Agencies 541700 9201912 9201912 Grant Income 541700 7647818 7647818 1382533 1382533 0 0 1565515095 39388616 -1583374 40971990 2611033 3222437 -611404 0 -611404 -611404 804631085 680852533 295787 123778552 -295787 123482765 123482765 842268 445858 532031 310237 310237 27074 27074 27074 1004586 644616 359970 359970 Cafeteria 722514 5144998 5144998 Lab Reference Testing 541380 3186353 3186353 Parking 812930 1477835 46550 1431285 2760134 855712 1665887 238535 12569320 1758482213 1541216486 3315416 196509771 92761258 92761258 408376 408376 23852073 10453401 13398672 12475465 4262268 7825187 388010 563947442 470538992 92102440 1306010 51967594 38849944 13117650 30037019 25878620 3925075 233324 37249579 29708475 7432305 108799 96224933 86000982 10223951 3894392 3894392 1161873 1161873 29529380 29529380 88391047 51318383 36573410 499254 16469214 16469214 27754502 20815219 6912200 27083 23479401 1939678 21539517 206 32011314 20966032 10732558 312724 1090967 857117 209528 24322 2057770 1462720 590467 4583 8722069 8722069 62960265 44851544 18108721 -4502383 -5955119 1452736 Medical Supplies 342371465 342371465 Medicaid Taxes 45362409 45362409 Pension Settlement Charges 9801296 9801296 Dues and Subscriptions 2187848 1003124 1180584 4140 2832902 2262548 570354 0 1604499470 1295918732 305672283 2908455 56461703 49313220 1149901 1239927 3993296 2945343 272132201 215644771 0 0 0 0 18505645 22573535 10739401 9882340 2174406043 1061311768 1049210039 1113094275 1414803116 1417186947 538485252 733866043 0 116402180 116387980 146068455 169433999 3627951189 3851568380 204426070 231003255 9500074 9337746 323979224 312916800 0 0 818166796 828791795 1356072164 1382049596 X 2069912514 2252563790 124873427 139560990 77093084 77394004 2271879025 2469518784 3627951189 3851568380 X 153982743 25825524 17831492 X false true X true true true X false false false false false false false false true 182459 182459 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY NorthShore University HealthSystem (NorthShore) and its employees are members of various organizations that advocate on legal and policy issues that affect healthcare. A portion of the annual membership dues paid by NorthShore to these organizations are attributable to lobbying activities. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY NorthShore University HealthSystem (NorthShore) and its employees are members of various organizations that advocate on legal and policy issues that affect healthcare. A portion of the annual membership dues paid by NorthShore to these organizations are attributable to lobbying activities. 155281603 300920 26436023 8141445 173877101 139863041 235586 22202452 7019476 155281603 129005444 -907383 18880017 7115037 139863041 136189072 1662274 -1207791 7638111 129005444 120987343 1852969 20724353 7375593 136189072 0.0 0.4451 0.5549 false false 73118372 73118372 1527285798 713034000 814251798 57656921 44905492 12751429 414178876 279129213 135049663 102166076 24243063 77923013 1113094275 Hedge Funds 407469800 C Private Equity Funds 172122544 C Real Asset Fund F Private Equity Funds 13882081 F Other Investments 140391618 F 733866043 Due to Affiliates 351246996 Reserve for Malpractice Losses 201100000 Due to Third Parties 132824261 Deferred Compensation 126468368 Current Maturity of Long-Term Debt 11105000 Asset Retirement Obligation 5959042 Current Bond Payable Premium 88128 828791795 X 1641482242 25825524 12293929 38119453 1603362789 39330676 115788748 155119424 1758482213 1476682048 4694871 4694871 1471987177 39330676 93181617 132512293 1604499470 Schedule D, Part V, Line 4 Intended uses of endowment funds Endowment fund earnings are used toward research, special purpose, general operations, and department chair funding, as well as uncompensated care offered to patients who meet the criteria established under NorthShore University HealthSystem's financial assistance policy. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Corporation and its related affiliates, except for NorthShore Physician Associates, Inc. (NPA) and Community Care Partners, LLC (CCP), known as NorthShore Exempt Group, have been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code (IRC). Most of the income received by NorthShore Exempt Group is exempt from taxation under Section 501(a) of the IRC as income related to the mission of the organization. Accordingly, there is no material provision for income tax for these entities. Some of the income received by exempt entities is subject to taxation as unrelated business income. NorthShore and its subsidiaries file federal income tax returns and returns for various states in the U.S. ASC 740, Income Taxes, requires that realization of an uncertain income tax position is more likely than not (i.e., greater than 50% likelihood of receiving a benefit) before it is recognized in the financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax-related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the years ended September 30, 2018 or 2017. For the year ended September 30, 2018, the Corporation has a net operating loss carryforward of $8,642,741, which generated assets of $2,463,613. These assets are offset by a valuation allowance of $1,020,271. For the year ended September 30, 2017, the Corporation has a net operating loss carryforward of $9,493,513, which generated assets of $3,823,037. These assets are offset by a valuation allowance of $2,379,695. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Rental expenses - 3222437 Losses on assets other than inventory - 295787 Fundraising expenses - 532031 Cost of goods sold - 644616 Equity transactions - 7599058 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Internal support - 89626960 Foundation administrative expenses - 3554657 Equity transactions - 22607131 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Rental expenses - 3222437 Losses on assets other than inventory - 295787 Fundraising expenses - 532031 Cost of goods sold - 644616 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Internal support - 89626960 Foundation administrative expenses - 3554657 Central America and the Caribbean 0 0 Investments 349698783 Central America and the Caribbean 0 0 ,Insurance 2539942 Central America and the Caribbean 0 0 Program Services Medical Services 24201 East Asia and the Pacific 0 0 Program Services Medical Conferences 32147 East Asia and the Pacific 0 0 Program Services Medical Supplies 346 Europe (Including Iceland and Greenland) 0 0 Program Services Medical Services 4186 Europe (Including Iceland and Greenland) 0 0 Program Services Medical Supplies 196172 Europe (Including Iceland and Greenland) 0 0 Program Services Medical Conferences 77075 Middle East and North Africa 0 0 Program Services Medical Conferences 8528 North America (Canada & Mexico only) 0 0 Program Services Medical Conferences 8418 North America (Canada & Mexico only) 0 0 Program Services Medical Supplies 314546 South America 0 0 Program Services Medical Services 4926 South America 0 0 Program Services Medical Conferences 2610 South Asia 0 0 Program Services Medical Services 2000 South Asia 0 0 Program Services Medical Conferences 857 Sub-Saharan Africa 0 0 Program Services Medical Services 677 Sub-Saharan Africa 0 0 Program Services Medical Conferences 2321 0 0 0 0 0 0 352917735 0 352917735 true false true true true false American Craft Expo 1037960 351359 686601 19344 73144 302456 Associate Board Benefit 96006 17514 78492 7451 7745 900 17376 1 154160 76985 77175 6104 97511 1288126 445858 842268 32899 80889 900 417343 532031 310237 27074 true 1.0 27074 IL true false false false 1.0 NorthShore University HealthSystem 1301 Central Street Evanston IL 60201 false Kate Beckering 0 Oversees auxiliary operations including raffles X false 0 true true X true X true X 600 true true true false true true 16678807 170449 16508358 0.0102 135457902 107450168 28007734 0.0173 0 0.0 0 0 152136709 107620617 44516092 0.0276 1928344 1928344 0.0012 58782252 12588821 46193431 0.0286 43051561 23131808 19919753 0.0123 25924445 19975294 5949151 0.0037 2495991 2495991 0.0015 0 0 132182593 55695923 76486670 0.0474 0 0 284319302 163316540 121002762 0.0749 0 0.0 0 0.0 43 43 0.0000 0 0.0 1007 1007 0.0000 48 48 0.0000 30223 30223 0.0000 354 354 0.0000 0 0.0 0 0 31675 0 31675 0.0000 true 8354279 458933245 499626251 -40693006 X true true HPMOB Limited Partnership Owns a medical office building located on the hospital campus 0.3482 0.6518 Ravine Way Surgery Center LLC Operates an orthopaedic surgery center 0.285 0.715 NorthShoreUSP Surgery Centers II LLC Operates general surgery centers 0.5 0.5 4 1 Evanston Hospital 2650 Ridge Avenue Evanston IL 60201 northshore.org 0000646 X X X X X A 2 Glenbrook Hospital 2100 Pfingsten Road Glenview IL 60026 northshore.org 0003483 X X X X X A 3 Highland Park Hospital 777 Park Avenue West Highland Park IL 60035 northshore.org 0005066 X X X X X A 4 Skokie Hospital 9600 Gross Point Road Skokie IL 60076 northshore.org 0005587 X X X X X A A false false true X X X X X X X X X 15 true true false true X northshore.org/community-events/community/community-health-needs-assessment/ X true 15 true northshore.org/community-events/community/implementation-strategy-plan/ false true X 200.0 600.0 X X X X X true true X X X true X northshore.org/about-us/billing/financial-assistance/ X northshore.org/about-us/billing/financial-assistance/ X northshore.org/about-us/billing/financial-assistance/ X X X X X X true X false X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital NorthShore University HealthSystem (NorthShore) contracted with the Illinois Public Health Institute (IPHI) to facilitate and conduct the Community Health Needs Assessment (CHNA). Through IPHI's Center for Community Capacity Development, IPHI supports non-profit hospitals, local health departments, and other community groups to conduct community health assessment and planning activities to improve health and increase health equity. The CHNA process included three community input data collection methods: a focus group with NorthShore staff, a focus group with community leaders, and an online survey sent to all Community Advisory Committee members. Priority health issues were identified by NorthShore staff in partnership with IPHI by looking at findings from across all the assessment data and perspectives. The NorthShore staff leaders focus group was comprised of 18 staff members representing a range of departments throughout NorthShore including Emergency Medicine, Family Medicine, Kellogg Cancer Center, Nursing, Internal Medicine, Social Services, Cardiology, Psychiatry, Quality Improvement, and Infection Control. The group discussed prominent health and wellness issues and barriers and assets to health in the communities NorthShore serves. Finally, participants discussed potential strategies to address barriers to community health and well-being. The community leaders focus group was comprised of about 20 representatives from NorthShore's Community Advisory Committees. The attendees included health care providers, social service providers, public health agency representatives, local government agency leaders, and small business organizations working throughout the NorthShore service area. The organizations represented included the Lake County Health Department, Moraine Township, Northfield Township, Niles Township, Skokie Health Department, Glenbrook North High School, Glenbrook South High School, Childcare Network of Evanston, Highland Park Chamber of Commerce, North Suburban Healthcare Foundation, City of Evanston, Great Lakes Adaptive Sports Association, Northwest Suburban United Way, Turning Point Behavioral Health Center, Terry Performance Group, Evanston Health Department, Northbrook Police Department, and the Healthcare Foundation of Northern Lake County. The group discussed prominent health and wellness issues, barriers and assets to health in the communities NorthShore serves, and potential strategies to address barriers to community health and well-being. NorthShore and IPHI also developed a nine-question online survey distributed to community partner organizations. The survey was emailed out to approximately 60 members of the four hospitals' Community Advisory Committees, comprised of representatives from community organizations including business, faith community, social services, civic organizations, government and elected officials, as well as interested citizens. The organizations represented included: Village of Wilmette, McGaw YMCA, Evanston Township High School, City of Evanston, NAMI Cook County North Suburban, Erie Evanston/Skokie Health Center, Mather LifeWays, City of Evanston Fire Department, Evanston/Skokie School District 65, New Trier High School, Kenilworth School District 38, Terry Performance Group, Cradle to Career, Northfield Township, Frisbie Senior Center, Glenbrook South High School, The Josselyn Center, Glenview Police Department, Glenview Fire Department, St. Philip Lutheran Church, Village of Glenview, Wesley Child Care Center, Covenant Village of Northbrook, Glenbrook North High School, Northbrook Police Department, Northbrook Bank & Trust, School District 113, Lake County Health Department, Moraine Township, Zion Lutheran Church, Faith in Action, Village of Deerfield, Deerfield Parent Network, City of Highwood, City of Highland Park, Tri-Con Child Care, Highland Park Community Foundation, GLASA, Skokie Library, North West Suburban United Way, Niles Township, Village of Skokie, Turning Point Behavioral Health Center, Metropolitan Family Services, CJE Senior Life, Oakton Community College, ELL Parent Center, Niles Township High School District 219, and Assyrian Health Center. NorthShore staff spoke with many of the members and encouraged them to fill out the survey, and a reminder was sent during the second week of the survey period. As a result, 30 community partner organizations responded to the survey. IPHI staff summarized survey responses and performed qualitative analysis of responses to the open ended questions. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The Community Health Needs Assessment (CHNA) conducted by NorthShore University HealthSystem (NorthShore) included all four NorthShore hospitals: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital NorthShore University HealthSystem (NorthShore) has implemented a three-fold strategy to address the identified health needs of the communities it serves, which includes: 1) Community benefits programs and partnerships will address a need identified in the Community Health Needs Assessment (CHNA), with a rationale provided for any identified health needs not addressed by NorthShore, 2) Community benefits programs, initiatives, and partnerships will address a need identified by the community, and 3) Community benefits programs, initiatives, and partnerships will be aligned with the guiding principles outlined in Advancing the State of the Art of Community Benefits for Nonprofit Hospitals. The guiding principles are: Disproportionate Unmet Health-Related Needs, Primary Prevention, Seamless Continuum of Care, Build Community Capacity, and Community Collaboration. NorthShore places priority on providing community benefits and services in the communities located nearest to its hospitals, where NorthShore believes it has the greatest capacity and responsibility to serve. NorthShore evaluates the impact of the initiatives developed to address the identified needs by collecting data on how many individuals utilize components of the initiative. Measurement of the impact was also assessed by gathering ongoing feedback from the hospitals' Community Advisory Committees, along with feedback from senior and physician leadership. The needs identified in the most recently conducted CHNA were: Access and Coordination of Care, Access to Behavioral Health, Health Literacy and Navigating the Health Care Environment, Access to Healthy and Affordable Food, Access to Oral Health Care, Chronic Disease Risk Factors (obesity, tobacco use, hypertension), Behavioral Health, Oral Health, Cardiovascular Disease and Stroke, Diabetes, Cancer, Alzheimer's/Dementia, Lung Health, and Material and Child Health. NorthShore plans to address all the needs identified in the CHNA, although the following needs have been addressed in a limited capacity through existing services and financial contributions to outside organizations: Health Literacy and Navigating the Health Care Environment, and Access to Healthy and Affordable Food. Actions taken during fiscal year 2018 to address the needs identified in the CHNA include the following NorthShore programs and services by hospital facility: Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - A, 1 Evanston Hospital. The NorthShore Evanston Hospital Community Health Center provides medical care to adults who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopaedics, diabetes education, and podiatry. In fiscal year 2018, the clinic treated 3,848 adult patients at 13,501 visits. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level One trauma services. During fiscal year 2018, the NorthShore Emergency Departments had 126,255 patient visits. The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided discounted care for adult patients making 4,557 visits during fiscal year 2018. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. During fiscal year 2018, NorthShore hospitals had a total of 136,759 cardiology patient visits. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During fiscal year 2018, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 86,532 patient visits. The Maternal Health Department at Evanston Hospital offers comfortable, high-tech birthing facilities. Evanston Hospital also serves as a Regional Perinatal Network hospital for northeastern Illinois. Both high-risk mothers and high-risk babies are transferred to Evanston Hospital for access to the latest technology and highly trained staff. During fiscal year 2018, the Evanston Hospital Maternal Health Department had a total of 41,557 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During fiscal year 2018, the Pediatric Rehabilitation Clinic had a total of 9,716 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2018, NorthShore physicians conducted 9,376 screenings to identify at-risk patients, and the hotline received 994 calls. Free psychological support and referrals were provided for 560 women identified as at-risk for perinatal mood disorders. NorthShore's Medication Assistance Program helps with the cost of prescriptions for patients of the Evanston Hospital Community Health Center. The Medication Assistance Program provided 20,696 prescriptions to 2,610 low-income patients during fiscal year 2018. NorthShore Mental Health Services for adults, adolescents and children offers along with a continuum of care including group, individual and family outpatient services, intensive outpatient, partial hospital programs, inpatient centers for both adults and adolescents, and crisis call center. The Access/Crisis Center offers 24-hour crisis intervention and triage over the phone and in the emergency department. During fiscal 2018, the Mental Health Services Departments at Evanston and Highland Park Hospitals had a total of 42,352 patient visits. The Evanston Township High School Health Center is a school-based health clinic that provides physical exams, immunizations, treatment of acute and chronic illnesses, individual counseling, health education, gynecological care, and support groups to students whose parents allow them to enroll in the health center. For the 2017-2018 academic year, 1,309 students made 3,369 visits. Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - A, 2 Glenbrook Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level One trauma services. During fiscal year 2018, the NorthShore Emergency Departments had 126,255 patient visits. The Family Care Center at Glenbrook Hospital provides comprehensive care for people of all ages and serves as a training site for Family Medicine resident physicians and medical students from University of Chicago Pritzker School of Medicine. During fiscal year 2018, the Family Care Center had a total of 12,885 patient visits. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. During fiscal year 2018, NorthShore hospitals had a total of 136,759 cardiology patient visits. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During fiscal year 2018, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 86,532 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. . During fiscal year 2018, the Pediatric Rehabilitation Clinic had a total of 9,716 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2018, NorthShore physicians conducted 9,376 screenings to identify at-risk patients, and the hotline received 994 calls. Free psychological support and referrals were provided for 560 women identified as at-risk for perinatal mood disorders. Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - A, 3 Highland Park Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level One trauma services. During fiscal year 2018, the NorthShore Emergency Departments had 126,255 patient visits. Be Well Lake County is a collaboration between NorthShore and Lake County Health Department/Community Health Center that provides greater access through a coordinated network of healthcare targeting the underserved diabetes population in Lake County. Funding also allows for increased staffing at the health center, assistance with medication and testing supplies, access to subspecialty care, on-site Hemoglobin A1C testing, and a comprehensive approach to a healthy lifestyle through exercise and nutrition counseling. NorthShore provided funding to support a diabetes management program to 1,160 patients at the Lake County Health Department/Community Health Center in North Chicago and Waukegan. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. During fiscal year 2018, NorthShore hospitals had a total of 136,759 cardiology patient visits. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During fiscal year 2018, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 86,532 patient visits. The Maternal Health Department at Highland Park Hospital is committed to providing the best in family care and strives to provide individualized care for each family. The Center's state-of-the-art birthing center rooms were designed to achieve the labor-delivery-recovery-postpartum, or single-room care experience with the latest technology. During fiscal year 2018, the Highland Park Hospital Maternal Health Department has a total of 3,303 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. . During fiscal year 2018, the Pediatric Rehabilitation Clinic had a total of 9,716 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2018, NorthShore physicians conducted 9,376 screenings to identify at-risk patients, and the hotline received 994 calls. Free psychological support and referrals were provided for 560 women identified as at-risk for perinatal mood disorders. NorthShore Mental Health Services for adults, adolescents and children offers along with a continuum of care including group, individual and family outpatient services, intensive outpatient, partial hospital programs, inpatient centers for both adults and adolescents, and crisis call center. The Access/Crisis Center offers 24-hour crisis intervention and triage over the phone and in the emergency department. During fiscal 2018, the Mental Health Services Departments at Evanston and Highland Park Hospitals had a total of 42,352 patient visits. Schedule H, Part V, Section B, Line 11 Facility A, 5 Facility A, 5 - A, 4 Skokie Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level One trauma services. During fiscal year 2018, the NorthShore Emergency Departments had 126,255 patient visits. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. During fiscal year 2018, NorthShore hospitals had a total of 136,759 cardiology patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. . During fiscal year 2018, the Pediatric Rehabilitation Clinic had a total of 9,716 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2018, NorthShore physicians conducted 9,376 screenings to identify at-risk patients, and the hotline received 994 calls. Free psychological support and referrals were provided for 560 women identified as at-risk for perinatal mood disorders. Schedule H, Part V, Section B, Line 20 Facility A, 1 Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital Per the Billing and Collections Policy of NorthShore University HealthSystem (NorthShore), NorthShore does not engage in Extraordinary Collection Actions (ECAs), nor does it permit its collections vendors to engage in ECAs. 32 Glenbrook Ambulatory Care Center 2180 Pfinsten Road Glenview IL 60026 Outpatient Clinic Skokie Ambulatory Care Center 9650 Gross Point Road Skokie IL 60076 Outpatient Clinic Graham Medical Office Building 1000 Central Street Evanston IL 60201 Outpatient Clinic Highland Park Ambulatory Care Center 757 Park Avenue West Highland Park IL 60035 Outpatient Clinic Gurnee Ambulatory Care Center 7900 Rollins Road Gurnee IL 60031 Outpatient Clinic Old Orchard Medical Office Building 9977 Woods Drive Skokie IL 60077 Outpatient Clinic Highland Park Medical Office Building 767 Park Avenue West Highland Park IL 60035 Outpatient Clinic Glenbrook Medical Office Building North 2150 Pfinsten Road Glenview IL 60026 Outpatient Clinic Glenbrook Medical Office Building South 2050 Pfingsten Road Glenview IL 60026 Outpatient Clinic LakeShore Imaging 680 N Lake Shore Drive Chicago IL 60611 Outpatient Clinic Vernon Hills Specialty Care Center 225 N Milwaukee Avenue Vernon Hills IL 60061 Outpatient Clinic NorthShore Lab Services - Evanston 2500 Ridge Avenue Evanston IL 60201 Outpatient Clinic Bannockburn Medical Office Building 2151 Waukegan Road Bannockburn IL 60015 Outpatient Clinic Lincolnshire Medical Office Building 920 N Milwaukee Avenue Lincolnshire IL 60048 Outpatient Clinic Ravinia X-Ray And GI Lab 1777 Green Bay Road Highland Park IL 60035 Outpatient Clinic Fetal Diagnostic Center 71 Waukegan Road Lake Bluff IL 60044 Outpatient Clinic Gurnee Medical Office Building 15 Tower Court Gurnee IL 60031 Outpatient Clinic Niles Medical Office Building 6450 W Touhy Avenue Niles IL 60714 Outpatient Clinic Mount Prospect Medical Office Building 1329 N Wolf Road Mount Prospect IL 60056 Outpatient Clinic Glenview Park Center 2400 Chestnut Avenue Glenview IL 60026 Outpatient Clinic PM&R Fitness Center 1501 Busch Parkway Buffalo Grove IL 60089 Outpatient Clinic PM&R Benson Avenue 1729 Benson Avenue Evanston IL 60201 Outpatient Clinic Adolescent Day School 3633 W Lake Avenue Glenview IL 60026 Therapeutic Day School Northbrook Court Imaging 1182 Northbrook Court Northbrook IL 60062 Outpatient Clinic Fetal Diagnostic Center 880 W Central Road Arlington Heights IL 60005 Outpatient Clinic Fetal Diagnostic Center 755 S Milwaukee Avenue Libertyville IL 60048 Outpatient Clinic Breast Health And Mammography Program 71 Old Orchard Shopping Center Skokie IL 60077 Outpatient Clinic Ravine Way Surgery Center 2350 Ravine Way Glenview IL 60025 Ambulatory Surgery Center North Shore Same Day Surgery 3725 W Touhy Avenue Lincolnwood IL 60712 Ambulatory Surgery Center River North Same Day Surgery One E Erie Street Chicago IL 60611 Ambulatory Surgery Center 25 East Same Day Surgery Center 25 E Washington Street Chicago IL 60602 Ambulatory Surgery Center Schedule H, Part I, Line 3c Other Factors Used to Determine Eligibility for Financial Assistance In addition to the Federal Poverty Guidelines, NorthShore University HealthSystem uses the following factors to determine eligibility for financial assistance: asset level, medical indigency, insurance status, underinsurance status, and residency. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance NorthShore University HealthSystem calculated the cost of charity care and means-tested government programs using the cost-to-charge ratio derived from Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges. Amounts in the other benefits section of Line 7 were calculated using costs charged directly to the individual programs from the financial accounting system. An indirect cost allocation factor for hospital shared services was also calculated and included for each program indicated in other benefits. Schedule H, Part II Community Building Activities NorthShore University HealthSystem (NorthShore) employees are involved in numerous community building activities which promote the health of the communities it serves. NorthShore encourages its employees to serve on community collaboration boards and participate in health advocacy programs to promote the health of the communities served. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Bad debt expense was reported at cost using a cost-to-charge methodology. The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges calculated to report charity care on Part I, Line 7a was multiplied by the bad debt expense to determine the bad debt expense at cost. Discounts and payments on patient accounts are excluded from bad debt expense in order to reflect the expected amount to be paid. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Patient Accounts Receivable Financial Statement Footnote - The Corporation evaluates the collectability of its accounts receivable based on the length of time the receivable is outstanding, the payor class, and the anticipated future uncollectible amounts based on historical experience. Accounts receivable are charged to the allowance for uncollectible accounts when they are deemed uncollectible. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges was used to determine the Medicare costs reported on Part III, Line 6. NorthShore University HealthSystem (NorthShore) believes that all of the $40,693,006 Medicare shortfall should be considered as community benefit. The Internal Revenue Service Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by NorthShore in order to continue treating the elderly in our community. During fiscal year 2018, Medicare accounted for approximately 47% of hospital gross patient revenues. The hospital provides care regardless of this shortfall and thereby relieves the government of the burden of paying the full cost of care for Medicare beneficiaries. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance NorthShore University HealthSystem (NorthShore) follows the Illinois Fair Patient Billing Act. The collection policy is the same for all patients. Patients are screened for eligibility for financial assistance before collection procedures begin. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off. Any remaining balance would be collected under the existing debt collection policy. Schedule H, Part V, Section B, Line 16a FAP website A - Evanston Hospital: Line 16a URL: northshore.org/about-us/billing/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website A - Evanston Hospital: Line 16b URL: northshore.org/about-us/billing/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - Evanston Hospital: Line 16c URL: northshore.org/about-us/billing/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment See the information reported in Part V Section B regarding the most recently completed Community Health Needs Assessment (CHNA). NorthShore University HealthSystem (NorthShore) contracted with the Illinois Public Health Institute (IPHI) to facilitate and conduct the CHNA. Through IPHI's Center for Community Capacity Development, IPHI supports non-profit hospitals, local health departments, and other community groups to conduct community health assessment and planning activities to improve health and increase health equity. The CHNA process included community input data collection including a focus group with NorthShore staff, a focus group with community leaders, and an online survey for Community Advisory Committee members. The assessment process also included the development of a Community Health Profile using secondary data from local health department, federal, and state data sources. Priority health issues were identified by NorthShore staff in partnership with IPHI by looking at findings from across all the assessment data and perspectives. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance NorthShore University HealthSystem (NorthShore) informs and educates low-income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describes the Financial Assistance program and necessary contact information. Our collection agencies and billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately 16 full-time financial counselors and 38 Customer Service agents representing our hospitals, clinics, and physician offices. These counselors and representatives are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. NorthShore has also earned Certified Application Counselor Organization (CACO) status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance will have their case reviewed by calling our centralized Customer Service billing department. Our Customer Service department responds to approximately 1,400 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for Financial Assistance, NorthShore may also grant Financial Assistance on a presumptive basis. Presumptive Financial Assistance approvals are based upon individual life circumstances such as enrollment in low-income government programs with income eligibility below 200 percent of federal poverty level income guidelines or verification of financial indigence through a credit rating agency and their calculated healthcare credit score. Schedule H, Part VI, Line 4 Community information NorthShore University HealthSystem (NorthShore) has four hospital facilities located in the northern suburbs of Chicago, Illinois. The NorthShore service area has a total population size of approximately 1.6 million. The average household income is approximately $118,000. During fiscal year 2018, approximately 3% of NorthShore's patients had no insurance and 8% qualified for Medicaid. Within NorthShore's service area, there are four federally-designated medically underserved areas. NorthShore's service area also includes 10 other hospitals. Schedule H, Part VI, Line 5 Promotion of community health NorthShore University HealthSystem (NorthShore) extends medical staff privileges to all qualified physicians in the NorthShore community. A majority of the NorthShore Board members also reside in NorthShore's service area and are not employees, independent contractors, or family members thereof. NorthShore also uses surplus funds to add new buildings and renovate existing facilities to better serve patients and the community. Additional programs conducted by NorthShore to help promote the health of the community include: Residency and Education Programs - NorthShore is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at its teaching and research facilities. During fiscal year 2018, 222 resident and fellow full-time equivalents (FTEs) participated in NorthShore and affiliate-based programs. The NorthShore residency program areas include: Dentistry, Family Medicine, Internal Medicine (Categorical, Preliminary, and Transitional), and Pathology. The NorthShore fellowship program areas include: Cardiology, Endocrine Surgery, Family Medicine-Sports Medicine, Gastroenterology, Maternal-Fetal Medicine, Musculoskeletal Imaging, Simulation-Emergency Medicine, and Urogynecology. The affiliate-based residency program areas include: Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Obstetrics and Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry, Radiology, and Urology. The affiliate-based fellowship program areas include: Cardiothoracic Surgery, Child Psychiatry, Colon Rectal Surgery, Gynecology-Oncology, Hematology-Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Molecular Genetics Pathology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient practice. The program consists of a multitude of experiences that reinforce residents' knowledge and skills and help them advance into well-rounded practitioners. During fiscal year 2018, 21 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital and is affiliated with DePaul University. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the school is to prepare qualified professional registered nurses for the advanced practice of nurse anesthesia in a variety of practice settings. The graduate nurse anesthetist demonstrates the knowledge, skills, and attitude necessary to take on leadership roles in the practice of nurse anesthesia. During fiscal year 2018, 61 students participated in the program. NorthShore also provided clinical training and internships during the 2018 academic year for 851 high school and college students. Students interned in various areas including Nursing, Physical Therapy, Laboratory, Radiology, Occupational Therapy, Medical Social Work, and Speech Pathology. Community Advisory Committees - The Community Advisory Committees' (CAC) role is to advise hospital administration on services and initiatives from a community perspective. The CACs are structured to ensure NorthShore's accountability to the community and to assist in the fulfillment of the community relations vision, that the more NorthShore and the community connect, the stronger and healthier both will become. The CACs are primarily comprised of community members, along with hospital administrative and professional staff. NorthShore strives for diverse membership to include business, faith community, social services, civic organizations, government officials, elected officials, as well as interested citizens. The CACs meet quarterly and help to identify gaps in healthcare services within the community and seek opportunities for partnerships between the hospitals and community organizations. In addition, the CACs assist NorthShore with the community health needs assessment process. Be Well Lake County - Be Well Lake County is a collaboration between NorthShore and Lake County Health Department/Community Health Center that provides greater access through a coordinated network of healthcare targeting the underserved diabetes population in Lake County. Funding also allows for increased staffing at the health center, assistance with medication and testing supplies, access to subspecialty care, on-site Hemoglobin A1C testing, and a comprehensive approach to a healthy lifestyle through exercise and nutrition counseling. NorthShore provided funding to support a diabetes management program to 1,160 current patients at the Lake County Health Department/Community Health Center in North Chicago and Waukegan. NorthShore Community Health Center - The NorthShore Evanston Hospital Community Health Center provides medical care to adults who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopaedics, diabetes education, and podiatry. In fiscal year 2018, the clinic treated 3,848 adult patients at 13,501 visits. Dental Center - The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided discounted care for adult patients making 4,557 visits during fiscal year 2018. Evanston Township High School Health Center - The Evanston Township High School Health Center is a school-based health clinic that provides physical exams, immunizations, treatment of acute and chronic illnesses, individual counseling, health education, gynecological care, and support groups to students whose parents allow them to enroll in the health center. For the 2017-2018 academic year, 1,309 students made 3,369 visits. NorthShore's Medication Assistance Program helps with the cost of prescriptions for patients of the Evanston Hospital Community Health Center. The Medication Assistance Program provided 20,696 prescriptions to 2,610 low-income patients during fiscal year 2018. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2018, NorthShore physicians conducted 9,376 screenings to identify at-risk patients, and the hotline received 994 calls. Free psychological support and referrals were provided for 560 women identified as at-risk for perinatal mood disorders. Employee Volunteerism - NorthShore employees participate in various volunteer activities that meet community needs and promote goodwill. Several NorthShore publications include information about volunteer organizations and employee volunteer opportunities. NorthShore also recognizes and rewards employees for community service and volunteerism through the annual Sharing Spirit Volunteer Award. Home and Hospice Services - NorthShore Home and Hospice Services offers the full spectrum of home and hospice care, including skilled nursing, physical and occupational therapy, and home medical equipment. The Home and Hospice caregivers represent a wide range of medical specialties and work with the patient, family, and physician to tailor home care to meet the individual needs of each patient. During fiscal year 2018, there were 88,642 patient visits and 5,933 admissions. Schedule H, Part VI, Line 6 Affiliated health care system NorthShore University HealthSystem (NorthShore) is a comprehensive, fully integrated, healthcare delivery system that includes four hospitals, as well as numerous outpatient departments and clinics. In addition to the hospital organization, there are the following affiliates that help to meet the needs of the community: NorthShore University HealthSystem Foundation - The NorthShore University HealthSystem Foundation (Foundation) seeks to obtain the philanthropic support required to ensure that NorthShore can provide medical care, advanced research, and state-of-the-art facilities and equipment. The Foundation builds relationships with individuals and the community to increase awareness of NorthShore's high-quality services and giving opportunities. NorthShore University HealthSystem Research Institute - The NorthShore University HealthSystem Research Institute (Research Institute) was organized in 1996 to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute now houses nearly 89 externally funded research faculty who currently occupy 95,000 net square feet of research space and work on 984 active research protocols. Total external funding is now approximately $88 million. NorthShore continues the Genomic Health Initiative for members of the community to help shape the future of Personalized Medicine. This research project will give physician and research experts the opportunity to more proactively learn about the science behind diseases and conditions, and apply this knowledge directly to a clinical setting to improve patient outcomes. The Genomic Health Initiative will allow researchers to more precisely predict, prevent, and treat disease while improving the future of healthcare and the medical field for generations to come. The goal is to collect 40,000-100,000 participants over the next several years to enable sufficient samples for DNA studies. The Research Institute is also a member of the Illinois Precision Medicine Consortium (IPMC), which is part of a national landmark longitudinal All of Us Research Program (AoURP) cohort program to improve the ability to prevent and treat disease based on individual lifestyle, environment, and genetics. NorthShore will enroll over 5,000 NorthShore patients in the study, and participants in NorthShore's AoURP will be asked to share a wide-range of health, environmental, and lifestyle information. The NorthShore Program for Personalized Cancer Care (PPCC) is pioneering new strategies in cancer care. The PPCC uniquely focuses on the genetic pattern of an individual's hereditary DNA to derive a personalized cancer risk assessment profile. Based on the inherited risk of developing a given cancer, the PPCC is beginning to implement personalized cancer care strategies that encompass the entire spectrum of disease. The PPCC believes this approach will lead to more efficient use of health care resources by targeting prevention and screenings toward individuals at greater risk of developing cancer, earlier cancer detection, and, ultimately and most importantly, reduced cancer deaths and suffering. NorthShore University Health System Home and Hospice Services - NorthShore University HealthSystem Home and Hospice Services (Home and Hospice) offers the full spectrum of home and hospice care, including skilled nursing, physical and occupational therapy, and home medical equipment. The Home and Hospice caregivers represent a wide range of medical specialties and work with the patient, family, and physician to tailor home care to meet the individual needs of each patient. NorthShore University HealthSystem Faculty Practice Associates -NorthShore University HealthSystem Faculty Practice Associates (FPA) represents more than 900 physicians with over 130 offices in virtually every specialty all on staff at NorthShore hospitals. The primary function and activity of FPA is to employ, supervise, and conduct employment-related activities with respect to physicians who provide professional health care services directly for NorthShore patients. FPA physicians also conduct medical education and research activities on behalf of NorthShore. Radiation Medicine Institute -Radiation Medicine Institute (RMI) employs, supervises, and conducts employment-related activities with respect to physicians who provide professional health care services directly for NorthShore patients. RMI physicians also conduct medical education and research activities on behalf of NorthShore. Schedule H, Part VI, Line 7 State filing of community benefit report IL true American Cancer Society 225 N Michigan Ave Chicago IL 60601 362167721 501(c)(3) 20000 Community Event Contribution American Heart Association 208 S LaSalle St Chicago IL 60604 360900700 501(c)(3) 35000 Community Event Contribution Boston Medical Center 660 Harrison Ave Boston MA 02118 043314093 501(c)(3) 15812 Research Catholic Charities of the Archdiocese of Chicago 721 N LaSalle Dr Chicago IL 60654 362170821 501(c)(3) 11500 Community Contribution Chicago Lighthouse for the Blind 1850 W Roosevelt Rd Chicago IL 60608 362169139 501(c)(3) 0 60912 FMV Optical Shop Community Contribution City of Evanston 2100 Ridge Ave Evanston IL 60201 366005870 115 6500 Community Contribution Connections for the Homeless 2121 Dewey Ave Evanston IL 60201 363346917 501(c)(3) 8500 Community Contribution Council for Jewish Elderly 3003 W Touhy Ave Chicago IL 60645 362727597 501(c)(3) 5000 6900 FMV Office Space Community Contribution Emergency Medicine Stroger Cook County 1900 W Polk Chicago IL 60601 680588634 501(c)(3) 25000 Community Contribution Erie Family Health Center 1701 W Superior St Chicago IL 60622 363088628 501(c)(3) 905000 Community Contribution Evanston Community Foundation 1560 Sherman Ave Evanston IL 60201 363466802 501(c)(3) 11000 Community Contribution Illinois Hospital Research and Education Foundation (IHREF) 1151 E Warrenville Rd Naperville IL 60566 237421930 501(c)(3) 33659 Hospital Mutual Assistance Program Lake County Health Department 3010 Grand Ave Waukegan IL 60085 366006600 115 453987 Be Well Lake County Program McGaw YMCA 1000 Grove St Evanston IL 60201 362169194 501(c)(3) 6500 Community Contribution Meals at Home 1123 Emerson St Evanston IL 60201 362662113 501(c)(3) 7500 Community Contribution Medical University of South Carolina 19 Hagwood Ave Charleston SC 29425 576000722 115 22714 Research Metropolitan Chicago Healthcare Council 222 S Riverside Plaza Chicago IL 60606 363401846 501(c)(6) 50823 Illinois Poison Center Contribution Moraine Township Charitable Fund 800 Central Ave Highland Park IL 60035 366006244 115 5200 Community Contribution NorthShore Faculty Practice Associates 1301 Central Street Evanston IL 60201 363738206 501(c)(3) 89626960 General Support Northwestern University 633 Clark St Evanston IL 60208 362167817 501(c)(3) 417382 Research St Louis University 3545 Lindell Blvd St Louis MO 63103 430654872 501(c)(3) 8717 Research Turning Point Behavioral Health Care Center 8324 Skokie Blvd Skokie IL 60077 362327294 501(c)(3) 10000 Community Contribution University of Chicago 6054 S Drexel Ave Chicago IL 60637 362177139 501(c)(3) 10000 Residency Program Support University of Chicago 6054 S Drexel Ave Chicago IL 60637 362177139 501(c)(3) 139167 Research University of Chicago Medical Center 5841 S Maryland Ave Chicago IL 60637 363488183 501(c)(3) 500000 Community Contribution University of Miami PO Box 248106 Coral Gables FL 33124 590624458 501(c)(3) 104850 Research University of Michigan 3003 S State St Ann Arbor MI 48109 386006309 501(c)(3) 18682 Research University of Texas 7703 Floyd Curl Dr San Antonio TX 78229 741586031 115 72362 Research Waukegan Township 149 S Genesee St Waukegan IL 60085 366006493 115 7500 Community Contribution Youth Services of Glenview & Northbrook 3080 W Lake Ave Glenview IL 60026 363182275 501(c)(3) 20000 Community Contribution 28 1 Scholarships in Medical Field 92 408376 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. NorthShore University HealthSystem (NorthShore) provides cash and non-cash assistance to organizations that help support NorthShore's mission to preserve and improve human life. Requests to support an outside organization must be reviewed and approved by the Community Relations department and NorthShore management to ensure the organization is aligned with NorthShore's mission and charitable purpose. NorthShore also provides cash grants to sub-recipients of grant awards. NorthShore requires all sub-recipients to sign a consortium agreement stating that the sub-recipient understands and agrees to all applicable compliance requirements. NorthShore meets with the sub-recipients on a regular basis and reviews the sub-recipients' A-133 reports. In addition, NorthShore provides cash support to related organizations. Support to related organizations is monitored through the NorthShore budget and reporting procedures for the consolidated financial statements. NorthShore also provides nursing scholarships to individuals. The scholarship amount depends on the degree sought, and the number of scholarships awarded depends on the available funds for each year. Scholarships are awarded on an annual basis to applicants that meet the eligibility criteria. Applicants must be current employees of NorthShore as a staff nurse or other related clinical position. Applicants must also be currently enrolled in a nursing degree program, and enrollment must be maintained for the year the scholarship is received. In addition, applicants must sign a Scholarship Agreement to work for NorthShore as a staff nurse or in a related clinical position for one year following receipt of the scholarship. X true false X X X X false true false false false false false true false Mark R Neaman Executive Chairman 1261480 0 1997300 0 991655 0 16983 0 17805 0 4285223 0 772225 0 Gerald P Gallagher President and Chief Executive Officer 742097 0 870000 0 5901 0 422077 0 34075 0 2074150 0 293566 0 Morris S Kharasch Director and Physician 59995 290469 7500 99655 0 8387 2907 14076 5280 25562 75682 438149 0 0 Theodore Mazzone Director and Clinical Chairman 734718 68538 67000 0 0 41107 15534 1449 21829 2036 839081 113130 0 0 Frederick E Miller Director and Clinical Chairman 450880 16415 50000 0 0 10890 16386 597 23382 851 540648 28753 0 0 Samuel M Parnass Director and Physician 20000 384686 0 266300 0 17749 839 16144 1594 30662 22433 715541 0 0 Mark S Talamonti Director and Clinical Chairman 937078 282844 150000 0 0 25147 13045 3938 23574 7115 1123697 319044 0 0 Gary E Weiss Board Treasurer and Chief Financial Officer 599609 0 741400 0 148501 0 49232 0 20869 0 1559611 0 257643 0 Julian E Bailes Clinical Chairman 1000000 589914 83000 0 0 42627 10682 6301 22328 13171 1116010 652013 0 0 William D Bloomer Clinical Chairman 393030 260159 0 121000 0 63036 10219 6764 16415 10865 419664 461824 0 0 Michael S Caplan Clinical Chairman 562172 109378 83000 0 0 14294 14217 2766 8130 1582 667519 128020 0 0 Robert R Edelman Clinical Chairman 826414 35423 100000 150000 0 56841 16285 698 38834 1665 981533 244627 0 0 Bernard G Ewigman Clinical Chairman 440952 0 8300 0 0 0 59345 0 68293 0 576890 0 0 0 Mahalakshmi Halasyamani Chief Quality and Transformation Officer 424385 0 128000 0 3382 0 39598 0 6447 0 601812 0 0 0 Thomas H Hodges Chief Investment Officer 448959 0 222840 0 71661 0 16983 0 16161 0 776604 0 0 0 Karen L Kaul Clinical Chairman 320438 281337 100000 100000 0 18502 9043 7940 17792 15621 447273 423400 0 0 Mary Keegan Chief Nursing Officer 323175 0 127000 0 5457 0 35013 0 15880 0 506525 0 0 0 Jason L Koh Clinical Chairman 560568 489696 75000 439423 0 4612 9065 7918 19069 16658 663702 958307 0 0 William R Luehrs Chief Human Resources Officer 412967 0 510900 0 13725 0 39444 0 19228 0 996264 0 177551 0 Demetrius (Jim) Maraganore Clinical Chairman 459005 148181 62500 0 0 12375 12838 4145 23897 7715 558240 172416 0 0 Kristen Murtos Chief Administrative and Strategy Officer 426429 0 528600 0 3270 0 99635 0 36175 0 1094109 0 182221 0 Sean O'Grady Chief Clinical Operations Officer 431479 0 518600 0 5376 0 584615 0 32200 0 1572270 0 176166 0 Jesse Peterson Hall President, Glenbrook Park Hospital 420936 0 529700 0 14221 0 39856 0 27692 0 1032405 0 184986 0 Richard K Silver Clinical Chairman 755006 117945 83000 0 0 27426 14688 2295 24262 3790 876956 151456 0 0 Douglas M Silverstein President, Evanston Hospital 554174 0 680700 0 254464 0 46913 0 13593 0 1549844 0 236891 0 Steven Smith Chief Information Officer 454148 0 552200 0 14405 0 191977 0 27498 0 1240228 0 189274 0 Joseph Szokol Clinical Chairman 350002 215997 75000 250000 0 18927 10502 6481 21019 12971 456523 504376 0 0 Brian Washa Senior Vice President 341857 0 397600 0 2146 0 35683 0 28761 0 806047 0 149241 0 Pablo Gejman Vice President, Genomic Research 390748 0 102400 0 14364 0 16983 0 23282 0 547777 0 0 0 Harry L Jones Chief Compliance Officer 289180 0 117000 0 6780 0 16983 0 27124 0 457067 0 0 0 Janardan D Khandekar Medical Director, Molecular Medical Center 403488 39960 100000 5000 59127 0 15453 1530 21711 2150 599779 48640 0 0 David F Lovinger Hospitalist 282402 70794 43669 0 8254 0 13579 3404 22734 5699 370638 79897 0 0 Jianfeng Xu Vice President, Translational Research 377802 0 99400 0 5055 0 16983 0 27543 0 526783 0 0 0 Jeffery S Vender Former Clinical Chairman 270208 330818 0 300000 0 38862 7635 9348 11867 14529 289710 693557 0 0 Schedule J, Part I, Line 2 Substantiation Prior to Reimbursement for Expenses A prepaid airline mileage account was purchased for the travel of the Chief Executive Officer. At the time of the purchase, it was not known what specific travel would occur and therefore the travel could not be substantiated at purchase. The business purpose of each trip was substantiated at the time of travel. Schedule J, Part III Compensation from Unrelated Organizations The salary and benefits reported on Schedule J totaling $576,890 for Dr. Bernard G Ewigman were paid by the University of Chicago Medical Center for services provided to NorthShore University HealthSystem as the Chairman of the Department of Family Medicine. Schedule J, Part I, Line 1a First-class or charter travel First-class airfare was provided to the Chief Executive Officer and Executive Chairman during calendar year 2017 for business travel purposes and was not treated as taxable compensation. The first-class airfare was purchased through a prepaid airline mileage account, which provided discounted airline fare rates. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The following individuals participated in a supplemental nonqualified retirement plan and accrued the following benefits: Mark R Neaman, Executive Chairman - $949,348, Gerald P Gallagher, President and Chief Executive Officer - $357,442, Kristen Murtos, Chief Administrative and Strategy Officer - $58,182, Sean O'Grady, Chief Clinical Operations Officer - $543,162, Douglas M Silverstein, President, Evanston Hospital - $240,144, Steven Smith, Chief Information Officer - $150,267, Gary E Weiss, Chief Financial Officer - $128,676. Schedule J, Part I, Line 7 Non-fixed payments NorthShore University HealthSystem provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the Compensation Committee of the Board of Directors. A Illinois Finance Authority 861091967 45200F4D8 2010-07-14 138786145 See Part VI false false false B Illinois Finance Authority 861091967 45200MU93 2008-12-11 75000000 See Part VI false false false A 28885000 138786145 1017771 137768374 2010 true false true true B 75000000 433044 131875 74435081 2008 false false true true A 0.0 B false false true true true true 0.004 0.001 0.005 false false true A false false false true false false false false true B false false true true true false false false true A true B true Schedule K, Part I, Column (f) Row A - Description of Purpose To refund bonds issued on July 3, 2001. Proceeds were also used to pay termination costs in connection with certain derivative agreements related to the refunded bonds. Schedule K, Part I, Column (f) Row B - Description of Purpose To reimburse NorthShore University HealthSystem for the costs of construction, renovation, and equipment for various projects at Evanston Hospital, Glenbrook Hospital, and Highland Park Hospital. Schedule K, Part IV, Line 2c COLUMN A Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 04/27/2015 Schedule K, Part IV, Line 2c COLUMN B Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 01/29/2014 Substantial Contributor #50 Substantial Contributor 3575426 Property Management false Substantial Contributor #66 Substantial Contributor 4591205 Medical Equipment false Jamie Dohnalek Family Mbr-David Dohnalek 58809 Employment false Maureen Kharasch Family Mbr-Dr. Kharasch 202517 Employment false X 3 950 Cost X 12687 Cost X 35481 Cost X 26 371762 Other - Sale Proceeds X 2 300 Other - Comparables X 8 3371 Cost X 1 3534 Cost X Gift Cards/Certificates 197 51992 Cost X Vacation/Property 5 3104 Other - Comparables X Events/Entertainment 3 528 Cost 0 false true false Schedule M, Part I Column (b) - Number of Contributions or Items Contributed The amounts reported on Part I, Column (b) represent the number of contributions. Form 990, Part III, Line 1 Organization's Mission The core mission of NorthShore University HealthSystem is to "preserve and improve human life." This mission will be achieved through the provision of superior clinical care, academic excellence and innovative research. NorthShore is a not-for-profit organization principally formed to provide quality healthcare services for the communities it serves. The delivery of healthcare services is provided in a wide range of inpatient and ambulatory healthcare settings, community-wide, employing modern technology and expertise. Support for qualified patients who may not be able to pay the entire cost of their care is a part of the organization's commitment. In support of its primary mission of patient care, the organization engages in a wide range of academic activities in medical education and research. This statement recognizes the Board of Directors' responsibility to maintain the organization's viability to meet its long-term commitment to the communities it serves. It further recognizes the responsibility to maintain technologically current assets for this purpose. This includes the cultivation and development of our physicians, graduate medical students, employees, physical plant, equipment and other resources to assure orderly growth of our services. Form 990, Part III, Line 4a Program Service Description - Patient Care Headquartered in Evanston, Illinois, NorthShore University HealthSystem, (NorthShore), is a comprehensive, fully integrated, healthcare delivery system serving the Chicago region. NorthShore includes four hospitals: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital. NorthShore has 10,500 employees and 2,400 affiliated physicians, including a multispecialty group practice with over 900 physicians and 130 office locations under NorthShore University HealthSystem Faculty Practice Associates. The integrated health system has significant capabilities in a wide spectrum of leading clinical programs, including the Kellogg Cancer Center, NorthShore Neurological Institute, NorthShore Orthopaedic Institute, NorthShore Cardiovascular Institute, Mark R Neaman Center for Personalized Medicine, and High-Risk Maternity. NorthShore also supports teaching and research as the principal teaching affiliate for the University of Chicago Pritzker School of Medicine. NorthShore is a Magnet recognized organization and is the first organization in Illinois designated as a system to receive this prestigious honor that demonstrates excellence in nursing and high standards of patient care. NorthShore is a national leader in the implementation of innovative technologies, including electronic medical records (EMR). In 2003, NorthShore was among the first hospital systems in the country to successfully launch a system-wide EMR with demonstrable benefits in quality, safety, efficiency, and service to patients. NorthShore has been recognized by multiple national organizations for this notable achievement. As part of an ongoing relationship between NorthShore and the Mayo Clinic, physicians from these two organizations are working together on the most complex medical cases. NorthShore physicians have direct access to Mayo Clinic physicians to collaborate on the best treatment for patients. NorthShore earned five stars, which is the highest possible quality rating from the Centers for Medicare and Medicaid Services (CMS). Hospitals are rated in the following seven key categories: mortality, readmission, care safety, patient experience, medical imaging efficiency, and timeliness and effectiveness of care. More than 4,000 hospitals are assessed with the national average being three stars. NorthShore was recognized as one of the nation's 100 Top Hospitals and Top 15 Major Teaching Hospital for 2018 by IBM Watson Health, formerly Truven Health Analytics, a leading provider of data-driven analytics and solutions to improve the cost and quality of healthcare. NorthShore is the only hospital in the U.S. to achieve this honor 19 times during the award's 25-year history. NorthShore was ranked a top ten hospital system in both the Chicago/Metro area and state of Illinois in U.S. News and World Report's annual "Best Hospitals" survey. NorthShore also was nationally recognized as "high performing" in three clinical specialties: orthopedics, gastroenterology and GI surgery, and urology. Additionally, NorthShore was one of just 29 hospitals nationally to earn top ratings in nine separate procedures and conditions. This year's survey analyzed and ranked more than 4,500 hospitals nationwide in 16 different specialties, honoring hospitals that excel in treating patients with the most challenging medical conditions. NorthShore recognizes and embraces its responsibility to ensure that it fulfills its charitable obligations in the most cost-effective and sustainable manner. In order to achieve this goal, NorthShore has aligned its community benefits program with the guiding principles outlined in Advancing the State of the Art of Community Benefit for nonprofit hospitals, which provides a set of uniform standards to increase accountability and align governance, management, and operations to return benefit to local communities. NorthShore is guided and its initiatives measured by five guiding principles, including: 1) Disproportionate Unmet Health-Related Needs, 2) Primary Prevention, 3) Seamless Continuum of Care, 4) Build Community Capacity, and 5) Community Collaboration. NorthShore informs and educates low-income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describes the Financial Assistance program and necessary contact information. Our collection agencies and billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately 16 full-time financial counselors and 38 Customer Service agents representing our hospitals, clinics, and physician offices. These counselors and representatives are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. NorthShore has also earned Certified Application Counselor Organization (CACO) status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance will have their case reviewed by calling our centralized Customer Service billing department. Our Customer Service department responds to approximately 1,400 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for Financial Assistance, NorthShore may also grant Financial Assistance on a presumptive basis. Presumptive Financial Assistance approvals are based upon individual life circumstances such as enrollment in low-income government programs with income eligibility below 200 percent of federal poverty level income guidelines or verification of financial indigence through a credit rating agency and their calculated healthcare credit score. Evanston Hospital - With a history dating back to 1891, Evanston Hospital is a 354-licensed bed comprehensive acute-care facility and the nucleus of NorthShore. Evanston Hospital is the principal home to the NorthShore Cardiovascular Institute and Kellogg Cancer Center, and offers a variety of surgical specialties including neurosurgery, gynecological surgery, robot-assisted surgery, surgical oncology, and urology surgery. Evanston Hospital is certified by the Joint Commission in palliative care and as a Primary Stroke Center. The hospital also is a licensed Level I Trauma Center. Evanston Hospital is also the regional center for high-risk obstetrics. The Infant Special Care Unit and the Women's Hospital offer a comfortable birthing environment where high-risk mothers and their babies have access to the latest technology and a highly trained staff. Evanston Hospital also offers leading-edge lab capabilities and serves as the home for NorthShore's pioneering Mark R Neaman Center for Personalized Medicine, which customizes a patient's care and treatment plan based on the individual's unique genetic characteristics and health history. Evanston Hospital also houses the Grainger Center for Simulation and Innovation, which provides nurses, physicians, residents, paramedics, firefighters, and police with simulated clinical care, trauma, and emergency preparedness training in a controlled environment. During fiscal year 2018, Evanston Hospital total admissions were 17,827, and total patient days were 90,515. Form 990, Part III, Line 4a Program Service Description - Patient Care (continued) Glenbrook Hospital - Glenbrook Hospital, established in 1977, is a 173-licensed bed comprehensive medical center providing advanced diagnostic and therapeutic interventions with a particular focus on advanced ophthalmology, outpatient surgery, and the specialized needs of geriatric patients. In addition to being a Level II Trauma Center, Glenbrook Hospital is certified by the Joint Commission as a Primary Stroke Center. Glenbrook Hospital provides advanced medical and surgical care, which specifically include the Kellogg Cancer Center, NorthShore Neurological Institute, NorthShore Cardiovascular Institute, John and Carol Walter Center for Urological Health, Patricia Nolan Center for Breast Health, Simms Family GI Lab, and the Eye and Vision Center. In addition, the hospital offers leading-edge interventional radiology and diagnostic radiology services. During fiscal year 2018, Glenbrook Hospital total admissions were 9,816, and total patient days were 46,177. Highland Park Hospital - Founded in 1918, Highland Park Hospital has provided high-quality healthcare and a wide range of clinical programs for the people of Lake County and beyond for a century. The 139-licensed bed hospital is the site of the first open-heart surgery in Lake County, and continues to provide a full range of cardiac diagnosis and intervention services. The Women's Hospital provides the only dedicated labor, deliver, and post-partum unit in Lake County. Highland Park Hospital's Kellogg Cancer Center offers the most comprehensive subspecialty care for oncology patients. Specialized physicians provide care for the following types of cancer: thoracic and lung, hematology, breast, ovarian, head and neck, melanoma and sarcoma, gastrointestinal, prostate, and stomach. Highland Park Hospital is a Joint Commission certified Primary Stroke Center. The Emergency Department at Highland Park Hospital acts as the region's "pod" hospital for disaster-response activities across Lake County. During fiscal year 2018, Highland Park Hospital total admissions were 9,357, and total patient days were 41,541. Skokie Hospital - Established in 1963, Skokie Hospital is a 123-licensed bed facility that provides patients access to a vast network of outpatient clinical resources, from multispecialty physician offices to cardiac imaging, radiology and gastrointestinal services, and a Level II Trauma Center and Emergency Department. Skokie Hospital is home to Illinois' only destination hospital dedicated to orthopaedic and spine care. The Orthopaedic and Spine Institute provides advanced care and is designed for both outpatient and inpatient procedures including joint replacement, fracture care, and complex spine surgeries. The Institute's team is comprised of trained experts and each member of the team is highly experienced in using the latest innovations and leading-edge techniques, including Enhanced Recovery After Surgery protocols to minimize opioid use and achieve a higher level of patient satisfaction pre- and post-surgery. During fiscal year 2018, Skokie Hospital total admissions were 8,232, and total patient days were 35,438. NorthShore University HealthSystem Faculty Practice Associates - In order to increase the efficiency and quality of health care NorthShore provides, NorthShore University HealthSystem Faculty Practice Associates (FPA) was organized to serve as an integral part of NorthShore's health care mission and activities. FPA represents more than 900 physicians with over 130 offices in virtually every specialty all on staff at NorthShore hospitals. FPA physicians provide professional health care services for NorthShore patients, as well as conduct medical education and research activities on behalf of NorthShore. NorthShore University HealthSystem Foundation NorthShore University HealthSystem Foundation (Foundation) is dedicated to assisting the integrated healthcare delivery system to fulfill NorthShore's mission to "preserve and improve human life." The Foundation seeks to obtain the philanthropic support required to ensure that NorthShore can provide medical care, advanced research, and state-of-the-art facilities and equipment. The Foundation builds relationships with individuals and the community to increase awareness of NorthShore's high-quality services and giving opportunities. NorthShore University HealthSystem Home and Hospice Services - NorthShore University HealthSystem Home and Hospice Services (Home and Hospice) offers the full spectrum of home and hospice care, including skilled nursing, physical and occupational therapy, and home medical equipment. The Home and Hospice caregivers represent a wide range of medical specialties and work with the patient, family, and physician to tailor home care to meet the individual needs of each patient. Form 990, Part III, Line 4b Program Service Description - Education NorthShore University HealthSystem (NorthShore) is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at its teaching and research facilities. During fiscal year 2018, 222 resident and fellow full-time equivalents (FTEs) participated in NorthShore and affiliate-based programs. The NorthShore residency program areas include: Dentistry, Family Medicine, Internal Medicine (Categorical, Preliminary, and Transitional), and Pathology. The NorthShore fellowship program areas include: Cardiology, Endocrine Surgery, Family Medicine-Sports Medicine, Gastroenterology, Maternal-Fetal Medicine, Musculoskeletal Imaging, Simulation-Emergency Medicine, and Urogynecology. The affiliate-based residency program areas include: Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Obstetrics and Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry, Radiology, and Urology. The affiliate-based fellowship program areas include: Cardiothoracic Surgery, Child Psychiatry, Colon Rectal Surgery, Gynecology-Oncology, Hematology-Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Molecular Genetics Pathology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient practice. The program consists of a multitude of experiences that reinforce residents' knowledge and skills and help them advance into well-rounded practitioners. During fiscal year 2018, 21 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital and is affiliated with DePaul University. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the school is to prepare qualified professional registered nurses for the advanced practice of nurse anesthesia in a variety of practice settings. The graduate nurse anesthetist demonstrates the knowledge, skills, and attitude necessary to take on leadership roles in the practice of nurse anesthesia. During fiscal year 2018, 61 students participated in the program. NorthShore also provided clinical training and internships during the 2018 academic year for 851 high school and college students. Students interned in various areas including Nursing, Physical Therapy, Laboratory, Radiology, Occupational Therapy, Medical Social Work, and Speech Pathology. Form 990, Part III, Line 4c Program Service Description - Research The NorthShore University HealthSystem Research Institute (Research Institute) was organized in 1996 to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute now houses nearly 89 externally funded research faculty who currently occupy 95,000 net square feet of research space and work on 984 active research protocols. Total external funding is now approximately $88 million. NorthShore continues the Genomic Health Initiative for members of the community to help shape the future of Personalized Medicine. This research project will give physician and research experts the opportunity to more proactively learn about the science behind diseases and conditions, and apply this knowledge directly to a clinical setting to improve patient outcomes. The Genomic Health Initiative will allow researchers to more precisely predict, prevent, and treat disease while improving the future of healthcare and the medical field for generations to come. The goal is to collect 40,000-100,000 participants over the next several years to enable sufficient samples for DNA studies. The Research Institute is also a member of the Illinois Precision Medicine Consortium (IPMC), which is part of a national landmark longitudinal All of Us Research Program (AoURP) cohort program to improve the ability to prevent and treat disease based on individual lifestyle, environment, and genetics. NorthShore will enroll over 5,000 NorthShore patients in the study, and participants in NorthShore's AoURP will be asked to share a wide-range of health, environmental, and lifestyle information. The NorthShore Program for Personalized Cancer Care (PPCC) is pioneering new strategies in cancer care. The PPCC uniquely focuses on the genetic pattern of an individual's hereditary DNA to derive a personalized cancer risk assessment profile. Based on the inherited risk of developing a given cancer, the PPCC is beginning to implement personalized cancer care strategies that encompass the entire spectrum of disease. The PPCC believes this approach will lead to more efficient use of health care resources by targeting prevention and screenings toward individuals at greater risk of developing cancer, earlier cancer detection, and, ultimately and most importantly, reduced cancer deaths and suffering. Form 990, Part VI, Line 15 Process to Establish Compensation of Top Official and Other Employees A detailed compensation review of the top 17 executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market data for base and variable compensation is assessed annually for local, regional and national hospitals, integrated delivery systems, and academic medical centers. A detailed total compensation market review is conducted every two years. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation. A detailed compensation review of the 13 Clinical Chairs is also conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting for physicians within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market compensation data for each physician's specialized area of training is assessed annually. A detailed total compensation and Fair Market Value review is conducted every two years. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Percy L Berger Sr, Toure S Claiborne, A Steven Crown, David A Dohnalek, Connie K Duckworth, William M Farrow III, Gerald P Gallagher, Catherine Guthrie, Gregory K Jones, Karen L Kaul, Morris S Kharasch, Lester B Knight III, Harry M Jansen Kraemer Jr, Theodore Mazzone, Samuel M Mencoff, Andrew J Mills, Kristen Murtos, Mark R Neaman, Samuel M Parnass, Michael Reinsdorf, Thomas S Ricketts, Scott C Schweighauser, Susan B Sentell, Mark S Talamonti, J Mikesell Thomas, Sona Wang, Kevin Willer, David F Zucker - Business relationship, Harry M Jansen Kraemer Jr and Samuel M Mencoff - Business relationship, Gerald P Gallagher and Harry L Jones - Business relationship, Gerald P Gallagher and Kristen Murtos - Business relationship, Gerald P Gallagher and Gary E Weiss - Business relationship, Karen L Kaul, Kristen Murtos, Gary E Weiss - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body The NorthShore University HealthSystem (NorthShore) Form 990 was reviewed by executive management and an outside accounting firm. The NorthShore Form 990 was then provided to each member of the Board of Directors via email for their review and ability to ask questions of management prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy All officers, directors and employees are required to report any potential or actual conflicts of interest as they arise, promptly and in writing, to the Chief Compliance Officer. In addition, on an annual basis, the Chief Compliance officer requires all officers, directors, and key employees to complete, sign and return a Conflict of Interest Disclosure Statement requiring information about any and all potential or actual conflicts. Timely and accurate completion of the Statement is mandatory, and completed Statements must be returned to the Chief Compliance Officer within 15 days. Any disclosures included on the Statements are reviewed and acted upon as necessary by the Chief Compliance Officer and the Corporate Compliance Committee. Form 990, Part VI, Line 19 Required documents available to the public The NorthShore University HealthSystem (NorthShore) governing documents, conflict of interest policy, and financial statements are available to the public upon request. The NorthShore annual audit report and financial statements are also available to the public through GuideStar and the Illinois Attorney General's Office websites as part of the federal and state tax return filings. The NorthShore quarterly and annual financial statements and annual audit are also made available to the public through the Electronic Municipal Market Access (EMMA) website as part of the tax-exempt bond offerings. Form 990, Part VIII, Line 2f Other Program Service Revenue Tuition Revenue - Total Revenue: 1382533, Related or Exempt Function Revenue: 1382533, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue NCSI Fees - Total Revenue: 711570, Related or Exempt Function Revenue: 87721, Unrelated Business Revenue: 623849, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Growth Initiatives - Total Revenue: 767991, Related or Exempt Function Revenue: 767991, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Wellness Shop - Total Revenue: 793385, Related or Exempt Function Revenue: , Unrelated Business Revenue: 793385, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Computer Services - Total Revenue: 248653, Related or Exempt Function Revenue: , Unrelated Business Revenue: 248653, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Noncompete Amortization - Total Revenue: 100000, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 100000; Other - Total Revenue: 91885, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 91885; Application Fees - Total Revenue: 46650, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 46650; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Equity adjustments for the Pension Plan - 16943807; Equity adjustments for the Supplemental Executive Retirement Plans - 887685; NorthShore University HealthSystem Faculty Practice Associates 1301 Central Street Evanston IL 60201 363738206 Healthcare IL 501(c)(3) Type I NorthShore University HealthSystem true Radiation Medicine Institute 1301 Central Street Evanston IL 60201 363815543 Healthcare IL 501(c)(3) Type I NorthShore University HealthSystem true Healthcare Foundation of Highland Park 610 Central Avenue Highland Park IL 60035 363196647 Fundraising IL 501(c)(3) Type II NA false Ravine Way Surgery Center LLC 2401 Ravine Way Glenview IL 60025 201245279 Healthcare IL NorthShore University HealthSystem Related 418960 976626 false 0 true 0.285 HPMOB Limited Partnership 1301 Central Street Evanston IL 60201 363497502 Healthcare IL NorthShore University HealthSystem Excluded 99009 118875 false 0 true 0.3482 NorthShore Physician Associates Inc 1301 Central Street Evanston IL 60201 363648026 Healthcare IL NorthShore University HealthSystem Faculty Practice Associates C Corporation 405987 11246931 1 true Community Care Partners LLC 1301 Central Street Evanston IL 60201 471374487 Healthcare IL NorthShore Physician Associates Inc C Corporation -468528 0 1 true NorthShore Physician Associates Value Based Care LLC 1301 Central Street Evanston IL 60201 822268872 Healthcare IL NorthShore Physician Associates Inc C Corporation 0 0 1 true NorthShore University HealthSystem Insurance International 980419452 Insurance CJ NorthShore University HealthSystem C Corporation 42056 15721629 1 true true true true false false false false false false false true false false false false true true true true NorthShore University HealthSystem Faculty Practice Associates A 21419219 FMV NorthShore University HealthSystem Faculty Practice Associates B 89626960 FMV NorthShore University HealthSystem Faculty Practice Associates C 5956063 FMV Healthcare Foundation of Highland Park C 4000000 FMV HPMOB Limited Partnership K 629594 FMV NorthShore University HealthSystem Faculty Practice Associates P 58445474 COST NorthShore University HealthSystem Faculty Practice Associates Q 23593921 COST NorthShore Physician Associates Inc Q 147435 COST Community Care Partners LLC Q 106576 COST NorthShore University HealthSystem Faculty Practice Associates R 426831988 FMV Radiation Medicine Institute R 2981312 FMV NorthShore Physician Associates Inc R 134482706 FMV NorthShore University HealthSystem Insurance International R 2530958 FMV NorthShore University HealthSystem Faculty Practice Associates S 448370162 FMV Radiation Medicine Institute S 2957260 FMV HPMOB Limited Partnership S 171020 FMV Ravine Way Surgery Center LLC S 313500 FMV NorthShore Physician Associates Inc S 99185838 FMV